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Richard Benjamin presentation

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Trauma Informed Care in Practice – Engaging the Left and the Right Hemispheres Meeting the Challenge: Trauma Informed Care and Practice Conference Mental Health Coordinating Council of NSW Sydney, June 23 and 24, 2011
Introductory comments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Part 1 - “How we are put together and how we are taken apart: the concept of affective interchange and the impact of trauma” ,[object Object],[object Object],[object Object],[object Object]
Part 2 - “Using principles of affective interchange and trauma to inform mental health care” ,[object Object],[object Object],[object Object],[object Object]
1. What are these shows about ? ,[object Object],[object Object],[object Object]
1. Paul Ekman, the FACS and the micro-expression ,[object Object],[object Object],[object Object],[object Object]
1. Ekman cont. ,[object Object],[object Object],[object Object]
1. Ekman cont. ,[object Object],[object Object],[object Object]
1. Ekman cont. ,[object Object],[object Object],[object Object]
1. Surgeon litigation study ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. Litigation ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. Predicting how long a relationship will last ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. NIMH 1985 Depression Study - Redone 2006 ,[object Object],[object Object]
1. 2006 study cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Junior doctors study ,[object Object],[object Object],[object Object]
2. Baby’s first caress, Mary Cassatt, 1891
2. The Protoconversation ,[object Object],[object Object]
2. The Protoconversation cont. ,[object Object]
2. The Protoconversation cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
2. The Protoconversation cont. ,[object Object],[object Object],[object Object],[object Object]
2. “Affect Regulation and the Origin of the Self” 1994 ,[object Object],[object Object],[object Object]
2. Schore ,[object Object],[object Object]
2. Schore ,[object Object],[object Object],[object Object]
2. Schore ,[object Object]
2. Schore ,[object Object],[object Object],[object Object],[object Object]
2. Still face video ,[object Object],[object Object],[object Object]
2. Schore ,[object Object],[object Object],[object Object]
2. Schore ,[object Object],[object Object]
2. Schore ,[object Object],[object Object],[object Object]
2. Schore ,[object Object],[object Object],[object Object],[object Object]
2. Summary of Schore ,[object Object],[object Object],[object Object],[object Object]
3. Statistics ,[object Object],[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Stats cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. Adult sequelae of childhood abuse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Sequelae ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Sequelae - children ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. Sequelae - syndromes ,[object Object],[object Object]
3. Sequelae - syndromes ,[object Object],[object Object],[object Object]
3. Sequelae - syndromes ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. Complex PTSD (DESNOS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Neuroscientific findings in trauma ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. Neuroscience ,[object Object],[object Object],[object Object]
3. Neuroscience ,[object Object]
3. Neuroscience ,[object Object],[object Object],[object Object]
4. “Suzie” ,[object Object],[object Object],[object Object],[object Object],[object Object]
4. “Suzie” ,[object Object],[object Object],[object Object],[object Object],[object Object]
4. “Suzie” ,[object Object],[object Object]
4. “Suzie” ,[object Object],[object Object]
4. Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Link to affective interchange ,[object Object],[object Object],[object Object],[object Object]
4. Link to affective interchange ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Trauma Informed Care in Practice – Engaging the Left and the Right Hemisphere Meeting the Challenge: Trauma Informed Care and Practice Conference Mental Health Coordinating Council of NSW Sydney, June 23 and 24, 2011
“ Using principles of affective interchange and trauma to inform mental health care” ,[object Object],[object Object],[object Object],[object Object]
Summary Part 1 * ,[object Object],[object Object],[object Object],[object Object]
1. Iain McGilchrist ,[object Object],[object Object],[object Object]
1. McGilchrist cont. ,[object Object],[object Object]
1. McGilchrist cont. ,[object Object],[object Object],[object Object]
1. What a LH dominated world would look like ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. What a LH dominated world would look like ,[object Object],[object Object],[object Object],[object Object],[object Object]
1. McGilchrist cont. ,[object Object],[object Object],[object Object],[object Object]
George Bush
2. Conversational Model ,[object Object],[object Object],[object Object],[object Object],[object Object]
2. Conversational Model ,[object Object],[object Object],[object Object],[object Object]
2. Conversational Model ,[object Object],[object Object],[object Object]
2. The Expectational Field ,[object Object],[object Object],[object Object]
2. The Expectational Field ,[object Object],[object Object],[object Object]
2. “Invalidation” ,[object Object],[object Object],[object Object],[object Object]
2. “Eric” ,[object Object],[object Object],[object Object]
2. “Eric” ,[object Object],[object Object]
2. “Eric” ,[object Object],[object Object]
2. “Eric” ,[object Object],[object Object],[object Object]
2. “Eric” ,[object Object],[object Object]
2. “Eric” ,[object Object],[object Object],[object Object],[object Object]
3. How did we get to be here; focus on symptom and medication? ,[object Object],[object Object]
3. The History of Psychiatry is Brief ,[object Object],[object Object],[object Object],[object Object]
3. Rake’s Progress, 1732-33 ,[object Object],[object Object],[object Object]
3. History ,[object Object]
3. History ,[object Object],[object Object]
3. History ,[object Object],[object Object],[object Object]
3. History ,[object Object],[object Object],[object Object]
3. History ,[object Object],[object Object]
3. History ,[object Object],[object Object],[object Object]
3. History/DSM ,[object Object],[object Object],[object Object]
3. Back to classification - DSM ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. DSM ,[object Object],[object Object],[object Object]
3. DSM ,[object Object],[object Object]
3. DSM ,[object Object],[object Object],[object Object],[object Object]
3. The Loss of Sadness ,[object Object],[object Object],[object Object]
3. DSM – LH and RH ,[object Object],[object Object],[object Object],[object Object]
4. Trauma-informed care ,[object Object],[object Object],[object Object]
4. Principles ,[object Object],[object Object],[object Object],[object Object]
4. Principles ,[object Object],[object Object],[object Object],[object Object]
4. What the affective interchange science tells us ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Affective interchange ,[object Object],[object Object],[object Object],[object Object]
4. Affective interchange ,[object Object],[object Object],[object Object],[object Object],[object Object]
One reason a dog can be such a comfort when you’re feeling blue is that he doesn’t try to find out why
4. “David” ,[object Object],[object Object],[object Object],[object Object]
4. “David” ,[object Object],[object Object],[object Object]
4. “David” ,[object Object],[object Object],[object Object]
4. Traumatic memories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Things that we do well ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Things that might be unhelpful ,[object Object],[object Object],[object Object],[object Object]
4. Things that might be unhelpful ,[object Object],[object Object],[object Object],[object Object]
4. “Talking with acutely psychotic people,” Len Bowers, UK* ,[object Object],[object Object],[object Object]
4. Talking cont.* ,[object Object],[object Object],[object Object],[object Object]
4. Talking cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Areas to address Mindset Trauma is widespread Not obvious Even less appreciated Social connectedness Legislation Income, housing Education and training Jobs Funding and policy Federal versus state Bodies Education and training Promotion Coal-face Champions “ Ward design” Training Supervision
4. Funding ,[object Object],[object Object],[object Object]
4. Coal-face ,[object Object],[object Object],[object Object],[object Object],[object Object]
4. South Carolina Study, Frueh C et al 2001* ,[object Object],[object Object],[object Object],[object Object],[object Object]
4. Why we might be so slow to act ,[object Object],[object Object],[object Object],[object Object]
4. Tucci study* ,[object Object],[object Object],[object Object],[object Object]
Final comment ,[object Object],[object Object],[object Object]
Selected bibliography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]

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Richard Benjamin presentation

  • 1. Trauma Informed Care in Practice – Engaging the Left and the Right Hemispheres Meeting the Challenge: Trauma Informed Care and Practice Conference Mental Health Coordinating Council of NSW Sydney, June 23 and 24, 2011
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  • 22. 2. Baby’s first caress, Mary Cassatt, 1891
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  • 68. Trauma Informed Care in Practice – Engaging the Left and the Right Hemisphere Meeting the Challenge: Trauma Informed Care and Practice Conference Mental Health Coordinating Council of NSW Sydney, June 23 and 24, 2011
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  • 114. One reason a dog can be such a comfort when you’re feeling blue is that he doesn’t try to find out why
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  • 125. Areas to address Mindset Trauma is widespread Not obvious Even less appreciated Social connectedness Legislation Income, housing Education and training Jobs Funding and policy Federal versus state Bodies Education and training Promotion Coal-face Champions “ Ward design” Training Supervision
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