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what is psychological trauma?

February 6, 2012

Trauma Related Syndromes

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  1. I offer, together with my various affiliations in the community, credits for students or interns in need of hundreds of hours of clinical supervision.

    I have evolved a mental-health delivery system via a series of “field-trials” in response to a wide variety of mental-health needs.

    The delivery of health-services during clinical supervision is the only affordable way to provide a culturally-sensitive integrated, community of young mental health counselors under the supervision of professors with a variety of talents. There is an established client-base within the Jewish Orthodox Community but few are culturally-specific. I have recruited four “Mental Health Counselors” who accompany me to visit those who are in residential centers.

    In addition, we also screen mental-heath crises via a triage system. I glide between physicians, facility administrators, and my team of hand-picked “first responders”.

    We have to work out a fee-structure, but this has been out-sourced to a an external consultant functioning as a liaison with the major Health Insurances.

    I mention this because my students are instructed in the skill of simultaneously conducting while instantly downloading a “mental status examination” onto an approved software-template. The “intern” is guided how to structure a psychiatric history, become familiar with all the domains of symptoms, such as “affective-dys-regulation” or “trauma re-enactment”.

    An apprenticeship is quite flexible ranging from 4 hours to 20 hours per week.

    The mental-health needs of the Orthodox Community in Brooklyn consists of un-coordinated islands of talent, with any system of “integrated care” such as “FEGS” conditionally viewed as culturally “off-limits”.

    We have a contract with a neighborhood hospital in Brooklyn, Kingsbrook Jewish Medical Center, where cases deemed as emergencies will be admitted either under the service of Dr. Aaron Pinkasov, Director of Psychiatry, or under Dr Abraham Samra, “Internal Medicine”,KJMC.

    My goal is to provide customized care using a team-approach of professionals who will share a unique log-in number with protected access for this culturally-sensitive large sub-population.

    I hand-pick my assistants- from within the community since providers need to be trusted and even endorsed by the community leaders and rabbis.

    In order to accelerate and magnify time-credits, I will use a CBL Model based on Comments to generate s score-card grading level of involvement and capacity to benefit from constructive feedback; as well as knowledge acquired.

    The first article provides the salient symptoms that characterize the trauma-related stress-symptoms using the data that I culled from the literature following the attacks on New York in 2001,and attacks on the mass-transit symptoms in Madrid in 2004 and London in 2005.

    I will guide and test students applying the “recovery model” as it pertains to Self-Psychology, and Cognitive-Behavioral Therapy.

    The next syndrome evolves from the detrimental effects in victims who remain in a prolonged state of distress and separation from crucial caretakers (and other vital resources).

    The term “continuous terror” paradigm coined by Arieh Shalev. is vividly described by Nadezda Savjak in her report of the accumulative toll of the Balkan genocides (Modern Terrorism and Psychological Trauma, 2007, Richard Altschuler and Assoc.`s)

    With PET-studies,Functional MRI`s, and Magnetic Resonance we can now visualize the disturbing negative cascade leading to apoptosis in limbic brain-structures such as the Hippocampus.

    Potential students may want to sample this chapter as an introduction to the Subject of “psychological Trauma”.

    For those readers who later wish to obtain credits I will use computer-scoring as well as well as “short paragraphs” at the end of each each course.

    These would comply with the standards previously accepted by the National Board in the Psychopathology Curriculum at SUNY Downstate that I was assigned to, in conjunction with Dr. Brian Anziska (clinical neurology) by the Neuroscience Committee under the Chairmanship of Dr Robert Crackow.

    My ultimate mission is to use the accumulation of skills in clinical supervision and didactic trauma-training that will satisfy credentialing requirements, while providing a multi-pronged outreach as a team-member in a community-based coalition sharing an evolving electronic narrative within a group of mental health providers.

    I credit my curiosity to understand nuances by balancing empirical observation with didactic learning from my apprenticeship with brilliant South African professors such as Dr. Thomas Bothwell, Harry Seftel, Michael Kew, Professor Shamroff, and many other mentors from the Johannesburg General Hospital, Dr’s “Wallie” Beck and Christian Barnard from the Cardiac Unit at Groote Schuur Hospital, and the late, great, Arthur Lapovsky, who continued into his late eighties to conduct rounds in Yiddish to a population of aging holocaust-survivors we were so privileged to serve.

    I witnessed the Crown- Height riots, treated eleven of the survivors of the Brooklyn Bridge Shooting, and covered the the E.R. of those presenting with symptoms of “Acute Stress Syndrome” following 9/11 to SUNY Downstate.

    My first article covers the spectrum of stress-related syndrome following the results of multiple community-based demographic surveys.

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