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Trauma
When a person experiences overwhelming events that threaten life, safety, or bodily integrity and leave them feeling powerless
Characteristics of Traumatic Events
overwhelming stress
loss of control
fear and helplessness
lasting psychological impact
disruption of relationships and identity
Main symptoms of PTSD
hyperarousal
intrusion
constriction
Hyperarousal
constant alertness
sleep problems
anxiety and exaggerated startle response
Intrusion
flashbacks
nightmares
intrusive memories
Constriction
numbing
emotional detachment
dissociation
avoidance of reminders
Complex PTSD
develops after prolonged, repeated trauma (especially when the victim is trapped or controlled)
Dissociation
psychological defense mechanism in which a person disconnects from thoughts, memories, emotions, or identity to survive overwhelming experiences
Hysteria and psychological trauma (late 1800s)
early physicians studied trauma-related symptoms in women
many survivors of abuse were dismissed or disbelieved
Shell shock after World War I
soldiers experienced psychological collapse after combat
trauma was recognized as a wartime issue
Holocaust survivor studies
researchers examined long-term trauma effects among survivors
Women's movement and domestic violence awareness
feminist activists brought attention to rape, incest, and domestic abuse
Effects on Identity
trauma can damage self esteem, trust, sense of safety, personal identity, and ability to form relationships
Attachment and Childhood Trauma
when caregivers become sources of harm, children may develop disorganized attachment, struggle with emotional regulation, or experience long-term psychological effects
Captitivty and Coercive Control
domestic abuse
cults
political imprisonment
human trafficking
hostage situations
Common tactics used by abusers to weaken autonomy and increase control
isolation
intimidation
threats
unpredictable violence
gaslighting
dependency creation
Stage 1 of Trauma Recovery
Safety
Why does safety matter?
Recovery cannot begin while trauma is still occurring
Stage 2 of Trauma Recovery
Remembrance and Mourning
Stage 3 of Trauma Recovery
Reconnection
Social Silence
societies often deny or minimize trauma because acknowledging violence threatens social systems and power structures
Importance of Witnessing
public acknowledgement of trauma helps reduce isolation
Feminist Contributions
trauma recovery is both psychological and polticial
Power and Control
trauma often involves abuse of power
Memory
traumatic memories may be fragmented, vivid, or suppressed
Recovery
possible but usually gradual and non-linear
Connection
relationships and community support are essential for healing
Empowerment
restoring choice and autonomy is central to recovery
What does trauma do?
overwhelm normal coping abilities
How does Dr. Hinitz define trauma?
whatever someone was involved in, they couldn't say no to
What is the difference between honesty and brutal honesty?
Brutal honesty has no compassion
Can you be at the base of the twin towers and view it as not traumatic?
yes
however nobody is trauma immune
Trauma class
The experimental process of exploring, activating (sometimes painful/traumatic) material in an environment designed to enable risk, presence, and authenticity
The purpose is to understand what makes events traumatic, what that might feel like (inside/outside) and to learn about the healing process that helps people transcend from dark places to experiences of light or freedom
Trauma Recovery is
growth, maintenance, and repair
What is an example of how trauma can come back?
swallowing food in a balloon
reopening/loosening
How does Dr. Hinitz view forgiveness and healing?
prematurely offered, happens too early/not helpful
What should forgiveness mean?
go forth - no longer anchored to person/event
should not mean mindwipe
Essential qualities of trauma
helplessness and isolation
Empowered
possibility of taking action
What is all therapy?
exposure therapy
What does it mean to publicly admit?
to invite stigma
What happens when things surface during therapy?
Symptoms clear
mendacity
lying or falsehood
anathema
barely stand the thought of
drug trauma therapy
few cases it might be appropriate
not a medication in the world that can cure trauma/anxiety
Bystander effect
more people = less likely to do anything about it
Latane and Darley
diffusion of responsibility
numbness
connected authentic being
transference
to transfer
countertransference
therapist to patient
most fundamental decision
whether universe is hostile or friendly
passengers observe pilot
children observe parent
hostile
evolution
friendly
psychological success (happiness)
Step 1 in Development
Trust vs Mistrust
Traumatic incident typically lasts
20 seconds to 2 mins
therapeutic relationship
absence of a parent, try it out again
What must all healing be done in the form of
connection
Connections
1) interpersonal
2) intrapersonal
3) transpersonal (spiritual)
what does the RAS detect?
threats of abandonment
Healing
repetition
contact with emotional self
presence of a safe other
What is an example of teh reaffirmation that the universe is hostile?
abuse happens in the exact same place/way
What is it easier to see bad?
-evolutionary adaptive
-schemas
repetition compulsion
go back to relationships and places
wish to overcome/master
What does Dr. Hinitz say about BPD?
under enough stress, everyone has a borderline personality
Existential Principles
1) We die
2) We are separate/alone
3) Stuff happens
4) I get to change
We die
presciousness of experience
We are seperate/alone
we seek connection
Stuff happens
it's not personal, i don't control it
I get to change
Feel, Actions, Thought
Shattered Assumptions during trauma
Invulnerability
Meaning/Order of the Universe
Positive Sense of Self
authenticity
bells
vibration and language of the conversation
what underlines anger?
fear
what is humor?
a timing thing
Good Samaritan Experiment
time determined behavior
traumatic
cut off
normal adaptations fail you
Erik Erikson
Trust vs mistrust
Freud
oral stage of development
foundation
secure sense of connection
IMP triangle
I am, The universe is, People are
What did Dr. Hinitz say dissociation is?
escape when there is no other escape
Apology Process
-Apology
-I Get How It Impacted You
-Sincerity
-It Matters to Me
-Commitment to Change
Ground floor of psychology
abandonment
Bus Exercise
can you let them hold it, don't use any of your own muscle
Carl Rogers Triangle
authenticity, empathy, non-judgement
Kohut Triangle
twinship, mirroring, grounded perspective
Economy of feelings
victim owns perpetrators feelings
Signs of Heeling
Emotional Leveling
Remember Details
Meaning
Humor
Narrative
Toaster Problem
one that is plugged in
Beck Triangle
I hurt, This will not change, I am helpless
Toaster Scale
10- joy, love empowerment
9-enthusiasm, happiness
8- optimism, hope
7- boredom, pessimism
6- frustration
5-doubt, worry, dissapointed
4- revenge, anger
3- hatred, jealousy
2- unworthy, undeserving
1- cutoff, disempowered
Door Pass
analogy for recovery process
tape=boundaries
it takes time to repair
Steps
1) i'm hurt, scared, lost
2) Awareness, scanning
3) Aperture stuck, accomodation
4) rubber band (want to snap back to step 1)
5) next level (contrast between where I am and where I want to be)
push hands
clients will test if their material is too much
Johari's Window
Social (all know)
Blindspots (you know)
Private Self (I know)
Unknown Potential (no one knows)
Psychotherapy
adaptive spiral
Example of Stage 1
alcoholics anonomyous
Rotating Triangle based on perspective
Hero, Victim, Villain
Trust fall exercise
all growth happens outside of comfort zones
ATEPIE
activating event, thoughts, emotion, perspective, internal experience
thoughts
unconscious decisions