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https://www.readbyqxmd.com/read/28526912/moral-injury-and-definitional-clarity-betrayal-spirituality-and-the-role-of-chaplains
#1
Timothy J Hodgson, Lindsay B Carey
This article explores the developing definition of moral injury within the current key literature. Building on the previous literature regarding 'Moral Injury, Spiritual Care and the role of Chaplains' (Carey et al. in JORH 55(4):1218-1245, 2016b. doi: 10.1007/s10943-016-0231-x ), this article notes the complexity that has developed due to definitional variations regarding moral injury-particularly with respect to the concepts of 'betrayal' and 'spirituality'. Given the increasing recognition of moral injury and noting the relevance and importance of utilizing a bio-psycho-social-spiritual model, this article argues that betrayal and spirituality should be core components for understanding, defining and addressing moral injury...
May 19, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28508300/the-symbolic-nature-of-trust-in-heterosexual-adolescent-romantic-relationships
#2
Jerika C Norona, Deborah P Welsh, Spencer B Olmstead, Chloe F Bliton
Trust contributes to young people's capacity for sustaining current and future successful relationships. To date, research has yet to examine the meaning of trust in early dating relationships and reasons for its deterioration. The present study focused on video-recorded conversations about trust between 34 heterosexual adolescent couples in dating relationships living in the U.S. Transcripts from these conversations were qualitatively analyzed using thematic analysis to identify adolescents' meanings of trust and reasons they provided for a lack of trust in their romantic partners...
May 15, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28488261/use-of-tramadol-in-psychiatric-care-a-comprehensive-review-and-report-of-two-cases
#3
Ansgar Rougemont-Bücking, Franziska Gamma, Jaak Panksepp
Tramadol is widely prescribed for treating acute and chronic forms of pain. It is a weak mu-receptor opioid agonist and also increases concentrations of serotonin and noradrenaline within the limbic system of the brain. The therapeutic range of tramadol is relatively wide. Compared with other opioid agonists, there is little risk for developing tolerance and for abuse. Recent models of depression emphasise the subjective experience of a depressive mood as being, in part, a psychologically painful state. It is well established that psychological stress due to social separation/loss, disruption or be-trayal of pre-existent significant interpersonal bonds is mediated by the activation of the mammalian PANIC (separation-distress) system...
May 10, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28471335/do-participants-detect-sexual-abuse-depicted-in-a-drawing-investigating-the-impact-of-betrayal-trauma-exposure-on-state-dissociation-and-betrayal-awareness
#4
Robyn L Gobin, Jennifer Freyd
An inability to identify betrayal may increase risk for victimization. Harm perpetrated by close others early in life may impair the ability to identify betrayal and develop trust. Dissociation may facilitate impaired betrayal awareness. The present study examined the impact of high betrayal trauma on state dissociation and betrayal awareness in a college sample (N = 216). Self-report measures were used to assess trauma history and state dissociation. Awareness for betrayal was measured using a drawing depicting an ambiguous interpersonal interaction between an adult and a child...
April 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28435281/first-do-no-harm-institutional-betrayal-and-trust-in-health-care-organizations
#5
Carly Parnitzke Smith
PURPOSE: Patients' trust in health care is increasingly recognized as important to quality care, yet questions remain about what types of health care experiences erode trust. The current study assessed the prevalence and impact of institutional betrayal on patients' trust and engagement in health care. PARTICIPANTS AND METHODS: Participants who had sought health care in the US in October 2013 were recruited from an online marketplace, Amazon's Mechanical Turk. Participants (n = 707; 73% Caucasian; 56...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28418117/articulating-the-ideal-50-years-of-interprofessional-collaboration-in-medical-education
#6
Elise Paradis, Mandy Pipher, Carrie Cartmill, J Cristian Rangel, Cynthia R Whitehead
CONTEXT: Health care delivery and the education of clinicians have changed immensely since the creation of the journal Medical Education. In this project, we seek to answer the following three questions: How has the concept of collaboration changed over the past 50 years in Medical Education? Have the participants involved in collaboration shifted over time? Has the idea of collaboration itself been transformed over the past 50 years? METHODS: Starting from a constructionist view of scientific discourse, we used directed content analysis to sample, code and analyse 144 collaboration-related articles over the 50-year life span of Medical Education...
April 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28377470/mesh-implant-review-is-a-betrayal-say-campaigners
#7
Bryan Christie
No abstract text is available yet for this article.
April 4, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28370818/moral-injury-in-u-s-combat-veterans-results-from-the-national-health-and-resilience-in-veterans-study
#8
Blair E Wisco, Brian P Marx, Casey L May, Brenda Martini, John H Krystal, Steven M Southwick, Robert H Pietrzak
BACKGROUND: Combat exposure is associated with increased risk of mental disorders and suicidality. Moral injury, or persistent effects of perpetrating or witnessing acts that violate one's moral code, may contribute to mental health problems following military service. The pervasiveness of potentially morally injurious events (PMIEs) among U.S. combat veterans, and what factors are associated with PMIEs in this population remains unknown. METHODS: Data were analyzed from the National Health and Resilience in Veterans Study (NHRVS), a contemporary and nationally representative survey of a population-based sample of U...
March 29, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28370194/bone-marrow-adipose-tissue-the-first-40-years
#9
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
March 31, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28332952/dying-for-love-an-attachment-problem-with-some-perpetrator-introjects
#10
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/28300493/mother-child-incest-psychosis-and-the-dynamics-of-relatedness
#11
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/28300483/victim-perpetrator-dynamics-through-the-lens-of-betrayal-trauma-theory
#12
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
https://www.readbyqxmd.com/read/28261144/parallel-distinct-structures-of-internal-world-and-external-reality-disavowing-and-re-claiming-the-self-identity-in-the-aftermath-of-trauma-generated-dissociation
#13
Vedat Şar
The nature of consciousness and the autonomy of the individual's mind have been a focus of interest throughout the past century and inspired many theories and models. Revival of studies on psychological trauma and dissociation, which remained outside mainstream psychiatry, psychology, and psychoanalysis for the most part of the past century, has provided a new opportunity to revisit this intellectual and scientific endeavor. This paper attempts to integrate a series of empirical and theoretical studies on psychological consequences of developmental traumatization, which may yield further insight into factors which threaten the integrity of human consciousness...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28259210/cultural-ecological-theory-of-academic-disengagement-used-to-explain-a-story-of-race-culture-and-education
#14
Boluwaji Ogunyemi
Students of African ancestry often share an experience of being a racialized minority in the context of the educational institution. Late Professor of Anthropology John Ogbu's Cultural-ecological Theory of Academic Disengagement is employed to describe the negative responses encountered by peers in the name of academic achievement. The late Nigerian-American anthropologist John Ogbu described that it is often socially disadvantageous for black youth to prosper academically in formal education. Black students are often seen as betraying their cultural identities by aspiring to academic success and scholastic achievement and are met with repugnance by black peers...
April 2017: Journal of the National Medical Association
https://www.readbyqxmd.com/read/28217971/posttraumatic-growth-in-relationally-betrayed-women
#15
Deb Laaser, Heather L Putney, Matthew Bundick, David L Delmonico, Elizabeth J Griffin
The research literature on relational betrayal in a committed relationship has focused on the resulting trauma from the betrayal; however, few studies investigated the potential for posttraumatic growth following a relational betrayal. This study investigated the presence of posttraumatic growth in relationally betrayed women. The research focused on women's perceptions of the relational betrayal, and factors that facilitated posttraumatic growth. Results indicated relationally betrayed women perceived the betrayal as a traumatic event, to the extent that some met criteria for PTSD diagnosis...
February 20, 2017: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/28195013/betrayal-trauma-in-youth-and-negative-communication-during-a-stressful-task
#16
Vanessa M Jacoby, Elisa Krackow, Joseph R Scotti
Attachment-based theories and related research illustrate that emotion regulation develops in the context of a secure relationship between a child and caregiver. When a secure bond is broken, such as in the context of betrayal trauma, children fail to develop necessary emotion regulation skills which can lead to an array of relational problems. The current study examined the relations between betrayal trauma history, type of communication during a stressful interpersonal laboratory task, and emotion regulation difficulties in a sample of trauma-exposed adolescents...
March 2017: International Journal of Aging & Human Development
https://www.readbyqxmd.com/read/28193453/energy-and-the-alzheimer-brain
#17
REVIEW
Mortimer Mamelak
The high energy demands of the poorly myelinated long axon hippocampal and cortical neurons render these neurons selectively vulnerable to degeneration in Alzheimer's disease. However, pathology engages all of the major elements of the neurovascular unit of the mature Alzheimer brain, the neurons, glia and blood vessels. Neurons present with retrograde degeneration of the axodendritic tree, capillaries with string vessels and markedly reduced densities and glia with signs of inflammatory activation. The neurons, capillaries and astrocytes of the mature Alzheimer brain harbor structurally defective mitochondria...
April 2017: Neuroscience and Biobehavioral Reviews
https://www.readbyqxmd.com/read/28145812/childhood-sexual-abuse-and-fear-of-abandonment-moderate-the-relation-of-intimate-partner-violence-to-severity-of-dissociation
#18
Noga Zerubavel, Terri L Messman-Moore, David DiLillo, Kim L Gratz
Betrayal trauma theory proposes a relation between intimate partner violence (IPV) and dissociation, suggesting that dissociation among victims of IPV may function to restrict awareness of abuse in order to preserve attachments perceived as vital. We investigated two factors that may moderate the relation between IPV and dissociation-childhood sexual abuse (CSA) severity and fear of abandonment-among 348 women currently in a relationship. The relation between frequency of IPV (sexual and physical) and dissociation (amnesia and depersonalization) was moderated by CSA severity and fear of abandonment...
February 1, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28069861/the-fine-line-between-doctoring-and-dealing
#19
Pooja Lagisetty
To treat a patient with addiction, a physician must overcome feelings of frustration and betrayal.
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28068142/distinguishing-war-related-ptsd-resulting-from-perpetration-and-betrayal-based-morally-injurious-events
#20
Alexander H Jordan, Ethan Eisen, Elisa Bolton, William P Nash, Brett T Litz
OBJECTIVE: We investigated whether potentially morally injurious events (PMIEs) during a combat deployment may lead to PTSD through distinct pathways from danger-based events. We also examined the prevalence of perpetration-based PMIEs, during which service members behaved in ways that violated their own moral values, and betrayal-based PMIEs, during which personal moral expectations were violated by trusted others. METHOD: Using a sample of 867 active duty Marines from a single infantry battalion that engaged in heavy ground combat while deployed to Afghanistan, a structural equation model was built to examine the relationships between perpetration- and betrayal-based PMIEs, combat experiences, and peritraumatic dissociation reported at 1 month postdeployment, and guilt/shame, anger, and PTSD symptoms reported at 8 months postdeployment...
January 9, 2017: Psychological Trauma: Theory, Research, Practice and Policy
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