Attachment
ACES
Trauma-Informed Intervention and Treatment Principles
Types of Trauma
Understanding Trauma Symptoms
100

This psychologist developed attachment theory and emphasized the importance of caregiver responsiveness.

Who is John Bowlby?

100

ACES research demonstrated that this period is the most critical for human development and is heavily influenced by caregivers and environment.

What is early childhood development.

100

This approach emphasizes creating a safe environment and understanding how trauma shapes emotions, behaviors, and mental health.

What is trauma-informed care?

100

Shock, emotional numbness, and disorientation are examples of?

What are common initial reactions?

100

•Feel the same fear, panic, or helplessness they felt during the trauma

•Exhibit similar physiological reactions (racing heart, sweating, freezing)

What is a Flashback

200

This observational procedure examines how infants respond to separation and reunion with caregivers.

What is the Strange Situation?

200

Trauma lives in...

What is the BODY

200

This phrase helps shift clients from self-blame to understanding their experiences.

What is “What happened to me?”

200

Guilt, anxiety, depression, and hypervigilance are examples of these responses

What are later emotional responses?

200

•Self-injurious behaviors: during trauma pain was imposed, control was absent. Through self-injury pain becomes predictable, the individual controls when, how and how long it occurs. This creates an illusion of mastery over earlier helplessness.

What is Reenactment.

300

This attachment style is characterized by discomfort with closeness, emotional suppression, and strong independence.

What is avoidant attachment?

300

As ACE scores increase a "dose response" occurs, equating to:

Risk for health and social problems increases

300

This occurs when standard interventions unintentionally trigger fear, loss of control, or recreate past trauma.

What is retraumatization?

300

This type of trauma often has stronger psychological impacts because it involves intentional harm and betrayal.

What is human-caused trauma?

300

This occurs when psychological distress is expressed through physical symptoms like headaches or stomachaches.

What is somatization?

400

In trauma-informed care, attachment behaviors are understood as this—not manipulation or pathology.

What are adaptive responses to early experiences?

400

Many adult health problems are rooted in

Early childhood experiences

400

Consistency, schedule/routine, clear communication all promote?

Creating a safe place

400

Re-establishing routines, reconnecting with caregivers, and returning to school are key strategies to support this after trauma.

What is restoring normalcy or promoting resilience?

400

Behaviors like self-injury, disordered eating, or emotional repression often serve this function for trauma survivors.

What is emotional regulation (or attempts at regulation)?

500

This term describes the mental framework that shapes self-concept, relationships, and expectations based on early caregiving experiences.

What is the internal working model?

500

These buffer the effects of trauma

Safe, stable, nurturing relationships

500

•Peer Support

•Training

•Clinical Supervision

•Life Balance

•Healthy Boundaries

What is decreasing secondary trauma.

500

Trauma is transferred to subsequent generations through biological, psychological, environmental, and social means.

What is Generational Trauma

500

This type of memory stores trauma as sensory fragments and physiological states rather than a clear narrative.

What is implicit (body-based) trauma memory?

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