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African Americans and mental health crisis
Early childhood trauma effects paper
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Children can experience trauma in various ways, it may be exposure to a natural disaster, war or witnessing or being the victim of violence, or physical or sexual abuse. Accidents, whether it be in a vehicle, falling down and getting injured or medical procedures can be traumatic for a child. “One of every four children will experience a traumatic event before the age of 16. Children who suffer from child traumatic stress are those children who have been exposed to one or more traumas over the course of their lives and develop reactions that persist and affect their daily lives after the traumatic events have ended %) (The National Child Traumatic Stress Network, 2010, n.p)”. Children’s reaction to trauma may vary, they may have depressive …show more content…
CPRT is a filial therapy program that is based on child-centered play therapy (CCPT), the focus is on the relationship of the parent and child, opposed to focusing on the child’s problem. (Socarras et al., 2015). CPRT focuses on the using play as a way for parents to connect with their children, the child is shown unconditional acceptance, as well as given the opportunity to understand and reflect their feelings (Socarras et al., 2015). CPRT is a structured 10-session filial therapy program designed to teach parents how to use developmental play activities and responsive communication to strengthen their relationship (Socarras et al., 2015). CPRT has demonstrated success with families from various ethnicities, cultural groups and social economic status (Socarras et al., 2015). This study confirmed that the CPRT intervention changed the participant’s parent-child relationship and understanding of their children’s emotions. However, African American parents felt that the sessions were not culturally centered to address their unique needs. African American parents also felt that identifying their beliefs about parenting practices should be heard and respected. (Socarras et al., 2015). Information gained was instrumental in identifying potential barriers while utilizing CPRT services for mothers who are African American and living in poverty (Socarras et al., 2015). Understanding the effects of trauma and poverty is critical, …show more content…
“The CBT approach integrates behavior and cognitive therapy to create change in a person’s behavior that is influenced by external and internal factors, the goal is to create behavioral and cognitive change (Wilson and Cottone, 2013, p.131).” “CBT is a linear model that describes situations, thoughts, feelings, and behavior as being connected (Wilson and Cottone, 2013, p.132).” The key premise to this therapy is that dysfunctional behavior and negative emotions emerge from distorted cognitive representations of external events (Wilson and Cottone, 2013). Research focused on using the CBT approach is limited and fails to identify the effect of treatment on African American Children. Family factors may exacerbate the attrition problem in the evaluation and delivery of mental health care for African American children. Moreover, cultural issues and family attitudes towards treatment may generate barriers to successful outcomes (Wilson and Cottone, 2013). The strategies and techniques of CBT have been assumed as being universal and suggest that there is not a need to focus on ethnically or racially diverse population or on youth of color. However, it is noted that there is a need to identify potential barriers and an increase in cultural sensitivity when working with African Americans. (Wilson and Cottone, 2013) Albeit, there have been studies conducted reporting a decrease in aggressive behaviors and behavior improvements by
Trauma is an overwhelming experience that causes injury to a person's psychological state of mind. Complex trauma, on the other hand, is a term used by the National Child Traumatic Stress Network (NCTSN). In which an increased emphasis is placed on the impact of multiple traumatizing events that occur during child development stages. As well as an increase in sensitivity of those traumas involving close personal relationships, such as caregivers and siblings (Forkey 3). Children exposed to complex trauma suffer from detrimental short-term and long-term effects on every aspect of their child development. These effects significantly impact their overall "quality of life," specifically affecting areas of cognitive functioning, neurobiological
Reviewing the 12 Core Concepts of the National Child Trauma Stress Network, James is suffering from three of the 12 concepts. Number 1 core concept, Traumatic experience are inherently complex. Traumatic experiences are inherently complex no experience are the same varying degrees of objective life threat, physical violation, witnessing of an injury or death. The victim perceives their surroundings and decides what is best for them now safety and self-protection. Number 4 core concept, A child or adolescent can exhibit an extensive range of reactions to suffering and loss. Number 9 core concept, the developmental neurobiology triggers a youth’s reactions to traumatic experience. In this paper, we will be covering another trauma that affects the social worker or case worker who works on these cases of
Cognitive-Behavioral Family Therapy (CBT) emphasizes on modifying parent’s behavior and improving communication skills. According to Nichols (2013), “Consequences that accelerate behavior are reinforcers; those that decelerate behavior are punishers” (p. 186). For example, Gladys’ behavior will be regulated by using reinforcements or punishment.
Nieter et al. (2013) looked at PCIT with community families and whether the behaviors of the children changed after the 12 sessions. The sample of 27 families was in low socioeconomic statuses, and the children were between 2-8 years of age. Only 17 of these families completed the entire treatment. The families that were in the PCIT program exemplified that the parents and/or caregivers gained skills to help their children’s behavior. The caregivers also in the experimental (PCIT) group believed that their children’s behavior improved by the end of treatment and the parents’ stress level decreased as well. Not only did the children’s behavior improve, but the parents also felt like they did not exhibit inappropriate behaviors (e.g. critical statements) as much and used more prosocial behaviors. The study’s results also may show that the fact that the treatment was in a group setting may have been beneficial, because it provides a support system, and they are able to problem solve together. Even after treatment ended, the parents reported that they kept in contact, creating a strong community. However, on the other hand, the problem with the group setting was the because there were so many groups, each caregiver only received 10-15 minutes of coaching which is shorter than the individual sessions. Thus, the therapists could not ensure that each family fully mastered each session before moving on to the
Unfortunately, when released from the detention centers these same individuals are untreated and rarely seek mental health treatments when released into the community, they also tend to display diminished cognitive reasoning and readjustment difficulties amongst their family, peers, and the community (Samuel, 2015). Since, most young black males are often categorized to be aggressive and disorderly they are often misdiagnosed, and likely to receive evasive services, placements and diagnoses of having and mental health issue. Because of this factor mistrust has been recognized as a major obstacle to the utilization of specialty mental health services among racial and ethnic minority populations. Cultural mistrust is explained by African Americans, as the constant mistreatment related to being Black or part of an ethnic group, that Whites cannot be trusted. Mental health doctors have a great challenge when it comes to reassuring young Black males to seek professional help for their suppressed mental health issues. There are three barriers that mental health doctors face: getting the Black male into counseling or mental health treatment, engaging them in the therapeutic process, and keeping them engaged long enough to achieve therapeutic goals. Trust of the mental health professional who will more than likely be white will definitely be the most vital factor to accomplishing each of these objectives (McCoy, Munson, Snowden & McMillen,
"African American Communities and Mental Health." Mental Health America. N.p., n.d. Web. 18 May 2014. .
In Graham Music’s book, Nurturing Natures: Attachment and Children's Emotional, Sociocultural, and Brain Development, Music explains to the reader how poverty, neglect and trauma can be associated with PTSD, posttraumatic stress disorder, and how PTSD can develop into long term psychiatric and even physical medical conditions. Neglect of a child can affect them later in life and affect their learning, social, mobile and regular everyday functions and activities. Music also shows the reader how early childhood experiences can impact attachment between mother and child. In addition, while neglect can occur at anytime during development, children are most vulnerable because of their reliance on adults in order to survive. He shows the reader that often neglected and traumatized children are hard to identify because they are fearful to come forward.
Cognitive Behavioural Therapy (CBT) is a form of therapy which can be used to treat a wide range of mental health problems. Cognitive Therapy is an active, directive, time limited, structured approach used to treat a variety of psychiatric disorders, for example depression, anxiety, phobias (Beck, 1967). It emerged as a rational amalgam of behavioural and cognitive theories of human behaviour and is based on the idea that our thoughts determine our behaviour and feelings (Kendall PC, 1979). On average a patient attends between 5 and 20 appointments with their therapist. (Blenkiron 2013)
In it's simplest form, Cognitive Behavioral Therapy, (or CBT as it will be referred to from here on out), refers to the approach of changing dysfunctional behaviors and thoughts to realistic and healthy ones. CBT encompasses several types of therapy focusing on the impact of an individual's thinking as it relates to expressed behaviors. Such models include rational emotive therapy (RET), rational emotive behavioral therapy (REBT), behavior therapy (BT), Rational Behavior Therapy (RBT), Schema Focused Therapy, Cognitive therapy (CT). Most recently a few other variations have been linked to CBT such as acceptance and commitment therapy (ACT), dialectic behavioral therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) (Harrington and Pickles, 2009). The main aspect that all of these branches of therapy share, is that our thoughts relate to our external behaviors. External events and individuals do not cause the negative thoughts or feelings, but, instead the perception of events and situations is the root cause (National Association of Cognitive Behavioral Therapists, 2010).
As we look into the effects of trauma on infants, we first must consider to what extent infants have memory. Many people assume that trauma cannot affect children who are too young to remember what happened. Perhaps, they even think that these infants are lucky because they experienced trauma so young that they grow up as if nothing had ever happened. However, studies show that we may need to think beyond our intuition.
Children are seen as innocent and pure to the world’s toxic society. When a child is stripped of his purity by witnessing a tragic event, can have long lasting effects on the child. War, natural disasters, car or plane crashes, death of a loved one, rape, kidnapping, and child neglect are all examples of traumatic events that can lead to PTSD. It is a feeling of helplessness. It is normal for one to experience PTSD symptoms after a tragic event. After a death of a loved one or a natural disaster, most will usually feel numb or disconnected. PTSD is characterized by seventeen common symptoms. These symptoms are then categorized into four main groups. These main groups are re-experiencing, avoidance, dysp...
Cognitive Behavioral Therapy (CBT) is a hands-on form of psychotherapy that is empirically based, which focuses on the interrelationship between emotions, behaviors, and thoughts. Through CBT, patients are able to identify their distorted thinking and modify their beliefs in order to change their behaviors. Once a patient changes their distorted thinking, they are able to think in a more positive and realistic manner. Overall, CBT focuses on consistent problem solving strategies and changing negative thought distortions and negative behavior. There are different types of CBT, which share common elements. Trauma Focused Cognitive Behavioral Therapy is a kind of CBT, which falls under the umbrella of CBT.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
According to the American Psychological Association, trauma is an emotional response to a terrible event. Some terrible events that happen all too often are rape, natural disasters or an accident. Immediately following the event shock and denial are likely to occur, but in the long-term flashbacks, unpredictable emotions and troubled relationships can arise. Defining emotional trauma on a child. Emotional trauma in a child can be created by bullying, emotional abuse, death of loved ones, separation from parent, or chaos and dysfunction in the household. Child symptoms of trauma can be very similar to depression symptoms. They can over sleep or sleep to little, unexplained anger, trouble focusing, obsessive worrying and some anxiety. How a child experiences an event and how it’s handled by those around him have an effect on how traumatizing it can be, notes Dr. Jerry Bubrick (Child Mind Institute , 2017). People grieve at different speeds and the way the child grieves is not the correct indicator on how the child will cope later. Defining physical trauma on a child. Physical trauma on a child is considered non-accidental or the cause of physical injury. Some households that suffer from alcoholism/substance abuse and anger issues have higher occurrences of child abuse as compared to households without according to psychology today. Sometimes kids that are abused are unaware that they are being abused and are victims of child
For millions of children in the U.S., poverty, neglect or abuse is a reality of everyday life, though these struggles are often hidden from view. Adult survivors often feel ashamed about and stigmatized for their childhood adversity. This makes it difficult to recognize that these events occur. While it’s easier to turn away than to face these issues, we can no longer afford to do so. Stress, mental illness and substance abuse – all health outcomes linked to childhood trauma – occur in the U.S. today at very high rates. Most would agree that the effects of childhood trauma can impact a child’s life more negatively than positively. While some may argue that the trauma endured has no effect on their future and that most will “just grow out of