The Deepest Well.edited

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Nairobi Institute of Technology - Westlands *

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HUMAN RESO

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Medicine

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Nov 24, 2024

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docx

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5

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1 The Deepest Well Student’s Name Institutional Affiliation Course Instructor Date
2 The Adverse Childhood Experience Adverse childhood experiences, called ACEs, are severe incidents in children under 18 (Matjasko et al., 2022). A person's health can be affected by ACE at any stage, and it can be prevented. It occurs in different forms and sizes. These devastating incidents cause toxic stress in young individuals, raising their risk of substance abuse problems, chronic illnesses, and occasional suicidal thoughts. ACE abuse can manifest in various ways (Matjasko et al., 2022). Sexual, physical, and emotional abuse are the three main categories (Guinn et al., 2022). According to Guinn et al. (2022), a child's growth is similarly harmed by both physical and emotional abuse. The particular elements that different types of abuse and neglect produce are known as ACEs, and they are frequently present in conjunction with a psychological disorder in the household, hatred in the community or at home, or even separation or divorce between both parents. Abusive Behavior in the Deepest Well Burke Harris (2018) covered several incidents in her work. Diego was just a young child who had stopped growing taller after being repeatedly sexually molested by a family acquaintance when he was only just four years old (Burke Harris, 2018). Trinity was a young woman who had been evaluated for ADHD because she had schoolwork issues (Burke Harris, 2018). Due to her dependence on heroin (substance use disorder within the apartment), Trinity's mother could not support her. Trinity was diagnosed with Grave's illness instead of ADHD after thoroughly examining the kid's ACE score and her display of clinical signs (Burke Harris, 2018). After that, an upcoming mother called Charlene and her 5-month-old daughter, Nia, made up a little household (Burke Harris, 2018). Although Nia arrived to start care and allay concerns regarding the fact she was not losing, thereby affecting both of the patients at Bayview Clinic
3 had ACEs (Burke Harris, 2018). When Nia first appeared at Bayview, the baby showed signs of mental and physical abuse and was later diagnosed with failure to thrive. We were unaware of Charlene's ACEs, even though she had them (Burke Harris, 2018). Stress Reaction Mechanism The human brain's reaction to stress system comprises several brain areas (Burke Harris, 2018). The brain system's amygdala, which also controls feelings, recall, inspiration, and actions, houses the frightened center (Burke Harris, 2018). The prefrontal cortex also controls how people organize, judge, and apply logic (Burke Harris, 2018). The region is known as the ventral tegmental area (VTA), which generates dopamine which makes people feel beneficial, results in inspiration, incentive, and maybe dependency, and the hippocampus, which regulates the generation and retention of recollections (Burke Harris, 2018). Dysregulated Stress Response The stress-reaction systems can become dysfunctional if it is inactive or, more seriously, overactive (Agorastos et al., 2019). To control how we react to stressful situations and stimulate the hypothalamic-pituitary-adrenal (HPA) axis, the limbic system in the middle of the brain releases cortisone. According to the false alarm theory, a person cannot distinguish between terrifying and not when their amygdala or alarm system is overactive due to stress (Burke Harris, 2018). When the Locus Coeruleus (LC) is overactive, more noradrenaline is released, which increases anxiety, arousal, and aggression (Burke Harris, 2018). Locus Coeruleus and amygdala dysfunction limit the prefrontal cortex's ability to regulate impulses, maintain sustained attention, and solve problems (Burke Harris, 2018). Further, the hippocampus' capacity to create both short-term and long-term memories is hampered by the amygdala (Burke Harris, 2018). Stress can reduce the sensitivity of dopamine receptors,
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4 requiring more dopamine to have the same happy effect in the brain and body (Burke Harris, 2018). As shown, anomalies in the stress response system can affect neurobiology, behavior, and immune system function (Agorastos et al., 2019). This finally leads to mental health problems, chronic illnesses, and a rise in risky behaviors (Agorastos et al., 2019). The Bear Some individuals witnessed a bear at some point in their lifespan. Still, even if they had, most of them continue to consider it to be a dangerous and unsettling creature. The brain has been trained to perceive a large animal like a bear as hazardous and capable of threatening humankind just by being there. The instinct to flee or freeze occurs whenever a kid suffers harmful stress due to neglect, exploitation, or another issue (Guinn et al., 2022). This response arises whenever the youngster is abused or standing before a bear. While your nervous response generates adrenaline and cortisol, the human body undergoes several physiological alterations, such as increased heart rate, blood pressure, rapid breathing, pupil dilation, impaired digestion, and excessive perspiration. The bear symbolizes the ACEs, the brain's constant warning that nothing terrible is happening around humans. A phenomenon we should be afraid of, yet it is often necessary. Like we have succeeded with locked garbage containers in protected areas like Yellowstone to dissuade bears, we must educate citizens about ACEs and determine the danger and mitigating variables. Kids shouldn't have to spend their lives alone in the forest, feeling like a million bears are around.
5 References: Agorastos, A., Pervanidou, P., Chrousos, G.P. & Baker, D.G. (2019). Developmental trajectories of early life stress and trauma: A narrative review on neurobiological aspects beyond stress system dysregulation. Frontiers in Psychiatry, 10(118), 1-25. https://doi.org/10.3389/fpsyt.2019.00118 Burke Harris, N. (2018). The deepest well: Healing the long-term effects of childhood trauma and adversity. Mariner Books. Guinn, A. S., Ottley, P. G., Anderson, K. N., Oginga, M. L., Gervin, D. W., & Holmes, G. M. (2022). Leveraging surveillance and evidence: preventing adverse childhood experiences through data to action. American Journal of preventive medicine, 62(6), S24-S30. https://doi.org/10.1016/j.amepre.2021.12.003 Matjasko, J. L., Herbst, J. H., & Estefan, L. F. (2022). Preventing adverse childhood experiences: the role of etiological, evaluation, and implementation research. American Journal of preventive medicine, 62(6), S6-S15. https://doi.org/10.1016/j.amepre.2021.10.024