Author Topic: The Four F's in PTSD  (Read 4158 times)

Certain Hope

  • Guest
The Four F's in PTSD
« on: July 09, 2008, 10:10:50 AM »
One very common flashback-scenario occurs as follows:

Internal or external perceptions of possible abandonment trigger fear and shame,

which then activates panicky Inner Critic cognitions,

which in turn launches an adrenalized fight, flight, freeze or fawn trauma response (subsequently referred to as the 4F's).

The 4F's correlate respectively with narcissistic, obsessive-compulsive, dissociative or codependent defensive reactions.

Here is an example of the layered processes of an emotional flashback.

A complex PTSD sufferer wakes up feeling depressed. Because childhood experience has conditioned her to believe that she is unworthy and unacceptable in this state, she quickly becomes anxious and ashamed.
This in turn activates her Inner Critic to goad her with perfectionistic and endangering messages.
The critic clamors: "No wonder no one likes you. Get your lazy, worthless ass going or you'll end up as a wretched bag lady on the street"!
Retraumatized by her own inner voice, she then launches into her most habitual 4F behavior.

She lashes out at the nearest person as she becomes irritable, controlling and pushy (Fight/ Narcissistic)

- or she launches into busy productivity driven by negative, perfectionistic and catastrophic thinking (Flight/Obsessive-Compulsive)

- or she flips on the TV and becomes dissociated, spaced out and sleepy (Freeze/ Dissociative)

 - or she focuses immediately on solving someone's else's problem and becomes servile, self-abnegating and ingratiating (Fawn/Codependent).

Unfortunately this dynamic also commonly operates in reverse,
creating perpetual motion cycles of internal trauma as 4F acting out also gives the critic endless material for self-hating criticism,
which in turn amps up fear and shame and finally compounds the abandonment depression with a non-stop experience of self-abandonment.


http://www.pete-walker.com/managingAbandonDepression.htm

LilyCat

  • Sr. Member
  • ****
  • Posts: 305
Re: The Four F's in PTSD
« Reply #1 on: July 09, 2008, 12:44:08 PM »
Very interesting, Carolyn. Again, thank you.

I think it may not be an all-or-nothing between these. I think I switch between the last two, mostly the dissociative.

Certain Hope

  • Guest
Re: The Four F's in PTSD
« Reply #2 on: July 09, 2008, 12:57:11 PM »
Hi Lily,

No, it's definitely not an all or nothing matter, from my experience. I recognize myself doing all four at various times.

The "Fight" response came out much more often when I was preoccupied with perfectionistic tendancies. Thank God that's alot more rare these days,
but it can still manifest when I'm stressed and feel like somebody is trying to mess with my head.

"Flight" also has decreased alot since the perfectionism is no longer such a major issue (although it's still a minor one and is responsible for alot of my negative thinking ruts).

Freezing and Fawning are the ones I still see the most... again, much less than before, but still troublesome.
Will post more on this as I sort through it.

Thanks!

Love,
Carolyn

Certain Hope

  • Guest
Re: The Four F's in PTSD
« Reply #3 on: July 10, 2008, 08:34:59 AM »
Quote
Over and over I focused on sensations of heaviness, swollenness, exhaustion, emptiness, hunger, longing, soreness, ache-iness, deadness. Sometimes these sensations were intense, but more often they were very subtle. With time I noticed how instantly my depression scared me and lead me to echo my parents' toxic shaming: "You're bad, worthless, useless, defective, ugly, despicable". Blessedly, with ongoing practice, I gradually learned to disidentify from the toxic vocabulary of the critic.
 
I found myself more accurately naming these revisited childhood feelings:
"Small, helpless, lonely, unsupported, unloved, needy" (as in profoundly unsuccessful in getting my needs for emotional comfort met).

But not any more.


teartracks

  • Guest
Re: The Four F's in PTSD
« Reply #4 on: July 10, 2008, 01:47:25 PM »




Hi Carolyn,

Thanks for the information you've provided in this thread.  I have PTSD.  I understand why I have it.  The thing is that I don't know how to undo it.  I don't know how to walk backwards down brain path that accommodated the shock that resulted in PTSD.  Or if it is a cluster of neurons that morphed in an instant of trauma, I don't know how to undo that either.  I felt a ray of hope when I read the Boston Globe article about Prozac refurbishing or regenerating neurons.  Should I just accept it as an affliction and let it go?

tt