Reflection Journal-Related Learning revised TRMA 840

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Apr 3, 2024

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1 Reflection Journal: Related Learning Reflection Journal: Related Learning Janelka Williams School of Behavior Sciences, Liberty University
2 Reflection Journal: Related Learning Introduction The reality is that everyone will encounter some form of trauma throughout their lives. However, the way that everyone will handle and process that trauma will be different. Some may find it easy to move on from the traumatic experiences while others may carry the weight of it for the rest of their lives. There will be those who attempt to block out their trauma, hoping to never confront it again, only to have it resurface at inconvenient times. I have witnessed that most my clients tend to experience trauma during their childhood or adolescent years. This period in life can be perplexing as we struggle to understand the complexities of our own emotions and experiences in life. Nonetheless, recent studies have shown innovative treatments in assisting individuals in coping with and releasing the trauma in unique ways. Trauma has a profound impact on the physical body, often manifesting in pain and contributing to the development of certain diseases. However, with the help of these innovative studies, we can approach future endeavors and the healing of trauma with hope and faith. Children and Trauma Many children and adolescents experience traumatic events, such as abuse, neglect, violence, natural disasters, and accidents. Unfortunately, some individuals endure multiple and prolonged traumas, which can have a tremendous impact on their well-being. Research indicates that a significant proportion of young people face more than their fair share of traumas, with 22% of surveyed children experiencing four or more different types of victimization within a year (Wamser, 2013).
3 Reflection Journal: Related Learning Childhood traumatic experiences have comprehensive consequences, affecting both physical and mental health. Traumatic experiences have been associated with a range of problems, including risky and self-injurious behaviors, negative parenting outcomes, revictimization, and engagement in interpersonal violence. It is important to note that these effects extend beyond the diagnostic criteria of Post-Traumatic Stress Disorder (PTSD), even when considering acute traumatic events. In cases of poly-victimization, the impact of PTSD may be overshadowed by the magnitude of other negative outcomes (Wamser, 2013). These findings highlight the urgent need for holistic approaches to address the consequences of childhood trauma. Effective interventions should not solely focus on the diagnosis of PTSD but should also consider the broader impact on the individual's physical and mental well-being, as well as their social and interpersonal functioning. By taking a multifaceted approach to trauma treatment, we as professionals can work towards promoting healing, resilience, and long-term recovery for these young vulnerable individuals. Innovative Studies in Trauma In her work, Fisher (2014) reflects on her clinical internship in a major city hospital back in 1989. During that time, the patients she encountered, ranging from professors to working-class families, and even the homeless and chronically mentally ill, were all struggling with the effects of trauma, although it went unrecognized. At that point in history, trauma was only associated with combat veterans and survivors of sexual violence. It had been 15 years since the establishment of the first rape crisis center and just nine years since post-traumatic stress disorder (PTSD) was officially recognized as a diagnosis in the DSM. In those days, trauma was narrowly defined as an event that fell outside the scope of normal human experience. The understanding of trauma was limited, and clinicians did not routinely inquire about early abuse or trauma in their
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4 Reflection Journal: Related Learning clients. The belief was that uncovering buried memories was the key to liberating trauma sufferers. Fisher (2014) notes how far we have come in the past 25 years. The focus has shifted from delving into the darkness and unspeakable horrors of trauma to helping survivors find light, reconnect with their bodies, tap into their inner resources, and embrace their resilience. This new approach marks a paradigm shift in trauma treatment, acknowledging that while acknowledging and processing the pain is important, it is equally important to empower individuals to find strength and healing. By guiding clients towards their own sources of light and resilience, therapists can facilitate a transformative journey towards recovery and growth. Trauma and the Body   There is an urgent need for comprehensive and holistic approaches to address the consequences of childhood trauma. Effective interventions should not solely focus on the diagnosis of PTSD but should also consider the broader impact on the individual's physical and mental well-being, as well as their social and interpersonal functioning. By taking a multifaceted approach to trauma treatment, professionals can work towards promoting healing, resilience, coping and long-term recovery for these vulnerable individuals. According to Fisher (2011) a recent understanding of trauma has shown that its impact is not only psychological but also somatic, meaning that the body continues to respond as if danger is still present long after the traumatic events have occurred. Traditionally, therapy for trauma and attachment issues focused on creating a narrative to access and express the associated emotions. However, more recent approaches have included psychopharmacological symptom management and cognitive-behavioral therapy.
5 Reflection Journal: Related Learning Sensorimotor psychotherapy takes a different approach by primarily using exposure to the details of the traumatic event to access and address the unresolved somatic (body) and affective (emotional) components of the memory. During therapy, as the patient recounts a traumatic experience, the therapist listens attentively to both the narrative and the body responses. They specifically look for signs of unresolved emotional, muscular, visceral (organ- related), or autonomic (involuntary bodily functions) activity. The therapist then intervenes to interrupt the trauma-related reactions and helps the individual refocus their attention on the somatic responses. This process allows the sensations and emotions to be witnessed simply as bodily experiences rather than signals of ongoing danger (Fisher, 2011). By addressing the somatic and affective aspects of trauma, sensorimotor psychotherapy aims to provide relief and healing beyond traditional approaches that focus solely on talk therapy or medication. This approach recognizes the interconnectedness of the mind and body and works towards resolving the physical and emotional impacts of trauma. Psychodrama According to Fisher (2011) a profound connection between our bodies and minds was unraveled by neurophysiology, unveiling a unified and continuous system. Within this system, emotions find their home in the body, as we experience and convey them through our physical being. The weight of pressure and the bliss of happiness are sensations that pulsate within us. Deep emotions take root in our hearts, while pain embeds itself in our very muscles (Fisher, 2011). Through the art of psychodrama, the somatic memory rises to the surface of conscious awareness, allowing for a reconnection between the mind and body. As I read this approach I
6 Reflection Journal: Related Learning contemplated, the concept of Internal Family Systems (IFS), where protectors and managers attempt to suppress our emotions. Yet, it becomes clear that we must embrace our inner exile and liberate the stored emotions within our bodies, for they hold the undeniable truth. Psychodrama can help with the release of those memories and putting them into perspective on the journey to healing. Christian Worldview The Bible emphasizes that God does not want us to bear burdens alone noted in scripture. Scriptures urges us to cast our cares upon the Lord and find rest in Him. As someone who helps others heal and alleviate their burdens, I find great fulfillment in this work. To me, trauma is a weight that needs to be lifted, and with the help of the Lord, I am dedicated to assisting in the healing process. In Matthew 18:10, we are reminded not to overlook the importance of even the smallest among us (children), for their angels constantly behold the face of our heavenly Father. Hebrews 12:1-29 encourages us to shed the weights that hinder our spiritual journey, particularly the sins that easily entangle us, and instead run the race set before us with endurance. The words of Jesus in Matthew 11:28–30 provide solace to those burdened and weary, inviting them to come to Him and find rest. His yoke is easy, and His burden is light. Life can be hard, and the burdens it imposes can feel overwhelming. However, we need not carry them alone. We can find comfort in the promises of God. Psalm 55:22 assures us that if we cast our burdens upon the Lord, He will sustain us, never allowing the righteous to be shaken. Isaiah 41:13 promises that God will hold our hand and help us in times of fear and struggle. 1 Peter 5:6-7 encourages us to humble ourselves before God, casting all our cares upon Him, knowing that He cares for us.
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7 Reflection Journal: Related Learning In summary, the Bible teaches us that we do not have to carry the weight of our burdens alone. God welcomes us to cast our cares upon Him and find rest. As we experience His support and guidance, we are to encourage and to extend the same compassion and assistance to others. Galatians 6:2 instructs us carry each other's burdens, and in this way, you will fulfil the law of Christ. Once God has lifted our burden, He calls upon us to support and help others in their journeys.
8 Reflection Journal: Related Learning Reference Fisher, J. (2011). Sensorimotor approaches to trauma treatment.  Advances in Psychiatric Treatment,   17 (3), 171-177. Fisher, J. (2014, May). Putting the Pieces Together: 25 Years of Learning Trauma Treatment. Psychotherapy Networker The Holy Bible, New International Version. Wamser, R. A. (2013).  Complex Trauma in Children and Adolescents  (Order No. 3602604).