Sandra L. Bloom – författare

For the last thirty years, the nation's mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future. Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very experiences that have proven so toxic to clients in the first place. Healing is possible for these clients if they enter helping, protective environments, yet toxic stress has destroyed the sanctuary that our systems are designed to provide.This thoughtful, impassioned critique of business as usual begins to outline a vision for transforming our mental health and social service systems. Linking trauma theory to organizational function, Destroying Sanctuary provides a framework for creating truly trauma-informed services. The organizational change method that has become known as the Sanctuary Model lays the groundwork for establishing safe havens for individual and organizational recovery. The goals are practical: improve clinical outcomes, increase staff satisfaction and health, increase leadership competence, and develop a technology for creating and sustaining healthier systems. Only in this way can our mental health and social service systems become empowered to make a more effective contribution to the overall health of the nation.Destroying Sanctuary is a stirring call for reform and recovery, required reading for anyone concerned with removing the formidable barriers to mental health and social services, from clinicians and administrators to consumer advocates.

This is the third in a trilogy of books that chronicle the revolutionary changes in our mental health and human service delivery systems that have conspired to disempower staff and hinder client recovery. Creating Sanctuary documented the evolution of The Sanctuary Model therapeutic approach as an antidote to the personal and social trauma that clients bring to child welfare agencies, psychiatric hospitals, and residential facilities. Destroying Sanctuary details the destructive role of organizational trauma in the nation's systems of care. Restoring Sanctuary is a user-friendly manual for organizational change that addresses the deep roots of toxic stress and illustrates how to transform a dysfunctional human service system into a safe, secure, trauma-informed environment. At its heart, The Sanctuary Model represents an organizational value system that is committed to seven principles, which serve as anchors for decision making at all levels: non-violence, emotional intelligence, social learning, democracy, open communication, social responsibility, and growth and change. The Sanctuary Model is not a clinical intervention; rather, it is a method for creating an organizational culture that can more effectively provide a cohesive context within which healing from psychological and socially derived forms of traumatic experience can be addressed. Chapters are organized around the seven Sanctuary commitments, providing step-by-step, realistic guidance on creating and sustaining fundamental change."Restoring Sanctuary" is a roadmap to recovery for our nation's systems of care. It explores the notion that organizations are living systems themselves and as such they manifest various degrees of health and dysfunction, analogous to those of individuals. Becoming a truly trauma-informed system therefore requires a process of reconstitution within helping organizations, top to bottom. A system cannot be truly trauma-informed unless the system can create and sustain a process of understanding itself.

For the last thirty years, the nation's mental health and social service systems have been under relentless assault, with dramatically rising costs and the fragmentation of service delivery rendering them incapable of ensuring the safety, security, and recovery of their clients. The resulting organizational trauma both mirrors and magnifies the trauma-related problems their clients seek relief from. Just as the lives of people exposed to chronic trauma and abuse become organized around the traumatic experience, so too have our social service systems become organized around the recurrent stress of trying to do more under greater pressure: they become crisis-oriented, authoritarian, disempowered, and demoralized, often living in the present moment, haunted by the past, and unable to plan for the future.Complex interactions among traumatized clients, stressed staff, pressured organizations, and a social and economic climate that is often hostile to recovery efforts recreate the very experiences that have proven so toxic to clients in the first place. Healing is possible for these clients if they enter helping, protective environments, yet toxic stress has destroyed the sanctuary that our systems are designed to provide.This thoughtful, impassioned critique of business as usual begins to outline a vision for transforming our mental health and social service systems. Linking trauma theory to organizational function, Destroying Sanctuary provides a framework for creating truly trauma-informed services. The organizational change method that has become known as the Sanctuary Model lays the groundwork for establishing safe havens for individual and organizational recovery. The goals are practical: improve clinical outcomes, increase staff satisfaction and health, increase leadership competence, and develop a technology for creating and sustaining healthier systems. Only in this way can our mental health and social service systems become empowered to make a more effective contribution to the overall health of the nation.Destroying Sanctuary is a stirring call for reform and recovery, required reading for anyone concerned with removing the formidable barriers to mental health and social services, from clinicians and administrators to consumer advocates.

This book provides practical information to design specific intervention strategies aimed at preventing the escalation of violence in any community. It provides both practical advice and theoretical stimulation for introductory students and for senior practitioners of forensic psychotherapy.

Creating Sanctuary is a description of a hospital-based program to treat adults who had been abused as children and the revolutionary knowledge about trauma and adversity that the program was based upon. This book focuses on the biological, psychological, and social aspects of trauma. Fifteen years later, Dr. Sandra Bloom has updated this classic work to include the groundbreaking Adverse Childhood Experiences Study that came out in 1998, information about Epigenetics, and new material about what we know about the brain and violence.This book is for courses in counseling, social work, and clinical psychology on mental health, trauma, and trauma theory.

Creating Sanctuary is a description of a hospital-based program to treat adults who had been abused as children and the revolutionary knowledge about trauma and adversity that the program was based upon. This book focuses on the biological, psychological, and social aspects of trauma. Fifteen years later, Dr. Sandra Bloom has updated this classic work to include the groundbreaking Adverse Childhood Experiences Study that came out in 1998, information about Epigenetics, and new material about what we know about the brain and violence.This book is for courses in counseling, social work, and clinical psychology on mental health, trauma, and trauma theory.

Bearing Witness: Violence and Collective Responsibility offers a unique layperson’s introduction to the scope and causes of violence and trauma theory and suggests ways we can all work to attack these causes. Upon completing this work, you will have a better understanding of the social causes of the violence epidemic and concrete suggestions for its long-term control.Bearing Witness addresses the cycle of violence by discussing some of the biological, psychological, social, and moral issues that go into determining whether a person will end up as a victim, perpetrator, or bystander to violent events and what happens to us when we are in one or all three of these roles. The authors look at a number of intersecting factors that play interdependent roles in creating a culture that promotes, supports, and even encourages violence. Specifically, you’ll gain invaluable insight into:trauma theory and traumatogenic forces--backdrops against which the chances of exposure to violence and the use of violence as a problemsolver are increased normal human development in the context of attachment theory and what occurs as a result of disrupted attachment bonds how rapid changes in modern society and the breakdown of the traditional family structure contribute to a level of social stress that promotes violence violence in the family, in the workplace, and in the schools--all places to which people turn for security social responses to violence--the ways in which certain responses decrease or increase the likelihood of violence the unhealthy balance of power between the genders and how violence or the threat of violence maintains this imbalance how our cultural standard of disavowing our normal emotional experience sets the stage for repeated and regular empathic failure, which leads to violenceA framework for understanding the various aspects of the problem of violence, Bearing Witness delves into the various aspects of trauma--what trauma does to the body, the mind, the emotions, and relationships--before beginning to formulate proposals for initiating processes that lead to problemsolving. Once this knowledge base has been established, the authors give you the beginnings of an outline for reorganizing society with the aim of establishing a community that is responsive to the basic human need for safety and peace.

Bearing Witness: Violence and Collective Responsibility offers a unique layperson’s introduction to the scope and causes of violence and trauma theory and suggests ways we can all work to attack these causes. Upon completing this work, you will have a better understanding of the social causes of the violence epidemic and concrete suggestions for its long-term control.Bearing Witness addresses the cycle of violence by discussing some of the biological, psychological, social, and moral issues that go into determining whether a person will end up as a victim, perpetrator, or bystander to violent events and what happens to us when we are in one or all three of these roles. The authors look at a number of intersecting factors that play interdependent roles in creating a culture that promotes, supports, and even encourages violence. Specifically, you’ll gain invaluable insight into:trauma theory and traumatogenic forces--backdrops against which the chances of exposure to violence and the use of violence as a problemsolver are increased normal human development in the context of attachment theory and what occurs as a result of disrupted attachment bonds how rapid changes in modern society and the breakdown of the traditional family structure contribute to a level of social stress that promotes violence violence in the family, in the workplace, and in the schools--all places to which people turn for security social responses to violence--the ways in which certain responses decrease or increase the likelihood of violence the unhealthy balance of power between the genders and how violence or the threat of violence maintains this imbalance how our cultural standard of disavowing our normal emotional experience sets the stage for repeated and regular empathic failure, which leads to violenceA framework for understanding the various aspects of the problem of violence, Bearing Witness delves into the various aspects of trauma--what trauma does to the body, the mind, the emotions, and relationships--before beginning to formulate proposals for initiating processes that lead to problemsolving. Once this knowledge base has been established, the authors give you the beginnings of an outline for reorganizing society with the aim of establishing a community that is responsive to the basic human need for safety and peace.