Post on 19-Jul-2015
Val LougheedNorthern Lights Canada
Real Work * Real People * Real Results
AHEAD OF THE CURVE
Trauma, Rehab and Recovery –
~ Keep Your Fork ~
1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
“You don’t want your impairments to define you – you want them to inform you.”
(Hanita Dagan, personal communication, 2005)
www.slideshare.net/vlougheed
#NLCAN
www.northernl ightscanada.ca/our-company/our-
president/be-st i l l
AHEAD OF THE CURVE
1. What does it mean to recover?
2. What can I do to recover and return to a l i fe that includes work?
3. What can we do to facil i tate recovery and a return to work?
Rated PG-113
People Strongly Cautioned!
May contain bad language, brief nudity, sexual overtones, and drug usage.
“In the aftermath of traumatic l i fe events … [the] sense of self has been shattered.”
(Herman, 1992, p. 61)
“An existential crisis …”(Hanita Dagan, personal communication, 2005)
A Foothold
• Mild – moderate ABI
• Depressed (dysphoria)
• Working memory problems
• Hiding pain
1st Neuropsychological Assessment
June 2004 -- Results
Sliding Back Down Into The Abyss
• Non-compliance
• Malingering
• Trying too hard
• Not trying hard enough
2nd Neuropsychological Assessment
May 2005 -- Edmonton
Test Results
• Mild to Moderate ABI
• Pain?
• Depression?
• Motivation?
• “a high flyer”
• “phobic avoidance”
• Future plans – “l ive off dividends” [from company]
• Mild – moderate ABI
• Good prognosis
• Post-Traumatic amnesia
• Pain?
• Depression?
• “Adjustment Disorder with Anxiety and Depressed Mood”
3rd Neuropsychological Assessment
August 2005 -- Calgary
Symptom Overlap
(co-morbidity)
(Michael Sullivan, Centre for Research on Pain and
Disability, McGill University, September, 2006)
Pain, Trauma, Depression, ABI
Pain Research1950’s – Wilder Penfield (brain surgeon)
“In every encounter, basic trust is in question.” ( Herman, 1992, p. 92)
“Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160)
Rehab & Recovery
TraumaPersonal Experience
• Dissociation & Cocoon = Safety
• System on High Alert Always = Survival
• World is black & white = Trust
Trust (Safety) = Love
No Trust (Life Threatening) = Hate
TraumaPersonal Experience
• Listen to me
• Understand me
• Respect me
• Are competent
I trust ( love, feel safe with, wil l try hard for) people who:
“… depression [caused by trauma] is not the same as ordinary depression.”
( Herman, 1992, p. 118)
Depression
VIDEO CLIP Story of Paul Bach-y-Rita’s dad
Paul Bach-y-rita Neuroplasticity Video Clip;
l ink to Neuroplasticity – YouTube; bren49764
00 – 2:20
“The words and att i tudes of others … are potent. They help or hex healing and recovery.”
“ Expectations are powerful.”
(Bolen, 1996; p. 94)
Body-Mind Connection
“Loss of identity can evoke a personal crisis, creating a need for change.”
(Ornelas, in Smith & Johnson (Eds), 1997; p. 172)
The Re-Organization of Self
Identity Research
Back in “a” SaddleSeptember 2007
• Off icial ly change role/ t i t le
• Re-organize NL
• Home Office
AHEAD OF THE CURVEResil ience
Abil ity to return to original form after being bent (bounce back)
Thriving in constant change, abil i ty to be:
• Flexible
• Creative
• Adaptive
• Learn from experience(http://www.resiliencycenter.com/articles/5levels.shtml)
AHEAD OF THE CURVE
Rehabilitation (habiter – to live inside)
“Rehabil itation is the learning to l ive inside not only one’s body, however it is after an injury or i l lness, but inside one’s very being.”
(Kabat-Zinn, in Meili, 2003; p. 241)
AHEAD OF THE CURVE
RecoveryCuring Focus on the i l lness/
impairment [outside]Healing Focus on the person
[inside](Crombez, October; 2003)
AHEAD OF THE CURVE
1. What does it mean to recover?
2. What can I do to recover and return to a l i fe that includes work?
3. What can we do to facil i tate recovery and a return to work?
Northern Lights Canada is a person-centred organization committed to providing innovative, responsive l inks to real work.
We offer 4 major divisions of service: • Vocational Rehabil itat ion Services • Employment Services • Employer Services• Corporate Training
For more information, please contact us: 1-800-361-4642
www.northernlightscanada.ca
Voc Rehab Canada (VRCAN) is a national consort ium of experienced regional vocational rehabil i tat ion companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis.
Member companies include:
Argus Management Consultants, Inc. Sandra Preeper & Associates
Advantage Rehabil i tation Consultants Ltd.
Rehabil i tation Alternatives Limited / Vocational Alternatives Software
OPTIMA Rehabil i tation CVE Inc.
Northern Lights Canada Occupational Rehabil i tation Group of Canada (ORGOC)
Western Rehabil i tation Special ists Inc. Diversif ied Rehabil i tation Group
Genesis Rehabil i tation Ltd. Rehabil i tation Focus
For more information, please feel free to contact us at 1-800-361-4642