Emotional Regulation and Trauma - week 9 Flashcards

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1
Q

when unresolved issues are triggered your mind shuts off and becomes inflexible

A

when emotional reactions replace midnfulness you’re on the low road

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2
Q

reflecting on the origin of our issues can increase self-understanding and create a resilience that minimizes likelihood of the low road

A

TRUE

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3
Q

HIgher mode of processing involves:

A

higher, rational reflective thought
mindfulness, flexible response
integrating sense of self-awareness
prefrontal cortex

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4
Q

low mode; low road

A

shutting down of prefrontal cortex
intense emotions
impulsive, rigid and repetitive responses
no self-reflection or consideration other’s views

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5
Q

trigger

A

internal or external even that initiates beginning of low road

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6
Q

transition

A

movement from integrated, higher road processing toward low road

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7
Q

immersion

A

on the low road

high mode shuts off: no self reflection, attunement or mindsight

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8
Q

recovery

A

process of reactivating integrative processes

high vulnerability to reentering the low road

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9
Q

________ prevents repair process

A

SHAME

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10
Q

shift to low road linked with unresolved issues due to

A

emotional meaning and unintegrated implicit memories from past experiences flood mind

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11
Q

rapid shift in state of mind can lead to a discontinuous experience called?

A

dissociation

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12
Q

individuals with _______ are more vulnerable to sudden shifts in state of mind and more prone to entering the low road

A

individuals with UNRESOLVED TRAUMA OR LOSS are more vulnerable to sudden shifts in state of mind and more prone to entering the low road

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13
Q

recovery: how do you create a coherent story?

A

past autobiographical information has to be linked to present day experiences to create a coherent story out of internal and interpersonal experiences

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14
Q

resolution of trauma requires an understanding of the low road and its connection to patterns of past experiences

A

true

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15
Q

repeated ruptures without repair impair ABC’s of attachment (attune, balance and coherence)

A

unresolved issues disconnect ppl from parts of brain that enable attuned communication

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16
Q

in unresolved trauma, “implicit only” memories and fragments of explicit memory have not been consolidated into a coherent life story

A

explicit: sensation of a remembered past event

autobiographical=sense of self and time

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17
Q

contingent communication

A

sense of balance is achieved between inner sense of self and outer responses of the social world

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18
Q

amygdala

A

processing emotions and evaluate meaning of incoming stimuli

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19
Q

rupture

A

breakdown in communication

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20
Q

repair

A

reconnecting with child

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21
Q

in order to repair a rupture

A

be aware of rupture
understand your behavior and emotions
take ownership in your role
reconnect right away

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22
Q

rupture without repair

A

deepening sense of disconnection = shame/humiliation = toxic for childs sense of self

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23
Q

ruptures that invole intense emotional distress and a despairing disconnection that are harmful to a childs sense of self

A

toxic ruptures

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24
Q

toxic ruptures happen on the low road

low road = flexible, contingent communication is impossible

A

TRUE

25
Q

toxic ruptures are the most distressing form of disconnection for children becuase they are accompanied by an instense feeling of overwhelming SHAME

A

TRUE

shame is at the heart of toxic ruptures

26
Q

reflective dialogue about inner emotional experience of the rupture is often effective at repairing it

A

TRUE

27
Q

repeated experiences of shame in childhood can result in

A

permanently disregulated autonomic functioning and a heightened sense of vulnerability to others

intense sense of distress (constant “fight or flight”)
withdraw from others
bad sense of self
rigid defenses

28
Q

non-contingent communication

A

interrogate, judge, fix (ex. denies child’s reality)

29
Q

contingent communication

A

receive, process and respond

30
Q

collaboration

A

explore, understand and join

31
Q

how to repair

A
calm down 
consider trigger
connect non-intrusively
listen to your child 
apologize & discuss the toxic part
32
Q

access to consciousness

A

when processes become linked with consciousness, they can be more strategically and intentionally manipulated

33
Q

what is the danger in chronically blocking emotional expression?

A

inhibits access of emotions to a person’s consciousness

inability to connect with others
feeling misunderstood

34
Q

at the emotional core of attachment is increased positive emotional states and reduced negative emotional states

A

child tolerates wider bands of emotional intensity and share emotional communication

35
Q

maladtive emotional regulation from temperament, trauma or attachment leads to

A

restricted ability to achieve emotional reseilience and behavioral flexiibility

36
Q

the experience of being shunned and expelled from social connectedness

A

shame

37
Q

overwhelming emotional response to a terrible event

A

trauma

38
Q

relational trauma

A

anything that makes a person enter fight or flight

*most trauma is relational (not a single event)

39
Q

freeze

A

effective at infancy

40
Q

flight

A

effective strategy when beginning to crawl

41
Q

fight

A

effective strategy in adolescence (physical abuse stops when you can fight back)

42
Q

in order to heal from trauma ppl need connection but are too afraid to trust due to fear and disregulation in relationships

A

TRUE

43
Q

the loss of the ability to regulate the intensity of emotions is the most far-reaching effect of _______?

A

early traumatic abuse and neglect

44
Q

under stress the brain releases

A

noradrenaline & cortisol

45
Q

excessive stress hormones impair the _________ and ________ contributions to memory processing?

A

excessive stress hormones impair the HIPPOCAMPAL and AMYGDALA contributions to memory processing?

46
Q

traumatic stress blocks/damages:
the Hippocampus (invovled in explicit memory)
Amygdala (emotions of an experience)

A

TRUE

47
Q

Trauma blocks the encoding & storage of explicit memory resulting in implicit only memory traces

A

TRUE

48
Q

implicit memories lack ?

A

impllicit memories lack: associated connections (hippocampus) which would assit with understanding

*neurological basis for panic attack

49
Q

trauma damages the corpus callosum which _____?

A

trauma damages the corpus callosum which:

connects 2 hemispheres and allows for the transferring of info from one hemisphere to the other

50
Q

unresolved traumatic expereines impair the cortical consolidation process which results in ?

A

no permanent storage of traumatic memories in memory

51
Q

______ play a central role in reorganizing memory and in reinforcing the connections between memory and emotion

A

DREAM

52
Q

failure to consolidate traumatic events is at the core of unresolved trauma. that is why treatment includes integration of trauma into larger context of mind

A

TRUE

53
Q

unresolved trauma may be transferred to the child through trauma reactions

A

TRUE (intergenerational transfer of mind)

54
Q

trauma becomes part of a persons identity

A

TRUE

55
Q

victim identification of trauma

A

victim: doesn’t want to be the monster
(manipulated, submissive)
Build assertiveness, confidence, boundaries (must process their fear of becoming the monster “perpetrator”)

56
Q

perpetrator identification with trauma

A

○ Perpetrator: I don’t want to feel helpless again; power/control
§ Aggressive, control,
Build empathy, flexibility, compassion (must process fear of being helpless)

57
Q

resolved trauma

A
reflect on past 
live in present
active sense of self and time 
flexible mind 
stable mood
experience wider range and intensity of emotion 
tolerance for change
58
Q

for unresolved trauma, therapy attachment relationship enables the patient to enter fearful states of mind to process info

A

TRUE