Professor Sue Bailey President of the Royal College of Psychiatrists, consultant child psychiatrist and adolescent forensic psychiatrist. Speaking on childhood and adolescent trauma – impacts on development, and on individual health across the lifecourse
Speaking at Beyond Youth Custody's conference: Childhood trauma and young people in the criminal justice system, 19 November 2013.
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Childhood and adolescent trauma - Sue Bailey
1. „Childhood and adolescent trauma – impacts on
development, and on individual health across the
lifecourse‟
Beyond Youth Custody
19 November 2013
Professor Sue Bailey OBE FRCPsych
2. What is “trauma”? –
some definitions
“Trauma is an emotional wound,
resulting from a shocking event or
multiple and repeated life threatening
and/or extremely frightening
experiences that may cause lasting
negative effects on a person, disrupting
the path of healthy physical, emotional,
spiritual and intellectual development.”
National Child Traumatic Stress Network (NCTSN)
3. “Individual trauma results from an event,
series of events, or set of circumstances that
is experienced by an individual as physically
or emotionally harmful or threatening and
that has lasting adverse effects on the
individual's functioning and physical, social,
emotional, or spiritual well-being. . . In short,
trauma is the sum of the event, the
experience, and the effect.”
Substance Abuse and Mental Health Services Administration (SAMHSA)
4. Traumatic events
emotional,
physical, and
sexual abuse;
neglect;
assaults, bullying;
witnessing family,
school, or
community
violence;
war;
racism;
acts of terrorism;
disasters;
serious accidents;
serious injuries;
loss of loved ones;
abandonment;
separation
5. “A key condition that makes these
events traumatic is that they can
overwhelm a person‟s capacity to cope,
and elicit intense feelings such as fear,
terror, helplessness, hopelessness, and
despair.”
NCTSN
6. Not all traumatic events generate lasting
damage - the impact of traumatic events is
partly dependent on:
previous experience of trauma;
mental and emotional strengths &
weaknesses (resilience);
what kind of support the individual has (at
home or elsewhere)
7. Neuroscience – The brain has plasticity up until
the late 30s and possibly beyond
Nature
Nurture
„Change continues throughout the life cycle, but changes for better or worse
are always possible. It is continuing potential for change that means that at
no time is a person invulnerable to every possible adversity, and at no time
is a person impermeable to favourable influence.‟ (Bowlby, 1965).
23. Personal/self system domain Child
Delayed theory of mind
Dissociation
Shame (CSA)
Reduced symbolic play
Impaired self recognition
Impoverished internal language
24. Personal/self system domain Adolescent
Reduced self esteem
Impaired perceived competence
Continuing shame (CSA)
Recklessness and risk taking
behaviours
Self harm
External locus of control
32. Recent advances in
conceptualisation of emerging
personality disorder – eg the
CAPP
Comprehensive assessment of
psychopathic personality (also
version for borderline)
33. Explication of construct of
psychopathy and emerging
psychopathy as a dynamic
phenomenon and therefore open
to positive and adverse influence