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Trauma- And Violence-informed Care
Trauma- and violence-informed care (TVIC) describes a framework for working with and relating to people who have experienced negative consequences after exposure to dangerous experiences. There is no one single TVIC framework, or model, and some go by slightly different names, including Trauma Informed Care (TIC). They incorporate a number of perspectives, principles and skills. TVIC 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. Most TVIC 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. Exposure to life-altering danger necessitates a need for careful and healthy attention to creating safety within healing relationships. Client-centered and capacity-building approaches ...
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Biopsychosocial Model
Biopsychosocial models 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 topics ranging from human development, to health and disease, to information processing, and to conflict. The term was first used to describe a model advocated by George L. Engel in 1977. It now also refers to any model which takes a similar approach, and has become an alternative to the biomedical and/or psychological dominance of many health care systems. History George L. Engel and Jon Romano of the University of Rochester in 1977, are widely credited with being the first to propose a biopsychosocial model. However, it had been proposed 100 years earlier and by others. Engel struggled with the then-prevailing biomedical approach to medicine as he strove for a more holistic approach by recognizing that each patient has their own thoughts, feelings, ...
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Abusive Power And Control
Abusive power and control (also controlling behavior and coercive control) is behavior used by an abusive person to gain and/or maintain control over another person. Abusers are commonly motivated by devaluation, personal gain, personal gratification, psychological projection, or the enjoyment of exercising power and control. The victims of this behavior are often subject to psychological, physical, mental, sexual, or financial abuse. Overview Manipulators and abusers may control their victims with a range of tactics, including, but not limited to, positive reinforcement (such as praise, superficial charm, flattery, ingratiation, love bombing), negative reinforcement (taking away aversive tasks or items), intermittent or partial reinforcement, psychological punishment (such as silent treatment, threats, intimidation, emotional blackmail, guilt trips) and traumatic tactics (such as verbal abuse or explosive anger). The vulnerabilities of the victim are exploi ...
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National Trauma
National trauma is a concept in psychology and social psychology. A national trauma is one in which the effects of a trauma apply generally to the members of a collective group such as a country or other well-defined group of people. Trauma is an injury that has the potential to severely negatively affect an individual, whether physically or psychologically. Psychological trauma is a shattering of the fundamental assumptions that a person has about themselves and the world. An adverse experience that is unexpected, painful, extraordinary, and shocking results in interruptions in ongoing processes or relationships and may also create maladaptive responses. Such experiences can affect not only an individual but can also be collectively experienced by an entire group of people. Tragic experiences can collectively wound or threaten the national identity, that sense of belonging shared by a nation as a whole represented by tradition culture, language, and politics. In individual psy ...
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Collective Trauma
The term collective trauma calls attention to the "psychological reactions to a traumatic event that affect an entire society." Collective trauma does not only represent a historical fact or event, but is a collective memory of an awful event that happened to that group of people. Definition American sociologist Kai Erikson was one of the first to document collective trauma in his book ''Everything in Its Path'', which documented the aftermath of a catastrophic flood in 1972. Gilad Hirschberger of Interdisciplinary Center, Herzliya, Israel, defines the term: According to Thomas Hübl , an author and teacher who leads trainings that have brought international groups together to unpack the dynamics of shared collective traumas : For the past 18 years, Hübl has helped hundreds of thousands of people spark dialogue and work toward repairing some of humanity's worst transgressions. Since 2019, he has given talks and led workshops at Harvard Medical School, including thitalki ...
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Historical Trauma
Historical trauma (HT), as used by psychotherapists social workers, historians, and psychologists, refers to the cumulative emotional harm of an individual or generation caused by a traumatic experience or event. Historical Trauma Response (HTR) refers to the manifestation of emotions and actions that stem from this perceived trauma. According to its advocates, HTR is exhibited in a variety of ways, most prominently through substance abuse, which is used as a vehicle for attempting to numb pain. This model seeks to use this to explain other self-destructive behaviour, such as suicidal thoughts and gestures, depression, anxiety, low self-esteem, anger, violence and difficulty recognising and expressing emotions. Many historians and scholars believe the manifestations of violence and abuse in certain communities are directly associated with the unresolved grief that accompanies continued trauma. Historical trauma, and its manifestations, are seen as an example of Transgenerational t ...
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Racial Trauma
Racial trauma, or race-based traumatic stress, is the cumulative effects of racism on an individual’s mental and physical health. It has been observed in numerous BIPOC communities and people of all ages, including young children. Racial trauma can be experiences vicariously or directly. It has been linked to feelings of anxiety, depression, and suicidal ideation, as well as other physical health issues. Causes of Racial Trauma When an individual experiences racism, they can develop racial trauma. Racial trauma can be caused by racial discrimination and/or racial harassment. Racial discrimination is a term used to describe attitudes, actions, or policies that function to (1) keep physical distance between racially privileged groups and racially underprivileged groups (e.g., a White person crossing the road when they see a person of color walking in their direction at night) and/or (2) ensure that people with minoritized racial identities remain in the less privileged margins ...
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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, evolutionary and ethological theory concerning relationships between humans. The most important tenet is that young children need to develop a relationship with at least one primary caregiver for normal social and emotional development. The theory was formulated by psychiatrist and psychoanalyst John Bowlby. Within attachment theory, infant behaviour associated with attachment is primarily the seeking of proximity to an attachment figure in stressful situations. Infants become attached to adults who are sensitive and responsive in social interactions with them, and who remain as consistent caregivers for some months during the period from about six months to two years of age. During the latter part of this period, children begin to use attachment figures (familiar people) as a secure base to explore from and return to. Parental responses lead to the development of patterns of attachment; these, in turn, lead to internal working models w ...
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Adverse Childhood Experiences
Adverse childhood experiences (ACEs) encompass various forms of physical and emotional abuse, neglect, and household dysfunction experienced in childhood. The harms of ACEs can be long-lasting, affecting people even in their adulthood. ACEs have been linked to premature death as well as to various health conditions, including those of mental disorders. Toxic stress linked to child abuse is related to a number of neurological changes in the structure of the brain and its function. Definition and types The concept of adverse childhood experiences refers to various traumatic events or circumstances affecting children before the age of 18 and causing mental or physical harm. There are 10 types of ACEs: * physical abuse * sexual abuse * psychological abuse * physical neglect * psychological neglect * witnessing domestic abuse * having a close family member who misused drugs or alcohol * having a close family member with mental health problems * having a close family member who ser ...
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Childhood Trauma
Childhood trauma is often described as serious adverse childhood experiences (ACEs). 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, witnessing abuse of a sibling or parent, or having a mentally ill parent. These events have profound psychological, physiological, and sociological impacts and can have negative, lasting effects on health and well-being such as unsocial behaviors, attention deficit hyperactivity disorder (ADHD), and sleep disturbances. Similarly, children with mothers who have experienced traumatic or stressful events during pregnancy can increase the child's risk of mental health disorders and other neurodevelopmental disorders. Kaiser Permanente and the Centers for Disease Control and Prevention's 1998 study on adverse childhood experiences determined that traumatic experiences during childhood are a root cause of many social, emotio ...
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Humiliation
Humiliation is the abasement of pride, which creates mortification or leads to a state of being 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 relationships, having implications at intrapersonal, interpersonal, institutional and international levels.Lindner, Evelin, Making Enemies: Humiliation and International Conflict. London, England: Praeger Security International, 2006. Psychological effects ...
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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 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 alienation from the world is replaced with painful emo ...
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