Domestic Violence Impact on Children & Youth Dr. Elizabeth Trejos-Castillo Understanding Domestic Violence Domestic Violence (DV) Intimate Partner Violence (IPV) Physical Violence Pushing / shoving Biting Scratching Slapping Kicking Choking Throwing things Physically restraining Threatening with weapons, and/or actions Domestic Violence (DV) Intimate Partner Violence (IPV) Emotional Violence Constant arguing Screaming | yelling Threatening Financial control Controlling behaviors Humiliating, name-calling, embarrassing Constant blaming and putting down the partner Criticizing partner’s appearance -emotions-intelligence Intimidation behaviors and language Domestic Violence (DV) Intimate Partner Violence (IPV) It can happen to ANYONE regardless of age, gender, race, ethnicity, religion, cultural background, social status, sexual identity, etc. Dynamics are COMPLEX Violence and abuse tend to ESCALATE OVER TIME Complexity of Domestic Violence Social Exchange Theory Exchange theory is built on the principles of behaviorism and economics, but it goes beyond just explaining individual behavior (Blau 1964; Homans 1961; Nye 1979). SE focuses on the dynamics of relationships and how they are subjectively formed, maintained, and resolved on the basis of costs/benefits and the perception of available alternatives. SOCIAL EXCHANGE THEORY Basic Assumptions People are motivated by self-interest ◦ We seek those things and relationships that are beneficial to ourselves. ◦ We seek rewards and avoid punishments or costs. Humans are rational beings ◦ We have the analytical ability to calculate the ratio of rewards to costs. ◦ We consider the alternatives before acting and choosing the outcome that carries the least cost. Social relationships are also characterized by interdependence ◦ In order to gain a profit in an exchange, we must provide the other person with rewards as well. ◦ Social exchanges are regulated by the exceptions and norms of reciprocity and fairness. How does Domestic Violence Impact Children & Youth? POSITIVE STRESS RESPONSE TYPES OF STRESS RESPONSE Normal and essential for development (e.g., brief increases in heart rate, mild elevations in hormone levels). Individual able to selfregulate and return to normal responses. TOLERABLE STRESS RESPONSE Activates the body’s alert systems (e.g., loss of a loved one, natural disasters, frightening injury). Normal adaptive responses are usually achieved through strong caring relationships; brain and internal organs do not get permanently affected. TYPES OF STRESS RESPONSE TOXIC STRESS RESPONSE Unrelieved activation of the body’s stress management system due to continuous exposure to strong, frequent, and/or prolonged adversity (e.g., physical- emotionalsexual abuse, neglect, extreme poverty, violence exposure, etc). Figure: https://adrenalfatigue.org/stress-and-your-health/got-stress/stress-affects-body/ Toxic Stress affects the architecture of the developing brain during childhood with potential severe short and long-term consequences extending well into adolescence and adulthood (Harvard’s Center on the Developing Child, 2014). Eco-bio-developmental Framework (EBD- American Society of Pediatrics, 2012) examines the links between biological and socio-developmental indicators of toxic stress and its associations with impairments in behavior, cognition, emotions, relationships, and mental health in youth among other effects. Figure: The American Academy of Pediatrics (2012). DECREASED FUNCTIONING Volumes of Gray Matter: aggression, antisocial behaviors, severe anger management problems, and poor emotional control. Mostly in Prefrontal Cortex and amygdala associated with decision-making, empathy, emotion regulation, capacity to read emotions and facial expressions in others. Hippocampus: elevated stress hormone levels (e.g., cortisol) increase sympathetic nervous system activity contributing to changes in metabolism, heart functioning, blood pressure, alertness, and language pathway. Corpus Callosum: main interconnecting pathway across two hemispheres associated with Post-Traumatic Stress Disorder, Depression, and other mood disorders. INCREASED FUNCTIONING Limbic System: over activation of “threat” and “fear” signals leading to hyper sensibility. *De Bellis, M. D., & A.B., A. Z. (2014). “The Biological Effects of Childhood Trauma.” Child and Adolescent Psychiatric Clinics of North America, 23(2), 185–222. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968319/ PostTraumatic Stress Children See- Children Do Free source Neuroplasticity Neurogenesis Strengthened Synapses New Synapses Weakened Synapses Theoretical Reversibility Neuroplasticity | Post-Traumatic Growth TRAUMA-INFORMED CARE Stress Management Positive & Consistent Emotional Support Self-Regulatory Skills Self-compassion Safe & Stable Environment Use a neutral/calm tone Avoid saying “no” and use other words Use non-judgmental verbal expressions Use simple language De-Escalation Strategies Use humor if appropriate to diffuse attention Allow time to process information Don’t be afraid of silence Discuss alternatives and choices Do not promise anything Verbal Make the person know they have a choice Avoid using provocative language or harsh words Use empathetic language: acknowledge their pain/challenges; thank them for sharing; encourage them to continue working on their challenges Maintain a safe distance (about 2 arms’ length) Be aware of your facial expressions and reactions to the situation/people De-Escalation Strategies Keep eye contact and be aware of the person’s movements without staring Avoid abrupt physical movements/facial expressions Tilting or inclining your head send the non-verbal message that you are paying attention Non-Verbal Nod when appropriate but be aware of the context/information being discussed Do not show anger or become defensive Avoid loud noises De-Escalation Strategies Disconnect from electronic devices but have a phone handy if needed Avoid strong perfumes/lotions/colognes Wear neutral clothing Respect personal space Environmental Set up the mediation setting anticipating the meeting/discussion/topics Normality-Abnormality is a CONTINUUM Never assume ANYTHING Intervene EARLY if you need to Do not take it PERSONALLY Do NOT RUSH the process and focus on the end goal GENERAL RECOMMENDATIONS LISTEN first- then talk- then LISTEN again & again & again…EVERYBODY has a story to share OBSERVE EVERYTHING: body language, posture, gestures, silences, word inflections, speech volume, word choice. Use a “MIRROR TECHNIQUE” and validate people’s emotions and experiences Exercise your best HUMAN QUALITIES ALWAYS!!!! "Cure sometimes, treat often, comfort always" Hippocrates REFERENCES Blau, P. M. Exchange and Power in Social Life. New York: Wiley, 1964. Calderón-Delgado, L., Barrera-Valencia, M., Noriega, I., Al-Khalil, K., Trejos-Castillo, E., Mosi, J., Chavez, B., Galvan, M., & O'Boyle, M. (2020). Implicit Processing of Emotional Words by Colombian Children with PTSD: An fMRI investigation. International Journal of Clinical and Health Psychology, 20, 45-53. doi.org/10.1016/j.ijchp.2019.11.002 De Bellis, M. D., & A.B., A. Z. (2014). “The Biological Effects of Childhood Trauma.” Child and Adolescent Psychiatric Clinics of North America, 23(2), 185–222. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968319/ Harvard’s Center on the Developing Child (2014). Key Concepts: Toxic Stress. Harvard University. Retrieved from: http://developingchild.harvard.edu/key_concepts/toxic_stress_response/ Homans, G. Social Behavior: Its Elementary Forms. New York: Harcourt Brace Jovanovich, 1961. Nye, F. I. ‘‘Choice, Exchange, and the Family.’’ In Contemporary Theories about the Family, vol. 2, edited by W. R. Burr, R. Hill, F. I. Nye, and I. L. Reiss. New York: Free Press, 1979, pp. 1–41. RESOURCES National Center for Trauma-Informed Care (NCTIC): https://tash.org/nctic/ Crisis Prevention Institute: https://www.crisisprevention.com/ American Psychological Association: https://www.apa.org/ Developing a Self-Care Plan: http://socialwork.buffalo.edu/resources/self-care-starter-kit/developing-your-selfcare-plan.html Professional Quality of Life Scale (PROQOl): http://socialwork.buffalo.edu/content/dam/socialwork/home/selfcare-kit/compassion-satisfaction-and-fatigue-stamm-2009.pdf Burn-out Scale: http://socialwork.buffalo.edu/content/dam/socialwork/home/self-care-kit/are-you-burningout.pdf Secondary Traumatic Stress Scale: https://www.naadac.org/assets/2416/sharon_foley_ac15_militarycultureho2.pdf Burnout, Compassion Fatigue, and Vicarious Trauma Assessment: https://www.careinnovations.org/wp-content/uploads/3-Burnout-Compassion-Fatigue-and-Vicariou-TraumaAssessment.pdf Secondary Traumatic Stress and Self-Care Packet: https://safesupportivelearning.ed.gov/sites/default/files/Building_TSS_Handout_2secondary_trauma.pdf Thank YOU!!!! CONTACT INFORMATION Dr. Elizabeth Trejos-Castillo, Texas Tech University Email: elizabeth.Trejos@ttu.edu Webpage: https://www.depts.ttu.edu/hs/hdfs/trejos-castillo.php Positive Youth Development (PYD) Lab: https://www.depts.ttu.edu/hs/hdfs/research/positive_youth_development/