Table of Contents
What are the 4 R’s of trauma?
The trauma-informed approach is guided four assumptions, known as the “Four R’s”: Realization about trauma and how it can affect people and groups, recognizing the signs of trauma, having a system which can respond to trauma, and resisting re-traumatization. Healthcare organizations, nurses and other medical staff need to know the six principles of trauma-informed care: safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice and choice; and cultural issues. These 4 Cs are: Calm, Contain, Care, and Cope 2 Trauma and Trauma-Informed Care Page 10 34 (Table 2.3). These 4Cs emphasize key concepts in trauma-informed care and can serve as touchstones to guide immediate and sustained behavior change. Not everyone has the same reaction to trauma, or recovers in the same way, or in a set time frame. Research has shown that there is wide variability in recovery from trauma, with few indications as to who will recover relatively quickly and who will not. Trauma disorders are mental health conditions that are caused by a traumatic experience. Trauma is subjective, but common examples that may trigger a disorder include abuse, neglect, witnessing violence, losing a loved one, or being in a natural disaster.
What are the 3 E’s of trauma?
The keywords in SAMHSA’s concept are The Three E’s of Trauma: Event(s), Experience, and Effect. When a person is exposed to a traumatic or stressful event, how they experience it greatly influences the long-lasting adverse effects of carrying the weight of trauma. Trauma can change the way we think, feel, and act for a long time after the initial event. For many people, this could mean flashbacks or nightmares, a constant feeling of being on edge, loneliness, anger, intrusive thoughts and memories, self-destructive actions, and more. Perhaps one of the most common forms of trauma is emotional abuse. This can be a common form of trauma because emotional abuse can take many different forms. Sometimes it’s easy for emotional abuse to be hidden or unrecognized. Ever since people’s responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Traumatic events are personal and some people develop PTSD from situations that, to the eyes of society and others, are “nothing”. Yet, the wounding is real. For this reason, trauma and PTSD is difficult to treat. We have extensive knowledge of what causes trauma, but it is, ultimately, a very personal journey to take.