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Trauma-Informed Care
Trauma-informed care (TIC) or Trauma-and violence-informed care (TVIC), is a framework for relating to and helping people who have experienced negative consequences after exposure to dangerous experiences. There is no one single TIC framework, or model, and some go by slightly different names, including Trauma- and violence-Informed Care (TVIC). They incorporate a number of perspectives, principles and skills. TIC frameworks can be applied in many contexts including medicine, mental health, law, education, architecture, addiction, gender, culture, and interpersonal relationships. They can be applied by individuals and organizations. TIC principles emphasize the need to understand the scope of what constitutes danger and how resulting trauma impacts human health, thoughts, feelings, behaviors, communications, and relationships. People who have been exposed to life-altering danger need safety, choice, and support in healing relationships. Client-centered and capacity-building approach ...
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Biopsychosocial Model
Biopsychosocial models (BPSM) are a class of trans-disciplinary models which look at the interconnection between biology, psychology, and socio- environmental factors. These models specifically examine how these aspects play a role in a range of topics but mainly psychiatry, health and human development. The term is generally used to describe a model advocated by George L. Engel in 1977. The model builds upon the idea that "illness and health are the result of an interaction between biological, psychological, and social factors". The idea behind the model was to express mental distress as a triggered response of a disease that a person is genetically vulnerable to when stressful life events occur. In that sense, it is also known as vulnerability-stress model. It then became referred to as a generalized model that interpreted similar aspects, and became an alternative to the biomedical and/or psychological dominance of many health care systems. As of 2017 the BPSM had becom ...
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Interpersonal Trauma
Interpersonal trauma is psychological trauma as a result of interactions between people. It can result in post-traumatic stress disorder (PTSD). Chronic, sustained interpersonal trauma can result in complex post-traumatic stress disorder, which has both symptoms of PTSD and also problems in developmental areas such as emotional self-regulation and interpersonal functioning. More than half of the incidents causing interpersonal trauma happen to children and teenagers. Common categories * Child abuse * Child neglect * Child sexual abuse * Intimate partner violence * Infidelity, leading to Post infidelity stress disorder{{cite journal , last1=Ortman , first1=DC , title=Post-infidelity stress disorder , journal=Journal of Psychosocial Nursing and Mental Health Services , date=October 2005 , volume=43 , issue=10 , pages=46–54 , doi=10.3928/02793695-20051001-06 , pmid=16294837 * Sexual assault * Community violence (witnessing or being victimized by intentional violence outside ...
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Trauma-informed Feminist Therapy
In psychology, Trauma-informed feminist therapy is a model of trauma for both men and women that incorporates the client's sociopolitical context. In feminist therapy, the therapist views the client's trauma experience through a sociopolitical lens. In other words, the therapist must consider how the client's social and political environment could have contributed to their trauma or perpetuated it. Feminist theory argues that certain traumas are produced and maintained by institutionalized discrimination and social hierarchies. Background The diagnosis of Post-traumatic stress disorder, or PTSD, was first recognized in 1980 and published in the third edition of the ''Diagnostic and Statistical Manual of Mental Disorders''. The original PTSD diagnosis was formulated to fit the symptomology of veterans returning home from combat. Feminist psychologists modified the diagnosis when treating patients with exposure to childhood sexual assault, chronic abuse, and gender-based traum ...
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Attachment Theory
Attachment theory is a psychological and evolutionary framework, concerning the relationships between humans, particularly the importance of early bonds between infants and their primary caregivers. Developed by psychiatrist and psychoanalyst John Bowlby (1907–90), the theory posits that infants need to form a close relationship with at least one primary caregiver to ensure their survival, and to develop healthy social and emotional functioning. Pivotal aspects of attachment theory include the observation that infants seek proximity to attachment figures, especially during stressful situations. Secure attachments are formed when caregivers are sensitive and responsive in social interactions, and consistently present, particularly between the ages of six months and two years. As children grow, they use these attachment figures as a secure base from which to explore the world and return to for comfort. The interactions with caregivers form patterns of attachment, which in t ...
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Adverse Childhood Experiences
Adverse childhood experiences (ACEs) include childhood emotional, physical, or sexual abuse and household dysfunction during childhood. The categories are verbal abuse, physical abuse, contact sexual abuse, a battered mother/father, household substance abuse, household mental illness, incarcerated household members, and parental separation or divorce. The experiences chosen were based upon prior research that has shown to them to have significant negative health or social implications, and for which substantial efforts are being made in the public and private sector to reduce their frequency of occurrence. Adverse childhood experiences (ACEs) are correlated with physical and mental health problems in adolescence and adulthood, including cardiovascular disease, chronic obstructive pulmonary disease, autoimmune diseases, substance abuse, and depression, however, some of these problems are not inevitable outcomes of ACEs. Definition and types The concept of adverse childhood expe ...
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Childhood Trauma
Childhood trauma is often described as serious adverse childhood experiences. Children may go through a range of experiences that classify as psychological trauma; these might include neglect, abandonment, sexual abuse, emotional abuse, and physical abuse. They may also witness abuse of a sibling or parent, or have a mentally ill parent. Childhood trauma has been correlated with later negative effects on health and psychological wellbeing. However, resilience is also a common outcome; many children who experience adverse childhood experiences do not develop mental or physical health problems. Health Childhood traumatic experiences leads to stress that increases an individual's allostatic load, negatively affecting the immune system, nervous system, and endocrine system. Exposure to chronic stress can triple or quadruple the risk to adverse medical outcomes. Childhood trauma is often linked to various health issues including depression, hypertension, autoimmune diseases, lu ...
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Humiliation
Humiliation is the abasement of pride, which creates mortification or leads to a state of being Humility, humbled or reduced to lowliness or submission. It is an emotion felt by a person whose social status, either by force or willingly, has just decreased. It can be brought about through intimidation, physical or mental mistreatment or trickery, or by embarrassment if a person is revealed to have committed a socially or legally unacceptable act. Whereas humility can be sought alone as a means to de-emphasize the ego, humiliation must involve other person(s), though not necessarily directly or willingly. Humiliation is currently an active research topic, and is now seen as an important – and complex – core dynamic in human Interpersonal relationship, relationships, having implications at intrapersonal, interpersonal, institutional and international levels.Lindner, Evelin, Making Enemies: Humiliation and International Conflict. London, England: Praeger Security Internationa ...
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Shame
Shame is an unpleasant self-conscious emotion often associated with negative self-evaluation; motivation to quit; and feelings of pain, exposure, distrust, powerlessness, and worthlessness. Definition Shame is a discrete, basic emotion, described as a Moral emotions, moral or social emotion that drives people to hide or deny their wrongdoings.Shein, L. (2018). "The Evolution of Shame and Guilt". PLoSONE, 13(7), 1–11. Moral emotions are emotions that have an influence on a person's decision-making skills and monitors different social behaviors. The focus of shame is on the self or the individual with respect to a perceived audience. It can bring about profound feelings of deficiency, defeat, inferiority, unworthiness, or self-loathing. Our attention turns inward; we isolate from our surroundings and withdraw into closed-off self-absorption. Not only do we feel alienated from others but also from the healthy parts of ourselves. The Social alienation, alienation from the wor ...
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Traumatic Bonding
Trauma bonds (also referred to as traumatic bonds) are emotional bonds that arise from a cyclical pattern of abuse. A trauma bond occurs in an abusive relationship, wherein the victim forms an emotional bond with the perpetrator. The concept was developed by psychologists Donald Dutton and Susan Painter. The two main factors that contribute to the establishment of a trauma bond are a power imbalance and intermittent reward and punishment. Trauma bonding can occur within romantic relationships, platonic friendships, parent-child relationships, incestuous relationships, cults, hostage situations, sex trafficking (especially that of minors), hazing or tours of duty among military personnel. Trauma bonds are based on terror, dominance, and unpredictability. As the trauma bond between an abuser and a victim strengthens, it can lead to cyclical patterns of conflicting emotions. Frequently, victims in trauma bonds do not have agency, autonomy, or an individual sense of self. Their ...
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DARVO
DARVO (an acronym for "deny, attack, reverse victim and offender") is a reaction that perpetrators of wrongdoing, such as sexual offenders, may display in response to being held accountable for their behavior. Some researchers indicate that it is a common manipulation strategy of psychological abusers. Process DARVO is a tactic used by a perpetrator to avoid accountability for their actions. As the acronym suggests, DARVO commonly involves these steps: #The perpetrator ''denies'' the harm or abuse ever took place. #When confronted with evidence, the perpetrator then ''attacks'' the person that they had harmed, or are still harming. The attacker may also attack the victim's family and/or friends. #Finally, the perpetrator claims that they were or are actually the victim in the situation, thus ''reversing'' the positions of ''victim'' and ''offender''. It often involves not just '' playing the victim'' but also ''victim blaming''. These tactics are similar to other techniques used ...
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Gaslighting
Gaslighting is the manipulation of someone into questioning their perception of reality. The term derives from the 1944 film ''Gaslight (1944 film), Gaslight'' and became popular in the mid-2010s. Some mental health experts have expressed concern that the term has been used too broadly. In 2022, ''The Washington Post'' described it as an example of therapy speak, arguing it had become a buzzword improperly used to describe ordinary disagreements. Etymology The term originates in the 1938 British play ''Gas Light'' by Patrick Hamilton (writer), Patrick Hamilton. The play was adapted into a 1940 film in the UK, ''Gaslight (1940 film), Gaslight'', which was remade in the US as the 1944 film ''Gaslight (1944 film), Gaslight''. Set among London's elite during the Victorian era, ''Gas Light'' and its adaptations portray a seemingly genteel husband using lies and manipulation to isolate his heiress wife and persuade her that she is mentally ill so that he can steal from her. One ...
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Betrayal Trauma
Betrayal trauma is defined as a trauma perpetrated by someone with whom the victim is close to and reliant upon for support and survival. The concept was originally introduced by Jennifer Freyd in 1994. Betrayal trauma theory (BTT) addresses situations when people or institutions on which a person relies for protection, resources, and survival violate the trust or well-being of that person. BTT emphasizes the importance of betrayal as a core antecedent of dissociation, implicitly aimed at preserving the relationship with the caregiver. BTT suggests that an individual (e.g. a child or spouse), being dependent on another (e.g. their caregiver or partner) for support, will have a higher need to dissociate traumatic experiences from conscious awareness in order to preserve the relationship. Background Betrayal trauma theory emerged to integrate evolutionary processes, mental modules, social cognitions, and developmental needs with the extent to which the fundamental ethic of hum ...
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