The Power of Trauma-Informed Work to Transform Personal Relationships

Abstract

This exploratory qualitative study explores the impact that being a facilitator of trauma-informed organizational change through the Sanctuary Model^® may have on personal relationships. Drawing on interviews with Faculty members from the Sanctuary Institute, the training and consulting home of the model, findings suggest that professional engagement with trauma theory and tools significantly enhanced participants’ personal growth, contributing to improved personal relationships. Key themes included how an increased understanding of trauma’s biological and relational effects, coupled with the application of Sanctuary Model Tools in everyday life, led to improved relationships. The findings suggest promising implications for educating the general public on trauma-informed concepts and tools in support of improved interpersonal relationships.

Keywords

trauma-informed interpersonal relationships couple relationships family relationships Sanctuary Model

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References

Banford Witting

Busby

. (2019). The long arm of trauma during childhood: Associations with resources in couple relationships. Journal of Marital & Family Therapy, 45(3), 534–549. https://doi.org/10.1111/jmft.12354

Berring

L. L.

Holm

Hansen

J. P.

Delcomyn

C. L.

Søndergaard

Hvidhjelm

(2024). Implementing trauma-informed care—Settings, definitions, interventions, measures, and implementation across settings: A scoping review. Healthcare (Basel), 12(9), 908. https://pmc.ncbi.nlm.nih.gov/articles/PMC11083630/

Bowlby

(1984). Violence in the family as a disorder of the attachment and caregiving systems. American Journal of Psychoanalysis, 44(1), 9–27. https://doi.org/10.1007/BF01255416

California Evidence-based Clearinghouse for Child Welfare. (2021). Sanctuary Model. https://www.cebc4cw.org/program/sanctuary-model/

Centers for Disease Control and Prevention. (2023a, May 5). Behavioral Risk Factor Surveillance System. https://www.cdc.gov/brfss/index.html

Centers for Disease Control and Prevention. (2023b, June 29). Behavioral Risk Factor Surveillance System ACE Data. https://www.cdc.gov/violenceprevention/aces/ace-brfss.html

Cheong

E. V.

Sinnott

Dahly

Kearney

P. M.

(2017). Adverse childhood experiences (ACEs) and later-life depression: Perceived social support as a potential protective factor. British Medical Journal, 7(9), e013228. https://doi.org/10.1136/bmjopen-2016-013228

Cohen

Wills

T. A.

(1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.

Erozkan

(2016). The link between types of attachment and childhood trauma. Universal Journal of Educational Research, 4(5), 1071–1079.

10.

Esaki

Benamati

Yanosy

Middleton

J. S.

Hopson

L. M.

Hummer

V. L.

Bloom

S. L.

(2013). The Sanctuary Model: Theoretical framework. Families in Society, 94(2), 87–95. https://doi.org/10.1606/1044-3894.4287

11.

Evans

S. E.

Steel

A. L.

DiLillo

(2013). Child maltreatment severity and adult trauma symptoms: Does perceived social support play a buffering role? Child Abuse & Neglect, 37(11), 934–943. https://doi.org/10.1016/j.chiabu.2013.03.005

12.

Felitti

V. J.

Anda

R. F.

Nordenberg

Williamson

D. F.

Spitz

A. M.

Edwards

Koss

M. P.

Marks

J. S.

(1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.

13.

Fitzgerald

Gallus

(2020). Emotional support as a mechanism linking childhood maltreatment and adult’s depressive and social anxiety symptoms. Child Abuse & Neglect, 108, 104645. https://doi.org/10.1016/j.chiabu.2020.104645

14.

Fitzgerald

Morgan

A. A.

(2023). Childhood maltreatment and provision of support and strain to family relationships in adulthood: The role of social anxious and depressive symptoms. Journal of Social & Personal Relationships, 40(6), 1987–2007. https://doi.org/10.1177/02654075221137320

15.

Godbout

Briere

Sabourin

Lussier

(2014). Child sexual abuse and subsequent relational and personal functioning: The role of parental support. Child Abuse & Neglect, 38(2), 317–325. https://doi.org/10.1016/j.chiabu.2013.10.001

16.

Godbout

Daspe

Runtz

Cyr

Briere

(2019). Childhood maltreatment, attachment, and borderline personality-related symptoms: Gender-specific structural equation models. Psychological Trauma: Theory, Research, Practice, and Policy, 11(1), 90–98. https://doi.org/10.1037/tra0000403

17.

Godbout

Sabourin

Lussier

(2009). Child sexual abuse and adult romantic adjustment: Comparison of single- and multiple-indicator measures. Journal of Interpersonal Violence, 24(4), 693–705. https://doi.org/10.1177/0886260508317179

18.

Haber

M. G.

Cohen

J. L.

Lucas

Baltes

B. B.

(2007). The relationship between self-reported received and perceived social support: A meta-analytic review. American Journal of Community Psychology, 39(1–2), 133–144. https://doi.org/10.1007/s10464-007-9100-9

19.

Hazan

Shaver

(1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511–524. https://doi.org/10.1037//0022-3514.52.3.511

20.

House

J. S.

(1981). Work stress and social support. Addison-Wesley.

21.

Jonas

(2018, November 30). How the right relationships can help you heal. Psychology Today. https://www.psychologytoday.com/us/blog/how-healing-works/201811/how-the-right-relationships-can-help-you-heal

22.

Jones

(1953). The therapeutic community: A new treatment method in psychiatry. Basic Books.

23.

Jones

(1968). Beyond the therapeutic community: Social learning and social psychiatry. Yale University Press.

24.

Kafle

N. P.

(2013). Hermeneutic phenomenological research method simplified. Bodhi: An Interdisciplinary Journal, 5(1), 181–200. https://doi.org/10.3126/bodhi.v5i1.8053

25.

Kong

Moorman

S. M.

Martire

L. M.

Almeida

D. M.

(2019). The role of current family relationships in associations between childhood abuse and adult psychological functioning. The Journals of Gerontology: Series B, 74(5), 858–868. https://doi.org/10.1093/geronb/gby076

26.

Lees

Manning

Menzies

Morant

(2004). A culture of enquiry: Research evidence and the therapeutic community. Jessica Kingsley.

27.

Lietz

C. A.

Zayas

L. E.

(2010). Evaluating qualitative research for social work practitioners. Advances in Social Work, 11(2), 188–202.

28.

MacIntosh

Godbout

Dubash

(2015). Borderline personality disorder: Disorder of trauma or personality, a review of the empirical literature. Canadian Psychology/Psychologie canadienne, 56(2), 227–241. http://dx.doi.org/10.1037/cap0000028

29.

Main

T. F.

(1946). The hospital as a therapeutic institution. Bulletin of the Menninger Clinic, 10, 66–70.

30.

McCann

I. L.

Pearlman

L. A.

(1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1), 131–149. http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=24853234&site=ehost-live

31.

Mikulincer

Shaver

P. R.

(2017). Attachment in adulthood: Structure, dynamics, and change (2nd ed.). The Guilford Press.

32.

Muller

Thornback

Bedi

(2012). Attachment as a mediator between childhood maltreatment and adult symptomatology. Journal of Family Violence, 27(3), 243–255. https://doi.org/10.1007/s10896-012-9417-5

33.

Neubauer

B. E.

Witkop

C. T.

Varpio

(2019). How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education, 8(2), 90–97. https://doi.org/10.1007/S40037-019-0509-2

34.

Padgett

(2017). Qualitative methods in social work research (3rd ed.). Sage.

35.

Pearlman

L. A.

Saakvitne

K. W.

(1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. W. W. Norton.

36.

Riggs

Kaminski

(2010). Childhood emotional abuse, adult attachment, and depression as predictors of relational adjustment and psychological aggression. Journal of Aggression, Maltreatment & Trauma, 19(1), 75–104. https://doi.org/10.1080/10926770903475976

37.

Saakvitne

K. W.

Tennen

Affleck

(1998). Exploring thriving in the context of clinical trauma theory: Constructivist Self Development Theory. Journal of Social Issues, 54(2), 279–299.

38.

Salary.com. (2023). Sanctuary Institute Faculty Consultant. https://www.salary.com/job/sanctuary-institute-at-andrus/sanctuary-institute-faculty-consultant/j202305232031513162098

39.

Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach HHS publication no. (SMA) 14-4884. https://library.samhsa.gov/sites/default/files/sma14-4884.pdf

40.

Sanctuary Institute. (n.d.-a). Brief history. https://www.thesanctuaryinstitute.org/about-us/brief-history/

41.

Sanctuary Institute. (n.d.-b). The implementation. https://www.thesanctuaryinstitute.org/services/support/

42.

Tjin

Traynor

Doyle

Mulhall

Eppich

O’Toole

(2022). Turning to “trusted others”: A narrative review of providing social support to first responders. International Journal of Environmental Research and Public Health, 19(24), 16492. https://doi.org/10.3390/ijerph192416492

43.

Wilding

Whiteford

(2005). Phenomenological research: An exploration of conceptual, theoretical, and practical issues. OTJR: Occupation, Participation & Health, 25(3), 98–104. https://doi.org/10.1177/153944920502500303