W12 L1: Trauma & Attachment

Question 1

8 categories of ACE

Answer 1

Abuse:
1. Recurrent psychological (parent)
2. Recurrent physical (parent)
3. Contact sexual (anyone) 
Household challenges:
4. Substance abuse 
5. Mental illness 
6. Mother treated violently 
7. Incarcerated member of household 
8. Parental separation or divorce

Question 2

Conceptual framework for ACE study

Answer 2

ASADE

• Early death
• Disease, disability & social problems
• Adopts risky behaviours
• Social, emotional and cognitive impairments
• ACE

Question 3

Adult attachment theory

Answer 3

Perception of self
+‘ve -‘ve
Perception +’ve A. Secure C. Preoccupied
of others -‘ve D. Dismissing B. Fearful

Question 4

Functionality of bad habits

Answer 4

• If you have bad habits, it’s hard to dismiss them - need to teach and educate on how to do this

Question 5

What do we do with information about ACE?

Answer 5

• Acknowledge the problem
• Recognition in practice - seek history of it
• Ask how it has affected them

Question 6

OT role in trauma

Answer 6

• Trauma informed care
• Awareness of individual differences in:
  >risk and protective factors
  >health behaviours
  >treatment preferences
• Therapeutic use of engagement, participation and occupation
• Development of skills, routines and motivation