Journal of Trauma & Dissociation最新文献

{"title":"How Healthcare Providers Reconcile Bad Things Happening to Good Patients: The Role of Just World Beliefs in Attitudes toward Trauma-Informed Care.","authors":"Candice N Selwyn,&nbsp;Emma C Lathan,&nbsp;Terrie Platt,&nbsp;Leigh Minchew","doi":"10.1080/15299732.2023.2195404","DOIUrl":"10.1080/15299732.2023.2195404","url":null,"abstract":"<p><p>Despite prevalent trauma exposure among patients seeking health care, as well as widespread frameworks for enacting trauma-informed care, the uptake of trauma-informed practices such as trauma screening and referral among health-care providers remains relatively low. The current study sought to assess the roles of health-care providers' personal histories of adverse childhood experiences (ACEs) and personal beliefs in the just-world hypothesis in understanding their attitudes toward trauma-informed care. Advanced practice graduate nursing students (<i>N</i> = 180; <i>M</i> age = 34.6 years) completed a self-reported survey assessing their personal history of ACEs, global belief in a just world, and attitudes related to trauma-informed care. Results indicated the relation between providers' ACEs and attitudes toward trauma-informed care was fully mediated by their beliefs in a just world, such that providers reporting higher ACEs scores also report greater endorsement of attitudes consistent with trauma-informed care due to less belief in a just world. Implications for both health-care providers' themselves and cultural shifts necessary for provision of trauma-informed health care are discussed.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 5","pages":"640-654"},"PeriodicalIF":3.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9916742","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}

{"title":"Moral injury appraisals and dissociation: Associations in a sample of trauma-exposed community members.","authors":"Emma C Lathan, Ifrah S Sheikh, Alfonsina Guelfo, Khaled C Choucair, Travis Fulton, Jacob Julian, Yara Mekawi, Joseph M Currier, Abigail Powers, Negar Fani","doi":"10.1080/15299732.2023.2231010","DOIUrl":"10.1080/15299732.2023.2231010","url":null,"abstract":"<p><p>Appraisal of trauma is a critical factor in the development of impairing post-traumatic stress symptoms, such as dissociation. Individuals may appraise trauma as morally injurious (i.e., moral injury exposure [MIE]) and experience subsequent moral distress related to this exposure (i.e., moral injury distress [MID]). To date, however, investigation into the relations between moral injury appraisals and dissociation has been limited, particularly within community populations. This study investigated MIE and MID in relation to six facets of dissociation (disengagement, depersonalization, derealization, memory disturbances, emotional constriction, identity dissociation) in a sample of trauma-exposed community members (<i>n</i> = 177, 58.2% Black, 89.3% female) recruited from a public hospital and/or community advertisements. Participants completed measures assessing trauma exposure, MIE, MID, dissociation, and posttraumatic stress disorder (PTSD) symptoms. Partial correlation analyses revealed that after controlling for PTSD symptoms, MIE was correlated with disengagement, <i>r</i> = .23, <i>p</i> ≤ .025, and depersonalization, <i>r</i> = .25, <i>p</i> ≤ .001, and MID was correlated with depersonalization, <i>r</i> = .19, <i>p</i> ≤ .025. Sex moderated each association, with stronger associations observed for female participants. Findings suggest that moral injury appraisals are linked to more severe dissociative symptoms among female civilians, and as such, may need to be specifically targeted in empirically supported treatments.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 5","pages":"692-711"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10771817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Straight Talking Introduction to the Causes of Mental Health Problems (2nd Ed.)","authors":"C. D. Brown","doi":"10.1080/15299732.2023.2234535","DOIUrl":"https://doi.org/10.1080/15299732.2023.2234535","url":null,"abstract":"","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 1","pages":"713 - 714"},"PeriodicalIF":3.3,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45400748","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}

{"title":"Dissociation Made Simple: A Stigma-free Guide to Embracing your Dissociative Mind and Navigating Daily Life","authors":"K. Weiner","doi":"10.1080/15299732.2023.2234531","DOIUrl":"https://doi.org/10.1080/15299732.2023.2234531","url":null,"abstract":"Dissociation Made Simple, the title of the new book by Jamie Marich, is also the first paradox she presents to the reader because, of course, dissociation is anything but simple. She uses dialectics, a therapeutic approach that balances opposing ideas, throughout the book to help readers understand the complexity of dissociation while making it totally accessible. Her mastery of dialectics to help the reader deal with difficult and important theories is incomparable. Her writing style is engaging and accessible. The first thing Marich wants everyone to know is that “dissociation” is not a dirty word. The psychological process is a healthy, normal adaptation to an unhealthy, abnormal situation. Once learned, this can be used in the most simple of ways to escape even mildly boring situations. It is not the condition itself, but the manner in which it can be used, that makes it problematic or not. One of the strengths of Dissociation Made Simple is Marich’s emphasis on destigmatizing dissociation encouraging readers to approach dissociative experiences with curiosity and compassion rather than judgment. Marich covers a wide range of topics related to dissociation, including the different types of dissociation, the relationship between dissociation and trauma, and the role of mindfulness and other grounding techniques in managing dissociative symptoms. She also provides practical tips and exercises for individuals experiencing dissociation and for therapists working with dissociative clients. Throughout the book, she provides readers with tools for keeping themselves as safe as possible while reading things that might be triggering. The entire book is a dance with dialectics. There is scientific support as well as individual report. The reporters are about as diverse as one sees in such a book, ranging from a white male therapist to an Asian Shaman and Indigenous healers. This blending is a challenge and a gift to one’s mind. Overall, Dissociation Made Simple is an insightful and compassionate resource that promotes understanding and healing. Marich’s ability to write about dialectics and her emphasis on destigmatizing dissociation make this book stand out as an exceptional resource for anyone seeking to better understand dissociation and its impact on people and society.","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 1","pages":"712 - 712"},"PeriodicalIF":3.3,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44790678","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}

{"title":"VIOLENCE, TRAUMA, AND COLONIALISM: A STRUCTURAL APPROACH TO UNDERSTANDING THE POLICY LANDSCAPE OF INDIGENOUS REPRODUCTIVE JUSTICE.","authors":"Autumn Asher BlackDeer","doi":"10.1080/15299732.2023.2212402","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212402","url":null,"abstract":"<p><p>Indigenous peoples in the U.S. have the highest rates of violence against women, disproportionate representation in the child welfare system, and exorbitant amounts of traumatic injuries among all ethnic groups within the U.S. yet discussions of trauma and violence against Native communities fail to consider the ongoing influence of settler colonialism. Too often trauma-focused work takes an individualist approach while policy work focuses on the collective, leading to a siloed approach in which micro-trauma work misses policy influences and in which policy work fails to seriously consider the ongoing trauma and violence experienced by Native Nations. Through the application of three Indigenous theoretical models that account for both historic and ongoing colonial influence, this work introduces relevant issues in the policy landscape of reproductive justice for Indigenous communities that are essential for trauma scholars and practitioners to understand.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"453-470"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945638","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}

{"title":"Reproductive Coercion Victimization and Associated Mental Health Outcomes Among Female-Identifying Young Adults.","authors":"Emily A Muñoz, Ryan C Shorey, Jeff R Temple","doi":"10.1080/15299732.2023.2212407","DOIUrl":"10.1080/15299732.2023.2212407","url":null,"abstract":"<p><p>Reproductive coercion is a serious public health problem. Victimization has been associated with poor mental health outcomes, including symptoms of posttraumatic stress disorder (PTSD) and depression in clinical and college samples. We build on these findings by examining the association between reproductive coercion victimization and mental and behavioral health outcomes, including depression, PTSD symptoms, anxiety, and drinking behaviors in a diverse community-derived sample of female-identifying young adults (mean age = 20; SD=.72). Participants (<i>n</i> = 368) were originally recruited as part of a study on dating violence in seven Texas public high schools. Participants completed an online study that included demographic questions and measures that assessed the variables of interest. Results of regression analyses showed that reproductive coercion victimization predicted depression, anxiety, and PTSD symptoms, after controlling for race, sexual orientation, and age. The findings also revealed that victims of reproductive coercion were more likely consume more drinks per drinking occasion compared to their non-victimized counterparts. These results add to the growing literature that experiencing reproductive coercion is a risk marker for poor mental and behavioral health. To develop targeted prevention and intervention programs, future research should examine potential mechanisms underlying this relationship.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"538-554"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9880947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"WHEN REPRODUCTION IS NO LONGER AUTONOMOUS: FEELING RESPECTED BY MATERNITY CARE PROVIDERS MODERATES THE ASSOCIATION BETWEEN AUTONOMY IN DECISION MAKING AND BIRTH-RELATED PTSD SYMPTOMS IN A COMMUNITY SAMPLE OF POSTPARTUM BLACK WOMEN.","authors":"Emma C Lathan, Abby Britt, Meghna Ravi, Marcia J Ash, Elizabeth McAfee, Shimarith Wallace, Colin B Johnson, Briana Woods-Jaeger, Abigail Powers, Vasiliki Michopoulos","doi":"10.1080/15299732.2023.2212406","DOIUrl":"10.1080/15299732.2023.2212406","url":null,"abstract":"<p><p>Black individuals are at particularly high risk for birth-related posttraumatic stress disorder (PTSD) symptoms, in part due to a lack of opportunity to lead maternity care decisions. Maternal care providers need evidence-based ways to reduce pregnant persons' risk for birth-related PTSD symptoms despite reduced autonomy in decision making resulting from heightened restrictions on reproductive rights. We investigated whether a potential relation between autonomy in decision making and birth-related PTSD symptoms would be moderated by being mistreated or feeling respected by maternity care providers in a community sample of Black women (N = 52; M_age = 28.2 years, SD_age = 5.7 years) seeking maternity care at a public hospital in the southeastern United States. At six weeks postpartum, participants completed measures assessing autonomy in decision making, current birth-related PTSD symptoms, number of mistreatment events, and feelings of respect from providers during pregnancy, childbirth, and the postpartum period. Autonomy in decision making was negatively correlated with birth-related PTSD symptoms, <i>r</i>=-.43, p < .01. An interaction between autonomy in decision making and mistreatment by providers was trending toward significance, B=-.23, SE=.14, p = .10. Autonomy in decision making and feeling respected by maternity care provider interacted to predict birth-related PTSD symptoms, B = .05, SE=.01, p < .01. Feeling respected by providers may buffer against the negative effects of lack of autonomy in decision making on birth-related PTSD symptoms, highlighting the importance of providers' ability to convey respect to pregnant patients when they cannot lead care decisions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"520-537"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10330569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10064572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TRAUMA, VIOLENCE, & REPRODUCTIVE RIGHTS.","authors":"Heather L McCauley,&nbsp;Maria-Ernestina Christl,&nbsp;Anne P DePrince","doi":"10.1080/15299732.2023.2212401","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212401","url":null,"abstract":"In June 2022, the Supreme Court overturned Roe v. Wade with the Dobbs decision (Davis, 2022). Early media coverage turned attention to whether socalled state “trigger” laws outlawing abortion care made exceptions in cases of rape or incest. The media frame relegated abortion access to an issue after victimization and a matter specific to sexual violence (Cineas, 2022). We assessed things differently as researchers working on intimate violence from disciplinary perspectives that span clinical psychology, social epidemiology, and social work. After all, our fields had a name for forcing people to stay pregnant: reproductive coercion, defined as behavior “that interferes with the autonomous decision-making” about reproductive health (Grace & Anderson, 2018). At the time of the Dobbs decision, research on reproductive coercion had been growing, documenting the prevalence and correlates of this form of intimate violence (Basile et al., 2018; Grace et al., 2022; Miller et al., 2010). A 2018 systematic review by Grace and Anderson outlined three interconnected forms of reproductive coercion: birth control sabotage (interfering with contraceptive and condom use), pregnancy coercion (threatening or pressuring a partner to get pregnant), and abortion coercion (threatening or pressuring a partner to get or not get an abortion). Empirical studies documented that reproductive coercion begins as early as adolescence (Hill et al., 2019; PettyJohn et al., 2021), and disproportionately affects marginalized and minoritized groups (Alexander et al., 2016; Holliday et al., 2017; McCauley et al., 2015). Yet, much remained unknown, particularly in terms of the structural determinants underpinning early patterns as well as the ways that broader family systems, communities, and governments may perpetrate reproductive coercion to maintain inequitable power systems. It was our sense at the time – and remains so today – that research would be critical to revealing the scope of the problem of reproductive coercion at this time of enormous policy change. Furthermore, we believed that trauma science and practice has an especially important role to play because of the field’s approach to understanding that individual, community, and system dynamics work together to shape risk for, response to, and healing from traumatic stress. Thus, this Special Issue of the Journal of Trauma & Dissociation (JTD) explores the intersection of trauma, violence, and reproductive rights. We include six articles that present theory, literature review, and empirical data to advance discourse about trauma and reproductive JOURNAL OF TRAUMA & DISSOCIATION 2023, VOL. 24, NO. 4, 445–452 https://doi.org/10.1080/15299732.2023.2212401","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"445-452"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589407","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}

{"title":"Experiences of Exploitation and Associations With Economic Abuse in Adolescent Dating Relationships: Findings From a U.S. Cross-Sectional Survey.","authors":"Sarah Scott,&nbsp;Daniel R Lavage,&nbsp;Geeta Acharya,&nbsp;Lauren Risser,&nbsp;Sarah Gonzalez Bocinski,&nbsp;Elizabeth A Walker,&nbsp;Kimberly A Randell,&nbsp;Maya I Ragavan,&nbsp;Elizabeth Miller","doi":"10.1080/15299732.2023.2212404","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212404","url":null,"abstract":"<p><p>Adolescent relationship abuse (ARA) (i.e. physical, sexual, psychological, or economic abuse in the context of romantic relationships) is associated with adverse health outcomes, including anxiety, depression, suicidality, unintended pregnancy, and substance misuse. A related phenomenon, reproductive coercion involves interference with the reproductive decision making of a partner with the intention of promoting pregnancy or controlling outcomes of a pregnancy. Reproductive coercion is associated with unintended pregnancy, partner violence, and sexually transmitted infections. Little is known about the intersection between economic ARA, sexual exploitation, and reproductive coercion. This paper explores the intersections between reproductive coercion, transactional sex, and economic abuse victimization in adolescent dating relationships. In an online survey, 1,752 adolescents (ages 13-17) were asked about economic adolescent relationship abuse (educational, employment and financial interference), transactional sex, reproductive coercion, and contraceptive access within their relationships. We assessed associations with chi-square tests and logistic regression analysis. Youth who experienced economic ARA (70%, 1,232) reported financial dependence on their partner, contraceptive access, and reproductive coercion (74-83%; p-values<0.001) more often than their counterparts without economic ARA. Adolescents experiencing economic abuse were more likely to report transactional sex (aOR = 2.76, CI [2.12, 3.60], <i>p</i> < .001), depending on a partner to pay for contraception or birth control (aOR = 2.20, CI [1.71, 2.84], <i>p</i> < .001), and reproductive coercion (aOR = 3.20, CI [2.37, 4.32], <i>p</i> < .001). Youth-serving providers and agencies should be aware of intersections between economic ARA, transactional sex, financial dependence, and reproductive coercion, particularly for adolescents with health-related social needs.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"489-505"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9961896","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}

{"title":"BARRIERS TO REPORTING AND LACK OF EQUITABLE SUPPORT: ABORTION ACCESS FOR ADULTS WITH AUTISM EXPERIENCING RAPE-RELATED PREGNANCY POST-ROE.","authors":"Kirsten M Greer,&nbsp;Ivanka Simić Stanojević,&nbsp;Kyla M Cary,&nbsp;Morgan E PettyJohn,&nbsp;Jennifer J Piatt,&nbsp;William L Yarber","doi":"10.1080/15299732.2023.2212405","DOIUrl":"https://doi.org/10.1080/15299732.2023.2212405","url":null,"abstract":"<p><p>Following the overturning of Roe v. Wade, individuals with autism experience unique barriers to accessing abortion for rape-related pregnancies in states restricting reproductive health care. Barriers to reporting rape include inadequate sex education which contributes to a lack of information about sexual violence (SV), difficulties labeling and recognizing SV, and potential difficulties navigating the role of a caregiver or conservator when reporting SV. Individuals with autism often experience a lack of equitable support from formal SV support services. Both barriers to reporting and lack of equitable support from formal SV support services reflect that individuals with autism are marginalized and often overlooked when receiving sexual and reproductive health care. Suggestions are provided for sexuality educators, SV support services, police, healthcare providers and policymakers, for better supporting individuals with autism experiencing rape-related pregnancy in states with abortion restrictions.</p>","PeriodicalId":47476,"journal":{"name":"Journal of Trauma & Dissociation","volume":"24 4","pages":"506-519"},"PeriodicalIF":3.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9589834","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}