English Mental health and gender-based violence English version | Page 83

73
The window of tolerance
SAID ALOUD

The window of tolerance

Aim . To introduce a model for understanding our reactions to stress and trauma .
Trainer [ draws the window of tolerance ]. This is a model for understanding reactions to stress and trauma .
PART II : THE TRAINING
Being within the window indicates that we are in the ideal state of emotional response . In this state we can absorb and respond to information effectively . Above the window we experience hyper arousal ( often associated with the body ’ s ‘ fight and flight ’ response ). Below the window , we experience hypo arousal ( associated with freeze , ‘ playing dead ’, submission and dissociation responses ).
Traumatised survivors have narrow windows of tolerance , are quick to leave their window , and may swing between hyper- and hypo arousal .
The ‘ window of tolerance ’: maintaining optimal arousal
Hyperarousal : too much arousal to integrate
Emotional reactivity Hypervigilance Intrusive imagery Obsessive / cyclical cognitive processing Tension , shaking , ungrounded
‘ Window of tolerance ’ Optimal arousal zone
Hypoarousal : too little arousal to integrate
Adapted from Ogden and Minton 2000 , at www . sciencedirect . com .
Flat affect Inability to think clearly Numbing Collapse
Discussion . Applying the window of tolerance . ( In plenary or in pairs . 10 minutes .)
DISCUSSION
Discuss how you can use the window of tolerance to understand over-activation and underactivation , and apply it as a tool to help a survivor remain within her optimal arousal zone .
Trainer . Thank you . We have discussed how important it is to anchor ourselves in our senses , to cope with fear . Our senses help us to remember where we are , now , and remain in the present . When we are coping , we return within our window of tolerance . When we help a survivor , we help her to return within her window of tolerance and stay in it , instead of being either hyper- or hypoaroused .
END OF DAY 2 .