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TRAUMA FORMULATION and INTERVENTION
Trauma – a disordered psychological or behavioral state resulting from mental stress, emotional stress or physical injury.
We hold that:
· Individuals emerge from trauma are not to be judged on their methods of survival.
· One does not decide to use survival skills, rather, survival skills, particularly those related to fear/dread/, primarily operate at the pre-conscious and subconscious.
· Survival skills are best represented by a double edged sword; after a traumatic event some individuals are able to return the sword to its scabbard, while other unknowingly carry the sword around and wound themselves and others.
· Unscabbard survival skills always interfere with thriving skills.
· Conscious awareness of preconscious and subconscious brain functions is necessary for the management and control of survival mechanisms.
· As the mental functioning can affect the body, so too can the body affect the mental functioning.
· As perception can influence our experiencing of the world, so to can our world experiences influence out perceptions.
· Reliving, discussing and journaling traumatic events can activate the same brain circuits as actual events, and can inadvertently strengthen neural pathways, and extreme caution should be exercised if these techniques are used.
· Warriors differ from non-warriors, but reconnection with others and to themselves is of vital importance.
· The warrior edge/skills are not be diminished through self care.
· A three – five day program can be the first steps for an individual to learn to “…take their time.”
Trauma can occur:
· directly to an individual as a consequence of threatened or real physical/emotional assault;
· through witnessing upsetting events;
· through responding to or caring for victims of violent events;
· through vicariously identifying with a loved one who is in a life struggle;
· through “virtually” imagining what you, and/or loved one is going through presently or might have to go through at some point in the future.
War, tornadoes, assault, abuse, disease, illness, line of duty death, line of duty injury etc. represent limited examples; like a pebble thrown into a pond, traumatic events can:
· directly hit individual
· engulf individuals in the splash and backwash
· create waves/ripples that effect individuals away from the impact, but in the water
· effect individuals arriving in rescue crafts
· upset individual standing on shore
· cause extreme upset to individuals who are only receiving second hand communications about the event.
When a traumatic event occurs certain individuals develop what might be described as a mental shadow. For some the shadow:
· is hardly noticed;
· becomes a vivid and foreboding presence that stretches out before them constantly;
· appears intermittently, and only under certain conditions; its sudden/dramatic appearance is often surprising, upsetting and confusing.
Living well, and to our fullest, in the presence of trauma related shadow(s) is a possible and need not be a hugely complex task. When an individual’s innate capacity to deal with trauma fails, it is sometimes necessary to utilize professionally sound and scientifically based interventions.
It is imperative to understand that traumatic events, and memories related them need not be stored in our brain traumatically.
To prevent the traumatic storage of memories it is necessary to:
· resolve issues related to the Hypothalamus-Pituitary-Adrenal (HPA) axis that sometimes causes a destructive pattern of neural/hormonal activity;
· to intervene into the “worry circuit” i.e. the orbital frontal cortex > anterior cingulate gyrus > caudate nucleus > thalamus pathway;
· assist in the development of self-directed and therapist/other facilitated neural restructuring that “creates” and strengthens adaptive new pathways i.e. dorsal prefrontal cortex > basal ganglia (medial globus pallidus, lateral global pallidus, subthalamic nucleus). |