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Reply to "Military service providers and ACEs"

Thanks for the honesty, comprehensive, and courage of your response. It raises many, many, many, many questions, but just off the cuff 

HOW is the ability to dissociate assessed as a positive skill for military personnel?  When providing treatment for patients with histories of trauma, mindfulness skills training is often part of the standard treatment package BUT special precautions need to be taken to make sure negative reactions do not occur (not no reaction -- but a reaction that is counter-therapeutic); so for SOME people, with the skills to control their responses, in SOME situations, at SOME times, the ability to dissociate is a positive coping strategy --- BUT there's a lot of precautions that need to be taken in case uncontrolled dissociation occurs -- there're VOLUMES  of research articles about the possible risks of dissociation -- New Zealand based researcher Martin Dorahy has produced some good research, for example -- he'd probably respond with some EXPERT opinion if you contacted him

The term ACEs might not have been used but was there any discussion of the risks of further traumatization if one has been previously traumatized -- again SOME people become more resilient if they've been traumatized before, but certainly not everyone; which brings up the next question

What measures of resilience are used --  I well remember a presentation, to a group of social workers, by one of "The Two" -- Bob or Vincent -- where the frequency of ACEs in the audience was much higher than the Kaiser results and so far as we knew the modal performance of those present was in the professionally acceptable range, at least -- as Jane would be the first to say -- ACEs are only one side of the coin, resilience factors must also be considered -- the ACEsTooHigh website is an essential companion to this one

https://acestoohigh.com/

etc etc etc -- many questions raised

but wishing you all the best, thanks for raising those questions

Best,

Russell (retired psychologist -- went into it, for decades, because of my own ACEs history --- score 9 or 10)

Last edited by Russell Wilson
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