In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness

In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness

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  • Create Date:2021-10-09 09:55:36
  • Update Date:2025-09-06
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  • Author:Peter A. Levine
  • ISBN:1556439431
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Summary

Unraveling Trauma in the Body, Brain and Mind—a Revolution in Treatment

In this culmination of his life’s work, Peter A。 Levine draws on his broad experience as a clinician, a student of comparative brain research, a stress scientist and a keen observer of the naturalistic animal world to explain the nature and transformation of trauma in the body, brain and psyche。 In an Unspoken Voice is based on the idea that trauma is neither a disease nor a disorder, but rather an injury caused by fright, helplessness and loss that can be healed by engaging our innate capacity to self-regulate high states of arousal and intense emotions。 Enriched with a coherent theoretical framework and compelling case examples, the book elegantly blends the latest findings in biology, neuroscience and body-oriented psychotherapy to show that when we bring together animal instinct and reason, we can become more whole human beings。

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Reviews

Julian Michael

By the time I hit page 16, I felt there was something very special about this book。Levine describes his theory of the visceral experience of trauma — as an injury borne by someone who is trapped, and unable to express and release their fight/flight response。 He illustrates it through his own experience of being hit by a car, when he put his theory into practice。 How he tracked his internal experience immediately after the accident, allowed his emotions to come out in his trembling body, listened By the time I hit page 16, I felt there was something very special about this book。Levine describes his theory of the visceral experience of trauma — as an injury borne by someone who is trapped, and unable to express and release their fight/flight response。 He illustrates it through his own experience of being hit by a car, when he put his theory into practice。 How he tracked his internal experience immediately after the accident, allowed his emotions to come out in his trembling body, listened to the sensations of what his body wanted to do to process the experience he just had。 How the kind concern and pleasant perfume of a pediatrician who held his hand as he lay on the street was critical to him moving past his fight-or-flight response。He mentioned how, as he lay in the ambulance, he asked the paramedic to tell him his vital signs — blood pressure and heart rate。 Upon hearing they were normal, he expressed relief。 A study of victims of traumatic accidents had checked their vitals when they were discharged from the hospital。 Among those whose heart rate and blood pressure were still elevated, many went on to develop PTSD。 Among those whose signs were normal, very few did。Over the course of processing his trauma, he describes floods of emotions: anger and confusion at what has happened to him, gratefulness to his reflexes for protecting him, alienation and fear when a good samaritan barks orders for him not to move his neck。 And the feeling of being trapped in his experience, frozen and out of control。 And he describes how processing these emotions involves listening to them and how they express themselves in your body, and letting your body take the actions that it instinctively needs to take。As I read, I noticed an emotional response in myself。 My breath would catch, and I felt a tension in my chest。 I felt something resonate。I won't go into detail on what proceeded, but long story short: I had to put the book down, as I began to experience the very sensations Levine was describing。 The vivid writing and image of caged and frightened animals brought out a powerful memory from my past。 I proceeded to have what was, in retrospect, a trauma release — trying to use the tools Levine had already described at the beginning of the book to steward myself through it。 I took no further convincing that Levine is on to something here。Over the next year I picked up and put down the book periodically。 The first third was enthralling: the descriptions of ethology, our evolutionary history, the role of sympathetic response and tonic immobility in the animal kingdom, etc。; it felt like a rare opportunity to look into the primitive parts of my own brain。The middle third of the book I found less compelling。 Maybe that's because it's more targeted towards practicing therapists, but I felt that even for that purpose it was not as well-constructed。 He presents frameworks like his SIBAM (sensation, image, behavior, affect, meaning) model and traces out what recovery from trauma might look like, but I felt that much of the descriptions in this part of the book were a bit vague, and it wasn't clear how to justify them on the basis of evidence, or always how to put them into practice。 The case studies were good though (I personally like reading case studies when it comes to psych writing though)。In the last third of the book, Levine hooked me again。 What I found most compelling was his picture of the relation between sensation and emotion — where negative emotions are the manifestation of the frustration of lower-level urges, sensations, and modes of action; and how emotions often follow from actions rather than the other way around。 It felt like it finally made some things click for me that I could use in my daily life to observe myself effectively and let my sensations flow more freely。 I'm not sure if I can articulate the core of it, but he shares a parable which captures some of it; you can find it online by searching for a Zen parable about heaven, hell, and a samurai。Overall I think the insights in this book are fantastic and can make our lives better。 I would recommend it to just about anyone。 。。。more

Patricia

Absolut empfehlenswert。

Dez Van Der Voort

Writing: 2/5Knowledge Gained: 2/5Enjoyment: 1/5Save your money, got get an AA blue book instead。

Soniuca

I've learnt from this book more than I did from the last 15 ones I read about trauma。。。Everything made so much sense, and I guess no book was stuck in my head like this one's wisdom。 Needed to read it reallll slow。 I've learnt from this book more than I did from the last 15 ones I read about trauma。。。Everything made so much sense, and I guess no book was stuck in my head like this one's wisdom。 Needed to read it reallll slow。 。。。more

Maria

Very good。 I wrote lots of notes。

Zwergpirat

I was quite disappointed after reading this book。 Yes, it offers some good insights into the relation between body and trauma, but it's not easy to follow (in regards of structure)。 I think it was in the afterword were Levine writes how he wanted to add chapter after chapter to this book while writing it and well, it shows。 It's not very well structured and lacks a consequent outline。 Also, it's somewhat repetetative (after reading how Levine himself did not suffer from PTSD because he knew how I was quite disappointed after reading this book。 Yes, it offers some good insights into the relation between body and trauma, but it's not easy to follow (in regards of structure)。 I think it was in the afterword were Levine writes how he wanted to add chapter after chapter to this book while writing it and well, it shows。 It's not very well structured and lacks a consequent outline。 Also, it's somewhat repetetative (after reading how Levine himself did not suffer from PTSD because he knew how to properly react to a potentially traumatizing situation for the forth time, it became flat out boring)。 What irks me the most is how surprisingly shallow it was often times。 He offers a lot of different case examples, but presents it always like trauma is something really easy to treat (as long as you know his approach to healing it。。): his patients always show significant improvement after his very first session with them and Levine often times leaves it at that - leaving the impression behind that trauma is not hard work, which often times takes years of hard work to make somehwat improvements。 Would I recommend reading this book? No, there are better trauma-related books to read, only read it if you enjoy reading a book of a man who sounds like he really likes to hear himself talk and who repeats himself over and over again, without a clear strcuture or goal in his telling。 Am I a little bit harsh? Yes, maybe, but I was really disappointed how it turned out。 I see so much potential wasted here on this one。 I can't understand why almost everyone seems to love this book - just my honest opinion。 。。。more

Maartje Bussey

Zeer uitgebreid boek met enorm veel informatie maar vooral enorm veel gedachtes, met recht het levenswerk van de auteur te noemen。 Leest niet gemakkelijk weg en gaf helaas minder aanknopingspunten voor therapie dan gehoopt。 De auteur benadrukt het belang van het lijf en geeft uitleg over de bottom up processen die ons menszijn aansturen。 Hij stelt dat goede (trauma)therapie deze kennis moet meenemen en veel meer vanuit het lijf moet komen。Ik miste een inbedding van deze theorieën in andere model Zeer uitgebreid boek met enorm veel informatie maar vooral enorm veel gedachtes, met recht het levenswerk van de auteur te noemen。 Leest niet gemakkelijk weg en gaf helaas minder aanknopingspunten voor therapie dan gehoopt。 De auteur benadrukt het belang van het lijf en geeft uitleg over de bottom up processen die ons menszijn aansturen。 Hij stelt dat goede (trauma)therapie deze kennis moet meenemen en veel meer vanuit het lijf moet komen。Ik miste een inbedding van deze theorieën in andere modellen over trauma - zoals in Traumasporen van Bessel van der Kolk wel zeer uitgebreid aan de orde komt。Niet een boek dat ik patiënten zou meegeven vanwege de hoeveelheid en complexiteit van de informatie。 。。。more

Claire

excellent, inspiring, hope-filled, and practical。

Jessica

Educational and thought provoking, causes the reader to consider the body and its sensations in emotional work。 Some of the examples run on too long and bury the meatier content in their excess。 Would recommend to those interested in psychology and trauma work。

Timothy Ball

A young brash samurai swordsman confronted a venerated Zen master with the following demand: "I want you to tell me the truth about the existence of heaven and hell"。The master replied gently and with delicate curiosity , " How is it that such an ugly and untalented man as you can become a samurai?"Immediately, the wrathful young samurai pulled out his sword and raised it above his head, ready to strike the old man and cut him in half。 Without fear and in complete calm, the Zen master gazed upwa A young brash samurai swordsman confronted a venerated Zen master with the following demand: "I want you to tell me the truth about the existence of heaven and hell"。The master replied gently and with delicate curiosity , " How is it that such an ugly and untalented man as you can become a samurai?"Immediately, the wrathful young samurai pulled out his sword and raised it above his head, ready to strike the old man and cut him in half。 Without fear and in complete calm, the Zen master gazed upwards and spoke softly : "This is hell"。 The samurai paused, sword held above his head。 His arms fell like leaves to his side, while his face softened from its angry glare。 He quietly reflected。 Placing his sword back into its sheath, he bowed to the teacher in reverence。 "And this,", the master replied again with equal calm, "is heaven"。 。。。more

Susan

I am not actually finished with this book。 I will be sitting with it for many years, dipping in and out。 Part of this beauty, here, is that one may dip in and out: have my own experiences before I read about them。 Or read, not understand, then experience the words come off the page into a world inside and outside the body。 The book is that rich。

Hilary

Quiet a dense book but captures his theory well。 As the title suggests, it’s about the body’s role in trauma response and healing。 Extremely useful for anyone looking to understand or heal from trauma。

Abdullah Farooq

15% in and I give up。 It's the author's Pretentiousness and self importance and repetitious nature of the book that made me add a DNF tag to it。 Sad, I wanted to like this book so much。。 But。。 Nancy, RUN!。。 had me rolling XD。 15% in and I give up。 It's the author's Pretentiousness and self importance and repetitious nature of the book that made me add a DNF tag to it。 Sad, I wanted to like this book so much。。 But。。 Nancy, RUN!。。 had me rolling XD。 。。。more

Alice Hazdun

Levine's book is filled with research, theory, anecdotes and self-help methods which really opened my eyes to both polyvagal theories of trauma and somatic experiencing therapy。 I took extensive notes and I feel it has inaugurated me into the world of body-centred trauma research。 I really appreciated Levines ability to weave the spirtual, with the evolutionary and neurological。 I felt able to apply much of the knowledge to my own experiences of immobilisation, therapy and trauma recovery。 Previ Levine's book is filled with research, theory, anecdotes and self-help methods which really opened my eyes to both polyvagal theories of trauma and somatic experiencing therapy。 I took extensive notes and I feel it has inaugurated me into the world of body-centred trauma research。 I really appreciated Levines ability to weave the spirtual, with the evolutionary and neurological。 I felt able to apply much of the knowledge to my own experiences of immobilisation, therapy and trauma recovery。 Previously, I had understood a smigen of these ideas theoretically, but whilst reading this book I tried to really apply it practically to my bodily sensations。 Gaining insight into how behavioural action is the precursor to emotional states, as much as the consequence of emotion, was extremely illuminating。 However, I think that Levine has tried to squeeze too much into one book。 The first half feels more coherent, but the second, although filled with interesting research, is quite a mess of information, which overloaded my brain。 I think he would have been better off delineating topics into several books。 。。。more

KL Baudelaire

A lot of great information here, but I would have liked more recognition of cultural contexts in experiences and treatments of trauma。 I think it's useful to supplement this book by reading Judith Herman and Bessel Van der Kolk。 A lot of great information here, but I would have liked more recognition of cultural contexts in experiences and treatments of trauma。 I think it's useful to supplement this book by reading Judith Herman and Bessel Van der Kolk。 。。。more

Nate Bate

Peter Levine's premise of dealing with trauma in your body will surely be a game changer for those dealing with trauma hitherto unfamiliar with it。 I liked his blend of illustration and data, and he has a great section of footnotes。 Levine is much more opinionated on origins and spirituality than what I see as normal for books of this type; however, I see the value of his reasons。 His message of paying attention to the way animals respond like what humans respond is essential - even if you don't Peter Levine's premise of dealing with trauma in your body will surely be a game changer for those dealing with trauma hitherto unfamiliar with it。 I liked his blend of illustration and data, and he has a great section of footnotes。 Levine is much more opinionated on origins and spirituality than what I see as normal for books of this type; however, I see the value of his reasons。 His message of paying attention to the way animals respond like what humans respond is essential - even if you don't agree with his view on origins and spirituality。 。。。more

Rachel Kemna

This book was AMAZING。 Levine gave a very persuasive account of trauma from an embodiment perspective, which is far more useful and compelling to me than understanding trauma from a cognitive perspective。 He spoke about how traumatic individuals become disembodied (ie。 disconnected from awareness of their bodily sensations because our bodies are where we FEEL)。 We don't "feel" emotion in our heads, we feel it in our bodies, and since trauma involves an overwhelm of sensation, a coping mechanism This book was AMAZING。 Levine gave a very persuasive account of trauma from an embodiment perspective, which is far more useful and compelling to me than understanding trauma from a cognitive perspective。 He spoke about how traumatic individuals become disembodied (ie。 disconnected from awareness of their bodily sensations because our bodies are where we FEEL)。 We don't "feel" emotion in our heads, we feel it in our bodies, and since trauma involves an overwhelm of sensation, a coping mechanism is to disengage。 The nervous systems of traumatized individuals become dis-regulated - either through over-activation of the sympathetic fight or flight system (fast heart rates, anxiety, hyper-vigilance) OR over-activation of the parasympathetic freeze circuit (numbness, depression, withdrawing)。 From Levine's perspective, the key to unlocking trauma isn't to "correct faulty thought patterns" or merely "understand" and be able to rationalize trauma。 Instead, he understands trauma as like healing from a physiological injury to the nervous system - which involves re-regulation of the nervous system, actually feeling emotions "containing" (rather than the alternatives of suppressing or cathartic venting), and connecting to our bodies。 Levine also does a good job at portraying how people can have traumatic injuries even from seemingly innocuous experiences like childhood surgery。 Would highly recommend for anyone who thinks they might have suffered trauma or simply anyone who wants to be more connected to their bodies - Levine mentions that even if they have not encountered trauma, most Western folks experience some level of disconnection to their bodies simply because of the way our culture is set up and demands us to be hyper-cognitive。 。。。more

seymanur

Travma konulu bir alan kitabı olduğu için oldukça yavaş ilerlediğim, birçok yerini tekrar tekrar okuduğum, bolca altını çizdiğim bir kitap oldu。 Levine kitabı travmayla ilgilenen her kesimden insan için yazdığını söylese de alandan kişiler ve özellikle psikoterapistler için daha uygun olduğunu düşünüyorum。 Peter Levine Somatik Deneyimleme'nin kurucusu。 Başına gelen bir trafik kazasını anlatarak başladığı kitapta, travma ile ilgili yapılan bir çok araştırmadan bahsederek ve kendi danışanlarından Travma konulu bir alan kitabı olduğu için oldukça yavaş ilerlediğim, birçok yerini tekrar tekrar okuduğum, bolca altını çizdiğim bir kitap oldu。 Levine kitabı travmayla ilgilenen her kesimden insan için yazdığını söylese de alandan kişiler ve özellikle psikoterapistler için daha uygun olduğunu düşünüyorum。 Peter Levine Somatik Deneyimleme'nin kurucusu。 Başına gelen bir trafik kazasını anlatarak başladığı kitapta, travma ile ilgili yapılan bir çok araştırmadan bahsederek ve kendi danışanlarından örnekler vererek somatik deneyimlemenin temellerini tüm detaylarıyla açıklıyor。Kitapta; - Neden aynı olayı yaşayan insanların bazıları travma geliştirirken bazıları geliştirmiyor? - Travma nasıl oluşuyor? - Savaş-kaç tepkisi dışındaki donma tepkisi travmanın oluşumunda nasıl bir etkiye sahip?- Bedenimizi, duygularımızı fark etmek ve kapsamak neden önemli? - Bedenlileşme en anlama geliyor? - Travma nasıl iyileştirilir?gibi onlarca sorunun cevabını veriyor。 。。。more

Joan

The best book on the subject of trauma I have read yet。 He advocates treatment。 using somatic as well as mind and soul treatments since trauma is stored in the body and memory。

Michael D

Essential book for therapists-somewhat dense but well-written and thought provoking。

Mikaela Wapman

Read this book as a way to learn more about the somatic process and healing。 I enjoyed An Unspoken Voice: the tone is accessible for a wide audience, and Peter Levine provides case studies and practices throughout。 Will be thinking about the exploration of traumatic experiences and spirituality for awhile after reading this。

Emily

This was an amazing book。 As a non practitioner but someone who works in the field of trauma and has experienced significant grief and loss, I found the techniques in this book really accessible and it made acknowledging and stressing traumatic incidents seem actually。。。manageable。 Good detail on flooding and other issues that can arise when trying to address trauma through talk therapy。 The process he outlined in the book helped me to return to some trauma I was carrying from a significant loss This was an amazing book。 As a non practitioner but someone who works in the field of trauma and has experienced significant grief and loss, I found the techniques in this book really accessible and it made acknowledging and stressing traumatic incidents seem actually。。。manageable。 Good detail on flooding and other issues that can arise when trying to address trauma through talk therapy。 The process he outlined in the book helped me to return to some trauma I was carrying from a significant loss which led to twitching being held in my body and helped me to release it。 I will admit that the ordering of the book is a bit strange and I’m some sections come up in an order that is not intuitive or have repetition。 But I’m still giving five stars because I still found the book eminently readable and it also did a great job of not veering into trauma-porn territory, which I now realize The Body Keeps the Score does do, and unnecessarily。 So although that was previously my go to I’d actually rate this higher, despite its lack of polish。 。。。more

Muhamed

Really impressed by Levine's comprehensive approach to trauma。 Amazing book。 Really impressed by Levine's comprehensive approach to trauma。 Amazing book。 。。。more

Sverrir Sverrisson

Poor choice on my behalf, reminded me that anybody can write books, get them marketed and obtain good reviews- even if it's complete crap Poor choice on my behalf, reminded me that anybody can write books, get them marketed and obtain good reviews- even if it's complete crap 。。。more

Donna Nicholls

It's a dense book with lots of information。 At times it's hard to read but also full of realisations and ah-ha moments。 I also think, while it clearly discusses the effects of acute trauma, it lacks understanding about chronic and complex trauma。 Especially when talking about the healing practices。 It seems to take the standpoint that healing can begin because the trauma has ended, whereas many people cannot escape their stresses and yet still need ways of healing their bodies and minds。 It's a dense book with lots of information。 At times it's hard to read but also full of realisations and ah-ha moments。 I also think, while it clearly discusses the effects of acute trauma, it lacks understanding about chronic and complex trauma。 Especially when talking about the healing practices。 It seems to take the standpoint that healing can begin because the trauma has ended, whereas many people cannot escape their stresses and yet still need ways of healing their bodies and minds。 。。。more

Nick

Trauma is a very interesting concept, as it seems to conflict with our ability to live in a civil society with others。 Why does it happen, and why it doesn't happen, are good questions that are addressed by an expert。 The book describes a few case studies on how his patients had a traumatic experience and how they were treated。Yet I do wonder what the limits of these treatments might be。 While they were useful in some cases, can it be scaled? Is there a way to prevent trauma from occurring? The Trauma is a very interesting concept, as it seems to conflict with our ability to live in a civil society with others。 Why does it happen, and why it doesn't happen, are good questions that are addressed by an expert。 The book describes a few case studies on how his patients had a traumatic experience and how they were treated。Yet I do wonder what the limits of these treatments might be。 While they were useful in some cases, can it be scaled? Is there a way to prevent trauma from occurring? The book has some good questions, and was good to read。 。。。more

LyndenTree63

Great content, and an important topic。 Aimed more at therapists than lay readers, though I learned a lot from it regardless。 (For an easier-to-access and more practical format, read Healing Trauma instead。) The first half is mostly science, practice and examples, and the last half is more esoteric。

Jen

Intricate masterpiece artwork, life-sustaining medical machinery, dependable flights around the earth and into space, and worldwide engineered skyscrapers belie the fact that humans are in fact highly evolved animals whose instincts precede rational thought from the neocortex involved in higher level thinking。 The body will always instinctually do what it needs to protect itself。 Our vagus nerve collects sensate data from the gut and transmits ten times as much information from the body to the b Intricate masterpiece artwork, life-sustaining medical machinery, dependable flights around the earth and into space, and worldwide engineered skyscrapers belie the fact that humans are in fact highly evolved animals whose instincts precede rational thought from the neocortex involved in higher level thinking。 The body will always instinctually do what it needs to protect itself。 Our vagus nerve collects sensate data from the gut and transmits ten times as much information from the body to the brain as the brain sends down the body。 Modern society incentivizes the forgetting of this nature with devastating consequences。 Any time the body registers threat, the sympathetic nervous system registers danger。 If the danger is inescapable, collapse and immobility as an anecdote to suffering and a disincentive for a danger to attack takes over。 People detach。 After a threat has passed, the body must fully release this energy, most successfully in the presence of a soothing other, or the body will continue to re-live its stuck energy in the form of traumatic symptoms。 To avoid this, a person must emerge from this immobility with support in place。 Otherwise, the strong body feelings easily overwhelm and become their own source of discomfort and panic。tLevine invites readers to heal with his Somatic Experiencing® program。 Great detail is given to how trauma gets locked into the body with clear diagrams to help readers visualize the body system or the process involved。 A competent therapist trained to hold space and help clients slowly release trauma from the body can make all the difference in the world in preventing a stressful event from morphing into full-blown post-traumatic stress disorder。 With a soothing human connection to ground a person and the ability to complete “fight-or-flight” actions slowly with a trained professional, trauma reactions can be decoupled and disassociated with fear itself。 Otherwise, bodily sensations of the sympathetic nervous system associate with the fear itself in a dreadful loop where each invites more of the other。 Levine walks readers through how this fear of bodily sensations can be broken so those sensations can become signals that invite action and analysis rather than being beholden to fear and immobility。 tLevine advocates that we need more attunement and listening to the body to completely experience life and use our “bottom-up” (from the body wiring) to make significant life changes and integrate all of our experiences into our lived experience。*** for more books on relationships (and mental health and relationships), please visit my website www。thecouplessyllabus。com *** 。。。more

Marius

This was soooooooooo GOOD!I Am not exagerating, I have been reading more than a few books on trauma。 The classics, Trauma and Aftermath, The body keeps the score, Coping through understanding, ComplexPTSD from surviving to thriving, etc。They were all incredible, but Idk why it took me so long to read one of Peter Levine s books。 What I really enjoyed about the Unspoken Voice was the incredible understanding, normality, and easeness that Dr。 Levine wrote about a most common fact of life, Trauma a This was soooooooooo GOOD!I Am not exagerating, I have been reading more than a few books on trauma。 The classics, Trauma and Aftermath, The body keeps the score, Coping through understanding, ComplexPTSD from surviving to thriving, etc。They were all incredible, but Idk why it took me so long to read one of Peter Levine s books。 What I really enjoyed about the Unspoken Voice was the incredible understanding, normality, and easeness that Dr。 Levine wrote about a most common fact of life, Trauma and suffering。But! The amazing thing is that Levine shows us the way through that ! It is not the end of the world, it does not have to be a life sentence。 There is a way! And Peter himself developed one of the most important ways to do just that。Trauma doesn t occur only in the mind, Trauma occurs in the body 1st of all, The chronology of trauma is bottom up in the realm of the body。The symptomalogy starts from physical sensations, dysregulated affect and then behaviors, thoughts, fantasies associated with underlying traumas。A must read !!!! I recommend this to everyone。Full of hope, encouragement, insight, invaluable knowledge。This was the best book I ve read on the subject。 。。。more

kwtf

I don't know if it was the narrators monotone voice and - for lack of a better word - weird way of chopping up sentences but I had to fight not to zone out。 For me, this book was saved by the last two chapters。。。 I can imagine that I would have given it 4 stars if I read it myself。。。I'm trying my best to rate the contents and the information that I actually absorbed enough to be able to implement and not the actual experience, which I would liken to that of chewing on cardboard for 12 hours and I don't know if it was the narrators monotone voice and - for lack of a better word - weird way of chopping up sentences but I had to fight not to zone out。 For me, this book was saved by the last two chapters。。。 I can imagine that I would have given it 4 stars if I read it myself。。。I'm trying my best to rate the contents and the information that I actually absorbed enough to be able to implement and not the actual experience, which I would liken to that of chewing on cardboard for 12 hours and 9 minutes。 。。。more