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Centre of Knowledge. Supporting Recovery from Trauma: Lighthouse Therapeutic Family Model of Care ™ Rudy Gonzalez, Executive Director. What Do We Mean by Trauma?. These examples are for illustrative purposes only and are not intended to minimise the effects of any trauma on an individual.
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Supporting Recovery from Trauma:Lighthouse Therapeutic Family Model of Care™Rudy Gonzalez, Executive Director
These examples are for illustrative purposes only and are not intended to minimise the effects of any trauma on an individual
Theoretical Underpinnings Attachment Theory Object Relations Theory Psychological Wellness Theory Trauma Neurobiology
Object Relations Theory -Winnicott • Prime motivational drive in humans is to form relationships with others • Style of relationship that develops in infancy to early childhood becomes part of an internal blueprint or a learned way of relating to others • Past relationships are replicated when we establish and maintain future relationships, which impact on our sense of identity • People from traumatic relational environments may have difficulty in forming and maintaining constructive and healthy relationships
Object Seeking Behaviour • “It is as if in early childhood we create a script for a drama and then spent the rest of our lives seeking out others to play the parts. This does not mean the script cannot be changed. However, the more traumatic our early self-object relations, the more rigid and resistant to change we become” (Klee, 2009).
Projective Identification In projective identification the person who is targeted with the projection begins to behave, think, and feel in a way that is consistent with what is being projected into him Projection Projective Identification
Wellness can only be achieved through the combined presence of personal, relational and collective wellbeing W
Impact of Trauma on DevelopmentDevelopmental vs. Chronological Age An understanding of how the brain develops has significant implications for us in our work with traumatised people. It is natural that we first of all relate to a person in a chronological way. We see a middle aged person and we have normal expectations of a person that age. However, if a person has been severely traumatised in early childhood their brain may not have developed at a pace with their chronological age. If a person has been so traumatised that the limbic and cortex parts of the brain are largely undeveloped, this person may be functioning in many respects as a child. Barton, Gonzalez & Tomlinson(2012)
Activity Trauma OrganisedSystem
What is Recovery from Complex Trauma? The goal of therapy is to get children back on their developmental pathway Anna Freud Recovery is when the child has internalised the therapeutic process Rudy Gonzalez
Organisational Trauma Informed Practice -Systems Recovery Process Therapeutic Relationships The Group Therapeutic Environment The Organisation The Community
Therapeutic Relationships Michelangelo described his work as a sculptor as a process of removing the excess marble concealing the beauty of the figure within. His job, he was reported to have said, was a process of uncovering rather than creating. Working with people is often like this. Working effectively with people requires that you create and shape relationships that are therapeutic…. Fuller(1998)
Therapeutic Group Processes Recovery from injuries perpetrated in a social context must occur in a social context. These centers, responsible for healing, must become therapeutic communities where recovering is more important than control, and compassion and empathy drive out fear and coercion. (Farragher & Yanosy, 2005)
When group dynamics are managed effectively, and the emotional aspects of the supervision process are attended to, the group supervision setting can provide invaluable resources that are not available in the context of individual supervision. Andersson (2008, p.36 - 38) When supervision takes place in a group setting, a greater range of feedback, support, challenges and viewpoints on clinical issues can be obtained. Andersson (2008, p.36 - 38)
Therapeutic Environment Traumatised people benefit from caring environments that are attuned to their emotional states. Where workers can adjust the environment to support emotional regulation, and can provide predictable responses and routines that assist in reducing hyper-arousal. (Tucci, Mitchell and Goddard, 2010)
OrganisationsAs Therapeutic Settings Provides a therapeutic milieu The Organisation as Therapist
The Community Senseof community: • The feeling that one is part of a readily available supportive and dependable structure. Sense of community transcends individualism in that to maintain such an interdependent relationship one does for others what one expects from others. • Sarason(1974)
