I share your frustration. Traumatologist Sandra Bloom made this statement which helps describe this problem, in part:
“We now know a great deal about the impact of trauma and despite this, training programs, degree programs, teacher preparation courses, etc., are still woefully deficient in conveying the research data to the people who need to know it,” said trauma expert Sandra Bloom, M.D. “Trauma training is not about the seemingly simple problem of giving people information. The real problem is that the material is challenging, threatening, and it may elicit resistance to change and denial within individuals and within entire systems. Any effort to [improve trauma services] will have to contend with this resistance if efforts are to be in any way successful,” said Bloom.” The Damaging Consequences of Violence and Trauma. (2004). National Association of State Mental Health Program Directors. http://bit.ly/JGS5QE
Welcome Chris to our group. I think you make a very good point about the barriers that we face. One of the biggest barriers that I am going to address is our educational system. We are so quick to put a label on a student with out any consideration as to what is going on with that student in their personal lives, we don't ask the question. Through Dr. Feltti's research on the ACE Study, we know that to help a person to become resilient and to trump their ace's, it is through a caring adult relationship. We made the paradigm change two years ago and have seen students make some incredible transformations in their lives. However, at the age that I get my kids, the damage is already done, the scars and the wounds run deep. I see wonderful kids that will self destruct the closer they get to success. My ASB president is sitting in county jail, lost his college scholarship, lost graduation and his diploma, and looks like he will be serving some jail time. My prayer is that being locked up will help him over time get sober and that the addiction to Meth will be gone. The message that I am going to be taking to my peers is; do you want a compassionate approach that holds students more accountable or do you want a punitive approach that adds to the stress and pain that the student is already experiencing? We're not counselors, mental health experts, or medical professionals. However, we can build positive relationships, address the cause of the behavior rather than reacting to the infraction. I appreciate your feedback and I agree that we are up against some difficult challenges, but change may come one person at a time or one school at a time. Morally, I don't see how we can not keep toxic stress out of the conversation. Thanks again Chris, Jim
Excellent points, Jim, about our educational system! I agree with and understand everything you said. So incredibly sad about your ASB president. You said you would say to your peers: "or do you want a punitive approach that adds to the stress and pain that the student is already experiencing?" I would add the additional talking point that the individual's suffering will spill over in some form into "the group" (our society). I like this one-page breakdown of ACE stats http://bit.ly/L70vSe. Notice the annual cost to society: $103,754,017,492. That *might* help change some minds. Also, please consider watching Tavis Smiley's: Too Important to Fail http://bit.ly/NE4FnM ? I think it's a great watch with perhaps some good ideas for additional talking points for the field of education. I completely agree with you: "change may come one person at a time or one school at a time." This is epidemiologist Dr. Slutkin's premise, too. We are all individual cells that affect the health of our greater body, society. Science has now proven we are biologically interconnected and that each and every one of our actions has an effect on others. I agree with you, morally we can not keep this new science out of the conversation. If we do, we are just putting continued pressure on the "self-destruct" button. Thank you for this discussion!
I just added a video you might be interested in, too: Interpersonal Neurobiology http://bit.ly/NEqQu7. Dr. Siegel talks about the need for mindsight in our education system.
Chris, thank you for the excellent links. I really appreciate you putting this together. Your feedback certainly shows the need for application instead of isolation. A friend of mine sent me President Obama's 2008 speech that was given on Father's day. Powerful, identified the problems that we are facing in American and the break down of the family. Today 2012, how far have we come? Who as addressed the specific problems that need our immediate attention if we are going to turn our nation around. I think you really identified the challenges and the resistance that is before us in order to make change happen. I feel we have to draw courage from one another, support one another and keep pushing forward. The costs that you quote for doing nothing is significant. However, if we can help one person at a time from a life of long term illness, incarceration, life of substance abuse, abusive parenting, and a lifetime of poverty, we can make a significant change for those fortunate ones that are picked out of the dark endless hole. Thanks again Chris, this was very helpful. Jim
Let's, first, look at ourselves before looking to others.
Of people who see a psychiatrist (at any time in their lives) -- and how many of us have not? -- 70% were hurt as kids -- with profound neurobiological damage. If you doubt this, please review the epidemiologic data at bornforjoy.com. (And please, enjoy the site.)
The ACEs questionnaire is a research tool and has given us invaluable data about the need to address the neurobiological sequelae of childhood hurt, not only for the humanity of the thing but also to prevent serious physical illness. It is not a clinical alternative to speaking with out patients -- doing a sensitive, careful evaluation of neuropsychiatic illness should the ACE Score be high. Even if low, healthcare professionals need to assess patients presenting with any ACE-related medical illness for the three syndromes outlined in bornforjoy.com. These are treatable syndromes -- because one can neurobiologically confirm a clinical diagnosis and because treatment is essentially without risk (look at the website).
We can, each of us, get treatment ourselves and then prioritize treatment of adults thinking to become parents. Treating children, clearly, depends on focusing our diagnostic and treatment efforts on their parents.
This is nobody's fault. It is a consequence of the violent roots of civilization. But each of us can address the problem -- because we care and, in most cases, because we ourselves were hurt.
Enough of the talk. We fear help because adapting to childhood pain, we cut ourselves off from trusting the divine unity and beauty of Life -- and of ourselves. If we -- we -- don't walk the walk, how can we blame others? And when we do, we see there is no blame -- just Life, sorting itself out and healing.
Developing acceptance and action on this issue requires a major paradigm shift which society is not ready to accept. Too many systems are threatened by this information. It would mean that most of us would have to admit that we have been on the wrong track most of our careers. However as I tell the CPS parents in our classes - There are no do-overs, only do-betters.
The level of arrogant ignorance of many areas in our current society is staggering. The two common themes I see in this is a simplistic, almost punitive approach (think our war on drugs) toward "solutions" and a lack of compassion toward suffering, the most common of human conditions. I find our collective psychic numbing to suffering as understandable as repugnant. The largest form of terrorism in the world is child abuse and good research on the long term economic costs of this might be one way pragmatic compassion can break through the icy numbing. Felitti's decades-long work on ACEs is exactly that data we need. Our work is to form networks and get this information out in as many venues as possible.
When I teach trauma education to the psychiatry residents at our Department, I always include a short piece I wrote for Milspeak, and artistic communication blog for the military and their families.
Sometimes, we do best when we learn from the millions of years of adaptation of our bodies. When we have physical wounds, we have an open port to the world that can be contaminated and is often painful. Our initial response is to cover or bandage it, thus protecting the wound from further harm. If someone or something attempts to touch the wound, we push or pull away and withdraw. Over time our wounds weep and leak and represent a chronic source of potential infection. We become sensitive to anything near the wound and avoid even the remote chance that it will be identified and further traumatized. Sometimes the wound becomes a source of chronic awareness from which we cannot escape. Sometimes the bandage becomes so much a part of us that we think it is normal, our identity.
We start to heal when we gently remove the bandage and clean the foreign bodies from the area. Removing old crusty bandages too quickly can further damage the area. Often, the bandages are first soaked in a warm, neutral liquid so that they can be removed relatively gently. Cleaning a wound can involve some discomfort but our bodies tend to attenuate some of the pain. Our wound then slowly heals.
Healing is natural process of a healthy body and encompasses two general principles. Time heals clean wounds and wounds heal from the inside out. These processes are the same whether our injuries are physical wounds to our skin or wounds to our souls.
Soul wounds are acquired in simply passing through life's journey. They can also be acquired via the slings and arrows of outrageous fortune. The traumas range from child abuse and neglect though loss of loved ones to war, which encompasses all known human traumas. Soul wounds are very similar to wounds on the surface of our body. They weep and allow our essence to seep away, giving us the sense emptiness and never being whole. To avoid feeling the pain of emptiness, we apply soul bandages to the wound. These bandages can take many forms. We can attack others or ourselves, thus protecting the wound by temporarily displacing the pain. We can withdraw from human contact, protecting our souls from human touch and intimacy. Or we can avoid the pain and emptiness by substituting psychoactive substances and/or behaviors that dull the pain or numb the emptiness. Drugs, sex, gambling are only part of the cornucopia of potential human avoidant responses.
In intimate human interactions, it is the sticky skin covering our souls that touches, adheres, and transfers our affects and emotions to others. Open wounds prevent this bonding, as touch in these cases can be painful, and we withdraw from human contact. But our souls, like our skin, heal via the same processes as the rest of our bodies. Our tears wash our soul wounds clean and time heals clean wounds. Soaking the old crusty soul bandages requires love and compassion. Cleaning the wound requires courage. Soul wounds, like skin wounds, heal from the inside out, which is why this whole process is ultimately spiritual.
Like our skin, our soul wounds heal to scars, tissue that holds normal skin together. We're different, marked for life. Yet, our souls stop leaking and can fill with basic human joy. They grow and can bond with other souls. When we bond and feel the scar on another soul, we know their healed soul is a testament to basic human courage and resilience.
Healing is the source of our strength.