trr grant mac ewan u 2010
DESCRIPTION
Power Point program that Val delivered at Grant MacEwan University where they are studying her book, Be Still.TRANSCRIPT
![Page 1: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/1.jpg)
Val LougheedNorthern Lights Canada
Trauma, Rehabilitation and Recovery –
New Psychologies of Disability
~ Keep Your Fork ~
1-800-361-4642 * www.northernlightscanada.ca * [email protected]
![Page 2: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/2.jpg)
“You don’t want your impairments to define you – you want them to inform you.”
(Hanita Dagan, personal communication, 2005)
![Page 3: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/3.jpg)
www.slideshare.com/vlougheed
#NLCAN
www.northernlightscanada.ca/about/about-val-
lougheed/be-still
![Page 4: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/4.jpg)
Agenda
•Beginning …
•Middle …
•End …
![Page 5: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/5.jpg)
New Psychologies of Disability
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
![Page 6: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/6.jpg)
Rated PG-113
People Strongly Cautioned!
May contain bad language, brief nudity, sexual overtones, and drug usage.
![Page 7: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/7.jpg)
Beginning
My Story
![Page 8: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/8.jpg)
![Page 9: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/9.jpg)
![Page 10: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/10.jpg)
![Page 11: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/11.jpg)
Sept. 9, 2003 - morning
![Page 12: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/12.jpg)
Sept. 9 – p.m.
![Page 13: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/13.jpg)
Sept. 15 2003 – Jan. 19 2004
Journey Back to Life
![Page 14: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/14.jpg)
![Page 15: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/15.jpg)
![Page 16: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/16.jpg)
![Page 17: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/17.jpg)
![Page 18: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/18.jpg)
Research
![Page 19: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/19.jpg)
![Page 20: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/20.jpg)
Dominant Themes
• Narcotic Pain Killers
• ABI
• Pain
• Trauma
• Depression
• Methods of Helping• Return to Work
• Life
![Page 21: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/21.jpg)
Foundation for Understanding
Experience
![Page 22: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/22.jpg)
Body-Mind Connection
Psychoimmunoendocrine Network
The nervous, endocrine, and immune systems are functionally integrated – the brain is only one part of this non-hierarchical network Memories, emotions, behaviours and physiology are all connected at the molecular level
(Candace Pert, 1997, p. 171 – 179)
![Page 23: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/23.jpg)
February 2004 – Present
Starting Point
![Page 24: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/24.jpg)
Identity Disintegration
and
The Re-organization of Self
March 2004
![Page 25: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/25.jpg)
“In the aftermath of traumatic life events … [the] sense of self has been shattered.”
(Herman, 1992, p. 61)
“An existential crisis …”
(Hanita Dagan, personal communication, 2005)
![Page 26: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/26.jpg)
Sliding Down the Slope
Early 1900’s Oxycodone™ developed in Germany
1995 Purdue Pharmacy (USA) launches OxyContin™ – controlled-release formula
1996 Approved in Canada
2002 OxyContin™ earns Purdue more than $1 billion U.S.
2003 OxyContin™ is one of Canada’s 3 most-prescribed narcotic painkillers
Nov. 2003 – Oct. 2004
783,762 prescriptions for OxyContin™ dispensed in Canada
(Dalhousie, March 2005)
![Page 27: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/27.jpg)
![Page 28: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/28.jpg)
A Foothold
• Mild – moderate ABI
• Depressed (dysphoria)
• Working memory problems
• Hiding pain
1st Neuropsychological Assessment
June 2004 -- Results
![Page 29: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/29.jpg)
ABI – Measuring Loss
“Pre-morbid intelligence is a crucial variable …”
Subjective Report – difficulty retrieving words and communicating ideas
Objective Report – above-average performance on neuropsychological measures(Prigatano, 1999, p. 59)
![Page 30: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/30.jpg)
Losing My Grip
My IWRPAugust 2004
![Page 31: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/31.jpg)
![Page 32: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/32.jpg)
Rescued in the Valley of Despair
Head Injury ProgramOct. – Dec. 2004
![Page 33: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/33.jpg)
![Page 34: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/34.jpg)
HIPOct to Nov – Full-time
December – Part-time
![Page 35: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/35.jpg)
GO TO WORK
![Page 36: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/36.jpg)
GRTW – The Plan
Jan. 3 – Feb. 7, 2005
(5 weeks)
![Page 37: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/37.jpg)
GRTW – The Reality
![Page 38: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/38.jpg)
GRTW – The Reality
![Page 39: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/39.jpg)
GRTW – The Reality
![Page 40: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/40.jpg)
GRTW – The Reality
![Page 41: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/41.jpg)
GRTW – The Reality
![Page 42: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/42.jpg)
GRTW – The Reality
![Page 43: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/43.jpg)
GRTW – The Reality
![Page 44: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/44.jpg)
GRTW – The Reality
![Page 45: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/45.jpg)
GRTW – The Reality
![Page 46: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/46.jpg)
Rescue Attempts
• Case Manager
• Job Coach
• Colleagues/Friends/ Psychologist
![Page 47: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/47.jpg)
Sliding Back Down Into The Abyss
• Non-compliance
• Malingering
• Trying too hard
• Not trying hard enough
2nd Neuropsychological Assessment
May 2005 -- Edmonton
![Page 48: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/48.jpg)
Test Results• Mild to Moderate ABI
• Pain?
• Depression?
• Motivation?
• “a high flyer”
• “phobic avoidance”
• Future plans – “live off dividends” [from company]
![Page 49: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/49.jpg)
Lesson
ASSUMPTIONS
REVEAL BIAS
![Page 50: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/50.jpg)
• Mild – moderate ABI
• Good prognosis
• Post-Traumatic amnesia
• Pain?
• Depression?
• “Adjustment Disorder with Anxiety and Depressed Mood”
3rd Neuropsychological Assessment
August 2005 -- Calgary
![Page 51: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/51.jpg)
Symptom Overlap
(co-morbidity)
(Michael Sullivan, Centre for Research on Pain and
Disability, McGill University, September, 2006)
Pain, Trauma, Depression, ABI
![Page 52: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/52.jpg)
![Page 53: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/53.jpg)
Oct. 3 – Dec. 11
![Page 54: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/54.jpg)
![Page 55: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/55.jpg)
Pain Research
1600’s – Rene Descartes (philosopher)
![Page 56: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/56.jpg)
Pain Research
1950’s – Wilder Penfield (brain surgeon)
![Page 57: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/57.jpg)
![Page 58: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/58.jpg)
Pain Research
Patrick Wall (physiologist)Ronald Melzack (psychologist)
![Page 59: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/59.jpg)
Pain ResearchGate Control Theory
• Acute and chronic pain
• Pain sensation travels up the central nervous system to the brain through a “gate”
• “Gate” – triggered by cell changes – sends descending messages that alter sensory input
• Pain isn’t pain until it reaches the brain
• Emotions, context, etc. affect pain sensations
• Pain is a negotiable, individual experience
• Pain centres in the brain – they just keep moving around
(Jackson, 2002, p. 21)
![Page 60: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/60.jpg)
Pain – The Future
SCN9A(Globe and Mail, March 24, 2007)
Glia Cells(Scientific American, November, 2009)
Poppy Genes(U of Calgary -- Calgary Sun, March 15, 2010)
![Page 61: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/61.jpg)
![Page 62: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/62.jpg)
![Page 63: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/63.jpg)
![Page 64: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/64.jpg)
![Page 65: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/65.jpg)
Limbic SystemThe centre for emotional expression
(Prigatano, 1999, p. 132)
• Amygdala - attaches emotional tags to memories
(Dr. Suffield, personal communication, 2004)
• Hippocampus - controls the laying down of new memories
(Ramachandran & Blakeslee, 1998, p. 15)
• Hypothalamus – controls the outward expression of emotions
(Ramachandran & Blakeslee, 1998, p. 177)
Trauma Research
![Page 66: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/66.jpg)
“In every encounter, basic trust is in question.” ( Herman, 1992, p. 92)
“Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160)
Rehab & Recovery
![Page 67: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/67.jpg)
TraumaPersonal Experience
• Dissociation & Cocoon = Safety
• System on High Alert Always = Survival
• World is black & white = Trust
Trust (Safety) = Love
No Trust (Life Threatening) = Hate
![Page 68: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/68.jpg)
TraumaPersonal Experience
• Listen to me
• Understand me
• Respect me
• Are competent
I trust (love, feel safe with, will try hard for) practitioners who:
![Page 69: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/69.jpg)
![Page 70: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/70.jpg)
![Page 71: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/71.jpg)
“… depression [caused by trauma] is not the same as ordinary depression.”
( Herman, 1992, p. 118)
Depression
![Page 72: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/72.jpg)
“Emotions are not in the head – they are in every cell in the body.”
(Pert (1995), in Bolen, 1996, p. 7)
Pscyhoimmunoendocrine Network
![Page 73: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/73.jpg)
![Page 74: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/74.jpg)
![Page 75: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/75.jpg)
Affects more than IQ ….
• We are sensitive to changes in higher cerebral functioning
• Very important to a person’s sense of self
• Touches core … of a person’s self-esteem
(Prigatano, 1999, p. 58)
ABI
![Page 76: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/76.jpg)
Back to Wilder Penfield – 1950’s
ABI
Localizationist
![Page 77: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/77.jpg)
Paul Bach-y-Rita – 1934 – 2006
Scientist and Rehab Doctor
Neuroplasticity - 1969
![Page 78: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/78.jpg)
Michael Merzenich
Neuroplastician
Neuroplasticity
![Page 79: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/79.jpg)
Harnessing the Power
![Page 80: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/80.jpg)
![Page 81: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/81.jpg)
![Page 82: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/82.jpg)
“The words and attitudes of others … are potent. They help or hex healing and recovery.”
“ Expectations are powerful.”
“Neutrality can be deadly.”
(Bolen, 1996, p. 94)
Body-Mind Connection
![Page 83: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/83.jpg)
•Hypothalamus
•Peptides
•Receptors
•Biochemical Events
![Page 84: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/84.jpg)
![Page 85: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/85.jpg)
Quantum Connection
The Living Matrix -- 1995• A type of energy exists that has previously gone unnoticed.
• Cells/DNA influence matter through this form of energy.
• DNA Phantom effect. Braden, 2007, p. 45
![Page 86: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/86.jpg)
“Loss of identity can evoke a personal crisis, creating a need for change.”
(Ornelas, in Smith & Johnson (Eds), 1997, p. 172)
The Re-Organization of Self
Identity Research
![Page 87: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/87.jpg)
Scaling the Canyon
![Page 88: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/88.jpg)
Sept., 2005
Waskesiu
![Page 89: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/89.jpg)
![Page 90: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/90.jpg)
![Page 91: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/91.jpg)
![Page 92: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/92.jpg)
![Page 93: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/93.jpg)
Breast Cancer Reconstructive Surgery
March 2006
![Page 94: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/94.jpg)
Convocation M.Ed. -- June 2006
![Page 95: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/95.jpg)
Back in “a” SaddleSeptember 2007
• Officially change role/ title
• Re-organize NL
• Work part-time
![Page 96: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/96.jpg)
![Page 97: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/97.jpg)
New Psychologies of Disability
Resilience Ability to return to original form after
being bent (bounce back)
Thriving in constant change, ability to be:
• Flexible
• Creative
• Adaptable
• Learn from experiencehttp://www.resiliencycenter.com/articles/5levels.shtml
![Page 98: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/98.jpg)
New Psychologies of Disability
Rehabilitation (habiter – to live inside)“Rehabilitation is the learning to
live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.”
(Kabat-Zinn, in Meili, 2003, p. 241)
![Page 99: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/99.jpg)
New Psychologies of Disability
RecoveryCuring Focus on the illness/
impairment [outside]
Healing Focus on the person [inside]
Crombez, October, 2003
![Page 100: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/100.jpg)
Be Still
![Page 101: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/101.jpg)
Vocational Rehabilitation and Disability
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
![Page 102: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/102.jpg)
Keep Your Fork
![Page 103: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/103.jpg)
Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work.
We offer 4 major divisions of service: • Vocational Rehabilitation Services • Employment Services • Employer Services• Corporate Training
For more information, please contact us: 1-800-361-4642
www.northernlightscanada.ca
![Page 104: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/104.jpg)
Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis.
Member companies include:Argus Management Consultants,
Inc. Sandra Preeper & Associates
Advantage Rehabilitation Consultants Ltd.
Rehabilitation Alternatives Limited / Vocational Alternatives Software
OPTIMA Rehabilitation CVE Inc.
Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC)
Western Rehabilitation Specialists Inc.
Diversified Rehabilitation Group
Genesis Rehabilitation Ltd. Rehabilitation FocusFor more information, please feel free to contact us at 1-800-361-
4642
![Page 105: Trr grant mac ewan u 2010](https://reader037.vdocument.in/reader037/viewer/2022102902/558473a4d8b42af90b8b4841/html5/thumbnails/105.jpg)