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I have heard countless times that police have been told as a child, stop crying or I'll give you something to cry about.
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So then the message there is it is not safe to go to people.
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And I wanted to look at adverse childhood experiences that police officers may or may not have been exposed to.
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What is EMDR?
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What does the research say about doing EMDR with police?
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So I capture all that in my book.
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There is something underlying why police are so reluctant to go to therapy.
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It's not just stigma.
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It's just so that they can better understand what makes them tick.
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Because this is going to address it on a level that nobody has really talked to them about before.
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Welcome to Responder Resilience, along with Bonnie Rumoli, LCSW EMT, and Dr.
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Stacy Raymond.
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I'm David Dashinger.
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Today we're going to be joined by Dr.
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Stacy Raymond as a studio guest.
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We're going to be talking about her new book and her groundbreaking research on police officers and the often overlooked barriers they face in addressing their mental health.
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The book is called Dump the Bucket Healing Trauma in Police with EMDR, and it reveals surprising truths about childhood adversity and its impact on the law enforcement culture.
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We're also going to look at can peer support really offer relief that these officers need?
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And what steps can we take to educate supervisors in recognizing and assisting those who are struggling?
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So tune in for a conversation filled with practical insights that could change how we think about mental wellness in policing.
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Go to our website, respondertv.com, past episodes, and get some information.
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We'll be right back to speak with Stacy Raymond after this.
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Ask a first responder who they are, and you're likely to hear I am a police officer.
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I am a firefighter.
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I am a paralytic.
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I am a 911 communications operator.
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Not I do this work, but I do this job.
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Ask a clinician why they work with first responders.
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And they may say, There's no fire falling and helping helpers.
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Join us in shaping a culture where mental health, wellness, and leadership are prioritized, not whispered about, where support is a sign of strength, not failure, and where no one has to carry the weight alone.
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Welcome to Responder Resilience.
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We try to spotlight on the unseen battles of first responder reality and celebrate the powerful wins that come from the grit of post-traumatic growth.
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We understand the culture, honor the trust, and bring you conversations from the change makers, passionate about helping first responders come home whole.
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With your hosts, retired Lieutenant David Dashinger, Dr.
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Stacy Raymond, and Bonnie Roomoli, LCSW EMT.
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So our guest on today's episode is Dr.
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Stacy Raymond.
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She's the co-host of Responder Resilience, and she's also a clinical psychologist and approved EMDR consultant.
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With over 25 years of experience, Dr.
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Raymond specializes in supporting first responders and military veterans.
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She dedicates half her practice to these communities.
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As the daughter of a retired police officer and U.S.
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Marine, she has a personal connection to and profound respect for unique challenges faced by these communities.
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She's also a member of the EMDR International Association, MDRIA, and the Fairfield County Trauma Response Team.
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She's an approved clinician for the IAFF, the Fraternal Order of Police, and she has specialized training in critical incident stress management, CISM, and critical incident stress debriefing, CISD.
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She also co-leads a weekly peer support group for first responders.
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And as we said before, she's one of our co-hosts here at Responder Resilience.
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Stacy, welcome as a guest.
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Thank you so much, David and Bonnie, for having me.
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This is kind of funny to be one that's being interviewed.
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It is.
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I get the unique perspective of feeling like you're my partner, actually, because we spend a lot of time together on the podcast and we run our weekly support group together.
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And I think we've both been on the trauma team for over 12 years together.
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So I have a neat perspective of watching all of this unhold unfold for you, which has been nice.
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I could also say that uh the podcast was born from uh you guys doing that peer support team.
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And um, you know, by going there, I kind of saw you two in action and how you uh relate to first responders and roll with uh dark humor and kind of handle the ups and downs and just had a beautiful chemistry.
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So that's when the idea of you know the light bulb went off like, hey, maybe we should do a podcast all together.
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So here we are today.
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Wow, the synergy never stops.
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So I'm excited actually for our viewers and listeners to hear about Dump the Bucket.
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So talk to us about how you came up with Dump the Bucket and what it stands for.
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Well, it I have to give credit to another one of our team members who, when I was co-presenting with her, um, she would look out uh to the firefighters or the police, whoever we were addressing, and just say, look, guys, you you have to dump the bucket.
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And what that refers to is just the cumulative stress of uh dealing with uh, you know, just the institution, the place that they work, and also, of course, all of the calls that they respond to, and that it accumulates, and at some point you need to deal with the fact that your bucket is full.
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Um, so I also like the fact that it's not touchy-feely, you know.
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I mean, let's face it, we're dealing with a lot of alpha characters, right?
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That are um, you know, these are tough individuals.
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Though they wouldn't be in uh public safety if uh if they if they weren't tough.
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And so, you know, what I think a lot of first responders shy away from is the is the concept of therapy of being hand-holding.
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Let's talk about your feelings, let's talk about your relationship with your mother.
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And uh the approach, especially with police, that works the best is none of that.
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Um, when we can get into uh, you know, what the book talks about as far as what approach is best.
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But I just felt like that dump the bucket is just very bold, it's direct, and like I said, it's not touchy-feely.
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Yeah, it's almost like the image of dumping a bucket is just very action-oriented, right?
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It's quick, it's um you kind of like you get it over with um in a short amount of time, it's not like a slow process.
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Um, so I love the image.
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And and so, and Bonnie can jump in and talk about this with me, but the the therapy that we have found to be most effective dealing with trauma, not just with first responders, but with civilians as well, is EMDR.
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So it's eye movement, desensitization, and reprocessing.
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And it's laser focused, it's not a talk therapy.
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It involves um focus on the body, it's considered a bottom-up um therapy approach as opposed to a top-down approach, which would be more like a like a um cognitive behavioral type therapy.
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And um I feel that it just goes so much deeper in order to unearth and help the person release the trauma from their body.
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And and and, you know, there's a book written called The Body Keeps the Score by Bessel Vanderkoek, uh, who and it's considered the Bible of um of trauma and understanding post-traumatic stress.
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So uh, you know, the fact that trauma doesn't really leave your body unless it's addressed at that level, it's hard to do that with just plain talk therapy.
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So EMDR uh incorporates uh dealing with how it's trapped in the body.
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The other thing that we've learned with working with first responders is that they're very results-driven people, right?
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They generally have a mission, whether it's a an MCI, which is a longer mission, or just day-to-day calls, which are shorter.
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We have found that EMDR works so well with this population because they like to get in, identify an issue, have a solution, get it worked out, and go back to their life.
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And that's something that we're able to do with them.
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And now some of them decide to do more long-term work once they see how effective we are at dumping the bucket per se, or working on some of the calls.
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Then sometimes they will decide to revisit childhood traumas that maybe they've suppressed or weren't consciously aware of.
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Um, and we do see that, which is really encouraging.
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But I think by and large, the scientific piece of it and the the understanding between the mind and body is what really has our first responders sold on that process.
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And it is an evidence-based therapy, and there's plenty of research that supports it.
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That said, I also do not want to give the impression that it is the only approach to trauma.
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Um, you know, people can approach trauma and heal from trauma in many other ways.
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You know, there's mindfulness, there's meditation, there's um spiritual counseling that people can seek.
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Um, talk therapy will help with addressing trauma.
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Exercise, limiting substance use, getting to better sleep.
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You know, there's so many other variables that have to, excuse me, be taken into account, you know, in order to adequately and holistically address trauma.
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I just wanted to put that out there.
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The chapters of helping the helpers build intentionally, layering cultural understanding, trauma insight, therapeutic strategy, and professional sustainability into a coherent whole.
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Each section is designed to deepen the clinician's ability to show up with skill, respect, and lasting impact in a field where the stakes could not be higher.
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This is not easy work.
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It will test your skill, your boundaries, and your ability to carry without absorbing.
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But for those who choose it with intention and integrity, it can become the most meaningful work of a clinical career.
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One of the beauties of EMDR is not telling the story over and over again, which some uh other therapies and maybe just in the course of um, you know, what we do as first responders is sometimes we tell that story over and over again, which could would that possibly re-trigger the traumas that were there in the first place?
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Correct.
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And I and that's I think one of the downfalls of um prolonged exposure therapy, where you have homework assignments.
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So not only are you telling the therapist repeatedly what happened in um in all the details, oftentimes uh that is recorded and you're asked to go home and listen to it, you're asked to go home and transcribe it, uh, possibly, or just uh write out what the trauma was.
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And so that's what prolonged exposure is, and it has probably a lot to do with why the dropout rate for uh prolonged exposure is is pretty high.
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And so I cannot see first responders really taking uh kindly to having that level of exposure to the that intensity of detail.
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And so when you you know, EMDR, you you can just have the person focus on the uh the call and have them go to the worst part of the call.
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And in some cases, for uh security reasons, the uh the officer couldn't tell me where the where it happened, what was involved, because it was still under investigation.
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And so I would just say, okay, go to the worst part of that call, get an image of it and tell me when you're there, and then we we follow the protocol from there.
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So they're not giving me details because they can't, number one, and number two, they don't have to.
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It's it's not necessary, and but the brain will still process through that trauma just the same.
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I think it's important, and it's a good point you made, Stacy, that there are other modalities and other things that do help people because we definitely know about TFCBT, brain spotting, the tapping solution.
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Um, there are many other trauma treatment modalities that people seek and find, you know, great relief in.
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So we want to acknowledge those things, but in terms of the work that we have done with first responders, we have found this to be the most specifically helpful method and the one that they digest seemingly the easiest.
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Absolutely.
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Writing a book is not necessarily an easy thing.
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Um you have a busy practice, you do the through support group, you do the podcast.
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What prompts do what prompted you to write the book and who's it for?
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Um so there's there's two agendas with the book.
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One is to promote the use of EMDR uh with police, although I would promote it for anyone dealing with trauma, and that would include other branches of uh public safety as well as veterans or civilians that have experienced trauma.
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So, but this book is tailored to to police.
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I would say most of my uh therapy experience uh with first responders is with police, and that probably has a lot to do with the fact that you know my father is a retired police officer and um he's uh he's a Marine.
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So um I feel very comfortable dealing with post-traumatic stress.
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And Bonnie and I air toward PTSI, I mean injury as opposed to PTSD, which is a disorder, which is very unappealing.
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You know, injuries can be uh can be recovered from.
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We both believe, and there's plenty of other uh therapists that believe that you can heal from post-traumatic stress injury.
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Um, whereas if you call it a disorder, it feels like you've got it for life and you're just gonna have to live with it.
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So presenting EMDR, what is it, uh, how does it work?
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And I get into that briefly because it's not a training manual, and I don't want to bore anyone, you know, with the details of the EMDR protocol, but just to familiari, just to familiarize people with what is EMDR, what does the research say about doing EMDR with police?
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So I capture all that in my book.
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Um, and then the second agenda is the research that I have done and I have uh just completed the data analysis on of 177 police officers in the area, so local to me in Western Connecticut.
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And I pulled from various police departments, and I wanted to look at I think something that a lot of people have never really considered, and that is the uh adverse childhood experiences that police officers may or may not have been exposed to, and how that is tied to their, you know, their level of attachment, the security of attachment that they develop and that they show as an adult.
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So I have and I have, I can talk about my research when we when we get to that point of the interview, but there's been so much focus on improving access to uh mental health in um you know for police.
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And so we need peer support teams, we need to have command staff on board, we need to have more culturally competent therapists.
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All of that is true, but that is, you know, from the outside looking in.
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I wanted to look from inside the individual, what is the foundation made of?
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You know, what went into their childhood?
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Bonnie and I and other uh people, and this is well researched, we know that people that go into public safety tend to have more childhood adversity.
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So um I wanted to study that further.
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So that's what my that's what my research delves into.
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Who's the end reader?
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Like who's the intended audience for this book?
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Uh it will be um definitely chiefs, uh peer support team leaders, any therapists, uh chaplains working with with first responders, working with police, police officers themselves, just so that they can better understand what makes them tick.
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Because this is going to address it on a level that nobody has really uh talked to them about before.
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Stacey, just for the listeners and viewers that have probably not heard about the adverse childhood experiences, can you talk a little bit about ACE?
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We call it ACES.
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Um talk a little bit about what that stands for, what some of the scale questions are, and then also how that culminated into such a curiosity for you.
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Yes.
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So uh the ACE scale, adverse childhood experiences questionnaire, uh was first originated by Phillity and his colleagues, uh, and it was administered in 1998 to 17,500 middle class people in California.
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Um and what they wanted to look at was um the relationship between childhood abuse and uh household conflict and mortality from disease.
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They wanted to see if there was a link there.
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And they, boy, did they find a link.
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Um, and so questions such as, you know, did you experience verbal abuse?
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Were you insulted, were you put down, uh, were you sworn at?
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That would be verbal abuse.
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Physical abuse, you know, to the point where you have cuts, bruises, or or worse?
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You know, we're not talking about corporal punishment like being just spanked or, you know, smacked, but where there's actual uh damage to the skin, that would be considered uh physical abuse.
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Um, other questions would be uh, did your parents divorce or separate?
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Um, did somebody in the house go to jail?
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Um, were you sexually abused?
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And these are all questions that you would answer about yourself before the age of 18.
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So these and what we know is that these uh events significantly impact a child.
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And you know, you could say that that forms the foundation of this person going forward.
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It's going to determine their attachment.
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And so I gave another uh questionnaire called the adult attachment survey, and that has 18 questions that talk, ask about, you know, their comfort level getting close to people, essentially.
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So that's what the 18 items look at.
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And so, you know, it it loads onto factors.
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Certain items will load onto factors like avoidant attachment.
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If you answer yes to these questions, then you're gonna, it's gonna you're gonna come out as an avoidant individual, meaning that when you have a problem, you're probably not gonna go to another human being.
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Um, or did you come out as close?
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You know, there are certain items that load onto close attachment or anxious attachment.
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And then I devised my own variable and I called it mistrust because there were six items that spoke to mistrust.
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And um and then I asked a bunch of demographic questions and questions about comfort around therapists.
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Do you believe that they're a culturally competent therapist?
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Do you believe that a therapist would like you if you were to sit down with a therapist?
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Do you think that a therapist would uh care about you and your problems?
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I asked all these questions.
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I also asked questions like, um, when you get upset, is it hard for you to calm down?
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Um, in general, do you trust people that you don't know?
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You know, so I had a series of true and false questions, and then I started doing correlation like regression analyses, very complicated statistics, looking at uh overlap and what the trends were.
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So it turns out that uh the higher the ACES score, the more likely that a police officer in my study is going to have avoidant attachment, and the more likely that they are going to uh load onto that factor of mistrust.
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So they're gonna be highly mistrustful as well as avoidant.
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And you could say that those two overlap, okay?
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Um and so this really gets now to my hypothesis that um there is something underlying why police are so reluctant to go to therapy.
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It's not just the stigma, it's not just the police culture.
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Um, yes, they're concerned about command staff or their peers finding out, right?
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Yes, they don't like the idea of what it means to be in therapy, maybe it implies that they are weak.
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But further than that, and kind of invisible to most people, is the fact that police officers with a high Number of ACEs, and we're talking somewhere in the two to three range out of the ten.
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Why is that high?
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Because Philiddy's study showed that the average was one for most people.
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So really, anything much higher than a one is going to be considered higher than average.
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And um there are other researchers other than myself who have also found that police officers score significantly higher than the general public.
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00:23:03.920 --> 00:23:05.359
So, what does this mean?
00:23:05.599 --> 00:23:18.559
This means that there is something inherent in those officers that have high ACEs that they are not going to feel comfortable going to anyone if they have a problem.
00:23:18.880 --> 00:23:24.000
And I'll tell you this even further, because this is what the um the analysis showed.
00:23:24.160 --> 00:23:29.519
There are three items in particular that are toxic, and I'll share that with you now.
00:23:30.160 --> 00:23:42.319
The number one most toxic ace for a police officer that would prevent him or her to go into therapy is the one that involves emotional neglect.
00:23:42.400 --> 00:23:44.400
And I'll really I'll read it to you.
00:23:44.960 --> 00:23:49.440
Do you feel that no one in your family loved you or thought you were important or special?
00:23:49.680 --> 00:23:55.519
Mark, yes, if your family didn't look out for each other, feel close to each other, or support each other.
00:23:55.759 --> 00:24:04.799
So the officers that endorsed that item, they came out as avoidant, they they they came out as mistrustful.
00:24:05.119 --> 00:24:14.079
They also endorsed items such as um there is you know therapists uh will not like me what if I were to meet a therapist.
00:24:14.319 --> 00:24:18.000
Um they they are not going to be able to help me.
00:24:18.240 --> 00:24:24.240
Um they their therapists don't understand what police culture is about.
00:24:24.640 --> 00:24:33.359
So all of the items involving therapists were were answered in the negative for for the police officers that endorsed that item.
00:24:33.440 --> 00:24:35.200
So that's the most toxic ace.
00:24:35.599 --> 00:24:39.359
The second most toxic ace would be um verbal abuse.
00:24:39.839 --> 00:24:46.720
So um, did a parent or adult in your home ever swear at you, insult you, or put you down?
00:24:47.759 --> 00:24:57.920
And then the third most toxic ace is did a parent or adult in your home ever physically hurt you, resulting in bruises or cuts on your skin?
00:24:58.240 --> 00:25:24.400
And so knowing this, then we can draw the conclusion that if you didn't feel safe going to your parent with a problem, you're a child, maybe somebody bullied you at school, maybe your girlfriend broke up with you or whatever, and you're upset, and you're you're looking for some guidance or some comfort, and that parent is not available to you.
00:25:24.640 --> 00:25:35.440
Um I have heard countless times that uh police have been told as a child, stop crying, or I'll give you something to cry about.
00:25:36.000 --> 00:25:40.720
Or if you're gonna behave that way, you might as well just go to your room.
00:25:41.119 --> 00:25:45.119
So then the message there is it is not safe to go to people.
00:25:46.000 --> 00:25:49.839
And so you'll you'll have to find some other way of solving your problem.
00:25:50.000 --> 00:25:52.400
And so going to your room, well, that's isolation.
00:25:52.480 --> 00:25:57.039
So, what are we concerned about with police officers if they're too isolated?
00:25:57.200 --> 00:26:00.880
You know, first and foremost, are they traumatized or is their bucket full?
00:26:01.039 --> 00:26:11.839
If it is, now we're very concerned because there is a certain subsection of subset of officers that are gonna isolate and they're gonna self, they're gonna drink.
00:26:13.039 --> 00:26:22.079
And and and they're probably also if things are heating up at home, because you know, they're gonna have interpersonal difficulties because they're not gonna go to their family.
00:26:22.319 --> 00:26:27.119
They learned that you can't rely on family, so I might as well just go back to work.
00:26:27.279 --> 00:26:30.240
Hey, let me take another overtime shift, right?
00:26:30.400 --> 00:26:34.240
Which just gives them more and more exposure to trauma.
00:26:34.799 --> 00:26:39.920
So it's a downward spiral for this subset of officers.
00:26:40.000 --> 00:26:44.480
And I'm very concerned about this subset of officers, and I can't prove it.
00:26:44.720 --> 00:26:50.960
My research can't prove this, but I wonder if this is the subset that is suicidal.
00:26:51.200 --> 00:26:52.400
I have to wonder.