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Self-regulation or self-control in relation to trauma is defined as efforts (conscious or unconscious) to adapt to the increased stress and accompanying consequences through actions taken by the person with or without the assistance of others. Self-regulation is the ability to control one's emotions, behavior, and body functions to the desired outcome on a daily basis. This entry discusses self-regulation as it relates to trauma, including self-regulation theory (SRT) and repression and dissociation.

Another form of self-regulation, but at a larger, macro systemic level, is self-policing. Similar to self-regulation, self-policing is the process whereby a profession, organization, group, or company assumes the responsibility (in contrast to laws and regulations forcing such behavior) for monitoring its own adherence to the standards of the community it serves or within which it works. Such standards would allegedly lead the entity to establish and insist from members best practices and high ethical standards to avoid governmental entities forcing the monitoring and enforcing of those standards.

Most often, however, self-regulation is discussed at an individual level and most often within the context of medical compliance. According to modern psycho-neuroimmunology, for example, most systems within the body are autoregulated. Through autoregulation, the body can divert blood (and thus, oxygen) where it is most needed such as in response to an emergency. Homeostasis, for example, is a part of the self-regulation system at a more biological level. Critical body functions are carried out automatically, without thinking about it. It is part of a larger human adaptation system that enables us all to function (e.g., sensory cues such as hunger pangs leads us to eat, thirst leads us to drink, pangs of guilt or social responsibility leads us to be kinder to others).

The self-regulating homeostasis of the body functions to maintain a stable, constant, and preferred condition for maximal functioning—especially in the wake of traumatic events in which survival is a major issue. Self-regulation relevant to trauma is, therefore, the collective, conscious and unconscious, biopsychosocial process first prompted by some internal adaptive mechanism that helps us anticipate, survive, and recover from traumatic event-related psychosocial reactions.

Models of Health Behavior

Beyond the biological functioning, self-regulation is about managing risk to survival and typically is part of broad theoretical models of health behavior, including Albert Bandura's social cognitive theory, Irwin M. Rosenstock's health belief model, Martin Fishbein and Icek Ajzen's theory of reasoned action, Ajzen's theory of planned behavior, and Harry C. Triandis's subjective culture and interpersonal relations theory. These theories posit individuals' perceptions about the consequences of their actions, and perceptions of vulnerability to those consequences play a key role in behavior.

Frederick Kanfer was the first to explain how self-regulation enables survival from trauma by offering a model not unlike the strategies for self-care that promote medical compliance. He describes his self-regulation theory (SRT) as a system of conscious personal health management—that only with self-regulation will sufficient medical compliance be ensured. Specific to trauma, SRT suggests that there is a constant process of functioning among three components of self-regulation. These components are self-monitoring, self-evaluation, and self-reinforcement. Self-monitoring means that we constantly assess and reassess the frequency, intensity, and duration of trauma-related issues that require our attention. At the same time, we also consider how we are doing regarding the trauma and its consequences through self-evaluation. When we are shocked by the trauma, self-evaluation involves comparing one's level of adaptation to our own expectations. Self-reinforcement or self-reinforcing behavior includes our experiencing the rewards accompanying attainment of a goal associated with the trauma or any other adversity. Sleeping through the night is often a very welcomed reward for our due diligence following exposure or reexposure to a trauma.

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