ARC
This presentation is the property of its rightful owner.
Sponsored Links
1 / 23

ARC PowerPoint PPT Presentation


  • 62 Views
  • Uploaded on
  • Presentation posted in: General

ARC. Attachment, Self Regulation and Competency “Children, Trauma and an Introduction to the ARC Model”. Overview. Why ARC Brain discussion ARC pyramid explained Other ARC Information Discussion Questions. Why ARC?. How does the child’s behavior make sense? Given that how can we help?

Download Presentation

ARC

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Arc

ARC

Attachment, Self Regulation and Competency

“Children, Trauma and an Introduction to the ARC Model”


Overview

Overview

  • Why ARC

  • Brain discussion

  • ARC pyramid explained

  • Other ARC Information

  • Discussion

  • Questions


Why arc

Why ARC?

How does the child’s behavior make sense?

Given that how can we help?

How do I keep going?

How do we as a team stay strong?


When its not working

When its not working

  • Little S*** Syndrome

    - At the store screaming “you’re the worst parent in the world, I hate you”, cutting up mom’s new dress, punching classmate Suzy for no apparent reason… etc

  • Ungrateful Little S*** Syndrome

    - We work really hard…

  • Little S*** and Big S*** Syndrome

    - Blaming each other


Brain

Brain …

  • How the brain works

  • The Alarm System

  • Complex vs. simple trauma

  • Developmental

    neglect

  • Effects of trauma

    on the brain

  • Snowball effect


Evolution of the brain neuroplasticity

Evolution of the BrainNeuroplasticity

The reason to have some brain knowledge is:

  • To help direct therapy

  • To help the system or parts of the system hold still through the bad weather and the long journey through the seemingly trackless forest


The brain is an architectural organ

The brain is an architectural organ

  • Bottom to top, inside to outside

  • Interconnected hierarchical regions

  • Architectural snowball


The brain is an historical organ

The brain is an historical organ

  • Neurons that fire together wire together – Donald Hebb 1949

  • Taxi drivers in London - hippocampus


The brain is a relational organ

The brain is a relational organ

- Failure to thrive

- Developmental Neglect

The brain is a plastic organ

- Younger, more plastic, more vulnerable, more amenable to therapeutic re-organization

- Older…


Neurosequential model of therapeutics

Neurosequential model of therapeutics

  • What were the adverse events?

  • How severe?

  • How old was the person?

  • Relational history – How stable and protective?


Brain body the alarm system

Brain/body:The Alarm System

(Paraphrased from Buddha’s Brain – the practical neuroscience of happiness, wisdom and love by Rick Hanson)

Triggering Event

  • Amygdala

    • Sounds the alarm

  • Thalamus (relay station in the middle of the brain)

    • sends wake up signal to brain stem


Arc

  • Brain Stem

    • Releases norepinephrine (adrenaline) throughout the brain

  • Sympathetic nervous system (SNS)

    • Sends signals to major organs and muscle groups getting them ready for fight, flight or freeze. Primary regulator of the endocrine system

    • Alerts pituitary gland


Arc

  • Pituitary Gland

    • Sends signal to adrenal gland

  • Adrenal Gland

    • Releases stress hormones epinephrine (adrenaline) and cortisol

      All this has taken one or 2 seconds after the initial alarm. The brain is on red alert, the SNS is lit up like a Christmas tree, stress hormones are washing through the body and it is ready for action.


Adrenaline and norepinephrine

Adrenaline and Norepinephrine

  • Heart rate up

  • Pupils dilate

  • Blood is directed to large muscle groups

  • Bronchioles of lungs dilate


Cortisol

Cortisol

  • Suppresses immune system

  • Revs up stress reaction

    • Causes brain stem to stimulate amygdale which then activates the SNS and the HPAA (Hypothalamic/pituitary/adrenal axis) which produces more Cortisol.

    • Suppresses hippocampol activity (which normally inhibits the amygdale). This takes the brakes off the amygdala which then produces more cortisol.

    • Shuts down the reproductive (sex drive) system

    • Digestion slows way down – salivation decreases, peristalsis slows down (dry mouth and constipation).


Emotions

Emotions

  • Emotions intensify – mobilizing, organizing and focusing the whole brain for action

    SNS/HPAA

  • SNS/HPAA arousal stimulates the amygdala which is hard-wired to focus on negative information and react intensely and to it. (Sets us up for fear and anger)


Runaway car

Runaway Car

  • As limbic and endocrine system rev up the relative strength of the prefrontal cortex goes down. Now we have a car with a stuck accelerator and the driver has less control over it.

    Attribution

  • Appraising situations and attributions of other’s intentions are pushed to the negative. “Now the driver of the careening car thinks that everybody else is an idiot.”


Arc

ARC

  • Developed by…

  • Why does ARC work for treating complex trauma?

  • Main Ideas, 10 building blocks and the ARC pyramid

  • Fitting it into YOUR practice, staying true to the inner therapist


Attachment self regulation and competency framework

Attachment, Self- Regulation, and Competency framework

ARC Developed by

  • Kristine M. Kinneburgh, LICSW

  • Margaret E. Blaustein, Ph.D.

  • The Trauma Center at JRI

    * 2 day ARC training with Margaret Blaustein on October 18th and 19th at Lake Morey

    Blaustein & Kinneburgh, 2010; Kinneburg & Blaustein, 2005


10 building blocks

Trauma Experience Integration

Dev’tal Tasks

Dev’tal Tasks

Executive Functions

Self Dev’t & Identity

Affect Expression

Affect Identification

Affect Modulation

Routines and Rituals

Caregiver Affect Mgmt.

Attunement

Consistent Response

10 Building Blocks


Treating complex trauma

Treating Complex Trauma

Requires an intervention that:

  • Addresses a continuum of exposures (layers of chronic and acute), which includes ongoing exposure

  • Is embedded in a social/contextual framework

  • Is sensitive to individual developmental competencies and deficits, and flexible in its approach

  • Addresses individual, familial, and systemic needs and strengths

    Blaustein & Kinneburgh, 2010; Kinneburg & Blaustein, 2005


Arc framework key components

ARC Framework: Key Components

  • 3 Core Domains key to healthy development

  • 10 Foundational Building Blocks

  • Flexible/ creative implementation

  • Child, family, and system specific goals

  • Active involvement of caregivers and larger system

  • Collaborative/ transparent intervention

  • Sleep, Nutrition and Exercise – Hierarchy of Needs

    Blaustein & Kinneburgh, 2010; Kinneburg & Blaustein, 2005


Questions

Questions

???


  • Login