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Quote by DEAN MAFAKO, M.D.

“The reality is that the lives of the smallest patients are in our hands, and their clinical condition can change in an instant. No matter how many times you are involved in situations such as this, the physical stress and anxiety as well as the emotional and psychological effects of being immersed in that environment are dramatic and lasting on the human body, mind, and central nervous system. These effects are severe, and I firmly believe that they are cumulative over your lifetime.”

Quote by DEAN MAFAKO, M.D.

Book:Burned Out
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Burned Out

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DEAN MAFAKO, M.D.

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“When you believe without knowing you believe that you are damaged at your core, you also believe that you need to hide that damage for anyone to love you. You walk around ashamed of being yourself. You try hard to make up for the way you look, walk, feel. Decisions are agonizing because if you, the person who makes the decision, is damaged, then how can you trust what you decide? You doubt your own impulses so you become masterful at looking outside yourself for comfort. You become an expert at finding experts and programs, at striving and trying hard and then harder to change yourself, but this process only reaffirms what you already believe about yourself -- that your needs and choices cannot be trusted, and left to your own devices you are out of control (p.82-83)”

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“. . . hell is wanting to be somewhere different from where you are. Being one place and wanting to be somewhere else . . . . Wanting life to be different from what it is. That's also called leaving without leaving. Dying before you die. It's as if there is a part of you that so rails against being shattered by love that you shatter yourself first. (p. 44)”

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“The brain-disease model overlooks four fundamental truths: (1) our capacity to destroy one another is matched by our capacity to heal one another. Restoring relationships and community is central to restoring well-being; (2) language gives us the power to change ourselves and others by communicating our experiences, helping us to define what we know, and finding a common sense of meaning; (3) we have the ability to regulate our own physiology, including some of the so-called involuntary functions of the body and brain, through such basic activities as breathing, moving, and touching; and (4) we can change social conditions to create environments in which children and adults can feel safe and where they can thrive. When we ignore these quintessential dimensions of humanity, we deprive people of ways to heal from trauma and restore their autonomy. Being a patient, rather than a participant in one’s healing process, separates suffering people from their community and alienates them from an inner sense of self.”

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“I was able to shake off the near-death experience, and whether it was true or not, I was able to use it as some sort of moral validation as to the importance of my existence, or at least the importance of me completing this job, because clearly God, the universe or whoever understood that there was no other human being alive on this earth stupid enough to take this job.”

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“...compulsive eating is basically a refusal to be fully alive. No matter what we weigh, those of us who are compulsive eaters have anorexia of the soul. We refuse to take in what sustains us. We live lives of deprivation. And when we can't stand it any longer, we binge. The way we are able to accomplish all of this is by the simple act of bolting -- of leaving ourselves -- hundreds of times a day.”

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