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ADAPTIVE HORIZON EUDEMONIA - A BRIGHTER FUTURE
Adaptive Horizons Eudemonia
Working through difficult times
“Eudaimonia, in Aristotelian ethics, the condition of human flourishing or of living well. For Aristotle, eudaimonia is the highest human good, the only human good that is desirable for its own sake (as an end in itself) rather than for the sake of something else (as a means toward some other end).” - Encyclopedia Britannica
Eudemonia can also be viewed as a shared experience or relationship defined by a good spirit of genuineness, unconditional positive regard, and empathy as defined by the therapy of Carl Rogers.
“I can state the overall hypothesis in one sentence, as follows: If I can provide a certain kind of relationship, the other person will discover within himself the capacity to use that relationship for growth; and change and personal development will occur. “ - Carl Rogers - On becoming a person: A therapist's view of psychotherapy
By applying the principles of Carl Rogers, it is possible to grow through change and add some shades of grey to an otherwise dark horizon through the connection of a good spirit (eudemonia) and work towards a brighter future.
ADAPTIVE HORIZON EUDEMONIA - TRAUMA INFORMED THERAPI
Trauma-informed therapy, when used as a lens for therapy in general, involves integrating principles of safety, support, empowerment, and sensitivity to potential trauma, creating a compassionate and effective therapeutic environment for all clients.
Polyvagal Theory
Polyvagal theory is a framework that explains how the autonomic nervous system regulates our health and behavior. It was introduced in 1994 by Stephen Porges. The theory proposes that the vagus nerve, which forms the primary component of the parasympathetic nervous system, plays a crucial role in emotion regulation, social connection, and fear response. The traditional view of the autonomic nervous system presents a two-part system: the sympathetic nervous system, which is more activating ("fight or flight"), and the parasympathetic nervous system, which supports health, growth, and restoration ("rest and digest"). Polyvagal theory views the parasympathetic nervous system as being split into two distinct branches: a "ventral vagal system" which supports social engagement, and a "dorsal vagal system" which supports immobilisation behaviours, both "rest and digest" and defensive immobilisation or "shutdown". The theory suggests that the vagal system is inhibitory of primal instincts by being part of the parasympathetic nervous system, in opposition to the sympathetic-adrenal system, involved in mobilization behaviors
Polyvagal chart
Polyvagal Systems
Dorsal Vagal System: This branch is responsible for immobilization behaviors, both “rest and digest” and defensive immobilization or “shutdown”. It responds to cues of extreme danger and takes us out of connection, out of awareness, and into a protective state of collapse. "When we feel frozen, numb, or “not here,” the dorsal vagus has taken control" - Deb Dana - A BEGINNER’S GUIDE TO POLYVAGAL THEORY .
Sympathetic Nervous System: This branch is more activating and prepares us for action. "It responds to cues of danger and triggers the release of adrenaline, which fuels the fight-or-flight response" - Deb Dana - A BEGINNER’S GUIDE TO POLYVAGAL THEORY .
Ventral Vagal System: This branch supports social engagement and is a hybrid state of activation and calming that plays a role in our ability to socially engage. "It responds to cues of safety and supports feelings of being safely engaged and socially connected" - Deb Dana - A BEGINNER’S GUIDE TO POLYVAGAL THEORY .
The E.C.H.O. Model of Trauma
EVENTS
Traumatic events can be a one-off moment or repeated experiences. For a trauma to happen there needs to be a trigger event that overloads the nervous system.
CONTEXT
One person may be triggered by an Event and find it traumatizing while another person may not. The experience of an event is an individual experience that has to be seen in a context where the nervous system is overloaded and/or core emotional needs are not met.
HOMEOSTATIC SHIFT
A normal stress response in a stressful situation may be to freeze, to fight or to run. A maladaptive stress response is when the sympathetic nervous system is activated over longer a longer period of time when in a safe environment. A trauma may trigger a maladaptive stress response and this may lead to a shift in the homeostatic balances in the body. I.e. The body will adapt to a maladaptive stress response and prioritize resources for defense against danger (fight/flight) and reduce resources for healing the body (immune system and cell regeneration).
OUTCOMES
Outcomes are the fallout of the trauma. In other words trauma can cause a burn-out, PTSD, depression, anxiety, low self-esteem, complex chronic illnesses, addiction etc...
Different Types of Trauma
OVERT TRAUMA
COVERT TRAUMA
Three Core Needs for Balance in Life
Emotional resilience makes you stronger in difficult situations that can potentially create a trauma. From childhood learning to set healthy boundaries, feel comfortable and safe within oneself and in this world, as well as being capable of receiving and giving love fulfills three core needs for emotional resilience to trauma. When any of these needs are violated it may create traumas.
BOUNDARIES
1. Autonomy: Experiencing a sense of control and independence.
2. Competence: Feeling capable and effective in one's actions.
3. Identity: Having a clear sense of self and personal identity.
4. Freedom: Having the ability to make choices and express oneself.
SAFETY
1. Safety: Feeling physically and emotionally secure.
2. Trust: Believing in the reliability and integrity of others.
3. Physical and Emotional Well-being: Maintaining overall health and emotional balance.
4. Fairness: Experiencing justice and equality.
LOVE
1. Esteem: Feeling valued and respected by oneself and others.
2. Belonging: Being part of a community or social group.
3. Purpose: Having goals and a sense of direction in life.
4. Attachment: Having meaningful and secure relationships.
Traumatic Life Experiences
Some examples of events that can be viewed as traumatic life experiences are natural disasters, war, accidents, abuse, grief, or loneliness.
ABUSE
Abuse refers to the intentional infliction of harm or mistreatment, often involving power dynamics, coercion, or exploitation, leading to physical, emotional, psychological, or sexual harm. Various types of abuse exist, encompassing different forms of harm and violation. Common types of abuse include:
Physical Abuse: Involves the use of force that causes bodily harm, injury, or pain. This may include hitting, slapping, punching, or any form of physical violence.
Emotional or Psychological Abuse: Encompasses behaviors that aim to control, manipulate, or degrade a person's emotional well-being. This can include constant criticism, humiliation, intimidation, or isolation.
Sexual Abuse: Involves non-consensual sexual activities or coercion, including rape, molestation, or any unwanted sexual contact.
Verbal Abuse: Consists of the use of harsh words, insults, threats, or other forms of verbal aggression that can cause emotional distress and harm.
Financial or Economic Abuse: Involves controlling or exploiting someone financially, such as restricting access to money, stealing assets, or coercing financial decisions.
Neglect: Refers to the failure to provide adequate care, support, or attention, leading to physical or emotional harm. This is often seen in situations where caregivers fail to meet a person's basic needs.
GRIEF
Grief is a natural and complex emotional response to loss, typically associated with the death of a loved one, but it can also be triggered by various other life changes such as the end of a relationship or a significant life transition. It involves a range of emotions, thoughts, and behaviors as individuals navigate the process of adapting to the new reality without the person or thing they have lost.
The concept of stages of grief was popularized by psychiatrist Elisabeth Kübler-Ross in her book "On Death and Dying."
These stages, often referred to as the Kübler-Ross model, include:
Denial: Initially, individuals may struggle to accept the reality of the loss, leading to a sense of disbelief or numbness.
Anger: As the impact of the loss sinks in, feelings of frustration, resentment, and anger may arise. This stage can involve questioning why the loss occurred.
Bargaining: People may attempt to negotiate or make deals in their minds, seeking ways to reverse or mitigate the loss. This stage often involves a search for meaning or ways to regain control.
Depression: Intense sadness, despair, and a sense of emptiness characterize this stage. Individuals may experience feelings of helplessness and isolation.
Acceptance: In this final stage, individuals come to terms with the reality of the loss. It doesn't mean complete happiness or forgetting the person or thing lost, but rather finding a way to live with the changed circumstances.
LONELINESS
“Loneliness is cognitive discomfort or uneasiness from being or perceiving oneself to be alone, according to the American Psychological Association (APA). The APA defines it as the emotional distress we feel when our inherent needs for intimacy and companionship are not met.” Everyday Health
Nearly 1 in 10 Dutch people frequently lonely in 2019 according to the Centraal Bureau voor de Statistiek.
Causes of loneliness are diverse and may include:
Social Isolation: Physical separation from others, such as living alone or having limited social interactions, can contribute to feelings of loneliness.
Lack of Close Relationships: A deficiency in meaningful, intimate connections or a lack of supportive friendships can lead to a sense of isolation.
Transitions and Life Changes: Major life events such as relocation, divorce, or the loss of a loved one can disrupt social connections and contribute to loneliness.
Social Anxiety: Difficulty in initiating or maintaining social interactions due to anxiety can lead to isolation and loneliness.
Technology and Social Media: Paradoxically, excessive use of technology or social media may contribute to loneliness by replacing face-to-face interactions with virtual ones.
Cultural or Societal Factors: Societal changes, cultural norms, or a lack of community support may contribute to feelings of disconnection.
Mental Health Issues: Conditions like depression, anxiety, or low self-esteem can exacerbate feelings of loneliness.
Stigmatization: Experiencing discrimination, prejudice, or feeling marginalized can lead to social exclusion and loneliness.
Lack of Shared Interests: Feeling disconnected from others due to a lack of common interests or activities can contribute to loneliness.
Age-Related Factors: Older adults may face increased risk due to factors such as retirement, loss of friends, or physical limitations affecting social participation.
Disorders causing or resulting in trauma
Having a disorder can be traumatic in itself, while other disorders may be viewed as an outcome of trauma.
Neurodevelopmental disorders are a group of conditions that typically manifest early in development and affect the growth and development of the nervous system. These disorders often result in challenges related to cognition, behavior, motor skills, and emotional regulation. Some common neurodevelopmental disorders include:
Autism Spectrum Disorder (ASD): Characterized by difficulties in social interaction, communication, and repetitive behaviors.
Attention-Deficit/Hyperactivity Disorder (ADHD): Involves persistent patterns of inattention, hyperactivity, and impulsivity that can impact daily functioning.
Intellectual Disability (ID): A condition characterized by limitations in intellectual functioning and adaptive behavior, affecting cognitive and everyday skills.
Specific Learning Disorder (SLD): Involves difficulties in acquiring and using academic skills, such as reading, writing, or mathematics.
Communication Disorders: Including Speech Sound Disorder, Language Disorder, and others that impact speech and language development.
Motor Disorders: Such as Developmental Coordination Disorder, characterized by difficulties in coordination and motor skills.
Tourette Syndrome: Marked by repetitive, involuntary movements and vocalizations called tics.
Rett Syndrome: A rare genetic disorder primarily affecting girls, leading to loss of purposeful hand skills and motor functions.
Cerebral palsy (CP): Is a neurodevelopmental disorder characterized by abnormalities of muscle tone, movement and motor skills, and is attributed to injury to the developing brain (Bartels et al., 2020)
It's important to note that neurodevelopmental disorders are complex, and individuals may exhibit a range of symptoms and severity within each category. Early diagnosis and intervention are crucial for better outcomes in managing these disorders.
Neurodegenerative disorders are a group of conditions characterized by the progressive degeneration and loss of structure or function of neurons in the brain or peripheral nervous system. These disorders typically worsen over time and often result in cognitive decline, motor dysfunction, and sometimes psychiatric symptoms. Some common neurodegenerative disorders include:
Alzheimer's Disease (AD): A progressive brain disorder leading to memory loss, cognitive decline, and changes in behavior.
Parkinson's Disease (PD): Characterized by the degeneration of dopamine-producing neurons, resulting in tremors, stiffness, and difficulty with movement.
Huntington's Disease (HD): A genetic disorder causing progressive degeneration of nerve cells, leading to motor dysfunction, cognitive decline, and psychiatric symptoms.
Amyotrophic Lateral Sclerosis (ALS): Affects nerve cells in the brain and spinal cord, leading to the loss of voluntary muscle control.
Multiple System Atrophy (MSA): A rare disorder causing the degeneration of nerve cells in specific areas of the brain, resulting in problems with movement, balance, and autonomic function.
Frontotemporal Dementia (FTD): Involves progressive damage to the frontal and/or temporal lobes of the brain, leading to changes in personality, behavior, and language.
Progressive Supranuclear Palsy (PSP): Affects movement and balance due to the deterioration of specific brain cells.
Creutzfeldt-Jakob Disease (CJD): A rare, rapidly progressing disorder causing cognitive decline and neurological symptoms, often associated with abnormal proteins called prions.
These disorders share a common theme of ongoing and irreversible damage to the nervous system, resulting in a range of debilitating symptoms. Research in this field focuses on understanding the underlying causes and developing potential treatments to slow or halt the progression of these disorders.
Cognitive disorders refer to conditions characterized by impairment in cognitive functions, including memory, attention, language, and problem-solving. These disorders can significantly impact a person's ability to think, learn, and perform everyday activities. A dysregulated nervous system can contribute to cognitive disorders through various mechanisms, impacting the structure and function of the brain. Here are some ways in which a dysregulated nervous system may be linked to cognitive disorders:
Neuroinflammation: Chronic inflammation in the nervous system, often as a result of various conditions, can contribute to cognitive impairment. Inflammatory processes may damage neurons, disrupt neural circuits, and interfere with the proper functioning of the brain.
Neurotransmitter Imbalance: Dysregulation in the levels of neurotransmitters, which are chemical messengers in the brain, can affect cognitive function. Conditions like depression or anxiety, which involve neurotransmitter imbalances, may lead to cognitive symptoms.
Hormonal Changes: Disruptions in hormonal balance, such as those occurring during menopause or in thyroid disorders, can impact cognitive function. Hormones play a role in maintaining the health and integrity of neural tissue.
Neurodegenerative Diseases: Conditions like Alzheimer's disease, Parkinson's disease, and Huntington's disease involve the progressive degeneration of neurons, leading to cognitive impairment. Dysregulation in the nervous system plays a central role in the pathophysiology of these disorders.
Traumatic Brain Injury (TBI): TBI can result in a dysregulated nervous system due to physical damage to the brain. Cognitive deficits often occur depending on the severity and location of the injury.
Psychological Stress: Chronic stress can dysregulate the stress response system, including the release of stress hormones like cortisol. Prolonged stress may have detrimental effects on brain structure and function, contributing to cognitive disorders.
Therapies we offer to calm the nervous system
EMDR
AUDIO THERAPY
Skills training and therapy we offer to strengthen self-regulation and development
MINDFULNESS
SKILLS TRAINING
BREATH WORK