This document provides information about trauma therapy for victims of sexual exploitation. It discusses the types and prevalence of trauma from sexual violence as well as the potential mental and physical health consequences. The document outlines the key components of trauma therapy, including psychoeducation, stabilization techniques, trauma confrontation, and integration. Stabilization involves establishing safety, treating symptoms, and teaching skills to regulate emotions. Psychoeducation addresses trauma bonding, dissociation, and controlling behaviors that can result from trauma.
The document discusses suicide awareness and prevention, including definitions of key terms, risk and protective factors, communicating with at-risk patients, and ensuring immediate safety. It defines suicidal behaviors, ideation, gestures, and attempts. Risk factors include mental health issues, substance abuse, hopelessness, and prior suicide behaviors. Protective factors are social support, problem-solving skills, and help-seeking attitudes. When assessing risk, staff should directly and clearly ask about suicidal thoughts and plans. For patient safety, observation levels and contraband policies should be implemented and documented handoff communication is important.
The document discusses psychiatric emergencies, defining suicide and suicidal clients. It covers common psychiatric emergencies, risk factors for suicide, and guidelines for preventing suicide through education, screening, treatment, restricting access to lethal means, and responsible media reporting. The document also provides guidance on managing suicidal clients in emergency departments and inpatient psychiatric wards.
This document discusses post-traumatic stress disorder (PTSD) and complex PTSD. It describes some of the symptoms sufferers may experience, such as sadness, rage, feeling out of control of their thoughts and actions. It also discusses how the condition can affect relationships and quality of life. Strategies for patients and families are provided, such as advocating for yourself, understanding triggers, and creating coping mechanisms. Families are advised to listen without judgment and respect the person's feelings and safe space.
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
This document discusses treatment options for post traumatic stress disorder (PTSD). It notes that PTSD can be caused by traumatic events like disasters, accidents, abuse or combat. Symptoms include anxiety, sleep issues, depression and relationship problems. The document outlines that treatment may include cognitive behavioral therapy, exposure therapy, counseling, medication and group therapy. It concludes that correctly diagnosing PTSD and tailoring treatment to the individual and trauma is important for successful recovery.
Suicide Risk Assessment and Intervention Tacticsamberella
The document discusses suicide risk assessment and intervention tactics, including identifying warning signs and risk factors, methods for talking to individuals at risk, and procedures for volunteers and first responders. It provides an overview of common mental illnesses associated with suicide risk, examples of identifying direct and indirect verbal clues as well as behavioral clues of risk, and a framework for assessing immediate threat and developing an appropriate response plan.
Post-traumatic stress disorder (PTSD) is a psychological reaction that occurs after experiencing a traumatic or stressful event such as combat, violence, accidents, or natural disasters. It is characterized by symptoms like reliving the event through flashbacks or nightmares, avoiding reminders of the trauma, and feeling constantly on edge or distressed. Children may exhibit PTSD through stomach aches, headaches, or refusal to socialize. Treatment involves therapy, medication, or both and aims to help patients manage distressing thoughts and feelings about the trauma to reduce symptoms over 6-12 weeks. Family therapy programs bring relatives together to strengthen relationships and support the person with PTSD.
This document provides information on assessing and preventing late-life suicide. It discusses risk factors like prior suicidal thoughts or behaviors, mental illness, medical illness, and negative life events. Warning signs of suicide risk include suicidal thoughts, plans, substance abuse, purposelessness, anxiety, feeling trapped, and withdrawal. Key questions to ask include whether they have thoughts of suicide, specific plans or means, and reasons to live. Risk management involves immediate safety planning and ongoing treatment of underlying issues, monitoring of risk, and enhancing hope and meaning in life.
The document discusses suicide awareness and prevention, including definitions of key terms, risk and protective factors, communicating with at-risk patients, and ensuring immediate safety. It defines suicidal behaviors, ideation, gestures, and attempts. Risk factors include mental health issues, substance abuse, hopelessness, and prior suicide behaviors. Protective factors are social support, problem-solving skills, and help-seeking attitudes. When assessing risk, staff should directly and clearly ask about suicidal thoughts and plans. For patient safety, observation levels and contraband policies should be implemented and documented handoff communication is important.
The document discusses psychiatric emergencies, defining suicide and suicidal clients. It covers common psychiatric emergencies, risk factors for suicide, and guidelines for preventing suicide through education, screening, treatment, restricting access to lethal means, and responsible media reporting. The document also provides guidance on managing suicidal clients in emergency departments and inpatient psychiatric wards.
This document discusses post-traumatic stress disorder (PTSD) and complex PTSD. It describes some of the symptoms sufferers may experience, such as sadness, rage, feeling out of control of their thoughts and actions. It also discusses how the condition can affect relationships and quality of life. Strategies for patients and families are provided, such as advocating for yourself, understanding triggers, and creating coping mechanisms. Families are advised to listen without judgment and respect the person's feelings and safe space.
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
This document discusses treatment options for post traumatic stress disorder (PTSD). It notes that PTSD can be caused by traumatic events like disasters, accidents, abuse or combat. Symptoms include anxiety, sleep issues, depression and relationship problems. The document outlines that treatment may include cognitive behavioral therapy, exposure therapy, counseling, medication and group therapy. It concludes that correctly diagnosing PTSD and tailoring treatment to the individual and trauma is important for successful recovery.
Suicide Risk Assessment and Intervention Tacticsamberella
The document discusses suicide risk assessment and intervention tactics, including identifying warning signs and risk factors, methods for talking to individuals at risk, and procedures for volunteers and first responders. It provides an overview of common mental illnesses associated with suicide risk, examples of identifying direct and indirect verbal clues as well as behavioral clues of risk, and a framework for assessing immediate threat and developing an appropriate response plan.
Post-traumatic stress disorder (PTSD) is a psychological reaction that occurs after experiencing a traumatic or stressful event such as combat, violence, accidents, or natural disasters. It is characterized by symptoms like reliving the event through flashbacks or nightmares, avoiding reminders of the trauma, and feeling constantly on edge or distressed. Children may exhibit PTSD through stomach aches, headaches, or refusal to socialize. Treatment involves therapy, medication, or both and aims to help patients manage distressing thoughts and feelings about the trauma to reduce symptoms over 6-12 weeks. Family therapy programs bring relatives together to strengthen relationships and support the person with PTSD.
This document provides information on assessing and preventing late-life suicide. It discusses risk factors like prior suicidal thoughts or behaviors, mental illness, medical illness, and negative life events. Warning signs of suicide risk include suicidal thoughts, plans, substance abuse, purposelessness, anxiety, feeling trapped, and withdrawal. Key questions to ask include whether they have thoughts of suicide, specific plans or means, and reasons to live. Risk management involves immediate safety planning and ongoing treatment of underlying issues, monitoring of risk, and enhancing hope and meaning in life.
This document provides an overview of post-traumatic stress disorder (PTSD). It discusses the clinical features of PTSD including re-experiencing, avoidance, and hyperarousal symptoms. It notes that PTSD can develop after exposure to traumatic events like disasters, accidents, or violence. The development and course of PTSD is explained, noting symptoms typically onset within 3 months of the trauma. Gender differences in PTSD are also summarized. Treatment options including psychotherapy and medication are mentioned. Common homeopathic remedies for PTSD are listed.
PTSD, also known as "soldier's heart," is an anxiety disorder that can develop after exposure to a terrifying event where serious physical harm was threatened. In PTSD, the normal fear response remains activated even when no longer in danger. Symptoms include re-experiencing the traumatic event through thoughts and flashbacks, avoiding reminders, and feeling in a constant state of hyperarousal. Complex PTSD involves prolonged trauma exposure and long-term problems with emotions and social functioning. Treatment involves psychotherapy like exposure therapy and cognitive restructuring, as well as medication in some cases. Social support from family and friends is also important for treatment.
Suicide: Risk Assessment and PreventionImran Waheed
1. The document discusses suicide risk assessment and prevention. It provides an overview of statistical data on suicide rates in the UK, outlines high risk groups, and reviews the Department of Health's suicide prevention strategy.
2. Risk factors for suicide include mood disorders, substance abuse, previous suicide attempts, and easy access to lethal means. A thorough risk assessment involves exploring suicidal thoughts and plans through open and closed questioning.
3. Ongoing support and follow-up are important for managing risk, as risk is dynamic and requires regular reassessment. Early identification and treatment of depression can help prevent suicide.
The document discusses post-traumatic stress disorder (PTSD) and the history of understanding trauma. It provides examples of case histories showing how traumatic events can lead to PTSD symptoms like flashbacks, nightmares, and anxiety. The recognition and diagnosis of PTSD has evolved over time from World War I when it was called "shell shock" to the modern conceptualization in the DSM. The cultural and political contexts have also shaped views of trauma and its psychological consequences.
Self-mutilation, also known as self-harm, refers to intentional acts of harming one's own body without suicidal intent. It is often associated with mental illnesses like borderline personality disorder, depression, anxiety, and PTSD. Common forms include cutting, burning, scratching, and hair pulling. Treatment options include medication, cognitive behavioral therapy, dialectical behavior therapy, and group therapy. Assessment involves understanding psychiatric history, triggers, and monitoring behavior. Nursing interventions focus on safety, emotional and impulse control support, and addressing underlying causes.
Post traumatic stress disorder (PTSD) mamtabisht10
Post traumatic stress disorder (PTSD) is a stress related disorder (DSM5) is characterized by inability to adjust or recover after witnessing or experiencing a traumatic or life threatening event.
Post traumatic stress disorder (PTSD) is a severe anxiety disorder that can develop after exposure to any event which results in psychological trauma.”
Non Suicidal Self-Injury Webinar Slidessagedayschool
This document provides an overview and introduction to a webinar presentation on non-suicidal self-injury. It welcomes participants and encourages them to submit questions in the comment box to be addressed during the question and answer portion. It then outlines the agenda which will include definitions, history, reasons for self-injury, risk factors, levels of severity, demographics, trends, intervention strategies, case studies and resources. Brief biographies are given for the presenters, who are clinical directors at Sage Day therapeutic schools.
This document summarizes a research study on post-traumatic stress disorder (PTSD) and repressed memories. The study aims to determine if women with repressed or recovered memories of childhood sexual abuse exhibit the same brain abnormalities as those with PTSD. Participants include women with repressed, recovered, or continuous memories of abuse, as well as a control group. Participants complete questionnaires and interviews and undergo MRI brain scans. The study predicts that women with repressed or recovered memories who meet PTSD criteria will show similar brain abnormalities to those with PTSD, such as reduced hippocampal volume.
Suicide prevention---- deepression-occupational disease of 21st centuryladdha1962
The document discusses suicide prevention in occupational health and colleges. It defines suicide and provides historical context in India where suicide was sometimes glorified but is now generally condemned. Statistics show suicide is a leading cause of death globally and in India. Risk factors include depression, impulsiveness, academic pressure, lack of support, and financial issues. Prevention requires a multi-sectoral approach including health, education, community, and policy efforts like restricting access to lethal means, training to identify at-risk individuals, and promoting help-seeking behaviors.
1. Posttraumatic stress disorder (PTSD) is a complex disorder that can develop after exposure to psychological trauma.
2. Clinical features include intrusive thoughts, nightmares, avoidance, hypervigilance, and sleep disturbances.
3. PTSD has been described since ancient times but came into focus after World Wars I and II and the Vietnam War. The term was first introduced in the DSM-III.
4. Lifetime prevalence in the US is 6.8-12.3% and 1-year prevalence is 3.5-6%. PTSD is associated with increased risk of physical illnesses.
5. Etiology involves neurobiological changes, genetic factors like the FKBP5
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Suicide Risk Assessment and Interventions - no videosKevin J. Drab
An in depth presentation of the current information known about suicide and the most effective interventions we currently have. If you are unclear about how to handle suicidal behavior or what are the more research-based approaches this PPT will be an excellent review for you. I have been training clinicians in Suicidology for over 20 years and have always stayed on top of the latest research and literature.
Posttraumatic stress disorder (PTSD) is an anxiety disorder that a person may develop after experiencing or witnessing an extreme, overwhelming traumatic event during which they felt intense fear, helplessness, or horror.
Suicide is a major public health issue in India, with over 40% of Indian suicides being among those under 30 years old. There are many myths around suicide that are untrue - talking about suicide does not necessarily increase risk, and suicidal thoughts are often ambivalent rather than a firm decision. Risk factors include mental illness, substance abuse, life stressors, and access to lethal means. Warning signs can be emotional, behavioral or verbal and seeking help from a mental health professional is crucial when these signs appear. Preventing suicide involves addressing risk factors, offering social support, ensuring safety, and maintaining long-term support for at-risk individuals.
Overview of Post Traumatic Stress Disorder including diagnostic criteria from ICD-10 and DSM-5, prevalence, course, differential diagnosis, co-morbidity, assessment, risk, prognostic and protective factors, etiology and management.
The document discusses suicidal behavior and risk factors. It notes that suicidal behavior can include drug and alcohol abuse, sexual promiscuity, and socially deviant acts. Risk factors include depression, substance abuse, schizophrenia, anxiety disorders, impulsivity, hopelessness, loss, lack of social support, and physical illnesses. It is important for nurses to assess each patient's suicidal risk and the best predictor is a previous suicide attempt. The priority is maintaining the patient's safety.
The document summarizes key information about population and violence. It defines population and violence, and discusses several types of violence including diseases, disasters and mental disorders, gender-based violence, and violence factors and types. It also examines whether violence can be considered a disease and discusses the relationship between disasters and mental disorders. Gender-based violence, its causes and consequences, and prevention are outlined. Statistics about gender-based violence in Bangladesh and worldwide are also presented.
This document provides an overview of types of trauma, including individual trauma, interpersonal trauma like domestic violence, developmental trauma such as adverse childhood experiences, group trauma, mass trauma, community/cultural trauma, historical trauma, political terror and war, and system-oriented trauma. It discusses the characteristics and impacts of each type of trauma. Key points covered include prevalence of adverse childhood experiences, their association with high-risk behaviors, and how trauma-informed care principles can help avoid re-traumatization.
Violence against women is prevalent in the United States, with one in four women experiencing rape or physical assault. These acts most often come from intimate partners. On average, more than three women are murdered by husbands or boyfriends every day. The document discusses the types and causes of violence against women, including physical, verbal, emotional, sexual assault, rape, and domestic violence. It also covers medical considerations after an assault, understanding the psychology of abusers, and ways for victims to regain control over their lives.
This document provides an overview of post-traumatic stress disorder (PTSD). It discusses the clinical features of PTSD including re-experiencing, avoidance, and hyperarousal symptoms. It notes that PTSD can develop after exposure to traumatic events like disasters, accidents, or violence. The development and course of PTSD is explained, noting symptoms typically onset within 3 months of the trauma. Gender differences in PTSD are also summarized. Treatment options including psychotherapy and medication are mentioned. Common homeopathic remedies for PTSD are listed.
PTSD, also known as "soldier's heart," is an anxiety disorder that can develop after exposure to a terrifying event where serious physical harm was threatened. In PTSD, the normal fear response remains activated even when no longer in danger. Symptoms include re-experiencing the traumatic event through thoughts and flashbacks, avoiding reminders, and feeling in a constant state of hyperarousal. Complex PTSD involves prolonged trauma exposure and long-term problems with emotions and social functioning. Treatment involves psychotherapy like exposure therapy and cognitive restructuring, as well as medication in some cases. Social support from family and friends is also important for treatment.
Suicide: Risk Assessment and PreventionImran Waheed
1. The document discusses suicide risk assessment and prevention. It provides an overview of statistical data on suicide rates in the UK, outlines high risk groups, and reviews the Department of Health's suicide prevention strategy.
2. Risk factors for suicide include mood disorders, substance abuse, previous suicide attempts, and easy access to lethal means. A thorough risk assessment involves exploring suicidal thoughts and plans through open and closed questioning.
3. Ongoing support and follow-up are important for managing risk, as risk is dynamic and requires regular reassessment. Early identification and treatment of depression can help prevent suicide.
The document discusses post-traumatic stress disorder (PTSD) and the history of understanding trauma. It provides examples of case histories showing how traumatic events can lead to PTSD symptoms like flashbacks, nightmares, and anxiety. The recognition and diagnosis of PTSD has evolved over time from World War I when it was called "shell shock" to the modern conceptualization in the DSM. The cultural and political contexts have also shaped views of trauma and its psychological consequences.
Self-mutilation, also known as self-harm, refers to intentional acts of harming one's own body without suicidal intent. It is often associated with mental illnesses like borderline personality disorder, depression, anxiety, and PTSD. Common forms include cutting, burning, scratching, and hair pulling. Treatment options include medication, cognitive behavioral therapy, dialectical behavior therapy, and group therapy. Assessment involves understanding psychiatric history, triggers, and monitoring behavior. Nursing interventions focus on safety, emotional and impulse control support, and addressing underlying causes.
Post traumatic stress disorder (PTSD) mamtabisht10
Post traumatic stress disorder (PTSD) is a stress related disorder (DSM5) is characterized by inability to adjust or recover after witnessing or experiencing a traumatic or life threatening event.
Post traumatic stress disorder (PTSD) is a severe anxiety disorder that can develop after exposure to any event which results in psychological trauma.”
Non Suicidal Self-Injury Webinar Slidessagedayschool
This document provides an overview and introduction to a webinar presentation on non-suicidal self-injury. It welcomes participants and encourages them to submit questions in the comment box to be addressed during the question and answer portion. It then outlines the agenda which will include definitions, history, reasons for self-injury, risk factors, levels of severity, demographics, trends, intervention strategies, case studies and resources. Brief biographies are given for the presenters, who are clinical directors at Sage Day therapeutic schools.
This document summarizes a research study on post-traumatic stress disorder (PTSD) and repressed memories. The study aims to determine if women with repressed or recovered memories of childhood sexual abuse exhibit the same brain abnormalities as those with PTSD. Participants include women with repressed, recovered, or continuous memories of abuse, as well as a control group. Participants complete questionnaires and interviews and undergo MRI brain scans. The study predicts that women with repressed or recovered memories who meet PTSD criteria will show similar brain abnormalities to those with PTSD, such as reduced hippocampal volume.
Suicide prevention---- deepression-occupational disease of 21st centuryladdha1962
The document discusses suicide prevention in occupational health and colleges. It defines suicide and provides historical context in India where suicide was sometimes glorified but is now generally condemned. Statistics show suicide is a leading cause of death globally and in India. Risk factors include depression, impulsiveness, academic pressure, lack of support, and financial issues. Prevention requires a multi-sectoral approach including health, education, community, and policy efforts like restricting access to lethal means, training to identify at-risk individuals, and promoting help-seeking behaviors.
1. Posttraumatic stress disorder (PTSD) is a complex disorder that can develop after exposure to psychological trauma.
2. Clinical features include intrusive thoughts, nightmares, avoidance, hypervigilance, and sleep disturbances.
3. PTSD has been described since ancient times but came into focus after World Wars I and II and the Vietnam War. The term was first introduced in the DSM-III.
4. Lifetime prevalence in the US is 6.8-12.3% and 1-year prevalence is 3.5-6%. PTSD is associated with increased risk of physical illnesses.
5. Etiology involves neurobiological changes, genetic factors like the FKBP5
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Suicide Risk Assessment and Interventions - no videosKevin J. Drab
An in depth presentation of the current information known about suicide and the most effective interventions we currently have. If you are unclear about how to handle suicidal behavior or what are the more research-based approaches this PPT will be an excellent review for you. I have been training clinicians in Suicidology for over 20 years and have always stayed on top of the latest research and literature.
Posttraumatic stress disorder (PTSD) is an anxiety disorder that a person may develop after experiencing or witnessing an extreme, overwhelming traumatic event during which they felt intense fear, helplessness, or horror.
Suicide is a major public health issue in India, with over 40% of Indian suicides being among those under 30 years old. There are many myths around suicide that are untrue - talking about suicide does not necessarily increase risk, and suicidal thoughts are often ambivalent rather than a firm decision. Risk factors include mental illness, substance abuse, life stressors, and access to lethal means. Warning signs can be emotional, behavioral or verbal and seeking help from a mental health professional is crucial when these signs appear. Preventing suicide involves addressing risk factors, offering social support, ensuring safety, and maintaining long-term support for at-risk individuals.
Overview of Post Traumatic Stress Disorder including diagnostic criteria from ICD-10 and DSM-5, prevalence, course, differential diagnosis, co-morbidity, assessment, risk, prognostic and protective factors, etiology and management.
The document discusses suicidal behavior and risk factors. It notes that suicidal behavior can include drug and alcohol abuse, sexual promiscuity, and socially deviant acts. Risk factors include depression, substance abuse, schizophrenia, anxiety disorders, impulsivity, hopelessness, loss, lack of social support, and physical illnesses. It is important for nurses to assess each patient's suicidal risk and the best predictor is a previous suicide attempt. The priority is maintaining the patient's safety.
The document summarizes key information about population and violence. It defines population and violence, and discusses several types of violence including diseases, disasters and mental disorders, gender-based violence, and violence factors and types. It also examines whether violence can be considered a disease and discusses the relationship between disasters and mental disorders. Gender-based violence, its causes and consequences, and prevention are outlined. Statistics about gender-based violence in Bangladesh and worldwide are also presented.
This document provides an overview of types of trauma, including individual trauma, interpersonal trauma like domestic violence, developmental trauma such as adverse childhood experiences, group trauma, mass trauma, community/cultural trauma, historical trauma, political terror and war, and system-oriented trauma. It discusses the characteristics and impacts of each type of trauma. Key points covered include prevalence of adverse childhood experiences, their association with high-risk behaviors, and how trauma-informed care principles can help avoid re-traumatization.
Violence against women is prevalent in the United States, with one in four women experiencing rape or physical assault. These acts most often come from intimate partners. On average, more than three women are murdered by husbands or boyfriends every day. The document discusses the types and causes of violence against women, including physical, verbal, emotional, sexual assault, rape, and domestic violence. It also covers medical considerations after an assault, understanding the psychology of abusers, and ways for victims to regain control over their lives.
Effects Of Date Rape And The Need For Prevention Is Complete.njslone
The document discusses the effects of date rape and the need for prevention. It notes that date rape is a serious crime that is increasing and often goes unreported. Common factors that contribute to date rape include the use of drugs and alcohol by the victim and/or perpetrator. One major issue is the increasing availability of date rape drugs like Rohypnol through illegal online pharmacies. Prevention requires education programs to address myths and make clear that date rape is wrong regardless of the circumstances. Victims need support services and to know they are not alone.
This document discusses domestic violence and its effects on children, particularly girl children. It defines domestic violence and notes that children often witness abuse in the home. Children who witness domestic violence experience feelings of anger, fear, powerlessness, distrust, confusion, loneliness, and shame. Witnessing abuse can negatively impact children's mental health and development and increases their own risks of experiencing or perpetuating abuse. The document calls for better support systems and services to help children who have witnessed domestic violence.
Human trafficking involves the use of force, fraud, or coercion to obtain some type of labor or commercial sex act. ... Traffickers use force, fraud, or coercion to lure their victims and force them into labor or commercial sexual exploitation. Human trafficking earns global profits of roughly $150 billion a year for traffickers, $99 billion of which comes from commercial sexual exploitation. Globally, an estimated 71% of enslaved people are women and girls, while men and boys account for 29%
Exploring Implications of the Impact of Mental Health Issues on Those Experiencing Domestic Violence in Same Sex and/or Trans Relationships, Catherine Donovan - a presentation at the A Difficult Alliance? Making Connections between Mental Health and Domestic Violence Research and Practice Agendas on 7 June 2011
The document discusses psychological trauma experienced by African Americans as a group. It notes that racism and discrimination are leading causes of collective trauma among African Americans. Repeatedly witnessing violence against African Americans in the media can trigger strong emotions like stress, depression, and anger. African Americans may experience racial trauma when witnessing harm to others of their race due to racism. Overall, the document argues that racism in society and the media contributes significantly to collective trauma experienced by the African American community.
This document provides an overview of trauma and trauma-informed care. It defines trauma as experiences that overwhelm an individual's ability to cope, such as abuse, violence, loss or disasters. Trauma has widespread impacts on physical, emotional and cognitive functioning. High rates of trauma are seen in populations experiencing homelessness, addiction and mental illness. The core principles of trauma-informed care emphasize safety, trust, choice and empowerment. Trauma-informed practices view behaviors as adaptations to past trauma and focus on building safety and resilience. Implementing trauma-informed care requires organizational changes and self-care to prevent burnout among providers from secondary traumatic stress.
read the full ultimate guide to suicidal thoughts and how to prevent and avoid this.
you can read the article on our website from here
https://www.websitesmarketo.media/2021/05/the-ultimate-guide-to-suicidal-thoughts.html
This document provides an overview of self-harm and suicide. It defines suicide and self-harm, discusses religious perspectives on suicide, and outlines Durkheim's social theories of suicide. Common suicide methods, warning signs, causes, treatments, prevention strategies, and protective factors are examined. Myths about suicide are also addressed. The epidemiology of suicide globally and in Pakistan is reviewed.
Psychiatric history
Basic structure
Standard history – presenting complaint, drug history, past medical history etc. – plus PSYCH extras:
Pre-morbid personality: "how would friends and family describe you before you were unwell?". Ask about previous hobbies and habits.
Substance use, including alcohol. Ask about frequency, volume, location and situation, and if relevant, administration route and needle sharing.
Youth: personal history.
Crime: forensic history.
Harm risk i.e. risk assessment. SO CRAP: Risk to Self, Risk to Others, Chronic physical health problems, Relapse risk, Medication Adherence, Protective factors.
Standard history components
Presenting complaint:
"What's been happening with you lately?". Put their own words in quotations as the presenting complaint.
If anxious, reassure: "we don't have to talk about anything you don't want to discuss".
Think about 4 key components of the episode, in a causal sequence: (1) triggers and life circumstances → (2) thoughts and emotions → (3) behavioural and physical symptoms, including functional impairments → (4) impacts on family, work, and physical health.
Make sure to cover the onset, duration, and pattern of symptoms, and factors that perpetuate, exacerbate, or relieve them.
Get their ideas, concerns, and expectations: what do they think is going on?
Ask about specific psych symptoms – e.g. delusions – as part of the mental state exam.
Prostitutas y poderosos: un éxito del patriarcadoFede Otero
El documento analiza cómo la prostitución y la cosificación de mujeres en los medios refuerzan el patriarcado. Describe cómo las mujeres prostitutas son representadas de forma despectiva en los textos como "inexpertas, desarraigadas y abusables" e infantilizadas. El análisis de imágenes muestra cómo las mujeres son retratadas de forma fragmentada, pixelada e inferiorizada, o como personajes tontos y pecadoras.
La prostitución desde la mirada de las anarquistas de La Voz de la Mujer (189...Fede Otero
Este documento analiza la perspectiva de las anarquistas del periódico La Voz de la Mujer sobre la prostitución en Buenos Aires entre 1896-1897. Denunciaban la pobreza y explotación como causas de la prostitución, culpando a la burguesía, la Iglesia, la policía y los médicos por beneficiarse y estigmatizar a las prostitutas. Llamaban a las mujeres trabajadoras a rebelarse junto a otros oprimidos para construir una sociedad igualitaria a través de la revolución social.
¿Quién puede hablar? La regulación de la prostitución y sus estrategias narra...Fede Otero
O documento resume três marcos principais do abolicionismo no Brasil, como o Tratado Internacional para Eliminação do Tráfico de Escravas de 1949 e o reconhecimento da prostituição como ocupação em 2002. Também discute duas lideranças abolicionistas, Jean Wyllys e Monique Prada, que defendem o mesmo objetivo de acabar com a exploração sexual mas com estratégias diferentes.
La trata de mujeres en los medios de comunicaciónFede Otero
Este documento analiza cómo los principales medios de comunicación en España cubren noticias sobre la trata de mujeres. Señala que a menudo los titulares mencionan la nacionalidad de las víctimas y proxenetas, representan a la mujer como sujeto activo de la trata, y usan lenguaje que banaliza la gravedad del delito. También incluyen imágenes de mujeres semidesnudas. El documento lista varios artículos de diferentes periódicos españoles que ilustran estos problemas en la cobertura periodística de la tr
Prostitución, tráfico y trata en LatinoaméricaFede Otero
Este documento trata sobre la prostitución, el tráfico y la trata de personas en Latinoamérica. Detalla que México es un país fuente y destino de trata de personas, con 500,000 mujeres en situación de prostitución. Menciona que la mayoría entraron a la prostitución antes de los 18 años y han sufrido eventos traumáticos violentos relacionados con clientes. Finalmente, analiza 388 sentencias de tratantes y encuentra que la mayoría (268) involucraron explotación sexual y que el 70% de las víctimas
Trata Humana: asumiendo el reto de lo invisible. Un problema multifactorial q...Fede Otero
Este documento presenta información sobre la trata de personas en Puerto Rico. Explica que en 2011 se creó la Alianza de Puerto Rico Contra la Trata Humana para abordar este problema. Detalla que a pesar de que Puerto Rico está bajo la jurisdicción de leyes federales de EE.UU. contra la trata, el tema ha sido poco estudiado localmente. Presenta estudios que confirman la existencia de trata en la isla y resume las formas en que ocurre el reclutamiento y la explotación de las víctimas. Finalmente, identifica retos como
La prostitución en el imaginario colectivo y su naturalizaciónFede Otero
Este documento presenta información sobre la prostitución y la trata de personas desde diferentes perspectivas. Resume las leyes argentinas sobre la trata de personas y explica cómo la prostitución es representada en los medios y la cultura pop de manera idealizada o que muestra el desamparo de las víctimas. Finalmente, promueve un enfoque de ciudadanía y abolición para construir una sociedad más justa e igualitaria.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
Assessment and Planning in Educational technology.pptxKavitha Krishnan
In an education system, it is understood that assessment is only for the students, but on the other hand, the Assessment of teachers is also an important aspect of the education system that ensures teachers are providing high-quality instruction to students. The assessment process can be used to provide feedback and support for professional development, to inform decisions about teacher retention or promotion, or to evaluate teacher effectiveness for accountability purposes.
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
The simplified electron and muon model, Oscillating Spacetime: The Foundation...RitikBhardwaj56
Discover the Simplified Electron and Muon Model: A New Wave-Based Approach to Understanding Particles delves into a groundbreaking theory that presents electrons and muons as rotating soliton waves within oscillating spacetime. Geared towards students, researchers, and science buffs, this book breaks down complex ideas into simple explanations. It covers topics such as electron waves, temporal dynamics, and the implications of this model on particle physics. With clear illustrations and easy-to-follow explanations, readers will gain a new outlook on the universe's fundamental nature.
How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
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Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
2. Content
Sexual violence is the most severe Trauma: Type II, chronically and interpersonal
Epidemiology of PTSD
Violence in prostitution
Prevalence of sexual violence
Consequences
In what consists a trauma therapy?
1. Psycho-education
The traumatic dissociation and the trauma memory
Identifications with the perpetrator
Re-Inszenation, breaking the negative schema of behavior.
2. Stabilisation technics
3. Trauma Confrontation
4. Integration of Trauma
Important pre-condition to work with women victim of sexual exploitation
What means getting in contact with women in prostitution?
What can provoke a contact?
What you should care about?
About what you should take care on your side?
3. 2 Types of Trauma:
Trauma Type I: suddenly, unexpected, once-only.
Apersonal: car accident, natural catastrophe,…
Interpersonal: aggression, rape, loss of close
person,..
Trauma Type II: chronically-cumulative.
Political Aggression: War, Torture, hostage-taking,
imprisonement in concentration camps,..
Interpersonal close environment: Child abuse /
emotional/physical neglect. Domestic violence.
Prostitution.
4. 50
25
20
15
0 20 40 60
Heavy Operations
Car accident
War Victims
Crime Violence
Rape
Posttraumatische Belastungsstörungen: Leitlinie und Quellentext. 2. Auflage. Schattauer,
2004.
EPIDEMIOLOGY of PTSD
It depends of the trauma if a person develops a PTSD or not (in %)
5. Prostitution is Violence!
Study in order from the German Ministry to violence against women in Germany, 2002-2004, 10.264
questioned women, Study by Schröttle & Müller 2004.
58
92
13
59
0
10
20
30
40
50
60
70
80
90
100
Main study Women in Prostitution
Sexual Harassment Mental Violence
Physical Violence Sexual Violence
6. Michaela Huber, director of the German Trauma and
Dissociation Society, says:
“To allow strangers to penetrate one’s body, it is necessary to
extinguish some natural phenomena: fear, shame, disgust,
strangeness, contempt and self-blame.
In their place these women put indifference, neutrality, a
functional conception of penetration, a reinterpretation of this
act as a “job” or “service”.
Most of the women in prostitution have learned, through sexual
violence or neglect in their childhood, to switch themselves
off.”
7. Prostitution: Violence in the childhood, in %.
(Red: Physical Violence; Blue: Sexual Violence)
50
43
63
65
73
49
0 10 20 30 40 50 60 70 80
Zumbeck 2001
BMFSFJ 2004
Farley 2003
8. Study in order from the German Ministry to violence against
women in Germany, 2002-2004, 10.264 questioned women,
Study by Schröttle & Müller 2004
20
25
42
58
13
34
37
0 10 20 30 40 50 60
Stalking
Physical violence from Partner
Mental Violence
Heavy froms of sexual harassment
Sexual violence (Heavy)
Sexual violence (large definition)
Physical violence
Prevalence of violence against women in Germany (in %)
Interviews with women between 16 and 25 years; N = 10.264
Cf: BMFSFJ 2004c: 28 ff.
9. Prevalence of sexual violence
WHO Report 2014: 20% Girls, 5-10% Boys. (Global Status Report on Violence Prevention)
National Research in France, 2014, N=1214. Mémoire Traumatique:
Children are the most frequently victimes of sexual violence: in 81% of the
cases, the sexual violence started before the age of 18.
70% of them will be again victime of sexual violence as adults.
96% of the perpetrators are men
94% of the perpetrators come from the close environement
50% of them are close familly members.
25% of them are minor.
10. Trauma is an injury that affects
The Brain: Biology and Anatomy
The Body
The Behaviour / the Relationship
The Psyche
Thanks to the plasticity of the brain, recover is possible!
But a person can not be “fixed”.
12. High Comorbidity!
87.5% of the persons with a PTBS have one or more mental
health problems. (Study in Bavaria)
Study with 1600 Vietnam Veterans:
25% have an Alcohol addiction
After 20 years: 15% still have a PTBS and out of them 73% have
a Drug Problem and 28% Depression.
80% of the women with a Borderline personality disorder
have been victim of sexual violence in their childhood.
Women victims of sexual violence in childhood have
chronically psychosomatic pains: chronic fatigue
syndrome, migraine, asthma, gastrointestinal problems,
diabetes, the immune system is affected (rheumatism), etc.
Other mental health problems: Fears, Dissociative
disorder, eating disorder, personality disorder, etc...
Hans Morschitzky, Angststörungen. Springer Verlag, 2009. P.125-147
13. Possible consequences:
Consequences on mental health:
PTSD
Loss of self-confidence,
Disorder of the perception of it´s own body.
Consequences on the physical health:
Physical illnesses: sexual transmittable diseases, injuries, Traumatic Brain Injuries, cysts/tumors
at the genital organs, gastro-intestinal illnesses, cardio-vasculaire illnesses, high blood pressure,
Diabetes, weak immune system, permanent sicknesses, etc.
Psychosomatic disorders: eating disorders, sleeping disorders, chronic pains, illnesses of the
respiratory system, concentration is affected, etc.
Undesired pregnancy
Consequences on the regulation of emotions:
Fears,
Depression,
Impulse control disorders (Aggressivity) or having difficulties to feel anything.
Disturbance of the personality, dissociative disturbances,..
Auto-aggressif behavior (as a strategy to regulate the emotions)
Drug addictions
Suicidality
Risk Behavior, auto-aggression.
Consequences on the interpersonal behavior:
Distrust, fear of entering in relationships,...
Promiscuity: reduce oneself to a sexual object
Sado-masochist behavior
Prostitution
14. Possible mental disorders as
consequences of repeated sexual
violence:
PTSD
Fears,
Depression,
Disorder in the regulation of the emotions,
Psychosomatic disorders,
Physical illnesses,
Disorder of the personality,
Dissociative disorder,
Eating disorders,
Drug addictions.
Complex
Trauma
15. The monitoring is specific and
global:
You must know the harm the women have endured:
Isolation, loss of social and family contacts,..
Threat to life, menace of the perpetrator,...
Humiliation, verbal degradation,
Physical and sexual violence.
And the consequences are multiple:
Multiple Mental disorders,
Physical bad conditions, physical illness,
The relationship to the own body, to sexuality is disturbed,
The relationship to money, time, parenthood is disturbed,
The women have problems with authorities: Police, Justice, ...
16. „I needed 10 years to understand
that I am not a victim anymore
but a Survivor.“
17. Traumatherapy
The goal is: that the victim realizes that it is a survivor and not a
victim any more.
When is a therapy finished? When the victim is able to calm down
itself and is able to say : it was terrible, but it is over.
Traumatherapy has 3 phases:
Stabilisation, Psychoeducation
Confrontation
Integration
18. Stabilization I:
Act against the strategies of the perpetrator!
1. Against the fear: Establish safety: safe shelter, ending the contact with
the perpetrator, take care of the children, ...
2. Against the violence: Pay attention on the physical integrity: organize
medical consultation if necessary. Learning to take care of oneself.
3. Against the trauma bonding: Cut the contact with the perpetrator, discuss
exit of prostitution, be aware of suicidality and self aggression.
4. Against the dependence: Establish financial security. Help with
authorities: issues of law, with the police,...
5. Against the isolation: Built a social network of helpers around the woman:
friends, supporting family members, self-helping groups, advocate, etc.
6. Against the devaluation: valuate the person, try to find out about her
ressources.
7. Against the silence: help to talk,
8. Against the feeling of guilt: appoint the perpetrators,
9. Against the impunity: help to establish justice!
10. Stabilisation of the symptoms: Psychotherapy.
20. Trauma engages survival strategies on
the mental, behavioral and biological
level: 3 important mechanism:
1. Trauma Bonding
1. Controle Behavior:
Re-Inszenation
Repetition of the negativ relational shema
2. Dissociation / Trauma Memory
21. The pathogen dynamic of the
victims families/relationships
A family structure where coldness dominates, no love, instable
relationships. Normality is: being treated in a rude way, suppression,
emotional bullying, violence, fear.
The child is totally helpless to the perpetrator, without any protection.
The child has nobody who calms oneself, to diminish the pain. It will use
psychological and biological strategies to release the pain: dissociation
and repression.
Sexual violence is a triple treason: the treason of the perpetrator, but
also the mother and own family who fails in its protection function, and
a society who looks away and normalized sexual violence. We live in a
culture of rape. This is the ground for the child to develop culpability and
self hate, because you don´t neglect a loving child. So the child thinks,
that it is because of itself, that is has been misused.
The child has ambivalent feelings during the sexual violence (pain,
helplessness, fear, but also a bond and sometimes sexual erection)
what provokes culpability. Because it thinks to have wanted it.
Pathogen parentification: the roles in the generations are up side down.
The child gets attributed a function of protection and breadwinner for the
parents.
22. Trauma Bonding (internalization of the
perpetrator´s system):
The victims develop survival strategies in instable relationships: they
adapt to the perpetrators needs and internalize them totally, as well as
the expectations of them. Own needs are not registered anymore. Self-
protection and self-care don´t play any role anymore. They loose their
self-confidence and feel ashamed and guilty. I hear often sentences
like: „I don´t deserve anything better“ or „I feel like shit“. The fact that a
person believes being nothing worth, being morally not integer and
guilty, makes believe that it has deserved to be mistreated. This can
lead to self-destructive behavior. Prostitution is a self aggressiv
behavior.
Control behavior:
Violence becomes a well known pattern of relationship and it feels
familiar. This is the reason why victims of sexual exploitation often
repeat this kind of relationship where they have learned to survive and
to control the situation. Therefore they accept violence again.
By engaging themselves in similar situations, but this time in a position
where the victim thinks controlling the situation, it can also give a
feeling of overcoming the experience of helplessness. Re-Inszenation
as a strategy to overcome early trauma.
23.
24. There are 4 Hormones that are
involved in PTSD:
Adrenaline: our body gets in a condition to be able to fight
back to keep as alive or to flee.
Cortisol: that gives us the energy in order to execute the
fight/flight reaction.
Opioids: these are natural morphines, they prevent us from
pain but they block all other emotions also. So sometimes it
can happen, that women who get raped and talk about what
happened to them, they say it without emotions.
Oxytocin: that promotes good feelings, also to block pain.
The body gets in a condition so that we feel good. People will
describe the trauma and smile. This can be incredible
confusing.
28. Physical Reactions:
Fight/ Flight Reaction:
Heart is beating faster, Blood pressure gets higher,
Fast breathing,
Sweating,
Mussel tension gets higher,
The body gets energy in the blood (Blood sugar, grease)
Reduced blood circulation of several organs that are not needed (Reproduction,
gastrointestinal system ,..),
Pain tolerance gets higher,
Immune system is highly activated,...
Dissociation: If the Stress getting too intense, the amygdala is being
isolated with anaesthetic substances.
Awareness and the memory are affected: Like being in trance,...
Body feeling is affected: numbness, like standing by side, like looking the scene from far
away.
The perception of the environment is affected: like looking through a tunnel, or every
thing is foggy,
The identity is affected: playing a role, confused about the own identity, multiple,...
29. PTSD Symptoms
Intrusions:
Being very quickly frightened,
Flash-Backs, Nightmare.
Avoiding behaviour:
Avoiding things that remember the trauma.
Hypervigilance, not trusting people any more,
Affect disorder (not being able to feel love or
happiness,..). Don´t feel anything,
Negativity, no hope for the future, dysfunctional
cognition,..
Suicidality.
Hyperarousal:
getting very quickly nervous, or aggressive,..
Difficulties with concentration,
Sleep disorder,
High risk behaviour.
32. Stabilization III: Strategies to
calm oneself
Skills addressing the behaviour:
Going for a walk, cleaning the apartment, cleaning the windows,
calling somebody, cold water on the hands, etc.
Skills addressing the cognitions:
Saying calming thoughts: “everything will be all right”, “I am safe”,
solving arithmetic problems, putting attention on something else
(think about something else), fantasy trips, look at a positive
picture, play concentration exercises (Mikado, Memory,..), find 6
words with 6 letters, than 7x7, etc.
Skills addressing the senses: Perceive and describe objects, feel
objects, feeling your feet on the ground, taste and smell, feel a stone,
chewing gum, smell a nice scent, breathing exercises, etc.
Skills addressing the body:
Shaking or stretch oneself, knee bend, QiGong exercises, etc.
You can use the APP “Skills 2 Go” where you can find more than 50
skills.
33. Breathing exercises:
Technic: (breath through your nose)
Breath deeply in your stomach
Breath out slowly
After breathing out make a pause before you breath in again (3 to
30 Seconds)
34. Stabilisation IV: Selfcare
Taking care of the body: the body is very often a trigger: taking care can
trigger fear, shame, pain,… The body can be seen as an enemy: ”it´s because of
my body, that I have been sexually abused. I hate my body, I feel dirty,...” Be
aware of repetition compulsions. The body can be partly dissociated: no feeling
for pain, or some parts of the body can stay dissociated, or are in a state of
hypervigilance. What to do? Stay in “here and now”, begin slowly to connect
to/understand the own body, realize it needs (medical needs also), learn to
relax, move again, do some sport. Imaginative technics can help to relax, PMR,
Yoga, QiGong, respiration technics,...
Learn to eat healthy: eating can be connected to internal conflicts: eating to
much or nothing can be used to control the body, to get a feeling of protection.
Eating can also be used to regulate the emotions. The taste, the smell, the
feeling of being full can be dissociated. Also: to keep something inside oneself
can be a trigger! Bulimia is frequent.
35. Establish a daily structure and discover resources:
Doing nothing or doing to much without taking care of oneself, without any rest,
being perfectionist because of the fear of loosing control.
Free time can be a trigger because of trauma boundings. It was forbidden to feel
good or having free time and relax.
In prostitution, there is no daily structure. The victims don´t know what they like,
they lost the sense of time, and are not able to use it effectively.
Improve the sleep:
7 rules for a good sleeping hygiene: always wake up at the same time, don´t go to
bed if you are not tired, do not sleep during the day, no coffee, coke or fat food to
late, no noise or high temperature in the room, install rituals before going to bed
(drinking tee, cleaning the teeth..).
Work with nightmares:
Technic of the re-transcription of the nightmare.
Before going to bed, remembering 5 positive things during the day.
Stabilisation IV. Selfcare
36. Stabilisation V:
Handle the triggers
Identify them
Understand the difference between a real danger and a trigger.
Avoid the triggers that are avoidable.
Develop strategies to handle trigger who are not avoidable.
Prepare oneself first mentally with a trigger, than do exposition
with the trigger.
37. Stabilisation VI:
Learn to control the
traumatic pictures: put them
in distance.
Write the picture down and put them in a black box or
mentally in a box.
The Film technic
Stop technic
Reinstall a balance in installing lots of positive pictures.
38. Stabilisation VII:
Strengthen self confidence
Do a Positive anamnesis
Focus on Positive activities
Focus on what is good and what the person can do well
Activation of good souvenirs
Establish a trustful imaginative place
Strengthen the 3 level of Trust:
Explore the competences of a person,
their trustful relationships, social skills,
their confidence in a positive world (religion, spirituality, believes,
nature, etc…)
39. Identify them ( they are often unconscious), understand their
genesis, understand their function during the trauma and
their useless and harm today. Invalid them, find arguments
against them and realize their disruptions.
Cognitive method: find arguments against it, sentences or
words and repeat them.
Imaginative method:
Take care of the traumatized part.
Identify and change the interiorized dogmas.
Stabilistation VIII:
Work with trauma bondings
41. Recommendation of Prof. Dr. Katharina Domschke
Important!! Start always with a low dosis.
SSRI (Selective Serotonin-Reuptake-Inhibator): Citalopram,
Escitalopram, Fluxetin, Fluvoxetin, Paroxetin, Sertralin.
SNRI (Serotonin-Noradrenalin-Reuptake-Inhibitor):
Duloxetin, Milnacipran, Venlafaxin.
MAOI (Monoaminooxidase inhibitors).
Lavender Oil
Stabilisation X:
Psychopharmaca against fears
42. Important pre-condition to work with
women victim of sexual exploitation:
The respect for the person is central: No judgements. Respect the
individual rhythm and will of the person, but without flattering prostitution
and playing down the harm. Show no sympathy for the johns and pimps.
You (the helping structures) must be abolitionist!
Prostitution is not a job like an other. It is an unacceptable sexual, mental
and economical violence. It is violence between the genders.
It is paid rape. The prostituted women are victims of the sexual contacts,
that are degrading and oppressing women. They are exposed to the
sexual drive of the sex buyers and victims of the pimps who want to
make easy and fast money with them. They are victims of poverty, social
insecurity of an economical system that doesn´t manage to integrate
them in society and find an answer to their needs.
Training for the helpers.
We need a law that forbids sex-buying and decriminalizes the women in
prostitution, that supports the exit of prostitution.
43. What means getting in contact?
What kind of a contact did they experience so far?
A physical contact, a misuse of their body, abuse, violence.
Getting in contact, means to communicate with one. What kind of a communication did
those women experience so far?
In prostitution there is no place for the feelings of the woman, it´s about power: “I want that, you
give me that”; “I want it now, you give it to me now”. How the women feel about it, doesn´t
matter!
The system of prostitution is built on lies. The politicians and the society, with their silence, are
cementing those lies. A single person has not the strength to break through those lies on its
one.
The women don´t talk about the violence they undergo in the brothels. It is hushed up. Being
wounded means “being weak”. If you want to survive this, you need to “be strong”. Women in
prostitution are condemned to keep silent. They are locked in shame and their trauma.
Nobody believed them. Mistrust is a dominant feeling. Empty promises, police reports are not
registered, … They don´t trust nobody anymore.
Communication means to get to know each other, exchange experiences. What kind of
a communication did those women experience?
In prostitution they are irrelevant: nobody asked them ever were they come from, who they are,
how they live, what their dreams are. Prostitution is built on exploitation.
In the entire history of prostitution, it was never about the women, it is about the illusion of a
woman, that is being created by the sex buyers: being an insatiable sex beast. Those women
have no references, no role-model for an exit. When they exit, they are just an “ex-bitch”.
In the eye of the society, you are disqualified as an “ex-bitch”. You don´t have the same rights,
you are not seen as a victim. The prejudice dominates: “it was not so bad,…”
44. What can provoke a contact?
An intrusion in something that is familiar (nobody so far went up to
them):
You confound, you bring things up side down, you disturb,…
It can trigger fears, the fear to loose the protection of the anonymity,...
It can provoke defense: aggression, anger (because you are part of the
society that keeps silent).
A confrontation with “the outside world” can provoke also:
Pain, shame, guilt. Because prostitution is built on the reversal of guilt:
the victim feels guilty for what is being done to her. They feel guilty for
the humiliation and degradation they experienced.
It distresses: it can trigger the fear to be stigmatized, fear of invalidation,
fear to be just seen as an “Ex-prostitute”.
Fear, losing the recognition/safety of the milieu, losing family members.
Very often, the harm is denied. Every thing is better than having no
bonds.
What can provoke a contact on your side?
Uncertainness, fear, pain, defense, aggression,…
45. What you should care about?
Built bridges: listen, perceive the women entirely. It is perhaps the first time
in their life, that somebody shows real interest for them.
Develop a bond. This need time and patience. Give them a blank cheque
for patience.
This bond should not be dissolved if you are not there anymore.
Be clear: not a disguised “No”. It has to be clear for the person who you are,
and where you want to bring her.
Do not promise something you can not keep.
Be yourself. This will help the person to connect to themself.
Hold an adequate body distance.
Don´t condemn what she is doing.
Respect her need of protection: her mask outside (false name, …).
Don´t do things that overstrain her: going to the cinema, to a party, etc.
Don´t get confused about her name or her story. Take notes.
Analyze the intensity and the harm of the contact with the perpetrator. Are
children involved?
Don´t do that what has always been done with her: don´t let her down, don´t
reject her.
Put limits. Don´t let her come into your private life.
Stay abstinent!
46. About what you should take care on
your side?
Realistically estimate the danger.
Is the women in danger?
Trust one´s gut. Speak about it.
Be aware of secondary traumatisation. Compassion fatigue.
Resignation.
How to deal with countertransference: fear, sadness, love, anger,
guilt, impatience, ….
Lack of support of the own organization: pressure, conflicts with
colleges or chief.
Take care of your own mental health.
Intervision
Supervision