The role of attachment in the relationship between child maltreatment and later emotional and behavioral functioning

The experience of childhood maltreatment is an important predictor of unfavorable emotional and behavioral outcomes. Because little research examined explanatory variables in the relationship between childhood maltreatment experiences and later outcomes, this study examined the role that attachment serves in this relationship. Four hundred twenty-four participants completed questionnaires assessing the variables of interest for this study. Results indicated that both childhood maltreatment experiences (particularly emotional abuse) and attachment (particularly to mothers and peers) are significant predictors of later emotional and behavioral outcomes. Further, attachment contributed unique and significant variance to the relationship between childhood maltreatment experiences and later outcomes. Such findings suggested that secure attachment may serve as a protective factor against maladaptive emotional and behavioral outcomes as children reach emerging adulthood, even in the context of childhood maltreatment experiences. The importance of studying the relationships among these variables is discussed.     

Giving a voice to traumatized youth—Experiences with Trauma-Focused Cognitive Behavioral Therapy

The efficacy of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has been shown in several randomized controlled trials. However, to our knowledge no one has studied the TF-CBT model from a user's perspective. The objective of this study was to explore traumatized youths’ experiences of receiving TF-CBT. Thirty youths between 11 and 17 years old (M = 15, SD = 1.8) were interviewed using a semi-structured interview guide after they had received TF-CBT as part of an effectiveness trial. The interviews were analyzed according to thematic analysis. The youths’ responses were grouped into four themes: (1) expectations, (2) experiences of talking to the therapist and sharing information, (3) experiences of trauma narrative work, and (4) experiences of change and change processes. Findings showed how an initial fear of talking about traumatic events and not knowing what to expect from therapy was reduced when the youth experienced the therapist as empathetic and knowledgeable. Talking to the therapist was experienced as positive because of the therapist's expertise, neutrality, empathy, and confidentiality. Talking about the trauma was perceived as difficult but also as most helpful. Learning skills for reducing stress was also perceived as helpful. Important change processes were described as resuming normal functioning and getting “back on track,”, or as acquiring new perspectives and “moving forward.” Because TF-CBT is recommended as a first line treatment for traumatized youth and treating posttraumatic stress may entail special challenges, understanding more about how youths experience this mode of treatment contributes to our knowledge base and may help us tailor interventions.     

Holocaust Perversions: The Stalags Pulp Fiction and the Eichmann Trial

The Stalags, an Israeli pulp fiction series whose advent coincided with the 1961 trial of Adolf Eichmann in Jerusalem, portrayed sadomasochistic scenarios between SS female guards and Allied soldiers in POW camps. Written in Hebrew by native Israelis, these cheap pocketbooks were enormously popular with Israeli teenagers, many of whom were children of Holocaust survivors. We posit the Stalags (a) as a fictional counterpart of the trial, complementing the legal procedure with feats of the imagination, and (b) as a text upon which the Israeli young generation negotiated issues of power and identity.     

Developmental timing of polyvictimization: Continuity,change, and association with adverse outcomes in adolescence

Children who experience polyvictimization (i.e., exposure to multiple and varied traumatic stressors) are at heightened risk for psychopathology. While polyvictims generally have worse outcomes than those with fewer types of traumatic experiences, not all polyvictims experience significant, or similar, impairment suggesting that polyvictims are a heterogeneous group. This variation in outcomes among polyvictimized children, may be due to differences in how polyvictimization is operationalized and measured. The current study examines a clinically-referred sample of adolescents (N = 3754) aged 13–18 (M = 15.3, SD = 1.4) to examine whether polyvictimization in early developmental age periods predict polyvictimization in later periods and whether there are differences in severity of adolescent psychopathology based on variations in timing of polyvictimization in childhood and adolescence. Results from latent class analysis (LCA) reveal the greater the number of developmental periods in which adolescents were classified as polyvictims, the greater the severity of PTSD, externalizing problems, and internalizing problems. In addition, there was variation in the relation between developmental timing of polyvictimization and different types of adolescent psychopathology.     

Early life stress moderates the relationship between age and prosocial behaviors

BackgroundSeveral studies suggest that prosocial behaviors gradually increase with age, but others report that prosocial behaviors are fixed traits with only minor fluctuations throughout the lifespan. Early life stress may help explain these inconsistencies, as distinct types of stress have been negatively or positively associated with prosocial behaviors.ObjectiveThis current investigation used two studies to test whether distinct types of early life stress moderated the association between age and prosocial behavior.Participants and settingStudy 1 recruited undergraduate students (n = 69) between the ages of 18–35, and Study 2 was conducted on Amazon Mechanical Turk responders (n = 499) whose ages ranged from 18-74.MethodsStudy 1 employed behavioral economic tasks to measure cooperation and charitability, while Study 2 utilized an online survey to measure helping attitudes.ResultsModeration analyses revealed the association between age and cooperation was significantly weakened by a history of family violence (β=−0.37,p = 0.002), community violence (β=−0.30,p = 0.012), emotional abuse (β=−0.27,p = 0.026), and an overall summary score of early life stress (β=−0.33,p = 0.006). The relationship between age and charitability was only weakened by family violence (β=−0.24,p = 0.048). The association between age and helping attitudes was weakened by family violence (β=−0.10, p = 0.023), community violence (β=−0.13,p = 0.003), and physical neglect (β=−0.11,p = 0.018).ConclusionsCollectively, these results suggest that some types of early life stress, especially exposure to violent environments, may reduce the likelihood of prosocial behaviors increasing throughout the lifespan. This study suggests that age-related effects on prosocial behaviors may not be universal, but rather depend on individual differences in childhood stress.     

A comparison between a Neuro-Physiological Psychotherapy (NPP) treatment group and a control group for children adopted from care: Support for a neurodevelopmentally informed approach to therapeutic intervention with maltreated children

BackgroundLittle evidence exists regarding outcomes of therapeutic interventions for maltreated children who are removed from their birth families and then adopted. This study follows on from a previous evaluation of the Neuro-Physiological Psychotherapy (NPP) model, which found significant, positive and sustained post-treatment change.ObjectiveTo compare the outcomes for the NPP intervention group to those of a control group.Participants and settingParticipants were families who received the NPP intervention and families who, following assessment, did not receive the NPP intervention as recommended.MethodsGroups were matched in terms of demographics and presentation at assessment. A comparison of outcomes took place using ANCOVA.ResultsSignificant differences were found between group measures of Behavioral Regulation Index (moderate effect size, Cohen’s d = .435; F(1, 1505) = 14.476, p = .000) and Global Executive Functioning (BRIEF) (small effect size, Cohen’s d = .147; F(1, 3506) = 7.771, p = .008); mental health difficulties common in maltreated children (ACC/ACA) (small effect size, Cohen’s D = .212; F(1, 1100) = 6.197, p = .020) and externalizing behavior (CBCL) (small effect size, Cohen’s D = .025; F(1, 686) = 5.420, p = .025). A comparison of parent responses on quantitative aspects of a structured interview using chi-square analysis revealed significant differences between the groups on relationship quality (x2 (2, N = 53) = 10.453, p = .005 with a medium effect size, Cramer’s V = .444), disruption (x2 (1, N = 54) = 4.998, p = .025. The effect size was medium with Cramer’s V = .304), parental separation rates (x2 (1, N = 45) = 9.474, p = .002. The effect size was moderate with Cramer’s V = .459) and several indicators for longer-term social inclusion. The results are discussed in the light of the model’s neurodevelopmental and sequential approach, which focuses on sensory integration, affect regulation and therapeutic life story work alongside parent and school support.ConclusionsImplications regarding current treatment guidelines for this population are discussed; and a call is made for interventions which actively consider and address the neurodevelopmental impact of maltreatment.     

Psychosocial factors influencing competency of children's statements on sexual trauma

Objectives

The objectives of this study are to assess children's competence to state their traumatic experience and to determine psychosocial factors influencing the competency of children's statements, such as emotional factors of children and parents and trauma-related variables, in Korean child sex abuse victims.

Methods

We enrolled 214 children, who visited “Sunflower Children's Center” for sexual abuse. The children were aged 8-13 years. The children's parent were surveyed using questionnaires [Beck Depression Inventory (BDI), State-Trait Anxiety Inventory(STAI)] to obtain demographic information, traumatic event profiles and self-report scale. Children completed psychological measures as follows: Children's Depression Inventory (CDI), Revised Children's Manifest Anxiety Scale (RCMAS), Traumatic Symptom Checklist for Children (TSCC). The modified-Criteria-Based Content Analysis (CBCA) was used to assess children's statements. ANOVA, independent t-test, Pearson correlation were used. All statistics were demonstrated using SPSS 12.0.

Results

Modified-CBCA scores did not differ according to children's level of depression and anxiety. Children with parents who showed supportive reactions, scored significantly higher on the modified-CBCA scores than those with unsupportive parents. Children with severely depressed parents had lower modified-CBCA scores than those with less depressed parents. Modified-CBCA scores were significantly higher in participants who experienced a single traumatic event than those who had multiple events. However, the severity of sexual abuse, relationship with the perpetrator, types of disclosure, and duration of initial disclosure did not show significant differences in capability of statement.

Conclusion

In conclusion, the competence of statements in Korean sexually child sex abuse victims is related to parental emotional states and support rather than children's factors such as psychopathology or age, and appears to be more reliable with a single traumatic experience. Therefore, promoting parental support through psychoeducation is one of the most important things to be done to help children overcome psychologic trauma but also enhance the accuracy of their statement.     

解读小说《灿烂千阳》中的创伤及创伤修复

《灿烂千阳》的故事情节主要围绕两个受苦受难的女性的生活展开,她们历经磨难,这些磨难给她们带来心理与身体上的创伤。可是在两个女人的互动过程中,她们完成了创伤修复。笔者试图通过解读两个卑微的女性的创伤性事件,创伤症状和她们的修复经历,探讨爱与希望,以及分享对于女性创伤修复的重要性,希望对现代女性创伤修复具有借鉴意义。     

Kid's stuff: the nature and impact of peer and sibling violence on younger and older children

OBJECTIVE: It is widely presumed that when children are hit by peers or siblings, it is not as serious as similar acts between adults or older youth, which would be termed, "assaults" and "violent crimes". The goal of this study was to compare the violent peer and sibling episodes of younger children to those of older youth in terms of their seriousness and association with symptoms that might indicate traumatic effects. METHOD: The study collected reports of past year's violent victimizations and childhood symptoms in a national probability telephone sample of 2030 children and youth ages 2-17. The experiences of 10-17-year olds were obtained via self-reports and those of the 2-9-year olds from caregivers. RESULTS: The younger children's peer and sibling victimizations were not less serious than the older youth on the dimensions of injury, being hit with an object that could cause injury or being victimized on multiple occasions. Younger children and older youth also had similar trauma symptom levels associated with both peer and sibling victimization. CONCLUSION: There was no basis in this study for presuming peer and sibling victimizations to be more benign when they involve younger children. The findings provide justification for being concerned about such peer and sibling violence in schools and families and for counting such victimizations in victimization inventories and clinical assessments.     

散打课运动损伤产生的原因及预防

通过对福建公安高等专科学校 2 0 0 0级二大队在散打普修课结束后的问卷调查 ,对运动损伤数据进行统计、分析 ,结果表明散打课的运动损伤具有“小外伤多 ,严重损伤少”的特点 ,从损伤部位看以小腿 (包括膝关节 )和足趾部的挫伤、碰伤发生率较高 ,在此基础上 ,论述了预防、减少散打课运动损伤的几种方法。