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Healing the Unremembered: Treating Early Attachment Trauma

12/13/2019

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December 4, 2019 • By Sharie Stines, PsyD

​
Early attachment trauma is a distressing or harmful experience that affects a child’s ability to form healthy interpersonal relationships. It includes abuse, abandonment, and neglect of an infant or child prior to age two or three. These traumas can have subtle yet long-lasting effects on a person’s emotional health.
*Editor’s note: Early attachment trauma can also occur due to non-abusive circumstances, such as when a child is separated from their primary caregivers due to medical concerns. However, this article focuses primarily on attachment trauma caused by neglect and abuse.
UNDERSTANDING INFANT MEMORYAs adults, or even children, we cannot recall narrative memory from our lives as infants. For most, the concept of memory is thought of as the ability to recall events, usually in the form of cognitions and images. In general, people cannot recall any events prior to ages three or four. Because of this, there is a pervasive and inaccurate view that infants do not recall any experiences, including traumatic experiences.
In fact, the human brain has multiple ways to recall experience. Think about it. Infants, at some point, obviously learn to walk and talk. Everything that occurs in our human experience is stored in our memory. However, not everything is stored narratively or explicitly. We have motor, vestibular, and emotional memory as well.
All incoming sensory information creates neuronal patterns which are “imprinted” in our brains. These neuronal patterns are a form of memory. We create memory “templates,” or stored patterns, the majority of which are non-cognitive and preverbal. These templates will influence us for the rest of our lives.
WHEN ATTACHMENT TRAUMA OCCURSUnfortunately, when attachment interruptions (such as abandonment) occur in infancy, abnormal associations may be created. Physiological state memories, motor vestibular memories, and emotional memories are stored, and they can be triggered in later life. These triggers can manifest as mistrust or fear of interpersonal attachment.
Since the original template for how relationships work was formed in early childhood, all future relationships can be corrupted. The person may find themselves struggling with difficulties in relationships, particularly with respect to trust, bonding, and intimacy—the core elements of healthy attachment. Part of the problem may be the person having absolutely no cognitive awareness of the source of their fears or that they were betrayed in infancy. This can make treatment efforts difficult.
The brain is designed to change in response to experience, and all experience has an impact on the brain. With respect to traumatic experiences, the impact is on the parts of the brain involved with stress and fear. These would be the parts of the brain known as the limbic system (e.g., amygdala), neuroendocrine system (pituitary-adrenal axis), and the cortical systems; all of which can be altered in traumatized children.
THE INNER WORKING MODELHow a person relates to the self and others as an adult involves their “inner working model,” which consists of:
  • How they see themselves (Am I worthy? Am I loved?)
  • How they see others (Are they available? Are they responsive?)
  • How they see the world (Is it safe? Is it fair?)
This inner working model has developed since birth and involves how relationships worked in the person’s life. Was the person attuned to and connected with? Or were they left to fend for themselves, crying themselves to sleep each day? The experiences people had with their parents and other important relationships shaped their developing inner working models.
As people progress through life, their working models can become further developed and influenced by each new experience. Remember, the brain is elastic (neuroplasticity), and neural connections can be “rewired” through experiencing all of life’s different influences.
That being said, the relationship templates people seem to draw upon the most are those created in early life. The job of psychotherapy, using the knowledge of neuroplasticity, is to create adaptive working model templates in place of maladaptive ones.
BARRIERS TO TREATMENTThe problem with early attachment injuries is that while implicit memory is affected, there is no explicit or narrative memory to recall.
This can create the following constraints in therapy:
  • There is no image from memory to draw upon.
  • There is no language associated with the psychological injury.
  • There is no cognition associated with the early attachment trauma.
  • There is no awareness of the injury.
  • There is no body sensation associated with the hurt.
  • There is no recognition of a hurt to repair or release.
Instead, therapist and client must “work with the gaps.” Veracity need not be challenged in the process. The goal will be to process implicit memory. This is good to know, but how does one, exactly, process implicit memory?
WORKING WITH THE ADULT WITH ATTACHMENT TRAUMAThe psychological injuries could involve both the self as well as one’s interpersonal relationships. Perhaps victims of early attachment disruption have an “internal attachment disorder,” mirroring the emotional injuries experienced in early childhood. Perhaps victims of this type of neglect have learned to alienate from both self and others as an essential survival strategy.
A key to recovery is learning to identify the person’s various parts of self. In order to heal the “hurt inner infant,” one has to be cognizant of the fact that there are various “parts” to one’s psyche, and each needs recognition.
It is helpful to realize that unresolved internal attachment issues can surface as otherwise normal life stressors that evoke the fears and feelings of one’s disowned, abandoned inner parts. You can help your client heal by teaching them to embrace the parts of self that were unconsciously “disowned,” even as these parts are causing havoc in their current life. This process involves befriending the parts of self by listening internally and paying attention to the likes, dislikes, fears, fantasies, and habits of each one.
HEALING THE “INNER INFANT”This involves imagery: visualization and learning to see within. Part of the process involves learning to embrace one’s inner infant by holding it close and nurturing the part of self that is vulnerable and lacking in trust. Healing will come as the person learns how to meet their inner unmet needs from infancy. Judgment has no helpful role in this process; instead, self-compassion and acceptance are key to recovery.
THE ROLE OF OTHERSIn addition to working with oneself, healing broken inner working models and relationship templates requires developing and nurturing healthy relationships with others. This can be done by being in relationships with people who already have a secure attachment style. It can also be accomplished through therapy and with the help of support groups.
References:
  1. Fisher, J. (n.d.) Healing Early Attachment Injuries by Listening to Our Trauma: Using Sensorimotor Psychotherapy to Speak with Shameful Inner Parts. Retrieved from: https://www.psychotherapynetworker.org/blog/details/695/healing-early-attachment-injuries-by-listening-to-our
  2. Garza, N. (n.d.) Learning to See Differently: Why the Adult Attachment Model Succeeds When Others Fail. Retrieved from: https://www.fulsheartransition.com/our-program/treatment/adult-attachment-model
  3. Paulsen, S.L. (2017). When there Are No Words: Repairing Early Trauma and Neglect from the Attachment Period with EMDR Therapy.Bainbridge Island, WA: Bainbridge Institute for Integrative Psychology.
  4. Perry, B. (2014). Helping Traumatized Children A Brief Overview for Caregivers. Published by: The Child Trauma Academy. Retrieved from: https://childtrauma.org/wp-content/uploads/2014/01/Helping_Traumatized_Children_Caregivers_Perry1.pdf
  5. Pietromonaco, P.R. & Barrett, L.F.(2000). The Internal Working Models Concept: What Do We Really Know About the Self in Relation to Others? Review of General Psychology Copyright 2000 by the Educational Publishing Foundation 2000, Vol. 4, No. 2, 155-175.


© Copyright 2019 GoodTherapy.org. All rights reserved. Permission to publish granted by Sharie Stines, PsyD, therapist in La Habra, California
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22 Things I Do Now Because I Experienced Emotional Abuse as a Child

10/15/2019

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https://themighty.com/2017/07/childhood-emotional-abuse-adult/?fbclid=IwAR0XPOF23sq69vEYFKccVy_S7QQWOkWxPIAdshda6c9CgZgu11K5faMGK4U
By Tori S. July 20, 2017

For the longest time, I wasn’t sure why I did certain things. Even while writing this, I came to huge realizations about how much my feelings, beliefs and actions are tied to my past.


Here are the things I do because I experienced emotional abuse as a child:
1. I don’t guess.
If someone asks me a question and I am not 99 to 100 percent sure I know the answer, I won’t guess the answer. I will freeze and panic.


2. I am terrified of being wrong.
Being wrong feels like a character flaw, like something is seriously wrong with me. I feel humiliated, embarrassed and mortified even if it was just something minor. This makes participating in classes nearly impossible and laces so many of my conversations with anxiety and panic.


3. I feel toxic.
I constantly worry I am hurting people. I push people away just to protect them from my toxicity.


4. I am afraid to share my feelings.
This is for so many reasons… I’m scared I shouldn’t feel a certain way. I’m scared I will be ridiculed or criticized for feeling that way. I’m afraid of being told to “Just get over it” or “Grow up and move on.” I’m afraid of being vulnerable. I’m afraid of being shot down and rejected.


5. I am constantly aware of all of my feelings and reactions.
Part of this is a way I cope with my borderline personality disorder (BPD). But another part of it is that I worry my feelings are overreactions or not justified or are just not OK to have. My family often told me I was overreacting or that I couldn’t take a joke. So I began to worry and apply this to all relationships in my life. As a child, my feelings were neglected and shoved aside. They were made to feel “less than” and unimportant. They were made to seem like burdens. If I felt something different from what the rest of my family was feeling, I would be told I was wrong or needed to just move on and forgive like everybody else had.


6. I feel people out on certain subjects before straight away saying things.
If I am going to be vulnerable and tell someone something personal, I will sort of “test the waters,” if you will. I will try my best to make sure they won’t freak out at me. This also applies to if I’m going to ask someone to hang out. I try to get a sense of if they’re going to be free or say, “yes” before I ask because it is a sort of buffer on what would feel like rejection if they said no.

7. I’m terrified of abandonment, and I think everyone will abandon me.

This stems from the abandonment that actually did happen when I was a child, as well as all the threats of abandonment from my father. I still remember the time when he threatened to take the house away when he was drunk and the time he said he’d leave us because we were better off without him. There were so many more instances, but those two have really stuck with me.


8. I feel unworthy.
My parents never told me they were proud of me when I was younger. It felt like all my friends’ parents told them how proud they were for their good grades and whatnot… but my parents never did. It was merely expected of me. I was never as good as my brother. I never felt worthy of their love or praise, and I never really got their love or praise.


9. I’m afraid of calling it abuse.
All of my feelings were minimized. Even when my father was verbally abusing me, my mother told me I needed to just forgive him because she did and my brother did. They had moved on. I always felt like I was overreacting because I was always told to just calm down, to breathe, to “take a chill pill” — basically, anything to just shove my feelings and reactions away like they wanted me to.


So, for me to call it abuse was a huge step for me because I felt so minimized and was so scared someone would think I was just making a bigger deal out of what happened. Also, I had only heard of physical or sexual abuse being called abuse at that point. I hadn’t heard anybody speak about emotional abuse or verbal abuse or psychological abuse — all of which, once I learned of them, fit my childhood perfectly.


10. I perceive rejection even when I am being validated and accepted.
I am more open to being criticized and rejected because I was criticized and rejected for most of my childhood. I was never validated or accepted growing up, so to receive that now is both wonderful and entirely foreign to me. I also am very sensitive to everything a person says or does — so if they are validating me, but use a specific word or their tone changes even slightly or they glance to the left, I will feel like they are rejecting me or something of the like.


11. I’m sensitive to change.
I hate change. Even small things like someone I see often wearing a short sleeved shirt now that spring is here instead of the long-sleeved shirts they were wearing before. That triggers me to feel unsafe.


12. I feel emotionally unsafe a lot.
I am constantly terrified of being hurt. I always try to prepare myself for the worst… for everybody leaving me or hating me or needing space. I am hyper-aware of all of these things. I don’t feel safe emotionally with people or with myself.


13. I don’t feel like I belong anywhere.
I spent so many years at home and during family vacations thinking to myself, I just don’t belong. I don’t belong here. I don’t belong with my family. I don’t belong anywhere. I just don’t belong.

It’s hard to feel like I belong when I always felt like the outcast in my family. I was different. I was more emotionally sensitive. I felt things to an even higher intensity. I was more attuned to emotions (both my own and the emotions of others). I didn’t like the same things. I didn’t make the same crude jokes. I was always made to feel like the odd person out. Like the reject. The “screw up.” And being verbally abused made me feel like I didn’t belong as well.


14. I feel like something is seriously wrong with me.
Whenever I expressed a feeling or a thought that was different from the rest of my family’s, I was berated. I was called out on that. I was cursed at or laughed at or humiliated. I was told to change to be like the rest of them because they were the “normal” ones. And for me to feel and think all that I did and do seemed to make me defective, was really hard on me.


15. I have flashbacks.
When a situation in the present too closely resembles something that happened in my past, I will have flashbacks. When I smell something that reminds me of a place or a person, I’ll be transported back to that place. When an abandonment happens in the present that resembles the abandonments in my past, I’ll start spiraling backward. When someone is mean or yelling or cursing or too loud, I will flash back to instances when this happened. When I smell alcohol, I will flash back to instances when my father was drunk and verbally abusive. Sometimes, I won’t even know what triggered a flashback. And other times, I won’t know what memory I am flashing back to — sometimes, I flash back to feelings I know are associated with memories and places, but I can’t quite place the memory.
I am hypersensitive to triggers when I am going through intense emotional stress in my present. So, I will often have flashback after flashback and just get lost in memories of abuse.


16. I “buffer” things I say.
For instance, I may ask someone something, but then make sure to say, “But it’s totally OK if you don’t want to or you can’t or anything like that! No worries at all!” Even if it doesn’t feel OK and it does matter, I’ll still say that to protect myself.


17. I worry I’m being manipulative.

My mother, father and brother took it upon themselves to talk about how manipulative I am… how everything I did was merely my antics. My family basically told me I am a manipulative person who will do anything to get what she wants. So now, I am hyper-aware and think about everything I feel, think and do to make sure it isn’t me manipulating. And when I don’t trust myself, I’ll check in with a couple of people to see if they believe a certain action or thought is manipulative.

There are days when I fear everything I’m doing is manipulative. And, if I end up “getting what I want,” I will worry that it was only because I manipulated the other person into giving it to me — even if that isn’t the case. It’s exhausting, but I’m finally realizing why I worry about this so much.


18. I worry people actually hate me, even if they say they don’t.
My family had these “secret” email chats behind my back… they’d email all about the problems of Tori. The frustrations Tori caused. The issues Tori caused. Their reactions to me. Their judgments. Their criticisms.


Being a curious kid, I managed to stumble across some of those emails, and in them, I was called a “monster,” “manipulative,” “fat,” “self-centered” and “only thinking about herself.” They warned each other to not give in to or fall for my antics. Basically, nothing I was feeling or doing or saying was real or valid to them. I was only seeking attention in their eyes. This made me want to hide even more to avoid their family email conversations about me. They warned each other to not become like me. So, I worry people will talk about me behind my back, that they secretively hate me or are secretively judging me… and I am so insecure.


19. I don’t trust myself, my thoughts, my feelings or my memories.
My family often had different interpretations of events. They also perceived things differently than me. I was in my prime developmental age when my world fell apart. So I reacted very differently than the rest of my family. The verbal, emotional and psychological abuse were interwoven into my brain as I was developing. My family invalidated my feelings, my thoughts, my beliefs. 


20. I need constant validation.
But I worry asking for this validation will push people away, so I only ask for it if I’ve gotten to know someone for many many years and even then, I am cautious.


21. I feel the need to justify my feelings with an explanation.
This probably comes from needing to defend myself against the onslaught of hurt that would come when I voiced a feeling that differed from the majority consensus of my family.


22. I apologize and feel guilty a lot.
I apologize even when I’ve done nothing wrong. I apologize for the actions of other people. I apologize when I feel like I’ve done something to hurt somebody else. I apologize, and I don’t always know why I am apologizing, but I know I truly do mean my apology. I actually feel incredibly sorry and remorseful and guilty.


I feel guilty even if I haven’t done anything. I even feel guilty if someone else I’ve never met hurt this other person I’ve never met — I still feel guilty. I was always blamed as a child. Things were always my fault. But I am also extremely empathetic and feel other people’s pain as though it is my own.


These are just some of the things I’ve realized I do because of my childhood emotional abuse. I find I blame myself less for doing these things because I now know they aren’t my fault — and they aren’t flaws. They are there for a reason, and if I am aware of that reason, then I can work on them. I am learning to be more aware of them and to have more control over them, but they will always be part of me and affect me because of the emotional abuse I experienced as a child.


If you or a loved one is affected by domestic violence or emotional abuse and need help, call The National Domestic Violence Hotline at 1-800-799-7233.

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4 Things You're Likely Doing That Will Eventually Kill Your Marriage

8/30/2016

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Vicarious Trauma and the Value of Self-Care for Therapists

 
Vicarious Trauma is an ongoing topic in the world of therapy.  It is something that can be difficult to recognize in oneself until it is having a negative impact.  As therapists, we can never underestimate the importance of self-care and self-awareness on our ability to not only do our jobs, but to live our lives as we wish to.  This article was found on the GoodTherapy.org website, written by Wendy Salazar, MFT.

Vicarious Trauma and the Value of Self-Care for Therapists
June 27, 2016 • By Wendy Salazar, MFT, GoodTherapy.org Topic Expert Contributor

People are drawn to the helping professions for many different reasons. They may feel a calling to assist in relieving others’ suffering and to help them heal from their emotional wounds. They may have been traumatized themselves and wish to share the coping skills they’ve learned with others going through similar issues. Or they may feel caring for others brings meaning and a sense of purpose to their lives.
Whatever their reasons for becoming a therapist or other helping professional, they often experience vicarious trauma through the stories told by the people they work with. This secondary trauma, also referred to as compassion fatigue, can seriously hinder their work if they remain unaware of its negative impact and/or do not practice sufficient self-care strategies.
Becoming aware of the signs of compassion fatigue is the first step in addressing the issue. The following are some red flags:
    Preoccupation with the traumatic stories of the people they work with
    Emotional symptoms of anger, grief, mood swings, anxiety, or depression
    Physical issues related to stress, such as headaches, stomachaches, fatigue, or problems sleeping
    Feeling burned out, powerless, hopeless, disillusioned, irritable, and/or angry toward “the system”
    A tendency to self-isolate, be tardy, avoid certain people, or experience a lack of empathy and loss of motivation
Some of the professionals most likely to experience compassion fatigue include therapists, social workers, child welfare workers, emergency workers, police officers, firefighters, and ministers. However, anyone working with trauma survivors is susceptible to vicarious trauma. Helping professionals who have been subjected to trauma themselves also may be more at risk for developing compassion fatigue, especially if they have not worked through their issues.
Developing an adequate self-care strategy is key to preventing or overcoming vicarious trauma. Some of the techniques that can be used include:
    Maintain a good work-life balance. This involves taking time off to recharge and avoiding working long hours and/or carrying too heavy of a caseload or workload.
    Exercise to relieve stress. Developing a good workout routine is important to help increase feel-good endorphins and improve one’s outlook on life. Taking a yoga class, doing aerobic activity, or even just going for a walk can be invigorating and help change one’s perspective.
    Start a meditation practice. Initially, try sitting quietly for just 10 minutes a day, then gradually increase the time to 20 minutes. Meditation has many benefits and can assist one with feeling more peaceful and grounded.
    Develop a good social network. Having a good support system in place is important in order to be able to connect with others in a meaningful way.
    Use humor to unwind. Humor is good medicine when it comes to relieving stress and improving one’s mood. Watch a comedy, play with a pet, read a funny book—whatever moves you and helps you relax.
    Reconnect with Mother Nature. Being out in nature is therapeutic, whether you go for a hike in the woods, a walk on the beach, or just do a little gardening.
    Get involved with activities outside of work. Take your mind off of work by taking a class or engaging in a creative endeavor such as drawing, painting, or writing.
    Meet with a therapist to discuss concerns. Even individuals in the helping professions can benefit from meeting with a counselor, especially when they are experiencing compassion fatigue. A compassionate therapist can help put things in perspective and help identify additional coping skills.
Although all helping professionals are in danger of developing compassion fatigue, especially when working with individuals who have experienced traumatic events, having a self-care plan in place can help reduce the risks.
 
Salazar, Wendy. "Vicarious Trauma and the Value of Self-Care for Therapists." GoodTherapy.org. GoodTherapy.org, 27 June 2016. Web. 28 June 2016.

Content of this article can be found at the following link: http://www.goodtherapy.org/blog/vicarious-trauma-value-of-self-care-for-therapists-0627164


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Secondary Trauma: A Therapist's Guide

8/9/2016

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This article comes from the GoodTherapy.org website and focuses on Secondary Trauma.  The GoodTherapy.org website has articles that cover a range of topics that can benefit both therapists and clients alike.  It is an excellent resource for finding therapists near you through their therapist database as well.

Secondary Trauma: A Therapist’s Guide
August 14, 2013 • By Anastasia Pollock, LCMHC, Posttraumatic Stress Topic Expert Contributor

My mom has worked as a nurse for over 30 years. I remember she would sometimes come home from work and talk about how she had had a doctor or nurse as a patient that day. She would always say how health-care professionals were always the worst patients, usually because they would push themselves farther and faster than they should, which resulted in a longer recovery.
I think that as therapists, we are just as guilty of holding ourselves to a “higher standard.” I have seen colleagues and friends who are therapists give out excellent advice about the importance of seeking and accepting help and practicing good self-care, only to neglect themselves and fall into a cycle of depression, anxiety, and trauma symptoms, basically disregarding their own wise words.
I previously wrote an article about secondary trauma for loved ones of people who had experienced trauma. I felt it fitting to write another article for therapists, as I believe we have the potential to also experience secondary trauma. Figley (1995) defines secondary trauma as “the stress resulting from helping or wanting to help a traumatized or suffering person.”
Think about it: Most therapists see anywhere from 10 to 40 people per week.  These people are coming to us for help with their problems, which could range from normal levels of stress to severe depression, anxiety, trauma, or other mental health difficulties. We listen and offer tools they can use to overcome their challenges. They leave the sessions armed with new skills to face their lives and challenges. And what are therapists doing between sessions? I can answer from my own experience: doing notes, writing up treatment plans and assessments, returning phone calls, following up with other professionals, preparing for the next session, etc. After work, many professionals have other commitments and obligations. Life can get very busy and chaotic, and many of us consistently put ourselves last.
Therapists are just as susceptible to secondary trauma as any other person. We are not superhuman, nor do we possess mental powers that make us resilient to depression, anxiety, trauma, and other mental health challenges. Sometimes as therapists we forget this and, therefore, neglect ourselves. One study found that therapists who treat people with trauma are susceptible to the effects of secondary trauma, particularly if they do not have the appropriate training, support, and self-care (Pearlman & Mac Ian, 1995). In my experience, this applies also to therapists who are treating other mental health issues.
So what do we do about it?
    First, make self-care a priority. Pearlman and Mac Ian (1995) emphasize the importance of self-care in order to provide the best services possible while protecting the provider’s own well-being. In my experience, I am much more effective as a therapist when I am taking excellent care of myself and being aware of any secondary trauma I might be experiencing. The basics are important here: getting enough rest, eating healthy foods, getting exercise regularly, spending time engaging in leisure activities, and spending time with loved ones, to name just a few. It basically comes down to taking our own advice and implementing the self-care skills we so often suggest to people who seek our help.
    Get support from fellow therapists through supervision or consultation. Even after the days of internship are done, we can all benefit from continued supervision and consultation. Pearlman and Mac Ian (1995) state of their study, “Therapists who work with trauma survivors need supportive, confidential, professional relationships within which they can process” the work they are doing. I have found it extremely helpful and stress relieving to consult with colleagues and to even ask for supervision at times. It can be extremely validating to learn that you are not the only therapist who sometimes struggles with secondary trauma, stress, and other emotional consequences common in the helping professions. Consultation and supervision can also help a therapist to work through challenging cases by giving a new perspective and new ideas for intervention.
    Consider furthering your training. One of the most stressful situations a therapist can encounter is having a person come to you with an issue with which you are not familiar or do not feel competent treating. Of course it is good practice to acknowledge when you are not competent to treat a specific problem, and to make a referral to a colleague who might be more skilled in that area. However, sometimes furthering your education and skill set can help to reduce anxiety and stress when it comes to treating people with unfamiliar situations. Furthering your education and training can also help you to effectively treat issues with which you are familiar. The bottom line is that getting the proper training can reduce your susceptibility to secondary trauma (Pearlman and Mac Ian, 1995).
    Consider finding your own therapist. Therapists are not an exception to the fact everyone encounters difficulties in life at times. It is extremely important that we are willing to acknowledge that we are human, and to address our own issues, whether they are from the past or present. Engaging in your own therapy will ensure that you are working through your own challenges, which will make you less susceptible to the effects of secondary trauma and more available to engage in meaningful and effective therapy with people.
In conclusion, I believe one of the most important things we can do for people who see us is to take excellent care of ourselves. If we neglect our needs and ourselves, we are not able to give all we have to others. We can set a great example of self-care and avoid being susceptible to secondary trauma if we are just willing to follow our own good advice.
 
Pollock, Anastasia. "Secondary Trauma: A Therapist's Guide." GoodTherapy.org. GoodTherapy.org, 24 Aug. 2013. Web. 28 June 2016.

This article can be accessed at the following link: http://www.goodtherapy.org/blog/secondary-trauma-therapists-guide-0814135

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7 Personality Characteristics That Help in Managing Trauma

7/26/2016

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This article was found on the GoodTherapy.org website.  This website is an excellent resource on a wide range of topics for both therapists and clients alike.  This particular article focuses on personality characteristics that can impact the ability to effectively cope after experiencing a trauma. 

7 Personality Characteristics That Help in Managing Trauma
June 22, 2016 • By Marjie L. Roddick, MA, NCC, LMHC, Posttraumatic Stress / Trauma Topic Expert Contributor

Psychological trauma, defined as the experience of an event in which a person feels their life is threatened or in danger, may be accompanied by a sense of helplessness, horror, or numbing as the internal alarm system becomes activated.
We react to trauma in a number of ways, and certain factors put us at risk for more severe psychological difficulties. Fortunately, there are qualities we can build on to help us manage our reactions to traumatic events.
There are four main types of reactions we may experience following a trauma: emotional, cognitive, physical, and interpersonal.
    Emotional reactions include shock, fear, grief, anger, guilt, shame, helplessness, numbness, sadness, confusion, denial, abandonment, anxiety, and depression.
    Cognitive reactions might include problems with concentration, indecisiveness, difficulty making decisions, and intrusive or unwanted memories. You may notice thoughts such as, “How could someone do this?” or, “It felt like time stood still.”
    Physical reactions consist of bodily tension, feeling fatigued, insomnia, startling easily, racing heartbeat, nausea, change in appetite, chills, digestive problems, or profuse sweating.
    Interpersonal reactions involve feeling a sense of distrust, experiencing a loss of intimacy, increased conflict with others, isolation from others, or problems at work or school.
Other reactions to trauma are less common and more severe, and may require professional intervention. These may include:
    Emotional reactions that include intrusive or unwanted reexperiencing of the event after it has happened such as nightmares, flashbacks, and terrifying memories
    Extreme emotional numbing that leads to a sense of emptiness
    Potentially harmful attempts to avoid intrusive experiences through alcohol or substance use, lying, self-injury, or suicide attempts
    Physical reactions that involve hyperarousal, panic, rage, extreme irritability, agitation, restlessness, or violence
    Ongoing anxiety, uncontrollable worry, helplessness, or obsessive or compulsive behavior
    Dissociation (or a sense of being separate from one’s body), having fragmented thoughts, lack of awareness of surroundings, or involuntarily spacing out
Not everyone will develop a mental health condition or posttraumatic stress (PTSD) following a traumatic event. There are certain risk factors that increase the chances of experiencing more severe reactions to trauma, including severe exposure to a disaster, low socioeconomic status, having a preexisting mental health condition, being part of an ethnic minority, lacking social support, and lacking social resources.
Although there are factors that increase the risk of severe trauma reactions, there are also at least seven personality characteristics, described below, that can help a person successfully cope with or manage trauma.
Locus of Control
 
Locus of control is the extent to which we believe or expect we can control the outcomes of events that affect us. Our locus of control may be internal or external. If we have an external locus of control, we believe our behavior is guided by fate, luck, or other external forces. If we have an internal locus of control, we believe our behavior is guided by our own decisions and efforts, and that outcomes are related to our actions.
Crises challenge our beliefs and expectations about the level of control we have in the situation. Attempting to assert some degree of control following a crisis can aid in more effective coping and can help create a greater sense of meaning and consistency. Some researchers have observed that an external locus of control is related to learned helplessness, a condition in which a person perceives no sense of control, expects that there can be no escape, and believes any attempt to escape will result in failure.
While an internal locus of control can have positive effects in moderation, those who attempt to unrealistically control events may need assistance adjusting their expectations about outcomes. For instance, someone with an unrealistic belief that they could have prevented a crisis on their own by doing A, B, or C may need help focusing on what they can realistically control.
Self-Efficacy
Self-efficacy is our belief about how capable we are to handle situations. If we have high self-efficacy, we exert effort to overcome challenges. If our self-efficacy is low, we avoid actions we think will exceed what we’re capable of. Self-efficacy builds on itself as we add to our successes. It is thought that people who expect to successfully cope with their emotions and moods are more likely to be proactive in their healing and to seek out something positive in threatening situations.
Optimism
Optimism is holding hope and expecting that good things will happen. Optimism is focused on a desired outcome and not on who is in control or how capable one is in reaching the outcome. Optimists emphasize the positive during difficult situations and have been found by some researchers to be less anxious, hostile, depressed, and self-conscious than those with pessimistic attitudes.
Hardiness
Hardiness as a personality characteristic describes someone who is curious, actively involved, believes they can influence outcomes, expects that life will present changes, and tends to believe that challenges are opportunities for development. People with hardiness have a willingness to learn something of value, and merge those lessons into their lives. Hardiness is also associated with active coping and decreased emotional distress.
Resilience
People with resilience are those who are at risk for failure early on in life but who nonetheless become successful. Resilient people can take responsibility for their own part in a situation and let go of responsibility for the things they cannot change. Some qualities of resilient individuals include active problem solving, perceiving difficult experiences constructively, gaining positive attention from others, and an ability to continue finding meaning in their experience.
Sense of Coherence
People with a strong sense of coherence understand that stress is an inevitable part of life and recognize that dealing with it successfully can be beneficial. Having a sense of coherence means we seek to comprehend, manage, and find meaning in situations. When we attempt to comprehend the crisis situation, we try to make sense of what happened and explain how it occurred. To manage the situation, it can be helpful to utilize available resources. Meaningfulness indicates the situation is worthy of our time and investment. Having high meaningfulness motivates us to search for ways to comprehend the situation and seek out resources to aid in managing the incident.
Creativity
The ability to creatively cope is related to one’s ability to let go of the usual ways of solving problems. People who can produce creative solutions are better able to cope with traumatic events in which there are limited opportunities to exert control. Creativity involves flexibility in dealing with one’s environment.
How we react to a traumatic event can be greatly influenced by a number of factors. There are several common ways we react to trauma, and some reactions are more severe than others. Numerous personality traits were identified here that can be learned or cultivated to deal more successfully with trauma and obtain what is increasingly being recognized as posttraumatic growth.
 
Roddick, Marjie L. "7 Personality Characteristics That Help in Managing Trauma." GoodTherapy.org Therapy Blog. GoodTherapy.org, 22 June 2016. Web. 28 June 2016.

This article can be found by clicking the following link: http://www.goodtherapy.org/blog/7-personality-characteristics-that-help-in-managing-trauma-0622165
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Through our Eyes: Children, Violence and Trauma

4/28/2016

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This video was found on youTube.com.  It was published by the Office for Victims of a Crime on February 27, 2013.  Keep in mind when watching this video that trauma is experienced by children differently than adults and that trauma can be big, obvious issues and less obvious experiences that are experienced traumatically by the child. 
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    Michelle Stewart-Sandusky

    I write articles based on my experience as a therapist or a training or conference attendee.  Many of these articles are written by others who are experts in their field and I share their information as resources for others.

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