Thursday, June 28, 2012

What is Psychological Trauma?

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What do therapists mean when we talk about trauma?

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How is What is Psychological Trauma?

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One definition I like states that "psychological trauma is the unique personel sense of an event or enduring conditions in which: The individual's capability to join his/her emotional sense is overwhelmed or the personel experiences (subjectively) a threat to life, corporal integrity, or sanity." (Pearlman & Saakvitne, 1995, p. 60)

The foremost part of this definition in my practice is the emphasis on "unique personel experience". You get to define which experiences are traumatic for you, whether or not it would impact others in the same manner. It's not the objective facts that resolve whether an event is traumatic, but your own emotional sense of the event.

Put more plainly, psychological trauma is the succeed of extraordinarily stressful events that shatter your sense of safety and succeed in you feeling helpless, alone and vulnerable in a perilous world.

Sometimes therapists talk about "big T trauma" and "little T trauma". This is in no way meant to imply that any traumatic events are insignificant! I understand it as a way of increasing the definition and insight of trauma to comprise things that may not be found within the Dsm Iv (the Diagnostic and Statistical by hand of reasoning Disorders) definition. We are all customary with examples of big T traumas: childhood sexual, corporal or emotional abuse, natural disasters, war experiences, severe car accidents, rape. Petite t traumas can be just as damaging, especially because they tend to occur over time, and build upon each other. Examples would be ongoing emotional abuse or neglect, experiences of shame, humiliation, being left out, bullied or ridiculed and feeling not cared for. The sense of growing up gay in a homophobic culture would be an example of this sort of trauma. All traumatic experiences affect how we sense the world colse to us, and our relationships with other people.

Psychological effects are likely to be most severe if the trauma is:

Human caused Repeated Unpredictable Multifaceted Sadistic Undergone in childhood Perpetrated by a caregiver

Impact can be ameliorated by existence of a withhold principles at the time of the traumatic event. When you do not have house or friends to help you to make sense of the event, general improvement is interrupted and assorted symptoms occur.

Therapy is crucial for recovering from the impact of traumatic events. Time alone does not heal all wounds, no matter what that old trope claims!

I found a duct from The Kite Runner by Khaled Hosseni to be a striking depiction of what unresolved trauma can feel like, even decades later: I became what I am today at the age of twelve, on a frigid overcast day in the winter of 1975. I remember the literal, moment, crouching behind a crumbling mud wall, peeking into the alley near the frosty creek. That was a long time ago, but it's wrong what they say about the past, I've learned, about how you can bury it. Because the past claws its way out. Seeing back now, I perceive I have been peeking into that deserted alley for the last twenty-six years.

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