Treatment FAQ

why memory integration is so important in the treatment of trauma

by Kira Graham Published 2 years ago Updated 2 years ago
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The important element here for the understanding of traumatisation, is that memory is inextricably entwined with self knowledge, autobiographical narratives, emotional responses and states of consciousness. These functions are organised and linked together by the circuits within the frontal cortex.

Clinical models assume that fear conditioning for neutral stimuli encountered during traumatic events is a potential cause of these intrusions, and that memory integration has the effect of reducing these associations, thereby also reducing intrusions.

Full Answer

How does trauma affect memory?

When trauma occurs, it can prevent the brain from combining this information correctly to form semantic memories. This area of memory is particularly damaging for children exposed to trauma, because their brains are still in the growth and development phase and so trauma can have a devastating effect.

How are traumatic memories stored?

Traumatic memories are not stored in a way that they can be deeply accessed by verbal interactions based on cognitive or logical processes. Trauma is stored somatically, that is, in the body.

What is Narrative processing in trauma integration?

Narrative processing is Stage Six, the final stage of the trauma integration process, when the client processes their emerging narrative, using a talk-based, top-down modality. Trauma is painful. Pain is a part of life and we all carry it with us all the time.

Why do some trauma survivors doubts their memories?

These episodic memories can become confused, and trauma survivors might even begin to doubt themselves when their memory doesn’t line up with certain facts such as the timeline of when the trauma happened or what happened shortly before or after the incident.

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What role does memory play in trauma?

Trauma can shutdown episodic memory and fragment the sequence of events. The hippocampus is responsible for creating and recalling episodic memory. Trauma can prevent information (like words, images, sounds, etc.) from differ- ent parts of the brain from combining to make a semantic memory.

What is integration in trauma therapy?

Trauma integration is a process in which trauma is acknowledged to be a part of an ongoing reality but is no longer at the center of experience, for it is now surrounded by awareness of resources for coping with past and present adversities.

Why processing trauma is important?

These traumas are inevitable in life and they are often overcome without the need of additional resources. They are a necessary part of human development as they allow individuals to develop resilience and improve coping mechanisms which promote growth and maturity.

How do you deal with memory of trauma?

Review these strategies below.Using Self-Monitoring to Identify Your Thoughts. Guido Mieth / Getty Images. ... Catching and Addressing Negative Thoughts. ... How to Be More Mindful of Your Thoughts. ... Improve Your Self-Esteem With Self-Supportive Statements. ... Coping With Flashbacks. ... Coping With Thoughts of Suicide.

How do you integrate childhood trauma?

Trauma Essential ReadsName it. Associate an emotion with each of the sensations you feel. ... Love it. As part of a mindful approach to healing from trauma, we need to fully accept everything that we feel. ... Feel and experience it. ... Receive its message and wisdom. ... Share it. ... Let it go.

How do you integrate your brain?

As Dr. Siegel says, “When you activate with words, statements of kind intention, you integrate the brain.” We know from the research on gratitude practice that it creates lasting effects on the brain and helps people to have a better experience of life.

Why is it important to process childhood trauma?

Healing from your own childhood trauma can result in the following positive life changes: Healed relationships or new relationships that are life-giving. New or renewed choices that result in a significantly better life or future.

What happens when processing trauma?

You may experience common symptoms such as depression, anxiety, fear, difficulty sleeping, self-blame or a sense of helplessness. Various stimuli such as a physical object, a song, a place, a feeling or an interpersonal situation might remind you of the trauma, and therefore provoke an emotional response or belief.

What does processing mean in therapy?

“Processing” in this context often includes not only updating and reexamining the meaning of old memories and emotions, but also developing a new language with which to describe, experience, and understand the past and present.

What happens when repressed memories surface?

Repressed memories can come back to you in various ways, including having a trigger, nightmares, flashbacks, body memories and somatic/conversion symptoms. This can lead to feelings of denial, shame, guilt, anger, hurt, sadness, numbness and so forth.

Why does the brain replay traumatic events?

When we have had a shock, it is common for the brain to go over that memory again. Some researchers think this is so that we can learn from the frightening experience without having to put ourselves in danger again.

How does the brain heal after trauma?

van der Kolk writes that there are three avenues for recovery: “top down, by talking, (re-) connecting with others, and allowing ourselves to know and understand what is going on with us”; “taking medicines that shut down inappropriate alarm reactions"; and “bottom up, by allowing the body to have experiences that ...

How does psychotherapy help with PTSD?

Modern psychotherapy for phobias, anxiety, and PTSD often involves recalling the original bad event under reassuring conditions. But this has to be done with conscious re-assessment and realization that the original negative emotions and fear are no longer applicable because the re-living is a simulation in a safe environment. One creates a new learning substitute for the original emotional trauma.

Why do we have sensory cues?

Sensory cues, even if not recognized consciously, can trigger recall of disturbing memories or even just the negative emotions that went with the original bad event. Sometimes this is the basis for so-called "anxiety attacks," which seem to come out of nowhere.

What is the purpose of reliving a bad event?

The re-living must include dealing with the negative emotions in the light of reason and new emotional experience. Therapy requires critical thinking about thoughts and feelings, especially those that are unhelpful and unrealistic. The patient is gently led to face memories anew and to learn new ways of thinking and behaving. This re-creation of the bad event allows us to extinguish memory of the original bad situation and its negative emotions.

What happens if you stress a rat?

If you repeatedly ring a bell and then stress a rat, it soon learns to become distressed the next time it hears that bell, even after you stop the stress. In the lab, this is manifested by the rat showing freeze behavior.

Is CR memory stronger than extinction?

Since memory of an emotional CR learning experience and its extinction can co-exist, these two memories compete for which one is strong enough to survive long-term. Sadly, the CR memory is often stronger. Cues are extremely important to both forming and retrieving all kinds of memory.

Is therapy for trauma effective?

Therapy for emotional trauma and PTSD might be more effective if therapy were approached like a conventional learning experience whose memory is affected in all the usual ways. Recall what was said about extinction being a case of new learning. Re-learning of an extinguished response occurs much more readily than it does for an initial extinction learning. This is an example of priming. It's like re-learning a foreign language. It goes easier the second time and the memory might be even more dependable.

Does trauma affect cognitive development?

Conclusions: Our results show that trauma exposure per se can be associated with important cognitive correlates even in individuals who do not develop psychopathological reactions.

Does trauma affect WM?

Results: In all studies, trauma-exposed participants showed significantly lower WM function compared to control participants. In addition to traditional null hypothesis testing, we used a mini-meta analysis to estimate the combined estimated effect size of this difference, which was in the moderate range (d = 0.43 with 0.15-0.70 95% confidence interval). Regression equations showed that PTSD symptoms did not mediate the relationship between trauma exposure and WM function.

How does trauma affect memory?

Trauma can affect your memory in significant ways that impact trauma recovery. There are 4 different kinds of memory, each associated with different parts of your brain, and each affected slightly differently after trauma. The combination of trauma’s effects on the different areas of the brain associated with memory accounts for why survivors ...

What happens when a trauma survivor's memory doesn't completely align with discoverable facts?

When a trauma survivor’s memory doesn’t completely align with discoverable facts, law enforcement might question their version of events. This can leave survivors feeling self-doubt and sometimes re-traumatized by the law enforcement process.

How does emotional memory affect a survivor?

Emotional memories in response to triggers affect almost everyone who has experienced a traumatic event in their life. Coping with triggers is an integral part of trauma recovery and is one of the earliest challenges that survivors face after a traumatic event or situation. Emotional memories can last a lifetime and can significantly affect a survivor’s mental health and overall wellbeing.

Why do survivors of trauma have difficulty remembering specific details of the trauma?

The combination of trauma’s effects on the different areas of the brain associated with memory accounts for why survivors of trauma often have difficult remembering specific details of the trauma, or why they may have confusion about the order of events that happened around the time of the trauma.

What is the area of the brain that is involved in creating and recalling episodic memories?

The hippocampus in the brain is the area associated with episodic memory and is involved in creating and recalling episodic memories. When a trauma occurs, episodic memory can become fragmented and the sequences of events can get jumbled up in your brain. You can think of it like your memories being in a file cabinet.

What is emotional memory?

Emotional Memory and Trauma. Emotional memory has to do with the emotional response you get from triggers, such as feeling scared or anxious when you drive past the location where a traumatic incident happened. You could also experience emotional memories when you have to face a person who abused or assaulted you.

What is episodic memory?

Episodic memory has to do with how you remember specific events, including traumatic memories. This can include memories such specific words or actions that occurred during a traumatic assault, memories of the physical or emotional pain you experienced, or how scared you felt before, during, and after a traumatic event.

How do trauma survivors relive their past?

A hallmark symptom of trauma is reexperiencing the trauma in various ways. Reexperiencing can occur through reenactments (literally, to “redo”), by which trauma survivors repetitively relive and recreate a past trauma in their present lives. This is very apparent in children, who play by mimicking what occurred during the trauma, such as by pretending to crash a toy airplane into a toy building after seeing televised images of the terrorist attacks on the World Trade Center on September 11, 2001. Attempts to understand reenactments are very complicated, as reenactments occur for a variety of reasons. Sometimes, individuals reenact past traumas to master them. Examples of reenactments include a variety of behaviors: self-injurious behaviors, hypersexuality, walking alone in unsafe areas or other high-risk behaviors, driving recklessly, or involvement in repetitive destructive relationships (e.g., repeatedly getting into romantic relationships with people who are abusive or violent), to name a few.

What are the delayed reactions to trauma?

Delayed responses to trauma can include persistent fatigue, sleep disorders, nightmares, fear of recurrence, anxiety focused on flashbacks, depression, and avoidance of emotions, sensations, or activities that are associated with the trauma, even remotely. Exhibit 1.3-1 outlines some common reactions.

How do people react to trauma?

Emotional reactions to trauma can vary greatly and are significantly influenced by the individual’s sociocultural history. Beyond the initial emotional reactions during the event, those most likely to surface include anger, fear, sadness, and shame. However, individuals may encounter difficulty in identifying any of these feelings for various reasons. They might lack experience with or prior exposure to emotional expression in their family or community. They may associate strong feelings with the past trauma, thus believing that emotional expression is too dangerous or will lead to feeling out of control (e.g., a sense of “losing it” or going crazy). Still others might deny that they have any feelings associated with their traumatic experiences and define their reactions as numbness or lack of emotions.

What is the most common trauma related disorder?

The trauma-related disorder that receives the greatest attention is PTSD ; it is the most commonly diagnosed trauma-related disorder, and its symptoms can be quite debilitating over time. Nonetheless, it is important to remember that PTSD symptoms are represented in a number of other mental illnesses, including major depressive disorder (MDD), anxiety disorders, and psychotic disorders ( Foa et al., 2006 ). The DSM-5 ( APA, 2013a) identifies four symptom clusters for PTSD : presence of intrusion symptoms, persistent avoidance of stimuli, negative alterations in cognitions and mood, and marked alterations in arousal and reactivity. Individuals must have been exposed to actual or threatened death, serious injury, or sexual violence, and the symptoms must produce significant distress and impairment for more than 4 weeks ( Exhibit 1.3-4 ).

What are the immediate reactions of a trauma survivor?

Survivors’ immediate reactions in the aftermath of trauma are quite complicated and are affected by their own experiences, the accessibility of natural supports and healers, their coping and life skills and those of immediate family, and the responses of the larger community in which they live. Although reactions range in severity, even the most acute responses are natural responses to manage trauma— they are not a sign of psychopathology. Coping styles vary from action oriented to reflective and from emotionally expressive to reticent. Clinically, a response style is less important than the degree to which coping efforts successfully allow one to continue necessary activities, regulate emotions, sustain self-esteem, and maintain and enjoy interpersonal contacts. Indeed, a past error in traumatic stress psychology, particularly regarding group or mass traumas, was the assumption that all survivors need to express emotions associated with trauma and talk about the trauma; more recent research indicates that survivors who choose not to process their trauma are just as psychologically healthy as those who do. The most recent psychological debriefing approaches emphasize respecting the individual’s style of coping and not valuing one type over another.

Do trauma survivors feel ashamed?

Often, trauma survivors feel ashamed of their stress reactions, which further hampers their ability to use their support systems and resources adequately. Many survivors of childhood abuse and interpersonal violence have experienced a significant sense of betrayal.

What is the key to trauma integration?

Discovering previously unused personal resources is one of the keys to trauma integration. This is an essential foundation for nobody is ever quite the same after trauma. Recovery requires a significant amount of rebuilding of the self and renewing a sense of connection to the foundations of life.

What is the final stage of trauma integration?

Narrative processing is Stage Six, the final stage of the trauma integration process, when the client processes their emerging narrative, using a talk-based, top-down modality.

Why is resilience a continuum?

A benefit of viewing resilience as a continuum is that makes it easier to recognize forms of resiliency in survivors that are easy to miss. My premise as a therapist is there was and is resiliency functioning in this client; my job is to help them recognize it and reconnect to it.

Why is trauma important?

Trauma puts survivors on constant high alert, a survival response useful to protect against additional trauma. But this sense of alertness also blocks access to the deep roots of trauma in the body. Traumatic memories reside as frozen experiences within.

How does imaginal space work?

In imaginal space, the survivor is guided through a short vignette in which she enters a spontaneous state and chooses any type of activity to explore the traumatic story. The goal is to help the client regain a sense of control over the trauma experience by choosing a response to the trauma event. It could be to create a drawing and embodied sculpture, a dramatic vignette, narrating a script, a letter, a poem, a song, a dance, etc.

What is the primary handle for incorporating the trauma experience into on-going life?

This becomes possible, and surprisingly, life-giving, when the primary handles for incorporating the trauma experience into on-going life are the personal strengths exhibited by the survivor in coping with it .

How can survivors reclaim their energy?

By scanning the chaotic personal aftermath of trauma with an eye for strengths, survivors can reclaim the energies unleashed but rarely recognized as such in the struggle with fear, pain, and loss.

Why is trauma informed recovery important?

That is because trauma-informed recovery allows us to honor the time it takes to cultivate new skills, strengths and abilities to maintain healthy behaviors and resilient healing. For everyone, understanding trauma’s role in addiction helps us better support people in recovery. Being trauma-informed helps those in recovery to understand themselves ...

Why is being trauma informed important?

Being trauma-informed helps those in recovery to understand themselves and why they began using, their need for emotional safety, the universal need for healthy coping skills and connections, and their right to feel calm and good about themselves.

What is the longest stage of trauma recovery?

It takes time to build new coping skills. It takes time to develop connections with supportive people and 12-step or other support groups. That’s why Stage 1 is the longest stage of trauma and addiction recovery.

What is trauma in psychology?

Trauma Defined. Trauma happens when something overwhelms and threatens a person’s sense of safety or ability to cope. One person’s forgettable incident may be another person’s haunting memory. For some, it could be their parents’ divorce. It could be getting lost in the grocery store.

What is the first stage of recovery?

Stage 1 is about getting clean and sober, and learning coping skills to deal with emotions, painful thoughts and feelings, and urges to use. When emotions are no longer numb, many in recovery feel overwhelming anxiety or depression, and they don’t know what to do.

When was the link between addiction and trauma posted?

This article was originally posted on the Maryland Addiction Recovery Center blog as a follow -up to their June 10, 2016 post, “ The Link Between Trauma and Addiction. ”

Who said the first goal of trauma recovery must be to improve your quality of life on a daily basis?

Therapist and author Babette Rothschild reminds us “the first goal of trauma recovery must be to improve your quality of life on a daily basis.”

What are the benefits of distorted memory?

One biological benefit that could result from distorted memory is that exaggerated recall of trauma could serve to reinforce behavioral aversion to dangerous situations. Normally, our fear and aversion toward something dangerous wanes over time if we are not repeatedly exposed to it.

How does over-remembering trauma affect mental health?

Simply put, over-remembering trauma is related to poorer mental health outcomes. In one example, Southwick et al. asked Desert Storm veterans at 1 month and 2 years after their return from service, whether certain events occurred during that service (e.g., experiencing sniper fire, sitting with a dying colleague). They found 88% of veterans changed their response to at least one event and 61% changed more than one. Importantly, the majority of those changes were from “no, that did not happen to me” to “yes, that happened to me.” This ‘over-remembering’ was associated with an increase in PTSD symptoms.

How does inattentive source monitoring affect memory?

Taken together, our data argue that inattentive source monitoring can lead to memory distortion and that these distortions are most pronounced with traumatic memories. While this does not answer the question of evolutionary value or context, per se, it does a provide a framework for understanding how these mental errors occur in the process of memory formation, which operates with high fidelity in other contexts. It may be that the flood of emotion and cognitive dissonance that accompany traumatic events overloads the cognitive processing necessary to run the heuristics of memory formation. Without those nuanced heuristics, the human brain attempts to close the loop with additional elements, real or imagined.

Why is fear important?

Fear is a powerful motivator and a very important conditioning mechanism for avoiding danger. The evolutionary reasoning goes something like this. First, we know that traumatic experiences in war can lead to PTSD and a paralyzing fear of jolts and loud sounds, an aversion that gets worse, not better, over time.

What would happen if a failure in source monitoring was responsible for the memory distortion?

If a failure in source monitoring was responsible for the memory distortion, we should be able to help the viewers sort out the memory distortions by warning them that the videos are incomplete (that some scenes are missing) before they watch the film. The viewers would then be more “on guard” in terms of their source monitoring.

Is PTSD an adaptive or a neurological disorder?

In sum, PTSD may be an adaptive, if clumsy, neurological mechanism to train individuals to avoid very serious dangers, and the tendency to “over-remember” the trauma might be nature’s way of ensuring that the lesson is not forgotten over time.

Do traumatic scenes have a higher false memory?

In a follow-up study, we confirmed that this did in fact work. Once again, we found that the false memory formation was highest for the traumatic scenes, rather than the non-traumatic scenes. However, viewers who were warned that some content was missing were much less likely to “over-remember” scenes that they didn’t actually see. Interestingly, viewers that were shown a block of text describing the missing scenes were more likely to “over remember.”

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