BookVeronica Ades, editor.
Contents:
Intro
Preface
Why This Book Is Needed
A Word About Terminology
Women and LGBTQ
FGM/FGC
Trauma-Informed Care
Summary
References
Acknowledgments
Contents
Contributors
Assistant Editors
Authors
Part I: Defining Trauma
1: What Is Psychological Trauma?
Introduction
What Is Psychological Trauma?
Sexual and Gender-Based Violence
Characteristics of Sexual and Gender-Based Violence
Reactions to Sexual and Gender-Based Violence
Mental Health Reactions to Trauma
Cognitive Reactions to Trauma
Social Reactions to Trauma Physical Health Reactions to Trauma
The Trauma Survivor as a Patient
Conclusion
References
2: Psychoeducation: Discussing Trauma with Patients
Introduction
Basic Trauma Themes
Theme 1: Fight, Flight, and *Freeze* (Table 2.1)
Theme 2: The Response to Trauma is Automatic
Theme 3: Body Responses Connect to Survival, Both During and After
Theme 4: Trauma is About the Experience, not the Exposure
Theme 5: Symptoms of Hyper- and Hypo-arousal are Normal
Themes on the Patient-Provider Interaction
Theme 6: Messages of Guilt, Shame, and Fault are Common Theme 7: Messages of Self-blame and Shame Can and Should Be Addressed Within the Provider/Patient Relationship
Stance and Approach
Basic Principles of Psychoeducation
Reduction of Shame
Titration of Information
Use the Language of the Patient, Not of Pathology or Disorder
Think About Diagnoses Within a Frame of Helpfulness (or not) with the Patient
If You Make a Mistake, Apologize and Mindfully Move Along
If the Patient Closes off (Shift in Body Language, Affect, Speech, or Contact), Notice and Discuss
Embolden Curiosity Minimize Surprise Within the Provider/Patient Relationship
Consider the Patient as a Whole Person, Not Only a Survivor
Working with Patient Reactions in the Moment
Ways to Explain Trauma Therapy and Provide a Referral
References
Part II: Context-Specific Trauma
3: Intimate Partner Violence and the Training of Healthcare Providers
Background
SAIF Curriculum Content
Screen
Framing Statements
Limits of Confidentiality
Screening Questions
How Often, When, Where
Assess
Negative Response (Does Not Endorse IPV Situation)
Unclear Response Positive Response
Intervene
Safety Planning
Follow-Up
Documentation
SAIF Curriculum Design and Implementation
Evaluation of the Workshop
Conclusion
References
4: Reducing Barriers to Medical Care for Survivors of Commercial Sexual Exploitation
Introduction
Definitions
How Trafficking Works
Working with Survivors
Epidemiology of Sex Trafficking
Identifying Survivors
Physical Needs of Survivors
Trauma-Informed Intake and Pace
Building Healing Patient-Provider Relationships
Nonjudgmental and Strength-Based Language