Beruflich Dokumente
Kultur Dokumente
Dr Bessel van der Kolk; The Body Keeps the Score (2014)
2
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11/13/2018
permission of Kathleen Bellamano.
What are somatic based
practices?
3
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be reproduced without the express written permission of Kathleen Bellamano. 11/13/2018
Why are they helpful?
4
Because of Stress: “the non-specific
response of the body to any demand”
(Everly,Jr. and Lating, J. 2014)
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11/13/2018
permission of Kathleen Bellamano.
What is Trauma?
• Overwhelming
• Unexpected
• Powerless to stop
• Singular or
5
multiple
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11/13/2018
permission of Kathleen Bellamano.
6 Prevalence of Trauma
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11/13/2018
permission of Kathleen Bellamano.
What is PTSD? 7
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11/13/2018
written permission of Kathleen Bellamano.
How do you get it?
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permission of Kathleen Bellamano.
11/13/2018
9 Sympathetic Nervous System
The “Gas”
Prepares for physical activity
Fight/flight
Breed/Feed
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11/13/2018
permission of Kathleen Bellamano.
10 Parasympathetic Nervous System
The “Brakes”
Relaxes the body and slows
high energy functions
Rest and digest
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11/13/2018
permission of Kathleen Bellamano.
11 Social Nervous System
The Connector
Operate in response to safety
Self-expression,
communication, social
connection
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11/13/2018
permission of Kathleen Bellamano.
When we are having a Stress
Response…
Compressed
Window of
Functioning
13 High Stress responses
Dysregulated emotions
Over-reactions to minor stress
Emotional numbing
Coping mechanisms
Difficulty developing trust
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11/13/2018
permission of Kathleen Bellamano.
When the Parasympathetic Branch is in
Charge…
Wide
Window of
Functioning
15
Then our Social Nervous System kicks in…
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11/13/2018
permission of Kathleen Bellamano.
16
Mirror Neurons
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11/13/2018
permission of Kathleen Bellamano.
17
Body-based Strategies
Focus on the present
Bring in the senses
Establish and use connections
Express self
Regulate Nervous System
Apply mindfulness strategies
Use play, creativity, imagination
Attend to nature, beauty, positivity
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11/13/2018
permission of Kathleen Bellamano.
Examples…
Awareness Strategies
Calming Strategies
Grounding Strategies
Thinking Strategies
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permission of Kathleen Bellamano.
11/13/2018
19
© 2018 This material is copyrighted. All rights reserved. No part of this presentation may be reproduced without the
11/13/2018
express written permission of Kathleen Bellamano.
20 Awareness Strategies
Stress Thermometer
Stress Plan
Stress Management Goal
How present are you?
…How present do you want to be?
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11/13/2018
permission of Kathleen Bellamano.
21 Calming Strategies
Breathing
Body Scan
Progressive Muscle Relaxation
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11/13/2018
permission of Kathleen Bellamano.
22 Grounding Strategies
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11/13/2018
permission of Kathleen Bellamano.
23 Strategies that work for you will vary
Based on your
• Profession
• area of practice
• practice environment
• personal comfort
• Training
• education
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11/13/2018
permission of Kathleen Bellamano.
24 Ethical Obligations of DR Professionals
Competency
Example: BCPCRS Guidelines
1.01 A PC must be qualified by education,
training and experience to undertake
parenting coordination with the skill and
capacity required to deal appropriately
and effectively with high conflict
parenting issues.
© 2018 This material is copyrighted. All rights reserved. No part of this presentation may be reproduced without the express written
11/13/2018
permission of Kathleen Bellamano.
25 Ethical Obligations of DR Professionals
Competency
Example: Mediate BC
6.4 A mediator should ensure that he or
she has knowledge and procedural skills
sufficient to properly identify and
manage cases involving vulnerable
participants, abuse, or the inappropriate
use of power by any participant.
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11/13/2018
permission of Kathleen Bellamano.
26
What we can do
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11/13/2018
permission of Kathleen Bellamano.
27
Some approaches to consider
Planning ahead
Policies, procedures
Available resources
Flexibility
Timing (staggered start times), location, logistics, alternative platforms (ODR)
Breaks
Planning for self-care
Pre-meeting discussions about needs
Support people
Memory aids
- pre-reading
- Flipcharts or projection
- Photos of notes
© 2018 This material is copyrighted. All rights reserved. No part of this presentation may be reproduced without the express written
11/13/2018
permission of Kathleen Bellamano.
References p. 1
28
© 2018 This material is copyrighted. All rights reserved. No part of this presentation may be reproduced without the express written
11/13/2018
permission of Kathleen Bellamano.
References p. 2
29 Ponic, P., Varcoe, C. and Smutylo, T. (2016). Trauma- (and
violence-) informed approaches to supporting victims of violence:
Policy and practice considerations. Victims of Crime Research
Journal, 9, 3-15.
Porges, S.W. (2011). The Polyvagal Theory: neurophysiological
foundations of emotions, attachment, communication, and self-
regulation. New York: WW Norton.
Richard, C (2015). 20 quick strategies to help patients and clients
manage stress. Brush Education.
Rothschild, B. (2000). The body remembers. New York: WW Norton.
van der Kolk, B. A. (2014). The body keeps the score: brain, mind,
and body in the healing of trauma. New York: Viking.
© 2018 This material is copyrighted. All rights reserved. No part of this presentation may be reproduced without the express written
11/13/2018
permission of Kathleen Bellamano.