63 pages • 2 hours read
Bruce D. Perry, Oprah WinfreyA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Winfrey is an American media personality, author, and philanthropist, famous for her television talk show, The Oprah Winfrey Show. Winfrey has received numerous awards and accolades for her work in media, and she is also recognized as being the world’s first female African American billionaire. Despite her successful and affluent adult life, Winfrey grew up in poverty in rural Mississippi. She was born to a teenage single mother, Vernita Lee, but was raised by her maternal grandmother, Hattie Mae, for the first few years of her life. Winfrey describes the experience growing up with her grandmother as somewhat paradoxical: while Hattie Mae was firm to the point of being physically abusive in her manner of disciplining, Winfrey also credits her grandmother for instilling a positive sense of self in her. Nevertheless, Hattie Mae’s particular brand of discipline did leave a mark; the book opens with Winfrey recounting her experience of being “whupped” by her grandmother for an innocent childhood infraction. Even though “whupping” seemed to be the cultural norm in many African American families, Winfrey describes realizing, even at that young age, that what was happening to her was not right. Hattie Mae’s method of disciplining, coupled with harsh reminders that Winfrey ought not to cry but bear her suffering with a smile on her face, led to a pattern of compliance and people-pleasing later in life that Winfrey retrospectively acknowledges.
A few other experiences also seem to have contributed to this pattern. From the age of six, Winfrey was raised by her mother Vernita in inner-city Milwaukee. Over-extended by the struggles of having to work as a maid and care for two other children besides Winfrey, the latter was often shuttled between Vernita’s house and that of her father, Vernon, in Nashville. Being as overwhelmed as she was, Vernita was not a particularly caring or engaged mother, and Winfrey recalls feeling exceptionally lonely as a young child. Furthermore, she has openly spoken about having been abused by family members in childhood and her teenage years, something that her family dismissed when she opened up to them about her experience as an adult. All these factors seemed to have influenced several behaviors in Winfrey’s later life; she acknowledges staying in many of her problematic romantic relationships because of the low self-worth she developed as a function of her past. Winfrey also attributes some of the weight gain she experienced at different times in her adult life to this low self-worth and the need to feel loved and accepted.
Even as these events unfolded in Winfrey’s personal life, her professional one continued to see success after success. She rose to fame as a media personality and a talk show host, gaining her great fame through the confessional style of media conversation that she made popular. During her career as a talk show host, Winfrey went on to interview hundreds of people, from celebrities and politicians to laypeople with stories on a variety of topics. Coping with trauma and abuse was one such topic.
Winfrey’s personal and professional lives both play into her motivation to co-author a book such as What Happened to You? Winfrey’s own history of trauma and abuse led her to have a self-confessed interest in making sense of her past and understanding the implications it has on who she is today. She describes how she arrived at finally being able to set healthy boundaries and say “no” to people with hard work and intention, as she was conditioned to be a people-pleaser from childhood. As part of her profession, Winfrey has simultaneously always been interested in uncovering other people’s stories and mastering the art of leading and directing a conversation. Her experience of countless interviews over the years led her to a couple of profound realizations, which she describes in the book: firstly, that all pain is the same, irrespective of the specific event that caused it, and secondly, in sharing one’s pain with another, humans are able to connect, empathize, and heal. This is also in keeping with the Māori approach to pain that Perry describes in the book, where all pain is viewed as arising from the same cause: fragmentation, disconnection, and desynchrony. Winfrey’s second realization is that at their very core, all humans have the same need to be seen, appreciated, and loved. Perry confirms this in the book, asserting that love and belonging are essential to human biology; this idea is further explored through the theme of Love and Relationships throughout the book. Winfrey arrived at both realizations due to a confluence of her personal and professional lives and experiences, further explaining her interest in and desire to co-author this book.
Perry is a psychiatrist specializing in childhood mental health. His work is focused on the impact of abuse, neglect, and trauma on the developing brain. Perry attended undergraduate courses at Stanford University and Amherst College, but did not graduate. He later attended medical and graduate school at Northwestern University, where he earned both his MD and PhD degrees. Perry completed a residency in general psychiatry at the Yale University School of Medicine, as well as a fellowship in Child and Adolescent Psychiatry at The University of Chicago in 1987.
Perry has worked extensively as both an academic and a clinician, and he has authored several journal articles and book chapters based on his work. He has co-authored two other books focused on maltreatment in children and the need for empathy, respectively. With Perry’s clinical research beginning to focus on the integration of principles emerging from discoveries in developmental neuroscience into clinical practice, he developed programs that focused on working with children with trauma. One among these is the Neurosequential Model mentioned in the book, which is “a developmentally sensitive, neurobiology-informed approach to clinical work (NMT), education (NME) and caregiving (NMC)” (B. D. Perry). Perry’s experience has led him to consult for community and governmental agencies in cases that involve children with trauma, including the Branch Davidian siege in Waco (1993), the Oklahoma City bombing (1995), the Columbine school shootings (1999), the September 11 terrorist attacks (2001), and the Sandy Hook Elementary school shooting (2012), among others.
Perry’s experience and training led him to be an expert on the experience of trauma. Throughout the conversation between the authors in the book, Perry does most of the talking, explaining the science of trauma alongside important findings on how one can heal from trauma. Perry’s background and skill set complement Winfrey’s, who approaches the topic from a more personal and relatable lens, yet with the expertise to steer the conversation in a coherent and engaging direction.
Mike is one of Perry’s patients whose story the latter uses to illustrate the structure and function of the brain, and how trauma can create maladaptive associations. Mike was a veteran of the Korean War, an experience that left him with PTSD. He presented with a variety of the classic symptoms, including difficulties with sleep and regular “flashbacks” of his time in Korea. One evening, when out with his girlfriend Sally, a vehicle backfire caused Mike to drop to the ground screaming and flailing; he even physically lashed out at Sally when she tried to calm him down. Perry uses the opportunity to explain to Mike (and simultaneously to Winfrey and the reader) the neurological underpinnings of Mike’s reaction. When in Korea, Mike’s brain made the adaptive and life-saving association between the sound of gunfire and the reaction to duck for cover. However, the association continues to persist beyond the original circumstance owing to the intensity of trauma, leading Mike to react in the same manner when he hears similar sounds, even in a non-threatening situation. Mike’s example demonstrates to the reader how the cortex shuts down and the brainstem takes over in the case of threat or danger, thus illustrating the very real interaction between experience and physiology in the case of trauma.
Jesse is one of Perry’s patients whose story he introduces in the third chapter. As a young child, Jesse had been frequently and intensely physically, emotionally, and sexually abused. After having been removed from his biological parents at the age of five, Jesse was eventually placed in a foster home where, once again, he experienced physical abuse at the hands of his foster parents. One such incident led him to develop a brain injury which put him in a coma, at which point Perry was called in to consult. Perry uses Jesse’s story to illustrate two different but important points in the book. The first is the differing stress responses that the same individual can display to different evocative cues, influenced by the state one was in during the initial stress-response. An unconscious Jesse nevertheless displayed differing physiological responses to the scent of his biological and foster father’s clothes, respectively. Perry further provides an update on Jesse’s condition in the epilogue of the book, describing how Jesse was rehabilitated into a retirement home setting upon emerging from the coma and healing from his injury. In the home, he progressed extremely well because he experienced a complete reset: his new environment was so vastly different from his previous traumatic one, that there were not enough evocative cues present to dysregulate him. Thus, Jesse was able to build a new catalog of safe and familiar experiences, creating a new worldview and way of functioning that allowed him to thrive despite his horrific past. Jesse’s story displays the possibility and power of healing within the context of a loving and supportive community, and it is intended to give hope and direction to the reader.
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