{"id":12793,"date":"2020-04-15T23:59:00","date_gmt":"2020-04-16T03:59:00","guid":{"rendered":"https:\/\/cpa.ca\/?p=12793"},"modified":"2020-10-16T14:36:34","modified_gmt":"2020-10-16T18:36:34","slug":"daily-audio-update-dr-heather-macintosh-on-big-t-vs-little-t-trauma","status":"publish","type":"post","link":"https:\/\/cpa.ca\/fr\/daily-audio-update-dr-heather-macintosh-on-big-t-vs-little-t-trauma\/","title":{"rendered":"Audio Update: Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma"},"content":{"rendered":"<p>Daily Audio Update: Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma<iframe loading=\"lazy\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/791562781&amp;color=%23ff5500&amp;auto_play=false&amp;hide_related=false&amp;show_comments=true&amp;show_user=true&amp;show_reposts=false&amp;show_teaser=true&amp;visual=true\" width=\"100%\" height=\"150\" frameborder=\"no\" scrolling=\"no\"><\/iframe><br \/>\nIt\u2019s something of a colloquialism, but the distinction between \u2018Big T\u2019 and \u2018little t\u2019 trauma is one that matters in the current context of COVID-19. Dr. Heather MacIntosh joins us to discuss that distinction.<\/p>\n<div id=\"accordions-12773\" class=\"accordions-12773 accordions\" data-accordions={&quot;lazyLoad&quot;:true,&quot;id&quot;:&quot;12773&quot;,&quot;event&quot;:&quot;click&quot;,&quot;collapsible&quot;:&quot;true&quot;,&quot;heightStyle&quot;:&quot;content&quot;,&quot;animateStyle&quot;:&quot;swing&quot;,&quot;animateDelay&quot;:1000,&quot;navigation&quot;:true,&quot;active&quot;:999,&quot;expandedOther&quot;:&quot;no&quot;}>\r\n                <div id=\"accordions-lazy-12773\" class=\"accordions-lazy\" accordionsId=\"12773\">\r\n                    <\/div>\r\n\r\n    <div class=\"items\"  style=\"display:none\" >\r\n    \r\n            <div post_id=\"12773\" itemcount=\"0\"  header_id=\"header-1580324481504\" id=\"header-1580324481504\" style=\"\" class=\"accordions-head head1580324481504 border-none\" toggle-text=\"\" main-text=\"Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma\">\r\n                                    <span id=\"accordion-icons-1580324481504\" class=\"accordion-icons\">\r\n                        <span class=\"accordion-icon-active accordion-plus\"><i class=\"fa fas fa-chevron-up\"><\/i><\/span>\r\n                        <span class=\"accordion-icon-inactive accordion-minus\"><i class=\"fa fas fa-chevron-down\"><\/i><\/span>\r\n                    <\/span>\r\n                    <span id=\"header-text-1580324481504\" class=\"accordions-head-title\">Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma<\/span>\r\n                            <\/div>\r\n            <div class=\"accordion-content content1580324481504 \">\r\n                <h2>Heather MacIntosh\u00a0\u2018Big T\u2019 vs. \u2018little t\u2019 trauma<\/h2>\n<p><strong>In your blog post you make the distinction between \u2018Big T\u2019 and \u2018little t\u2019. What is that distinction?<\/strong><\/p>\n<p>It\u2019s a very generic term, it\u2019s a big of a colloquialism, but the idea is that there are things that happen to us in life that are difficult, and can at the time feel traumatic. But they don\u2019t knock us off our socks. So a \u2018little t\u2019 trauma would be something like a major life event \u2013 the loss of a partner, a big breakup.<\/p>\n<p>But a \u2018Big T\u2019 trauma is something that really knocks your socks off. It\u2019s something that causes you to have to stop in your tracks, regroup, and kind of figure out the meaning of life again. Those traumas are things like sexual abuse or sexual violence, domestic violence in the home. Things where your life is put at threat, or you\u2019re witnessing someone else\u2019s life at threat. Where there\u2019s a lot of terror and helplessness.<\/p>\n<p>And so the impacts of those different events are very different long term. And that\u2019s not to say that what is a \u2018Big T\u2019 trauma to one person might not be a \u2018little t\u2019 trauma to someone else. So much is about where we come from, our own experiences growing up and how secure we feel in ourselves, and the age and stage we are at when those things happen.<\/p>\n<p><strong>Would you say that in the current situation with the added stress, the added fear, and the added anxiety, that more often what would have been a small t trauma can turn into a big t trauma?<\/strong><\/p>\n<p>Part of what is unique about this situation is the sense of helplessness that people have about being unable to do much about it. So there\u2019s a global thing that\u2019s happening. This pandemic has a very particular trajectory. On the one hand we\u2019re being told stay home, that\u2019s the thing you can do to help. On the other hand we\u2019re being told that it could get out of control and everyone\u2019s health could be at risk.<\/p>\n<p>For people who are in first responder situations it\u2019s very difficult at some level \u2013 I\u2019m not an epidemiologist so I can\u2019t really speak to this \u2013 there is a concern that infection rates among first responders are really high. So for the people who feel like there\u2019s something they\u2019re actively doing out in the world to mitigate by providing various services, those people\u2019s lives are at risk by doing the thing they do. So that fits into one category.<\/p>\n<p>Then there are the people who are staying at home and providing (like myself) mental health services. We\u2019re watching people on the front lines as we provide services, and the CPA has come up with a list of psychologists who are willing to do some pro-bono services, I\u2019m also on that list. We\u2019re a little bit feeling helpless about how to be most of service. That can really feed into a sense of the heightening of the fight-flight-and-freeze response.<\/p>\n<p>Some of us feel \u2013 and again this is very much about where we come from in terms of our own lives and our own traumas \u2013 being in our homes can feel very traumatizing, so something that might be a stressor like worrying about a family member being sick, having a parent in a retirement home.<\/p>\n<p>In the past you might have gone to the gym, gone for a run, gone out with a friend. You might have had a number of strategies you would use that would help you manage that fight-flight-freeze response. Now we\u2019re being asked to stay at home and so the fight-flight-freeze has nowhere to go.<\/p>\n<p>Thankfully there are a lot of really amazing people putting meditations online, putting yogas online, putting various resources including psychotherapy into online spaces. And I would really encourage people to use those resources, because being able to connect with someone outside of your family unit, to be able to be as honest as you need to be about how distressed you are, may make a real difference in how people come out of this.<\/p>\n            <\/div>\r\n    <\/div>\r\n\r\n\r\n\r\n            <\/div>\n<hr>\n","protected":false},"excerpt":{"rendered":"<p>Daily Audio Update: Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma<iframe loading=\"lazy\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/791562781&amp;color=%23ff5500&amp;auto_play=false&amp;hide_related=false&amp;show_comments=true&amp;show_user=true&amp;show_reposts=false&amp;show_teaser=true&amp;visual=true\" width=\"100%\" height=\"150\" frameborder=\"no\" scrolling=\"no\"><\/iframe><br \/>It\u2019s something of a colloquialism, but the distinction between \u2018Big T\u2019 and \u2018little t\u2019 trauma is one that matters in the current context of COVID-19. Dr. Heather MacIntosh joins us to discuss that distinction.<\/p>\n<div id=\"accordions-12773\" class=\"accordions-12773 accordions\" data-accordions={&quot;lazyLoad&quot;:true,&quot;id&quot;:&quot;12773&quot;,&quot;event&quot;:&quot;click&quot;,&quot;collapsible&quot;:&quot;true&quot;,&quot;heightStyle&quot;:&quot;content&quot;,&quot;animateStyle&quot;:&quot;swing&quot;,&quot;animateDelay&quot;:1000,&quot;navigation&quot;:true,&quot;active&quot;:999,&quot;expandedOther&quot;:&quot;no&quot;}>\r\n                <div id=\"accordions-lazy-12773\" class=\"accordions-lazy\" accordionsId=\"12773\">\r\n                    <\/div>\r\n\r\n    <div class=\"items\"  style=\"display:none\" >\r\n    \r\n            <div post_id=\"12773\" itemcount=\"0\"  header_id=\"header-1580324481504\" id=\"header-1580324481504\" style=\"\" class=\"accordions-head head1580324481504 border-none\" toggle-text=\"\" main-text=\"Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma\">\r\n                                    <span id=\"accordion-icons-1580324481504\" class=\"accordion-icons\">\r\n                        <span class=\"accordion-icon-active accordion-plus\"><i class=\"fa fas fa-chevron-up\"><\/i><\/span>\r\n                        <span class=\"accordion-icon-inactive accordion-minus\"><i class=\"fa fas fa-chevron-down\"><\/i><\/span>\r\n                    <\/span>\r\n                    <span id=\"header-text-1580324481504\" class=\"accordions-head-title\">Dr. Heather MacIntosh on \u2018Big T\u2019 vs. \u2018little t\u2019 trauma<\/span>\r\n                            <\/div>\r\n            <div class=\"accordion-content content1580324481504 \">\r\n                <h2>Heather MacIntosh\u00a0\u2018Big T\u2019 vs. \u2018little t\u2019 trauma<\/h2>\n<p><strong>In your blog post you make the distinction between \u2018Big T\u2019 and \u2018little t\u2019. What is that distinction?<\/strong><\/p>\n<p>It\u2019s a very generic term, it\u2019s a big of a colloquialism, but the idea is that there are things that happen to us in life that are difficult, and can at the time feel traumatic. But they don\u2019t knock us off our socks. So a \u2018little t\u2019 trauma would be something like a major life event \u2013 the loss of a partner, a big breakup.<\/p>\n<p>But a \u2018Big T\u2019 trauma is something that really knocks your socks off. It\u2019s something that causes you to have to stop in your tracks, regroup, and kind of figure out the meaning of life again. Those traumas are things like sexual abuse or sexual violence, domestic violence in the home. Things where your life is put at threat, or you\u2019re witnessing someone else\u2019s life at threat. Where there\u2019s a lot of terror and helplessness.<\/p>\n<p>And so the impacts of those different events are very different long term. And that\u2019s not to say that what is a \u2018Big T\u2019 trauma to one person might not be a \u2018little t\u2019 trauma to someone else. So much is about where we come from, our own experiences growing up and how secure we feel in ourselves, and the age and stage we are at when those things happen.<\/p>\n<p><strong>Would you say that in the current situation with the added stress, the added fear, and the added anxiety, that more often what would have been a small t trauma can turn into a big t trauma?<\/strong><\/p>\n<p>Part of what is unique about this situation is the sense of helplessness that people have about being unable to do much about it. So there\u2019s a global thing that\u2019s happening. This pandemic has a very particular trajectory. On the one hand we\u2019re being told stay home, that\u2019s the thing you can do to help. On the other hand we\u2019re being told that it could get out of control and everyone\u2019s health could be at risk.<\/p>\n<p>For people who are in first responder situations it\u2019s very difficult at some level \u2013 I\u2019m not an epidemiologist so I can\u2019t really speak to this \u2013 there is a concern that infection rates among first responders are really high. So for the people who feel like there\u2019s something they\u2019re actively doing out in the world to mitigate by providing various services, those people\u2019s lives are at risk by doing the thing they do. So that fits into one category.<\/p>\n<p>Then there are the people who are staying at home and providing (like myself) mental health services. We\u2019re watching people on the front lines as we provide services, and the CPA has come up with a list of psychologists who are willing to do some pro-bono services, I\u2019m also on that list. We\u2019re a little bit feeling helpless about how to be most of service. That can really feed into a sense of the heightening of the fight-flight-and-freeze response.<\/p>\n<p>Some of us feel \u2013 and again this is very much about where we come from in terms of our own lives and our own traumas \u2013 being in our homes can feel very traumatizing, so something that might be a stressor like worrying about a family member being sick, having a parent in a retirement home.<\/p>\n<p>In the past you might have gone to the gym, gone for a run, gone out with a friend. You might have had a number of strategies you would use that would help you manage that fight-flight-freeze response. Now we\u2019re being asked to stay at home and so the fight-flight-freeze has nowhere to go.<\/p>\n<p>Thankfully there are a lot of really amazing people putting meditations online, putting yogas online, putting various resources including psychotherapy into online spaces. And I would really encourage people to use those resources, because being able to connect with someone outside of your family unit, to be able to be as honest as you need to be about how distressed you are, may make a real difference in how people come out of this.<\/p>\n            <\/div>\r\n    <\/div>\r\n\r\n\r\n\r\n            <\/div>\n<hr>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[132],"tags":[],"class_list":["post-12793","post","type-post","status-publish","format-standard","hentry","category-archivedailyaudiofr"],"acf":[],"aioseo_notices":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-10 04:01:45","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/posts\/12793","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/comments?post=12793"}],"version-history":[{"count":4,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/posts\/12793\/revisions"}],"predecessor-version":[{"id":16652,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/posts\/12793\/revisions\/16652"}],"wp:attachment":[{"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/media?parent=12793"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/categories?post=12793"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cpa.ca\/fr\/wp-json\/wp\/v2\/tags?post=12793"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}