The ChildTrauma Academy Introduction to the NMTcctasp.northwestern.edu/wp-content/uploads/Introduction-to-the-N... · The ChildTrauma Academy Introduction to the NMT Materials may

The ChildTrauma Academy Introduction to the NMT

Materials may not be replicated, repurposed or modified without permission

Bruce D Perry, MD, PhD © 2010

All rights reserved © 2010 Bruce D. Perry

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All rights reserved © 2010 Bruce D. Perry DDDG8+91&4$0':0G%$@* All rights reserved © 2010 Bruce D. Perry

Neocortex

Limbic

Diencephalon

Brainstem

Abstract thought

Concrete Thought

Affiliation

"Attachment"

Sexual Behavior

Emotional Reactivity

"Arousal"

Appetite/Satiety

Blood Pressure

Heart Rate

Body Temperature

Sleep

Motor Regulation





Cortex

Limbic

Diencephalon

Cerebellum

Brainstem

Abstract thought

Concrete Thought

Affiliation/reward

"Attachment"

Sexual Behavior

Emotional Reactivity

"Arousal"

Appetite/Satiety

Blood Pressure

Heart Rate

Body Temperature

Sleep

Motor Regulation

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Relational difficulties

Depressive & affect symptoms

Alcohol – substance abuse

Trauma core symptoms

Guilt Shame

ANS - body

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Complexity Plasticity

Neocortex

Limbic

Diencephalon

Brainstem


Cortical

Limbic

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“Out” “In”

Multi-level Processing


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Cell Body

Dendrites

Myelin Sheath

Axon

The Neuron

Synapses





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USE-DEPENDENT DEVELOPMENT

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“Out” “In”

New experience is “filtered”

through past

experience


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All rights reserved © 2010 Bruce D. Perry All rights reserved © 2010 Bruce D. Perry



Intimacy Barrier

History of Relational

Interactions

Casual - Routine - Personal - Intimate All rights reserved © 2010 Bruce D. Perry

NA

DA

Positive Human Interaction

Stimulation of “Reward” Neural Systems in the Human Brain: Sex

Sensation of pleasure and

safety

Release of hormones

and “calmer” regulation of

stress response

neural systems Decrease

physiological distress

Drugs of Abuse cocaine, opiates, stimulants

EtOH

Sweet, salty, fatty

foods

Behavior consistent

with value or belief system

Cut, pick, pull Sex





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$%&'((#

Unpredictable!

Vulnerability!

Predictable

Resilience!

Severe Moderate


Time

State of Arousal

Birth

Responsive Caregiving (e.g., feeds, soothes)

External Soothing


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Time

State of Arousal

Birth

Inconsistent Caregiving Response

External Soothing

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Trauma Stress

Terror

Fear

Alarm

Alert

Calm

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Females

Young Children

Torture/Pain

Inescapable Helplessness

Males

Older Children

Observer

Action Active Role

Arousal Dissociation

DISSOCIATIVE/AROUSAL BALANCE


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All rights reserved © 2010 Bruce D. Perry www.ChildTrauma.org 40

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Extreme Stress Stress Baseline

Vulnerable

Normal

Resilient

Terror

Fear

Alarm

Alert

Calm

All rights reserved © 2010 Bruce D. Perry !!!"#$%&'()*+,*"-)./

“Out” “In”

Evocative cues

associated with

previous trauma






Terror

Fear

Alarm

Alert

Calm

The Therapeutic Window: State Dependence


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A Neurodevelopmental Definition of Neglect

All rights reserved © 2010 Bruce D. Perry www.ChildTrauma.org

Early Childhood Neglect Family portrait by an 8 year old boy. Adopted at age 3 from an Eastern European orphanage.





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Extreme Neglect Normal

3 Year Old Children


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Primary Somatosensory

Relational/Somatosensory

Traditional Psychotherapy or Primary Cognitive Activity

Primary Neural Impact of Various Therapeutic, Educational or Enrichment Activities




All rights reserved © 2010 Bruce D. Perry All rights reserved © 2010 Bruce D. Perry Bruce D Perry, MD, PhD © 2010

All rights reserved © 2010 Bruce D. Perry Bruce D Perry, MD, PhD © 2010 All rights reserved © 2010 Bruce D. Perry

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Bruce D Perry, MD, PhD © 2009 The ChildTrauma Academy NMT Project





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Documents

The ChildTrauma Academy Introduction to the NMTcctasp.northwestern.edu/wp-content/uploads/Introduction-to-the-N... · The ChildTrauma Academy Introduction to the NMT Materials may