Impact of Trauma: Trauma disrupts social systems of care, leading to disempowerment and disconnection. Recovery relies on empowering survivors and restoring relationships.
Stages of Recovery: 1) Establishing safety, 2) Retelling the trauma story, 3) Reconnecting with others. Treatment must match the survivor's recovery stage.
Therapeutic Alliance: Requires a collaborative relationship between therapist and survivor; trauma can affect both parties, leading to vicarious traumatization for therapists.
Support for Therapists: Therapists must have a personal support system to manage the emotional impact of their work with trauma survivors.
Complex Nature of Trauma: Trauma affects biological, psychological, and social functioning, requiring comprehensive treatment approaches.
Recognizing Trauma Symptoms: Awareness of trauma's symptoms is crucial; educating patients can empower them and ease fear.
First Stage - Safety: Focus on bodily safety and control of emotions, environment, and personal relationships. Survivors may need to make difficult decisions to regain autonomy.
Second Stage - Remembering and Mourning: Survivors share their trauma stories, integrating those experiences into their life narratives. This stage is emotionally intense and often leads to grief.
Third Stage - Reconnection: Focuses on rebuilding life, engaging meaningfully with others, and finding new relationships or social missions inspired by the trauma experience.
Social Action: Survivors may feel called to engage in social action as a way to reclaim power and work against victimization in society.
Therapist's Role: Therapists must maintain a moral stance, allowing survivors to explore feelings of guilt, shame, and the need for atonement without judgement.
Recurrence of Issues: Survivors may revisit issues of safety and self-care in the third stage, as they become more proactive in their recovery journey.