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Traumatic dissociation

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https://www.readbyqxmd.com/read/28509616/depersonalization-adversity-emotionality-and-coping-with-stressful-situations
#1
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/28505586/oscillatory-magnetic-brain-activity-is-related-to-dissociative-symptoms-and-childhood-adversities-a-study-in-women-with-multiple-trauma
#2
I Schalinski, J K Moran, T Elbert, V Reindl, C Wienbruch
BACKGROUND: Individuals with trauma-related disorders are complex and heterogeneous; part of this complexity derives from additional psychopathology like dissociation as well as environmental adversities such as traumatic stress, experienced throughout the lifespan. Understanding the neurophysiological abnormalities in Post-traumatic stress disorder (PTSD) requires a simultaneous consideration of these factors. METHODS: Resting state magnetoencephalography (MEG) recordings were obtained from 41 women with PTSD and comorbid depressive symptoms, and 16 healthy women...
May 8, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28496375/revisiting-the-etiological-aspects-of-dissociative-identity-disorder-a-biopsychosocial-perspective
#3
REVIEW
Vedat Şar, Martin J Dorahy, Christa Krüger
Dissociative identity disorder (DID) is a chronic post-traumatic disorder where developmentally stressful events in childhood, including abuse, emotional neglect, disturbed attachment, and boundary violations are central and typical etiological factors. Familial, societal, and cultural factors may give rise to the trauma and/or they may influence the expression of DID. Memory and the construction of self-identity are cognitive processes that appear markedly and centrally disrupted in DID and are related to its etiology...
2017: Psychology Research and Behavior Management
https://www.readbyqxmd.com/read/28490245/-childhood-traumatization-dissociation-and-nonsuicidal-self-injurious-behavior-in-borderline-personality-disorder
#4
Katalin Merza, János Harmatta, Gábor Papp, Ildikó Kuritárné Szabó
INTRODUCTION: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. AIM: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. METHOD: The sample consisted of 80 borderline inpatients and 73 depressed control patients...
May 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28482744/accelerated-long-term-forgetting-is-not-epilepsy-specific-evidence-from-childhood-traumatic-brain-injury
#5
Suncica Lah, Carly Black, Michael Gascoigne, Chloe Gott, Adrienne Epps, Louise Parry
Accelerated long-term forgetting (ALF) is characterised by adequate recall after short, but not long delays. ALF is not detected by standardised neuropsychological memory tests. Currently, the prevailing conceptualisation of ALF is of a temporal-lobe seizure related phenomenon. Nevertheless, Mayes and colleagues (2003) proposed that ALF may arise when any of the components of the brain network involved in long-term memory formation, or their interaction is disrupted. This disruption does not have to be caused by temporal lobe seizures for ALF to occur...
May 8, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28472933/imagery-rescripting-and-eye-movement-desensitisation-and-reprocessing-for-treatment-of-adults-with-childhood-trauma-related-post-traumatic-stress-disorder-irem-study-design
#6
Katrina L Boterhoven de Haan, Christopher W Lee, Eva Fassbinder, Marisol J Voncken, Mariel Meewisse, Saskia M Van Es, Simone Menninga, Margriet Kousemaker, Arnoud Arntz
BACKGROUND: Post-traumatic stress disorder (PTSD) that originates from childhood trauma experiences can develop into a chronic condition that has lasting effects on an individual's functioning and quality of life. While there are evidence-based guidelines for treating adult onset PTSD, treatments for adults with childhood trauma-related PTSD (Ch-PTSD) are varied and subject to ongoing debate. This study will test the effectiveness of two trauma-focused treatments, imagery rescripting (ImRs) and eye movement desensitisation and reprocessing (EMDR) in participants with Ch-PTSD...
May 4, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28467630/psychological-traits-predict-impaired-awareness-of-deficits-independently-of-neuropsychological-factors-in-chronic-traumatic-brain-injury
#7
Zorry Belchev, Neta Levy, Itamar Berman, Hila Levinzon, Dan Hoofien, Asaf Gilboa
OBJECTIVES: To dissociate injury-related factors from psychological contributions to impaired awareness of deficits following traumatic brain injury (TBI); impaired awareness is theorized to partly reflect psychological factors (e.g., denial), but empirical evidence for this theory is scarce. DESIGN: We examined how different factors predict awareness in patients undergoing rehabilitation (N = 43). Factors included (1) neurological (injury severity), (2) neuropsychological loss, (3) psychological (denial, projection, identification), and (4) personality (narcissism)...
May 3, 2017: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28462941/%C3%AE-adrenoceptor-blockade-in-the-basolateral-amygdala-but-not-the-medial-prefrontal-cortex-rescues-the-immediate-extinction-deficit
#8
Thomas F Giustino, Jocelyn R Seemann, Gillian M Acca, Travis D Goode, Paul J Fitzgerald, Stephen Maren
Early psychological interventions, such as exposure therapy, rely on extinction learning to reduce the development of stress- and trauma-related disorders. However, recent research suggests that extinction often fails to reduce fear when administered soon after trauma. This immediate extinction deficit (IED) may be due to stress-induced dysregulation of neural circuits involved in extinction learning. We have shown that systemic β-adrenoceptor blockade with propranolol rescues the IED, but impairs delayed extinction...
May 2, 2017: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/28454191/-distress-main-burdens-engagement-motivators-and-needs-of-fulltime-and-volunteer-refugee-aid-workers
#9
Theresa Grimm, Ekaterini Georgiadou, Andrea Silbermann, Katharina Junker, Winfried Nisslbeck, Yesim Erim
In the psychosomatic department of the University Hospital of Erlangen trainings were conducted for active refugee aid workers with start in January, 2016. Meanwhile 49 helpers participated in the training and 45 of them filled out a survey questionnaire. Perceived distress when providing care for refugees, as well as engagement motivation and further training needs were explored. Furthermore, depressive symptoms as well as the prevalence of traumatic experiences were investigated. The main burden was experienced through lacking freedom of action on the background of legal regulations...
April 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28451707/-factitious-disorders
#10
H-P Kapfhammer
Patients with factitious disorders intentionally fabricate, exaggerate or feign physical and/or psychiatric symptoms for various open and covert psychological reasons. There are many issues regarding the diagnostic state and classification of factitious disorders. Both the categorical differentiation of and clinical continuum ranging from somatoform/dissociative disorders to malingering are being controversially debated. Epidemiological studies on the frequency of factitious disorder meet basic methodological difficulties...
April 27, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28449364/the-association-between-peritraumatic-dissociation-and-ptsd-symptoms-the-mediating-role-of-negative-beliefs-about-the-self
#11
Johanna Thompson-Hollands, Janie J Jun, Denise M Sloan
Peritraumatic dissociation, a term used to describe a complex array of reactions to trauma, including depersonalization, derealization, and emotional numbness, has been associated with posttraumatic stress disorder (PTSD) symptoms across a number of studies. Cognitive theory suggests that interpretations of traumatic events and reactions underlie the persistence of PTSD. The present study examined the associations among peritraumatic dissociation, posttraumatic cognitions, and PTSD symptoms in a group of trauma-exposed adults (N = 169)...
April 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28441895/ketamine-s-dose-related-effects-on-anxiety-symptoms-in-patients-with-treatment-refractory-anxiety-disorders
#12
Paul Glue, Natalie J Medlicott, Sarah Harland, Shona Neehoff, Bridie Anderson-Fahey, Martin Le Nedelec, Andrew Gray, Neil McNaughton
The N-methyl-D-aspartate receptor antagonist ketamine has rapid onset activity in treatment-resistant depression, post-traumatic stress disorder and obsessive compulsive disorder. Due to similarities in brain network activity in depression and anxiety disorders, we hypothesized that ketamine might also be active in other refractory anxiety disorders. We evaluated the efficacy and safety of ketamine in 12 patients with refractory generalized anxiety disorder and/or social anxiety disorder who were not currently depressed, using an ascending single dose study design (0...
April 1, 2017: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/28426378/ostracism-and-physiological-arousal-following-traumatic-brain-injury
#13
Michelle Kelly, Skye McDonald, Jacqueline Rushby
PRIMARY OBJECTIVE: This study aimed to examine the psychological and physiological effects of ostracism in adults with traumatic brain injury (TBI). RESEARCH DESIGN: A within-subject, counterbalanced design was used. The two conditions, inclusion and ostracism, were examined across two groups (between subjects). METHODS AND PROCEDURES: A group of 21 adults with TBI and 17 matched controls participated in the Cyberball paradigm. This task is a computerised task that exposes participants to a game of catch and throw...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28406877/scapulothoracic-dissociation-evaluation-and-management
#14
Andrew M Choo, Patrick C Schottel, Andrew R Burgess
Scapulothoracic dissociation is a rare, potentially limb- and life-threatening injury of the shoulder girdle. The injury is characterized by lateral displacement of the scapula resulting from traumatic disruption of the scapulothoracic articulation. The typical physical examination findings consist of substantial swelling of the shoulder girdle, along with weakness, numbness, and pulselessness in the ipsilateral upper extremity. Radiographic evaluation includes measurement of the scapular index on a nonrotated chest radiograph and assessment for either a distracted clavicle fracture or a disrupted acromioclavicular or sternoclavicular joint...
May 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28406660/maternal-pre-and-postnatal-mental-health-and-infant-development-in-war-conditions-the-gaza-infant-study
#15
Raija-Leena Punamäki, Safwat Y Diab, Sanna Isosävi, Saija Kuittinen, Samir R Qouta
OBJECTIVE: Women and their infants need special protection in war context, as traumatic events can risk maternal mental and obstetric health and compromise infant development. This prospective study examined, first, how exposure to war trauma is associated with maternal mental health in pregnancy and postpartum, obstetric and newborn health, and infant development. Second, it tested the role of maternal mental health and obstetric risks in mediating between war trauma and infant development...
April 13, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28332952/dying-for-love-an-attachment-problem-with-some-perpetrator-introjects
#16
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/28323538/relationships-between-a-dissociative-subtype-of-ptsd-and-clinical-characteristics-in-patients-with-substance-use-disorders
#17
Michaela Mergler, Martin Driessen, Christel Lüdecke, Martin Ohlmeier, Claudia Chodzinski, Steffen Weirich, Detlef Schläfke, Dirk Wedekind, Ursula Havemann-Reinecke, Walter Renner, Ingo Schäfer
The increasing support for a dissociative subtype of post-traumatic stress disorder (PTSD-D) has led to its inclusion in DSM-5. We examined relationships between PTSD-D and relevant variables in patients with substance use disorders (SUD). The sample comprised N = 459 patients with SUD. The International Diagnostic Checklist and the Posttraumatic Diagnostic Scale were used to diagnose PTSD. In addition, participants completed the Childhood Trauma Questionnaire and the Dissociative Experiences Scale. The course of SUD was assessed by means of the European Addiction Severity Index...
March 21, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28321873/disintegration-of-the-self-and-the-regeneration-of-psychic-skin-in-the-treatment-of-traumatized-refugees
#18
Monica Luci
This paper presents a tentative understanding of the characteristics of the extreme traumas, elsewhere called 'complex PTSD', that some refugees and asylum-seekers bring into therapy. It suggests that these kinds of traumas suffered during adulthood may involve a disintegration of the self and a loss of 'psychic skin'. This conceptualization is derived from the treatment of a refugee who survived multiple extreme traumas and with whom efforts were made in therapy to identify a complex methodology making use of supplementary therapeutic tools in addition to individual psychotherapy...
April 2017: Journal of Analytical Psychology
https://www.readbyqxmd.com/read/28318449/through-the-lens-of-attachment-relationship-stable-did-active-did-and-other-trauma-based-mental-disorders
#19
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/28318411/predicting-a-dissociative-disorder-from-type-of-childhood-maltreatment-and-abuser-abused-relational-tie
#20
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
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