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Category Archives: trauma

Self Injury in the General Population: Will I hurt myself today?

01 Tuesday Aug 2017

Posted by kolubcbad in adults, Behavior Analysis, Community, enriched environment, functional alternative behavior, self injurious behavior, trauma, Uncategorized

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Will I hurt myself today… Or do something (F.A.B.) instead?

Time for a Trauma Tuesday post. But this one is not what you think.

By this time, most people have heard the notion that those who have been hurt may be more at risk to hurt others.

In my work with clients who have been through childhood abuse, mistreatment and neglect, I often see the tragic pattern they try to stop, often failing because of a lack of resources, or knowledge about what to do differently.

And on our caseloads with clients with autism or developmental disabilities, we frequently treat another kind of pain, the kind that a person produces for themselves and often related to the challenging environments in which our clients live, or a lack of skill in expressing one’s needs. In our field, hurting oneself is known as “self-injury” or SIB (self-injurious behavior).

However, this post is not about treating SIB in our clients, although there are many resources for doing this, and your friendly local behavior analyst can do a functional behavior assessment to determine where to start, before making an individualized plan.

This post is about something else that is common, yet hidden.

Recently in a women’s empowerment group for supposedly “neurotypical” people, a behavior analyst was stunned when 75 percent of hands went up as the question was asked, “how many of us have actually hurt ourselves, or do this on a regular basis?”

Today, my question for us is, what about the pain all around us? What about self injury in the general population? Continue reading →

Trauma-informed behavior analysis

31 Monday Jul 2017

Posted by kolubcbad in adults, Behavior Analysis, trauma, Uncategorized

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Part 1: Trauma-informed Behavior Analysis: Beyond the immediate “function”chalk_child playing (2)

(Also see Part 2 coming later this week, on Engineering Supportive Environments)

What is trauma-informed care? Should we provide it as behavior analysts?

For any given behavior analyst, perhaps we already think of a good functional behavior assessment as “trauma-informed”. This is because a comprehensive assessment would necessarily take into account the kinds of information that makes an assessment or treatment trauma-informed.

For example, an assessment is required to take into account someone’s history before treatment recommendations are made. But how much history do we review? What are the guidelines for what to consider? When, and how consistently, are these guidelines followed?

How much history is enough?

Some assessors (or agencies) write only a few lines or a paragraph about “previous history” or “previous treatments” without fully understanding their impact, or learning more about what happened and how it contributed to current functioning. This may happen because there is not funding or hours available to look into these variables. In some cases it occurs because the records are not available to the agency conducting the assessment. This is frequent in a case in which much of the client’s family history is unknown, or when a school psychologist or behavior specialist is doing a behavioral assessment for educational purposes but doesn’t have access to (or time to find) the information.

What happens when we don’t consider history? Continue reading →

New blog series: Treating trauma from a behavior analytic perspective

28 Friday Jul 2017

Posted by kolubcbad in adults, Education, ethics, trauma, Uncategorized

≈ 1 Comment

A new series on trauma and behavior analysis  

By Dr. Teresa Camille Kolu, Ph.D., BCBA-D

chalk_teddy (2)Behavior analysts are tasked with doing no harm. Like other professionals who adhere to a rigorous code of ethics, they are responsible for working only in their defined areas of competence, while seeking supervision and training in other areas as appropriate if needed to grow their expertise.

A new training is available from Dr. Kolu on the ethical and behavioral treatment of cases related to “trauma” (e.g., adverse childhood experiences or variables related to early disrupted caregiving). See some of the learning objectives below, check out our related blog series, and contact us today if we can support your team.

SAFE-T model Continue reading →

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