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Sexual Assault Advocate Training Manual - Texas Association ...

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SEXUAL ASSAULT ADVOCATE TRAINING MANUAL<br />

The second stage is Recoil. Humans naturally draw back from that which is painful and<br />

threatening. Unfortunately, there is no escaping the life changes and losses associated with a<br />

traumatic event. This stage is characterized by a cataclysm of emotions—a wide range of<br />

varying and extreme emotions. Feelings of sadness and depression, fear and strength, relief<br />

and dread and anger and rage are natural reactions as we attempt to cope and recover from<br />

the traumatic event. Individuals experiencing this range of extreme emotions sometimes<br />

report that they feel like they are “going crazy.” These individuals may indeed appear to be<br />

unstable. This, however, is a natural response to unusual and threatening life experiences.<br />

The third stage is Reorganization. Traumatic experiences often damage or may even<br />

destroy one's concept of self, view of the world, belief systems or spiritual views and faith.<br />

Recovery requires the reorganization of one's thoughts about the event, reconstruction of<br />

equilibrium and sometimes revisions in belief systems. During this phase emotions and<br />

beliefs once again become balanced and a new state of "normal" is achieved.<br />

Biochemical Response-As discussed above, traumatic stress causes an increase in adrenaline.<br />

Glucocortoids are also released which may cause damage to the declarative or the<br />

language and logic memory functions of the brain. During a traumatic event it is primarily<br />

the sensory and emotion memory centers that are functioning. This means that during extreme<br />

trauma, like rape, survivors may be unable to logically filter information. The traumatic<br />

experience is stored primarily as emotional and sensory memories. Details and chronology<br />

may seem somewhat confused at first. This disorientation is a natural result of the traumatic<br />

reaction.<br />

THERE ARE FIVE PRIMARY CHARACTERISTICS OF THE<br />

HUMAN RESPONSE TO TRAUMA:<br />

1. ongoing startle response or heightened irritability;<br />

2. a tendency to explosive outbursts of aggression;<br />

3. fixation on the trauma;<br />

4. constriction of the general level of personality functioning; and<br />

5. altered sleep patterns (van der Kolk, M..D., Bessel A., Psychological Trauma,<br />

Boston, American Psychiatric Press, 1987).<br />

Kardiner, who first described the syndrome, stated that survivors “continue to live in the<br />

emotional environment of the traumatic event.” (Kardiner, A: The Traumatic Neuroses of<br />

War. New York, P. Hoeber, 1941). Many researches have described the response to<br />

psychological trauma as occurring in two phases, with the survivor alternately reliving and<br />

denying the experience. In other words, the symptoms may be either:<br />

• intrusive, or<br />

• numbing.<br />

Intrusive symptoms are those that literally intrude upon the survivor’s life or consciousness,<br />

uninvited and against her/his will. Intrusive thoughts and reactions sometimes occur because<br />

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