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Tip of the Iceberg: Trauma
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Transcript
Tip of the Iceberg: Trauma
Where did it stem from?
- Came from Freud and Hysteria
- Irritable Heart/Shell Shock during 1920's
- Battle Fatigue 1940's
- Holocaust
- Public awareness late 1960's
Defining trauma:
- Threat to integrity (physical and psychological)
- feelings of powerlessness
- suffering from
- neglect
- abandonment
- terrifying separations
- emotional abuse
- intense fear/helplessness/horror
Types of Trauma
Types of Trauma Cont.
Type 2: Chronic
- repetitive abuse experienced by children
- emotional, physical, sexual abuse
- domestic violence
- persistence of maltreatment
Type 1: Single
- natural disasters
- violent acts
- witnessing injury or death
- accidents & diagnose of life threatening illness
- loss of family, friends, property, community, cultural traditions, & primary language
Responses to Trauma
Resiliency
Mental Health Responses
- PTSD... What is it? Do you have current clients with this at this time?
Impact of Relational Responses
- Victim-Victimizer-Bystander Dynamic
- Power and Control Conflicts
- Attachment to victimizer- they often blame and hate themselves for the abuse so that they can maintain an idealized tie to their offender
- distancing and dissociation- defense mech.
- boundary ruptures
- sexual issues
- communication problems
- dearth of rituals
Neurobiology of Trauma
- Affect regulation and infant development
- Somatic responses to traumatic stress
UNDER THE SURFACE
By: Ashley Cahill, Carlyn Housh, & Hanah Matz
Treatment To Trauma
Trauma Informed Care:
Phase 1: Safety and Stabilization
Phase 2: Processing of Traumatic Materials
Phase 3: Reconnection and Reintegration
Other Treatments: Exposure therapy, EMDR, Somatic therapy, Child-Parent Psychotherapy, Child & Family Traumatic Stress Intervention, Grief & Trauma Intervention (GTI), Trauma Focused CBT (TF-CBT), Trauma Recovery & Empowerment Model (TREM)
Distinguishing Traits of Trauma
Brain Basics
- Fear puts us into a "fog"
- Imprisons our perceptions
- Amygdala reacts
Mind sight Skills
- Implicit/explicit memory
- Seabisquit example
Unresolved Trauma, Healing, and Integration
- Top-down influences
- Implicit filters
- Dog loss example
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