Mervin Smucker 2012 - Critical Factors Affecting Trauma Treatment

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Mervin Smucker

Mervin Smucker (2012). Critical factors that affect the course of trauma treatment

Health & Medicine

1
Smucker, Mervin (2012). Critical factors that affect
course of trauma treatment.

2
3 major factors that affect the course of
trauma treatment
#
1. Typology
2. Presence of predominant trauma-related emotions?
primary emotions
• fear, horror, disgust
secondary emotions
• guilt, shame, anger
3. Degree of stabilization

3
Typology of Traumatic Events
Accidental Trauma Man-Made Trauma
Type I Trauma
• single incident
• acute life threat
• unexpected
• traffic accidents
• occupational trauma
(police, fire fighter)
• work-related trauma
• short-lived natural
disaster (hurricane)
• criminal/physical
violence
• sexual or physical
assault
• armed robbery
• domestic violence
Type II Trauma
• repeated
• prolonged
• unpredictable
course
• long-standing natural
disasters (flood)
• technological
catastrophes
(e.g., toxic gas)
• child sexual/physical
abuse, severe neglect
• emotional abuse
• combat/war/torture
• kidnapping/hostage
taking, imprisonment

4
Non-FEAR Emotions often
predominant in PTSD
Anger Self-Blame
Shame
Guilt Helplessness

Initial Focus on Stabilization
• Presence of significant stressors in daily life?
• Ongoing traumas?
• Current substance or alcohol abuse?
• Involvement in abusive relationship/situation?
• Presence of self-abusive/injurious behaviors?
• Significant suicidality?
• Diagnosis of DID?
• Repeated dissociation during exposure/emotional
processing?
• Significant sleep disturbance/deprivation?

Stabilization Interventions
• Dialectical Behavioral Therapy
– Affective Regulation
– Mindfulness Training
• Sleep-Focused Interventions
– Medication
– CBT
• Self-Calming/Self-Soothing Exercises
• Stabilization Imagery
• Grounding Interventions
– Relaxation Exercises, Music, Dance
– Physical Activity / Exercise
• Medication Management

When relative stabilization is
present, proceed with
Trauma Processing
Interventions

CBT Trauma-Processing
Models
• Dual Representation Theory
• Cognitive Therapy Model
• Imagery-Based CBT Models

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In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx

Swetaba Besh

Intramuscular & Intravenous Injection.pptx

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