35: Stress- Streyffeler Flashcards
normative stress –>
higher level stress –>
traumatic stress –>
motivating/helpful
inhibits functioning
terror
chronic (stressor continues over time) –>
alteration in psychophysiology
a disruption of the body’s normal balance
stress
a stress response is the body’s attempt at regaining homeostasis
the body’s stress response is unrelated to the type of stressor
three stages of adaptation response
alarm
resistance
exhaustion
collective processes that maintain an internal equilibrium =
activity that is required for the individual to “maintain stability through change” =
homeostasis
allostasis (process of maintaining homeostasis by active means)
SNS is activated in …
PNS is activated in …
states of effort and stress –> flight/fight
states of rest and relaxation AND in freeze response
what is the top down mechanism of stress
originate as thoughts or learned rxns and behaviors in the higher cognitive centers of brain
neurotoxicity of adrenalin and cortisol
adrenalin: increases the encoding of implicit memory blocks
cortisol: kills existing neurons and destroys synapses in the hippocampus; results in impaired integration of memory
effects of chronic cortisol release
- impaired memory
- suppressed immune system
- weakened muscles
- increased blood pressure
- hardening of arteries
- inflammation
- colitis
- loss of libido
- adult onset diabetes
the three Es of trauma
event
experienced
effects
individual trauma results form an event, series of events or set of circumstances that is experienced by an indicidual as physically or emotionally harmful or threatening and that has lasting adverse effects on the individual’s functioning and physical, social, emotional, or spiritual well-being
characteristics of the worst traumas
- repetitive
- human initiated especially when intentional and by care takers
- normal flight/fight response is not possible
- lack of emotional support following the trauma
attachment trauma
abuse, violence, and neglect in the family are leading causes of physical and psychological injuries
most significant public health issue in the IS
childhood trauma
cumulative ACEs increase the clinical complexity of individual cases –>
of lifetime DSM dxs increases
Three Rs of trauma
realizes
recognizes
responds
a program, organization or system that is trauma-informed realize the widespread impact of trauma and understands potential paths for healing; recognizes teh signs and symptoms of trauma in staff, clients, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, practices, and settings
