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Trauma dissociation

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October 2016: Journal of Trauma & Dissociation
Habib Niyaraq Nobakht, Karl Yngvar Dale
This study aims to investigate the prevalence of Deliberate self-harm and its relationship to childhood and recent trauma and different patterns of dissociative features. 100 men and 100 women among college students were administered a 58-item questionnaire designed to detect the extent of dissociation, Deliberate self-harm and trauma history, respectively. Participants with Deliberate self-harm behaviors reported more traumatic experiences and dissociative features than participants without such behaviors...
October 13, 2016: Journal of Trauma & Dissociation
Julian D Ford, Andres R Schneeberger, Irina Komarovskaya, Kristina Muenzenmaier, Dorothy Castille, Lewis A Opler, Bruce Link
A new clinician rating measure, the Symptoms of Trauma Scale (SOTS) was administered to adult psychiatric outpatients (46 men, 47 women) with severe mental illness (SMI) who reported a history of trauma exposure and were recently discharged from inpatient psychiatric treatment. SOTS composite severity scores for DSM-IV and DSM-5 posttraumatic stress disorder (PTSD), complex PTSD (cPTSD), and total PTSD/cPTSD severity had acceptable internal consistency reliability. SOTS scores' construct and convergent validity was supported by correlations with self-report measures of childhood and adult trauma history, and PTSD, dissociation, and anger symptoms...
October 12, 2016: Journal of Trauma & Dissociation
Sanford Nidich, Tom O'connor, Thomas Rutledge, Jeff Duncan, Blaze Compton, Angela Seng, Randi Nidich
CONTEXT: Trauma events are four times more prevalent in inmates than in the general public and are associated with increased recidivism and other mental and physical health issues. OBJECTIVE: To evaluate the effects of Transcendental Meditation(a) (TM) on trauma symptoms in male inmates. DESIGN: One hundred eighty-one inmates with a moderate- to high-risk criminal profile were randomly assigned to either the TM program or to a usual care control group...
October 7, 2016: Permanente Journal
Dorina Winter
Interactions between attention and processing of emotional stimuli shed light on both sensitivity to emotional stimuli as well as emotion dysregulation. Both of the latter processes have been proposed as central characteristics of altered emotion processing in those with borderline personality disorder (BPD). This review first summarizes the conflicting behavioural, psychophysiological and neuroimaging evidence for the hypothesis that emotional dysregulation should be reflected by higher distractibility through emotional stimuli in those with BPD...
2016: Borderline Personality Disorder and Emotion Dysregulation
Adam D LaMotte, Christopher M Murphy
Objective: Research with partner-violent men has found that a subset of this population reports dissociative experiences during their violence (e.g., inability to remember violence [despite admission that it had occurred]; flashbacks during violence). However, the literature examining this phenomenon has been primarily limited to clinical observations and case studies, and there is a need for more thorough empirical investigation regarding the prevalence and correlates of dissociative violence among individuals in intimate partner violence (IPV) intervention programs...
October 6, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Ciara McEnteggart, Yvonne Barnes-Holmes, Jacqui Dillon, Jos Egger, Joseph E Oliver
In the current paper, we review existing models of the aetiology of voice hearing. We summarise the argument and evidence that voice hearing is primarily a dissociative process, involving critical aspects of self. We propose a complementary perspective on these phenomena that is based on a modern behavioural account of complex behaviour, known as Relational Frame Theory (RFT). This type of approach to voice hearing concerns itself with: the functions served for the individual by this voice hearing; the necessary history, such as trauma, that establishes these functions; and the relevant dissociative processes involving self and others...
September 30, 2016: Journal of Trauma & Dissociation
Brianna E Pollock, Jenny Macfie, L Christian Elledge
We report on the treatment and successful outcome of a 58-year-old Native-American male with a history of complex trauma presenting with dissociative-identity disorder (DID) and major depressive disorder. The treatment included a trauma-informed phase-based psychotherapy as recommended by the International Society for the Study of Trauma and Dissociation (ISSTD) for treating DID. We assessed symptoms at baseline and at three additional time points over the course of 14 months. We utilized Reliable Change Index to examine statistically significant change in symptoms over the course of treatment...
September 30, 2016: Journal of Trauma & Dissociation
Vedat Sar, Firdevs Alioğlu, Gamze Akyuz
Depersonalization (DEP) and derealization (DER) were examined among college students with and without borderline personality disorder (BPD) and/or dissociative disorders (DDs) by self-report and clinician assessment. The Steinberg Depersonalization and Derealization Questionnaires (SDEPQ and SDERQ), the Childhood Trauma Questionnaire, and the screening tool of the BPD section of the Structured Clinical Interview for DSM-IV (SCID-BPD) were administered to 1301 students. Those with BPD (n = 80) according to the SCID-BPD and 111 non-BPD controls were evaluated using the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) by a psychiatrist blind to the diagnosis...
September 28, 2016: Journal of Trauma & Dissociation
Andrea Scalabrini, Marco Cavicchioli, Andrea Fossati, Cesare Maffei
Several authors studied dissociation within the Borderline Personality Disorder (BPD) population and postulated three dissociative subgroups. Conversely, other authors suggest how dissociation may play a central role in the development of trauma related disorders and specifically in BPD. Nevertheless, the role of dissociation in BPD seems to be controversial. Our aim is to propose a meta-analytic review of literature to evaluate the extent of dissociation in BPD compared to other psychopathological disorders to clarify its role in this specific condition...
September 28, 2016: Journal of Trauma & Dissociation
Jillian J Weeks, Lauren J Carlson, Hannah L Radabaugh, Patricia B de la Tremblaye, Corina O Bondi, Anthony E Kline
Traumatic brain injury (TBI)-induced agitation and aggression pose major obstacles to clinicians in the acute hospital and rehabilitation settings. Thus, management of these symptoms is crucial. Antipsychotic drugs (APDs) are a common treatment approach for alleviating these symptoms. However, previous preclinical TBI studies have indicated that daily and chronic administration of these drugs (e.g., haloperidol; HAL) can exacerbate cognitive and motor deficits. Quetiapine (QUE) is an atypical APD that differs from many typical APDs, such as HAL, in its relatively rapid dissociation from the D2 receptor...
September 21, 2016: Behavioural Brain Research
Maria W Mauritz, Betsie G I Van Gaal, Ruud A Jongedijk, Lisette Schoonhoven, Maria W G Nijhuis-van der Sanden, Peter J J Goossens
BACKGROUND: In the Netherlands, most patients with severe mental illness (SMI) receive flexible assertive community treatment (FACT) provided by multidisciplinary community mental health teams. SMI patients with comorbid posttraumatic stress disorder (PTSD) are sometimes offered evidence-based trauma-focused treatment like eye movement desensitization reprocessing or prolonged exposure. There is a large amount of evidence for the effectiveness of narrative exposure therapy (NET) within various vulnerable patient groups with repeated interpersonal trauma...
2016: European Journal of Psychotraumatology
Andrew A Nicholson, Daniela Rabellino, Maria Densmore, Paul A Frewen, Christian Paret, Rosemarie Kluetsch, Christian Schmahl, Jean Théberge, Richard W J Neufeld, Margaret C McKinnon, Jim Reiss, Rakesh Jetly, Ruth A Lanius
Amygdala dysregulation has been shown to be central to the pathophysiology of posttraumatic stress disorder (PTSD) representing a critical treatment target. Here, amygdala downregulation was targeted using real-time fMRI neurofeedback (rt-fMRI-nf) in patients with PTSD, allowing us to examine further the regulation of emotional states during symptom provocation. Patients (n = 10) completed three sessions of rt-fMRI-nf with the instruction to downregulate activation in the amygdala, while viewing personalized trauma words...
September 20, 2016: Human Brain Mapping
Thanos Karatzias, Sally Jowett, Amelie Begley, Suzanne Deas
BACKGROUND: Although the association between psychological trauma and early maladaptive schemas (EMS) is well established in the literature, no study to date has examined the relationship of EMS to PTSD and psychopathologies beyond depression and anxiety in a sample of adult survivors of interpersonal trauma. This information may be useful in helping our understanding on how to best treat interpersonal trauma. OBJECTIVE: We set out to investigate the association between EMS and common forms of psychopathology in a sample of women with a history of interpersonal trauma (n=82)...
2016: European Journal of Psychotraumatology
Hayuta Gurevich
Early developmental trauma is imprinted in the psyche by survival fragmentation and dissociation. Traumatized patients need the analyst to be actively involved and allow for regression to dependence in order to strengthen, create and construct their psychic functioning and structure so that environmental failures will be contained and not rupture continuity of being. I suggest that Ferenczi's and Winnicott's ideas about regression to dependence in analysis are fundamental contributions to these quests, and that Ferenczi set the foundation, which Winnicott further explored and developed...
September 16, 2016: American Journal of Psychoanalysis
Matthias Knefel, Ulrich S Tran, Brigitte Lueger-Schuster
BACKGROUND: Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level. METHODS: Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II...
October 2016: Journal of Anxiety Disorders
Jan Terock, Sandra Van der Auwera, Deborah Janowitz, Carsten Spitzer, Sven Barnow, Martin Miertsch, Harald J Freyberger, Hans-Jörgen Grabe
BACKGROUND: The mechanism of how childhood trauma leads to increased risk for adult dissociation is not sufficiently understood. We sought to investigate the predicting effects and the putatively mediating roles of PTSD and alexithymia on the path from childhood trauma to adult dissociation. METHODS: A total of 666 day-clinic outpatients were administered the Childhood Trauma Questionnaire (CTQ), the Toronto Alexithymia Scale (TAS-20), the Posttraumatic Diagnostic Scale (PDS), and the Dissociative Experiences Scale (DES) and controlled for sex, age, and the Global Symptom Index (GSI)...
September 14, 2016: Psychopathology
David H W Steel, Christiana Dinah, Kathryn White, Peter J Avery
PURPOSE: A dissociated optic nerve fibre layer (DONFL) is a characteristic change noted in inner retinal morphology after internal limiting membrane (ILM) peeling. It is thought to be due to trauma to Muller cells as the ILM is peeled from their attached end plates. In this study, we aimed to determine the extent and size of Muller cell debris on the retinal side of excised ILM and assess whether this correlated with the extent of DONFL observed postoperatively. METHOD: Prospective single centre study of a consecutive series of patients undergoing macular hole surgery...
August 29, 2016: Acta Ophthalmologica
Hasan Belli, Mahir Akbudak, Cenk Ural, Mustafa Solmaz, Zuhal Dogan, Ramazan Konkan
BACKGROUND: A possible relationship has been suggested between social anxiety and dissociation. Traumatic experiences, especially childhood abuse, play an important role in the aetiology of dissociation. AIM: This study assesses childhood trauma history, dissociative symptoms, and dissociative disorder comorbidity in patients with social anxiety disorder (SAD). METHOD: The 94 psychotropic drug-naive patients participating in the study had to meet DSM-IV criteria for SAD...
August 26, 2016: Nordic Journal of Psychiatry
Ashley K Losing, Justin M Jones, Adis Keric, Steven E Briggs, David D Leedahl
Ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. Current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. We describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine infusion was utilized as part of their pain control strategy.  For each patient, use of a ketamine infusion trended toward reduced opioid requirements with stable pain scores...
July 2016: Bulletin of Emergency and Trauma
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