Margot CroninFurman LICSW Clinical Social worker Beth Israel Deaconess Medical Center What makes you nervous about doing Reiki with trauma survivors What makes you excited about working with this population ID: 586173
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Slide1
Caring for the Trauma Survivor
Margot Cronin-Furman, LICSW
Clinical Social worker
Beth Israel Deaconess Medical CenterSlide2
What makes you nervous about doing Reiki with trauma survivors? What makes you excited about working with this population?
Who
here has had something bad happen to them?
What
helped?
What really didn’t help?Slide3
Our default setting is resilience. Slide4
PTSDIntrusion/ Re-experiencingAvoidance
Negative alterations in cognitions and mood
Alterations in arousal and reactivity Slide5
How do people cope in the aftermath of trauma?Slide6
Maladaptive CopingNumbing High
risk behaviors
Avoidance
behaviors Slide7
Adaptive Coping ConnectionSpiritual Practices/ Mindfulness
Perspective
Humor
Meaning making
Self care, positive self image
Seeking
/ Engaging with
formal treatmentSlide8
Ameliorating factorsSocial supports/ connectionB
asic
needs met
Nature
of
trauma
Personality styleSlide9
Other ThemesFeeling “
stuck
”
“
Some people's lives seem to flow in a narrative; mine had many stops and starts. That's what trauma does. It interrupts the plot. You can't process it because it doesn't fit with what came before or what comes afterwards.”
―
Jessica
SternSlide10
Other ThemesControl
Slide11
Other Themes
“
Shame
is a soul eating emotion.”
– Carl JungSlide12
Other ThemesDenial
“We
must always take sides. Neutrality helps the oppressor, never the victim. Silence encourages the tormentor, never the tormented.”
―
Elie
WieselSlide13
TreatmentTalk therapy
EMDR, hypnosis,
neurofeedback
Body work
Spiritual practices
Advocacy engagementSlide14Slide15
How Reiki can be incorporated in the healing journey
Creating safety
Restoring control
Bearing witness
Symptom relief
Psychoeducation Slide16
“Our job is not to deny the story but to defy the ending – to rise strong, recognize our story, and rumble with the truth until we get to a place where we think, ‘Yes, this is what happened. This is my truth. And I will choose how this story ends.’” –
Brené
Brown Slide17
Questions? Thoughts? Comments?Slide18
Selected References
American Psychiatric Association. (2013).
Diagnostic and
statistical manual of mental disorders
(5th ed.). Arlington, VA: American Psychiatric Publishing.
Brown
, B. (2012):
Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead
. New York City, NY: Gotham
Herman, J. (1992).
Trauma
and
Recovery.
New York, New York: Basic Books.
Levine, P. A. and Frederick, Ann. (1997).
Waking the Tiger: Healing Trauma.
Berkley, California: North Atlantic Books.
Rothschild, B. (2000).
The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment
. New York, New York: W. W. Norton and Company, Inc.
Stern, J. (2010).
Denial
: A Memoir of
Terror.
New York, New York: Harper Collins.
Van Der
Kolk
, B. A. (2005). Developmental
trauma disorder: Towards a rational diagnosis for children with complex trauma histories.
Psychiatric
Annals
, pp. 401-408
.
The Trauma Center at the Justic Resource Institute
http
://
www.traumacenter.org/index.php
The National Center for Trauma
Informed Care
http://
www.samhsa.gov/nctic
The National Child Traumatic Stress Network
http
://www.nctsn.org
/
Slide19
Case Study
Maria is a 50yo woman who was hit by a car while crossing the street 2 years ago. She broke her leg in two places and had several broken ribs. She was hospitalized for two weeks and spent another month in rehab re-learning to walk. While her physical recovery went very well she has continued to have fear about crossing streets, refuses to drive a car, and struggles to sleep due to
nightmares/insomnia.
She describes feeling short of breath at times without a medical
cause. Her
doctor prescribed her Ativan (anti-anxiety medication) which she takes beyond the recommended dose to combat these symptoms. Her family is supportive but confused as to why she continues to behave so irrationally this far out from the accident
. In truth, she doesn’t really understand what is happening to her either. She’s been referred for Reiki but does not know much about it.
How would you approach this patient?
What would be important?
What red flags would you look for?