Presentation on theme: "Trauma Theory - Traumatization occurs when both internal and external resources are inadequate to cope with external threat The way we think, the way."— Presentation transcript:
1Trauma Theory- Traumatization occurs when both internal and external resources are inadequate to cope with external threatThe way we think, the way we learn, the way we remember things, the way we feel about ourselves, the way we feel about other people, and the way we make sense of the world are all profoundly altered by traumatic experience. Trauma fragments the brain.
2Fight or Flight Response Biological mechanism to protect from harmHappens whenever we perceive that we are in dangerEach episode of danger connects to every other episode in our minds – the more danger we are exposed to, the more sensitive we are to dangerWhat can we do? We must create a safe environment to counteract long-term effects of trauma
3Learned Helplessness In traumatic situations, the victim is helpless Repeated helplessness changes our basic neurochemistry that allows us to self-motivate out of dangerous situations. In other words, we give upWhat can we do? Intervention must focus on empowerment while avoiding future experiences of helplessness
4Loss of “Volume Control” We respond to stimulus based on the threat that stimulus presentsTrauma destabilizes our internal system of arousal – i.e. our “volume control” that we normally have over our emotions, especially fear.Instead, traumatized people have only an “on/off” switchSubstance use (drugs, alcohol, sex, eating, self-harm) to calm and control internal statesWhat can we do? Blaming and punishment for destructive coping mechanisms is counterproductive. If folks are going to stop using destructive coping mechanisms, they must be offered better substitutes and a safe environment for cultivating those new coping skills
5Thinking Under Stress – Action Not Thought Our capacity to think clearly is impaired when we are stressedWhen in danger, we are physiologically geared to respond with action, and do not have time for complicated mental processingDecisions tend to be based on impulse and a need to self-protectWhat can we do? Intervention efforts must focus on reducing stress and allowing survivors time and space to mentally process trauma and to calm the stress-induced hypervigilance that it creates
6Remembering Under Stress Our way of remembering things, processing new memories, and accessing old memories is dramatically changed under stressWhen we are overwhelmed with fear, we lose the capacity for speech, and often the capacity to put words to our experience.Without words, the mind shifts to a more visceral form of memory – visual, auditory, olfactory, and kinesthetic images, physical sensations, and feelingsFlashback: intrusive re-experiencing of those unverbalized memories – not really “remembering,” but rather “reliving”Without words, the traumatic events of the past are often experienced as being in the present. Words allow us to put the past where it belongs – in the past.How can we do? The implication of this information is that we must provide an abundance of opportunities for survivors of trauma to talk and talk and talk! We also must provide programs that focus on nonverbal expression – art, music, movement, etc.
7Emotions & Trauma - Dissociation Dissociation “safety valve”Dissociation is a ‘disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment’ – it is splitting off experience from our feelings about that experienceRepetitive T & D leads to emotional numbing & avoidanceAvoidance symptoms (dissociation) combined with intrusive symptoms (flashbacks) = PTSD and hyperarousalWhat can we do? Recognize that these unhealthy coping mechanisms are effective and often necessary in the short-term, but are detrimental in the long term. Again, we must create an environment where survivors can process the past, and gain new, healthier coping mechanisms for the future
8Endorphins & Stress – Addiction to Trauma Endorphins calm anxiety, improve our mood, and decrease aggression, but they are also analgesics related to morphine and heroinPeople exposed to prolonged stress and trauma can become “addicted” to their own elevated endorphin levels – creating a situation where they only feel calm while under stress, and feel irritable and hyperaroused when stress is relievedTrauma survivors may resort to behavior that triggers those same endorphins: self-mutilation, risk-taking behavior, compulsive sexuality, involvement in violent activity, binging and purging, and drug addictionWhat can we do? Intervention strategies must focus on helping people ‘detox’ from behavioral and substance based addictions – again by providing an environment that is calm and safe, and by educating folks about the effects of trauma on the brain and body
9Trauma BondingTrauma bonding occurs when strong emotional ties develop between two persons where one person intermittently harasses, beats, threatens, abuses, or intimidates the other.Imbalance of powerAbuse is sporadic in natureVictim engages in denial of the abuse and often dissociates for emotional self-protection – an overloaded system causes them to distort realityWhat can we do? Survivors need direct experience engaging in relationships that are not abusive or punitive
10Victim to VictimizerA victim is helpless and powerless- this is part of the traumaSome trauma survivors “reclaim” their power by assuming the power of a person who has hurt them, becoming someone who terrorizes and abuses othersThis abusive behavior can reduce anxiety and provide excitement – these two effects can be habit formingCultural Influence and traditional gender narrativesMasculinity: does not allow for helplessness. You cannot be a victim and be maleFeminity: not only allows for, but encourages helplessness
11So What?Frame violence not as an individual problem, but a symptom of the breakdown of social order – a community social problem“What’s happened to you?” instead of “What’s wrong with you?”When people receive understanding, it enables them to begin to understand themselves and make positive changesCreate safety – physical, psychological, social, and moralSafety involves not just prohibitions against violence to others, but also self-destruction (substance use, self harm)In a community the violence one does to themselves and their body effects othersThe real challenge is how to establish and maintain safety without invoking punitive, violent, and restrictive measures that add to the problem