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Journal of Trauma & Dissociation

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https://www.readbyqxmd.com/read/28548624/changes-in-attachment-organization-emotion-dysregulation-and-interpersonal-problems-among-women-in-treatment-for-abuse
#1
Leah Keating, Robert T Muller, Catherine C Classen
OBJECTIVE: Women who have experienced childhood abuse often have interpersonal difficulties. The current study examines whether changes in emotion dysregulation mediate the relationship between changes in attachment patterns and changes in interpersonal problems among women who completed treatment for the sequelae of childhood abuse. METHOD: Participants were 36 women who completed a program targeting the psychological consequences of childhood maltreatment. At pre-and posttreatment, participants completed a projective assessment of adult attachment, and self-report measures of emotion dysregulation and interpersonal problems...
May 26, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509664/reliability-of-the-dissociative-trance-disorder-interview-schedule-a-preliminary-report
#2
Colin A Ross, Eli Somer, Caitlin Goode
One hundred inpatients in a hospital-based Trauma Program in the United States were interviewed with the Dissociative Trance Disorder Interview Schedule (DTDIS). There were no significant differences for the DTDIS total score or any of the subscale scores on test-retest: all t values comparing the two administrations of the DTDIS were below 0.7, and all p values were above 0.5. Cronbach's alpha for the US sample was .966 and for the Israeli sample it was .971. The findings indicate that the DTDIS has good reliability and may be suitable for use in cross-cultural research, however the results require replication by independent researchers in a variety of cultures and languages, and in both clinical and non-clinical samples...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509661/the-relationship-between-interpersonal-trauma-history-and-the-functions-of-non-suicidal-self-injury-in-young-adults-an-experience-sampling-study
#3
Sarah Horowitz, Lana Stermac
Non-suicidal self-injury (NSSI) has been reported to serve a range of functions for individuals who engage in it. Despite considerable variation in NSSI functions between individuals, limited attention has been paid to exploring relationships between NSSI functions and other characteristics of self-injuring individuals, such as trauma history. This is despite allusion to trauma history in the suggested etiology of some NSSI functions (e.g. anti-dissociation, self-punishment). The present study used a 21-day online daily diary to explore possible relationships between common NSSI functions and past interpersonal trauma in community young adults (n = 38)...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509624/the-role-of-evidence-based-therapy-relationships-on-treatment-outcome-for-adults-with-trauma-a-systematic-review
#4
Amy E Ellis, Vanessa Simiola, Laura Brown, Christine Courtois, Joan M Cook
OBJECTIVE: The purpose of this paper was to systematically review and synthesize the empirical literature on the effects of evidence-based therapy relationship (EBR) variables in the psychological treatment for adults who experienced trauma-related distress. METHOD: Studies were identified using comprehensive searches of PsycINFO, Medline, Published International Literature on Traumatic Stress, and Cumulative Index to Nursing and Allied Health Literature databases...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509622/attachment-insecurity-as-a-mediator-of-the-relationship-between-childhood-trauma-and-adult-dissociation
#5
Seong Sook Kong, Dae Ryong Kang, Min Jung Oh, Nam Hee Kim
This study aimed to investigate whether attachment insecurity mediates the relationship between childhood trauma and adult dissociation, specifically in regards to individual forms of childhood maltreatment. Psychiatric outpatients who visited a specialized trauma clinic (n = 115) participated in the study. Data were collected via the Childhood Trauma Questionnaire, Revised Adult Attachment Scale, and Dissociative Experience Scale. Structural equation modeling and path analysis were performed to analyze the mediating effects of attachment insecurity on the relationship between childhood trauma and adult dissociation...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509617/intergenerational-transmission-of-traumatization-theoretical-framework-and-implications-for-prevention
#6
Ariel J Lang, Maria A Gartstein
Intergenerational transmission of traumatization (ITT) occurs when traumatized parents have offspring with increased risk for emotional and behavioral problems. Although fetal exposure to the maternal biological milieu is known to be one factor in ITT, PTSD-driven parent-child interactions represent an additional important and potentially modifiable contributor. The Perinatal Interactional Model of ITT presented herein proposes that PTSD leads to social learning and suboptimal parent-child interactions, which undermine child regulatory capacity and increase distress, largely explaining poor social-emotional outcomes for offspring of parents with PTSD...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28509616/depersonalization-adversity-emotionality-and-coping-with-stressful-situations
#7
Paula Thomson, S Victoria Jaque
Depersonalization is defined as persistent or recurrent episodes of feeling detached or estranged from a sense of self and the world. This study addressed the primary question: Do non-clinical individuals who endorse high symptomatic depersonalization have inherently more intense emotional responses, along with more childhood adversity and past trauma? In this IRB approved study, participants who met clinical levels of depersonalization (n = 43, 16.3%) were compared to a group without clinical levels of depersonalization (n = 221, 83...
May 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28375711/still-the-last-great-open-secret-sexual-harassment-as-systemic-trauma
#8
Louise F Fitzgerald
Despite being illegal for more than half a century, sexual harassment remains today the most pervasive form of violence against women, often encompassing other forms of violence in its ambit. This stubborn and pernicious persistence rests largely on (1) a pervasive system of attitudes and beliefs, accruing over centuries and embedded in a variety of cultural institutions, that denies and rationalizes systemic abuse of women; and (2), the organizational and institutional actors that serve to maintain this system, a phenomenon that has come to be known as institutional betrayal...
April 4, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28332952/dying-for-love-an-attachment-problem-with-some-perpetrator-introjects
#9
Valerie Sinason
This paper focuses on some problematic victim-perpetrator dynamics in psychotherapy with patients with Dissociative Identity Disorder where there has been longstanding multi-perpetrator organized abuse described, which also involves family members. Additionally, in this specific sample, there have been reported experiences of serious assaults from attachment figures in which the patient felt close to death. The clinical concern is expressed that only in the nearness of death is a connection felt to the attachment figure and this leads to extra suicidality in the patient and extra vulnerability to secondary traumatization for the therapist...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28323542/organized-abuse-in-adulthood-survivor-and-professional-perspectives
#10
Michael Salter
This paper reports on the preliminary findings of a qualitative study of Australian women disclosing organized abuse in adulthood and the mental health professionals who treat them. Drawing on interviews with survivors and mental health professionals, the paper analyses the fraught relationship between mental health and physical safety for adults subject to organized abuse. The therapeutic progress of adult organized abuse victims can be disrupted by ongoing threats, stalking, and group violence, which in turn reinforces the dissociative responses and pathological attachments that render them vulnerable to revictimization...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318449/through-the-lens-of-attachment-relationship-stable-did-active-did-and-other-trauma-based-mental-disorders
#11
Adah Sachs
Some people with DID, despite years of DID-specific therapy (using the three-phase approach, ISSTD, 2011), seem unable to get better. In particular, they seem unable to remain physically safe ("Phase One") and report continued exposure to abuse. As every fresh hurt causes fresh dissociation, their DID becomes further entrenched over time. Moreover, as dissociation makes the person more vulnerable to being re-abused, they become caught up in a vicious cycle, which further obstructs their efforts toward recovery...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318447/extreme-adaptations-in-extreme-and-chronic-circumstances-the-application-of-weaponized-sex-to-those-exposed-to-ongoing-incestuous-abuse
#12
Warwick Middleton
This paper examines Kluft's construct of "weaponized sex" through the prism of long-term clinical and research involvement with individuals subjected to ongoing sexual abuse during adulthood, a group that by definition has been exposed to more sexual abuse and for longer than any other defined victim population. Examples of the same sort of phenomena described by Kluft are repeatedly observed in therapy with members of this population, but usually not in a dramatic form. As might be anticipated, in order to survive, when an individual is closely attached to a long-term and extreme abuser, the sort of enduring ambivalence carried by the victim towards their primary abuser is manifested in compartmentalized states that wish their abuser dead, while other states in equally compartmentalized ways maintain the attachment via the use of sex-by continuing to be sexually involved with their primary abuser (usually their father), by fantasizing about sex with their abuser, by being sexually involved with those who co-abused with their father, or by staging reenactments with individuals whose sexual behavior re-evokes the abuse by the absent (or deceased) father...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318429/shame-as-a-compromise-for-humiliation-and-rage-in-the-internal-representation-of-abuse-by-loved-ones-processes-motivations-and-the-role-of-dissociation
#13
Martin J Dorahy
This paper examines one particular way a person abused may come to internally position themselves and the abuser to understand their abuse experience. It is based on a differentiation and exploration of the dynamic relationship between shame and humiliation associated with complex feelings the abused has to the abuser. Humiliation is described as denoting the naked self exposed by another, while shame is described as denoting the naked self exposed to another. From this lens, abusive events are conceived as humiliating experiences that come to be represented as shame experiences...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318416/conflicts-between-motivational-systems-related-to-attachment-trauma-key-to-understanding-the-intra-family-relationship-between-abused-children-and-their-abusers
#14
Giovanni Liotti
Research on disorganization of infant attachment provides evidence that it can be caused not only by violent aggression or very early sexual abuse, but also by covert maltreating behavior, which includes the abdication of the caregiver's responsibility to soothe the infant's distress. This paper argues that both overtly abusive caregivers and merely "abdicating" caregivers may cause disorganization of infant attachment through a simultaneous and conflicting activation of the motivational systems governing attachment and survival defense in the infant...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318413/treatment-strategies-for-programming-and-ritual-abuse
#15
Colin Ross
Individuals in treatment for dissociative identity disorder not uncommonly describe childhood involvement in organized, multi-perpetrator ritual abuse. They described being "programmed" by the perpetrators and feel that the programming is out of their control. The author has developed a set of treatment strategies and interventions for such cases. These are based on the principle of therapeutic neutrality and can be used no matter what assumptions the therapist makes about the historical accuracy of the memories and beliefs...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318411/predicting-a-dissociative-disorder-from-type-of-childhood-maltreatment-and-abuser-abused-relational-tie
#16
Christa Krüger, Lizelle Fletcher
We investigate the types of childhood maltreatment and abuser-abused relational ties that best predict a dissociative disorder (DD). Psychiatric inpatients (n = 116; mean age = 35; F:M = 1.28:1) completed measures of dissociation and trauma. Abuse type and abuser-abused relational ties were recorded in the Traumatic Experiences Questionnaire. Multidisciplinary team clinical diagnosis or administration of the SCID-D-R to high dissociators confirmed DD diagnoses. Logit models described the relationships between abuser-abused relational tie and the diagnostic grouping of patients, DD present (n = 16) or DD absent (n = 100)...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318395/the-abused-and-the-abuser-victim-perpetrator-dynamics
#17
Warwick Middleton, Adah Sachs, Martin J Dorahy
No abstract text is available yet for this article.
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28300493/mother-child-incest-psychosis-and-the-dynamics-of-relatedness
#18
Joan Haliburn
Sexual abuse perpetrated by a parent particularly the mother creates turmoil in the child who has to depend on the very person who betrays their trust. A review of the literature confirms that there are only a few case studies of mother-child incest reported in the psychoanalytic literature; the incidence of such incest, however, is unknown. Considerably, more information is available in the forensic and child abuse literatures along with an increase in research; yet, there is a paucity of data. Child sexual abuse by women as highly prevalent is described in early societies, and that there is a bias in peoples' minds about the capacity of females to sexually abuse children is raised by many writers...
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28300486/a-personal-perspective-the-response-to-child-abuse-then-and-now
#19
Jeffrey Masson
No abstract text is available yet for this article.
May 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28300483/victim-perpetrator-dynamics-through-the-lens-of-betrayal-trauma-theory
#20
Kerry L Gagnon, Michelle Seulki Lee, Anne P DePrince
Interpersonal trauma exposure is linked with a host of seemingly disparate outcomes for victims, such as psychological distress, post-trauma appraisals (e.g., alienation, shame), poor cognitive functioning, expectations of harm in relationships, and revictimization risk. The presence of interpersonal trauma alone may not fully explain this range of outcomes. The current paper applies Betrayal Trauma Theory (BTT), which was originally articulated two decades ago as a framework for understanding memory disruptions following interpersonal trauma, as a framework to understand the diverse outcomes that can occur when interpersonal trauma is perpetrated by a close other...
May 2017: Journal of Trauma & Dissociation
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