Trauma Practitioner

Edited by Roger Klein, PsyD and Mary McHenry, MSW 

Welcome to the February 2011 edition of The TLC Practitioner, a monthly eNews publication from The National Institute for Trauma and Loss in Children, a program of the Starr Institute for Training. We welcome your comments, questions and contributions. Email us at [email protected]. Click on a link below to read more. 


Mary McHenry

From the Editor

 Plans and Pursuits

TLC's Plans and Pursuits

 TLC Updates

TLC Updates

Population

Flash Point

 Cartoon

What Do You Think?

William Steele

What Makes Sense?


From the Editor

Mary McHenryMary McHenry, MSW

Perception and Change

This month’s Practitioner relates to perception and change. What we “see” can be more powerful than what we hear, and the power of observation can have a profound impact on who we are, how we behave and how we see ourselves. What we see can affect our behavior; a “look” from grandma can cause a child to behave, a daily dose of violent television programming can encourage aggressive behavior, and the drawing of a picture depicting a traumatic event can release terror and can be more powerful than the words one could use to describe that terror. As you read this month’s edition, consider the truth behind the saying “seeing is believing.” Sometimes, seeing something promotes a positive change in self, other times it has a negative effect, one requiring attention. Helping children, youth and families “see” the good in themselves is the foundation of our work and trauma specific intervention. Incorporating the power of drawing can help our clients do just that: see themselves in a positive and healthy light.

On another note, the winter months can provide us with an opportunity to slow down, hibernate, and catch up on some of the indoor activities we have either avoided, like cleaning closets or organizing our office, or, those we have had little time to do like reading a good book. There are things in our lives we can change, others we cannot, but the trick is learning to work with what you have. The economy and the uncertainly of what the future will bring is a work in progress, and so, TLC is choosing to embrace the current climate, setting goals that are realistic while continuing to develop resources, training opportunities and intervention strategies that help you help those who are in need of trauma intervention. We cannot change the weather, the economy or the events that traumatize the children, youth and families we work with, but we can confront those things in a positive, productive and empowering fashion. It’s all in how you “look” at it. 

"The reality of life is that your perceptions - right or wrong - influence everything else you do. When you get a proper perspective of your perceptions, you may be surprised how many other things fall into place." Dr. Roger Birkman, Psychologist.

Mary McHenry


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 TLC Plans and Pursuits

  Plans and Pursuits

Plans and Pursuits

  • We continue to move closer to completion of our strategic planning for the next two years. I’m sure some of you have been involved in five-year planning at one time. We are certainly thinking beyond the next two years. However, change in this country is happening so rapidly there is no certainty as to how the landscape for services to children will look like even in two years. Economy and informational technology are really driving these changes. The good news is we are currently one step away from our process so by the next issue will be able to report additions to our current services.
  • We are also very close to signing a contract that will allow us to develop a series of trainings for mental health practitioners. These will be videotaped and then formatted as CE-approved online courses.
  • Dr. Malchiodi is working on a trauma-related certification specifically for art therapists and or professionals who rely on expressive therapies. Her online courses have excellent ratings, we are looking forward to making this available in the near future.
  • Dr. Steele and Caelan Kuban are completing details for making themselves available “virtually” for consultation, supervision and brief presentations that can be used to fulfill various certification requirements.

A Reminder

Several school districts and agencies have asked us to collaborate with them on training proposals and grants. We are always glad to help and can certainly lend credibility to grant proposals regarding children and trauma. Call us if you have questions, 877-306-5256.

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TLC Updates & Reports

 TLC

TLC has Moved

TLC now has a new home just down the block from the wonderful Macomb Intermediate School District where we have held our annual Childhood Trauma Practitioner’s Assembly the past few years. Our new address is 42855 Garfield Road, Suite 111, Clinton Township, MI 48038. Our toll-free number remains the same at 877-306-5256.

2011 Assembly

This year’s Assembly is being held July 12-15 at the Macomb ISD training facility. Visit our website if you are interested in presenting at the Assembly. Our keynote presenter this year is Jeffrey Georgi. (For a brief bio click here http://jeffgeorgi.com/bio.html) His presentation for TLC will focus on the adolescent brain, substance abuse and dysregulated or compulsive eating disorders. We hope you can join us.

Trauma-Informed Care

Drs. Steele and Malchiodi have received the green light from Routledge Publishers to author a book on trauma-informed care with children and adolescents. The plan is for a 2011 fall release. Peter Levine, Maggie Kline, Bruce Perry, Eliana Gil, Sandra Bloom and other leaders in the field will be contributing.

TLC Certified Trainer Training

On March 25 & 26, 2011, we will conduct a two-day TLC Certified Trainer training in Michigan. If you are interested in being a TLC Certified Trainer, please contact Program Director Caelan Kuban at [email protected].

TLC Grant Update

Unfortunately, the economic and political climates changed significantly this year. The two appropriation requests we submitted were not approved.  The one proposal was to develop a network of certified Trauma Specialists trained specifically to provide trauma-related services to deployed military families. However, we are continuing our involvement in this endeavor in Michigan where we have a large contingency of deployed reservists.

If you have not listened to our 2010 podcast, “Supporting Children of Deployed Parents: Voices of Experience” at http://www.starrtraining.org/podcasts, we encourage you to do so. We had the opportunity to be in the presence of a number of deployed military moms and dads who spent the day sharing their experiences and defining the military culture and its impact on the way military family members try to manage deployment and reintegration into the family.

The second proposal related to working with a Ohio school district to bring trauma-informed practices to their schools, had tremendous support. However, the Democratic Senator in support of the project was not re-elected. We were all quite disappointed, as this project would have benefited the entire community, especially the kids.

TLC Business Plan

The good news is that TLC is close to finalizing its business plan through 2012. It will be designed to help us expand and grow, even during these difficult economic times. In the next issue we hope to present the new services and programs we have been developing.

 

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Flash Point!

 200 Years of History

200 Years of History in 4 Minutes

http://www.flixxy.com/200-countries-200-years-4-minutes.htm
Take some time to view the above link that graphically illustrates global development over the last 200 years. From a technical perspective, what a great learning vehicle. From a historical perspective, what a great lesson. From a social perspective, what a great way to help us realize…. We’ll let you draw your own conclusions.

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What Makes Sense?

William Steele
 

"Grandma, give him the eye!"
By Dr. William Steele

My wife has spent a lot of time with our grandchildren, now 7 and 5 years old. Wow, the energy they have is endless, so too is the joy they bring. Their innocence, curiosity, creativity and hug-ability are beyond wonderful. However, every now and then they need to settle down. One day they weren’t listening well and Grandma said, “Look at me. See this look? I am giving you the eye and it means, settle down.”

A few months had passed since Grandma had given them the “eye.” Then, later one evening we were at my son’s house to visit with him, his wife and the grandkids. Now they had a Jack Russell dog that was hyper beyond belief. Jack Russell’s are small and skinny with short hair, but really fast on their feet. They named him Harley. He was like a motorcycle at high speed. This evening he was particularly active, barking at anyone who moved. He’d run from one end of the house to the other, jumping over or going through anything in his way. The grandkids were playing with their Legos. They built a pretty good wall when, you guessed it, Harley crashed through it like Evil Knievel. At that point our granddaughter ran up to Grandma, grabbed her hand, pulled her towards Harley and yelled out, “Grandma, give him the eye!”

This was the first my son and his wife heard anything about Grandma’s eye. Grandma was trying to hold back her laughter while she got on the floor and looked right at Harley, when amazingly to her surprise as well as ours, Harley stopped and went belly up on the floor. Grandma rubbed him for a while and Harley settled down.

This story reminded me of two other stories about “eyes” that I’ll share with you later in this article. The point is our granddaughter didn’t yell, “Grandma, tell Harley to settle down,” but rather she said, “give him the eye,”. This points out that the visual, the sensory memory was far more effective with the kids than words. Interestingly, even our language pays respect to the “eye” with statements like, “Keep a watchful eye out for the kids,” and, “Look at me when I’m talking to you.” And there is the well known metaphor, “The eyes are the windows to the soul.”

What is fascinating is that neuroscience tells us that we respond to what we see faster than what we hear. Directly behind our eyes are spindle neurons that are the switchboards of our social brain. They are also the fastest neural circuits that we have and track our interpersonal interactions while also guiding our snap social decisions (“Deep Brain Learning,” 2009 click here for more information.)

Children are constantly looking at us for signs of approval or disapproval. The fact is, eye contact that is approving, friendly and caring releases oxytocin in those “seeing” that approval in our eyes. Oxytocin is the bonding, trust building hormone we talked about in the December issue of the Trauma Practitioner.  (Click here to access that issue.)

Over the years, I  listen to what others say, but I really trust what I actually see.  “Seeing is believing” is something I learned early. Words meant little in my family growing up. In fact, what I heard most often after trying to speak up was, “You really don’t mean that,” or “That is silly.”

The only time I was taken seriously was when my parents saw what I had done. Perhaps that is how I arrived at the concept of our being a witness rather than a therapist in our initial efforts to help traumatized children. Being a witness means giving children the opportunity for us to see what they really see when they look at themselves, others and the world around them as a result of their traumatic experiences. It just makes sense to me that seeing what they see better defines the reality they are living with, running from, or fighting to survive. Words just fall short.

Now, Grandma has an “eye” she sends my way as well. Actually there are several looks I’ve come to recognize pretty quickly over the years, looks that tell me exactly what I need to do - frustration, surprise, disappointment, sadness, excitement, pride. My spindle neurons see anyone of these looks and trigger my response. Children actually learn these different looks as well.

Many of you probably have a feeling faces poster or a magnetic version of “feeling faces” that kids, even adults, can point to, to let those around them know how they feel. The magnet version lets you put a magnetized marker around the face that reflects your mood at the time. Kids love this because it helps them express what they feel when words fail them. It also helps them to learn to recognize what different looks reflect which feelings.

Grandma’s  “give him the eye story” actually reminded me of another “eye story” that happened when I was in the fourth or fifth grade. My mother bought me a yellow Easter suit that I absolutely hated. It was “sissy-fiable” but I was forced to wear it. Nothing I said mattered. A while later, a picture of me in that yellow sissy suit sat in the living room in a stand up cardboard-like linen frame similar to how photo studios frame school pictures. I was horrified at how I looked. Later that night I came downstairs, took the photo and punched out my eyes with a pencil.

The next morning my mother was beyond mad but strangely I wasn’t afraid. In fact, I was delighted to tell her I punched out my eyes. I took my beating with a shoe that day, but it didn’t hurt because I didn’t have to look at that picture and no one else would see me looking like that either. I won that battle. The picture never showed up again.

What makes sense to me is that kids who look at themselves and can’t stand what they see often have to find a way to fix it or change it. What makes sense to me is that being able to alter the way we look, if we don’t like what we see about ourselves, is extremely empowering even when that change is made in a picture. My mother wouldn’t listen to my verbal protest but when she saw what I had done to my own picture she got the message.

I have one last story related to eyes. In some respects it is a bit surreal but a true story. Those of you who have taken TLC’s Certification training have heard me tell this story and have seen the drawings so I will shorten it considerably. This woman’s husband was brutally tortured and murdered. When I asked her to draw a picture of what happened, one of her drawings had an open eye in the corner of the picture. She explained she had no idea what it meant but months after identifying her husband’s body she would find herself just “doodling eyes,” especially when talking with others on the phone.

She was unable initially to draw a picture of her brutalized husband with his eyes open. Her first drawing was of his face with his eyes closed. This drawing was a fairly accurate depiction of the actual photograph taken of his tortured face. She did several other drawings related to his traumatic death that helped to bring some relief and tapped into her grief over his loss as well. The next morning we completed our session. When I asked her if she could now draw a picture of her husband with his eyes open she was able to do so. Afterwards I told her to take as much time as she needed to quietly look into his eyes and say all the things she couldn’t say to him before he was abruptly taken from their home and brutalized. She sat quietly for a moment and then turned to me and the others in the group we were working with and said, “I need to talk to him aloud.” In other words, she wanted all of us to be a witness to the loving relationship they shared before his traumatic death.

Her ability to change the eyes in his brutalized tortured face, to the eyes in the face he had prior to his death, lead to the amelioration of the trauma-related symptoms she was experiencing.

An eye on a piece of paper, eyes in a photograph, and Grandma’s eye, are unrelated stories and yet connected by a common theme – what we see matters. What we see when we look at ourselves matters, what we see when we look in the eyes of others matters.

What makes sense from a trauma intervention perspective then is to have children draw a picture of the way they looked before the trauma and after, at the initiation of intervention and at the end of intervention, what they see when they look at themselves, what they remember seeing, what they remember others looking like at the time of the trauma, giving them permission to change anything they see when they look at their drawings. These are ways that help them reorder their experiences and their view of self in ways they can now manage.

If we cannot see what traumatized children see when they look at themselves and others in their environment how can we really know what will be helpful for them. We cannot. Being able to witness what they now see matters tremendously.

What Makes Sense To You?

Do feel free to comment and/or contact TLC if you have any questions at [email protected]

 

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What Do You Think?

Heart of the City

Heart of the City

“Ain’t this the truth!” I chuckled at first and then thought about what values we are teaching our children and the long-term impact this will have on their lives and their communities.

American parents are spending less time with their children. Children are spending more time alone in front of the television or glued to their Nintendos. The United States is the only country in the world that values individualism over community, and marketers invest billions of dollars in promoting individualism. McDonald’s alone spent $500 million on its “Love to See You Smile” campaign. However, individualism is in conflict with the natural innate emergence of that “moral voice” in school age children that values cooperation, kindness and respect.

Sociologists tell us that individualism destroys societies.  It leaves its members without a sense of meaning and belonging or a sense of personal worth and identity and most importantly without a set of moral values to guide their conduct.

The fact is that research is now documenting that children who spend more than two hours (a day) involved with television, the computer, computer games, the Internet or combination of, are presenting with limited social skills, increased aggression, obesity and attention difficulties.
What do you think? You might Google media’s impact on children for additional research. 

What do YOU think? Email us at [email protected] to let us know.

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