proposals and amendments were adopted:..)
"Psychological trauma is the suffering of the powerless, the trauma incurred at the moment when the victim of an overwhelming power is rendered helpless When this power is a force of nature, we speak of a disaster. Practicing other people saw these, we speak of violence. Traumatic events turn the social network that gives the person usually a feeling of control, belonging to a system of relationships and meaning. "
(Judith Hermann, The scars of violence, Munich 1993, p. 54)
sequence 1
enuresis = is trauma response
In the illustrative example, it is the wetting of the child to a secondary enuresis, which is different from the primary enuresis.
from "secondary enuresis" is when a child was at least six months completely dry again einzunässen begins. Often a Relapse a psychological reaction to stressful changes in life environment of the child as:
- Death of sibling
- parenting style of the mother (extreme severity and
hardness, coldness, over-or under-challenged, moral
values etc.)
important is that child is not organic, so physically ill.
I'd like something closer to the trauma that had addressed the social worker. Is the behavior, ie the wetting a trauma response?
First I would like to briefly touch on what can be generally defined as trauma.
stressful experiences are a natural part our lives and we, therefore, all people, have good ability to handle physical and mental stress and to adapt. A psychological trauma is in the jargon of psychology, a profound experience that is beyond the scope of common human experience and calls on the psychological and biological coping mechanisms of people. Traumatic events threaten the life or physical integrity, and enable those affected in extreme helplessness and fear. It is important that each can happen.
can To stay in the shown example, also lead the mere testimony to a trauma.
The child described in the example is is an emotional trauma. The child has suffered a great loss (ie the death of a sibling) and is also made by the parent responsible.
consequences can be emotional such as blocking and blocking behavior, anxiety, paralysis and even the re-wetting.
sequence 2
medications Yes / No
I would agree with Mrs Zahn, that the child must be helped umbedingt. However, I stand at the psychological causes that have triggered the re-wetting with the child in the foreground. Please be careful with the hasty administration of drugs. The medication helps only in very limited or, in rare cases (10%) and I would like to stress once again that it is important for the child to give therapeutic support, so it has seen what it can handle.
Furthermore, I'd like to look in this context, the behavior of the mother. Can differ from this example between a man-made trauma (manmade) and a non-man-made trauma (not man-made). The non-man-made trauma in this case is the death of a sibling and the man-made trauma, the emotional violence (insults, preference of other siblings, responsibility for the death, etc.) of the mother of the child is exposed.
This definitely has a great influence on the behavior of the child.
An example of this: One need only one point x without any material issue and to bend her, sometime, sooner or later, it breaks. This "stress fracture" occurs in humans. Does a longer time a force is applied, it can not continue to hold stand takes the soul from harm, and the body has symptoms.
sequence 4
trauma workup
There are basically in trauma treatment, a three-step procedure: first
Stabilization
second Trauma workup
third Reconnecting
diagnosis, stabilization, building a sound industrial relations and labor resources
The view is addressed to the current situation. It is about the stabilization of the existing problems (low self-esteem, neagtives Selsbtbild etc.) to work up gradually loaded situations. It goes out when I am ready to confront me again with the trauma of working through the situation. Traumatized people are striving to try and they want, that's what happened to them never happened. But you, the event can not be undone. At some point seek a the experience. It is absolutely necessary and important work through the traumatic event and to integrate into the life history.
Easy to act as if nothing had happened, looking stubborn in the to judge future, I think that is very fatal and unprofessional. The more careful we are, the faster we progress and the better we can improve the quality of life and the clients look positively toward the future.
sequence 5
everyday knowledge vs. Profession
trauma response = puberty
For me, it is first heard as if the social worker confused the trauma reactions of the girl with the puberty. But I believe that the social worker wanted something different statements. Not all conduct which shows the girl go, with difficult to process experiences from the past along, that not all situations can be of life deal you can not or will not apologize to the past experiences. Here, in this case, it could simply be that the girl simply had no desire to work professionally in perspective and take part in the virtual game. This behavior can be naturally associated with puberty, such as the social worker indicates this. Similarly, one can transfer the behavior of the girl also very clear on an x-any child who is also in the adolescent phase.
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