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Trauma Informed Care through Art Therapy

By sreadenAugust 17th, 2023in CJ 720

Trauma is a unique experience; no two people will experience trauma in the same exact way, thus the impact and responses to trauma are unique as well.  To better understand the various responses to trauma, research has found trauma is stored in the body through our somatic memory, specifically, the nervous system in the brain (Van der Kolk, 1994).  Furthermore, trauma can manifest through somatic flashbacks in the form of physical sensations, including tastes, smells, pain and haptic experiences.  Somatic flashbacks support the notion that memories, particularly trauma experiences, are stored in visual form.  When a traumatic event occurs, the Broca’s area of the brain, responsible for language, shuts down.  Simultaneously, the amygdala, the recognition center for danger in the brain, is put on high alert, resulting in the brain visually recording the traumatic event (Rausch et al., 1996).

To help individuals work through trauma that is held visually and physiologically, imagery and verbal expression can be introduced.  In particular, art expression has been found to effectively assist in grappling with sensory memories and facilitating a narrative to explore memories and flashbacks (Malchiodi, 2003).  When somatic memories are explored through art expression, an individual is able to develop an understanding of why they may be experiencing certain physical sensations to a particular event.  A unique feature of art therapy is that interpretation of the art created is completely up to the artist, allowing them to create their own language of expression.  Moreover, art therapy promotes growth, self-expression, emotional reparation, conflict resolution and transformation (Malchiodi, 1998).

A positive aspect of art therapy is that it provides a medium, art and its subsequent expression, that is not available in many other therapies and forms of expression.  However, caution should also be taken when using art therapy.  Art therapy should be used as art and therapy, with the understanding art is not therapy on it own.  Rubin (1999) stresses “therapy is not enough; art is not enough either”.

There are many forms of trauma-informed art therapy, below are common modalities utilized within carceral settings and how they allow for self-expression.

  • Dance: (hip hop, jazz, tap, modern) creates awareness and develops connection with the body; allows for expression of fear anger, hope, happiness
  • Music/Poetry/Writing: expands capacity for self-expression
  • Theatre: improvisation, play reading, script analysis; creation of scenes to replay responses to an event
  • Visual Arts: (painting, sculpting, pottery, collage) allows for expression of visual and emotional feelings; creates a starting point for dialogue and exploration

San Quentin State Prison, California, has a program called ArtReach which “provides a platform for artists on San Quentin’s death row to exhibit their art and creativity”. I invite you to peruse the site.  The art created includes paintings, drawings, poems, and papers.  Many of the poems and drawings capture the trauma of incarceration, being on death row, as well as self-revelations, personal growth, and peace.   https://www.artofsanquentin.com/

 

Malchiodi, C. A. (1998). The art therapy sourcebook. Los Angeles: Lowell House.

Malchiodi, C. A. (Ed.). (2003). Handbook of art therapy. New York, NY: Guilford

Rausch, S.L., van der Kolk, B. A., Fisler, R.E. & Alpert, N.M. (1996) A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script-driven imagery. Archives of General Psychiatry. 53(5), pp.380-387.

Van der Kolk, B. A. (1994). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253–265.

The impact of stress in our lives

By Paola LedesmaAugust 17th, 2023in CJ 720

Life, our existence is nothing more than a condition where we have the rationality and capacity to function. We go through a number of stages that are supposed to teach us everything that we need to know to learn how to live and how to survive until death reaches us. These stages are infancy, toddlerhood, preschool years, early school years, adolescence, young adulthood, middle adulthood, and late adulthood. Yet, no one quite clearly can explain to you what events are going to transpire in your life that will scar you, what experiences are you going to go through that will activate your stress hormones and put them on a loop, how to handle strong emotions or emotions at all, how to understand your feelings or mental state, or how much life really hurts, disappoints, and feels like it suffocates you one day after the other. Now, all of these events are led by one piece, a masterpiece that feels like it dictates your life, stress.

We are all unique individuals that feel, think, and experience differently. Therefore, all of our individual experiences cannot be compared, and since they’re not alike we cannot fully understand what a person goes through until we live that same experience. Nevertheless, stress is a universal factor that causes an impact in all our lives. It might not be identical situations but it’s the same factor. So, what is stress? The World Health Organizations says that is “a state of worry or mental tension caused by a difficult situation…is a natural human response that prompts us to address challenges and threats on our lives. Everyone experiences stress to some degree.”. So, the continuance of this factor in human beings causes an imbalance that affects the mind, brain, and body.

How does stress affect us? When our body is subjected to an event of experience that causes extreme stress our brain secretes stress chemicals and lights the neural circuitry on fire. It sends alerts to the hypothalamus that sends sensory signals to the amygdala. The amygdala then processes these signals as the image, sounds, smells, taste, and touch of the moment and decides how to interpret that information and what level of danger is perceived. In their connection the autonomic nervous system is activated, alongside with the sympathetic and parasympathetic nervous systems. Both of these in their respective ways tackle the fight, flight or freeze response of the body to the stress. Think of it as a car’s pedals (increase to acceleration and decrease to stop). All of these signals and responses are activated so quickly that the brain doesn’t even have a clue, it can’t be aware of the cascade of events happening so fast. So, the sympathetic nervous system stays on, continuously secreting stress hormones (for example, cortisol), thus impacting and aggravating the individual’s balance and well-being. This overwhelming impact to the individual is focused on their physiological and psychological state. It stands in the way of completing tasks, activities, and duties (studying or working), relationships (partners, family and friends), organ health (heart, stomach, lungs), nervous system function (various levels of body ache and pain), use of substances (illegal drugs like cocaine and opioids, alcohol, and tobacco), anxiety, depression, and much more. Therefore, we need to have certain tools ready at hand to cope, manage, and reduce that unavoidable and always present stress.

Now, how do we reduce those levels of chronic long-term stress? Well, some counter responses towards relieving stress that are available to all of us are due to the different techniques that scientists have come upon throughout time. For example, the relaxation response, a combination of different approaches that evoke a state of relaxation (deep breathing, focusing on calmness and tranquility, connection with God through prayer, yoga, tai chi, and more). Physical activity and movement therapy (stretching, walking, running, swimming, aerobics, dancing, singing, and more) to reduce the body’s levels of stress hormones like adrenaline and cortisol; and produce endorphins to heal. Social support triggers benefits in the well-being of a person. Some say that it helps with the setback of the healing process, improves the self-esteem and self-worth, encourages to keep working on one’s health, shows you other strategies or coping mechanisms, and you feel “loved”.

In addition to the previous mentioned, other ways to manage and assume control over stress is to establish a daily routine, nothing fancy, improve eating habits, prioritize getting enough sleep and rest. Also, limit the time that you spend on the internet (it can make you feel overwhelmed and more stressed), connect with nature, and reach out and seek medical assistance to take it one step further. When dealing with life, stress and stressors will always be present, and it’s completely natural to feel drained, frustrated, on edge, without words, enraged, gloomy, and more. But, do things for you, take care of yourself, modify or change your lifestyle if you have to, control your environment and your level of participation, establish your own time and what are your priorities, to what are you going to focus your energy on. All of this is normal, but what is not normal is not doing something about it, letting it beat, stump, and burry you. Putting yourself as number one as a priority in your life is extremely important, and taking care of your health is not something to be ashamed of. It’s something to be proud and joyous about because not many people can or want to do it. That is what proves great important, that you take care of yourself and are one with yourself.

References:

Boland, B. (April, 2023). All the Ways Stress Can Impact Your Life. BANNER HEALTH. Web page: https://www.bannerhealth.com/healthcareblog/teach-me/stress

Rousseau, D. (2023). Module 3: Neurobiology of Trauma. Retrieved from: MET CJ 720 O2 Trauma and Crisis Intervention Printable Lectures.

Van der Kolk, B. A. (2014). Part Two, Chapter 4: Running for your life: The Anatomy of Survival. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

Van der Kolk, B. A. (2014). Part Two, Chapter 5: Body-Brain Connections. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

Van der Kolk, B. A. (2014). Part Two, Chapter 6: Losing Your Body, Losing Your Self. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

Van der Kolk, B. A. (2014). Part Four, Chapter 11: Uncovering Secrets: The Problem of Traumatic Memory. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

Van der Kolk, B. A. (2014). Part Four, Chapter 12: The Unbearable Heaviness of Remembering. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

Van der Kolk, B. A. (2014). Prologue, Facing Trauma. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking Penguin.

World Health Organization. (February, 2023). Stress. Web page: https://www.who.int/news-room/questions-and-answers/item/stress#:~:text=Stress%20can%20be%20defined%20as,experiences%20stress%20to%20some%20degree.

Art as Therapy

By schaydenAugust 17th, 2023in CJ 720

“You gotta resurrect the deep pain within you and give it a place to live that’s not within your body.
Let it live in art. Let it live in writing. Let it live in music.
Let it be devoured by building brighter connections.
Your body is not a coffin for pain to be buried in. Put it somewhere else.”
- Ehime Ora

There are many modalities that can be helpful in the treatment of trauma. This post explores the benefits of creative expression as self-care and treatment using a specific and personal example - my mom. More than prescribed ‘art therapy’, the use of art as a therapeutic form of self-expression has helped my family in many ways. Because it is relevant to this story, I will preface this with a context of culture and history.

My mom suffers from PTSD and many physical ailments. There are many parts of her life she is just now correlating with trauma and others she may not remember yet. I inherited parts of her trauma and quickly assimilated into American culture; I was a child when we emigrated. We came to America at an inflection point of its contentious relationship with Iran, a country on the precipice of Revolution. Being a young mother, she left behind home and family for her safety and that of her child. I remember hearing bombs fly overhead while speaking on the phone from the U.S. with my grandparents in Iran during the Iran-Iraq War. We heard and saw much war and death and many loved ones were lost.

Iran is a tumultuous, beautiful, democratic (at its roots), tyrannical, dangerous, powerful country. We are born from the soil of mixed contradictions, rich with historically significant contributions to mankind. Persians were originally of a monotheistic religion called Zoroastrianism, and hail from one of the oldest empires in history. This beautiful land, like any other, is filled with generational trauma.

In recent times, you may have heard the name ‘Mahsa Amini’, one of countless young people killed by a brutal regime for no reason. That trauma runs deep and wide, we felt it here in America and around the globe; it is directly contributory to pain we feel today (physical and otherwise). We protested the oppression and brutality; we donated, cooked, sang, cried, and rallied. It is difficult to process that much grief for that much death alone, so we feel strength in numbers, and we express that grief in artistic ways. Musicians write anthems, writers pen poems and novels, actors appeal on screens, we cook for and comfort each other. Integral to processing trauma, and to our culture, is art and expression. We are a traditional, communal people so our form of therapy usually revolves around community. It is not uncommon to see a group of Persian friends at a restaurant crying, laughing, eating, and crying some more. We express as much trauma as we hold. This is also common for other cultures around the world.

There are many different, effective ways to use creative expression as a form of self-care and treatment.

Dance Therapy

We learned from Bessel Van der Kolk that (in 2014) there was little known about how artistic forms of therapy “work or about the specific aspects of traumatic stress they address”. Kolk discusses some of the ways that artistic therapies have been measured and produced either disappointing or inconclusive results.

One form of dance therapy paired “nonverbal artistic expression with writing” by social psychologist James Pennebaker and dance/movement therapist, Anne Krantz. The study group that danced then wrote about a traumatic experience showed “better physical health and improved grade-point average. (The study did not evaluate specific PTSD symptoms.)”. Interestingly, when considering just writing therapy that focused on PTSD symptoms, it seems they were less successful when done in “group settings where participants were expected to share stories.” (Kolk, 2014, p.354). Sharing vulnerable thoughts and feelings publicly before readiness can feel more traumatic than healing.

Art & Creativity

Where culture or innate expression may not be a factor for everyone, traditional art therapy is a useful clinical approach:

“Characteristic for art therapy is the methodical use of art means as drawing, painting, collage, and sculpting to shape and express feelings, thoughts, and memories. Art therapy is distinguished from other forms of treatment by active performing and experiencing with art materials, by the visual and concrete character of the process as well as by the result of art making.” (Schouten, et al., 2015).

“Art safely gives voice to and makes a survivor’s experience of emotions, thoughts, and memories visible when words are insufficient.” Art and creativity can tap “into other parts of a person’s experience. It accesses information … or emotions that maybe can’t be accessed through talking alone … Using art therapy to treat PTSD addresses the whole experience of trauma: mind, body, and emotion.” (Fabian, 2019).



Studies have been conducted showing the effectiveness of different forms of art therapy (seen in these examples above) in combination with cognitive therapy for combat veterans with PTSD. “Art therapy may assist with integration of sensory memories and declarative memory and has been shown to reduce symptoms of PTSD in a number of populations.” (Campbell, et al., 2016). They found that “Art therapy in conjunction with CPT was found to improve trauma processing and veterans considered it to be an important part of their treatment as it provided healthy distancing, enhanced trauma recall, and increased access to emotions.” (Campbell, et al., 2016).

Putting it Together
Integrating any type of art or creative expression into trauma therapy is an individual choice. There have been promising studies showing valuable contributions to the treatment of PTSD, enhanced by combining other treatments. Addressing trauma is complex since it can remain hidden in our bodies and minds, so "using a combination of traditional therapy techniques and alternative treatments such as EMDR, yoga, neurofeedback, and theater, patients can regain control of their bodies and rewire their brains." (Kolk, 2014, p.1).

For my mom, art has been helpful and productive as a form of self-care and adjunct to other therapies. Used in conjunction with other treatments, it takes on a calming, meditative quality that stills her mind and body. Joining treatments has helped unlock complex trauma that was hidden from her. This very personal, internal processing does not involve verbal expression, but emotion and thought come through as a physical creation. It is a form of healing during times when she struggles to identify where her trauma resides. Her creations are freehand, and it is in the moment of pure, joyous, creative expression that she does her best work. By her own account, when she is creating, she is 'lost in Zen space' with no concept of time, pain, or physical body. I believe it is in this space that she reconnects with her body and mind in a safe space.

Helpful as PTSD treatment, art “therapies can be helpful in reducing depression and trauma-related symptoms such as alexithymia, dissociation, anxiety, nightmares, and sleep problems… increasing emotional control, improving interpersonal relationships, and improving body image (Johnson & Lahad, 2009).” What is lacking from all articles on the efficacy and full benefits of PTSD treatment, however, appears to consistently be a lack of “robust information on their effectiveness”. It is possible that there have not been any ‘robust’ studies because art can take many forms, is highly subjective and contextual in nature, and is difficult to systematically analyze. From personal experience, I can say that art (in all forms) has been a healing, therapeutic tool for my family. I cannot imagine our lives without it.

 

References

Campbell, M., Decker, K. P., Kruk, K., & Deaver, S. P. (2016). Art Therapy and Cognitive Processing Therapy for Combat-Related PTSD: A Randomized Controlled Trial. Art therapy : Journal of the American Art Therapy Association, 33(4), 169–177. https://doi.org/10.1080/07421656.2016.1226643

Schouten, K. A., de Niet, G. J., Knipscheer, J. W., Kleber, R. J., & Hutschemaekers, G. J. (2015). The Effectiveness Of Art Therapy In The Treatment Of Traumatized Adults: A Systematic Review On Art Therapy And Trauma. Trauma, violence & abuse, 16(2), 220–228. https://doi-org.ezproxy.bu.edu/10.1177/1524838014555032

Debruge, P., Earl, W., Gleiberman, O., Moreau, J., Murphy, J.K., Saperstein, P., Shafer, E., Shanfeld, E., Seo, R. The 30 Greatest War Films. Variety.
https://variety.com/lists/best-war-movies/

Van der Kolk, B. A. (2014). The Body Keeps The Score: Brain, Mind, And Body In The Healing Of Trauma. Penguin. Amazon Kindle version.

Fabian, R. (2019, Aug 13). Medically reviewed by Legg, T.J., PhD, PsyD. Healing Invisible Wounds: Art Therapy and PTSD. Healthline.

Art & Talk Therapy. Retrieved on 2023, Aug 15 from https://www.aactherapy.com/art-therapy
Also referenced from: Ora, E. (2023, July). Ancestors Said: 365 Introspections for Emotional Healing. 1st ed. Hay House, Inc.

Mental Health In The Middle East

By Ahmed AlghurairAugust 17th, 2023

Throughout the course we have discovered the impacts and effects of trauma in a multitude of sectors and communities. We have focused on trauma in children, trauma in those who have experienced significant traumatic events both personally and professionally, and the necessary implementation of mental health interventions and the removal of stigma for those who are struggling.

Though, I want to make the assertion that the whole concept, trend, and awareness of “mental health issues” is predominantly a western phenomenon and something that is not widely accepted in other regions of the world. Today, I want to focus on the emergence of the mental health field in the Gulf-Arab states, where I am from (Dubai, United Arab Emirates) from both an anecdotal perspective, as well as a research perspective. 

A study conducted in 2021 by a group of Gulf-Arab researchers focused on understanding the awareness of the general public by asking what they know about mental health. This inquiry was labeled as MHL, or mental health literacy. This study analyzed over 27 studies conducted in the region engaging over 16,000 people. They concluded that the majority of people, including health professionals (doctors, nurses, etc.) know little to nothing about mental health or even acknowledge it as being a real diagnosable problem. As well, a general negative attitude about the topic was uncovered which relates directly to my anecdotal experience.

Culture: In the Gulf-Arab states, we come from a region which is heavily rooted in religion and tradition. We come into this life following the Islamic path, which clearly outlines our responsibilities in this life. Marry, have children, take care of yourself and your family, die and inshAllah go to heaven if you have been good in this Dunya (lifetime). We also tend to be quite a judgmental group of people. This is linked to many things including our small local communities. In the United Arab Emirates actual locals, Emiratis are only 11% of the population- which makes us a close-tight knit community involved in everyone's business. 

Though, the mental health stigma comes from religion. Some people believe that if you are depressed or anxious- you are not praying enough to god. Prayer is often a suggested solution for those who are deeply struggling. We also hold beliefs about the evil eye… the idea that somebody can envy you from afar, and that this leads to downfalls in your individual life- which require prayer to protect you. Some people also believe in the presence of Jinn (shapeshifters and entities that look and function like humans, but have freewill and can obey or disobey god leading to consequences for the people around them)... like being possessed or mentally controlled by Jinn. 

These concepts may sound crazy to some, but this is the society we grew up in. Furthermore, we have strong traditional gender roles and in particular for men- the stigma surrounding mental health is enormous. So enormous that the emergence of this field didn’t even occur in our nation until recently with the influx of expats (foreign workers living here). 

The thing is, just because we don’t acknowledge a problem doesn't mean it doesn’t exist. Absolutely and undeniably we have people suffering here from a wide variety of mental health issues, and I am thankful that overtime this field is gaining prominence because religion doesn’t solve every problem. True chemical imbalances exist, true traumatic experiences have affected people and stunted their development, etc. 

I think that there is a direct conflict between traditional islamic values and the field of mental health but that is something to be dealt with culturally and internally as opposed to removing access to those who are struggling because of religious beliefs. 

Overall, I want to reaffirm that the mental health field is strong and actively existing in the United States, but in many other cultures it isn't acknowledged or even prevalent. 

 

Sources:

https://www.globalmediainsight.com/blog/uae-population-statistics/ 

https://psycnet.apa.org/record/2021-09290-001 

Is Social Media Traumatizing Us?

By sienasAugust 17th, 2023in CJ 720

On a rainy morning, I was getting ready to go on a tour in Dublin, Ireland. The older guide approached us and appeared to be very upset. He asked if we were okay, and if we needed some time before our tour started. Confused, we asked what was wrong. “Did you hear? A mass shooting happened this morning in America.” He was met with a few shrugs and “Yeah, that happens.” Shocked, he replied “If that happened here, we would probably shut down the city for weeks.”

It was in that moment, I began to think about why this group of American’s reacted this way. Besides the lack of action from political leaders, I thought about social media. For years, we have been exposed to violence and tragedy (virtually) right in front of us. In the live classroom this week, it was brought up about social media and having this information right at our fingertips. We have access to more information than ever, and it is quite overwhelming. Even this morning, I woke up to several news notifications involving death and tragedy with pictures attached.

Grace Dowd, a psychotherapist, says “Since we don’t always have enough time to digest one story before another breaks, we can sometimes end up feeling emotionally numb, helpless and immobile. This typically happens when our survival mechanisms are triggered.” Grace then adds, “Our constant access to social media and the news plays into this by continuing to provide access to information to the point where it no longer becomes shocking, and also by taking our attention away with the next crisis.” (Barnes, 2021) Mary Joye, a licensed mental health counselor, says “Repetition of [bad news and images] does damage to us through vicarious trauma.” (Barnes, 2021) Vicarious trauma was also discussed in our live classroom this week. Vicarious trauma is when the trauma does not directly happen to you, but you are affected by it. 

Sites created to share memories and watch funny videos have slowly turned dark over time. On apps such as TikTok, you can watch a cooking tutorial and the next video is a house exploding. How do we protect ourselves?

Limiting time on social media has been a great tool for me. I have seen a major decrease in anxiety. It allows me to process anything I have seen and reflect. As bad as it sounds, I have had to adopt the “ignorance is bliss” stance with trends on social media. Most of these “trends” have turned into a rabbit hole of anxiety inducing videos, such as “top 10 household products that will give you cancer”. I even have friends that set time limits on their phones, or have deleted social media all together. I strongly believe that if we decrease our social media use, society will greatly benefit from it. 

References:

Barnes, S. (2021, Feb 21). "Social Media is Traumatizing Us More Than We Realize" https://www.huffpost.com/entry/social-media-traumatizing_l_602d2c88c5b673b19b654d88.

Self-Care: The light at the end of the tunnel after trauma

By deannachAugust 13th, 2023

The effects of trauma can reverberate for a long time after the incident has ended. Healing frequently involves a winding path filled with emotional struggles and self-discovery. Throughout this journey, the idea of self-care develops as a guiding principle that provides comfort and empowerment in the face of difficulty. Trauma creates a complicated narrative that is difficult to decipher. We are called to stop and consider the depths of trauma and the devastating effects it has on our mental, emotional, and physical health. Here, we take cues from research that highlights the interconnection of trauma's aftereffects and exhorts us to approach self-care with empathy and a critical mind.

Self-care goes beyond simple pleasure and involves a fundamental act of self-compassion and resilience. By digging deeper, we redefine self-care as a complete endeavor that encompasses not just pampering and relaxation but also nurturing on a psychological, emotional, and spiritual level. By deepening our understanding of self-care, we create a full toolkit that aids in the healing of trauma's wounds.

Am I a psychopath?

By Kate MaretskyMay 12th, 2023in CJ 725

The short answer: most likely no. While individuals can exhibit certain traits of psychopathy, there is more to the clinical assessment of this diagnosis. The term "psychopath" has become colloquial in its use. It is thrown around when a friend does something out of the norm, when a character on TV displays particular traits, and when describing actions that are atypical. These instances have made it seem that psychopathy is more common than it actually is. People can certainly fall under the umbrella of "psychopathy" but genuine, diagnosed psychopaths must meet specific criteria in order to be diagnosed as such.

Psychopathy, as noted by Rousseau (2023), can be caused by genetics, neurobiology, and abuse. It is defined by three major characteristics which include callousness, a fearless personality type, and impulse control issues (Marsh, 2022). Approximately 30% of the population demonstrate a degree of these traits, but only about 1.2% are classified as "severe psychopaths," Marsh (2022) adds. In order to test for psychopathy, Robert Hare created the PCL-R

Rousseau's (2023) PCL-R presentation slide
Rousseau's (2023) PCL-R presentation slide

(Psychopathy Checklist-Revised) to measure the "extent to which [an] individual matches [a] prototypical psychopath" (Rousseau, 2023). This checklist consists of 20 items that are scored on a scale from 0-2; 0 means the item is not present and 2 means the item is definitely present. Rating each item a 0, 1, or 2, a score up to 40 can be obtained. Any score greater than 30 indicates severe psychopathy, which can only be "diagnosed" when administered by a professional with an advanced degree (Rousseau, 2023). While you can self-administer this test to get a general idea of where you stand, an accurate "diagnosis" can only come from a professional. "Diagnosis" is in air quotes here because psychopathy is not an official DSM diagnosis. Typically ASPD (Anti-Social Personality Disorder) is diagnosed, and in combination with a high PCL-R score, an individual is labeled to have psychopathic tendencies (Marsh, 2022).

Psychopathy can be viewed as a spectrum. Many individuals show psychopathic tendencies at one point or another and whether you have scored a 0, are in the early 20s, or maybe up in the 30s range, falling anywhere on the scale is not necessarily a bad thing. While yes, those with higher scores have an increased risk for criminal behavior due to the lack of empathy and guilt, psychopaths are not inherently bad individuals. Many are successful professionals who use their traits to their advantage. Being labeled a psychopath does not automatically lead to crime and violence; it all depends on how the traits are utilized in one's life.

Treatments for psychopathy are extremely limited. Successfully curing psychopathy is not possible, but there are methods to manage symptoms and improve one's quality of life. Treatments may include things like behavioral skills therapies, medications, and psychotherapy (Psychopathy Is, 2022).  There tend to be additional challenges in treating psychopaths due to their lack of motivation, poor response to treatments, and resistance to any kind of change. These can stem from a psychopath's lack of ownership of problems and responsibilities as well as their separation from emotions, empathy, and guilt. While psychopathy can be managed, it is more stringent to do so than with other kinds of diagnoses.

So, the question still stands: are you a psychopath? The probability of falling into that 1.2% is very low but never 0. You may exhibit several of the PCL-R items at either level 1 or even level 2, but the best way to get to the bottom of it is to see a licensed professional. This can start you on your path to figuring out why your brain may work differently than others and why you act and respond the way you do in certain situations. Either way, it's all about how you use your personality and traits to your advantage while creating little to no destruction in your path. Change is not impossible and neither is living a successful, rewarding life.

 

References

Marsh, A. (2022, March). Why psychopathy is more common than you think, with Abigail Marsh, Phd. American Psychological Association. https://www.apa.org/news/podcasts/speaking-of-psychology/psychopathy#:~:text=Although%20severe%20psychopathy%20affects%20just,fall%20under%20this%20broad%20umbrella.

Psychopathy Is. (2022, December 21). Psychopathy Treatment Options. https://psychopathyis.org/treatment/#:~:text=The%20most%20successful%20approaches%20to,They%20may%20also%20incorporate%20medication.

Rousseau, D. (2023). Presentation files: Psychopathy. Boston University.

Is being a Cop ok today?

By Assagi WynterMay 12th, 2023in CJ 725

Hi, my name is Officer Wynter and I decided to become a Cop in today's world. Law enforcement today is not looked at the same as it used to be. Back in the day, being a Cop was one of the most well-respected careers someone could get into. The job demands someone to risk their lives after all and be a hero. However, today if you want to risk your life and be a hero, its recommended that you become a firefighter or soldier. Due to some bad eggs in the field of law enforcement, the job on a global level has had to suffer. The disconnect that has developed between the community and the police has grown over the past few years. Due to this, the question arises, is being a Cop ok today?

In my opinion, I think when you become a cop today, you are taking not only a great job; but also, the baggage that has been left before. The job itself is very stressful with all the cons within it. Then you add the baggage, and you are now in an environment that some may classify as unhealthy. Due to these things is it recommended to take up the mantel. Today if you go to a group of officers, there is a high chance if you ask them advice on joining the field; they would talk you out of it or have you second guess yourself. This is not because of the danger but due to the fact that the job is hated now by the police and the community. I won't get into the known details on why we are where we are, but to summarize; the job as a whole is suffering due to bad officers making bad decisions. This has caused an image issue that is hard to be fixed due to the struggle of regaining trust between the community and the police. With the lack of trust this has made the job even harder. It is known how often officers commit suicide due to the stress of the job. An article on US Today stated "In 2020, 116 police officers died by suicide and 113 died in the line of duty, according to researchers. While the number of suicides dropped from 140 in 2017, study co-author Hanna Shaul Bar Nissim noted that 2020 numbers are likely an undercount due to stigma and shame, lack of reporting and people needing time to come forward." (Stanton, 2022)

https://abcnews.go.com/US/video/record-number-police-died-suicide-2019-68046762

(News, 2020)

These numbers are due to what the job entails and due to how much harder it has become. Lexipol, which is a policy management software for public safety, has come up with a list of many ways that we can see police officers getting stressed or burned out. Some of these examples include:"

  • Isolation and withdrawal
  • Being disengaged or unmotivated
  • Physical exhaustion
  • Nightmares and flashbacks
  • Poor hygiene or apathy about one’s physical appearance
  • Loss of empathy or compassion
  • Relationship issues, including divorce
  • Substance misuse and abuse
  • Recurrent sadness or depression
  • Resistance to feedback
  • Resistance to change
  • Reduction in meaningful work product
  • Reduced job satisfaction
  • Increase in citizen complaints” (Fish, 2018)

In the end, this post is not to scare people away from the job of being a cop however it is to shine a light on the reality of what it has become. I still believe though time and hard work, the disconnect can be fixed. The job gives you the ability to help, protect, and impact people's lives in many ways. This gives me the hope that it is still a good job to be in. To prevent the high suicide rates and the low moral from within, Self-care is essential in my opinion. Finding a suitable coping method or some way to decompress is essential in the field of law enforcement. The three things one should do is:

1. Cultivate a life outside law enforcement.

2. Develop good physical health habits.

3. Practice meditation and mindfulness.

By striving to incorporate these things into your life, a form of joy and good health will start to cultivate itself. Giving yourself the ability to be mindful and meditate can help you understand and handle stress. Taking care of your body physically can promote good health. Finally, having hobbies and a life outside of work will help you decompress. Through good self-care and building a better community relationship, the job of being a cop can be the well-respected job it used to be.

Resources

Stanton, C. (2022, June 10). Police, firefighters die by suicide more often than in line of duty. why rates remain high. USA Today. https://www.usatoday.com/story/news/nation/2022/06/10/high-suicide-rate-police-firefighters-mental-health/7470846001/

News, A. B. C. (2020, January 2). Record number of US police officers died by suicide in 2019, advocacy group says. ABC News. https://abcnews.go.com/Politics/record-number-us-police-officers-died-suicide-2019/story?id=68031484

Fish, D. (2018, February 14). How Self-Care Can Reduce Police Officer Stress. Lexipol. https://www.lexipol.com/resources/blog/how-self-care-can-reduce-police-officer-stress/

Should I Be Worried About Meeting a Psychopath?

By Sydney ShoreMay 5th, 2023in CJ 725

The short answer is no. Less than 2% of the population can be diagnosed as a psychopath (Iken, 2023). Even less than that will do physical harm. Of course, emotional damage is just as significant. If you work in politics or business, you most likely know a psychopath already. Business, along with temp jobs, is where many psychopaths choose to work. For temp jobs, this difference is that they can stay in one place for a short time. It is a short-term job where they are not expected to be the best in their field. So they can cause as much harm as they want and will not have to stay there very long (Raine, 2013).

If you are concerned that you could end up being friends with or dating someone who is a psychopath, you can learn the signs. You can not ideally prevent yourself from avoiding psychopaths because the functioning ones could be working alongside you. An example from 2016 was when within a business group, one member named Bob would always say he could take on new projects. The rest of the group knew they would end up doing all the work because Bob did not do it. It might seem to higher-ups or supervisors that he is getting the job done because he is at all the meetings and might even be running them. However, he will pass on all the work to someone else (Myron Beard, 2022).

As frustrating and stressful as this is, it could happen to you even if there is not a psychopath around. Some people do not want to put the work in. And if you know the signs you are looking for, you can mostly avoid them. The percentage is low, and once you know the signs you are looking for, you should not worry too much about running into a psychopath.

References:

Iken, H. (2023, May 2). 20 ways to spot the psychopath in your life. Ayo and Iken. Retrieved May 5, 2023, from https://www.myfloridalaw.com/twenty-ways-to-spot-the-psychopath-in-your-life/ 

Myron Beard, P. D. (2022, September 7). High-functioning psychopaths in the workplace. Myron Beard Executive Consulting. Retrieved May 5, 2023, from http://www.beardexecutiveconsulting.com/beware-the-charming-psychopath/ 

Raine, A. (2013). The Anatomy of Violence: The Biological Roots of Crime. Random House LLC. 

Webb, C. H. (2022). The problem of psychopathy. Psychology Today. Retrieved May 5, 2023, from https://www.psychologytoday.com/us/blog/drawing-the-curtains-back/202203/the-problem-psychopathy 

 

A pandemic inside a pandemic

By Sayonara Soto VargasMay 5th, 2023in CJ 725

Gender violence against women is one of the clearest manifestations of the subordination, inequality and power relations of men over women; this violence is caused by the difference between the two genders; in other words, women suffer violence simply because they are women, regardless of their social status, economic or cultural level.

Some types of this type of violence are the following:

  1. Psychological: this type of violence has as its main contexts the home, partner or family, however, it does not have to reach harassment or humiliation, but can manifest itself as restriction, manipulation or isolation, which causes emotional and psychological damage, harming the development of a woman.
  2. Physical: is any type of action that causes suffering or physical harm, affecting integrity. For example, a blow, a push, etcetera.
  3. Sexual: refers to any action that violates or threatens a woman's right to decide about her sexuality and includes any type of sexual contact without consent.
  4. Economic: corresponds to actions (direct or through the law) that seek a loss of patrimonial/economic resources through limitation. An example of this is that women cannot own property or use their money or property rights.
  5. Work: women's access to positions of responsibility in the workplace is hindered, or their development or stability in a company is complicated by the fact that they are women.
  6. Institutional: authorities or officials complicate, delay or prevent access to public life, adherence to certain policies or even the possibility for women to exercise their rights.

Unfortunately, nationally it is estimated that "approximately 94 percent of crimes committed against women go unreported" (Mata, 2019). Of the total number of women who were assaulted, only 4% filed a complaint or filed a report with an authority and 2% only sought help from an institution. Among the reasons why women do not report their aggressors are the following:

  1. They considered that it was something unimportant that did not affect them.
  2. Shame
  3. Fear of threats or consequences
  4. She thought they would not believe her or that they would say it was her fault.
  5. Did not know how and where to report
  6. The aggressor was someone influential or with a certain amount of power

Gender violence in Mexico has been invisibilized for many years and only about 5 years ago began to have the visibility it deserves, all thanks to the participation of feminist collectives and various non-governmental groups which focus on supporting the population at risk. 

However, with the arrival of the COVID-19 pandemic in all parts of the world, women were indirectly forced by the government to remain locked in quarantine with their aggressor, which raised the levels of gender violence that were already high. COVID-19 highlighted the lack of government action and inefficiency in terms of health and protection for women suffering violence in any sphere.

Data show that the confinement derived from covid-19 led to the records of violence against women in the home to increase 60% in Mexico, according to figures from the United Nations (UN).

From January to May 2020, data given from the Executive Secretariat of the National Public Security System, showed that during the confinement there was 375 alleged victims of femicide and 1,233 female victims of intentional homicide were registered, giving a total of 1,608; that is, 6% more than in the same period of 2019.

Likewise, during the same year, 23,460 alleged female victims of intentional injuries were counted and 108,778 emergency calls to the 911 number, related to incidents of violence against women had been attended.

The COVID-19 emergency is deepening gender gaps and inequalities that already existed and were ignored, as well as increasing the risk of violence for millions of women in Mexico. Latin America is considered the most violent region worldwide, this is largely due to the prevailing patriarchal culture that governs all customs and practices of daily life, leading to the naturalization of violence against women, the production of stereotypes, and the perpetuation and reproduction of discrimination (Moreno and Pardo, 2018).

Emotional abuse, such as insults, humiliation, and threats, are also a widespread phenomenon in Latin American countries. Many women reported that their last or current partner used three or more controlling behaviors, including isolating them from their families and/or friends, insisting on knowing their location at all times, and limiting their contact with family and/or friends (Bott, et al. 2012).

In Mexico, a large proportion of violent deaths of women are femicide murders where the victims are attacked because of the social condition of their gender. This terrible trend is on the rise: from seven violent murders of women per day two years ago, there are currently 10, according to the UN Women Office in Mexico (Villegas and Malkin, 2019). These data refer only to the most serious type of gender-based violence; however, other dimensions of this phenomenon are also highly present in the country, among which one of the most worrisome is domestic violence.

In response to the announcement of the Jornada Nacional de Sana Distancia, several civil organizations declared that measures should be adopted to guarantee women's access to a life free of violence during the current health crisis, and also demanded to ensure that policies aimed at combating gender violence are not neglected as a result of the readjustment of priorities. In particular, Amnesty International, the National Network of Shelters and X Justicia for Women highlighted the need to: 

  1. ensure the provision of resources to shelters, 
  2. guarantee the functioning of the justice centers, 
  3. guarantee access to justice for this sector of the population. 

In this context, domestic violence has proven to be one of the most worrisome issues. Almost two months after the first case of COVID-19 was confirmed in Mexico, the Shelter Network observed an increase of 5% in women's admissions and 60% in cases of counseling via telephone, social networks and email. In addition, the integrated National Refugee Red centers are already at 80% or 110% of their capacity, especially in entities such as Guanajuato, State of Mexico and Chiapas (Castellanos, 2020).

It must be recognized that Mexico faces a double contingency consisting of a crisis due to gender violence and the expansion of COVID-19, and that both require the same level of attention. As of April 21, 100 women have died from the coronavirus since it entered Mexico on February 28, while in the same period 367 women have been killed (Global Health 5050, 2020; Castellanos, 2020).

The normalization of violence against women, as well as other gender-based inequalities, is unfortunately a persistent phenomenon. If we want to make this problem visible in the context of a pandemic, it is essential to take optimal and strategic measures immediately.

As a result, I began to develop an app to provide support to women who need help and receive it in an effective and efficient way without putting them at risk and at the same time eliminate the black number of complaints. 

In collaboration with Casa Luna, a network of shelters in the Cuauhtémoc district of Mexico City, X Justicia and a network of colleagues from the university, I created the ACOMPÁÑAME application, which is a tool that facilitates women to receive psychological and physical help, as well as legal assistance and if necessary the opportunity to settle in a shelter, always taking into account their welfare in a comprehensive manner.

The app consists of first taking a test to find out if they are suffering violence and identify what type of violence it is in order to proceed in a better way. After that, women will have the option to contact specialized doctors to receive either physical or psychological treatment and as a final point they will be able to contact a network of lawyers to proceed legally against their aggressor. 

This last point and the medical one are extremely sensitive points because of the information that is collected at the moment of contacting the victim, that is why all the data is treated with the utmost confidentiality giving the victim a folio number which also serves to prevent her aggressor from suspecting that something is going on. Both legal and medical actions being taken are given a film name so as not to raise suspicions and so that the victim is not at risk of further violence.

The pandemic created by COVID-19 came to an end, with the arrival of vaccines and movements of the different governments around the world; however, the pandemic of gender violence is far from coming to an end. It is necessary for each and every one of us to take action on this issue because, although it sounds cliché, the next woman who may suffer violence could be your mother, your sister or your daughter.

Initial layout of the app

 

References:

Mata, M. (2019). Cifra negra, 94% de delitos contra mujeres: JAPEM [Sitio web]. Retrieved may 2nd, 2023, from https://www.milenio.com/policia/cifra-negra-94-delitos-mujeres-japem

Inmujer. (2016). Definición de violencia de género [Sitio web]. Retrieved may 2nd, 2023, from http://www.inmujer.gob.es/servRecursos/formacion/Pymes/docs/Introduccion/02_Definicion_de_violencia_de_genero.pdf

Foreign affairs. (2020).La violencia contra las mujeres en Latinoamérica. Retrieved May 2nd, 2023. https://revistafal.com/la-violencia-contra-las-mujeres-en-latinoamerica/

New york times. (2019). ‘Not My Fault’: Women in Mexico Fight Back Against Violence. Retrieved May 2nd, 2023. 

https://www.nytimes.com/2019/12/26/world/americas/mexico-women-domestic-violence-femicide.html

Organización Panamericana de la Salud. (2020). Violencia contra las mujeres. Retrieved May 2nd, 2023. 

https://www3.paho.org/hq/index.php?option=com_docman&view=download&category_slug=violencia-5197&alias=24353-violencia-contra-mujeres-america-latina-caribe-analisis-comparativo-datos-poblacionales-12-paises-353&Itemid=270&lang=es

International Center for Research on Women. (N/D). The Sex, Gender and COVID-19 Project. Retrieved May 2nd, 2023. 

https://globalhealth5050.org/the-sex-gender-and-covid-19-project/