PCI Part 1
PTSD Two Factors
1. Violation of a deeply held core belief
2. Neurologic hypersensitivity
Common Mistakes (pg. 83)
Unwelcome preaching
Poorly timed religion
Trying to "cure" the problem
Entitlement vs. privilege
What is a psychological crisis? (pg. 19)
An acute response to a critical incident wherein:
1. Psychological homeostasis (balance) is disrupted
2. Usual coping mechanisms have failed
3. Evidence of dysfunction, impairment
Statistics, being aware of DV in our community (nationwide stats) (pg. 17-3,4)
More than 1 in 3 women, and more than 1 in 4 men, in the US have experienced rape, physical violence, and/or stalked. Nearly 3 in 10 women, 1 in 10 men, reported at least one impact, ie. concerned for safety, PTSD, needing healthcare, missing day at work, etc.
What are the available resources?
CBP EAP: 1-800-755-7002
DoJ -Office on Violence Against Women
Domestic Violence Hotline
Domestic Shelters.org
1. Just / Fair World
2. Value in trusting others
3. Self-efficacy, self-esteem
4. Need for safety
5. Order, faith, religion
(Jay added, sense of personhood)
Elements of "Severity of PTSD"
1. Dissociation
2. Psychogenic amnesia
3. Sleep disturbance
4. Exaggerated startle
5. Evidence of complex partial seizures
Elements of Religious Interventions (Pg. 79)
Scriptural education, insight, interpretation
Rituals, sacraments
Rituals of forgiveness, atonement
(Jay added: Perform or provide)
Define DV and its five elements:
Domestic violence is a pattern of abusive behavior in any relationship that is used to gain or maintain power and control over another.
1. Physical
2. Sexual
3. Emotional
4. Economic
5. Psychological
4 possible outcomes of DV
1. Abuser enters a rehabilitation program
2. Abuser goes to prison
3. Victim leaves
4. Someone dies
Events of PTSD (pg. 48)
Traumatic event > intrusive memories > avoidance, numbing, depression > stress arousal > symptoms for more than 30 days > impairment
Define Crisis of Faith (pg. 53)
When one's normal, established relationship with God and accompanying theological worldviews are violated and rendered seemingly helpless/useless.
Elements of Spiritual Interventions (Pg. 75)
Unique ethos of pastoral presence > Ministry of presence > unique communication > ventilative confession > individual and/or conjoint prayer > belief in divine order or divine intervention
(Jay added: Meet the person where they are/ not with an agenda)
How to talk about it
Approach him/her with extreme care and without judgement
Don't pressure the person to talk about the abuse
Respect the person's need for confidentiality, do not disclose anything told to you
Reassure the person that he/she is not to blame
Make sure the person is physically safe or has a safety plan in place. Ask victim what changes could be made to make them safer
Provide the person with a list of DV resources in the area
Possible code word for danger
BONUS: What to say to victim
I am afraid for your safety. I am afraid for the safety of your children. It will only get worse. I am here for you when you are ready to leave. You don't deserve to be abused.
Why do they stay?
Fear of abuser, fear of losing children, financial dependence, cultural/religious beliefs, isolation and lack of support, excuses for the violence, shame, belief that things will change
Functional Hierarchy for effective PCI
Effective communication skill > assessment/screening > meeting physical needs > psychological > liaison/advocacy > spiritual > religious
Crisis of Faith: Symptoms (pg. 53)
Feeling abandoned by god. Finding it hard to pray. No yearning for righteousness. No spirit of thankfulness. Hopelessness. Seeing no value in scripture.
(added by Jay: Isolation- not seeking one's normal support)
Elements of Liaison Functions (Pg. 71)
Facilitation of communications
Psychological Buffering, insulation
Advocacy
Helping where needed
(Jay added: Ministry of filling in the gaps)
DV: Crimes Associated
Intimate partner violence (IPV), sexual violence/rape, LGBT IPV, Immigrant IPV, Stalking, Cyber-stalking, Child abuse/neglect, Elder abuse/neglect
Signs of an Abusive Relationship
Social withdrawal, Bruises, physical complaints, Crying or outbursts of anger, repeated discussions of marital or relationship or problems, sleeping or eating irregularities, fatigue, intense startled reactions, difficulty concentrating on tasks, frequent unexplained or unplanned absences or tardiness, decline in job performance, having to maintain strict schedule before or after work, personal calls that leave the person upset or receiving frequent personal calls
What are the five elements of PCI?
1. Assessment / Screening
2. Psychological Interventions
3. Liaison Interventions
4. Spiritual Interventions
5. Religious Interventions
SAFER-R-PCI Steps (Pg. 60)
Stabilization > Acknowledgement ( event, reactions) > Facilitation of understanding (normalization) > Encourage effective coping (psychological, liaison/advocacy, spiritual, religious) > referral or recover
Elements of Psychological Interventions (Pg. 67)
Cathartic Ventilation > Social Support > Information > Stress Management > Advocacy > Problem solving (plan, implement, evaluate) > Cognitive reframing
The 8 elements of the power and control wheel:
1. Coercion / threats
2. Intimidation
3. Emotional Abuse
4. Isolation
5. Minimizing / Denying / Blaming
6. Using Children
7. Economic Abuse
8. Gender (male) privilege
1. Negotiation/fairness
2. Non-threatening behavior
3. Respect
4. Trust/support
5. Honesty/accountability
6. Responsible parenting
7. Shared responsibility
8. Economic partnership