At the intersection of autism and trauma

In speaking with participants about causes of trauma, she has heard “everything from sexual abuse, emotional abuse and horrendous bullying, to much broader concepts, like what it’s like to go around your whole life in a world where you have 50 percent less input than everyone else because you have social deficits. Or feeling constantly overwhelmed by sensory experience — feeling marginalized in our society because you’re somebody with differences.” In other words, she says, “the experience of having autism and the trauma associated with that.”

At the intersection of autism and trauma

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Autism: Some Vital Research Links

Autism is regarded by many autistic people as a neurodivergence,  or indeed a minority people, not a fault.  Although adding that of course some have multiple conditions and require a lot of support, and that proper support that values and respects all autistic people and their families fully is much needed.

This is a quick list of some of the research that I value:

Autism: Some Vital Research Links

At the intersection of autism and trauma

“If you do the math, according to the PTSD criteria in the DSM-5, you can have 636,000 different combinations of symptoms that that describe PTSD,” says Danny Horesh, head of the Trauma and Stress Research Lab at Bar-Ilan University in Ramat Gan, Israel. Given all the traits in people with autism that may overlay these permutations, “you have a lot of reason to think that their version of PTSD might be very different,” he says.

Abuse, sexual assault, violence, natural disasters and wartime combat are all common causes of PTSD in the general population. Among autistic people, though, less extreme experiences — fire alarms, paperwork, the loss of a family pet, even a stranger’s offhand comment — can also be destabilizing. They can also be traumatized by others’ behavior toward them.

“We know from the literature that individuals with autism are much more exposed to bullying, ostracizing, teasing, etc.,” Golan says. “And when you look in the clinic, you can see that they’re very sensitive to these kinds of events.” Among autistic students, Golan and Horesh have found, social incidents, such as ostracizing, predict PTSD more strongly than violent ones, such as war, terror or abuse, which are not uncommon in Israel. Among typical students, though, the researchers see the opposite tendency.

At the intersection of autism and trauma

PDA, Autism Theory and Research – an article by Georgina Robertson

I began to question myself the potential link between anxiety, school refusals and the avoidance of any perceived demand linked to trauma experienced within the formative years such as in communities, educational provisions, developmental trauma even trauma linked to having sensory processing disorder which potentially keeps a children in a constant state of fight and flight.

PDA, Autism Theory and Research – an article by Georgina Robertson

Understanding Complex Trauma, Complex Reactions, and Treatment Approaches

Cumulative adversities faced by many persons, communities, ethno-cultural, religious, political, and sexual minority groups, and societies around the globe can also constitute forms of complex trauma. Some occur over the life course beginning in childhood and have some of the same developmental impacts described above. Others, occurring later in life, are often traumatic or potentially traumatic and can worsen the impact of early life complex trauma and cause the development of complex traumatic stress reactions. These adversities can include but are not limited to:
◦ Poverty and ongoing economic challenge and lack of essentials or other resources
◦ Community violence and the inability to escape/re-locate
◦ Homelessness
◦ Disenfranchised ethno-racial, religious, and/or sexual minority status and repercussions
◦ Incarceration and residential placement and ongoing threat and assault
◦ Ongoing sexual and physical re-victimization and re-traumatization in the family or other contexts, including prostitution and sexual slavery
◦ Human rights violations including political repression, genocide/”ethnic cleansing,” and torture
◦ Displacement, refugee status, and relocation
◦ War and combat involvement or exposure
◦ Developmental, intellectual, physical health, mental health/psychiatric, and age-related limitations, impairments, and challenges
◦ Exposure to death, dying, and the grotesque in emergency response

Understanding Complex Trauma, Complex Reactions, and Treatment Approaches

Shrinking the Inner Critic in Complex PTSD

As the quest for perfection fails over and over, and as sustaining attachment remains elusive, imperfection becomes synonymous with shame and fear. Perceived imperfection triggers fear of abandonment, which triggers self-hate for imperfection, which expands abandonment into self-abandonment, which amps fear up even further, which in turn intensifies self-disgust…on and on it goes in a downward spiral of fear and shame encrusted abandonment. It can go on for hours and days…weeks in environmentally exacerbating conditions…and for those with severe PTSD, can become their standard mode of being.

Micromanagement/Worrying/Obsessing/

Looping/ Over-Futurizing I will not repetitively examine details over and over. I will not jump to negative conclusions. I will not endlessly second-guess myself. I cannot change the past. I forgive all my past mistakes. I cannot make the future perfectly safe. I will stop hunting for what could go wrong. I will not try to control the uncontrollable. I will not micromanage myself or others. I work in a way that is “good enough”, and I accept the existential fact that my efforts sometimes bring desired results and sometimes they do not. “God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference” – The Serenity Prayer

Shrinking the Inner Critic in Complex PTSD

Frequently Asked Questions About Complex PTSD

One common clue that we are in a flashback occurs when we notice that we feel small, helpless, hopeless and so ashamed that we are loath to go out or show our face anywhere.
Another common clue that we are flashing back is an increase in the virulence of the inner or outer critic. This typically looks like increased drasticizing and catastrophizing, as well as excessive self-criticism or judgementalness of others. A very common example of this is lapsing into extremely polarized, all-or-none thinking – and most especially into only noticing what is wrong with yourself and/or others.

Frequently Asked Questions About Complex PTSD