NR607 Week 7

NR607 Week 7Study online at https://quizlet.com/_elzmwq1.What happens in the brain during a potentially trau-matic event-brain stem is critical in fast, defensive responses. It's directly connected with the retina• retina sends visual info to the brain stem immediately, before higher levels of brain are even aware of threat.-/F nva0tRWv oWCas gkWsavK navhtr6a06gRtk Bvt7 hehRhtRas t DBpR Wv UhBpR vamsponse.• periaqueductal gray activates the sympathetic nervous system£:V BWas 6nK HkWW0 UWy RW o6sgkas hegvatsasK HE hegvatsasK E6nhks 0hktRau-xWR tkyt7s stFa Wv nWsshcka RW DBpR Wv asgtnau• may enter the freeze response, or feigned death.• periaqueductal gray activates the parasympathetic nervous system as well.£Muscles get tight & freeze, Both gaze & breath may freeze, not cognitive choice-"decisions" made at the level of the brain stem & nervous system-Predator doesn't move away, the person may shutdown completely• Hr drops. RR drops. Some people stop breathing. Muscles become limp. Metabolism shuts down. Endorphins released.• person enters state of "no pain", no longer aware of their surroundings.• During inescapable trauma, this is a very adaptive way for the brain and body to respond.2.Four Key Ways Col-lapse/Submit Can Present in a Client1. Compliance / Obedience2. Treatment-Resistant Depression3. /eRavnavsWetk AWeUhgR4. Social Avoidance / Desire to Isolate3.Brain-based ap-proaches to trau-ma-Top-down approaches• Encourage di7erent ways of thinking• Cognitive-Behavioral Therapy (CBT)• Dialectical-Behavior Therapy (DBT)• Mindfulness-based Cognitive Therapy (MBCT)-Bottom-up approaches1 / 17

NR607 Week 7Study online at https://quizlet.com/_elzmwq• Ways to cope with emotions & defenses• Eye Movement Desensitization and Reprocessing (EMDR)• Yoga• Trauma Resiliency Model (TRM)4.CDC has declared violence in the United States:an urgent public health concern a7ecting people in all stages of life5.Violence-extreme form of aggression• can lead to trauma & lifetime of psychological, physical, & economic burdens for individuals, families, & communities6.What Happens When People Expe-rience Violence or Traumapolyvagal theory-nervous system attempts to regulate a traumatic event by activating the social engagement system using relational cues• facial expressions, vocalizations, & language-social engagement system can only be activated when ind is within their window of tolerance & views the threat as manageable given their skills and resources. • when client perceives trauma or threat as unmanageable, they leave their window of tolerance & nervous system moves into a state of defense£triggering a sympathetic or dorsal vagal response£sympathetic state can lead to fear, panic, and irritation, while the dorsal vagal response can lead to a collapse/shutdown response7.Nervous System's Response to Trau-ma-polyvagal theory• nervous system has three pathways, each designed to protect you:£ventral vagal£sympathetic pathway£dorsal vagal pathway-ventral vagal• nervous system's optimal state• state from which we can engage socially, and connect and co-regulate with 2 / 17

NR607 Week 7Study online at https://quizlet.com/_elzmwqothers• we often feel more calm, curious, grounded, and safe-sympathetic pathway• 0aFaeshCa ntRpyt7 RptR BaRs Rpa cW07 RW oWchkhda heRW t DBpR Wv UhBpR vasnWesaK or an attach/cry-for-help response• we might feel fear, panic, irritation, anger, or even rage-dorsal vagal pathway• defensive pathway that gets the body to immobilize into a collapse/shutdown response• we may feel numb, depressed, ashamed, hopeless, or lethargic• We may dissociate8.polyvagal theory: ventral vagal-ventral vagal• nervous system's optimal state• state from which we can engage socially, and connect and co-regulate with others• we often feel more calm, curious, grounded, and safe9.polyvagal theory: sympathetic path-way-sympathetic pathway• 0aFaeshCa ntRpyt7 RptR BaRs Rpa cW07 RW oWchkhda heRW t DBpR Wv UhBpR vasnWesaK or an attach/cry-for-help response• we might feel fear, panic, irritation, anger, or even rage10.polyvagal theory: dorsal vagal path-way-dorsal vagal pathway• defensive pathway that gets the body to immobilize into a collapse/shutdown response• we may feel numb, depressed, ashamed, hopeless, or lethargic• We may dissociate11.-History of victimization-ADHD or learning disorders3 / 17

NR607 Week 7Study online at https://quizlet.com/_elzmwqRisk Factors Relat-ed to Violence: In-dividual-Substance use-Low intelligence-Emotional distress-Exposure to family violence-NWghtk Wv gWBehRhCa 0aDghRs12.Risk Factors Re-lated to Violence: Family-Authoritarian parenting style-Inconsistent or harsh discipline-Low parental involvement-Low parental income & education level-Dysfunctional family functioning13.Risk Factors Re-lated to Violence: Community-Gang involvement-Social rejection-Lack of economic opportunities-Neighborhood poverty-High level of transient people-Low community participation-Low school support-High density of alcohol outlets14.Protective Factors Related to Vio-lence: Individual-Positive social behaviors-High IQ & academic achievement-Religious beliefs-High-level planning skills15.Protective Factors Related to Vio-lence: Family-Family connections-Open communication style-Shared family activities-Consistent parental presence-Constructive coping mechanisms16.4 / 17