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Psychological Trauma

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What is psychological trauma, and who cares? Psychological trauma is all around us. It seems to be commonly understood as a type of damage to the psyche that occurs as a result of a severely distressing event, such as abuse and/or neglect. DSM-5 defines trauma as exposure to actual or threatened death, serious injury, or sexual violence; or witnessing an event that involves the above experience (APA, 2013). “Research… has revealed that trauma produces actual physiological changes, including a recalibration of the brain’s alarm system, an increase in stress hormone activity, and alterations in the system that filters relevant information from irrelevant” (Van der Kolk, 2014, p. 2-3). In his book, Van der Kolk discusses his colleague Dr. Ruth …show more content…
Trauma can have a major impact of its function throughout life” (Van der Kolk, 2014, p. 59). Sensory information converges in the thalamus, found inside the limbic system, and sensations are passed in two directions. The low road is fast down to the amygdala, deep in the limbic system or feeling brain. The amygdala is part of the limbic brain and if it senses a threat—it sends an instant message down to the animal brain and the "alarm" is triggered by danger which releases adrenaline, increases heart rate, etc. The feeling brain identifies danger, and triggers the sympathetic nervous system if threatened. Typically, these systems return to homeostasis once danger passes but when blocked, the body is triggered to defend, leading to agitation and arousal. Flashbacks are sounds, images, etc. stored in memory that trigger this process as if danger is present. Traumatized people take longer to return to homeostasis, and less stress is needed to trigger alarm. Van der Kolk labeled the amygdala the "smoke detector" to help us understand the brain impact of adverse experiences, particularly childhood abuse and neglect. The amygdala loses the capacity to evaluate danger and safety in the triggered …show more content…
The other direction sensations are passed is up the slow high road to reach conscious awareness in the frontal lobes. The prefrontal cortex, an area of the neocortex, is the rational or thinking brain which “develops last, and also is affected by trauma exposure, including being unable to filter out irrelevant information. Throughout life it is vulnerable to go off-line in response to threat” (Van der Kolk, 2014, p. 59). Our animal brain, that we share with other mammals, is geared toward survival and it does make a difference if the normal response of the person suffering the effects of psychological trauma happens to be blocked (trapped, held down, prevented) from action, for these will influence their brain and keep it secreting stress hormones. This limits their prefrontal cortex activity–keeping their thinking brain off-line—while their amygdala and limbic system emotional (feeling) brain remains in charge (Van der Kolk, 2014). Psychological trauma can develop behavioral or mental patterns that block or hinder the totality of the human mind, and may cause suffering or a poor ability to function in life because one is stuck in the fight-or-flight response. Thus, "PTSD is the body continuing to defend against a threat that belongs in the past." (Van der Kolk, 2014, p.

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