Tag: education

Trauma Centric View of Mental Health

Beyond Psychiatry: A Trauma-Centric View of Mental Health

By Terry Baranski

Internal family systems therapy is a non-pathologizing method of working toward healing from trauma. The healing journey is therefore one of returning to wholeness by reconnecting with ourselves.

The beauty of IFS is that it’s fundamentally interwoven with every aspect of trauma: how trauma impacts us so dramatically, why our parts adapt to traumatic events in the ways that they do, and how they can be healed. While there’s no one-size-fits-all approach for trauma healing, my hope is that this quick look at IFS provides some context for how mental health can be approached in a very different way than is typical.

www.madinamerica.com/2023/03/beyond-psychiatry-trauma-centric/

Mad in America – Main cause of youth mental illness

Young adults around the world are suffering from a generational deterioration in social connections with family and friends and a related, significant decline in youth mental health, according to the latest Mental State of the World Report from Sapien Labs.

Compared with their parent’s generation, young people are three times likelier to report poor relationships with their adult family and twice as likely to lack friends they can rely on in times of need – forms of social deprivation that, in turn, affect well-being. As a result, states the report:

“The risk of mental health challenges is ten times higher among those who lack close family relationships and friendships compared to those with many close family and friends.”

The newly released report, citing international online survey results from 2022, notes substantial and increasing disintegration of family bonds across the globe and describes a population “still mentally scarred” by the COVID-19 pandemic, with data showing minimal or no mental bounceback.

Further:

“While many factors such as the Internet are likely to contribute to the diminishing Social Self and bonds of family and friendship, one significant factor may also be cultural trends in parenting that trade-off warmth, love, and stability for greater focus on material comfort and accomplishments.”

Deteriorating Relationships and Family Bonds Drive Youth Mental Health Crisis

www.madinamerica.com/2023/03/deteriorating-relationships-and-family-bonds-drive-youth-mental-health-crisis/

Childress PsyD – Update

If you are following me on my Facebook page, you are at the tip of the spear.

I am not posting to my blog. Nor am I writing articles. Those things will follow. I’m busy. I’m working.

I’m changing systems. Do you know how to do that? I do. It’s difficult, it’s complex.

I’m going dormant now. In that way I become more active. I’m entering the family courts. You don’t see what I do there, the work of clinical psychologists is confidential to the matter.

My role in the courts is to review the reports of the forensic psychologists. You can imagine what I say. I’m a clinical psychologist – treatment not custody – we do different things.

This is an attachment pathology. The attorney in the matter believes that the application of established knowledge from clinical psychology will be helpful to the court in making its decisions surrounding the child.

I review the material I’m asked to review and I provide an opinion based on the application of the established scientific and professional knowledge from clinical psychology – treatment not custody – regarding the material I’m asked to review.

I’ll write journal articles later. I’ll write blogs when I need them.

I don’t need them right now. Everything will unfold to its ends. We have entered a new phase. When I left your world out there and moved here to the Emerald City in the Pacific Northwest, to my Isle of Avalon off the western shores, things changed.

I moved away from my blog to Facebook because things are moving quickly. Facebook moves quickly – then vanishes – or seems to. Everything on the Internet is documented.

Facebook is the most ephemeral of the media. It communicates quickly the information of most note. I’m a clinical psychologist and I’m working. If you’re here, it’s for a reason.

This is active child abuse. This is active spousal abuse using the child as the weapon. I’ll write journal articles once the child and parent are protected. We’re still in the Safety Plan phase.

As I work doing what I do, the treatment goal has been to empower you parents to protect yourselves and protect your children from emotional and psychological abuse by a narcissistic-borderline-dark personality ex-spouse and parent.

I have given you all the information you need to protect yourself and your child as quickly as I could make it available to you. If you can use it while I’m working – that’s my goal.

If you can’t use the information because the systems surrounding you remain broken… I’ll be coming to fix the systems. That takes time because the powers-that-be don’t want to fix anything.

They don’t want a solution. That is the ONLY problem. The moment they want a solution… there’s a solution.

I’m only one lone clinical psychologist working all by myself. They are many and strong. They don’t want to change. Everyone in the systems want things to remain exactly as they are. It’s called “homeostatic balance” of a dysfunctional system.

The dysfunctional system is stable WITH the symptom present. If we take the symptom away, the dysfunctional system will collapse into chaos. The dysfunctional system NEEDS the symptom. We can’t take the symptom away – the system won’t let us remove the symptom that it needs to remain stable.

The symptom of dysfunction in the family courts is the ignorance and incompetence of the psychologists – the betrayers – the ones who should protect… and don’t. Instead, they financially exploit and feed on the vulnerability of parents caught in the family courts.

The dysfunctional legal and mental health systems are stable WITH the symptom present – the symptom of their ignorance and incompetence stabilizes the dysfunctional systems.

homeo = the same
static = never changing

Homeostatic balance = a same that never changes – it’s stuck

The thing that’s keeping it stuck in never-changing dysfunctional balance is the symptom – their ignorance and incompetence.

How do you break free? The APA ethics code. Doctors are not allowed to be ignorant and incompetent – Standard 2.01 of the APA ethics code. Doctors MUST apply the “established scientific and professional knowledge of the discipline” as the bases for their professional judgments – Standard 2.04 of the APA ethics code.

The established scientific and professional knowledge of the discipline is:

Attachment – Bowlby & others
Family systems – Minuchin & others
Personality disorders – Beck & others
Complex trauma – van der Kolk & others
Child development – Tronick & others
Self psychology – Kohut & others
Delusional thought disorders – APA & DSM-5

I have helped you to become informed consumers of mental health services surrounding your child so that you are empowered to protect yourself and protect your child from the spousal emotional abuse of you using the child as the weapon, and from psychological abuse of the child by the allied parent.

Some of you may be able to use the professional knowledge and your rights to achieve the goal of protecting your child and protecting yourselves from abuse by a pathological ex-spouse and parent. Some of you will still encounter the barriers of the broken systems – broken by professional ignorance and incompetence.

There are four roles in trauma – abusive parent – victimized child – protective parent – bystander.

In clinical practice, the bystander role is often called the “betrayer” – the one who should protect… and doesn’t. Typically it’s the mother in sex abuse cases who sacrifices the child to the step-father to save the marriage – she knew, she just didn’t want to know. She was the bystander, the one who should protect… and doesn’t.

In the child abuse and spousal abuse occurring in the family courts, the “betrayer” role is filled by the forensic psychologists. The targeted parent is in the protective parent role, the allied parent is in the abusive parent role. The child is being abused.

You are the protective parent. They are the abusive parent. This is a delusional pathology – it is a pathology of lies. A delusion is a false belief – they are delusional – it’s called a persecutory delusion created by the pathology of the allied narcissistic-borderline-dark personality parent.

The pathological narcissistic-borderline-dark personality is presenting a false narrative to others – it is not true – it is a lie. You are not the abusive parent… they are. It’s called a projection.

The pathological parent is deceptively trying to claim the role as “protective” parent, and they are trying to assign the “abusive” parent role to the targeted parent.

That is a false narrative. It is a lie. This is a pathology of lies. The pathology of concern is a persecutory delusion. The allegations made toward others are a projection.

A persecutory delusion is a false belief. It’s important to know where you are – this is a pathology of lies.

The allied parent is the abusive parent who is creating a shared persecutory delusion and FALSE attachment pathology in the child for secondary gain to the pathological parent – a DSM-5 diagnosis of V995.51 Child Psychological Abuse.

In ALL cases of severe attachment pathology displayed by a child surrounding court-involved custody conflict, a proper risk assessment for possible child abuse needs to be conducted to the appropriate differential diagnosis for each parent.

1) Is the targeted parent abusing the child, thereby creating the child’s attachment pathology toward that parent (a 2-person attribution of causality)?

2) Or is the allied parent psychologically abusing the child by creating a shared persecutory delusion and false attachment pathology in the child (a 3-person triangle attribution of causality)?

Is there a shared peresecutory delusion? The American Psychiatric Association provides the definition of a persecutory delusion:

From the APA: “Persecutory Type: delusions that the person (or someone to whom the person is close) is being malevolently treated in some way.” (American Psychiatric Association, 2000).

Does the child have a fixed and false belief that is maintained despite contrary evidence that the child is being “malevolently treated in some way” by the normal-range parenting of the targeted parent?

Does the allied parent SHARE the child’s fixed and false belief in malevolent treatment by the targeted parent? Do the allied parent and child SHARE the persecutory delusion that the child (someone to whom the allied parent is close) is being malevolently treated in some way?

You are the protective parent. You have rights granted you by the APA ethics code. You have the right to expect competence from your doctors. They have obligations.

All mental health professionals have duty to protect obligations. You are the protective parent. They should be accurately diagnosing the pathology in your family, and they should be taking steps to protect you and your child from abuse.

The DSM-5 diagnosis for creating a shared persecutory delusion in the child that then destroys the child’s attachment bond to the other parent is V995.51 Child Psychological Abuse. The DSM-5 diagnosis for using the child as a weapon of spousal emotional and psychological abuse is V995..82 Spouse or Partner Abuse, Psychological.

Is there a shared persecutory delusion?

If they try to blame you – ask them to complete the Parenting Practices Rating Scale for your parenting – make them tell you what you are doing to abuse your child.

You’re not doing anything. It’s not your fault. The other parent, the allied parent, has formed a “cross-generational coalition” with the child against you, resulting in an “emotional cutoff” in the child’s attachment bond to you – EXACTLY like the structural family diagram from Minuchin depicts.

Do you want me to draw you a picture of the pathology? Okay. There. Minuchin & Nichols, 1993.

Family Systems: The child is being “triangulated” into the spousal conflict through the formation of a “cross-generational coalition” with the allied parent against the targeted parent, resulting in an “emotional cutoff” in the child’s attachment bond to the targeted parent.

Is there an “inverted hierarchy” present in which the child is empowered by the allied parent to judge the adequacy of the targeted parent, as if the child is the parent and the parent is the child?

The differential diagnosis for severe attachment pathology displayed by the child is child abuse by one parent or the other. In all cases of severe attachment pathology displayed by the child, a proper risk assessment for possible child abuse needs to be conducted to the appropriate differential diagnosis for each parent.

I’m in the family courts as a consultant and expert witness in clinical psychology – treatment not custody. I’m reviewing mental health reports line-by-line.

The professor is grading papers.

I’m one, you’re many. You are the protective parent. I have empowered you with the knowledge you need to protect your children.

To say that you are abusing your child is a lie. To say that you are abusing your child is delusional.

Yep. That’s exactly what it is. It’s a shared persecutory delusion created by the psychological collapse of a narcissistic-borderline-dark personality parent surrounding the psychological stress of the divorce.

This is a pathology of lies. It is a delusional disorder. The delusion is from unresolved trauma origin in the pathological parent, which has led to their narcissistic-borderline-dark personality traits.

It’s unresolved trauma – unresolved attachment trauma in the pathological parent transmitted to the child through the aberrant and distorted parenting that the unresolved trauma creates.

The pathology is the trans-generational transmission of trauma, mediated by the narcissistic-borderline-dark personality pathology of the parent.

You are the protective parent. They are the abusive parent. I’m a trauma psychologist out of foster care. This is exactly my pathology of specialization – child abuse. I know exactly where I am.

This is active child abuse. This is active spousal emotional and psychological abuse using the child as the weapon. I’m a clinical psychologist and I’m working.

The abusive parent is pathological. The forensic psychologists are just incompetent – and they are ignorant, lazy, and unethical. They have duty to protect obligations – they are failing in their obligations.

I’m in the family courts as an expert consultant and witness. You’re in the family courts as the protective parent seeking to restore to your child their normal-range and healthy development.

The psychologists are in the bystander role – they have obligations – mandatory ethical obligations for competence (Standards 2.01 & 2.04) and mandatory duty to protect obligations.

Doctors are not allowed to be ignorant and incompetent.

Patients should NEVER have to explain the pathology to the doctor, they should already know what the pathology is – Standard 2.03.

2.03 Maintaining Competence
Psychologists undertake ongoing efforts to develop and maintain their competence.

They have obligations. You have rights. You are the protective parent. You are trying to protect your child from the distorted and psychologically abusive parenting of the other parent.

My goal is to provide you with the professional-level information you need to protect yourself from psychological spousal abuse and your child from psychological child abuse by your ex-spouse and other parent.

There are four roles in trauma – abusive parent – victimized child – protective parent – bystander (the “betrayer” – the one who should protect… but doesn’t).

If you’re here on my Facebook page, you have the most current information. Here, however, is just the start. We are on a linear path. This information is not going away. It will only build in force and power because it is the truth.

I will be going after their licenses for their collaboration in child abuse because of their negligent and unethical malpractice. They will be coming after my license to try to stop me from helping you protect your children.

Dr. Childress vs. the pathogen’s allies

They’ll need to stop me or else they will need to become competent in the pathology they’re working with. If you’re a mental health professional and you don’t know as much as Dr. Childress, why not? Are you just lazy? Must be.

I’m the floor, not the ceiling.

I’m in my world doing my thing. You’re in your world doing yours. Good luck. Be kind, always be kind, and be relentless in protecting your children. The universe has this.

Do the right thing and let outcomes take care of themselves.

What’s the right thing to do? Look inside and listen.

Craig Childress,Psy.D.
Clinical Psychologist, CA PSY 18857

New testing of psychiatric RX needed – Mad in America

We need a stricter test of psychiatric drugs with patient-relevant outcomes, real comparators, long-term outcomes, and assessment of harms.

www.madinamerica.com/2023/02/a-new-paradigm-for-testing-psychiatric-drugs-is-needed/

Medically Induced Trauma

Same for me in not being heard as a mental patient , whose abuse and trauma were ignored and every doctor I saw supported the quack psychiatrist.

This discusses Lyme

TruthCures #lymedisease

When some #Lyme patients become aware of how corrupt the medical system really is, they literally feel sick to their stomach. It’s like a punch in the gut. The awareness of “My life is in real danger because of their corruption.” is shocking. The patient knows that Lyme could eventually kill them. The disability slowly worsens and the doctors won’t do a damn thing about it. Some patients health deteriorates to where their symptoms are as bad as an AIDS patient one month before they die, but the Lyme patient doesn’t die. They can be in that state for years and doctors actually say it’s all in their head and they just think they are sick.
Imagine you had something like cancer and you knew it. You go to a doctor and they insist there is nothing wrong with you and tell you to go see a psychiatrist instead. There is an awareness that you’re slowly losing everything good in your life. You become depressed over all the losses then the psychiatrist says “see you’re really just depressed.” A trauma develops because you know what’s happening and they won’t see it and now the psychiatrist often diagnoses you with PTSD. The doctors are the very ones that caused it. The industry won’t recognize medically induced trauma because they won’t acknowledge they can cause it. It’s real gaslighting.
Few people with cancer develop PTSD. It’s a terrible disease but not as emotionally devastating because the disease is recognized and dealt with. Typically the patient has a strong emotional support system as well and that support is more beneficial than people realize.
Another shock is that there are many corrupt medical researchers who know all of that and they know they are causing it. Those that speak up are often fired or have their careers publicly destroyed. The CDC, FDA and NIH are part of that corruption. They own medical patents. They shouldn’t be allowed to but they are. They are part of the problem.
The industry does this because the slow gradual decline in health is worth billions of dollars in psychiatric drugs and symptom relieving drugs. Cures are much less profitable. Chronic illness is worth a fortune by comparison. Our whole medical system is motivated to keep people sick and a lot of people don’t want to admit that terrifying thought could be real. Many are in a state of denial over this because the truth is too painful to admit.

Empathy & Lack of Empathy- Craig Childress PsyD

Empathy.

Narcissistic personality pathology is the absence of empathy. The absence of empathy is the capacity for human cruelty.

Narcissistic personality pathology is the abuse pathology because of its capacity for cruelty. Narcissistic personality pathology is responsible for child abuse and spousal abuse.

Writing in the Journal of Emotional Abuse, Moor & Silvern describe the association of narcissistic personality pathology and the failure of parental empathy with child abuse.

From Moor & Silvern: “The act of child abuse by parents is viewed in itself as an outgrowth of parental failure of empathy and a narcissistic stance towards one’s own children. Deficiency of empathic responsiveness prevents such self-centered parents from comprehending the impact of their acts, and in combination with their fragility and need for self-stabilization, predisposes them to exploit children in this way.” (Moor & Silvern, 2006, p. 95)

From Moor & Silvern: “Only insofar as parents fail in their capacity for empathic attunement and responsiveness can they objectify their children, consider them narcissistic extensions of themselves, and abuse them. It is the parents’ view of their children as vehicles for satisfaction of their own needs, accompanied by the simultaneous disregard for those of the child, that make the victimization possible.” (Moor & Silvern, 2006, p. 104)

In their study of child abuse survivors and the failure of parental empathy, Moor & Silvern found that the narcissistic pathology of the parent was itself a traumatic experience.

There is no difference between the trauma of child abuse and the failure of parental empathy that caused it – they are the same thing – just flip sides of the same trauma of child abuse by a parent.

From Moor & Silvern: “The indication that posttraumatic symptoms were no longer associated with child abuse, across all categories, after statistically controlling for the effect of perceived parental empathy might appear surprising at first, as trauma symptoms are commonly conceived of as connected to specifically terrorizing aspects of maltreatment (e.g., Wind & Silvern, 1994). However, this finding is, in fact, entirely consistent with both Kohut’s (1977) and Winnicott’s (1988) conception of the traumatic nature of parental empathic failure. In this view, parental failure of empathy is predicted to amount to a traumatic experience in itself over time, and subsequently to result in trauma-related stress. Interestingly, even though this theoretical conceptualization of trauma differs in substantial ways from the modern use of the term, it was still nonetheless captured by the present measures.” (p. 197)

Moor, A. and Silvern, L. (2006). Identifying pathways linking child abuse to psychological outcome: The mediating role of perceived parental failure of empathy. Journal of Emotional Abuse, 6, 91-112.

The trauma is the parental failure of empathy. The treatment for the trauma is abundant empathy – authentic empathy. Through our “eyes of the other” of compassion and empathy we bring our intent to understand to their self-experience, and we help the child discover their authenticity.

Whenever we are asking the child to understand us or something we are saying, empathy is flowing in the wrong direction.

“Tell me more about that” is always an appropriate response to a child in all situations.

The ADHD child is frustrated with doing homework, “It’s too hard, I can’t do it.”

Tell me more about that.

Don’t give encouragement. Don’t try to solve the problem. It’s their problem, they’ll be able to solve it once they have the support they need. What do they need for support?

Let’s find out. Provide genuine caring and genuine curiosity for “What is it like to be you?”

Her boyfriend just broke up with her and she is despondent over the lost love.

Tell me more about that.

Don’t give encouragement, don’t try to solve her problems. They’re her problems, she’ll be able to solve them with the proper support.

What support does she need? Let’s find out, with genuine caring, genuine empathy, and a genuine intent to understand “What’s it like to be you?”

Tell me more about that.

That is of benefit for all children in all circumstances. Empathy is always a good thing. Caring is always a good thing. Listening with an intent to understand always helps.

Complex trauma is the failure of parental empathy, and the failure of parental empathy is complex trauma – Moor & Silvern; Journal of Emotional Abuse.

The treatment for the failure of empathy is abundant empathy – all the time – provide authentic empathy for the authentic child – the person they are, the person they are becoming.

The child’s feelings are authentic. The child’s attribution of causality for WHY they feel the way they do is typically in error – all the time – with all children. Childhood is the time of figuring out how the machinery works.

They start as toddlers in the high-chair performing scientific experiments on cause-and-effect. Oooo, if I push my plate of food off the table it falls – cool – oh – and when I push my plate off the table mom gets loud… cool.

The child is a mini-scientist performing experiments to learn about the world, things like cause and effect, and how to deal with emotions… whooo, that’s tough.

In childhood, all of childhood, they learn about their feelings and how to express them for maximum gain, and how not to express them to remain out of trouble… hopefully. Emotions grab them, “How do you ride these things?”

They learn about relationships and love. It’s on-the-job training with only one set of instructors. They have to figure everything out, or try to. They have complex feelings and they try to figure out why, and what to do about it.

Feelings are such complicated things. Not like thoughts. Thoughts are precise. Feelings are so vague yet so captivating. I know what I feel, it’s figuring out the why that’s the hard part.

Not just for your kids in the courts, all kids everywhere. I worked with them – school behavior problems – ADHD – family conflict problems and oppositional-defiant anger in the family. The kids are just trying to figure things out.

They can do it, they just need the proper support. What support do they need? Let’s find out… tell me more about that so I understand your reality better. What’s the situation we’re dealing with inside you? What’s it like to be you?

Not to change it. Not to make things better. Just… empathy. I want to understand what it’s like to be you? The problems you’re facing. Tell me more about that. I want to understand.

Feelings come when we need them, they go when we don’t, once they’ve done what they came here to do.

Anxiety makes us alert – watch out, pay attention, something might be dangerous. Anxiety wants to be safe, anxiety seeks protection. When we’re safe, anxiety goes away.

Sadness says we’re losing something of value – that we need to attend to the things that are valuable to us. Sadness draws nurture, sadness draws love from others. Once love is there, sadness leaves.

Anger says we’ve been hurt (or we’re scared and trying not to be). Anger turns off the ‘weak’ emotions of sadness and fear. Anger protects us. We don’t feel sad or afraid when we’re angry. We just feel angry. But angry is sadness and hurt underneath – when empathy for the sadness and hurt arrives, anger leaves.

Happy is the social bonding emotion. It’s great and its easy. There’s a brain-hack you can do. You can add happy brain chemicals to any other emotion and change that emotion. It’s a back-channel brain chemical hack of the machinery of us.

Just smile. It fools your brain into thinking you’re happy, just a little bit but enough. If you smile your brain responds to the muscles and it thinks you’re happy, so it doses you with a little happy brain chemical… which gets added to the existing brain chemicals for whatever emotion is there.

If you’re anxious and you add happy to anxiety, you get excitement. That’s the roller-coaster – wheee, this is scary and fun at the same time. It’s not a fake thing, you’re actually changing the emotion. You’re changing the brain chemical composition when you smile.

Better living through neuro-chemistry.

If you add happy to anger, you get leadership. Anger is power, assertion, and voice, happy is social bonding. Together, power and social bonding is leadership – come on, we can do this.

Oh my goodness, happy is such a good emotion to add to anger. Smile when you’re angry. Just do it. DO IT. Smile. You can still say everything else, just do it with a smile too – angry with a smile. It softens the aggression. We need to soften our aggression with children.

When you’re angry… smile… add a dose of neuro-chemistry to your daily living.

If you add happy to sad, you get compassion. When those we love are sad, it makes us sad too, and that feels good somehow, to be sad with them together. They’re not alone. That’s compassion.

When you’re sad, if you can smile onto your sadness you’ll have the emotion of compassion for yourself. It’s hard to do, to smile when you’re sad. But that’s what the neuro-chemistry of your emotions will create if you add happy to sad – that’s compassion.

All you need to do on the brain-hack side is smile. The biology of your brain takes care of the rest. It adds a dose of happy chemical to your brain, just a tad, but enough.

Hey, and the more you practice the back-channel brain-hack on your emotional networks, the better you get at it and the more happy chemical your brain releases each time.

You get better at adding happy the more you add happy. Smile. Right now. Just try it. Smile. Now do it again. Go ahead. I don’t care if you don’t feel like it – just do it. Smile.

More. All the time more. It’ll make you a better person. I don’t care who you are, if you smile more you will become a better person.

Betcha. Try it. Think of it as an experiment. Smile all the time and see if your life doesn’t get better. It will. You know it’s true. Smile more – a lot more. It’ll make the world a better place by adding more happiness to it.

The problem with the world is not that there’s too little suffering in our world and we need to add more. The solution to our problems is NOT to add more suffering because we think people aren’t suffering enough.

The problem with the world is that there is too much suffering. Any chance we can take to remove some pain, we should take it.

Nor is the problem with the world that there’s too much happiness in it – “No, no, no, don’t add any more happiness to the world, there’s already way too much.”

That’s not the problem. The problem is that there is too little happiness in the world – we need to add more. Smile. Go ahead. See? Isn’t the world just a little bit better from just one little smile?

Oh my goodness, think if you smiled again. Try it. See? It makes the world a better place.

Carl Rogers said we only need three things for growth and healing of everything within us, that these three qualities were both “necessary and sufficient” conditions for change and growth – unconditional positive regard – authentic empathy – genuineness in the relationship.

He’s right. Do you know how Rogers developed his Person-Centered Therapy approach? From working with children. He started by trying to use a psychoanalytic model with children and it was a complete failure.

So he tried something different. He tried listening to the child. Not to change them – just to understand – empathy and caring, unconditional positive regard (those are each three interesting words in a row).

Complex trauma is the failure of empathy. The treatment for complex trauma is abundant empathy.

Craig Childress, Psy.D.

Clinical Psychologist, CA PSY 18857