Lecture 9 Flashcards
Who proposed the concept of complex trauma?
Julain Ford
What are the proposed criteria for complex trauma?
- Traumatic victimization + attachment disruption
- Affective/physiological dysregulation
- Avoidance
- Self and relational dysregulation
What is the goal of urging DSM-V to consider research on developmental trauma?
To establish a set of criteria for developmental trauma not captured by PTSD
What are the two subtypes of Reactive Attachment Disorder (RAD)?
- Emotionally withdrawn/inhibited phenotype
- Social/disinhibited phenotype
What behaviors are associated with the emotionally withdrawn behavior in RAD?
- Reduced responsiveness
- Limited affect
- Irritability, sadness, or fearfulness
What are the causes of Reactive Attachment Disorder?
- Exposure to extremes of insufficient care
- Social neglect
- Repeated changes in caregivers
- Rearing in unusual settings
What characterizes Disinhibited Social Engagement Disorder?
Overly comfortable interacting with unfamiliar adults
What are some risk factors for developing Reactive Attachment Disorder?
- Neglect
- Abuse
- Postpartum depression
- Inexperienced parent
- Substance abuse parent
- Parental mental illness
True or False: RAD symptoms can be mistaken for conduct disorder in maltreated children.
True
What are the diagnostic challenges associated with PTSD in children ages 6 and under?
- Direct experience of event
- Child witness event
- Child learned about traumatic event that happened to caregiver
What are the symptoms of PTSD in young children?
- Intrusive symptoms
- Attention and behavioral dysregulation
- Changes in arousal or reactivity
What is a significant challenge in diagnosing RAD?
Symptoms overlap with many other disorders, including PTSD, SPD, and MDD
What does trauma-informed care aim to achieve?
Better outcomes through interventions targeting trauma reactions and attachment
What are the key areas of treatment focus in trauma-informed interventions?
- Attachment
- Self-regulation
Fill in the blank: One key message for trauma recovery is ‘you are ______.’
safe
What approach should be taken when involving clients in service design?
Focus on collaboration and choice rather than rule enforcement
What is the focus of strengths-based therapy?
To view behaviors as coping adaptations rather than intentional misbehavior
What therapeutic approach did Ellis develop?
Rational emotive therapy
What does the A-B-C theory in Rational Emotive Therapy represent?
- A = Activating event
- B = Belief about the event
- C = Consequence of the belief
In Rational Emotive Therapy, what are the additional components added to the A-B-C model?
- D = Dispute
- E = Evaluate
What are the negative views that depressed individuals often hold according to Beck’s theory?
- Themselves
- The world
- The future
In Beck’s cognitive therapy, what is the first step in therapy sessions?
Therapist explains cognitive theory of emotional disorders
What is the goal of the middle sessions in Beck’s cognitive therapy?
Teach the client to identify, evaluate, and replace negative automatic thoughts with more positive cognitions
What is the focus of the final sessions in Beck’s cognitive therapy?
Solidify gains and focus on prevention of recurrence
