Trauma talk houston

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Dr. Linda Marten
Helping Trauma Victims without Harming Them

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  • Whether familiar or new. Shatters the environment where these qualities can be learned.
  • Develop the capacity for joy. Safe in their vulnerability. Unafraid of expressing needs or any emotions. No matter…mom will love and not disconnect.
  • Can be a cascade of feelings until connection is reestablished. Distress in babies before they learn object constancy…playing peek-a-boo.
  • Trafficked victims are becoming increasingly younger as pimps recruit youth to facilitate the entrapment.
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • But we don’t want to end this as if this is the end! Defining the problem is how you prepare and plan for the recovery & healing…
  • Trauma talk houston

    1. 1. HOW DOES TRAUMA WOUND?Trauma and Its Impact on Victims
    2. 2. TRAUMA: Means WoundTrauma 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
    3. 3. 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
    4. 4. TRAUMA WOUNDS BY:1. Shattering the structure of the self2. Undermining the belief system in a meaningful and safe world3. Destroying a relational sense of trust—feeling abandoned by God and man
    5. 5. Trauma Causes a Disconnect… from PainCircuit breaker in the houseSurge protector on your electronics
    6. 6. 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
    7. 7. TRAUMA WOUNDS BY:1. Shattering the structure of the self
    8. 8. Trauma Wounds by Shatteringthe Structure of the Self• It disconnects self from self … something has to withdraw, numb, get buried or walled off inside.• When danger … fight … flight … freeze
    9. 9. Trauma Wounds by Shatteringthe Structure of the Self• It disconnects self from self … something has to withdraw, numb, or get buried• It erodes your positive sense of self
    10. 10. Trauma Wounds by Shatteringthe Structure of the SelfPower used against her damagesher 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
    11. 11. When power is used against anyperson it damages their sense ofautonomy.• Initiative is thwarted.• When initiative is thwarted helplessness and hopelessness begin to take over.• A positive sense of self is lost!
    12. 12. Power used against herdivides her from herself!
    13. 13. • 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
    14. 14. 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
    15. 15. Post-Traumatic Stress DisorderHas Three Elements1. Re-experiencing symptoms2. Avoidant, numbing symptoms3. Hyperarousal symptoms
    16. 16. Post-Traumatic Stress Disorder:1. Re-experiencing Symptoms• Intrusive recollections• Traumatic nightmares• PTSD flashbacks• Trauma-related triggers evoke psychological distress or physiological reactions
    17. 17. 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
    18. 18. Post-Traumatic Stress Disorder:3. Hyperarousal Symptoms• Insomnia• Irritability• Difficulty concentrating• Hypervigilance• Exaggerated startle response
    19. 19. TRAUMA WOUNDS BY:1. Shattering the structure of the self2. Undermining the belief system in a meaningful and safe world
    20. 20. A LOOK AT THE BEGINNING:Development of attachment inan 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
    21. 21. Daniel Shore (neurobiology):Babies learn best in a state of JOY!What is joy? How do we define it?
    22. 22. 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!” 
    23. 23. 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
    24. 24. When there isa disconnectBaby loses securityJoy is goneConfusionNeeds unmetEmotional distressFearProgressive withdrawal or constriction
    25. 25. A child must develop the capacity to Form intimacy Take initiative Form identity Self-soothe Regulate body Trust Feel safe
    26. 26. A child must develop the capacity to Sense control Personal power Sense of self Have hope And of course, children learn it best while in a state of JOY
    27. 27. A child develops But in the abusedthe capacity to: child’s environment:Form intimacy Perverted relationshipsTake initiative Controlled by abuserForm identity Defined “Slave/Whore”Self-soothe Lack of solaceRegulate body Body is at disposal of othersTrust Caretakers/people are untrustworthy
    28. 28. Safety Lack of protectionSense control Situation is terrifying and unpredictablePersonal power Situation hopelessSense of self Others are cruel, helpless, uncaringHave hope Abandoned to powerwithout mercy
    29. 29. The child adapts, creates a personaor false self and becomes what theenvironment necessitates.All actions (early decisions) are achild’s attempt at a solution to belong,get love, be safe.
    30. 30. 2. Trauma undermines thebelief system in a meaning-ful, orderly and safe world.The person’s world iscontrolled by, limited by,and monitored by theirabuser, handler or “owner.”It may have rigid rules orrandom chaos … but it israrely safe.
    31. 31. TRAUMA WOUNDS BY:1. Shattering the structure of the self2. Undermining the belief system in a meaningful and safe world3. Destroying a relational sense of trust—feeling abandoned by God and man
    32. 32. 3. It destroys a relationalsense of trust feelingabandoned 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
    33. 33. Her world is differentfrom her friends at school.
    34. 34. 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
    35. 35. Mexican cartelsare payingyoung men todate youngwomen for thepurpose ofbetraying themand handingthem over totraffickers.
    36. 36. Who can everbe trusted?When/how does safetyand freedom come?
    37. 37. Who can everbe trusted?When/how does safetyand freedom come?And if you pray …and nothing changes?
    38. 38. TRAUMA WOUNDS BY:1. Shattering the structure of the self2. Undermining the belief system in a meaningful and safe world3. Destroying a relational sense of trust—feeling abandoned by God and man
    39. 39. SO HOW DOES TRAUMA WOUND?By disconnecting the victim fromSELF … OTHERS … GOD
    40. 40. SO HOW DOES TRAUMA WOUND?By disconnecting the victim fromSELF … OTHERS … GOD …resulting in a variety of disorders
    41. 41. Psychological Impact• Acute stress disorder• Post traumatic stress disorder• Anxiety disorders• Dissociative disorders• Eating disorders• Self-harming disorders• Sleep disorders
    42. 42. Psychological Impact• Anxiety and stress disorder• Attachment disorder• Attention deficit/hyperactivity disorder• Conduct disorder• Depression• Developmental disorders• Learning disorders
    43. 43. Psychological Impact• Somatic disorders• Substance abuse disorders• Impulse control disorders• Mood disorders• Flashbacks
    44. 44. SO HOW DOES TRAUMA WOUND?By disconnecting the victim fromSELF … OTHERS … GOD …resulting in a variety of disorders
    45. 45. SO HOW DOES TRAUMA WOUND?By disconnecting the victim fromSELF … OTHERS … GOD …Next: How to Help Heal—Not Harm
    46. 46. HOW HELPERS WOUND THE WOUNDED The Do’s and Don’ts of Workingwith Trauma Victims for Lay People
    47. 47. Trauma Wounds byDisconnecting the Victim fromSELF … OTHERS … GOD …
    48. 48. Trauma Wounds byDisconnecting the Victim fromSELF … OTHERS … GOD …
    49. 49. Trauma Wounds byDisconnecting the Victim fromSELF … OTHERS … GOD …
    50. 50. Trauma Wounds byDisconnecting the Victim fromSELF … OTHERS … GOD …Put simplyTo heal - help her re-connect withSELF … OTHERS … GOD …
    51. 51. Trauma & terrordisempowers and disconnects Recovery empowers and re-connects
    52. 52. Recovery can take placeONLY within the contextof relationships.It cannot occurin isolation.
    53. 53. HOW DO WELL INTENTIONEDHELPERS WOUND?By separating ourselvesfrom those we are trying to help:•By our dress
    54. 54. HOW DO WELL INTENTIONEDHELPERS WOUND?By separating ourselvesfrom those we are trying to help:•By our dress•Our choice of words
    55. 55. HOW DO WELL INTENTIONEDHELPERS WOUND?By separating ourselvesfrom those we are trying to help:•By our dress•Our choice of words•Our opinion of them
    56. 56. HELPERS CAN ALSO RE-WOUND:• By doing “secondary wounding”
    57. 57. HELPERS CAN ALSO RE-WOUND:• By doing “secondary wounding”• By taking away their autonomy
    58. 58. HELPERS CAN ALSO RE-WOUND:• By doing “secondary wounding”• By taking away their autonomy• By replicating the dynamics from their abuse
    59. 59. HELPERS CAN ALSO RE-WOUND:• By doing “secondary wounding”• By taking away their autonomy• By replicating the dynamics from their abuseRemember the ways they may have been controlled—
    60. 60. Methods of ControlRobbed of identity andpersonhood:•Identification confiscated•Given a new identity,including a new name•Branded/tattooed•Told what to wear•Must ask permission
    61. 61. SO WHAT DOES SHE NEED?
    62. 62. SO WHAT DOES SHE NEED?REPARATIVE EXPERIENCESBuilding positive identityand autonomy as wasdone in the beginningby mother and child.
    63. 63. REBUILD:• Trust• Identity• Autonomy• Initiative• Competence• Capacity for intimacy• Safe relationshipsEMPOWERMENT
    64. 64. WHAT DO NORMAL PEOPLE DO?
    65. 65. WHAT DO NORMAL PEOPLE DO?• Counting light bulbs• Discovering preferences• Learning how to play• Seeing self-advocacy & fair fighting and other stories
    66. 66. Other helpers who help the wounded!They love, are loyal, uncritical,and their look says“I’m happy to see you!” = JOY
    67. 67. Learn to do good.Seek justice.Help the oppressed.Defend the orphan.Fight for the rightsof widows.Isaiah 1:17
    68. 68. “He has sent me toproclaim freedomfor the prisoners …to release theoppressed” Jesus Luke 4:18

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