ࡱ> 02/ 4bjbj 0ff4ppppp #,ppppp^PN6r!v*0#2,^p^(# 6:    PTSD Reviewterms and people Signs and symptoms from DSM-IV History of field: 1940-s and 1950s = WWII survivors of concentration camps sought therapy and became therapists 1960s returning Vietnam vets with long-term psychological difficulties 1972 Buffalo Creek flood disaster (W Virginia) dam that was known to be damaged broke, flooding community, legal action taken 1976 Chowchilla kidnapping of school children Lenora Terr, MD. (SF) Too Scared Cry Children physically not harmed, but long-term psychological effects Bessel van der Kolk, M.D. (Boston) Psychological Trauma - 1987 a) Trauma response: hyperarousal and intrusion or numbing and constriction b) Fixation on the trauma c) Integration or dissociation d) Loss of capacity to modulate anxiety or aggression e) Helplessness and loss of control f) Vulnerability Factors affecting the duration and severity of the trauma response: severity of the stress genetic predisposition developmental phase social support prior trauma preexisting personality (e.g. neurosis) Eric ListerForced Silence: A neglected dimension of trauma (Am J Psychiatry 1982) Eth & PynoosPost-traumatic stress disorder in children 1985Chapter 9 Interaction of trauma and grief in childhoodtherapist must deal first with the trauma elements and then the work of mourning Sandplay (sandtray) therapy with traumatized children Attachment Review Major Players: Mary Ainsworth John Bowlby Harry Harlow Heinz Kohut Michael Lamb Margaret Mahler Andrea Pound Harold Searles Judith Wallerstein Major Terms and Concepts Ethology Harlows experiments Strange situation Styles of attachment Nonhuman environment Self object Self psychology Kohuts developmental stages Mahlers developmental stages Narcissistic personality symptoms Borderline personality symptoms Splitting Dissociation  > Y v g {  4hb hf9hbhf9hr>*hf9hr5 hf9hr @AST~    Z  8 I J `gdr$a$gdrJ   h i . / f g h i { | gdb$a$gdrgdr & Fgdrh`hgdr  &'0EWl$1234gdrgdb.:pr/ =!"#$% 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List PK!pO[Content_Types].xmlj0Eжr(΢]yl#!MB;.n̨̽\A1&ҫ QWKvUbOX#&1`RT9<l#$>r `С-;c=1g'}ʅ$I1Ê9cY<;*v7'aE\h>=,*8;*4?±ԉoAߤ>82*<")QHxK |]Zz)ӁMSm@\&>!7;ɱʋ3װ1OC5VD Xa?p S4[NS28;Y[꫙,T1|n;+/ʕj\\,E:! t4.T̡ e1 }; [z^pl@ok0e g@GGHPXNT,مde|*YdT\Y䀰+(T7$ow2缂#G֛ʥ?q NK-/M,WgxFV/FQⷶO&ecx\QLW@H!+{[|{!KAi `cm2iU|Y+ ި [[vxrNE3pmR =Y04,!&0+WC܃@oOS2'Sٮ05$ɤ]pm3Ft GɄ-!y"ӉV . `עv,O.%вKasSƭvMz`3{9+e@eՔLy7W_XtlPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-!pO[Content_Types].xmlPK-!֧6 -_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!!Z!theme/theme/theme1.xmlPK-! ѐ'( theme/theme/_rels/themeManager.xml.relsPK]# 4 4J 4 8@0( PQ~} B S  ?)-nzou/79A 67N6::::::::WQFF<^`o() ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. 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