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Comes the Darkness, Comes the Light

Vanessa Vega. AMACOM 2007, Hardcover, 240 pages, $3.70

Comes the Darkness, Comes the Light: A Memoir of Cutting, Healing, and Hope is a powerful new book by Vanessa Vega about her journey into therapy for self-injury and an eating disorder. The book is not for the faint of heart: In sometimes poignant and graphic detail, she describes her self-destructive behaviors and her early experiences in psychotherapy. Ultimately, it is a memoir of courage, strength, and hope.

It is a compulsion like no other, the inescapable consequence and intermingling of tension, shame, guilt, and frustration. It is a descent into a realm of darkness few can understand… yet many secretly experience. It is the disorder known as cutting…

Vanessa Vega would stop at nothing to cause – and therefore control – her own pain. When she wasn’t cutting herself, she might be slamming a hand or arm or leg against a wall. Or she might donate blood or get her iron checked – just to feel the prick of the needle. Her actions would sometimes leave her in a trance-like state, large portions of her day left only as foggy images if they weren’t blocked out completely. The need to cut called to her, even as she fought back, sometimes succeeding, often giving in to a need she herself couldn’t hope to understand…

Slowly, with the help of family, friends, therapists, and an abiding faith, Vanessa gradually and painfuly began to shake off the bonds of despair and helplessness, ultimately gaining strength, until at last she looked the demon in the eye – and stared him down.

This is one woman’s story of a life lost and then regained. Offering hope and agonizingly hard-won insight to others battling this painful disorder, it is a chilling look at the destructive power of the human mind, and an unprecedented account of the tragic results of self-mutilation. But in the end, it is a testament to the incredible power of the desire to live, and to the endless strength available to all of us – even in our darkest hour.

In addition, Vanessa’s account addresses the fear, shame, and misunderstanding that confronts many people beginning psychotherapy, and the relief and comfort that comes from learning that one is not alone in the struggle, that others have journeyed down similar roads and emerged victorious.

This is a book that should be required reading for therapists or loved ones attempting to understand why individuals self-injure and how to assist them in recovery.

self-injury, self-mutilation, eating disorders, therapy, psychotherapy

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UK psychiatrists oppose streamlined services

by djbaxter April 28, 2007

File under “Whose Interests Are You Really Trying To Protect?” 
The Mental Health Bill Will Not Help Vulnerable Patients, Say Doctors, UK
25 Apr 2007
With the Mental Health Bill for England and Wales going through Committee stage in the House of Commons, the BMA is concerned that the proposed legislation will harm patients with mental health disorders.
Currently [...]

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“Junk medicine”: UK debates cognitive behavior therapy

by djbaxter November 4, 2006

Junk medicine: Cognitive behavioral therapy
November 04, 2006
by Phillip Hodson, The Times
Talking cure is cheap The five main mental health charities [in the UK] have announced their support for the planned expansion of NHS psychotherapy, with a broad emphasis on Cognitive Behavioral Therapy (CBT). But is CBT - a talking therapy that attempts to train your thought patterns [...]

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Lucid Psychotherapy

by djbaxter March 22, 2006

Lucid Psychotherapy: Psychotherapy Integration In the Moment
by Jeffery Smith, MD
Dr. Smith writes, “I have recently developed an online essay describing a slightly different way of looking at psychotherapy that makes it more natural to bring psychodynamic and cognitive-behavioral theory and technique into the same frame”.
His website is in essence a sixteen chapter web book “which [...]

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Thoughts on psychotherapy

by djbaxter March 22, 2006

A PsychLinks Forum member asks: “Do therapists really care?”
Do you think your therapist really cares about you or is it just an interesting job? Do therapists have “favorite” parients? Or are we just another face among many to them? Are they trained to “pretend” to care so they can do their jobs better?
I think to [...]

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Peeling Off Layers

by djbaxter March 22, 2006

A comment on progress in therapy and self-awareness, from one of Carl Roger’s patients:
As I look back on it now, I was peeling off layer after layer of defenses. I’d build them up, try then, and then discard them when you remained the same. I didn’t know what was at the bottom and I was [...]

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