Pathway to Cultural & Linguistic Competence Awareness Sensitivity Reciprocity Competence Open to others; learning about cultural histories, values, beliefs (Adams, 1995) Aware of differences & similarities that have an effect on values and behavior; no value judgments (Stafford et al., 1997) Coordinated behaviors, attitudes, and policies that allow effect service across multiple cultural & linguistic groups (Cross et al., 1989 Recognition underlying taken-for-granted assumptions, how they guide behaviors and affect those that do not hold them (Kalyanpur & Harry, 1999)
Reflect, Revise, Retry Know Your Self and your group Understand History Learn from others Ten Principle Practices Eliminate ethnocentrism Cultural Competence Learn from mistakes made Tear down barriers Be accountable Honor Uniqueness Center other experiences Hyter, 2009
The Brain-Behavior Connection Neurobiological & Neurodevelopmental Impact of Traumatic Stress & Prenatal Alcohol Exposure in Children & Adolescents: Understanding Difficult Behaviors Mark A. Sloane, DO, FACOP, FAAP Kalamazoo, MI 18 February 2009
Building the brain From simple to complex: Hierarchy of brain function Brain- stem Diencephalon Limbic Neocortex Abstract Thought Concrete Thought Executive Function Attachment Sexual Behavior Emotional Regulation Motor Regulation Motivation Arousal Sleep BP / Heart Rate Respiratory Drive Body Temperature Perry 2006 All sensory input enters here
The Delicate Balance: Brain control of emotion / behavior Top-Down “ Brakes ” (Prefrontal Cortex) Bottom-Up “Accelerator” (Brainstem/Limbic System)
Children who experienced complex trauma have endured multiple interpersonal traumatic events from a very young age
The trauma was usually caused by adults who should have been caring for and protecting the child
What is Complex Trauma? Sources: Cook et al. (2005). Psychiatry Ann ,35 (5):390-398; van Der Kolk & Courtois. (2005) J Trauma Stress , 18 :385-388 . The term Complex trauma (or Developmental Trauma Disorder ) describes exposure to chronic (repeated) trauma and the impact of such exposure (traumatic stress) on the child.
Domains Impacted by Complex Trauma Behavioral Control Cognition Attachment Dissociation Affect Regulation Biology Self Concept
Coggins, Timler, & Olswang, 2007 influence others understand and interpret social situations
Social Communication Framework Higher Order Executive Functions Decision making and strategic planning processes Social Communicative Behaviors Social Communicative Competence Using language in interpersonally appropriate ways to successfully influence people and interpret events Coggins, T. E., Timler,G. R. & Olswang, L.. B. (2007). Social Cognition Understanding why people act in certain ways and what they are likely to do next. Language Sentence Structure Word meanings/relationships Language use
The next picture contains 2 identical dolphins. It has been recently used in national stress research.
Notice the two dolphins jumping out of the water. The dolphins are identical. A closely monitored, scientific study revealed that, in spite of the fact that the dolphins are identical, a person under stress would find differences in the two dolphins. The more differences found between the dolphins, the more stress that person is experiencing.
Look closely at the photo and if you find more than one or two differences, you need to go on vacation.
This presentation is part of a comprehensive professional education and training project created by the SW Michigan Children’s Trauma Assessment Center funded by a grant from the Substance Abuse and Mental Health Services, Department of Health and Human Services which funds the National Children’s Trauma Stress Network