Childhood traumatization by primary caretaker and affect dysregulation in patients with borderline personality disorder and somatoform disorder

Affect regulation is often compromised as a result of early life interpersonal traumatization and disruption in caregiving relationships like in situations where the caretaker is emotionally, sexually or physically abusing the child. Prior studies suggest a clear relationship between early childhood attachment-related psychological trauma and affect dysregulation.

Can we facilitate posttraumatic growth in combat veterans?

The Comprehensive Soldier Fitness program, currently under development for the U.S. Army, will include a component designed to increase the possibilities for posttraumatic growth in the aftermath of combat. In this article, the author's briefly review studies that provide evidence for this phenomenon in combat veterans, and they suggest elements that such a program might include to facilitate posttraumatic growth. They urge the Army to conduct randomized controlled trials testing the efficacy of the program prior to its implementation.

Assessing the Sensitivity and Specificity of the MAYSI-2 for Detecting Trauma among Youth in Juvenile Detention

This study investigated the sensitivity and specificity of the most widely used mental health screening instrument in juvenile detention, the Massachusetts Youth Screening Instrument (MAYSI-2), for detecting trauma and symptoms of posttraumatic stress disorder (PTSD) among detained youth. The MAYSI-2 scales measuring Substance Use, Anger/Irritability, Depression/Anxiety, and Traumatic Experiences contributed to the prediction of PTSD symptoms, however, only Depression/Anxiety contributed to the prediction of associated symptoms for girls.

Ambiguous Expectations and Reduced Confidence: Experience of Somali Refugees Encountering Swedish Health Care

The purpose of this study was to explore Somali refugees' experience of their encounters with Swedish health care. Individual interviews with 20 Somalis were transcribed verbatim and interpreted according to a hermeneutic approach. The findings were expressed in three themes. The first theme, 'expectations when approaching health care', conveys an ambivalence regarding confidence and expectations of treatment and care.

ADHD and Complex Trauma: A Descriptive Study of Hospitalized Children in an Urban Psychiatric Hospital

This paper embarks on a descriptive exploration of the relations between ADHD and Complex Trauma among children in an urban psychiatric hospital. To date, these two diagnostic categories have not been examined in concert. This study was based upon chart reviews of 79 children and adolescents who were receiving treatment at an urban children's psychiatric hospital. The Hospitalized Child and Adolescent Trauma and Psychopathology Questionnaire was completed for each participant and information regarding demographics, diagnosis, and complex trauma.

Narratives of suffering of South Asian immigrant survivors of domestic violence

This article examines the narratives of suffering expressed by a group of South Asian immigrant survivors of domestic violence who accessed a mental health clinic in New York City. These accounts illustrate women's own perceptions of their suffering and symptoms and provide a window into the South Asian immigrant community's ideologies and moral domains regarding gender, violence, and sickness,...

Langzeitverläufe stationärer Psychotherapie bei komplexen Traumafolgestörungen

Das integrative Behandlungskonzept der Station 9 im Asklepios Fachklinikum Göttingen vereint die Psychodynamisch Imaginative Traumatherapie (PITT), Eye Movement Desensitization and Reprocessing (EMDR) sowie Elemente der Dialektisch Behavioralen Therapie (DBT). Behandelt werden Frauen mit komplexen posttraumatischen Symptombildern überwiegend nach Typ-II-Traumatisierungen. Die kurzfristige...

Was passiert nach der stationären Stabilisierung mit komplex traumatisierten PTB-Patientinnen? Die Bedeutung von Stabilisierung und Konfrontation für die Behandlung traumatisierter Frauen

Female patients diagnosed with posttraumatic stress disorder (PTSD) and additional complex backgrounds mostly receive stabilizing interventions when they are transferred into German inpatient treatments. This is assuming that patients after successful stabilization will be treated afterwards with trauma-confrontational methods in an outpatient setting. The following publication has two goals: First is to offer a quantitative literature review pertaining to stabilization and confrontational methods for patients with complex PTSD.

Underdiagnosis of posttraumatic stress disorder in at risk youth

Three studies examined the diagnosis of posttraumatic stress disorder (PTSD) in agencies treating at risk youth. Studies 1 and 2 (1999) found that baseline PTSD diagnosis was rare in a residential and an outpatient agency (2.3% and 5.4%, respectively) whereas trauma-focused interviews identified PTSD in 47.7% and 44.6% of these clients. Subsequent training efforts increased awareness of PTSD and recognition of unique issues in assessing at risk youth.

Can Asylum-Seekers with Posttraumatic Stress Disorder Be Successfully Treated? A Randomized Controlled Pilot Study

Rates of posttraumatic stress disorder (PTSD) are exceptionally high among asylum-seekers. Reportedly, stressors caused by the asylum procedure and psychological consequences of torture contribute to the maintenance of symptoms and interfere with treatment. In a pilot randomized controlled trial, the authors examined the efficacy of trauma-focused treatment in 32 asylum-seekers with PTSD resulting from state-sponsored violence and other traumatic events. Narrative exposure therapy (NET) was compared with treatment as usual (TAU), with a focus on stabilization and psychoactive medication.