Trr svetlana's course #3 2013

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Val's presentation at University of Calgary in the Social Construction of Disability and Health course; August, 2013

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Trr svetlana's course #3 2013

  1. 1. Val Lougheed Northern Lights Canada Real Work * Real People * Real Results Social Construction of Disability and Health Trauma, Rehabilitation and Recovery – ~ Keep Your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
  2. 2. “You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
  3. 3. www.slideshare.net/vlougheed #NLCAN www.northernlightscanada.ca/our-company/our- president/be-still
  4. 4. Agenda • Beginning … • Middle … • End …
  5. 5. Social Construction of Disability and Health 1. What does it mean to recover? 2. What can I do to recover and return to a life that includes work? 3. What can we do to facilitate recovery and a return to work?
  6. 6. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.
  7. 7. Beginning 1978
  8. 8. VIDEO CLIP Val being interviewed in Minden
  9. 9. Sept. 9, 2003 - morning
  10. 10. Sept. 9 – p.m.
  11. 11. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
  12. 12. Dominant Themes • Narcotic Pain Killers • Pain • Trauma • Depression • ABI • Methods of Helping • Return to Work • Life
  13. 13. February 2004 – Present Starting Point
  14. 14. The Re-organization of Self March 2004
  15. 15. “In the aftermath of traumatic life events … [the] sense of self has been shattered.” (Herman, 1992, p. 61) “An existential crisis …” (Hanita Dagan, personal communication, 2005)
  16. 16. Sliding Down the Slope
  17. 17. Sliding Down the Slope
  18. 18. A Foothold • Mild – moderate ABI • Depressed (dysphoria) • Working memory problems • Hiding pain 1st Neuropsychological Assessment June 2004 -- Results
  19. 19. ABI – Measuring Loss Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999; p. 59)
  20. 20. Losing My Grip My IWRP August 2004
  21. 21. Video of Borg
  22. 22. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
  23. 23. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)
  24. 24. GRTW – The Reality
  25. 25. GRTW – The Reality
  26. 26. GRTW – The Reality
  27. 27. GRTW – The Reality
  28. 28. GRTW – The Reality
  29. 29. GRTW – The Reality
  30. 30. GRTW – The Reality
  31. 31. GRTW – The Reality
  32. 32. GRTW – The Reality
  33. 33. WSPE Work-Site Performance Evaluation©
  34. 34. Sliding Back Down Into The Abyss • Non-compliance • Malingering • Trying too hard • Not trying hard enough 2nd Neuropsychological Assessment May 2005 -- Edmonton
  35. 35. Test Results • Mild to Moderate ABI • Pain? • Depression? • Motivation? • “a high flyer” • “phobic avoidance” • Future plans – “live off dividends” [from company]
  36. 36. Lesson ASSUMPTION S REVEAL BIAS
  37. 37. • Mild – moderate ABI • Good prognosis • Post-Traumatic amnesia • Pain? • Depression? • “Adjustment Disorder with Anxiety and Depressed Mood” 3rd Neuropsychological Assessment August 2005 -- Calgary
  38. 38. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
  39. 39. Oct. 3 – Dec. 11
  40. 40. Pain Research 1600’s – Rene Descartes (philosopher)
  41. 41. Pain Research 1950’s – Wilder Penfield (brain surgeon)
  42. 42. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
  43. 43. Pain – The Future SCN9A (Globe and Mail, March 24, 2007) Glia Cells (Scientific American, November, 2009) Poppy Genes (U of Calgary -- Calgary Sun, March 15, 2010)
  44. 44. “In every encounter, basic trust is in question.” ( Herman, 1992, p. 92) “Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160) Rehab & Recovery
  45. 45. DISSO CIA TION Trauma Research
  46. 46. VIDEO CLIP Adrenaline: Flight or Fight Trauma Research
  47. 47. Fight
  48. 48. Freeze
  49. 49. “Survival Central” (Rothschild, 2000, p. 46) • Amygdala - Implicit memory • storage of emotions and sensory reactions (Rothschild, 2000, p. 20) • Hippocampus – Explicit memory • creates memories of actual sequence of events (Rothschild, 2000; p. 28) Trauma Research Limbic System and Memory
  50. 50. Stress Hormones • Amygdala - Implicit memory • storage of emotions and sensory reactions (Rothschild, 2000, p. 20) • Hippocampus Explicit memory– • creates memories of actual sequence of events (Gunnar & Barr, 1998) Trauma Research Limbic System Under Threat
  51. 51. Trauma Personal Experience • Dissociation & Cocoon = Safety • System on High Alert Always = Survival • World is black & white = Trust Trust (Safety) = Love No Trust (Life Threatening) = Hate
  52. 52. Trauma Personal Experience • Listen to me • Understand me • Respect me • Are competent I trust (love, feel safe with, will try hard for) people who:
  53. 53. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
  54. 54. Candace Pert, 1997; pp. 171 -- 179 Psychoimmunoendocrine Network
  55. 55. Affects more than IQ …. Touches core … of a person’s self-esteem (Prigatano, 1999; p. 58) ABI
  56. 56. Back to Wilder Penfield – 1950’s ABI Localizationist
  57. 57. VIDEO CLIP Story of Paul Bach-y-Rita’s dad Paul Bach-y-rita Neuroplasticity Video Clip; link to Neuroplasticity – YouTube; bren49764 00 – 2:20
  58. 58. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
  59. 59. METHODS OF HELPING
  60. 60. “The words and attitudes of others … are potent. They help or hex healing and recovery.” “ Expectations are powerful.” (Bolen, 1996; p. 94) Body-Mind Connection
  61. 61. VIDEO CLIP Esther Sternberg Dr. Esther Sternberg Demo Reel – YouTube; 00 -- .36
  62. 62. Cortisol and Immune Cells Sternberg, 2001; p. 112
  63. 63. • Hypothalamus • Peptides • Receptors • Biochemical Events
  64. 64. Video clip Addicted to Love song
  65. 65. Quantum Connection The Living Matrix (Braden, 2007; p. 45)
  66. 66. “Loss of identity can evoke a personal crisis, creating a need for change.” (Ornelas, in Smith & Johnson (Eds), 1997; p. 172) The Re-Organization of Self Identity Research
  67. 67. Scaling the Canyon
  68. 68. Sept., 2005 Waskesiu
  69. 69. Breast Cancer Reconstructive Surgery March 2006
  70. 70. Convocation M.Ed. -- June 2006
  71. 71. Back in “a” Saddle September 2007 • Officially change role/ title • Re-organize NL • Work part-time
  72. 72. Social Construction of Disability and Health Resilience  Ability to return to original form after being bent (bounce back) Thriving in constant change, ability to be: • Flexible • Creative • Adaptable • Learn from experience http://www.resiliencycenter.com/articles/5levels.shtml
  73. 73. Social Construction of Disability and Health Rehabilitation (habiter – to live inside) “Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.” (Kabat-Zinn, in Meili, 2003; p. 241)
  74. 74. Social Construction of Disability and Health Recovery Curing Focus on the illness/ impairment [outside] Healing Focus on the person [inside] (Crombez, October; 2003)
  75. 75. Be Still
  76. 76. Social Construction of Disability and Health 1. What does it mean to recover? 2. What can I do to recover and return to a life that includes work? 3. What can we do to facilitate recovery and a return to work?
  77. 77. Keep Your Fork
  78. 78. Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work. We offer 4 major divisions of service: • Vocational Rehabilitation Services • Employment Services • Employer Services • Corporate Training For more information, please contact us: 1-800-361-4642 www.northernlightscanada.ca
  79. 79. Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis. Member companies include: Argus Management Consultants, Inc. Sandra Preeper & Associates Advantage Rehabilitation Consultants Ltd. Rehabilitation Alternatives Limited / Vocational Alternatives Software OPTIMA Rehabilitation CVE Inc. Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC) Western Rehabilitation Specialists Inc. Diversified Rehabilitation Group Genesis Rehabilitation Ltd. Rehabilitation Focus For more information, please feel free to contact us at 1-800-361-4642

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