So, I talked about this at my ASHA 2023 talk, made an image carousel on Instagram, and did rambly Youtube video on this, but figured I'd do a quick podcast ep on this as well, cause I've found myself using these terms more and more these days and, well, I just think it's good to clarify when we're talking about societal/social adversity vs. individual neurodivergent profiles. References and Resources: Disability:In on apparent vs. non-apparent diabilitiesMy insta reel, FB post, and Youtube Vid on thisMy source of definitions for medical model of disability vs. social model of disability NOTE: Different from pathogenic vs. salutogenic approaches. My systemic vs. individual adversity podcast episodeMy episode on fight, flight, and freeze (with reference to fawn response)Literature on minority stress model  For how it pertains to autistics, see here. Definition of hemiparesis About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagramYoutube channel

Just thought I'd put out a little update on what I've been up to and what I have planned in the works. Feel free to check out my new(ish) Youtube channel here! And I also have a new look for my website if ya want to check that out.   Feel free to email me with any ideas and/or topics you'd like to hear my viewpoints on or have me do a research deep-dive into!

A new episode!! FINALLY!! I took a bit of time-off from this topic for my own mental health, but now I'm back, baby! Herein lies my info-dump on dehumanization in medical (read: clinical) practice. We go through Haque &b Waytz's functional and nonfunctional causes and also some very valid counterpoints from Kalina Christoff's paper. AND, as a bit of ADHDer magic, this whole thing ended up dove-tailing into articles on burnout, so I get to info dump about that topic next!!  Woot! About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagramYoutube (new!!) Citation links: Main two papers: Haque & Waytz (2012)Christoff, K. (2014) Papers on mpathy, burnout, and emotional labor: (includes some not directly quoted in the episode) Kerasidou, A., & Horn, R (2016)Austen, L. (2016)Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017)Gleichgerrcht & Decety, 2013Nguyen, N., & Stinglhamber, F. (2020) Definition of "emotional labor" ASAN statement on Identify First Language by Lydia Brown

As the Gen-Zers say, we live in a society. And so do scientists, which means that science is never truly bias-free...despite frequent claims otherwise. To be trauma-informed, however, we have to pay attention to that man behind the curtain. Cause sometimes, research is based in dehumanizing societal biases. And treatments based in that research ends up harming people. This episode covers: A model of dehumanization to conceptualize different types of rhetoric (animalistic and mechanistic).Historical examples of this rhetoric in scientific writings of the 19th and 20th centuries.Modern examples of similar dehumanizing rhetoric in scientific writings of the 21st century on a clinical population of high interest to us. *coughcough*autistics*cough* About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagram References: Peer-Reviewed articles: Botha, M. (2021). Academic, activist, or advocate? Angry, entangled, and emerging: A critical reflection on autism knowledge production. Frontiers in psychology, 4196. Botha, M., & Cage, E. (2022). “Autism research is in crisis”: A mixed method study of researcher’s constructions of autistic people and autism research. Frontiers in Psychology, 13, 7397. Haslam, N. (2006). Dehumanization: An integrative review. Personality and social psychology review, 10(3), 252-264. Milton, D. E. (2012). On the ontological status of autism: The ‘double empathy problem’. Disability & society, 27(6), 883-887. Solomon, M. (1985). The rhetoric of dehumanization: An analysis of medical reports of the Tuskegee syphilis project. Western journal of speech communication, 49(4), 233-247.   Other references: Dehumanizing Always Starts With Language (Brené Brown, 2018) Tuskegee Syphilis Study Polygenism On Louis Agassiz: Wikipedia's entry and Saima S. Iqbal's Harvard Crimson article On Samuel George Morton: Wikipedia's entry and George Mason University's page of quotes Harvard’s Eugenic

To introduce dehumanization in medicine and science, I decided to use this fun, light-hearted* tail of "crazy" (cis?**) women and the (cis?) men who sought to figure out the source of the crazy. On this episode, we go through: The study of female hysteria in the late 19th century in Paris, France and Vienna, AustriaOrigins of the study of trauma in western medicineAn introduction into how societal biases and dehumanization impact science and medicine *HA HA HA HAHAHAHAHAHAHAA **using question mark cause, let's face it, historical accounts don't really tell us what people felt their internal gender really was, but that doesn't mean some of them might have been elsewhere on the gender spectrum and/or trans. About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagram References: Freud: Complete Works (1890-1939). (referenced for verification of quotes used in Herman's book). Gordon, Aubrey. Maintenance Phase [podcast]. Episode: Zombie Statistics Spectacular! Herman, Judith Lewis. Trauma and Recovery.

Sorry this one took so long to get out! (Had some software snafus to deal with.) But here we go with the second episode towards becoming trauma-sensitive. Heavy topics, but super important to confront our discomfort with these if we want to truly be trauma-informed. On this episode: The three stages of historical traumaA reframining of a few mass traumas (i.e., stage 1 of historical traumas) experienced by minorites in U.S. historyRhetoric and language around dehumanization Microaggressions as an example of implicit bias and ongoing casual dehumanization About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagram References: Examples of Microaggressions from the University of Minnesota School of Public Health. Ten stages of American Indian Genocide (2018) by Cameron, S. C., & Phan, L. T. Trauma-informed care and cultural humility in the mental health care of people from minoritized communities (2020) by Ranjbar, N., Erb, M., Mohammad, O., & Moreno, F. A. Whiteness article from the National Museum of African American History & Culture. White Supremacy Culture in Organizations by Kira Page (2019) from the Centre for Community Organizations (coco-net.org). White Women doing White Supremacy in Nonprofit Culture from Equity in the Center. Why and How Trauma-Informed Organizations Attend to Equity, Diversity, and Inclusion presented by Iya Affo through the Arizona Trauma Institute. For continuing education on mass traumas mentioned in the episode: American Indian Genocide Adam Ruin's Everything: The Disturning History of the Suburbs Jim Crow Laws Mexican "repatriation" Japanese-American Internment The Chinese Exclusion Act and also here

Here it is. We've arrived at some tough topics. In order to become trauma-sensitive (per the The Missouri Model), we have to increase our awareness of historical (i.e., generational) and system-oriented traumas/retraumatization. This is where trauma-informed meets cultural humility and cultural awareness. And also where, if we continue to hold on to our cultural blindness (and the implicit biases that go along with that), we cannot call ourselves trauma-informed. On this episode: We go over how social media allows our awareness of cultural and systemic differences to change rapidly (compared to pre-social media/internet days) Definition of historical/generational traumaMy "Sisyphus Analogy" of systemic privilege and the importance of not conflating individual adversity with system-driven, group-level trauma (i.e., historical/generational trauma). About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagram Reference links: Maslow Chart adapted by RYSE Center (2016) TIP 57 A Pair of ACEs (image and explanation) Resmaa Menakem's website "Notice the Rage; Notice the Silence" episode of On Being hosted by Krista Tippet (where I first heard the Resmaa Menakem quote I used--but it is also in his book My Grandmother's Hands)

Happy New Year, Everybody! Before going into trauma sensitive topics, I felt I needed to provide everyone with some tools to process any upsetting and/or uncomfortable feelings that might arise from discussions of historical traumas and systemic oppression. Also, it's a tough time of year, so these might just be useful for you if you're feeling upset about other things/people at this time. Episode outline includes: Strategies (and I've time marks included below if you're wanting to find specific ones quickly) Intro to strategies starts near 05:40Physiological needs starts near 06:50Calming strategies starts near 09:50"Burning up energy stores" starts near 18:50 What bottom-up processing isReframing our definition of emotions as signals instead of "good" or "bad" About Us: The Trauma-Informed SLP website Our email Our other social media: FacebookInstagram Referenced links: Autism Level Up! Maslow's Hierarchy of Needs Butterfly Hug Tactile/breathing exercises Progressive muscle relaxation Destini Ann, "Big Mad," on TikTok

Whew! We made it! Here's what I consider the final material you need to officially be trauma-aware (per the Missouri Model). This episode covers the types of potentially traumatic events, how trauma is characterized, and potential life-long impacts per the CDC-Kaiser study ACE Study (and a little side-note on epigenetics). The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram   Episode References: (in addition to the TIP 57) [Amoeba Sisters]. (2018, December 18). Epigentics [Video].Youtube. https://www.youtube.com/watch?v=MD3Fc0XOjWk Center for Disease Control and Prevention. (2021, April 6). About the CDC-Kaiser ACE Study. www.cdc.gov. https://www.cdc.gov/violenceprevention/aces/about.html Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245-258. Retrieved from: https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext

Yup. That's right. I'm giving 2, 1-hr talks at ASHA this year. 'Cause I'm a loony.    I also have a new website! Woot!  https://www.trauma-informed-slp.com/

What's a podcast by an ADHDer without more info-dumping, amirite?? I felt I would be remiss to not include something on the Polyvagal Theory as it comes up A LOT in trauma-informed courses, trainings, and literature. So, here it is! (Along with a bit of neuroscience info-dumping cause I'm a Nerd who just can't help herself.)    References: Liem, T. (2021). Critique of the Polyvagal Theory. Critique, 22, 48. Retrieved from: https://www.osteopathie-liem.de/en/blog/critique-of-the-polyvagal-theory/.  Porges, Stephen (2009). The polyvagal theory: New insights into adaptive reactions of the autonomic nervous system. The Cleveland Clinic Journal of Medicine, 76(Suppl 2): S86–S90 : doi:10.3949/ccjm.76.s2.17.  Van der Kolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Penguin Books.

This episode goes through the three physiological survival mechanisms: Fight, flight, and freeze. We touch a little on what is known as the "fawn" response before moving into defining each survival mechanism, the physiological cascade that occurs when we go into "survival mode" and how trauma responses occur as a result of this.  There will be a bonus episode that touches on the Polyvagal Theory and why it wasn't directly included in this episode.   References: Gill, L. (2017). Understanding and working with the window of tolerance. Attachment and trauma treatment centre for healing (ATTCH). Retrieved from: https://www.attachment-and-trauma-treatment-centre-for-healing.com/blogs/understanding-and-working-with-the-window-of-tolerance. Logan, R. (2022). Certified Trauma Support Specialist: Module 2 - Further understanding of our nervous system [Online Professional Training Course]. The Arizona Trauma Institute. Retrieved from: https://aztrauma.teachable.com  Quinones, M. M., Gallegos, A. M., Lin, F. V., & Heffner, K. (2020). Dysregulation of inflammation, neurobiology, and cognitive function in PTSD: an integrative review. Cognitive, Affective, & Behavioral Neuroscience, 20(3), 455-480. Van der Kolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Penguin Books.

Okay, here's the info-dump I promised during episode 2. It just got kinda long, so I figured I'd make a bonus episode about it. Covers the topics of: Different rates of memory encoding in key brain structures(Theoretical) different motor pathways for emotionally driven vs. volitional movementNerve trivia! What is the largest single nerve in your body and why we have poor pain localization in the torso area (particularly in our gut/viscera) Content starts at 4:23. Silly bonus-content theme song is at: 04:04 for those who wish for a dose of silly. (For additional reading on emotional motor pathways, see the Gothard (2014) paper referenced below.) References Fuglevand, A., Bao, S., Cowen, S., Eggers, E., Fellous, J.M., Fregosi, R., Gothard, K., Restifo, L., & Tolbert, L. (2015). Systems Neuroscience [in-person and PowerPoint Slides]. University of Arizona, Tucson, AZ. Gothard, K. (2014). The amygdalo-motor pathways and the control of facial expressions. Frontiers in Neuroscience, 8(43), pg. 1-7. https://doi: 10.3389/fnins.2014.00043

On our journey to becoming trauma-aware, we need to first learn something about the (healthy) emotional system. Sure, this is a physiology-heavy episode, but it comes with my brand of weird references and analogies that (hopefully) help make it not-such-a-snoozefest. This episode is broken down into three main sections: The peripheral autonomic nervous systemThe mid-brain structures involved in our limbic systemThe higher cortical areas in our limbic system  Visual Resources: Autonomic nervous system Vagus nerve visual Mid-brain structures: The hippocampusThe amygdalaThe hypothalamus Higher cortical structures: Anterior cingulate cortexInsula Follow Us: Include links to where listeners can find you online: Our WebsiteOur email

Episode Summary In this informational episode, Kim takes us through three key topics to start our trauma-informed journey: The working definition of trauma (per behavioral science/psychological research).What trauma-informed care is per the TIP 57 definition of it (see reference below).The process of becoming trauma-informed and the common steps along the way.   About The Trauma-Informed SLP: This is a professional podcast discussing the journey of how to become trauma-informed and how to apply trauma-informed care in the field of speech-language pathology (SLP). Links Mentioned: TIP 57Missouri Model of Trauma-Informed Care   Follow Us: Include links to where listeners can find you online: Our WebsiteOur email     References: Logan, R. (2022). Certified Trauma Support Specialist: Module 3 - Pathogenics and Salutogenics [Online Professional Training Course]. The Arizona Trauma Institute. Retrieved from: https://aztrauma.teachable.com  Missouri Department of Mental Health. (revised 2019). The Missouri Model: A Developmental Framework for Trauma-Informed Approaches. dmh.mo.gov. Retrieved from: https://dmh.mo.gov/media/pdf/missouri-model-developmental-framework-trauma-informed-approaches  Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Trauma-Informed care in behavioral health services. https://www.ncbi.nlm.nih.gov/books/NBK207201/

Trauma. Super fun topic. Amirite? However, Trauma-informed Care is a framework, a paradigm, of how to build resiliency and self-empowerment our clients, colleagues, friends, family—and even ourselves. It actually includes A LOT things that are being actively discussed all the time: The neurodivergency movement; presuming competence; cultural competency; toxic work environments; professional burnout; etc…  So, this is super important stuff! And I think having a “big-picture” paradigm helps with understanding and navigating all these areas. So, I think every SLP needs to know about TIC and implement it in their practice—regardless of what specialty area they are in. And because it is such a large framework that encompasses so many areas of our pratice, I decided a podcast would be a great way to keep the discussion going.   This is a professional podcast discussing the journey of how to become trauma-informed and how to apply trauma-informed care in the field of speech-language pathology (SLP). Contact: tic.slp.podcast@gmail.com  Website: https://the-trauma-informed-slp.castos.com  Find the Arizona Trauma Institute here

A professional podcast discussing the journey of how to become trauma-informed and how to apply trauma-informed care in the field of speech-language pathology (SLP). Contact me at: tic.slp.podcast@gmail.com TIC-SLP website: https://the-trauma-informed-slp.castos.com