Journal of Trauma & Dissociation最新文献

Shame as Affect Regulation in Dissociative Identity Disorder.

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2025-01-03 DOI: 10.1080/15299732.2024.2448419

Richard A Hohfeler

引用次数: 0

Didn't Even Blink: Dissociation, Complex Trauma Exposure and Decreased Startle Reactivity.

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-12-17 DOI: 10.1080/15299732.2024.2429445

Wendy D'Andrea, Steven Freed, Jonathan DePierro, Brady Nelson, Christopher Seemann, Scott McKernan, Thomas Wilson, Nnamdi Pole

{"title":"Didn't Even Blink: Dissociation, Complex Trauma Exposure and Decreased Startle Reactivity.","authors":"Wendy D'Andrea, Steven Freed, Jonathan DePierro, Brady Nelson, Christopher Seemann, Scott McKernan, Thomas Wilson, Nnamdi Pole","doi":"10.1080/15299732.2024.2429445","DOIUrl":"https://doi.org/10.1080/15299732.2024.2429445","url":null,"abstract":"The startle eyeblink reflex is thought to function as a means of orienting to salient stimuli, and, by proxy, sensitivity to threat cues. The absence or attenuation of this reflex may thus suggest disengagement from one's environment, potentially in circumstances when engagement is called for, and, therefore, may serve as a potential marker for dissociation as it occurs. The present study investigates whether individual differences in startle response magnitude and habituation are attributable to early and multiple trauma exposure, dissociation, and PTSD symptom severity. Fifty-four Black college students with at least one traumatic event completed self-report measures of trauma exposure, PTSD symptoms, and in-task dissociation, and underwent a standard acoustic startle task. Startle data were analyzed for quadratic trauma feature (symptoms/exposure) by time interactions in order to detect nonlinear decreases in reactivity. Participants with earlier trauma (before age 6) and greater in-task dissociation showed significantly decreased startle reactivity, but neither multiple trauma exposures nor PTSD were related to startle reactivity. Contrary to expectations of solely exaggerated startle reactivity, the group with early life trauma exposure and dissociative experiences had attenuated startle reactivity compared to their peers with later-onset exposure and lower dissociation. Data are consistent with the existing literature on DSM-5 Dissociative subtype of PTSD, and supports the notion that some symptomatic individuals may in fact benefit from greater engagement with their environments, which may counter a notion of habituation to stressors as a primary therapeutic goal.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-20"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Mediating Role of Emotion Regulation and Basic Psychological Needs: Association Between Childhood Trauma and Young Adults' Psychological Functioning from a Self-Determination Theory Perspective.

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-12-03 DOI: 10.1080/15299732.2024.2429474

Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa

{"title":"The Mediating Role of Emotion Regulation and Basic Psychological Needs: Association Between Childhood Trauma and Young Adults' Psychological Functioning from a Self-Determination Theory Perspective.","authors":"Asma Rashid, Jolene van der Kaap-Deeder, Mariangela Abbate, Sebastiano Costa","doi":"10.1080/15299732.2024.2429474","DOIUrl":"https://doi.org/10.1080/15299732.2024.2429474","url":null,"abstract":"Numerous studies have shown the detrimental effects of childhood trauma on individuals' psychological functioning. This study examined the relation from childhood traumatic experiences to dissociation, life satisfaction, and attitude toward seeking psychological help while additionally shedding light on the possible mediating role of emotion regulation and basic psychological needs based on the framework of Self-Determination Theory (SDT). Using a cross-sectional design, data were collected from 489 Italian young adults (Mage = 23.63, SDage = 3.53, 68.7% female) through an online survey. Findings indicated positive associations between childhood trauma and emotion dysregulation, suppression, need frustration, and dissociation. In contrast, negative associations were found with emotion integration, need satisfaction, life satisfaction, and attitude toward seeking psychological help. Structural equation modeling analysis supported the hypothesized indirect associations, suggesting that childhood trauma is indirectly associated with 1) higher levels of dissociation through increased emotion dysregulation, emotion suppression, and need frustration; 2) lower life satisfaction via higher emotion dysregulation and need frustration, as well as diminished need satisfaction and emotion integration; and 3) less positive attitude toward seeking psychological help by elevated emotion suppression and reduced emotion integration. These findings validate SDT as a potent framework for understanding the nuanced pathways from childhood trauma to adult psychological functioning, providing the groundwork for intervention development and a pathway for further exploration with clinical populations.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-22"},"PeriodicalIF":2.3,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Betrayal Trauma and Personality Pathology: An Integrated Review. 背叛创伤与人格病理学：综合评论》。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-11-21 DOI: 10.1080/15299732.2024.2429465

Matthew M Yalch, Abbey L Robbins

{"title":"Betrayal Trauma and Personality Pathology: An Integrated Review.","authors":"Matthew M Yalch, Abbey L Robbins","doi":"10.1080/15299732.2024.2429465","DOIUrl":"https://doi.org/10.1080/15299732.2024.2429465","url":null,"abstract":"Personality pathology is a common and debilitating problem for many, and among the factors associated with personality pathology is trauma. Recent research on the association between personality pathology and trauma has highlighted the role of trauma perpetrated by a person whom the victim trusts and/or relies upon for support (i.e., betrayal trauma). There is an increasing number of studies on the association between betrayal trauma and a range of different forms of personality pathology, although neither these studies nor the more general bodies of the literature on which they draw (i.e., in both trauma and personality pathology) have been meaningfully integrated. The goals of this paper are threefold. We first review relevant theories and research on trauma (definition, diagnosis, and different typologies, including betrayal trauma) and personality pathology (conceptualization, risk factors). Second, we review and integrate research on the association between betrayal trauma and different forms of personality pathology (e.g. antisocial/psychopathic, borderline, histrionic, narcissistic, obsessive-compulsive, schizoid, and schizotypal). Finally, we use this integration to suggest directions for future research on and clinical application with respect to the intersection of betrayal trauma and personality pathology.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-19"},"PeriodicalIF":2.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Child Dissociation: The Descriptive Psychopathology Analysis of a Case. 儿童分离：一个病例的描述性精神病理学分析。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-11-10 DOI: 10.1080/15299732.2024.2425087

Wing Ki Kwok, Chui-De Chiu, Bethany L Brand, Leong Ki Nicky Chan, Hoi Lam Ho

{"title":"Child Dissociation: The Descriptive Psychopathology Analysis of a Case.","authors":"Wing Ki Kwok, Chui-De Chiu, Bethany L Brand, Leong Ki Nicky Chan, Hoi Lam Ho","doi":"10.1080/15299732.2024.2425087","DOIUrl":"https://doi.org/10.1080/15299732.2024.2425087","url":null,"abstract":"With a reliable retrospective link to early-life traumatic stress, dissociation has been formulated as a pathology of abnormal socioemotional development. Dissociation hence should be identifiable and diagnosable in childhood. This study aimed to address the extent to which current formulation and diagnostic criteria of adult dissociation is applicable to children. This case study documented and analyzed the potentially dissociative experiences and behaviors in a 11-year-old boy from a residential facility accommodating children from high-risk families. The first-person account from the child client about his potentially dissociative experiences and the observations of the clinician witnessing the targeted behaviors were documented, revealing a symptom profile similar to adult dissociation. Dissociation disrupted multiple domains of typically integrated mental functioning including memory, consciousness, and the sense of self. The child client presented unusual forgetfulness that was observed by others, while the child himself was able to describe experiences involving gaps in consciousness and a fragmented and disconnected sense of self. This case study renders support for the current formulation of dissociative pathology and its applicability to high-risk cases in early developmental stages. This finding also indicates the importance of trauma-informed care in child residential settings. With gentle guiding prompts, children are able to recognize and articulate unusual experiences, facilitating the early identification of dissociation.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-13"},"PeriodicalIF":2.3,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 更正。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-11-04 DOI: 10.1080/15299732.2024.2423482

引用次数: 0

Presidential Editorial. 总统社论。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-10-27 DOI: 10.1080/15299732.2024.2421590

D Michael Coy

引用次数: 0

The Detection of Invalid Responses Using the Dissociative Experiences Scale-V (DES-V). 使用分离性体验量表-V（DES-V）检测无效反应。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-10-10 DOI: 10.1080/15299732.2024.2407762

Kenneth J Thompson, Rachel R Katz, Lillian C Mecum, Constance J Dalenberg

{"title":"The Detection of Invalid Responses Using the Dissociative Experiences Scale-V (DES-V).","authors":"Kenneth J Thompson, Rachel R Katz, Lillian C Mecum, Constance J Dalenberg","doi":"10.1080/15299732.2024.2407762","DOIUrl":"https://doi.org/10.1080/15299732.2024.2407762","url":null,"abstract":"The Dissociative Experiences Scale (DES) is the most widely used self-report measure of dissociation but lacks a validity scale. Abu-Rus et al. (2020) created the DES-V by embedding atypical and inconsistency items in the DES, ultimately concluding that atypicality demonstrated the greatest ability to differentiate honest respondents from feigners. Among their study limitations, Abu-Rus et al. noted the homogeneous nature of their clinical group (i.e., largely comprising individuals with PTSD) and the potential need to refine the existing atypicality items for a more heterogenous dissociation population. The current study aimed to refine the DES-V by enlisting dissociation experts to improve the believability of the atypical items (while simultaneously ensuring they did not betoken any actual dissociative symptomology) and by supplementing the online sample with a clinical sample that included a broad range of dissociative disorders. Data cleaning comprised eight different techniques, to better ensure the validity of the online sample. Honest and Feigning groups completed the assessments through Amazon's Mechanical Turk; the clinical dissociative disorder group completed hard copy versions. The atypicality scale discriminated the three groups well, with the Feigning group scoring significantly higher than both of the honest groups (online and clinical). The mean atypicality scores of the two honest groups did not differ significantly. In addition, the scale incremented over the original DES-V in a logistic regression predicting honest and feigning participants. These robust results suggest that the revised DES-V could provide researchers with a valuable tool for validating online samples with greater precision - an increasingly vital need in light of the growing reliance on online samples.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It Will Always Feel Worse Because it Comes with That Added 'Betrayal'": Intersectionality Praxis and Black Young Women Survivors' Perspectives on Cultural Betrayal Trauma Theory. "感觉总是会更糟，因为它带有'背叛'的色彩"：交叉性实践与黑人年轻女性幸存者对文化背叛创伤理论的看法。

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1080/15299732.2024.2383197

Jennifer M Gómez, Robyn L Gobin

{"title":"\"It Will Always Feel Worse Because it Comes with That Added 'Betrayal'\": Intersectionality Praxis and Black Young Women Survivors' Perspectives on Cultural Betrayal Trauma Theory.","authors":"Jennifer M Gómez, Robyn L Gobin","doi":"10.1080/15299732.2024.2383197","DOIUrl":"10.1080/15299732.2024.2383197","url":null,"abstract":"Because of interlocking oppressions of racism and sexism (e.g. intersectionality), Black women's experiences of high rates of sexual violence are often ignored. A critical Black feminist framework, cultural betrayal trauma theory (CBTT) examines within-group violence in the Black community, which has compounding harm due to inequality. Though quantitative research has found support for CBTT, Black young women survivors' perspectives have not been examined. Therefore, the purpose of the current exploratory study was to engage in intersectionality praxis to qualitatively examine Black young women survivors' perspectives on CBTT through structured thematic analysis and coding based on theory. Respondents (N = 37; 18-30 years), provided their thoughts on CBTT following participating in a quantitative study. With most survivors in agreement that cultural betrayal in trauma is harmful, a key theme was community orientation in understanding both the harm and healing of cultural betrayal trauma. Black young women survivors' resonance with CBTT, as well as their recommendations for community-level solidarity and healing have important implications.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"656-673"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study. 边缘型人格障碍患者和人格障碍比较对象的解离过程和预测：24年跟踪研究

IF 2.3 3区医学

Journal of Trauma & Dissociation Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI: 10.1080/15299732.2024.2383192

Isabella J M Niesten, Isabel V Glass, Mary C Zanarini

{"title":"Course and Prediction of Dissociation in Patients with Borderline Personality Disorder and Personality-Disordered Comparison Subjects: A 24-Year Follow-Up Study.","authors":"Isabella J M Niesten, Isabel V Glass, Mary C Zanarini","doi":"10.1080/15299732.2024.2383192","DOIUrl":"10.1080/15299732.2024.2383192","url":null,"abstract":"The first purpose of this study was to determine the course of dissociation among patients with borderline personality disorder (BPD) and personality-disordered comparison subjects (OPD) over 24 years of prospective follow-up. The second purpose was to determine clinically meaningful predictors of dissociation among patients with BPD. The Dissociative Experiences Scale (DES) was administered to 290 patients with BPD and 72 personality-disordered comparison subjects at baseline, and then once every two years over 24 years of prospective follow-up. Baseline predictors were assessed with the Revised Childhood Experiences Questionnaire (CEQ-R), the SCID-I, and the Shipley Institute of Living Scale. Time-varying predictors were assessed at baseline and every subsequent two years by means of the Abuse History Interview (AHI). Patients with BPD had higher baseline dissociation scores than personality-disordered comparison subjects. Whilst dissociation decreased significantly over time for both patient groups, the BPD group showed a steeper decline. Severity of childhood sexual abuse, adult history of rape, adult history of partner violence, and IQ were multivariate predictors of dissociation among patients with BPD. Taken together, the present findings suggest that a combination of interpersonal trauma exposure and cognitive abilities may contribute to the severity of dissociation in adult patients with BPD.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":" ","pages":"613-627"},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0