CSAR

Trauma

  • Developmental Trauma Disorder: Towards a Rational Diagnosis For Children With Complex Histories
  • Childhood trauma , including abuse and neglect, is probably our nation’s single most important public health challenge, a challenge that has the potential to be largely resolved by appropriate prevention and intervention. Each year over 3,000,000 children are reported to the authorities for abuse and/ or neglect in the United States of which about one million are substantiated. Many thousands m o re undergo traumatic medical and surgical procedures, and are victims of accidents and of comunity violence. However, most trauma begins at home: the vast majority of people (about 80 %) responsible for child maltreatment are children’s own parents. One of van der Kolk’s most important contributions has been his effort to alert the field to the frequent occurance of developmental trauma (aka complex trauma) and his (still frustrated) attempts to have it become a recognized diagnosis. In this article he describes the central role of affect regulation, the dynamics of childhood trauma, it’s prevalence in the etiology of psychiatric illness and treatment implications. ...

  • Working with the Neurobiological Legacy of Early Trauma
  • The author describes how the brain reacts to trauma. She then discusses the long-term effects of trauma on a person’s neurobiology; she uses neurobiology, in turn, to inform how therapy should be conducted for those affected by trauma. Sensorimotor Psychotherapy is offered as a means to help clients overcome their trauma....

  • Dissociative Phenomena in the Everyday Lives of Trauma Survivors
  • Interest in dissociation, as a mental ability and as a set of symptoms secondary to trauma, has re-vitalized in the past ten years following a one hundred year hiatus between the work of Janet and the work of the pioneers in the field of trauma in the 1980s and 90s (van der Kolk, 1997; Putnam, 1999; Chu, 1998). Although we have a better understanding of dissociation now than we did ten years ago, it is still a very controversial subject in the field of mental health because it is so routinely equated with Dissociative Identity Disorder. As a result, even experienced clinicians miss the frequent more subtle presentations that appear in our offices on a daily basis. If we look instead to understand dissociation as we would any other mental state phenomenon, we will begin to see that all human beings dissociate, and much of our dissociativeness is adaptive....

  • Adverse Childhood Experiences Video
  • Dr. Vince Felitti presents the results of his ground breaking study on adverse childhood experiences. No study has had greater impact on the understanding of the impact of developmental trauma on adult psychological and medical pathology and age of death. Being aware of these findings is crucial for work....

  • Adverse Childhood Experiences: Posttraumatic Stress Disorder & Beyond VIDEO
  • Dr. Ruth Lanius, from the University of Western Ontario, discusses the broad physical effects of adverse childhood experiences and their role in posttraumatic stress disorder. An overview of the neurobiology of posttraumatic stress disorder is presented as well as implications of findings on attachment and intergenerational transmission of trauma....

  • Trauma Reveals the Roots of Resilience — Fosha
  • After September 11, a friend sent me the following quote from Hemingway, a gift I want to share it with you."The world breaks everyone and afterward some are strong at the broken places." I cannot think of a better way to capture what our aim is than to say that through our work, we try to help our patients –and ourselves-- become stronger at the broken places. In the process of doing the work, we also sometimes discover amazing places that have always been strong and were never broken. Not so infrequently, in the course of dealing with tragedy, with destruction, with misfortune, and evil, we are taken aback by the miracles that we are privileged to witness. Steeled for the worst, we encounter the best. It is not only that some are strong at the broken places; it is also that, through trauma, others become strong, and discover they’re strong in ways they never knew. For sometimes trauma awakens extraordinary capacities that otherwise would lie dormant, unknown and untapped. Without the trauma, they would never see the light of day....

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