Stabilizing Unsafe Behavior: Suicide & Self-Injury by Janina Fisher

Stabilizing Unsafe Behavior: Suicide & Self-Injury by Janina Fisher

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Childhood trauma and neglect leave survivors with a legacy of overwhelming memories and emotions but also a compromised nervous system that impairs their capacity to tolerate the normal ups and downs of life.   Unaware that their intense reactions are driven by implicit traumatic memories lodged in the body, these clients resort to desperate measures: addictive behavior and self-harm to numb the body or increase hypervigilance, suicidal ideation to restore a sense of control over their lives and painful emotions, dissociative and borderline responses of fight and flight when hurt, threatened, or rejected.   Rather than offering a context for healing the effects of childhood trauma, therapy becomes a crisis center whose goal it is simply to ensure the client’s safety.

Recent developments in neuroscience research and the evolution of new treatment techniques offer some hopeful answers to these puzzling and frustrating challenges.  Ironically, the survival responses that preserve sanity under threat do not diminish once the danger is past.  Instead, they continue to drive the symptoms for decades after the events are over, interfering with functioning, relationships, and therapeutic treatment.

This presentation will use a neurobiological lens for looking at traumatized individuals carrying a range of diagnoses troubled by addiction, self-destructive and suicidal behavior.  We will explore the implications of a neuroscientifically-informed perspective on treatment and present the latest advances in effective interventions. When the trauma symptoms are “decoded” in this way, stuck, self-destructive, and therapy-destructive presentations become more understandable and manageable.

• Unsafe behavior and the neurobiology of trauma
• Changing the client’s relationship to impulsive suicidal and self-destructive behavior
• Somatic and cognitive-behavioral interventions for stabilization

More information about Medical:

Medicine is the science and practice of establishing the diagnosis, prognosis, treatment, and prevention of disease.
Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness.
Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease,
typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Medicine has been around for thousands of years, during most of which it was an art (an area of skill and knowledge) frequently having connections to the religious and
philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism.
In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science).
While stitching technique for sutures is an art learned through practice, the knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.