Summary
Trauma- and stressor-related disorders are a group of psychiatric disorders that arise following a stressful or traumatic event. They include
, post-traumatic stress disorder, and
. These three conditions often present similarly to other psychiatric disorders, such as depression and anxiety, although the presence of a trigger event is necessary to confirm a diagnosis.
Because trauma- and stressor-related disorders share many common features, it is imperative to understand the nature of the triggering event, the temporal relationship between the triggering event and symptom occurrence, and the severity of symptoms. Treatment generally consists of both psychotherapy and pharmacotherapy.
This is the DSM's way of saying CPTSD, you know, they denied the developmental trauma model of Bessel van der Kolk in 2011, because you know, what would big Pharma do without the diagnostic and statistical manual.
I am finding the more ample practitioners, or rather, the better and more highly esteemed, well researched, and well respected, are finding this COMPLEX PTSD/DEVELOPMENTAL TRAUMA model relevant, in psychiatry, psychology, and counselling. due to the nature of psychology (cut back bone for training with dx based on dsm) it will be hard to overcome the 6 years of dsm priming you recieve training to work as a clinical psychologist, but finding that counselling professions ARE now finally being rebated for trauma treatment things like EMDR, from the govt mental health care here in Australia, is one step in the right direction. I am also finding the staff in leading institutions are moving towards staff being trauma-informed, when it comes to lead roles.
this is just my first hand experience in psychiatric nursing, psychology/counselling, social policy and planning and mental health from the lived experience I had in the recent months.
They are focusing on client centred group therapy that will be formatted for a diverse range of clients, I've never once had a group on dissociation, but in my recent admission spent 2 days on the subject of Polyvagal theory, using the window of tolerance model vs the subjective units of distress scale to describe emotional dysregulation.
The Polyvagal theory takes into account how the brain is neurologically "offline" due to the sympathetic and parasympathetic nervous systems being dysfunctional and the optimal window of tolerance (ideal human function) being NEUROLOGICALLY impossible for a human in a triggered state.
Never once in about 1000+ groups has ANYONE ever talked about this, so it's PROGRESS. I am told this is a NOVEL group, and I am in a weird position of "half client, half counsellor, half psycho-babbling nerd who can't stop dropping terminology that throws everyone off in group".
I don't mean to be so I shut up, but they ask for my input and I give it based on my training, but not to the point of being used for it. as eventually, I'll be working in that field, advocating for the recovery model being client with lived experience as the expert, once they are obviously, In active recovery and have the skills and support needed to work in the field. it is the" new framework" as they find more and more, the failures of the archaic models of psychology are failing in practice.
This is due to these models denying traumas, basing behaviour and emotional and thought change as the cure, and living in the present is emphasised. from behaviourist, and cognitive theorists, we are given the CBT, ACT & DBT triad.
CBT works on surface and DBT to a LEVEL. ACT I haven't done enough of conclusive evidence is not available anecdotally.
the importance of mindfulness is exaggerated to toxicity, while the past memories of a trauma client are diminished with drugs, and an excessive labelling chart of inaccurate diagnosis. (dsm based).
The ACES study, revealed; 90% of mental health diagnosis clients suffered at least ONE adverse childhood experience.
that is TRAUMA, which is childhood based, meaning developmental impacts of this trauma can be LIFE-CHANGING.
SOURCE:
Herzog, J. I., & Schmahl, C. (2018). Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan. Frontiers in psychiatry, 9, 420. https://doi.org/10.3389/fpsyt.2018.00420
The importance of the sample size of 17,000 participants can not be denied and the research that has come from the original 90s aces studies. showing the link between the adverse childhood stressors and issues that are health, social, economic and huge Indicators of mental illness, diseases and addiction.
so how to remedy this? the resolution has been in the works in policy and executing this by the trauma informed model treatment.
"WHAT HAPPENED TO YOU? VS WHAT IS WRONG WITH YOU".
and executing a service model in mental health treatment, addiction treatment and other front line healthcare that works primarily with this population. which is a lot like 1/4 of the general population.
this doesn't ignore the trauma, but puts it in the context of the clients symptoms and how this can be viewed as a way forward. there are various models of therapy NOT trained to psychology students but can be sought out to find a "niche". experimental and hard to find here, due to the limitations of both education and training in this field.
a system wide denial and cover up of childhood sexual abuse, which is a huge issue that would be statistically (I hypothesise) linked to ANY and ALL mental illness. (the journals just pain and disgust me as they focus more of their funded research on catering to pedophillia as "okay" or "mental illness" which it is not. in my mind, as radical as it sounds, pedophilia is a human disease, a genetic error and needs to be cut from the core.
it causes 100% of disordered behaviour, and dysregulation of cognition and emotion in all contexts is my broad hypothesis. a model favouring survivors who are in a situation where they are validated, accepted and their pain shared, vs. the current model is my proposal. which matches a trauma informed model.
so I'm hated by the current frontline of head hunch academics, for my overzealous pursuit against pedophilia and disdain for the open book treatment they receive against the victims and survivors of the sexual abuse epidemic. the BPD diagnosis and archaic criteria are not empirical or medical, but subjective social constructs based on ONE person (the treating psychiatrist or psychologists) opinion. there are many issues here.
I have genuine shock to this day, how this is accepted and denial is placed to my own unresolved sexual trauma by therapists (so it may be) as the reason I have an attitude to target this.
I have to be careful who, what and where I put intel, as my opinion on Tumblr is desecrated. I do not believe in sympathy or working on pedophile-sexuality being accepted in society.
I am active in my work on many fronts AGAINST this, and targeted BECAUSE I am against children sexual exploitation.
I don't care if you have no offended and claim pedophillia, I would support the experimental medical research on these people as "trade off" for them having life.
worse to the offenders, who ruin 500 lives, which is the average number of victims per pedophile in a lifetime, disgusting to comprehend. most hetrosexual, consenting adults don't even engage in 500 sexual relationships, let alone perpetrating a crime on 500 unconsenting, biologically immature and unprepared for sexual relationships on all level, innocent children. so that needs to be understood. why is it happening? what is the cause of this behaviour? who does it benefit, if so why and how? what is the common link between the offender? what differs the victim who is a survivor of sexual abuse who HATES pedophilia like myself, against the survivor turned perpetrator?
where is the figgernve? is the divergence genetic, or environmental or neurological? so a huge biopsychosocial analysis of a huge sample. I'm not the one who is hurting innocent children but I get annihilated by moralist groups for basing a view I feel is empirical and logical. why? PUBERTY = SEXUAL MATURITY.
why did ancient clans have puberty rite to signify this in a male or females lifespan?
]
what is the model modern society works with lacking or doing to perpetrate the pedophile agenda, offender and why is sexual abuse of children to this day rampant?
why do whistleblowers get destroyed, blown down, and pro-pedophiles get pushed up, endorsement and advocated?
I truly don't care what your sexuality or gender is, if you are a consenting adult, I have no business to tell you x y z. but involve pre-pubescent child and you are in my firing line, forever.
but the pedophile agenda is what lies beneath all of that labelling and social constructive, invented, baphomet bleed bullshit.
see the journals stir me into aggression to fund the "poor peodphile can't be helped bc humans judge it" the fate of the human should be to JUDGE and then DE-EVOLVE to eliminate the systematic weakness a pedophile is.
it is for one, not focused on survival, or perpetuating the "best fitted" for it is sexualising children, who are broken, and become evolutionary defuncts, rather than the opposite.
despite deep "conspiracy" theories that dot a sinister backbone like this
which is one faucet, we can cover in other topics, on other time.
going fwd, I see the trauma informed policy in practice to be the only way to "collective unison" and to heal the "mental illness issues" of society.
to put a basic overview of what trauma informed policy will be based off: a primer:
Experiencing trauma, especially during childhood, significantly increases the risk of serious health problems — including chronic lung, heart, and liver disease as well as depression, sexually transmitted diseases, tobacco, alcohol, and illicit drug abuse throughout life. Childhood trauma is also linked to increases in social service costs.
Implementing trauma-informed approaches to care may help health care providers engage their patients more effectively, thereby offering the potential to improve outcomes and reduce avoidable costs for both health care and social services.
Trauma- informed approaches to care shift the focus from “What’s wrong with you?” to “What happened to you?”
by: - Realizing the widespread impact of trauma and understanding potential paths for recovery;
- Recognizing the signs and symptoms of trauma in individual clients, families, and staff;
- Integrating knowledge about trauma into policies, procedures, and practices; and
- Seeking to actively resist re-traumatization (i.e., avoid creating an environment that inadvertently reminds patients of their traumatic experiences and causes them to experience emotional and biological stress).
sources
Bethell, C., Jones, J., Gombojav, N., Linkenbach, J., & Sege, R. (2019). Positive Childhood Experiences and adult mental and relational health in a statewide sample: Associations across Adverse Childhood Experiences levels. JAMA Pediatrics
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