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童年創傷如何影響一生健康

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童年創傷不是一件長大就能解決的事。兒科醫生娜汀‧哈里斯 (Nadine Burke Harris) 解釋虐待、忽視、和父母精神健康不良或有藥物或飲酒問題，都會影響兒童的大腦發展。童年經歷影響終身，在高壓環境下長大的兒童比他人得到心肺疾病的比例高三倍。這是一位慷慨激昂的兒科醫生祈求眾人面對、預防和治療心理創傷的演講。

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In the novel, "The Deepest Well", Dr. Nadine Burke Harris discusses the horrific and impactful lifelong effects that adverse childhood experiences have on all of us. Dr. Harris tells her story through personal happenings, events, trials, and tribulations that she has battled over the years during the course of figuring out the root of her patients' health issues and how to really help them, and then take it one step further and spread this life-changing information to everyone around the world. What many people (including myself before I read this book) fail to realize is that all adverse childhood experiences - from bereavement and divorce to abuse and neglect - can and likely do have lasting effects on an individual's health. These adverse childhood experiences have the ability to tip a child's developmental trajectory and affect physiology. They can change our biological systems, our responses to stress, our susceptibility to illness. They can trigger chronic inflammation and hormonal changes which may last a lifetime, they can alter the way DNA is read and how cells replicate, and they can even dramatically increase the risk for heart disease, stroke, cancer, diabetes, and even Alzheimer's. Not only are the long-lasting effects of adverse childhood experiences extreme, but they are extremely relevant to all of us. Dr. Harris stresses throughout her book that there has been a common misconception and belief that adverse experiences only occur in poverty-stricken areas. Dr. Harris has worked very hard to prove this theory otherwise as it was often an excuse that doctors and other professionals would use when she would give talks and spread the word about her extreme findings and the practices that must be implemented in our hospitals, schools, and other environments in order to help our people and make a great positive change for everyone. After tons of research, it has been proven that two-thirds of us all have experienced at least one such adversity in our childhood/lifetime. This research study was amongst an extremely large population of people which proved that no matter where we come from, what our ethnicity is, or what our economic status may be, we all (for the most part) go through or have gone through adverse experiences that may be extremely health effecting in the long-run. Therefore, making this topic an extreme relevant and important one. Dr. Harris goes further and discusses the ACE score survey and how this tool should be used in all doctors' and pediatrician offices for all patients, just like any other information inquiry form that we as patients usually fill out at an appointment. This tool gives the doctor/pediatrician an individual's ACE score, automatically signifying what could very well be the root cause of a current or future behavioral or health crisis. The more we know about our patients, the better we can help and improve their lives. The ACE score is one more tool that must be taken into account so that this can be done. Not only does this book discuss the affects of childhood adverse experiences and tools used to address them head-on, but it also discusses steps and other ways that we as individuals must do in order to heal from these events and prevent any future happenings or health crisis. I cannot rave enough about Dr. Harris and her book. This was truly unlike anything that I have ever read before and I am so glad that I have. This book was completely relatable for me in my personal and future professional life as it is/would be for anyone that were to read it. I have already recommended this book to many of my friends and family members and I know that I will continue to do so for a very long time as the information that this novel covers is crucial and life-changing for everyone in this world. Even if there is someone who has an ACE score of zero, knowledge is power and there is no doubt that they either know a friend or family member whose life could be drastically improved by the information and teachings of this book, or they could use it in their professional life - especially if they are in the medical field or are a doctor! This book has been extremely impactful on me and I am so grateful that I read it.

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Because "The Deepest Well" was written about a topic that Dr. Nadine Burke Harris spent much of her life researching and expanding the knowledge of, in a lot of ways this book was also like an autobiography. Learning about Dr. Harris and getting to read stories about her life was an aspect of the book that I greatly enjoyed. Dr. Nadine Burke Harris is such an amazing individual and a great role model. Dr. Nadine Burke Harris is an American pediatrician and first and current Surgeon General of California. She has made a name for herself through her phenomenal work linking adverse childhood experiences and toxic stress with harmful effects to health both immediately as well as later on in life. Dr. Harris received her bachelor's degree from the University of California, Berkeley, and her medical degree from the University of California, Davis. Next, Dr. Harris continued on to receive her master's degree in public health from the Harvard T.H. Chan School of Public Health, and finally served her residency at Stanford in pediatrics. Talk about an intelligent woman! Starting out her career, Dr. Harris opened a clinic in the poverty-stricken area known as the Bayview neighborhood of San Fransisco, California. It was here that Dr. Harris began noticing signs and linkages between childhood adversity, toxic stress, and detrimental health issues with her patients. Through years of research and hard-work, Dr. Harris spread the studies and information developed relating to adverse childhood experiences, stress, and their lifelong impacts to our health. In 2012, Dr. Harris and other colleagues of hers created and founded the Center for Youth Wellness which was specifically designed to recognize the impacts of adverse experiences on health and effectively treat toxic stress in children. This center works as a multidisciplinary approach focusing directly on preventing as well as undoing as much as they can the chemical, physiological and neurodevelopmental results of ACEs that their patients encounter. This amazing center integrates primary health care, mental health and wellness, research, policy, education, community, and family support services to children and their families in order to help their patients and prevent the long-term health effects of their past adverse experiences as much as possible. It was just last year (2018) that Dr. Nadine Burke Harris wrote her first book, "The Deepest Well: Healing the Long-Term Effects of Childhood Adversity".

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Connections to the Special Education Field & Disabilities 

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Connections to the Special Education Field & Disabilities 

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Something really special that I loved about this book is that it is relatable to everyone no matter who they are, where they are from, or what they may do for a living. Though this book mainly focused on personal health and the medical field, there were several parts that brought up our country's education system and how these new findings may help to transform it in a positive way. On top of that, this book also discussed the hot topic of ADHD and how many children may not actually be suffering with ADHD at all and rather the aftermath of adverse childhood experiences. As a future special educator, this caught my attention immediately as I was reading Dr. Harris's novel. A quote that stood out to me was as follows which discusses Dr. Harris's experience with one of her patients named Tiffany. "Just like height, weight, and blood pressure, the ACE score became another vital sign for my regular medical exams. With Tiffany's complaint of learning and behavior problems, if her ACE score was zero, a standard ADHD workup would have been warranted. But now I knew that if a patient had four or more ACEs, she was thirty-two times as likely to have learning or behavior problems, which suggested that the underlying issue was probably not ordinary ADHD, but toxic stress. When I flipped through Tiffany's chart, she had an ACE score of six." When I read this portion of Dr. Harris's novel, I couldn't help but think about all of the other children/students out there that may be misdiagnosed. With this innovative knowledge, we could change their lives in a much greater way as both doctors and teachers. Towards the end of the novel, Dr. Harris relates her knowledge of toxic stress and ACEs to the classroom and emphasizes how much of a difference we as educators can make if we begin to implement this knowledge into our schools. Dr. Harris states, "knowing whether a kid's development is stuck because of exposure to ACEs is fundamental to figuring out where to start in the classroom".

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I am so thrilled that I was introduced to this book and that I took the time to thoroughly read it. This book affected me on numerous levels including my personal and professional life. Everything that Dr. Harris wrote about made perfect sense to me and was shocking in a way for me that we are just now connecting toxic stress to essentially everything that we go through in life and that the medical community is just now accepting and bring this issue to light. The information that Dr. Harris provides in this book has the ability to change my future profession in teaching (especially special education!!) in so many ways! For that, I took it upon myself to mark and highlight my book to keep for reference in my future. I have already recommended this book to my mother who is a doctor, and many of my friends who are educators or future educators. At the end of March this year, I attended a CEC Conference and I was thrilled to see that ACE scores and toxic stress was actually the topic that the main speaker decided to discuss with all of us other educators. This was so great to see. Knowledge is power and our future generations depend on our knowledge and powerful teachings! I cannot help but think of the children who are currently labeled as ADHD but really have a high ACE score and would greatly benefit entirely more if they had a proper diet with exercise, regular doctor and therapy visits and care to help to get past their future and really make a true difference in their lives, health, and learning. As a future educator, I plan to stay informed and continue to read up on topics such as these so that I can be as informed as possible, helping me to be the best possible teacher that I can be to my students!