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Interpersonal Trauma (interpersonal + trauma)
Selected AbstractsDisorders of extreme stress: The empirical foundation of a complex adaptation to traumaJOURNAL OF TRAUMATIC STRESS, Issue 5 2005Bessel A. van der Kolk Children and adults exposed to chronic interpersonal trauma consistently demonstrate psychological disturbances that are not captured in the posttraumatic stress disorder (PTSD) diagnosis. The DSM-IV (American Psychiatric Association, 1994) Field Trial studied 400 treatment-seeking traumatized individuals and 128 community residents and found that victims of prolonged interpersonal trauma, particularly trauma early in the life cycle, had a high incidence of problems with (a) regulation of affect and impulses, (b) memory and attention, (c) self-perception, (d) interpersonal relations, (e) somatization, and (f) systems of meaning. This raises important issues about the categorical versus the dimensional nature of posttraumatic stress, as well as the issue of comorbidity in PTSD. These data invite further exploration of what constitutes effective treatment of the full spectrum of posttraumatic psychopathology. [source] Posttraumatic Stress Disorder Part II: Development of the Construct Within the North American Psychiatric TaxonomyPERSPECTIVES IN PSYCHIATRIC CARE, Issue 2 2006CMHPN (C), G. C. Lasiuk RN TOPIC.,The impairment associated with posttraumatic stress disorder (PTSD) carries with it staggering costs to the individual, to the family, and to society as a whole. Although there is strong evidence that gender plays a significant role in responses to stress and trauma, gender specificity is still not well incorporated into clinical or research work in the area of PTSD. PURPOSE.,This is the second of three articles examining the sufficiency of the current PTSD construct to articulate the full spectrum of human responses to trauma. This article chronicles ongoing refinements to the original PTSD criteria and the subsequent controversies. SOURCE OF INFORMATION.,Existing bodies of theoretical and research literature related to the effects of trauma. CONCLUSION.,In a third article we will review evidence supporting the existence of a more complex posttraumatic stress reaction associated with interpersonal trauma (physical/sexual abuse/assault). [source] Addressing Political and Racial Terror in the Therapeutic RelationshipAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2005Pratyusha Tummala-Narra PhD Political and racial terror have important implications for the process of psychotherapy. This type of trauma can have unique effects on individual psychology and the larger social context of patients' lives that are distinct from other types of interpersonal trauma. Several intrapsychic processes, such as one's experience of mirroring, fear of annihilation, identification and internalization of aggression, the collective remembering of trauma, and subsequent mourning, are transformed through one's experiences of political and racial terror. Clinical illustrations of 2 patients treated in psychotherapy before and after the terrorist attacks of September 11, 2001, elaborate these effects of political and racial trauma. The implications of addressing these types of traumatic experience in psychotherapy, including issues of therapeutic neutrality, are discussed. [source] Sociocultural Disadvantage, Traumatic Life Events, and Psychiatric Symptoms in Preadolescent ChildrenAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2009Per E. Gustafsson PhD Previous research has demonstrated impact of psychosocial adversity on the mental health of children. This cross-sectional study examined specific influences of psychosocial adversity on internalizing versus externalizing symptoms, as explained by relative neighborhood disadvantage, sociocultural disadvantage, and exposure to interpersonal and non-interpersonal traumatic life events. Participants included 258 children aged 6 to 12 years from two Swedish elementary schools located in two socioeconomically distinct neighborhood settings. Information was obtained from their parents by means of questionnaires (a demographic form including information about parental occupation and country of origin, the Strengths and Difficulties Questionnaire and the Life Incidence of Traumatic Events checklist). Neighborhood differences in mental health were explained by variability in psychosocial adversity. While controlling for gender, age, and the other symptom dimension, sociocultural disadvantage was associated with internalizing but not with externalizing symptoms. In contrast, traumatic life events and especially interpersonal traumas were related to externalizing but not to internalizing symptoms. These findings provide some support for specificity of psychosocial adversities in the impact on child mental health. [source] | ||||||||||