Friedemann Schaub: technique to "Declutter Your Mind"/ Técnica simples de desbloqueio mental

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The Unbroken

There is a brokenness

out of which comes the unbroken,

a shatteredness

out of which blooms the unshatterable.

There is a sorrow

beyond all grief which leads to joy

and a fragility

out of whose depths emerges strength.

There is a hollow space

too vast for words

through which we pass with each loss,

out of whose darkness

we are sanctioned into being.

There is a cry deeper than all sound

whose serrated edges cut the heart

as we break open to the place inside

which is unbreakable and whole,

while learning to sing.

Rashani Réa

“There is a crack in everything.

That's how the light gets in.”

Leonard Cohen

“The wound is the place where the Light enters you.”                                                                                                                                              Rumi 

Android app to PTSD

App para android de suporte para Perturbação Pós-Stress Traumático - PPST

Perturbação Pós-Stress Traumático - PPST

Trauma Complexo

Está Incluído, em inglês, na designação de Complex PTSD definindo-se (vide citação de J. Briere em baixo) como um quadro de perturbações psicofisiológicas, em larga medida derivadas de estratégias de sobrevivência adaptativas a situações de perigo e ameaça permanente. Na vanguarda de quem trabalha sobre estas questões (alguns mencionados neste blog, quer nos posts quer nos favoritos) enfatiza-se a reabilitação que a neuroplasticidade, mediante a estratégia adequada, permite e adopta-se a palavra “response” (resposta, repercussão) em vez de “disorder” (Post-Traumatic Stress Disorder- PTSD) ou, português, “perturbação” (i.e Perturbação Pós-Stress Traumático - PPST ou, no Brasil, “transtorno”) que remete para a “patologização” do traumatizado. Esta surge assim como portador de uma (ou múltiplas) “injury”, lesão/ferida/dano infligido e passível de recuperação:

"When an individual has experienced multiple, severe forms of trauma, the psychological results are often multiple and severe as well; a phenomenon sometimes referred to as complex posttraumatic disturbance. Complex trauma can be defined as a combination of early and late-onset, multiple, and sometimes highly invasive traumatic events, usually of an ongoing, interpersonal nature. In most cases, such trauma includes exposure to repetitive childhood sexual, physical, and/or psychological abuse, often (although not always) in the context of concomitant emotional neglect and harmful social environments (Briere & Scott, 2006; Cook, et al., 2005). As described in Chapter 1, the impact of complex trauma  include anxiety and depression; dissociation; relational, identity, and affect regulation disturbance; cognitive distortions; somatization; "externalizing" behaviors such as self-mutilation and violence; sexual disturbance; substance abuse; eating disorders; susceptibility to revictimization; and traumatic bereavement associated with loss of family members and other significant attachment figures".(p. 2)

Neste texto enumeram-se algumas estratégias apropriadas ao contexto terapêutico com pacientes de trauma complexo. Não as vou enumerar aqui mas indico as referências no final deste post. Anteriormente publicamos aqui um video de Briere  sobre esta questão : https://www.youtube.com/watch?v=KL82kN4kPAc Mais uma pequena citação do mesmo texto dá-nos, porém, a medida das capacidades requeridas aos terapeutas para lidar com a questão:a

"Because this is a multi-modal, comprehensive treatment model that takes into account a range of psychological, social, and cultural issues, its effectiveness rests on the therapist’s previous training, skill, sensitivity, creativity, and openness to the client. Although specific interventions and activities are described, this is not a structured, “how-to” manual. Instead, this guide offers a semi-structured approach that can be adapted on a case-by-case basis by the therapist to meet the youth’s specific developmental level, psychological functioning, and cultural/ethnic background."
  

John Briere, Ph.D. and Cheryl Lanktree, Ph.D.,

Integrative Treatment of Complex Trauma for Adolescents (ITCT-A):

 A Guide for the Treatment of Multiply-Traumatized Youth,

MCAVIC-USC Child and Adolescent Trauma Program, National Child Traumatic Stress Network Final draft, August 2008

 http://www.johnbriere.com/Adol%20Trauma%20Tx%20Manual%20-%20Final%208_25_08.pdf