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Public Service and Vicarious Trauma: Exploring the Wounded Healer Archetype
To enter into a career of public service is akin to formally putting the needs of others (and the community at large) above your own. For this reason, careers in medicine, emergency services, law enforcement, and social work tend to attract people with a certain mindset. Altruistic and service oriented, these individuals are driven by empathy to help others. All too often, however, the people who professionally provide care for others are the same people who struggle to ask for help themselves.
Vicarious Trauma
First responders, medical personnel, and those who work in or adjacent to the criminal justice system are routinely exposed to the physical and psychological distress of those they serve. Trauma does not have to be directly experienced for it to have an impact; being a repetitive witness to it can also take its toll (Rousseau, 2026). Referred to as “vicarious” or “secondary” trauma, the buildup of stress from continuous exposure to violence or trauma presents an ongoing occupational challenge for many of those in public service roles. In bearing witness, practitioners can develop symptoms similar to post traumatic stress disorder, including hypervigilance, guilt, avoidance, sleep disturbances, addiction, and more (Rousseau, 2026). Maintaining resilience, the ability to adapt to stress and maintain psychological wellbeing in the face of adversity (SAMHSA, 2018), throughout these repeated exposures becomes critical for career longevity.
The Wounded Healer
Stress management for public servants rarely involves speaking about it openly. Why do so many “professional helpers” have a hard time asking for assistance themselves? Historical stigmatization and fear of penalization have resulted in the internalization of vicarious trauma as a private, personal ordeal, especially in law enforcement fields where self-control, emotional stoicism, and hypermasculinity are expected (and even encouraged). Another explanation is the “Wounded Healer” archetype popularized by psychiatrist Carl Jung in the 1950s (Jung, 1954). Taking inspiration from Greek mythology’s Chiron, a centaur who can heal others but not himself, Jung characterizes the Wounded Healer as an individual whose personal experience with adversity permits them greater empathy and insight for helping others (Mehta, 2024). A profound sense of meaning can be derived from helping others. The idea of being barred from doing so due to declining mental health could be another potential reason for keeping struggles to oneself.
This archetypical explanation is more retrospective than circumspective, however. That is, it better explains why some people choose public service (aware of the challenges associated with such fields), rather than why they may not recognize signs of struggle within themselves enough to ask for help. A meta-analysis published in 2021 found there exists a relationship between prior adverse experiences and vocational decisions in those who go into helping professions (Bryce et al.). Adverse childhood experiences (ACEs) and cumulative trauma have long-lasting effects, including the desire to understand and derive meaning from enduring/surviving trauma. Early family dysfunction, parentification, and traits developed through adversity (e.g. altruism, empathy, sensitivity to others’ distress or vulnerability) were each associated with career choice in public service (Bryce et al., 2021). In short, the "Wounded Healer" is someone drawn to the helping professions as a way to remedy prior traumatic experiences or to prevent others from having to experience the same. The latter “preventionist” mindset is truly what stops them from asking for help. Role reversal away from being the “rescuer” may feel like an existential threat to their entire identity.
Deriving meaning from your career is not inherently harmful. Meaningful work can encourage engagement and genuine fulfillment in life. It is when the job becomes entirely tied up in your self-worth that resilience begins to fall away and burnout can set in. For this reason, healthy coping mechanisms and self-care are vital for those at risk for vicarious trauma.
References
Bryce, I., Pye, D., Beccaria, G., McIlveen, P., & Du Preez, J. (2021). A systematic literature review of the career choice of helping professionals who have experienced cumulative harm as a result of adverse childhood experiences. Trauma, Violence, & Abuse, 24(1). https://doi.org/10.1177/15248380211016016
Jung, C. G. (1954). The Collected Works of C. G. Jung: The Practice of Psychotherapy (Vol. 16). Pantheon Books. https://s3.us-west-1.wasabisys.com/luminist/EB/I-J-K/Jung%20-%20The%20Practice%20of%20Psychotherapy.pdf
Mehta, D. H. (2024). Nurturing resilience in the wounded healer. In Psychiatric Times. https://www.psychiatrictimes.com/view/nurturing-resilience-in-the-wounded-healer
Rousseau, D. (2026). MET CJ720 – Module 1 – Introduction to Trauma [Online module]. Blackboard Ultra. Boston University.
Substance Abuse and Mental Health Services Administration. (2018). First Responders: Behavioral Health Concerns, Emergency Response, and Trauma. In Disaster Technical Assistance Center Supplemental Research Bulletin. https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin firstresponders-may2018.pdf
Healing Together: How Sexual Assault Can Impact Romantic Relationships
Sexual assault is a traumatic experience that can have lasting psychological, emotional, physical, and social effects on survivors. Many of these survivors experience symptoms of post-traumatic stress disorder (PTSD). Van der Kolk (2014) explains how some individuals who have experienced trauma have a difficult time moving past their experience, making it difficult to bridge the gap between their experience and their current life. Unfortunately, these individuals are stuck in a constant cycle of what happened to them, failing to adopt ways to move forward. These effects can also shape romantic relationships, especially when sexual assault occurred before or during the relationship, impacting the quality and level of satisfaction. While there is a large focus on the psychological and emotional consequences of trauma, less attention has been placed on how those experiences influence romantic relationships over time. Romantic relationships can be an important source of comfort, safety, and connection. For survivors of sexual assault, intimacy may also become complicated by trauma-related symptoms, changes in trust, communication challenges, and concerns about emotional or physical closeness. While every survivor’s experience is different, sexual assault impacts not only the survivor’s well-being but also the overall functioning of a romantic relationship.
After a sexual assault, survivors may experience anxiety, depression, hypervigilance, flashbacks, or avoidance. These trauma-related symptoms can make communication, emotional and physical intimacy difficult, which could impact the development and maintenance of healthy romantic relationships. Survivors may feel distant from their partners, struggle with vulnerability, or find that certain situations trigger distress. Research shows that trauma symptoms are often associated with lower relationship satisfaction, emphasizing that the effects of sexual assault extend beyond the individual survivor (DiMauro & Renshaw; Georgia et al., 2018), creating additional challenges when symptoms are not understood or addressed. By understanding their symptoms and regulating their emotions, a survivor can foster resilience. Resilience is important in a survivor’s recovery from stress and trauma and is associated with positive changes in thinking and perception, which regulate symptoms of PTSD (Wu et al., 2015). Resilience occurs mentally, physically, emotionally, and socially, all areas that impact a romantic relationship. Growth in these areas encourages survivors to be open to new opportunities and changes in relationships, promoting intimacy, connection, and mutual understanding.
In romantic relationships, a supportive partner can play a meaningful role in a survivor’s healing process, helping them experience post-traumatic growth, which is an extension of resilience. Post-traumatic growth may be encouraged by positive social support, gratitude, strong family ties, secure attachment, self-care, meaning-making, debriefing, and prompt intervention (Rousseau, 2026). Research suggests that partners who offer patience, understanding, and emotional support can play a significant role in a survivor's healing process (O'Callaghan et al., 2019; Person et al., 2024; Stockman et al., 2024). However, support does not mean trying to “fix” the survivor or rush recovery. Instead, it involves listening without judgment, respecting boundaries, being patient, and creating an environment where the survivor feels safe expressing needs and concerns. When partners respond with empathy and consistency, survivors may feel more empowered to rebuild trust and intimacy at their own pace. Open communication about boundaries, triggers, comfort levels, and emotional needs can also help couples better understand one another. Although these conversations may be difficult, they can also create opportunities for closeness, respect, and mutual care. Partners who communicate clearly and compassionately are better positioned to navigate challenges together rather than allowing trauma-related stress to create distance.
Healing after sexual assault is a deeply personal process, and no two relationships will look the same. Supportive partnership, patient communication, and trauma-informed care can help couples navigate the effects of assault while building healthier patterns of connection. EMDR is one trauma-informed intervention that may benefit survivors who have yet to address their trauma. It is designed to reduce distress connected to traumatic memories by guiding clients through rhythmic eye movements while recalling the traumatic event and shifting toward more positive thoughts (Cowan et al., 2020). This process identifies areas associated with the client’s distress, allowing them to desensitize themselves from the memories, which can help survivors gain the control they need to become calm when encountering triggers. For survivors who have disclosed their experiences to their partner, sex therapy could help address challenges through honesty, empathy, and mutual support, as this has the potential to increase relationship satisfaction. Recognizing the lasting effects of sexual assault on romantic relationships while promoting open communication and trauma-informed, evidence-based interventions can help survivors and their partners strengthen intimacy, build resilience, and develop healthier, more fulfilling relationships.
References
Cowan, A., Ashai, A., & Gentile, J. P. (2020). Psychotherapy with survivors of sexual abuse and assault. Innovations in Clinical Neuroscience, 17(1-3), 22–26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239557/
DiMauro, J., & Renshaw, K. D. (2019). PTSD and relationship satisfaction in female survivors of sexual assault. Psychological Trauma: Theory, Research, Practice, and Policy, 11(5), 534-541. https://doi.org/10.1037/tra0000391
Georgia, E. J., Roddy, M. K., & Doss, B. D. (2018). Sexual assault and dyadic relationship satisfaction: Indirect associations through intimacy and mental health. Violence Against Women, 24(8), 936–951. https://doi.org/10.1177/1077801217727371
O’Callaghan, E., Shepp, V., Ullman, S. E., & Kirkner, A. (2019). Navigating sex and sexuality after sexual assault: A qualitative study of survivors and informal support providers. The Journal of Sex Research, 56(8), 1045–1057. https://doi.org/10.1080/00224499.2018.1506731
Person, A. I., Frazier, P. A., Selvey-Bouyack, A. M., Anders, S. L., Shallcross, S. L., & Simpson, J. A. (2024). Associations between sexual assault and romantic relationship functioning: A mixed-methods analysis. Journal of Social and Personal Relationships, 41(8), 2297–2322. https://doi.org/10.1177/02654075241241496
Rousseau, D. (2026). Module 1: Lesson 1.2: Addressing trauma [Online Module]. Blackboard at Boston University. https://learn.bu.edu/ultra/course
Stockman, D., Van Parys, H., Uzieblo, K., Littleton, H., Keygnaert, I., Lemmens, G., & Verhofstadt, L. (2024). Coping with sexual violence as a post-assault formed couple: A dyadic phenomenological interview analysis. Journal of Sex & Marital Therapy, 50(7), 787–810. https://doi.org/10.1080/0092623X.2024.2374245
Van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.
Wu, K., Zhang, Y., Liu, Z., Zhou, P., & Wei, C. (2015). Coexistence and different determinants of posttraumatic stress disorder and posttraumatic growth among Chinese survivors after earthquake: Role of resilience and rumination. Frontiers in Psychology, 6, 1043. https://doi.org/10.3389/fpsyg.2015.01043
Who is helping the helpers? Importance in Self Care
When we think about trauma, we often focus on the people directly experiencing it. We think about victims of violence, abuse, or disasters, but we don't always stop to consider the professionals who witness these experiences every day. Social workers, police officers, behavioral specialists, teachers, counselors, and other helping professionals spend their careers supporting individuals through some of the most difficult moments of their lives. While helping others is incredibly rewarding, it also comes with an emotional cost. One of the biggest lessons I have learned throughout my professional experiences is that helping others begins with taking care of yourself!
As a former social worker, I worked closely with individuals and families experiencing abuse, crisis, and other traumatic life events. Although I wasn't directly experiencing the trauma, I used to listen to heartbreaking stories every day and worked alongside clients during some of the most challenging periods of their lives. Over time, I realized that constantly absorbing other people's pain could become emotionally exhausting if I didn't make time to care for my own mental health. Maintaining healthy boundaries, relying on supportive colleagues, and finding time to disconnect after work became essential rather than optional.
My perspective on trauma continued to grow during my internship conducting research with local law enforcement. While I was not responding to emergencies myself, I had the opportunity to work alongside officers and gain insight into the realities of policing. The course readings describe critical incidents as events that can overwhelm an individual's normal coping abilities, and law enforcement officers often experience these incidents throughout their careers (Rousseau, 2026). Seeing the emotional demands placed on officers reinforced how important it is for agencies to support their employees through wellness initiatives and programs such as Critical Incident Stress Management (CISM). Too often, officers feel pressure to hide their struggles because of the stigma surrounding mental health or fear that seeking help could negatively affect their careers. However, ignoring trauma does not make it disappear- it often allows it to grow.
Today, I work as a Behavioral Specialist in a school district, where I continue to see the effects of trauma every day. Many students arrive at school carrying emotional burdens that affect their ability to learn, build relationships, and regulate their behavior. This experience has taught me an important lesson: behavior is often a form of communication. Instead of immediately asking, "What's wrong with this student?" I find myself asking, "What has this student experienced?" Taking a trauma-informed approach has allowed me to better support students while also reminding me that professionals must protect their own emotional well-being if they want to continue helping others effectively.
One concept that has stood out to me throughout this course is that recovery and resilience are not just important for trauma survivors; they are equally important for the professionals who care for them. Compassion fatigue, secondary traumatic stress, and burnout are real challenges across helping professions. Without intentional self-care, these challenges can impact decision-making, relationships, job performance, and overall mental health!
Organizations have an important role to play in supporting employee wellness. Providing confidential counseling services, peer support programs, regular wellness check-ins, and training that reduces the stigma surrounding mental health can make a meaningful difference. Equally important is creating workplace cultures where asking for help is viewed as a sign of professionalism rather than weakness. When organizations invest in the well-being of their employees, they are also investing in better outcomes for the individuals and communities those professionals serve.
At the end of the day, I have learned that self-care is not selfish... it is necessary. Whether working in social work, law enforcement, education, or another helping profession, we cannot continue pouring into others if our own cup is empty. Taking time to recover emotionally and physically allows us to remain compassionate, effective, and resilient in careers that ask so much of us. If we truly value helping others heal from trauma, we must also remember to care for the people doing the helping.
Reference
Rousseau, D. (2026). Module 6: Trauma and the Criminal Justice System. Boston University. Blackboard.
Are You Listening Yet?: The Ethics of Bearing Witness to Trauma
“Tell your story” has become a familiar response to trauma. Survivors are encouraged to speak as a way to reclaim their voices, educate others, and begin to heal. Although disclosure like this can be meaningful, this message also contains an assumption: that speaking is always therapeutic and that a survivor’s story will be taken seriously and received with care. Testimony can instead expose a person to disbelief, judgement, unwanted scrutiny, or pressure to make suffering understandable to others. Bearing witness, therefore, cannot mean merely allowing someone to speak. It requires examination as to who is treated as credible, what listeners demand from traumatic narratives, and what responsibilities follow once those narratives have been voiced out loud and heard.
Because I had already read Elie Wiesel’s Night in high school and again as an undergraduate, I was familiar with its events. What affected me differently this time around was the failure of listening that occurs before Eliezer and his family are deported. Moshe the Beadle survives a mass execution and returns to Sighet to warn others. He tells the community what he witnessed, but his testimony is dismissed as the ramblings of a madman. The problem here is not that Moshe cannot speak. The problem is that the truth that he is communicating is far more disruptive than the community is prepared to accept. Believing him would require people to reconsider their safety, abandon familiar (and comforting) routines, and take action without knowing whether escape would even succeed. It is easier for them to diagnose something wrong with Moshe than it is to recognize that something has gone catastrophically wrong with the world around them (Wiesel, 2006).
Philosopher Miranda Fricker’s concept of testimonial injustice helps explain this failure. Testimonial injustice occurs when prejudice causes a listener to assign less credibility to a speaker than that person deserves. The harm is not limited to reaching an incorrect conclusion; the speaker is also treated as incapable of contributing knowledge about their own experience. Moshe’s poverty, eccentricity, and visibly traumatized state make him easy to discredit. His distress, which should help communicate the severity of what he witnessed, is interpreted as evidence that his account is unreliable. The community’s response demonstrates how trauma can create a credibility trap: survivors may be doubted because they appear too emotional, but they may also be doubted if they appear detached or insufficiently emotional (Fricker, 2007).
This raises an uncomfortable question: Do people truly want to hear about trauma, or do they want a version that doesn’t threaten their assumptions? Public conversations often reward survivors whose narratives are chronological, controlled, and ultimately hopeful. A story of suffering that ends with resilience offers listeners a reassuring conclusion. It suggests that trauma can be overcome through courage and personal strength. However, not all trauma produces a coherent narrative, and not every survivor has such a clean cut recovery process. Demanding clarity, consistency, or inspiration may make testimonies easier to consume, but it can also replace the survivor’s experience with the listener’s preferred version of it.
Laub (1992) argues that listening to trauma requires attention not only to what is articulated, but also to what is not: silence, hesitation, contradiction, and all of which can't yet be put into words. A person might remember sensory details intensely while struggling with chronology, or perhaps return repeatedly to one fragment while other parts of the memory remain inaccessible. An ethical listener shouldn’t automatically treat these features as evidence of deception. At the same time, respecting the complexity of traumatic memories does not require also abandoning questions of factual accuracy. Historical, clinical, and legal institutions may have legitimate reasons to seek clarification and corroboration. The challenge is to investigate without assuming the survivor’s discombobulation disqualifies them from being a credible witness.
This distinction reveals a limitation of the language of “believing survivors.” Belief is ethically significant, particularly when prejudice has historically caused certain groups to be ignored. Yet responsible witnessing can’t mean accepting every interpretation or factual claim without examination. It should mean beginning from a position of respect rather than suspicion- a variant of the phrase “innocent until proven guilty.” This includes avoiding credibility judgements based on stereotypes, and separating requests for clarification from attacks on a person’s character. A trauma-informed response does not promise that every account will be interpreted exactly as the speaker wishes. It promises that the speaker will not be treated as disposable, irrational, or morally suspect simply because the experience is difficult to narrate.
Research on social responses to trauma reinforces the importance of this distinction. Lis-Turlejska et al. (2018) studied elderly Polish survivors of World War II and found that a perceived lack of social acknowledgement was associated with greater symptoms of posttraumatic stress and depression. This does not prove that social rejection directly causes those symptoms, nor does it mean acknowledgement alone can resolve severe trauma. The study was correlational and relied on self-reported experiences, so its findings should not be interpreted as a simple cause/effect relationship. Nevertheless, it suggests that trauma is not exclusively an internal psychological condition. Recovery can be shaped by whether families, communities, and institutions recognize what occurred.
Recognition, however, is not necessarily the same as support. Relyea and Ullman (2015) distinguish between openly hostile reactions to sexual-assault disclosures and “unsupportive acknowledgement,” in which someone accepts that the assault occurred but responds in ways that fail to meet the survivor’s needs. A listener might believe the disclosure whilst also minimizing its impact, attempting to control what the survivor does next, demanding more details, or offering unsolicited advice. In their study, almost all participants reported experiencing some form of acknowledgement without sufficient support, and these reactions were associated with harmful psychological and coping outcomes. The findings complicate the idea that saying “I believe you” is the end of an ethical response- it may in fact only be the beginning.
Listening can also become exploitative when survivors are expected to disclose for the benefit of institutions or audiences. Schools may ask survivors to educate their peers. Media outlets may emphasize or glamourize the most graphic or emotional details. Courts may require people to repeat painful experiences while subjecting minor inconsistencies to intense public scrutiny. Even well-intentioned listeners may search for lessons about hope or forgiveness that the survivor doesn’t wish to provide. Under these circumstances, testimony risks becoming a performance of suffering.
Cultural competency further complicates the assumption that disclosure is universally desirable. Cultures differ in how they understand privacy, family responsibilities, emotional expression, mental health, and the public discussion of violence. Silence may sometimes stem from fear or stigma, but it can also be an intentional boundary, form of self-protection, or a culturally meaningful way to manage suffering. Treating verbal disclosure as the only healthy response risks imposing one cultural model of healing on everyone. Trauma-informed practice should make testimony possible without making it compulsory.
The Substance Abuse and Mental Health Services Administration identifies safety, trustworthiness, collaboration, empowerment, choice, peer support, and attention to cultural and historical context as central features of a trauma-informed approach. Applied to witnessing, these principles shift control away from the listener. Instead of demanding a complete story, a responsible listener might ask what the person wants from the conversation, whether practical help is needed, what details they are comfortable sharing, and what should remain private. The objective is not to extract the most complete account possible. It is to avoid reproducing the powerlessness that often characterizes trauma in the first place (Substance Abuse and Mental Health Services Administration, 2014).
Ordinary Men introduces another necessary limitation: listening to testimony does not mean suspending moral judgement, and all testimonies do not occupy the same ethical space. Browning (1992) relies on postwar interrogations and statements from members of Police Battalion 101 to reconstruct their participation in mass murder. Their accounts are historically important, but they are also shaped by self-interest, hindsight, selective memory, and attempts to reduce personal responsibility. Browning listens to the perpetrators in order to understand them, not to absolve them.
This matters because trauma language can blur morally essential distinctions. Some members of the battalion may have experienced distress or lasting psychological consequences after participating in executions. Their suffering can be acknowledged without equating it with the suffering of their victims. The fact that committing violence may traumatize a perpetrator doesn’t transform that perpetrator into another type of victim or erase the choices that produced that harm. Ethical witnessing requires compassion, but it also requires attention to power, responsibility, and whose suffering is at the center.
Taken together, Night, Ordinary Men, and trauma research suggest that bearing witness is neither passive, nor morally simple. Survivors are not obligated to disclose, disclosure is not automatically healing, and acknowledgement without meaningful support may be insufficient. Listening responsibly means resisting prejudicial disbelief while also avoiding romanticization, coercion, or uncritical acceptance. It requires tolerating narratives that remain fragmented or unresolved and recognizing that the listener’s desire for certainty may conflict with the survivor’s need for autonomy.
Moshe the Beadle’s tragedy is not that the people of Sighet failed to believe him- it is that they heard his testimony without permitting it to change what they understood about their world or how they act. His experience demonstrates that listening becomes ethical only when it carries consequences. Bearing witness should lead us to protect the speaker’s agency, confront the conditions that produced the trauma, and consider what responsibility we now possess because we know. Otherwise, listening risks becoming another way of asking survivors to relive their pain while everyone else remains unchanged.
References:
- Browning, C. R. (1992). Ordinary men: Reserve Police Battalion 101 and the Final Solution in Poland. HarperCollins.
- Laub, D. (1992). Bearing witness, or the vicissitudes of listening. In S. Felman and D. Laub, Testimony: Crises of witnessing in literature, psychoanalysis, and history (pp. 57–74). Routledge. https://hemisphericinstitute.org/images/courses/spring-2009/laub_bearingwitness.pdf
- Fricker, M. (2007). Epistemic injustice: Power and the ethics of knowing. Oxford University Press. https://web.flu.cas.cz/scan/323537766.pdf
- Lis-Turlejska, M., Szumiał, S., & Drapała, I. (2018). Posttraumatic stress symptoms among Polish World War II survivors: The role of social acknowledgement. European Journal of Psychotraumatology, 9(1), Article 1423831. https://doi.org/10.1080/20008198.2018.1423831
- Relyea, M., & Ullman, S. E. (2015). Unsupported or turned against: Understanding how two types of negative social reactions to sexual assault relate to postassault outcomes. Psychology of Women Quarterly, 39(1), 37–52. https://doi.org/10.1177/0361684313512610
- Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach (HHS Publication No. SMA 14-4884).
- Wiesel, E. (2006). Night (M. Wiesel, Trans.; 1st ed. of new translation). Hill and Wang. (Original work published 1958)
When Foster Care Becomes Family
I saw firsthand how childhood trauma can affect children. My grandparents ran a foster home and eventually adopted seven children. These kids became more than foster children to me; they became part of my family. One of the hardest parts was getting close to them, watching them become comfortable and feel safe, and then having to watch them go back to the same situations they came from. Every child had a different background and their own story. Some experienced neglect, abuse, instability, or other forms of trauma that no child should have to experience. It was extremely difficult to see a child finally feel safe and loved and then have to leave that environment. These experiences were very difficult for my family and me, and even more so for the foster child being affected.
The Body Keeps the Score helped me understand these experiences in a different way. Van der Kolk explains that trauma does not simply disappear when the traumatic event is over. It can affect how someone thinks, behaves, handles emotions, trusts people, and responds to stress. This is especially important with children because they may not know how to explain what they are feeling. A child who is acting out, shutting down, or having trouble trusting adults may not just be a “problem child.” There is usually a reason behind their behavior. Instead of asking, “What is wrong with this child?” we should ask, “What happened to this child?” I believe the foster care system needs to take this trauma-informed approach more seriously. Children should receive consistent support and mental health resources that focus on what they have experienced, rather than only focusing on their behavior.
Even though childhood trauma and foster care can be extremely difficult, I believe there is still a lot of hope. Children need stability, patience, and people who will continue to show up for them. My grandparents showed me how important that can be by opening their home to so many children and eventually adopting seven of them. They gave these kids a place where they could feel loved and supported. Their story taught me that trauma does not have to determine a child's entire future. With the right support, safe relationships, and people who believe in them, children can heal and have the opportunity to build a better life. Sometimes having just one person who refuses to give up on a child can make a bigger difference than we realize.
The Long Way Home: What Healing from Trauma Actually Looks Like
We tend to talk about recovery like it's a finish line, like one day you wake up and the weight is just gone. In reality, healing from trauma is less like crossing a line and more like learning to walk again after an injury that never fully goes away. You get stronger. You get steadier. But the process rarely moves in a straight line, and it almost never happens on the timeline anyone would choose for themselves.
Part of what makes trauma so hard to talk about is that it doesn't look the same on any two people. One person might replay the event over and over, unable to stop the intrusive thoughts. Another might go quiet and numb, disconnected from their own body, barely able to describe what happened at all. Someone else channels it into anger, or into a hypervigilance that never quite switches off, always scanning the room for the next threat. None of these responses is more real than the others. They are just different nervous systems trying to protect the same person in the only ways they know how, based on whatever that person's history and biology taught them was safest.
That variability is exactly why recovery isn't a single path. Some people find real relief in medication that quiets the nervous system enough to make everything else possible, things like better sleep, fewer intrusive images, and less of that constant edge. Others need a therapy that works directly with the story itself, gradually revisiting what happened until it stops having the same grip on their daily life. Still others find that talking isn't where the healing happens at all, that the body holds onto trauma in ways words can't quite reach, and that breathwork, movement, or yoga does something a conversation never could. None of these approaches is the right one in any universal sense. They are simply different doors into the same room, and finding the door that actually opens for you can take some trial and error.
What's easy to miss, especially early on, is that recovery doesn't mean the memory disappears or the event stops mattering. It means the nervous system stops treating an old danger like a current one. It means being able to think about what happened without your whole body reacting as if it's happening again right now. That shift can take months. It can take years. And for a lot of people, it isn't linear at all. There are stretches of real progress followed by weeks that feel like sliding backward, and that isn't failure. It's just how healing tends to move when the thing being healed is this complicated.
It also matters who is doing the healing, not just what happened to them. Research on gender differences in trauma response has shown that women are more likely to internalize distress, turning it inward through isolation or self-destructive behavior, while men more often externalize it through anger or substance use. A recovery approach built around one default experience is going to underserve a lot of people, which is part of why treatment has slowly moved toward programs that meet people where the evidence actually shows them to be, rather than where a generic model assumes everyone starts.
There is also the question of support outside a therapist's office. Recovery rarely happens in isolation, even when the work itself feels deeply personal. The people around someone, family, friends, coworkers, even a pet trained to interrupt a panic response, often shape how safe a person feels while they are doing the harder internal work. Community matters too. Feeling understood by people who have lived through something similar can soften the isolation that trauma so often creates, even when every individual experience is different in its details. None of that replaces professional treatment, but it tends to make the whole process more sustainable, especially on the days when progress feels invisible.
If there's one thing worth holding onto, it's that needing more than one approach, or needing a different approach than someone else found helpful, isn't a sign that something is wrong with you. It's just proof that healing has to be built around the person, not the other way around. The goal was never to erase what happened. It's to get to a place where the past no longer runs the show, where a memory can sit quietly in the background of a life instead of steering every decision made within it.
Sources
Covington, S. S., & Bloom, B. E. (2006). Gender responsive treatment and services in correctional settings. Women & Therapy, 29(3-4), 9-33.
Emerson, D., Sharma, R., Turner, & Turner, J. (2009). Trauma-sensitive yoga: Principles, practice, and research. International Journal of Yoga Therapy, 19, 123-128.
Price, M., et al. (2017). Effectiveness of an extended yoga treatment for women with chronic posttraumatic stress disorder. The Journal of Alternative and Complementary Medicine, 10(10).
Rhodes, A., Spinazzola, J., & van der Kolk, B. (2016). Yoga for adult women with chronic PTSD: A long-term follow-up study. The Journal of Alternative and Complementary Medicine, 22(3).
van der Kolk, B., et al. (2014). Yoga as an adjunctive treatment for posttraumatic stress disorder: A randomized controlled trial. Journal of Clinical Psychiatry, 75(0).
Balancing Safety and Compassion: Understanding Behavior Through a Trauma-Informed Lens
The other day, I was responsible for leading a reconciliation meeting between two young seven-year-olds who had gotten in a physical altercation in our dining hall at camp. I spoke with both campers individually, and it was clear that one had instigated the fight (let’s call her Fiona), while the other (we can call her Amelia) was defending herself. I explained to Fiona the importance and power of saying sorry. We practiced an apology, and I went to get Amelia to facilitate this relationship repair. This was, on a much smaller scale, an example of restorative justice, which is, “a process to involve, to the extent possible, those who have a stake in a specific offense and to collectively identify and address harms, needs, and obligations, in order to heal and put things as right as possible” (Rousseau, 2026). Rather than simply separating the girls or issuing consequences, it was important for Fiona to acknowledge the harm she had caused and give Amelia an opportunity to express how the incident affected her. The goal was not just punishment but repairing the relationship.
As I was bringing Amelia over to Fiona, she asked the following question: “Is she saying sorry because she’s actually sorry or because you told her she needs to say sorry?” Needless to say, this question stumped me. Yes, Fiona knew she had to apologize. Did she want to? No. But why did she not want to? Did she know that what she did was wrong, and so she was embarrassed to apologize? Or was she unaware of the true impact of her physicality? Amelia reminded me, though, that full reconciliation would not be possible unless Fiona really meant it.
Ultimately, Fiona did apologize to Amelia, and we ended up eating dinner together, where Fiona and Amelia were calling each other “besties.” Just a day later, though, when Amelia took a pool ring from Fiona, Amelia once again resorted to physical violence.
We ended up having to make the incredibly difficult decision to send Fiona home from camp after the two physical altercations and another escalation that resulted in her throwing hard objects at counselors. She couldn’t keep herself or others safe, and that is our top priority here at camp.
What I just kept thinking, though, was, especially given this child’s history, that her actions may have reflected a trauma response. I think back to that behavioral iceberg model—a child’s behavior is their way of communicating their needs. What was this child trying to tell us? What was triggering her trauma response? What needs was she expressing? Rather than viewing her aggression simply as misconduct, I began to wonder whether it was a survival strategy that had once protected her. Van der Kolk explains that trauma can leave the brain in a constant state of vigilance, causing the amygdala to perceive threats even in situations that are objectively safe (2014). When this occurs, access to the prefrontal cortex—the part of the brain responsible for reasoning, impulse control, and decision-making—can become impaired. Instead of thoughtfully responding to conflict, children may instinctively fight, flee, or freeze.
I understood that these intense emotional reactions may have been driven by her brain perceiving danger where none existed, limiting access to the prefrontal cortex and making thoughtful decision-making much more difficult. In these moments, it wasn’t that she didn’t want to regulate her emotions and make rational decisions; it was that she couldn’t. Ethically, this experience reminded me that trauma-informed care sometimes requires balancing one child's needs with the safety of an entire community.
What gives me hope, though, is that this child is still young and has an opportunity to develop coping skills and to work through her trauma, if given the right tools. I think back to restorative justice and Dan Reisel’s TED Talk, The Neuroscience of Restorative Justice. Reisel describes neuroplasticity as the brain's ability to form new neural connections throughout life. Building on this idea, he argues that empathy is not a fixed trait but a skill that can be strengthened through repeated opportunities to practice accountability, emotional regulation, and healthy relationships (Reisel, 2013).
While we at camp did not have the resources to support Fiona for the entire week, I like to think that we took a baby step in supporting her development of coping skills. There was one instance when Fiona shared that another camper had made her angry. Instead of hitting the camper, she told me, "I'm angry," put on her noise-canceling headphones, and went to her bed to color until she calmed down. While this may seem like a small victory, I saw it as evidence of exactly what Reisel describes. Fiona practiced a new response instead of relying on aggression. Even though she later struggled again, this moment demonstrated that change is possible and that healthier behavioral patterns can begin to replace old ones through repetition and support. Although the progress was inconsistent, healing from trauma is rarely linear, and this moment reminded me that success is often measured by small steps rather than complete transformation. In that sense, restorative justice is not simply about repairing a single conflict but about creating opportunities for individuals to practice empathy, accountability, and healthier ways of relating to others.
This course has changed the way I interpret challenging behavior. Instead of asking, "Why is this child acting this way?" I now find myself asking, "What happened to this child, and what is she trying to communicate?" While not every child can remain in an environment like camp safely, trauma-informed care reminds us that behavior is often an expression of unmet needs rather than simply defiance. Reisel's discussion of neuroplasticity reinforces that healing and behavioral change are possible because the brain remains capable of change throughout life (2013). Although our time together lasted only three days, I hope the coping strategies Fiona practiced at camp become the foundation for continued healing. While we could not change her past, I hope we contributed, even in a small way, to changing what comes next.
References:
Reisel, D. (2013). The neuroscience of restorative justice [Video]. TED Conferences. https://www.ted.com/talks/dan_reisel_the_neuroscience_of_restorative_justice
Rousseau, D. (2026). Trauma and Crisis Intervention [Course materials]. Boston University.
van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.
The Trauma of Existing in Modern Society
Existing in the world that we have come to know is inherently traumatic. Over the last decade, rates of depression in U.S. adults has steadily increased, and that of teenagers has nearly doubled. The society that we have come to know—one that is characterized by extreme capitalism and technological “advancements” such as artificial intelligence and social media that detaches people from the genuine human connection and critical thinking—are quickly deteriorating the fabric of society with no clear solution in sight.
Trauma can result from a wide variety of causes, whether it’d be a singular extreme event or years to decades of accumulating stress. With the rise of social media, children and teenagers grow up with unfettered access to inappropriate content. Many youths have been the victims of cyberbullying online, which can have devastating consequences. While bullying has always existed, the introduction of social media has exposed children to the anonymous criticism of those from all over the world. The permanent nature of the online world means that simple mistakes all children make can haunt them for a lifetime. According to recent reports, teens spend an average of five hours day on social media, blurring the lines between the online world and the real world.
After a childhood full of screens and scrollings rather than socializing and playing outside, modern teens are met with an economy and job market that pales in comparison the the “American dream” they grew up reading about. Chronic stress, which can often materialize into trauma, is often the result of socioeconomic stressors. Saddled with student loans from degrees that no longer guarantee steady work, impossible rent prices and costs of living, adults are struggling to keep their heads above water. People don’t have time to socialize or care for themselves, people can’t afford therapy or other resources that may help them cope with the stressors of everyday life. Their only reprieve is a couple hours of “doomscrolling” after a long day of work, in the apartment they share with several roommates that has tripled in price in the last two decades. There is no more sense of community, everyone is too occupied with fending for themselves. Taking time for oneself to unwind or reconnect with nature or seeking proper care for mental or physical illness is inaccessible for the majority of Americans.
The society that we have come to know is one that, for the majority of people, causes an unsustainable amount of stress and anxiety that is bound to develop into trauma somewhere along the line, not to mention the amount of political and social turmoil in this decade alone. Viewing the current state of humanity from a trauma-informed lens reveals a bleak landscape that is in desperate need of reform, in order to prevent society as a whole from reaching an inevitable breaking point.
References
Zhu, C., Zhang, T., Li, Q., Chen, X., & Wang, K. (2023). Depression and Anxiety During the COVID-19 Pandemic: Epidemiology, Mechanism, and Treatment. Neuroscience bulletin, 39(4), 675–684. https://doi.org/10.1007/s12264-022-00970-2
Brody DJ, Hughes JP. Depression prevalence in adolescents and adults: United States, August 2021–August 2023. 2025 Apr; (527)1–11. DOI: https://dx.doi.org/10.15620/cdc/174579
Rothwell, J. (October 27, 2023). Parenting mitigates social media-linked mental health issues. Gallup. Survey conducted between June 26–July 17, 2023, with responses by 6,643 parents living with children between ages 3 and 19, and 1,591 teens living with those parents.
A Polyvagal Reflection
I'll be honest: when Polyvagal Theory first came up in Trauma and Intervention, my instinct was mild resistance. It felt, at first pass, like a lot of the wellness language that gets flattened into oversimplified self-help content, like "ventral vagal," "co-regulation," "neuroception", terms that start to feel like a new vocabulary layered over old ideas. I had read enough about trauma to feel like I understood fight-or-flight. I think what changed my mind was less the science itself and more what the theory made visible about behaviors I had already been watching in young people that I hadn't understood yet. Stephen Porges Polyvagal Theory proposes that the autonomic nervous system, which is long understood as a simple two-part system of sympathetic (mobilization) and parasympathetic (rest) responses, is better understood as a three-tiered hierarchy.
The three states, from newest to oldest, are: Ventral vagal: the newest, most distinctly mammalian circuit. When we feel safe, this system is online: we can think, connect, play, learn, and be curious. Sympathetic mobilization: When threat is detected, the older sympathetic system activates fight or flight. Energy surges, the body prepares for action. Dorsal vagal shutdown: The oldest, most primitive circuit, a last-resort survival response when fight/flight is not possible. Immobilization, dissociation, collapse. School settings are, in many ways, nervous-system-hostile environments for children who carry developmental trauma. The structure of a traditional classroom, which comprises of large groups, unpredictable adult moods, performance pressure, noise, transitions can produce chronic low-level threat responses in students whose neuroceptive systems are already calibrated toward danger.
I recently began working with children on the autism spectrum, and this is where Polyvagal Theory stopped being an intellectual framework for me and started feeling genuinely urgent. Porges himself has written extensively about the overlap between Polyvagal Theory and autism, arguing that many of the social and communicative differences seen in autistic individuals may be connected to chronic states of threat activation: a nervous system that is spending so much energy managing sensory input and environmental unpredictability that the social engagement system cannot fully come online.
Beyond a Single Event: Understanding Complex and Developmental Trauma
When most people think of trauma, they imagine a discrete, identifiable event, it could a car accident, a natural disaster, a single violent incident. Much of our early clinical and diagnostic language was built around this model. PTSD, as defined in the DSM, emerged largely from observations of combat veterans and survivors of acute catastrophe. But what happens when trauma is not an event but an environment? What happens when it is the water a child swims in, day after day, year after year?
This question sits at the heart of what clinicians and researchers now call complex trauma and, more specifically, developmental trauma — two related but distinct concepts that demand a more expansive view of how adversity shapes human beings.
Complex trauma, as described by Judith Herman in her foundational work Trauma and Recovery (1992), refers to prolonged, repeated interpersonal trauma — captivity, ongoing domestic violence, childhood abuse, often in situations where escape is impossible or extremely difficult. Herman proposed a diagnosis she called "Complex PTSD" or "Disorders of Extreme Stress Not Otherwise Specified" (DESNOS), arguing that chronic trauma produces a distinct and broader symptom profile than single-event PTSD.
Developmental trauma is a more specific term, focused on complex trauma that occurs during childhood, when the brain and nervous system are still forming. Pioneered by Bessel van der Kolk and colleagues at the National Child Traumatic Stress Network (NCTSN), developmental trauma recognizes that early repeated adversity does not simply create PTSD symptoms in a young person — it fundamentally alters the architecture of the developing brain, the regulation of emotion, and the child's working model of relationships and the self.
The standard PTSD model is largely built on a fear-conditioning paradigm: a terrifying event creates a strong, poorly integrated memory, and certain cues trigger a re-experiencing of that fear. Treatment, accordingly, often focuses on processing that specific memory — approaches like Prolonged Exposure or EMDR are well-validated for this population.
Developmental trauma presents differently. When adversity is chronic and relational — when the source of fear is also a caregiver — the child faces an impossible bind. They cannot flee, they cannot fight, and the person who should be a safe haven is the source of danger. This leads to profound disorganization in the attachment system. Rather than a single intrusive memory, the individual may struggle with pervasive affect dysregulation, dissociation, chronic shame, an unstable sense of identity, and deep difficulty trusting others.
Van der Kolk and colleagues have described this profile under the proposed diagnosis of Developmental Trauma Disorder (DTD), which has not yet been included in the DSM-5, though Complex PTSD did receive formal recognition in the ICD-11 (WHO, 2018). The failure of existing categories to capture this population has real clinical consequences: children and adolescents with complex trauma histories are frequently misdiagnosed with ADHD, bipolar disorder, conduct disorder, or borderline personality disorder, diagnoses that do not address the underlying traumatic etiology.
One of the most important contributions to understanding developmental trauma came not from clinical psychology but from epidemiology. The Adverse Childhood Experiences (ACEs) study, conducted by Felitti et al. (1998) in collaboration with the CDC and Kaiser Permanente, surveyed over 17,000 adults about their childhood exposure to ten categories of adversity and tracked their health outcomes.
The findings were striking. ACEs were remarkably common, and they were dose-dependent: the higher an individual's ACE score, the greater their risk for a wide range of negative outcomes, including depression, substance use disorder, heart disease, cancer, and early death. The study helped establish that childhood adversity is not a niche clinical concern but a fundamental public health issue with lifelong biological consequences.
It would be incomplete to discuss developmental trauma without acknowledging that adversity does not uniformly determine outcomes. Research on resilience — including the landmark Kauai longitudinal study by Werner and Smith — demonstrates that protective factors such as one stable supportive relationship, strong temperament, and community connection can significantly buffer the effects of early adversity. Practitioners working in this field must hold both the real and lasting impacts of developmental trauma and a genuine belief in the capacity for growth, healing, and meaningful change.
The goal, ultimately, is not to define clients by their ACE scores or their symptom profiles, but to understand the logic of survival strategies that were adaptive in dangerous early environments. and ultimately, to help individuals expand their repertoire of responses as they move through a world that, ideally, is safer than the one they grew up in.