overview of dysregulated families edited version

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  • Presented by:Robert Rhoton PsyD

    Psychological Health and WellnessFamily Dysregulation:

    Where it comes from: Characteristics.

  • anything that interrupts or interferes with normal developmental processes is traumatic SocialllyemotionallyPhysiologicallyCognitivelyLanguage and communication acquisition

  • Depression Mood disorders AnxietySuicidal ideationPhysical healthAggressionImpulsivenessDelinquencyHyperactivity

    Obsessive-compulsive disorder High rate of truancy Vandalism Alcohol use Running away before the age of 15 Substance dependence Antisocial behaviors

  • Trauma activates stress-response systems in the brain Severe or chronic stress prevents the brain from returning to relaxed stateTraumatized children are in constant fight, flight, or freeze modeChildren are taught how to behave by trauma

  • the more any neural system is activated the more a neural system changes piano:- hear - visual - motor speech:- auditory - understand - motor written word - seen - thought about - spoken

  • The Brainstem is the first region of the brain to develop before birth. Directly connected to the spinal cord. The brain stem doesn't do the glamorous work; it simply keeps the body pumping, breathing, and controls most of the basic functions of survival. These functions include regular heart rate, blood pressure, temperature regulation, and respiration. (Teicher, 2002).

  • This section of the brain also controls the production and release of some neurotransmitters, and abnormalities which are associated with psychiatric disorders such as depression and psychosisThe memory stored in the brainstem is "state memory". The brain remembers the optimal temperature range, the needed heart rate and rate of respiration to meet the needs of the organism

  • Breathing rate increases Breath volume decreases Galvanic skin conductance increasesHeart rate increasesPupil constrictionIncreased adrenocortical hormone release in blood Suppression of immune systemChanges in blood flow.

  • More focus on survival without clearly defined reasons to be aroused.Over-reactive to mild stressorsEmotional volatilityPoor ability to learn from experience

  • In this region of the brain is found the regulation of important body functions. Motor regulation and the body's ability to negotiate its environment. The diencephalon also regulates the critical functions of arousal, appetite and the regulation of sleep patterns. In some respects this region is the Energy Czar

  • The memory stored in the diencephalons also includes motor functioning (muscle memory). Physiological arousal like hunger, thirst etc.

  • Aspects of dysregulation This Dysregulation effects serotonergic, opioid, dopaminergic, glutamatergic, thyroid and gabergic function. There are detrimental effects of glucocorticoid (GC) hypersecretion which occurs chronic activation Obesity, Depression and Anxiety Disorders

  • Constantly consuming food even when not hungry, particularly high calorie, fatty foods (mammal scarcity diet)Lowered energy levels, fewer movements, less physical activity (preserving calories)Increased depressionRestrict release of Endogenous opioids (feel good hormones) endorphins

  • Limbic System is the amygdala (vital to emotional regulation), hippocampus (vital to forming and retrieving verbal and emotional memoriesOften referred to as the emotion center of the body. Emotions are a very complex combination of perception, experience and memory, and body chemistry. It is the function of the limbic system to regulated these components.

  • There are other very complex aspects of the body controlled by the limbic system that involve survival.Reproduction and sexual behavior. Attachment. Memory stored in the limbic area is primarily affective experience.

  • Specifically, the hippocampus is involved in verbal and emotional memory. The hippocampus is very vulnerable to traumatic stress due to how slowly it develops and the density of its cortisol receptors (McEwen, 2000). Some emotional memory is more available than others depending in part on the type of early experience.

  • The limbic system regulates arousal, emotions and behavior This limbic system has been called the CEO of the social-emotional brain

  • It is common for traumatized individuals to have arrested emotional maturity around the age of abuse. Some adults abused as children regress to childhood emotional responses when facing severe stress. When trauma affects the arousal and emotional response of the body to stress, the impact on the individual can be pervasive.

  • Neurotransmitter depletion is diminished motivation, clinical depression, and a decline in optimal functioning. Depletion of some neurotransmitters can result in over-dependence on other people, feelings of I cant make it without you, (dependency) or in the opposite, an unrealistically independent (counter-dependent) stance of I dont need anyone; I can make it on my own

  • Agitation and irritabilitySadness, grief, depressionFeeling hopeless (nothing they do will make things better)Feeling numb (poor or little recognition of emotions)Suspicious/untrusting (constant testing of every relationship)

  • Emotional outbursts (screaming, yelling, crying, etc)Self-soothing or distracting behaviorsPoor communications (not effective and responding to feedback well, or making behavioral changes based on feedback)Social withdrawal

  • Social isolative behaviors (doing things to create distance)Poor Attachment (repeated failures to effectively engage in a relationship, or maintain relationships)Pre-occupation with objects or environmental elementsPre-occupation with stressors

  • Difficulty concentrating, focusing or attendingAppears inattentive or distractedDifficulty making decisionsDifficulty following through on decisions to accomplish goalsEngages in pointless lies, deceptions or partial truths to avoid

  • NightmaresAnxious behaviorsWorry about pleasing othersPhysical complaints and mystery painSuppression of emotionTremors, pseudo-seizures Acting much younger (emotionally) than age

  • Magical thinkingAggression and violent acts

  • Reasoning and logic as a COOL system

  • Emotions, instinct and survival behavior as a HOT system

  • The two systems should operate in parallel, with the cool system encoding the contextual panorama and the hot system contributing a highlighting of emotional aspects of the experience.

    When the systems are not working in parallel then the visual, auditory, kinesthetic, emotional and recognition of environmental feedback is skewed.

  • There are five general environmental factors that contribute to the Personality Disorders besides, poor care, poor nutrition, prolonged hospitalization, separation from caregiver, serious accidents and all forms of abuse. These are factors that interrupt and interfere with normal social-emotional development:

    Based on the work of Jeffery E. Young Schema Therapy: A Practitioner's Guide

  • ABANDONMENT / INSTABILITYMISTRUST / ABUSEEMOTIONAL DEPRIVATIONDeprivation of Nurturance:Absence of attention, affection, warmth, or companionship. Deprivation of Empathy: Absence of understanding, listening, self-disclosure, or mutual sharing of feelings from others.Deprivation of Protection: Absence of strength, direction, or guidance from others.DEFECTIVENESS / SHAMESOCIAL ISOLATION / ALIENATION

  • DEPENDENCE / INCOMPETENCEVULNERABILITY TO HARM OR ILLNESSENMESHMENT / UNDEVELOPED SELFFAILURE - The belief that one has failed, will inevitably fail, or is fundamentally inadequate . Often involves beliefs that one is stupid, inept, untalented, ignorant, lower in status, less successful than others, etc.When expectations about the self interfere with the ability to separate, survive, function independently, or perform successfully.

  • Deficiency in internal limits, responsibility to others, or long-term goal-orientation. Leads to difficulty respecting the rights of others, cooperating with others, making commitments, or setting and meeting realistic personal goals. Unstable relationships, serial relationships and low levels of accountability in a relationship

  • An excessive focus on the desires, feelings, and responses of others, at the expense of ones own needs.Take actions and engage in behaviors in order to gain love and approval, maintain one's sense of connection, or avoid retaliation. Usually involves suppression and lack of awareness regarding one's own emotions and natural inclinations.

  • An excessive emphasis on suppressing spontaneous feelings, impulses, and choices.Meeting rigid, internalized rules and expectations about performance and ethical behavior -- often at the expense of happiness, self-expression, relaxation, close relationships, or health.

  • Victim StanceBlame others for not meeting responsibilitiesBlames others for their inappropriate behaviorAlways have a ready excuseFight for the right to be a victimResist efforts to appropriately solve problems that are causing them distressFocus away from assuming responsibility

  • Sense of InjusticeView normal expectations as unfairRefuses to follow unfair directionsRefuse to meet unfair expectationsComplain that the consequences for any of their actions that bring negative feed back or correction is unfair

  • Uniqueness (Grandiosity)Claim that they are different or unique and should have a different set of rules and expectationsDemand others understand themAccuse others of not understanding them or making adequate efforts to understand themFocus on how they are not understood rather than resolvi

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