10.30am bill hewlett - how to help your client
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10.30am bill hewlett - how to help your client
- 1. NEW SOUTH WALES Kon Gres Conference Sydney 2015 Bill Hewlett Clinical Service Specialist
- 2. NEW SOUTH WALES The Truth ‘We help people choose to surrender the illusions, mirages, and fantasies they have accepted about themselves, about others, and about their conflicts...’ Kenneth Cloke (2001) Mediating Dangerously 2
- 3. NEW SOUTH WALES ‘If an organism is stuck in survival mode, its energies are focussed on fighting off unseen enemies, which leaves no room for nurture, care and love. For us humans, it means that as long as the mind is defending itself against invisible assaults, our closest bonds are threatened, along with our ability to imagine, plan, play learn and pay attention to other people's needs’ (Van Der Kolk 2014) Trauma theory 3
- 4. NEW SOUTH WALES We each seek to know that we are held in the mind and heart of another Diana Fosha PhD Attachment Theory 4
- 5. NEW SOUTH WALES Attachment Theory Being meaningful to someone important is what the young child strives for from the first interaction Travarthen 2001 5
- 6. NEW SOUTH WALES Attachment Theory One of the consequences of poor attachment is that there seems to be less capacity for ‘reflective functioning’ – to think about your own and other’s internal states. (Rudi Dallos 2009) 6
- 7. NEW SOUTH WALES Implicit memory 7 It is less painful to remember something happening, even if it is terrible, than to remember nothing happening when you needed someone to be with you
- 8. NEW SOUTH WALES • We think we live with free will based on conscious deliberation, actually the truth is we live about 500 milliseconds after the moment, allowing plenty of time for our past learning to predict what will happen with absolute certainty, severely limiting our free will. The propaganda dept. 8
- 9. NEW SOUTH WALES 9 AA Trauma informed lens A trauma informed lens
- 10. NEW SOUTH WALES Characterized by cumulative, prolonged and/or repetitive exposure to interpersonally generated events that adversely impact the developmental structures of self and coping strategies of the individual. (ACE study; Van der Kolk 2014). What is Complex Trauma? 10
- 11. NEW SOUTH WALES “A state of high arousal that impairs integration across multiple domains of functioning: affective, cognitive, behavoural, physiological, relational, self-attributional and dissociative” (Cozolino 2002; Kinniburgh et al 2005). What is trauma? 11
- 12. NEW SOUTH WALES www.nsw.relationships.com.au Fast and slow circuits
- 13. NEW SOUTH WALES ‘J’ Curve 13
Editor's Notes
- There is some duplication across these sources of initiatives
- Problems with attention regulation and executive functioning, difficulties with learning, language, responsibility, punctuality, planning, focusing, processing information (Cook et al 2005). Poor impulse control, self-harm, eating disorders, substance abuse, reenactment of trauma behavior eg sexual, aggressive; sleep disturbances (Cook et al 2005). Sensorimotor developmental problems, analgesia, somatization, problems with coordination and balance, increased medical problems across wide span including autoimmune, pseudoseizures, skin problems, asthma(Cook et al 2005). Poor boundaries, social isolation, interpersonal difficulties, difficulty attuning to other’s emotional states, distrust and suspicious (Cook et al 2005). Lack of continuous, predictable sense of self, poor sense of separateness, disturbances of body image, low self-esteem, shame and guilt (Cook et al 2005). Distinct altered states of consciousness, amnesia, depersonalization, derealization, impaired memory, two or more distinct states of consciousness (Cook et al 2005).