Lecture 4 - Trauma Flashcards
What is psychotrauma?
Psychological impact of a traumatic event
What is PTSD?
A mental disorder, first classified in 1980, in the DSM-III
What are the different types of psychotrauma based on?
- Duration of exposure
- Frequency of occurrence
- Direct vs indirect exposure
- Scope of involvement
What is there a current increased focus on?
Non-invasive, ecological and community-based treatment approaches
What are evidence-based protocols for trauma therapy grounded in?
Understanding the neurocognitive mechanisms of PTSD
What are PTSD intrusive symptoms?
Uncontrollable, involuntary thoughts that keep returning
What are PTSD avoidance symptoms?
People try to repress memories or disconnect as don’t want them to reproduce
What are negative alterations in cognition and mood?
The main thought after the event is catastraphising - fear, terror and helplessness
Does trauma always result in PTSD?
No as depends on
- severity
- personal resources
- social support
What did Resmaa Menakem, 2020 says about the ecological view of trauma?
- Trauma changes family relationships. Individual trauma is also family trauma
- The whole community has impact on this trauma - cultural trauma
Who are the main translators of family trauma to children?
Females
What is moral injury?
emotional distress which arises from some action which violates moral code or ethical principles. It is your own violation against your own moral principal
What are the three main treatments for PTSD?
- TF-CBT
- EMDR
- RTM
What is a negative of TF-CBT?
not ecological as client has to relive traumatic experience. If client has physical reaction, the therapist begins grounding them and calming them down
What are the three primary brain regions affected by PTSD?
- Prefrontal cortex
- Amygdala
- Hippocampus
What is the function of the prefrontal cortex?
- Abstract thinking
- Personality development
- Behaviour regulation
- Planning
- Problem solving
What is the function of the amygdala?
- Decision making
- Emotional memories
- Regulates behaviour
- Initiates response to fear
What is the function of the hippocampus?
- Memory consolidation
- Navigation and spatial memory
- Learning
What is callibration?
Pairing observation to client’s emotional state
What is sensory acuity?
Direct observation
What is the Lancet Psychiatry Commission on Youth Mental Health?
- Programs addressing social-economic determinants of mental health
- Community education and development
- Digital mental health platforms
- Early detection and screening programs
- Prevention programs (anti-bulling, anti-maltreatment)
- Mental health promotion
- School, university, workplace awareness
- Prevention via social media