2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Continuing the article on the specific features of the course of mental trauma. Trauma and its consequences in many of its aspects are described both by scientists, researchers, practitioners and, nevertheless, applied aspects of what to do and how to help a person to cope, if possible, without resorting to medical psychiatric and clinical psychotherapeutic assistance, that is, according to in fact, the treatment has not yet lost its relevance. The importance and significance of this problem, it seems to me, occurs for several reasons:
- The latency of the course of psychotrauma is its secrecy and withdrawal into the unconscious with possible somatic manifestations (psychosomatic disorders: gastritis, gastrointestinal ulcers, arterial hypertension, diabetes mellitus). Trauma not lived can provoke the recurrence of chronic diseases by recurring them.
- Long-term rejection of the changes that have occurred and focus on how it was before. Getting stuck on trauma.
- Not the desire to come into contact with the experience, that is, with the pain and the need to leave it in the past.
- And diametrically opposite, I don't want to let him go. It is often encountered with the loss of loved ones such a belief formed from the traumatic experience "If I leave everything in the past, it means that I will betray the deceased person." This condition is exacerbated by the appearance of a sense of guilt.
- Mental trauma can be the cause of a crisis, which refers to a tipping point, something that raises anxiety, danger and is also a source of potential growth and fundamental change in life. It's like a potential flip side of the crisis.
The new experience that a person encounters can be very frightening, because the old order of things changes, a certain homeostasis is disturbed, the constancy of the environment in this case, the surrounding, of the conditions in which the person is more alive. One example of this is how to live now that a person has died, and a significant part of his life was devoted to him and the relationship with him.
Now, perhaps, as far as my opportunities allow, I can convey some practical recommendations on how to help an injured person. Psychotrauma is accompanied by loss of cognitive control and feelings of anxiety, loss of control over oneself and over the event. This is a disaster for a person. Therefore, it is necessary to help begin to restore this control, to be with a person nearby and not actively interfere, not to ask, not to forbid to show feelings, not to shout, not to hug, but to help a person to show them, giving the opportunity to "ventilation". Help create a safe space for a person where he can also be such a feeling experiencer. Help without interfering, advising or forbidding.
In this case, the technique of active listening and focusing on the process will be very helpful. Which I will write about next.
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