Efficacy is the innate ability of both humans and animals to produce a desired result.
In nature you might see the battle for efficacy when a tranquilized polar bear tries with all of his physical power to move his limbs to fight or flee.  He feels he has only one choice and that is to overcome his threat.  He knows intense fear and panic when the medicine in his system prevents him from making a move to overcome the problem.
Humans have the same hard wiring in their nervous system.  During the first hour of something traumatic you can see a person float in and out of denial about having efficacy to match the moment they are living in.    Someone will do everything in their power to regain equilibrium. 
Have you ever felt to urge to do everything in your power to set everything back to normal?  This is the energy that allows a parent to lift a car off of a stranded child.  We have all heard stories of people have a surge of super powers to solve a crisis and save the day.

Everyone tends to obsess about getting back to a pre wounded state.  The problem of compromised efficacy gives us  the very definition of trauma.  It is uncomfortable to not have access to it. It is trauma if you can’t flee or fight.  You find that the crisis  swamps your “normal” ability to cope.  Trauma breaks efficacy. All the while, we are built for efficacy.
Efficacy is the innate ability of both humans and animals to produce a desired result.
In nature you might see the battle for efficacy when a tranquilized polar bear tries with all of his physical power to move his limbs to fight or flee.  He feels he has only one choice and that is to overcome his threat.  He knows intense fear and panic when the medicine in his system prevents him from making a move to overcome the problem.
Humans have the same hard wiring in their nervous system.  During the first hour of something traumatic you can see a person float in and out of denial about having efficacy to match the moment they are living in.    Someone will do everything in their power to regain equilibrium. 
Have you ever felt to urge to do everything in your power to set everything back to normal?  This is the energy that allows a parent to lift a car off of a stranded child.  We have all heard stories of people have a surge of super powers to solve a crisis and save the day.

Everyone tends to obsess about getting back to a pre wounded state.  The problem of compromised efficacy gives us  the very definition of trauma.  It is uncomfortable to not have access to it. It is trauma if you can’t flee or fight.  You find that the crisis  swamps your “normal” ability to cope.  Trauma breaks efficacy. All the while, we are built for efficacy.

Archive of Posts (inclusive- all topics)

How Trauma Works
Nita Andrews

What is Your Tipping Point

What is Your Tipping Point?      Four Kinds of Stress 1.    COMPRESSION  2.    TORSION 3.    SIMPLE BENDING 4.    TENSION The Breaking Point  There are four kinds of stress,Yet we are not concernedToday with compression,Torsion, or simple bendingBut (for this unknown substanceNo wider than your spine)Strictly with tension:You will notice the sampleIs clamped at either endBy a framework designedTo measure the exact strainRequired to break it: thisExperiment might be crucialTo you: if you can learnUnder careful controlAt what stress it will fail,You are forewarned and -armedAgainst one small disaster;Therefore, not knowingThe breaking pointPrecisely we begin increasingTension, at first seeingNothing, but soon on the surfaceA change, an ashen lookAs the crystal structure goesAmorphous, and suddenlyThe irreversible thinningOut, the elastic failure,The crack, the full fractureAt a waist like an hourglass,The gauge spinning to zero,And the two jagged halvesNever to be made oneAgain except

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How Trauma Works
Nita Andrews

Resilience After Trauma

Post traumatic growth is part of the trauma cycle. In the next two weeks I will be writing about the ways that resilience deepens.   In the flip book below you find two quotes that are from Victor Frankl.  These speak to ways that we can participate in our own rescue.   It isn’t helpful in the early hours or days of trauma to speak of choice but I find that much later, after many of the facets of trauma have been faced, there is great benefit to re-claiming choice. The last three pages of the flip book give important ideas from research about resilience.  Studies continue to support the concept of “tend and befriend.”  During trauma we are so unsettled we can’t rest or digest our food.  With help from our closest allies we can move through the shocking phases of naming what happened.  Toward the

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How Trauma Works
Nita Andrews

Exile Trauma

A child learning for the first time of an impending divorce of his parents, says, “The hardest thing about the divorce is the loss of my school and my house. I have known this neighborhood my entire life.”     A war begins and a young family is uprooted.  Due to the daily escalation of air assaults the mother and children pack up a few belongings and flee their city at nightfall. They say good-bye to their husband and father not knowing if they will see him again. He has been drafted in the army. In a matter of 72 hours everything that was predictable is ripped away from each of them.       Moving is Different from Exile It is one thing to move.  It is crushing to your soul if you are leaving a community you have established.  But the dream of

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How Trauma Works
Nita Andrews

Developmental Trauma

 I deeply respect the work of  Dr. Odelya Gertel Kraybill on the topic of early childhood development. SHE WRITES:Working with survivors of developmental trauma (trauma that took place ages 0-6) requires a different framework of treatment than work with trauma experienced later in life.  During the first two years of childhood, the brain is wired to develop through reciprocity and attuned attachment.  When this fails to happen, the sense of mis-attunement that follows as a consequence leads to a continuous state of physiological distress. Since the resulting trauma is caused in reference to others, treatment must also take place in the context of an attuned relationship.   THE TWO BIGGEST THINGS TO TAKE AWAY?   1. MIS-ATTUNEMENT MATTERS   2. RECIPROCITY and Clarity are KIND– at all ages. Mirroring what you suspect they are going through is crucial so they believe you and they feel

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How You Work With Victims of Trauma
Nita Andrews

Poetry and Art for hard seasons

In a dark time . . .look for signs of green. As we faced the one year anniversary of the school shooting at Covenant School in Nashville, I felt an ache to see the color green. Can new life rise up after a drought or a flood of trauma?  Here are five poems that offer me fresh stamina for my journey.  I hope they enable you to hope for the color green to return in your life. Related Posts No related posts.

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How You Work With Victims of Trauma
Nita Andrews

RIGHT SIZING, CORRECT TIME FRAME

1. There are two very helpful ideas that give guidance and assurance on the TALKING DAY.   The first is this:  While you listen with accurate empathy notice where previous trauma is informing the current situation.   I often ask folks to say, “This is not the same.” You may find similarities as the past trauma is understood but during a crisis it is helpful to draw the distinction that the past is not repeating, not exactly. Two Life Savers 1. There are two very helpful ideas that give guidance and assurance on the TALKING DAY.   The first is this:  While you listen with accurate empathy notice where previous trauma is informing the current situation.   I often ask folks to say, “This is not the same.” You may find similarities as the past trauma is understood but during a crisis it is helpful to draw the distinction

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How Trauma Works
Nita Andrews

Automatic Obedience and Other Reactions

the definition of automatic obedience   Excessive, uncritical, or mechanical compliance with the requests, suggestions, or commands of others. Why is this important to understand??  Automatic obedience is the sixth movement through trauma.    You can review all 7 movements on my review page.   Here In the aftermath of trauma you might see a your friend not be able to make a spontaneous decision or gesture.  Overall, during the stage of automatic obedience, you will see a reduction of physical activity and interactivity with the external world. This reduction in words or range of motion is known as automatic obedience. Automatic obedience is often the only survival weapon a child has until they’re old enough or big enough to fight back. It also can explain why a person is frozen and compliant when a foe or cult leader tells them very specifically how they must act in a loyal

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How You Work With Victims of Trauma
Nita Andrews

Advocacy Part Three

Mothering Trauma My Thoughts about Secure Attachment with our FIRST ADVOCATE- The first advocate that we are hardwired to trust is a mother. Our ability to rebound from trauma is interwoven with the nurturing quality of our caregiver.  This week I was reading about the ways we rebound from loss and I read this passage about vesseling. (in red and green below)  I saw in Weller’s words a direct correlation to mothering. A mother is a holding space for our chaos as we face disequilibrium about learning how to make friends or speak a language. She is steady for us when we learn to stand up on our own. An adequate mother (vessel) builds hundreds of threads of attachment. These are trusted by a child and eventually the infant can stay emotionally regulated, even if he is separated from his mother for short periods of

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How You Work With Victims of Trauma
Nita Andrews

Advocacy Part Two

Seamus Heaney wrote an an anthem to describe the human heart’s longing for justice. In the last lines of the poem you find these words.– from the poem “The Cure at Troy”  (see below) “That means someone is hearingThe outcry and the birth-cry’ This is a lovely job description for an advocate.  While we certainly yearn for systemic changes that  improve the common good on a global scale, usually we end up being spectators to lofty ideas of justice. Read the full poem below to find those aspirations.  To jump into the mess of advocacy it means one person tuning in deeply to an OUTCRY and a BIRTH CRY. In listening to others we have the honor of hearing pain that is too deep for words. It may be sighing in the most heavy hearted way.  It may be an outcry of pain long buried

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How You Work With Victims of Trauma
Nita Andrews

Advocacy

A Good Description of how The First Days After a Loss Feels He was so tired that he was scarcely able to hear a note of the songs:he felt imprisoned in a cold region where his brain was numb and his spirit was isolated. from Tenebrae, by Geoffrey Hill MAKE IT YOUR OWN: Look at these two graphics below and write in your own words the qualities of an advocate.  *I have included mine in the video. http://thetalkingday.com/wp-content/uploads/2024/02/final-with-chart-1-3.mp4 vocabulary posts not assigned listening corner | Listening Room Related Posts Advocacy Part Three Advocacy Part Two Broken Attunement Broken Attunement- Pt. 2 Compassion Fatigue Interview with Susan Cunningham RIGHT SIZING, CORRECT TIME FRAME Small and Often Somatic Regulation The Locomotive of Community The Talking Day vs. Texting Day

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How You Work With Victims of Trauma
Nita Andrews

Somatic Regulation

Before you open the guide to six ways to regulate your emotions it is helpful to reflect on ways that you have already gravitated to calming your nerves.  If you think of ways that you centered your scattered senses when you were a child this will help you pick that behavior back up now that you need it. Your Personal Stabilization History MAKE A LIST OF TEN WAYS YOU HAVE BEEN ABLE TO MOVE IN YOUR WORLD  WHEN YOU NEEDED TO REDUCE  ANXIETY OR STRESS. 1-20 years old  &. 20 to present vocabulary posts not assigned listening corner | Listening Room Related Posts Advocacy Advocacy Part Three Advocacy Part Two Broken Attunement Broken Attunement- Pt. 2 Compassion Fatigue Interview with Susan Cunningham RIGHT SIZING, CORRECT TIME FRAME Small and Often The Locomotive of Community The Talking Day vs. Texting Day

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How Trauma Works
Nita Andrews

When to limit re-exposure.

When exposure and re-exposure to pain needs to be managed The method known as titration is often employed by doctors and researchers to find the optimal dosage of a medicine. The method uses what is known as irrigation. You run a line of tubing that holds an antibiotic, for example, with another “line” of harmless saline. There is a clip that can be turned to open a larger volume of the medicine. This drip process allows the doctor or nurse to measure precise and small changes to the dosage. In simple terms, a nurse might choose to titrate a drug so the exposure to the medicine is safe and gradual. —  Discover Magazine, July 2023   Tornado by Heather McHugh.  (excerpt)   I can never dream this storm away. It was over for maybe minutes then it was never over.   A FEW MORE THINGS

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