Treatment of Complex Trauma in Young Children: Developmental and Cultural Considerations in Application of the ARC Intervention Model

The Attachment, Self Regulation, and Competency (ARC) Framework is a theoretically grounded, evidence-informed, promising practice used to treat complex trauma in children and adolescents. This article introduces the ARC model and describes its application with young children of diverse ethnocultural backgrounds involved in the child protection system due to maltreatment. Examination of the clinical application of the ARC model with this population underscores the importance of grounding child complex trauma treatment in the caregiving system.

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Predicting stabilizing treatment outcomes for complex Posttraumatic Stress Disorder and Dissociative Identity Disorder: an expertise-based prognostic model

The purpose of this study was to develop an expertise-based prognostic model for the treatment of complex posttraumatic stress disorder (PTSD) and dissociative identity disorder (DID). We developed a survey in 2 rounds: In the first round we surveyed 42 experienced therapists (22 DID and 20 complex PTSD therapists), and in the second round we surveyed a subset of 22 of the 42 therapists (13 DID and 9 complex PTSD therapists). First, we drew on therapists' knowledge of prognostic factors for stabilization-oriented treatment of complex PTSD and DID.

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Photography as a nursing instrument in mental health care : how to use clients' photo stories for recovery

The general aim of this thesis was to examine how nurses can use photography to assist psychiatric patients in making meaning of experiences of illness and to help them in the process of recovery. The study is based on a hermeneutic-phenomenological perspective, focusing on processes of experiencing and meaning making in the life world. Existential issues, e.g. the way how people give meaning to their suffering, play an important role in this process of being-in-the world.

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Deconstructing delayed posttraumatic stress disorder

The purpose of the research in this book was to establish the prevalence of delayed PTSD and to examine factors that may explain its occurrence. In addition, we aimed at exploring the likelihood and role of prodromal symptoms (symptoms of PTSD that occur during the interval between traumatic event exposure and the onset of full delayed PTSD) and possible implications of delayed PTSD for mental health service utilization.

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Contributors to traumatic exposure and posttraumatic stress disorder in juvenile justice youths

This study considers demographic, offense, and disorder contributors to exposure and posttraumatic stress disorder (PTSD) in a large (N = 9,611) dataset of standardized psychiatric assessments resulting from nationwide collaborations with justice agencies. Youths' antisocial history may elevate risk for traumatic exposure and PTSD, additionally, traumatic victimization increases risk for externalizing behavior. Rates of all types of traumatic exposure and PTSD were clearly elevated and expectably related to disorder and antisocial behavior.

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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.

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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.

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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.

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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.

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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.

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