The Trauma-Informed SLP: Recent Episodes
Kim Neely, CCC-SLP
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
Burnout. It seems like everyone has it! (insert Oprah meme here "YOU get burnout and YOU get burnout and YOU get burnout! EVERYONE GETS BURNOOOOOOUUT!!!!!") But what really is burnout? And why do so many people suffer from it?
This is the first in a series of episodes on this big, complex monster-of-a-thing we call "burnout." I’m hoping this series will help you figure out what you need to start healing from your own burnout.
In this video, you’ll discover:
- What burnout is (and why it feels like you're running on empty)
- The top culprits behind burnout
- How taking a break and/or “quiet quitting” ISN’T laziness: Rest and recuperation is a vital part of health
Future videos will include:
- Confounding factors that contribute to (or maybe come from) burnout
- The issues with self-care hacks and strategies that make up the bulk of burnout content
- The relationship between autistic burnout / ADHD burnout and professional burn out
- How burnout can relate to systemic oppression.
About Us:
The Trauma-Informed SLP website
Our email
Our other social media:
- Youtube channel
Wanna support us financially?
- Give us a tip on our Kofi (only if it's not a burden to you, tho!)
Article links/references:
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Hillert, A., Albrecht, A., & Voderholzer, U. (2020) https://www.frontiersin.org/journals/...
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Cieslak et al. (2014): https://pubmed.ncbi.nlm.nih.gov/23937...
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Maslach & Leiter (2016): https://www.ncbi.nlm.nih.gov/pmc/arti...
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Jeung, D. Y., Kim, C., & Chang, S. J. (2018): https://www.ncbi.nlm.nih.gov/pmc/arti...
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Kim, J. S. (2020): https://pubmed.ncbi.nlm.nih.gov/31758...
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Nguyen, N., & Stinglhamber, F. (2020): https://rb.gy/kv45rr
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Lampert, B., Unterrainer, C., & Seubert, C. T. (2019): https://journals.plos.org/plosone/art...
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Christoff, K. (2014): https://www.christofflab.ca/wp-conten...
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 diabilities
- My insta reel, FB post, and Youtube Vid on this
- My 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 episode
- My episode on fight, flight, and freeze (with reference to fawn response)
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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:
- Youtube 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:
- Youtube (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, 2013
- Nguyen, 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. coughcoughautisticscough
About Us:
The Trauma-Informed SLP website
Our email
Our other social media:
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 Eugenics Era (Adam S. Cohen, 2016)
Scientific Racism (Harvard Library)
Skulls in print: scientific racism in the transatlantic world
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, Austria
- Origins of the study of trauma in western medicine
- An 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:
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 trauma
- A reframining of a few mass traumas (i.e., stage 1 of historical traumas) experienced by minorites in U.S. history
- Rhetoric 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:
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 ourselfs 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 trauma
- My "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:
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 05:40
- Physiological needs starts near
- Calming strategies starts near
- "Burning up energy stores" starts near 18:50
- What bottom-up processing is
- Reframing our definition of emotions as signals instead of "good" or "bad"
About Us:
The Trauma-Informed SLP website
Our email
Our other social media:
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:
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 ofthe 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 movement
- Nerve 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 system
- The mid-brain structures involved in our limbic system
- The higher cortical areas in our limbic system
Visual Resources:
- Autonomic nervous system
- Vagus nerve visual
- Mid-brain structures:
- The hippocampus
- The amygdala
- The hypothalamus
- Higher cortical structures:
- Anterior cingulate cortex
- Insula
Follow Us:
Include links to where listeners can find you online:
- Our Website
- Our 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 57
- Missouri Model of Trauma-Informed Care
Follow Us:
Include links to where listeners can find you online:
- Our Website
- Our 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