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- While ye have light, believe in the light, that ye may be the children of light. These things spake Jesus, and departed, and did hide himself from them.
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Saturday, June 21, 2014
The Love Is In The Brand Named
In the task of deeds in life the trade did this pass of Hi I'm here to no availing of the spear,
for in the Vision of the Man I see that hands would spank this planned to escape the Vale.
In facts I speak of other leads that trust that lives will lead the plea to better of the plans,
to seek and not destroy the tack is more over in the breed of stands in B.D.S.M. a trend,
the brew of skull in Thoughts the Sphinx does Stonehenge have the trued in Sound,
as acoustics prove the found in echoes of the ever loud to strength it takes to short!!
Deliverance will often offer proud the gift of what is known of shroud to the Sacked in ever,
as the produce of the fruit does say in simple complex in terms that beaches have their shores.
As terra firma is the ground of which the feet do walk these pounds the wait is muscled,
in the strongs of underneath the hards are longs to riding days of horses traced,
that balance has extremes in days to game the every in a Way!!
So dressed to be the in the Last the scope of denial cast will Show the venue to the Small,
that boots do Tall to Chaps that Zip for the leather is the Tip of the Crop in a Whip.
No chain to link in such re-touched justly speech does barely touch upon the given hands in much,
for deserving on this Earth education has it's luck should I had the fortune salve the runner in a glad.
I would have been that in a trend of hide and seek know obvious for I would have sat in difference,
as the lap still a laugh the reside hard to find as Type is in a typical bind the line still seems fulled,
as such in girth upon the verse the chortle would have stayed the terse and never caught a Kernal.
For in the fun of just the spun a spin upon these lives of lung the obvious still does the sung,
for Songs that seem to Tell the Come that deeper harder as a Height in definite of the Stride!!
As Dragons speak to Unicorns leap it's really just the Oceanus seat that balance is a from,
the X and Zee in every lead but mostly I.D. does Sing at strung across the World Touring stung!!
The Bee in Confide is the Sting that Rings the Bell of Tolds in Law that is the Brighter being,
to previous in all ready is the key to what will come down the walk of in exacts for pricing is a Heady!!
Travel business to a Dungeon the Lair will steep the Blind in Keep as Rigging to the Sail of Meet,
in such dealings of the cards the Wilds spake of Hubs that Car to speed the Central Mind of Time.
Quest the journey to the Nip of biting upon the Rings of Dawn the Sun does Ask the Moon,
should the Set be in the Let does the Platter boom to Wreck the Table of the better stet??
A butcher in the teach of Chef at the House of my Favorite bet is as the Roast does learn,
that drippings to the all in Mode are the bread to butters row in Yorkshire Pudding I see blah dough!!
City Kids Born & Raised Know the Taste of Stouts in Bayed
Friday, June 27, 2014
Speaking Light
Back in the day before I was hey in birth upon this land their advice was to not watch the Screen,
basically Television was a drain on the brain wasting time a way to streaming guise ideas,
the product of many conversations that took place to explain the replacement as paved,
with thoughts that may not plug but be that introduction too the faster rots in a Minds Thought!!
To speak on passing leads that regulated such thinking of such a promotable feed in brooming,
swept by the Nationals in what was popular by the day to the Week of the year in a Series,
as Monday rolled Tuesday to Wednesday Salons in Thursdays believe Friday partied on,
leaving Saturday for Cartoons and Sunday stuck in Booms,
the basis of a life with regards to T.V. guides!!
Now there are no worthy days to brag upon such real fates that destiny dictates the moment place,
why bother to wait for the show when you can download the action as the video blows.
Each Past to Future lathe the shield of advisement has warned of the over use in Watts,
remote controls were frowned upon as now we were to lazy to get up and change the channel,
so this made those words able to dig in a deeper Tell of how inactive the Watch became in the Stares!!
I remember the frustration of my brother standing in front of the said black and white View,
just to annoy the looker to react to the blocker in order to spite a fight in a playful might,
should I have turned the tables which I did not for he was bigger than me so I felt the loss,
this is a common lesson in my life however the gains is the lesson learned in playing gamed!!
Patience dictated the fight to no reaction and the ability to walk away knowing his shows were over,
being capable of reading the guides to channel the turn of the informational switch proved real,
for taking a walk on the far side lead me to the out doors and to Horses the where to go!!
Or, taking consideration of the time to day of week in play than producing the water to make mud,
building wishes that I could aim the dry cakes to the brain waving of striking him with looks,
as a value to addition the reams as a booking of themes that teach the dreamer the value of little talks!!
A cruise into these plays must put the effort to the production of true aim as the plug cannot drain,
in San Francisco there are One-Way Streets for reasons of the traffic that wishes not to be held back,
so the flow is indicative of the mapping out upon the advisement of True North Compassing shores!!
Attentive Lives pay great tribulation to these evaluations as Proper is Prime to the piece of the pie,
therefore reserving the bowl for a greater play on the stage that Venues the Type of undivided,
for that is the being with not of a circulation that would just become draining as a performance,
thereby leaving the Singer to Job a Way to enjoy the Countenance of his Ability to Be the Greatest better!!
Take that weird and hold your hand....Oh Wait...I mean your phone and Call to the base of the bones,
than upon arrival try to remember the wrought that said dialing for attention will cost you in deal,
for speaking conversations is a working to the actual lost in translation.
Real Stops
Saturday, June 28, 2014
The Apocalypse Means Revealing Hear A Revelation
So here I go again down this road of prose with a riddle in the middle the words in-between,
the explain of the centuries to Ages of Ancients that sent me to journey the quest of the present,
in the action of today the future of tomorrow a moment in Time as Iron is Dimed.
Creation my Mother as Evolution is my Father to-be turning with sheets of pages like Mist,
the pour of the rain upon Mother Earth the sky is so blue but the Mornings just dew,
clouds are in rise moving such grace to storms bringing mountains the snow of a base.
The search for the way to knock upon doors I considered each Country as Nations of lored,
the funny bone tickled in side of myself as where is the door bell to inquire such Tell,
a thought to the moment in a desperate reveal the onward of forward just blogged the whole deal.
Out there in front with keys stroking strange a telling of happenings in this life of deranged,
hurt so terribly by religions that rein to kill any instinct or reduce that percentage inside of your Brain,
the patience in leads spoke gently through teach an original lend to a World of beens.
How to stage the feelings from then with streaming of Consciousness I still believe love,
a twin flame that fires to a Man such as Blunt will continually state it takes Two for this stunt,
I came with a message complete and intact regardless of strife I've hit traits that exact.
The oddity of such in random reveal will open the eyes of the interested real,
I am hear to be of use to a Lead the coming of times is in properly Scene,
the Mass of the People Humanities mean belief has been lost and the consequence is Beal.
So call the Pope ask the Muslim say hello to the Jewish People they seem predisposed,
to the Hindu of India and the Plains of the Native as I am an American standing with Trued,
the circumspect spoke with thoughts to discover that life has a purpose to Blunt he's my Lover!!
Part it all out to a Stay in a shout as Plato did mention Zeus cut it out,
the belly of the beast to the innocent released for the trust of the barrow is the Apple of Knot,
a loom to the Sphinx as health in the Break the Names have been taken to the horror of rape!!
Yield this Presence to Gifts from the Crest as the Rings of Gold are the known,
the Fire is Text to explain once more that we are not all the same,
my birth to this earth delivered a 9 ~ 11 in brung the date will be treasured for the memory is long.
I'll consider it a blessing a sign in advance to March to the beat of the loss of summed Feat,
I'll walk for the People who came down in the Ash on a Day I witnessed and by body fell past,
I'll embrace what I know I'll look for them though 'cause I still do hurt at the blatant of crash!!
Sense to the horror of the terror that did last for the memory of fright straightens my Might,
the Twins will be just the Standing of Light shot to the Sky to show us the night,
in that being done to be the next sign than the Moon speaking back says I love your design!!
Monday, June 30, 2014
The Ice Burn Report Appreciations Torques
Dribble existence with rhythm of the last in the facial recognition of the list in a series of 'Just' brisk,
the one two count is a repetitive loud in the perfective of a whipping in a sound to note,
the writings of the length to the equaling of Proud the body holds the frame with a naming pound,
vary to the differ it is a leading found that nothing is resistance for the X is for the doubt.
In the lickings of a life not a wound it's the stype for each a dedication to the ketchups knight,
higher voice does speak of wise beyond the Tau in the hand of sigil a throne of knowing shroud,
crown if off to vigil a worry for the Meat for the Steak of the service a dinner as the lead,
fork the yield in with a liberated shed shrugging to the Keep for reason of the Steers.
Pointed to the daring tell the worth of take hopping over certain brings the equal break,
snap the gears to shifting that scrub of the course as in the difference lifted a friendly in a court,
why put down the effort it's brilliance in the corpse singing to the staged life in a sport,
rules that carve no sentence to living up the forced bricking walls to mortal an arm greats the door!!
On the source of flipping the coins are in the stirr a knickel in a penny dropping dimes forsake,
'cause as the year does quarter a bulls eye in the snake to coil up for striking a World in the Lakes,
swimming to the Ocean the Wave was in the spook for at the very least it's icing on the bake,
frying in the Sun as the Moon does change it's shape as expressives center the winking spoons the spake!!
Do not concern the lyricism of confuse a state with spun deliberate does handle the life of blunt in done,
sharpen talents often run to the nearest building that entry for the come,
in shots of mouth or drops of drew a blasting poke to letter as grease is mere to soap!!
Better to be the beaten than cope with the loss in my venued life it is just albatrossed,
the consistency I count upon born without a hope as innocence was taken long ago I cope,
wishing is a well with know given taking spell a language soaked with Magic is gifted for it's Kell.
In brand knew the distant Hue the copper of the Planet Lieu spotted on the entry to this Massive empty,
filling time is never wasted with the trash of the been in thus a cycle to Being it out again,
looking forward to futures back the aim begets the guise of Set to map the entire Let,
the barrel of the rifle is to Wine the Grape in Style a showing of dismissal before the after'ed thistle.
Fact to Scene of actual in Means of driving Seats blood and honey bitter sweets to any gaming pleat,
hell is just a cook book the menu of the brain thoughts of feudal commons issue to the peat,
slippery slides on hilly cleans making residence in clean a wash in the proper of never touching steamed,
a sort of frog boiling with the oven tips not to climb inside and discover that it's Hide,
a kinder way discovers long in burial covers the gauze of many crashes makes Blunt a band aid bin!!
A picket fence so painted the red behaves to rinse for in the Rainbow Bridged the troll is short to kiss,
punch it out like paper route the rubber in the Band to shout look it is a crowded pout to surf his life in out,
striking chords to his own core and ego filled by no doubt the Ages blasted blow I Swallow!!
Deep Vocal Throating
Monday, February 15, 2016
Date 02/15/2016 The Time Is Standard List At Talk 910 KKSF Playing A Repeat From Armstrong & Getty At 6:06 PM On Local Eh IM Radio
Complex post-traumatic stress disorder
From Wikipedia, the free encyclopedia
Complex post-traumatic stress disorder (C-PTSD), also known as developmental trauma disorder (DTD)[1] or complex trauma,[2] is a proposed diagnostic term for a set of symptoms resulting from prolonged stress of a social and/or interpersonal nature, especially in the context of interpersonal dependence. Subjects displaying traits associated with C-PTSD include victims of chronic maltreatment by caregivers, as well as hostages, prisoners of war, concentration camp survivors, and survivors of some religious cults.
Situations causing the kind of traumatic stress that can lead to C-PTSD-like symptoms include captivity or entrapment (a situation lacking a viable escape route for the victim), as well as psychological manipulation (gaslighting and/or false accusations), which can result in a prolonged sense of helplessness and deformation of one's identity and sense ofself.[3] C-PTSD is distinct from, but similar to, post-traumatic stress disorder (PTSD), somatization disorder, dissociative identity disorder, and borderline personality disorder.[4]
Though mainstream journals have published papers on C-PTSD, the category is not formally recognized in diagnostic systems such as Diagnostic and Statistical Manual of Mental Disorders (DSM) or International Statistical Classification of Diseases and Related Health Problems (ICD).[5] C-PTSD was not included in DSM-IV or in DSM-5, published in 2013.[6] However, the DSM includes "disorder of extreme stress, not otherwise specified" and the ICD has the similar code "personality change due to classifications found elsewhere" (31.1), both of whose parameters approximate C-PTSD.[4]
C-PTSD involves complex and reciprocal interactions among multiple biopsychosocial systems. It was first described in 1992 by Judith Herman in her book Trauma & Recoveryand an accompanying article.[4][7] Forms of trauma associated with C-PTSD involve a history of prolonged subjection to totalitarian control[4] including sexual abuse (especiallychild sexual abuse), physical abuse, emotional abuse, domestic violence, torture or psychological torture—all repeated or prolonged traumas in which there is an actual or perceived inability for the victim to escape.[8][9]
Contents
[hide]Symptoms[edit]
Children and adolescents[edit]
The diagnosis of PTSD was originally developed for adults who had suffered from a single event trauma, such as rape, or a traumatic experience during a war.[10] However, the situation for many children is quite different. Children can suffer chronic trauma such as maltreatment, family violence, and a disruption in attachment to their primary caregiver.[11] In many cases, it is the child's caregiver who caused the trauma.[10] The diagnosis of PTSD does not take into account how the developmental stages of children may affect their symptoms and how trauma can affect a child’s development.[10] Currently there is no proper diagnosis for this condition, but the term developmental trauma disorder has been suggested.[11] This developmental form of trauma places children at risk for developing psychiatric and medical disorders.[11]
Repeated traumatization during childhood leads to symptoms that differ from those described for PTSD.[12] Cook and others describe symptoms and behavioural characteristics in seven domains:[13][14]
- Attachment - "problems with relationship boundaries, lack of trust, social isolation, difficulty perceiving and responding to other's emotional states, and lack of empathy"
- Biology - "sensory-motor developmental dysfunction, sensory-integration difficulties, somatization, and increased medical problems"
- Affect or emotional regulation - "poor affect regulation, difficulty identifying and expressing emotions and internal states, and difficulties communicating needs, wants, and wishes"
- Dissociation - "amnesia, depersonalization, discrete states of consciousness with discrete memories, affect, and functioning, and impaired memory for state-based events"
- Behavioural control - "problems with impulse control, aggression, pathological self-soothing, and sleep problems"
- Cognition - "difficulty regulating attention, problems with a variety of "executive functions" such as planning, judgement, initiation, use of materials, and self-monitoring, difficulty processing new information, difficulty focusing and completing tasks, poor object constancy, problems with "cause-effect" thinking, and language developmental problems such as a gap between receptive and expressive communication abilities."
- Self-concept - "fragmented and disconnected autobiographical narrative, disturbed body image, low self-esteem, excessive shame, and negative internal working models of self".
Adults[edit]
Adults with C-PTSD have sometimes experienced prolonged interpersonal traumatization as children as well as prolonged trauma as adults. This early injury interrupts the development of a robust sense of self and of others. Because physical and emotional pain or neglect was often inflicted by attachment figures such as caregivers or older siblings, these individuals may develop a sense that they are fundamentally flawed and that others cannot be relied upon.[7][15]
This can become a pervasive way of relating to others in adult life described as insecure attachment. The diagnosis of dissociative disorder and PTSD in the current DSM-IV TR(2000) do not include insecure attachment as a symptom. Individuals with Complex PTSD also demonstrate lasting personality disturbances with a significant risk ofrevictimization.[16]
Six clusters of symptoms have been suggested for diagnosis of C-PTSD.[5][17] These are (1) alterations in regulation of affect and impulses; (2) alterations in attention or consciousness; (3) alterations in self-perception; (4) alterations in relations with others; (5) somatization, and (6) alterations in systems of meaning.[17]
- Difficulties regulating emotions, including symptoms such as persistent dysphoria, chronic suicidal preoccupation, self injury, explosive or extremely inhibited anger (may alternate), or compulsive or extremely inhibited sexuality (may alternate).
- Variations in consciousness, including forgetting traumatic events (i.e., psychogenic amnesia), reliving experiences (either in the form of intrusive PTSD symptoms or in ruminative preoccupation), or having episodes of dissociation.
- Changes in self-perception, such as a chronic and pervasive sense of helplessness, paralysis of initiative, shame, guilt, self-blame, a sense of defilement or stigma, and a sense of being completely different from other human beings
- Varied changes in the perception of the perpetrator, such as attributing total power to the perpetrator (caution: victim's assessment of power realities may be more realistic than clinician's), becoming preoccupied with the relationship to the perpetrator, including a preoccupation with revenge, idealization or paradoxical gratitude, a sense of a special relationship with the perpetrator or acceptance of the perpetrator's belief system or rationalizations.
- Alterations in relations with others, including isolation and withdrawal, persistent distrust, a repeated search for a rescuer, disruption in intimate relationships and repeated failures of self-protection.
- Loss of, or changes in, one's system of meanings, which may include a loss of sustaining faith or a sense of hopelessness and despair.
Diagnostics[edit]
Main article: Posttraumatic stress disorder
C-PTSD was under consideration for inclusion in the DSM-IV but was not included when the DSM-IV was published in 1994.[4] It was neither included in DSM-5. PTSD will continue to be listed as a disorder.[6]
Differential diagnosis[edit]
Post-traumatic stress disorder[edit]
Main article: Posttraumatic stress disorder
Post-traumatic stress disorder (PTSD) was included in the DSM-III (1980), mainly due to the relatively large numbers of American combat veterans of the Vietnam War who were seeking treatment for the lingering effects of combat stress. In the 1980s, various researchers and clinicians suggested that PTSD might also accurately describe the sequelae of such traumas as child sexual abuse and domestic abuse.[20] However, it was soon suggested that PTSD failed to account for the cluster of symptoms that were often observed in cases of prolonged abuse, particularly that which was perpetrated against children by caregivers during multiple childhood and adolescent developmental stages. Such patients were often extremely difficult to treat with established methods.[20]
PTSD descriptions fail to capture some of the core characteristics of C-PTSD. These elements include captivity, psychological fragmentation, the loss of a sense of safety, trust, and self-worth, as well as the tendency to be revictimized. Most importantly, there is a loss of a coherent sense of self: it is this loss, and the ensuing symptom profile, that most pointedly differentiates C-PTSD from PTSD.[18]
C-PTSD is also characterized by attachment disorder, particularly the pervasive insecure, or disorganized-type attachment.[21] DSM-IV (1994) dissociative disorders and PTSD do not include insecure attachment in their criteria. As a consequence of this aspect of C-PTSD, when some adults with C-PTSD become parents and confront their own children'sattachment needs, they may have particular difficulty in responding sensitively especially to their infants' and young children's routine distress—such as during routine separations, despite these parents' best intentions and efforts.[22] Although the great majority of survivors do not abuse others,[23] this difficulty in parenting may have adverse repercussions for their children's social and emotional development if parents with this condition and their children do not receive appropriate treatment.[24][25]
Thus, a differentiation between the diagnostic category of C-PTSD and that of PTSD has been suggested. C-PTSD better describes the pervasive negative impact of chronic repetitive trauma than does PTSD alone.[19][26]
C-PTSD also differs from continuous post traumatic stress disorder (CTSD), which was introduced into the trauma literature by Gill Straker (1987).[27] It was originally used by South African clinicians to describe the effects of exposure to frequent, high levels of violence usually associated with civil conflict and political repression. The term is also applicable to the effects of exposure to contexts in which gang violence and crime are endemic as well as to the effects of ongoing exposure to life threats in high-risk occupationssuch as police, fire and emergency services.
Traumatic grief[edit]
Main articles: Grief and Grief counseling
Traumatic grief[28][29][30][31] or complicated mourning[32] are conditions[33] where both trauma and grief coincide. There are conceptual links between trauma and bereavement since loss of a loved one is inherently traumatic.[34] If a traumatic event was life-threatening, but did not result in death, then it is more likely that the survivor will experience post-traumatic stress symptoms. If a person dies, and the survivor was close to the person who died, then it is more likely that symptoms of grief will also develop. When the death is of a loved one, and was sudden or violent, then both symptoms often coincide. This is likely in children exposed to community violence.[35][36]
For C-PTSD to manifest, the violence would occur under conditions of captivity, loss of control and disempowerment, coinciding with the death of a friend or loved one in life-threatening circumstances. This again is most likely for children and stepchildren who experience prolonged domestic or chronic community violence that ultimately results in the death of friends and loved ones. The phenomenon of the increased risk of violence and death of stepchildren is referred to as the Cinderella effect.
Attachment theory, BPD and C-PTSD[edit]
Main articles: Attachment theory and Borderline personality disorder
C-PTSD may share some symptoms with both PTSD and borderline personality disorder.[26] Judith Herman has suggested that C-PTSD be used in place of BPD.[37][38][39]
It may help to understand the intersection of attachment theory with C-PTSD and BPD if one reads the following opinion of Bessel A. van der Kolk together with an understanding drawn from a description of BPD:
Seeking increased attachment to people, especially to care-givers who inflict pain, confuses love and pain and increases the likelihood of a captivity like that of betrayal bonding,[41] (similar to Stockholm syndrome) and of disempowerment and lack of control. If the situation is perceived as life-threatening then traumatic stress responses will likely arise and C-PTSD more likely diagnosed in a situation of insecure attachment than PTSD.[citation needed]
However, 25% of those diagnosed with BPD have no known history of childhood neglect or abuse and individuals are six times as likely to develop BPD if they have a relative who was so diagnosed[citation needed] compared to those who do not. One conclusion is that there is a genetic predisposition to BPD unrelated to trauma. Researchers conducting a longitudinal investigation of identical twins found that "genetic factors play a major role in individual differences of borderline personality disorder features in Western society."[42]
In Trauma and Recovery, Herman expresses the additional concern that patients who suffer from C-PTSD frequently risk being misunderstood as inherently 'dependent', 'masochistic', or 'self-defeating', comparing this attitude to the historical misdiagnosis of female hysteria.[4]
Treatment[edit]
Children[edit]
The utility of PTSD derived psychotherapies for assisting children with C-PTSD is uncertain. This area of diagnosis and treatment calls for caution in use of the category C-PTSD. Ford and van der Kolk have suggested that C-PTSD may not be as useful a category for diagnosis and treatment of children as a proposed category of developmental trauma disorder (DTD).[43] For DTD to be diagnosed it requires a
Since C-PTSD or DTD in children is often caused by chronic maltreatment, neglect or abuse in a care-giving relationship the first element of the biopsychosocial system to address is that relationship. This invariably involves some sort of child protection agency. This both widens the range of support that can be given to the child but also the complexity of the situation, since the agency's statutory legal obligations may then need to be enforced.
A number of practical, therapeutic and ethical principles for assessment and intervention have been developed and explored in the field:[45]
- Identifying and addressing threats to the child's or family's safety and stability are the first priority.
- A relational bridge must be developed to engage, retain and maximize the benefit for the child and caregiver.
- Diagnosis, treatment planning and outcome monitoring are always relational (and) strengths based.
- All phases of treatment should aim to enhance self-regulation competencies.
- Determining with whom, when and how to address traumatic memories.
- Preventing and managing relational discontinuities and psychosocial crises.
Adults[edit]
Herman believes recovery from C-PTSD occurs in three stages. These are: establishing safety, remembrance and mourning for what was lost, and reconnecting with community and more broadly, society. Herman believes recovery can only occur within a healing relationship and only if the survivor is empowered by that relationship. This healing relationship need not be romantic or sexual in the colloquial sense of "relationship", however, and can also include relationships with friends, co-workers, one's relatives or children, and the therapeutic relationship.[4]
Complex trauma means complex reactions and this leads to complex treatments. Hence, treatment for C-PTSD requires a multi-modal approach.[14] It has been suggested that treatment for C-PTSD should differ from treatment for PTSD by focusing on problems that cause more functional impairment than the PTSD symptoms. These problems include emotional dysregulation, dissociation, and interpersonal problems.[21] Six suggested core components of complex trauma treatment include:[14]
- Safety
- Self-regulation
- Self-reflective information processing
- Traumatic experiences integration
- Relational engagement
- Positive affect enhancement
Multiple treatments have been suggested for C-PTSD. Among these treatments are experiential and emotion focused therapy, internal family systems therapy, sensorimotor psychotherapy, eye movement desensitization and reprocessing therapy (EMDR), dialectical behavior therapy (DBT), cognitive behavioral therapy, psychodynamic therapy,family systems therapy and group therapy.[46]
See also[edit]
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