The Trauma-Informed SLP Kim Neely, CCC-SLP

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)
Literature on minority stress model 

For how it pertains to autistics, see here.


Definition of hemiparesis

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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!
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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. *coughcough*autistics*cough*

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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 Eugenic

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.
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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



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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