Week 14 - Complex Trauma

Question 1

Complex Trauma - defined

Answer 1

“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”

Question 2

Battered Child Syndrome - define

Answer 2

*Term came out in 1962

the collection of injuries sustained by a child as a result of repeated mistreatment or beating

Question 3

Trauma - defined

Answer 3

comes from the Greek word meaning wound – in this case it refers to emotional shock following a stressful event that is deeply distressing

Question 4

Trauma tends to be TRANSGENERATIONAL, meaning…

Answer 4

caregiver’s actions are based on his/her own previous parenting experiences

Question 5

Most fatal form of Complex Trauma is from _____

and ____ to seek medical attention

Answer 5

neglect & failure

Question 6

True or False: Poverty predisposes a child to abuse

Answer 6

true

Question 7

True or False: abuse doesn’t occur in wealthy families

Answer 7

False - it can occur in any family

Question 8

1 Cause of child abuse

Answer 8

Parents

Question 9

___% of abusers are female

Answer 9

54

Question 10

Females offenders tend to ____ whereas male offenders tend to ____ abuse the child

Answer 10

Neglect

Sexually

Question 11

(affect of abuse) Somatization - defined

Answer 11

mental and emotional stress becomes physical complaints in the absence of an explained diagnosis

Question 12

(affect of abuse) Dissociation - define

Answer 12

an “out of body experience” in which the person detaches from an event that is overwhelming stressful

Question 13

True or False: Children tend not to report abuse due to fear, guilt, confusion or inability to verbally communicate the harm inflicted on them

Answer 13

True

Question 14

(found in abuse) Alexithymia - define

Answer 14

impaired capacity to describe emotions or bodily states such as hunger, need for elimination, expressed emotions, needs, and desires

Question 15

Attachment Style: Avoidant attachment

Answer 15

due to caregiver rejections inability to form relationships with peers and adults

Question 16

Attachment Style: Ambivalent attachment

Answer 16

due to caregivers who demonstrate neglect or intrusiveness they then tend to separate from others

Question 17

Attachment Style: Disorganized attachment

Answer 17

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

Question 18

Studies show that abused children show ____ hemisphere EEG abnormalities in the ___, temporal, and ___ areas of the brain

Answer 18

left
frontal
parietal

Question 19

Decreased _____ activation – primary role is threat detection for fight/flight/fright/freeze response and new memory formation

Answer 19

amygdala

Question 20

Reduced _____ growth – responsible for new

memory and learning

Answer 20

Hippocampus

Question 21

Decreased function of the _____ ______ – responsible for emotional regulation

Answer 21

corpus callosum

Question 22

OT Performance skills primarily impacted include:

Answer 22

• Emotional regulation skills
• Cognitive skills
• Communication skills
• Social skills

Question 23

Children may have problems with bathing, toileting, _____ (defecating), & _____ (urinating)

Answer 23

• encopresis (defecating in inappropriate places)

* enuresis (urinating in inappropriate places)