Chapter Six: Disorders of Trauma and Stress

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1

Mindfulness

________- Based Techniques: Help clients become more accepting and less judgmental of their recurring thoughts, feelings, and memories.

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Dissociative Identity Disorder

________ is thought to result from a lifetime of excessive repression.

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Hypothalamus

________ activates the autonomic nervous system and the endocrine system.

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Movement Desensitization

Eye ________ and Processing (EMDR): An exposure treatment in which clients move their eyes in a rhythmic manner from side to side while flooding their minds with images of objects and situations they ordinarily avoid.

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PTSD

People suffering from ________ are more likely to transmit relevant biological abnormalities to their children.

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Hypnosis

________ can help people remember events that occurred and were forgotten years ago.

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Dissociative disorders

________ are caused by repression.

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Acute

________ or posttraumatic stress disorder can occur at any age.

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Behavioral

________: apply exposure techniques when treating veterans with PTSD.

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Multifinality

________: People with similar beginnings may wind up at different end points.

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Iatrogenic

________: Cases that are unintentionally produced by practitioners.

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Stressor

________: The event that creates the demands.

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Equifinality

________: Different developmental pathways may lead to the same end point.

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Developmental Psychopathology Perspective

________: Focuses on the intersection and context of important variables at key points of time throughout an individuals lifespan.

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15

Derealization

________: Feeling that the environment is unreal or strange.

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Depersonalization

________: The sense that ones own mental functioning or body are unreal or detached.

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17

Dissociative Amnesia

________ is a single episode of massive repression.

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18

Self hypnosis

________: The process of hypnotizing oneself, sometimes for the purpose of forgetting unpleasant events.

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19

Childhood abuse

________ can also trigger dissociative amnesia.

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20

Hyperalertness

________: excessively alert.

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21

Fusion

________: Final merging of two or more subpersonalities.

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22

symptoms of PTSD

Brains stress circuit: Dysfunction in the stress circuit contributes to the ________.

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23

psychological disorders

Stress reactions are often at play in ________.

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24

Amygdala

________ (springs into action when the person confronts a stressor) activity is too high.

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25

Conscious Subpersonalities

________: The subpersonality that is aware and is a quiet observer.

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26

Dissociation

________: Psychological separation.

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27

Brain body pathways

________ in which the ANS and the endocrine system produce arousal.

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28

Group Therapy

________: Veterans meet with other like themselves to share experiences and feelings, develop insights, and give mutual support.

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29

Amnesic Relationships

Mutually ________: The subpersonalities have no awareness of each other.

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30

traumatic event

Continuous Amnesia: The person may forget new and ongoing experiences as well as what happened before and during the ________.

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31

Endocrine System

________: Network of glands located throughout the body.

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32

Torture

________ through deprivation: sleep, sensory, social, nutritional, medical, or hygiene deprivation.

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33

Personal Styles

________: People with certain personalities, attitudes, and coping styles are particularly likely to develop PTSD.

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34

Complex PTSD

________ is PTSD + profound disturbances in their emotional control, self- control, and relationships.

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35

Automatic Writing

________: The current personality may find itself writing down words over which it has no control.

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36

Fugues

________ are brief and reversible, so there are few aftereffects.

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37

Psychological Debriefing

________: A form of crisis intervention that has victims of trauma talk extensively about their feelings and reactions within days of the critical incident.

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38

Resilience

________: the ability of a person to adapt well and cope effectively in the face of life adversity.

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39

Traumas

________ that increase the risk of stress disorders: mutilation, severe physical injury, sexual assault, witnessing the injury or death of other people.

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40

Symptoms of depersonalization derealization disorder

________ are persistent /recurrent, cause considerable distress, and may impair social relationships and job performance.

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41

Hypothalamic Pituitary Adrenal Pathway

________: When we are faced by stressors, the hypothalamus signals the pituitary gland to secrete stress hormones.

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42

Sympathetic Nervous System Pathway

________: A group of ANS fibers that work to quicken our heartbeat and produce the other changes that we come to experience as fear or anxiety.

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43

Selective Amnesia

________: A person will remember some, but not all, events that took place during a period of time.

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44

Hypnotic Amnesia

________: Hypnosis can make people forget facts, events, and personal identities.

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45

Subpersonalities Alternate Personalities

________: The two or more distinct personalities found in individuals suffering with did.

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46

Acute Stress Disorder

________: A disorder in which a person experiences fear and related symptoms soon after a trauma but for less than a month.

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47

Psychological torture

________: threats of death, mock executions, verbal abuse, degradation.

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48

Depersonalization

________: Feeling that their conscious state or body is unreal.

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49

PTSD

________: A disorder in which a person experiences fear and related symptoms long after a traumatic event.

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50

stressor

When we view a(n) ________ as threatening, a natural reaction is arousal and a sense of fear.

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51

Stressor

The event that creates the demands

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52

Stress Response

The persons reactions to the demands

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53

Autonomic Nervous System

Extensive network of nerve fibers that connect the central nervous system to all the other organs of the body

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54

ex

breathing, heartbeat, blood pressure, perspiration, etc

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55

Endocrine System

Network of glands located throughout the body

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56

Sympathetic Nervous System Pathway

A group of ANS fibers that work to quicken our heartbeat and produce the other changes that we come to experience as fear or anxiety

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57

Hypothalamic-Pituitary-Adrenal Pathway

When we are faced by stressors, the hypothalamus signals the pituitary gland to secrete stress hormones

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58

Fight-or-Flight response

these systems arouse our body and prepare us for a response to danger

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59

Traumatic Event

Event in which a person is exposed to actual or threatened death, serious injury, or sexual violation

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60

Acute Stress Disorder

A disorder in which a person experiences fear and related symptoms soon after a trauma but for less than a month

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61

PTSD

A disorder in which a person experiences fear and related symptoms long after a traumatic event

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62

Hyperalertness

excessively alert

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63

Dissociation

Psychological separation

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64

Depersonalization

Feeling that their conscious state or body is unreal

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65

Derealization

Feeling that the environment is unreal or strange

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66

Disasters (ex

earthquakes, floods, tornadoes, fires, airplane crashes serious car accidents)

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67

Sexual Assault / Rape

Forced sexual intercourse or another sexual act committed against a nonconsenting person or intercourse between an adult and an underage person

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68

Terrorism

Many people develop immediate and long-term psychological effects when they are victims of terrorism or live under the threat of terrorism

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69

Torture

The use of brutal, degrading, and disorienting strategies to reduce victims to a state of utter helplessness

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70

Physical torture

beatings, waterboarding, electrocution

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Psychological torture

threats of death, mock executions, verbal abuse, degradation

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72

Sexual torture

rape, violence to the genitals, sexual humiliation

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73

Torture through deprivation

sleep, sensory, social, nutritional, medical, or hygiene deprivation

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74

Brain-Body Stress Pathways

people who develop PTSD react with especially heightened arousal in the stress pathways

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75

Brains stress circuit

Dysfunction in the stress circuit contributes to the symptoms of PTSD

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76

Inherited Predispositions

Certain individuals inherit a tendency for overly-reactive brain-body stress pathways and a dysfunctional brain stress circuit

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77

Personal Styles

People with certain personalities, attitudes, and coping styles are particularly likely to develop PTSD

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78

Resilience

the ability of a person to adapt well and cope effectively in the face of life adversity

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79

Social Support Systems

People whose social and family support systems are weak are more likely to develop PTSD after a traumatic event

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80

Severity and nature of the traumas

The more severe or prolonged the trauma and the more direct ones exposure to it, the greater the likelihood of developing a stress disorder

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81

Traumas that increase the risk of stress disorders

mutilation, severe physical injury, sexual assault, witnessing the injury or death of other people

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82

Developmental Psychopathology Perspective

Focuses on the intersection and context of important variables at key points of time throughout an individuals lifespan

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83

Multifinality

People with similar beginnings may wind up at different end points

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84

Equifinality

Different developmental pathways may lead to the same end point

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85

Cognitive Processing Therapy

Therapists guide the veterans to examine and change the dysfunctional attitudes and styles of interpretation they have developed as a result of their traumatic experiences

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86

Mindfulness-Based Techniques

Help clients become more accepting and less judgmental of their recurring thoughts, feelings, and memories

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87

Behavioral

apply exposure techniques when treating veterans with PTSD

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88

Prolonged Exposure

A treatment approach in which clients confront not only trauma-related objects and situations, but also their painful memories of traumatic experiences

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89

Eye Movement Desensitization and Processing (EMDR)

An exposure treatment in which clients move their eyes in a rhythmic manner from side to side while flooding their minds with images of objects and situations they ordinarily avoid

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90

Couple and Family Therapy

With the help and support of their family members, veterans with PTSD may come to

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91

Group Therapy

Veterans meet with other like themselves to share experiences and feelings, develop insights, and give mutual support

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92

Psychological Debriefing

A form of crisis intervention that has victims of trauma talk extensively about their feelings and reactions within days of the critical incident

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93

Localized Amnesia

A person loses all memory of events that took place within a limited period of time, almost always beginning with some very disturbing occurrence

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94

Selective Amnesia

A person will remember some, but not all, events that took place during a period of time

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95

Generalized Amnesia

Loss of memory extends back to times long before the upsetting period

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96

Continuous Amnesia

The person may forget new and ongoing experiences as well as what happened before and during the traumatic event

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97

Dissociative Fugue

An extreme version of dissociative amnesia

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98

Subpersonalities / Alternate Personalities

The two or more distinct personalities found in individuals suffering with did

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99

Switching

The transition from one subpersonality to another

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100

Mutually Amnesic Relationships

The subpersonalities have no awareness of each other

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