Characters
Indicators
Dr. Perry
T/F
Risk Factors
100

At the beginning of the chapter, Stan was introduced as...

An attorney appointed by the court to represent children in the legal system

100

Prior to Sandy's testimony, Dr. Perry assessed that her stress-response system was now ____

Sensitized

100

Dr. Perry said, " The actual experience is the ___, the impact on the system is ___

Stressor & Stress

100

True or False? Stress is always a bad thing

False! Moderate, predictable, and patterned stress makes our systems stronger. It makes the stress response more resilient, flexible, and stronger. 

100

Sandy was __ when the incident occurred

3 years old

200

After the event occurred, where/who did Sandy live?

Sandy was placed in a foster home, which was not informed about her trauma, to protect her from further violence
200

As a result of the traumatic incident, Sandy's stress was seen through things such as..

Profound sleep problems, pervasively anxious, increased startle response, and periodic daydreaming

- Dr. Perry compared her responses to those of Vietnam vets

200

Dr. Perry describes habituation as what?

Repeating patterns in your brain that are deeply engrained so deeply engrained that your brain ends up ignoring them

200

True or False? Children who have expereinced a traumatic event often reenact the behavior they witness

True! Children will reenact the events through play, drawings and daily interactions to desensitize it to themselves

200

Sandy was with her deceased mother, alone for how long?

11 hours, a longer time in a traumatic situation increases long term effects as a result of the trauma

300

Sandy associated what three items with the event?

Milk: Associated it with nurturing and nutrition. She remembers it spilling from her throat while her mother lay dead

Silverware: Something that killed and maimed her mother, leaving her horrified. 

Doorbells: Ringing of the doorbell announced the killers arrival

300
Sandy warmed up to Dr. Perry through coloring, but once he asked her about the scar on her throat, she did what?

She froze, stopped coloring, and stared off into space without blinking. After he asked again, she scribbled over her picture, grabbed her stuffed rabbit, and slashed its throat, repeating, "It's for your own good, dude."

300

Dr. Perry used what medication during his time consulting at a residential treatment center for children?

... Clonidine, which was used to "control" children at a residential treatment center where he previously consulted. It's effective in treating ADHD, anxiety, PTSD, and even withdrawal symptoms

300

True or False? Infants and young children have dissociative responses to extreme stress due to their ineffectiveness in fight or flight

True! A dissociative response to extreme stress occurs primarily in children based on their inability to perform fight or flight responses due to their young age. It is more common in females than males

300

The CPS caseworker did what to increase the degree of trauma Sandy experienced?

They didn't believe that mental health support was needed because "children are resilient". 

- "Children are actually more vulnerable to trauma than adults... Resilient children are not made, not born." (Perry, 2017, p.38.)