Week 14 - Complex Trauma Flashcards
Complex Trauma - defined
“is the result of MULTIPLE exposure to
traumatic events, maltreatment, or polyvictimization
beginning in early childhood or adolescent, occurring
within the context of unpredictable, uncontrollable, and
violent environments in conjunction with inconsistent or
absent protective caregiving”
Battered Child Syndrome - define
*Term came out in 1962
the collection of injuries sustained by a child as a result of repeated mistreatment or beating
Trauma - defined
comes from the Greek word meaning wound – in this case it refers to emotional shock following a stressful event that is deeply distressing
Trauma tends to be TRANSGENERATIONAL, meaning…
caregiver’s actions are based on his/her own previous parenting experiences
Most fatal form of Complex Trauma is from _____
and ____ to seek medical attention
neglect & failure
True or False: Poverty predisposes a child to abuse
true
True or False: abuse doesn’t occur in wealthy families
False - it can occur in any family
1 Cause of child abuse
Parents
___% of abusers are female
54
Females offenders tend to ____ whereas male offenders tend to ____ abuse the child
Neglect
Sexually
(affect of abuse) Somatization - defined
mental and emotional stress becomes physical complaints in the absence of an explained diagnosis
(affect of abuse) Dissociation - define
an “out of body experience” in which the person detaches from an event that is overwhelming stressful
True or False: Children tend not to report abuse due to fear, guilt, confusion or inability to verbally communicate the harm inflicted on them
True
(found in abuse) Alexithymia - define
impaired capacity to describe emotions or bodily states such as hunger, need for elimination, expressed emotions, needs, and desires
Attachment Style: Avoidant attachment
due to caregiver rejections inability to form relationships with peers and adults
Attachment Style: Ambivalent attachment
due to caregivers who demonstrate neglect or intrusiveness they then tend to separate from others
Attachment Style: Disorganized attachment
due to unpredictable stress of physical or sexual abuse and absence of a protective caregiver they tend to have difficulty with regulation of emotions, problem solving through the use of language/expression, managing stress and developing empathy
Studies show that abused children show ____ hemisphere EEG abnormalities in the ___, temporal, and ___ areas of the brain
left
frontal
parietal
Decreased _____ activation – primary role is threat detection for fight/flight/fright/freeze response and new memory formation
amygdala
Reduced _____ growth – responsible for new
memory and learning
Hippocampus
Decreased function of the _____ ______ – responsible for emotional regulation
corpus callosum
OT Performance skills primarily impacted include:
- Emotional regulation skills
- Cognitive skills
- Communication skills
- Social skills
Children may have problems with bathing, toileting, _____ (defecating), & _____ (urinating)
- encopresis (defecating in inappropriate places)
* enuresis (urinating in inappropriate places)
