Talk Trauma 2011 Thursday April 29th, 2011 Concussion in Sport
Trauma talk houston
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HOW DOES TRAUMA WOUND?
Trauma and Its Impact on Victims
HOW DOES TRAUMA WOUND?
Trauma and Its Impact on Victims
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TRAUMA: Means Wound
Trauma is defined as: a psychologically wounding experience (physical, sexual, neglect, institutional, intergenerational, disasters) that induce powerlessness, fear (terror), recurrent hopelessness and a constant state of alert.
National Center on Trauma-Informed Care
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Trauma is the “affliction of the powerless … the overwhelming of normal human adaptations to life … an experience of intense fear, helplessness, loss of control and threat of annihilation.”
The experience is intensified when the victim is taken by surprise, trapped, pushed to exhaustion, physically injured or violated, exposed to extreme violence or grotesque death.
Judith Herman
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TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
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Trauma Causes a Disconnect … from Pain
Circuit breaker in the house
Surge protector on your electronics
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What Elements Intensify the Trauma?
• Human involvement in the pain• Intent—accident or purposefully done• Element of evil (assault + humiliation +
sadistic enjoyment)• Degree of fear and terror• Degree of bodily harm or threat to life• How—gruesome, horrific or catastrophic
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TRAUMA WOUNDS BY:
1. Shattering the structure of the self
TRAUMA WOUNDS BY:
1. Shattering the structure of the self
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• It disconnects self from self …something has to withdraw, numb, get buried or walled off inside.
• When danger … fight … flight … freeze
Trauma Wounds by Shattering the Structure of the SelfTrauma Wounds by Shattering the Structure of the Self
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• It disconnects self from self …something has to withdraw, numb, or get buried
• It erodes your positive sense of self
Trauma Wounds by Shattering the Structure of the SelfTrauma Wounds by Shattering the Structure of the Self
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Power used against her damages her sense of dignity, value, self-esteem and respect.She is denied:•Own voice and opinion•Control over her own body•Own effectiveness to avert the bad
Trauma Wounds by Shattering the Structure of the SelfTrauma Wounds by Shattering the Structure of the Self
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When power is used against any person it damages their sense of autonomy.
• Initiative is thwarted.• When initiative is thwarted
helplessness and hopelessness begin to take over.
• A positive sense of self is lost!
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Power used against herdivides her from herself!
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• 65% of female sex trafficking victims sustain serious physical internal injuries
• 68% of trafficked females meet the clinical criteria for PTSD
• 80% of those trafficked were abused in the home
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Risk Factors for Developing PTSD
• Women are twice as likely • Adults under 25• Less than a college education• Childhood traumas• Deprivation, divorce before age 10• Adverse life events: job loss, divorce,
health problems etc.• Lack of social support after event
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Post-Traumatic Stress DisorderHas Three Elements
1. Re-experiencing symptoms
2. Avoidant, numbing symptoms
3. Hyperarousal symptoms
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Post-Traumatic Stress Disorder: 1. Re-experiencing Symptoms
• Intrusive recollections• Traumatic nightmares• PTSD flashbacks• Trauma-related triggers evoke
psychological distress or physiological reactions
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Post-Traumatic Stress Disorder:2. Avoidant/Numbing Symptoms
• Avoiding trauma related thoughts & feelings, activities, places & people
• Amnesia for trauma-related memories• Diminished interests• Feeling detached • Restricted range of emotions• Sense of foreshortened future
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Post-Traumatic Stress Disorder:3. Hyperarousal Symptoms• Insomnia• Irritability• Difficulty concentrating• Hypervigilance• Exaggerated startle response
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TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
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A LOOK AT THE BEGINNING:Development of attachment in an infant:
• Trust develops as mother meets baby’s biological & emotional needs.
• Identity is formed through the reflection of self in the mother’s gaze
• Emotional capacity is developed through accurate mirroring by mother of her baby’s feelings
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Daniel Shore (neurobiology): Babies learn best in a state of JOY!
What is joy? How do we define it?
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Daniel Shore (neurobiology): Babies learn best in a state of JOY!
What is joy? How do we define it?
“I am happy to see you!”
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Daniel Shore (neurobiology): Babies learn best in a state of JOY!
What is joy? How do we define it?
“I am happy to see you!”
The baby will look at mother’s left eye to discern her true emotions
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When there is a disconnectBaby loses security
Joy is gone
Confusion
Needs unmet
Emotional distress
Fear
Progressive withdrawal or constriction
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A child must develop the capacity to
Form intimacyTake initiativeForm identitySelf-sootheRegulate bodyTrust Feel safe
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Sense controlPersonal powerSense of selfHave hope
And of course, children learn it best while in a state of JOY
A child must develop the capacity to
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A child develops But in the abusedthe capacity to: child’s environment:
Form intimacy Perverted relationships
Take initiative Controlled by abuserForm identity Defined
“Slave/Whore”Self-soothe Lack of solaceRegulate body Body is at disposal
of othersTrust Caretakers/people
are untrustworthy
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Safety Lack of protectionSense control Situation is terrifying
and unpredictablePersonal power Situation hopelessSense of self Others are cruel,
helpless, uncaringHave hope Abandoned to power without mercy
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The child adapts, creates a persona or false self and becomes what the environment necessitates.
All actions (early decisions) are a child’s attempt at a solution to belong, get love, be safe.
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2. Trauma undermines the belief system in a meaning-ful, orderly and safe world.
The person’s world is controlled by, limited by, and monitored by their abuser, handler or “owner.”It may have rigid rules or random chaos … but it is rarely safe.
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TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
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3. It destroys a relational sense of trust feeling abandoned by God and man
• Those entrusted with your care and safety are the abusers
• You finally tell and it doesn’t matter
• The authorities are in on it• You feel everyone can see
but no one notices or helps
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Her world is different from her friends at school.
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Who Are the Abusers? Who are the Traffickers?
• Father, mother, brother, uncle, boyfriend, coach, teacher, peer, someone they meet on the street or online
• Not always organized criminals• Both men and women
of varying ages• Any ethnicity or race
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Mexican cartels are paying young men to date young women for the purpose of betraying them and handing them over to traffickers.
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Who can ever be trusted?When/how does safety and freedom come?
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Who can ever be trusted?When/how does safety and freedom come?And if you pray …and nothing changes?
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TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
TRAUMA WOUNDS BY:
1. Shattering the structure of the self
2. Undermining the belief system in a meaningful and safe world
3. Destroying a relational sense of trust—feeling abandoned by God and man
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SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD
SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD
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SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
resulting in a variety of disorders
SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
resulting in a variety of disorders
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Psychological Impact
• Acute stress disorder• Post traumatic stress disorder• Anxiety disorders• Dissociative disorders• Eating disorders• Self-harming disorders• Sleep disorders
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Psychological Impact
• Anxiety and stress disorder• Attachment disorder• Attention deficit/hyperactivity disorder• Conduct disorder• Depression• Developmental disorders• Learning disorders
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Psychological Impact
• Somatic disorders• Substance abuse disorders• Impulse control disorders• Mood disorders• Flashbacks
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SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
resulting in a variety of disorders
SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
resulting in a variety of disorders
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SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
Next: How to Help Heal—Not Harm
SO HOW DOES TRAUMA WOUND?
By disconnecting the victim fromSELF … OTHERS … GOD …
Next: How to Help Heal—Not Harm
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HOW HELPERS WOUND THE WOUNDED
The Do’s and Don’ts of Working with Trauma Victims for Lay People
HOW HELPERS WOUND THE WOUNDED
The Do’s and Don’ts of Working with Trauma Victims for Lay People
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Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
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Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
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Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
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Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
Put simplyTo heal - help her re-connect withSELF … OTHERS … GOD …
Trauma Wounds by Disconnecting the Victim fromSELF … OTHERS … GOD …
Put simplyTo heal - help her re-connect withSELF … OTHERS … GOD …
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Trauma & terror disempowers and disconnects
Recovery empowers and re-connects
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Recovery can take place ONLY within the contextof relationships.
It cannot occur in isolation.
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HOW DO WELL INTENTIONED HELPERS WOUND?
By separating ourselves from those we are trying to help:•By our dress
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HOW DO WELL INTENTIONED HELPERS WOUND?
By separating ourselves from those we are trying to help:•By our dress•Our choice of words
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HOW DO WELL INTENTIONED HELPERS WOUND?
By separating ourselves from those we are trying to help:•By our dress•Our choice of words•Our opinion of them
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HELPERS CAN ALSO RE-WOUND:
• By doing “secondary wounding”
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HELPERS CAN ALSO RE-WOUND:
• By doing “secondary wounding”• By taking away their autonomy
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HELPERS CAN ALSO RE-WOUND:
• By doing “secondary wounding”• By taking away their autonomy• By replicating the dynamics from
their abuse
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HELPERS CAN ALSO RE-WOUND:
• By doing “secondary wounding”• By taking away their autonomy• By replicating the dynamics from
their abuse
Remember the ways they may have been controlled—
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Methods of Control
Robbed of identity and personhood:•Identification confiscated•Given a new identity, including a new name•Branded/tattooed•Told what to wear•Must ask permission
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SO WHAT DOES SHE NEED?
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SO WHAT DOES SHE NEED?
REPARATIVE EXPERIENCESBuilding positive identityand autonomy as was done in the beginning by mother and child.
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REBUILD:
• Trust• Identity• Autonomy• Initiative• Competence• Capacity for intimacy• Safe relationshipsEMPOWERMENT
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WHAT DO NORMAL PEOPLE DO?
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WHAT DO NORMAL PEOPLE DO?
• Counting light bulbs• Discovering preferences• Learning how to play• Seeing self-advocacy
& fair fighting and other stories
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Other helpers who help the wounded!
They love, are loyal, uncritical,and their look says “I’m happy to see you!”
= JOY
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Learn to do good.Seek justice.Help the oppressed. Defend the orphan. Fight for the rightsof widows.
Isaiah 1:17
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“He has sent me to proclaim freedom for the prisoners … to release the oppressed”
JesusLuke 4:18