Posts Tagged ‘PTSD’

Embattled Childhoods May Be the Real Trauma for Soldiers With PTSD

Embattled Childhoods May Be the Real Trauma for Soldiers With PTSD

ScienceDaily (Nov. 19, 2012) — New research on posttraumatic stress disorder (PTSD) in soldiers challenges popular assumptions about the origins and trajectory of PTSD, providing evidence that traumatic experiences in childhood — not combat — may predict which soldiers develop the disorder….

“Most studies on PTSD in soldiers following service in war zones do not include measures of PTSD symptoms prior to deployment and thus suffer from a baseline problem. Only a few studies have examined pre- to post-deployment changes in PTSD symptoms, and most only use a single before-and-after measure,” says Berntsen….

Rather than following some sort of “typical” pattern in which symptoms emerge soon after a particularly traumatic event and persist over time, Berntsen and colleagues found wide variation in the development of PTSD among the soldiers.

The vast majority of the soldiers (84%) were resilient, showing no PTSD symptoms at all or recovering quickly from mild symptoms.

The rest of the soldiers showed distinct and unexpected patterns of symptoms. About 4% showed evidence of “new-onset” trajectory, with symptoms starting low and showing a marked increase across the five timepoints. Their symptoms did not appear to follow any specific traumatic event.

Most notably, about 13% of the soldiers in the study actually showed temporary improvement in symptoms during deployment. These soldiers reported significant symptoms of stress prior to leaving for Afghanistan that seemed to ease in the first months of deployment only to increase again upon their return home.

What could account for this unexpected pattern of symptoms?

Compared to the resilient soldiers, the soldiers who developed PTSD were much more likely to have suffered emotional problems and traumatic events prior to deployment. Childhood experiences of violence, especially punishment severe enough to cause bruises, cuts, burns, and broken bones actually predicted the onset of PTSD in these soldiers. Those who showed symptoms of PTSD were more likely to have witnessed family violence, and to have experienced physical attacks, stalking or death threats by a spouse. They were also more likely to have past experiences that they could not, or would not, talk about. And they were less educated than the resilient soldiers….

The findings challenge the notion that exposure to combat and other war atrocities is the main cause of PTSD.

“We were surprised that stressful experiences during childhood seemed to play such a central role in discriminating the resilient versus non-resilient groups,” says Berntsen. “These results should make psychologists question prevailing assumptions about PTSD and its development.”

http://www.sciencedaily.com/releases/2012/11/121119140625.htm

Peace and War Trajectories of Posttraumatic Stress Disorder Symptoms Before, During, and After Military Deployment in Afghanistan

Dorthe Berntsen, Kim B. Johannessen, Yvonne D. Thomsen, Mette Bertelsen, Rick H. Hoyle and David C. Rubin

Abstract
In the study reported here, we examined posttraumatic stress disorder (PTSD) symptoms in 746 Danish soldiers measured on five occasions before, during, and after deployment to Afghanistan. Using latent class growth analysis, we identified six trajectories of change in PTSD symptoms. Two resilient trajectories had low levels across all five times, and a new-onset trajectory started low and showed a marked increase of PTSD symptoms. Three temporary-benefit trajectories, not previously described in the literature, showed decreases in PTSD symptoms during (or immediately after) deployment, followed by increases after return from deployment. Predeployment emotional problems and predeployment traumas, especially childhood adversities, were predictors for inclusion in the nonresilient trajectories, whereas deployment-related stress was not.

These findings challenge standard views of PTSD in two ways. First, they show that factors other than immediately preceding stressors are critical for PTSD development, with childhood adversities being central. Second, they demonstrate that the development of PTSD symptoms shows heterogeneity, which indicates the need for multiple measurements to understand PTSD and identify people in need of treatment.

http://pss.sagepub.com/content/early/2012/11/02/0956797612457389

Keyon Dooling, Australia church sex abuse – alleged pedophile ring

Keyon Dooling stayed in a psychiatric hospital this summer, talks with Katie Couric about his history of abuse (VIDEO)
By Eric Freeman | Ball Don’t Lie – 11/12/12

In late September, veteran Boston Celtics guard Keyon Dooling surprised the NBA world when he announced his retirement less than two months after signing a new contract. However, it turned out that Dooling had an excellent reason for his decision. After years of suppressing a history of sexual abuse, Dooling understood that he had to open up about his experiences, that he needed a change in his life, and that he had to spend more time with his family. It was a brave choice for a man who had earned the respect of teammates, opponents, coaches, and employers over the course of 12 seasons in the league.

Until now, though, we haven’t heard much about the experiences this summer that led Dooling to step away from basketball. As detailed by David Aldridge of NBA.com, Dooling dealt with hallucinations and related issues brought on by a form of post-traumatic stress disorder and had to spend a significant amount of time in a psychiatric hospital….

Dooling was exhibiting behaviors familiar to soldiers returning from war zones. But Post Traumatic Stress Disorders aren’t limited to those who fight in wars. Police officers, firefighters, anyone subject to a severe emotional episode can suffer from PTSD.

http://sports.yahoo.com/blogs/nba-ball-dont-lie/keyon-dooling-stayed-psychiatric-hospital-summer-talks-katie-225458656–nba.html

Policeman says inquiry should spur church to change 11/13/12

The senior policeman who blew the whistle on an alleged police cover-up of church sex abuse in New South Wales has called on the Catholic Church to make radical changes to fix problems plaguing the church.

Detective Chief Inspector Peter Fox spoke to Lateline just hours after Prime Minister Julia Gillard announced the creation of a royal commission into institutional responses to instances of child sexual abuse.

Pressure had been building on the Government to react to growing social and political outrage at the latest series of revelations of paedophilia in society.

Most are centred on the Catholic Church, but Ms Gillard says that it is not the only focus of the inquiry, which will look into claims across the breadth of society.
http://www.abc.net.au/news/4368086

Gillard launches royal commission into child abuse
By Simon Cullen and staff Mon Nov 12, 2012

Prime Minister Julia Gillard has announced the creation of a national royal commission into institutional responses to instances of child sexual abuse.

The decision was taken at a meeting of federal cabinet this afternoon.

Ms Gillard had been under pressure to act following growing calls for a national inquiry into explosive allegations by a senior New South Wales police investigator that the Catholic Church covered up evidence involving paedophile priests.

A number of senior Labor MPs, as well as key independents, had already voiced their support for action on a national scale.

Opposition Leader Tony Abbott also declared his support for a “wide-ranging” royal commission into child sex abuse but said it should not just focus on claims involving the Catholic Church….

http://www.abc.net.au/news/4367364


Ex-teacher, Catholic brother face assault charges

Lateline By Matthew Carney and staff  11/13/12

Sydney police have arrested a former teacher and a Catholic brother over alleged assaults against children dating back more than two decades.

Detectives from the Sex Crimes Squad arrested the 58-year-old former teacher in Blacktown in the city’s west late on Monday afternoon. A 59-year-old Catholic brother was arrested an hour later at The Entrance on the NSW central coast….

Police allege the offences involved two 13-year-old boys in 1987 and an eight-year-old girl in 1985, with some of the incidents taking place at a Catholic college in Blacktown and a primary school at Lalor Park.

ABC TV’s Lateline program reported the arrests are linked to an alleged paedophile ring, and it understands more arrests are to follow….

http://www.abc.net.au/news/4367886

Ritual Abuse Conference Podcasts, EMDR for DID RA/MC clients

Smart-Talks Podcast Blog

This is a collection of talks given at the annual SMART conference in Connecticut. Speakers present to tell their stories of their experiences with ritual abuse and/or mind control, their experiences treating patients with such backgrounds, or to raise awareness of the various issues surrounding recovery from ritual abuse/mind control of efforts made to raise awareness with the general public of this issue.
http://smart-talkspodcastblog.blogspot.com/

The 2012 EMDRIA Conference “EMDR & Attachment: Healing Developmental Trauma” October 4th – 7th in Washington, D.C., at the Crystal Gateway Marriott.

Session 434 – Treating Dissociation, Ritual Abuse and Mind Control from an Attachment Perspective  Carolyn Settle, MSW, LCSW; Soozi Bolte, LPC, LISAC

Using EMDR as an integrative therapeutic approach from an attachment and developmental trauma lens, this presentation will give practical strategies for treating clients with Dissociative Identity Disorder (DID) symptoms who have experienced Ritual Abuse and Mind Control (RA/MC).  Infant disorganized attachment is an important precursor to adult dissociation and perhaps even more of a predictor of Post Traumatic Stress Disorder (PTSD) than severe trauma alone (van der Kolk). RA/MC programming will be explained so the clinician understands the layers of complexity in treating these dissociative symptoms and ego states. http://www.emdriaconference.com/

Memory disturbances and dissociative amnesia in Holocaust survivors

The excerpts below are from this website.
http://blogs.brown.edu/recoveredmemory/scholarly-resources/holocaust/

The following articles provide compelling scientific evidence in support of the phenomena of dissociation and recovered memory in Holocaust survivors. In addition to supporting the phenomenon in general, these articles also counter the argument that recovered memory is (a) no more than a recent cultural “fad” and (b) specific to false accusers of sexual abuse.

DeWind, E. (1968). The confrontation with death. International Journal of Psychoanalysis, 49, 302-305. Excerpt: “Most former inmates of Nazi concentration camps could not remember anything of the first days of imprisonment because perception of reality was so overwhelming that it would lead to a mental chaos which implies a certain death.”

Durlacher, G. L. (1991). De zoektocht [The search]. Amsterdam: Meulenhoff.
Dutch sociologist Durlacher, a survivor of Birkenau, describes his search for and meetings with another 20 child survivors from this camp. Excerpt: “Misha…looks helplessly at me and admits hesitantly that the period in the camps is wiped out from his brain….With each question regarding the period between December 12, 1942 till May 7, 1945, he admits while feeling embarrassed that he cannot remember anything.”

Jaffe, R. (1968). Dissociative phenomena in former concentration camp inmates. The International Journal of Psychoanalysis, 49(2), 310-312.
Case descriptions include amnesia for traumatic events and subsequent twilight states in which events would be relived without conscious awareness. Excerpt: “The dissociative phenomena described here turn out not to be rare, once one is on the look out for them.”

Keilson, H. (1992). Sequential traumatization in children. Jerusalem: The Magnes Press. Amnesia in Jewish Dutch child survivors for the traumatic separation from their parents.

Krell, R. (1993). Child survivors of the Holocaust: Strategies of adaptation. Canadian Journal of Psychiatry, 38, 384-389.
Excerpt: “The most pervasive preoccupation of child survivors is the continuing struggle with memory, whether there is too much or too little.”

Krystal, H., & Danieli, Y. (1994, Fall). Holocaust survivor studies in the context of PTSD. PTSD Research Quarterly, 5(4), 1-5.

Kuch, K., & Cox, B. J. (1992). Symptoms of PTSD in 124 survivors of the Holocaust. American Journal of Psychiatry, 149, 337-340.
Psychogenic amnesia was found in 3.2% of the totals sample, in 3.8 of the general concentration camp survivors, and in 10% of tattooed survivors of Auschwitz. 17.7% (N=22) of the total sample had received psychotherapy. The tattooed survivors had a higher number of PTSD symptoms overall.

Lagnado, L. M., & Dekel, S. C. (1991). Children of the flames: Dr. Josef Mengele and the untold story of the twins of Auschwitz. New York: William and Morrow & Co.
Excerpt: “A few of the twins insisted that they had no memories of Auschwitz whatsoever.”

Laub, D., & Auerhahn, N. C. (1989). Failed empathy—A central theme in the survivor’s Holocaust experience. Psychoanalytic Psychology, 6(4), 377-400.
Excerpt: “Holocaust survivors remember their experiences through a prism of fragmentation and usually recount them only in fragments.”

Laub, D., & Auerhahn, N. C. (1993). Knowing and not knowing massive psychic trauma: Forms of traumatic memory. American Journal of Psychoanalysis, 74, 287-302.
Excerpt: “Erecting barriers against knowing is often the first response to such trauma. Women in Nazi concentration camps dealt with difficult interrogation by the Gestapo by derealization, by asserting ‘I did not go through it. Somebody else went through the experience.’….Unintegrable memories endure as a split-off part, a cleavage in the ego…When the balance is such that the ego cannot deal with the experience, fragmentation occurs….Simply put, therapy with those impacted by trauma involves, in part, the reinstatement of the relationship between event, memory and personality.”

Marks, J. (1995). The hidden children: The secret survivors of the Holocaust. Toronto: Bantam Books.
Excerpt: “So much of my childhood between the ages of four and nine is blank….It’s almost as if my life was smashed into little pieces….The trouble is, when I try to remember, I come up with so little. This ability to forget was probably my way of surviving emotionally as a child.”

Mazor, A., Ganpel, Y., Enright, R. D., & Ornstein, R. (1990, January). Holocaust survivors: Coping with posttraumatic memories in childhood and 40 years later. Journal of Traumatic Stress, 3(1), 11-14.

Modai, I. (1994). Forgetting childhood: A defense mechanism against psychosis in a Holocaust survivor. In T. L. Brink (Ed.), Holocaust survivors’ mental health. New York: Haworth Press.
In a debate about uncovering painful memories of the Holocaust, Modai’s case is of a 58 year old woman who is unable to remember her childhood.

Moskovitz, S., & Krell, R. (1990). Child survivors of the Holocaust: Psychological adaptations to survival. Israel Journal of Psychiatry and Related Services, 27(2), 81-91.
Excerpt: “Whatever the memories, much is repressed as too fearful for recall, or suppressed by well-meaning caretakers wishing the child to forget.”

Musaph, H. (1993). Het post-concentratiekampsyndroom [The post-concentration camp syndrome]. Maandblad Geestelijke volksgezondheid [Dutch Journal of Mental Health], 28(5), 207-217.
Amnesia exists for certain Holocaust experiences, while other experiences are extremely well remembered.

Niederland, W. G. (1968). Clinical observations on the “survivor syndrome.” International Journal of Psychoanalysis, 49, 313-315.
Discusses memory disturbances such as amnesia and hypermnesia.

Stein, A. (1994). Hidden children: Forgotten survivors of the Holocaust. Harmondsworth, Middlesex: Penguin Books.
Excerpt: “Over the years I have been trying to re-experience those feelings, but they kept eluding me. I was cut off from most of my memories, and from relieving the anxiety of that time….I remember nothing about the time I spent with those people…not a face, not a voice, not a piece of furniture.”

van Ravesteijn, L. (1976). Gelaagdheid van herinneringen [Layering of memories]. Tijdschrift boor Psychotherapie, 5(1), 195-205.

Wagenaar, W. A., & Groeneweg, J. (1990). The memory of concentration camp survivors. Applied Cognitive Psychology, 4, 77-87.

Abstract: This study is concerned with the question whether extremely emotional experiences, such as being the victim of Nazi concentration camps, leave traces in memory that cannot be extinguished. Relevant data were obtained from testimony by 78 witnesses in a case against Marinus De Rijke, who was accused of Nazi crimes in Camp Erika in The Netherlands. The testimonies were collected in the periods 1943–1947 and 1984–1987. A comparison between these two periods reveals the amount of forgetting that occurred in 40 years. Results show that camp experiences were generally well-remembered, although specific but essential details were forgotten. Among these were forgetting being maltreated, forgetting names and appearance of the torturers, and forgetting being a witness to murder. Apparently intensity of experiences is not a sufficient safeguard against forgetting.”

Wilson, J., Harel, Z., & Kahana, B. (1988). Human adaptation to extreme stress: From the Holocaust to Vietnam. New York: Plenum Press.

Yehuda, R., Elkin, A., Binder-Brynes, K., Kahana, B., Southwick, S. M., Schmeidler, J., & Giller, E. R., Jr. (1996, July). Dissociation in aging Holocaust survivors. American Journal of Psychiatry, 153(7), 935-940.

Yehuda, R., Schmeidler, J., Siever, L. J., Binder-Brynes, K., & Elkin, A. (1997). Individual differences in posttraumatic stress disorder symptom profiles in Holocaust survivors in concentration camps or in hiding. Journal of Traumatic Stress, 10, 453-465.
46% of 100 survivors report amnesia on PTSD measures.

http://blogs.brown.edu/recoveredmemory/scholarly-resources/holocaust/

Traumatic memory: memory disturbances and dissociative amnesia

The following articles provide compelling scientific evidence in support of the phenomena of dissociation and recovered memory.

Included are cases involving survivors of childhood abuse, survivors of the Holocaust, and war veterans.

In addition to supporting the phenomenon in general, these articles also counter the argument that recovered memory is (a) no more than a recent cultural “fad” and (b) specific to false accusers of sexual abuse.

http://blogs.brown.edu/recoveredmemory/scholarly-resources/traumatic-memory/

excerpts:
Bremner, J. D., Krystal, J. H., Charney, D. S., & Southwick, S. M. (1996). Neural mechanisms in dissociative amnesia for childhood abuse: Relevance to the current controversy surrounding the “false memory syndrome.” The American Journal of Psychiatry, 153, 71-82.

….CONCLUSIONS: John Nemiah pointed out several years ago that alterations in memory in the form of dissociative amnesia are an important part of exposure to traumatic stressors, such as childhood abuse. The studies reviewed here show that extreme stress has long-term effects on memory. These findings may provide a model for understanding the mechanisms involved in dissociative amnesia, as well as a rationale for phenomena such as delayed recall of childhood abuse.

….Briere, J., & Conte, J. R. (1993, January). Self-reported amnesia for abuse in adults molested as children. Journal of Traumatic Stress, 6(1), 21-31.

….A sample of 450 adult clinical subjects reporting sexual abuse histories were studied regarding their repression of sexual abuse incidents. A total of 267 subjects (59.3%) identified some period in their lives, before age 18, when they had no memory of their abuse. Variables most predictive of abuse-related amnesia were greater current psychological symptoms, molestation at an early age, extended abuse, and variables reflecting especially violent abuse

….Chu, J. A., Frey, L. M., Ganzel, B. L., & Matthews, J. A. (1999, May). Memories of childhood abuse: Dissociation, amnesia, and corroboration. The American Journal of Psychiatry, 156(5), 749-755.

….Childhood abuse, particularly chronic abuse beginning at early ages, is related to the development of high levels of dissociative symptoms including amnesia for abuse memories. This study strongly suggests that psychotherapy usually is not associated with memory recovery and that independent corroboration of recovered memories of abuse is often present.

….DeWind, E. (1968). The confrontation with death. International Journal of Psychoanalysis, 49, 302-305.

Excerpt: “Most former inmates of Nazi concentration camps could not remember anything of the first days of imprisonment because perception of reality was so overwhelming that it would lead to a mental chaos which implies a certain death.”

….Durlacher, G. L. (1991). De zoektocht [The search]. Amsterdam: Meulenhoff.

Dutch sociologist Durlacher, a survivor of Birkenau, describes his search for and meetings with another 20 child survivors from this camp. Excerpt: “Misha….looks helplessly at me and admits hesitantly that the period in the camps is wiped out from his brain….With each question regarding the period between December 12, 1942 till May 7, 1945, he admits while feeling embarrassed that he cannot remember anything….Jindra…had to admit that he remembers almost nothing from his years in the camps….From the winter months of 1944 until just before the liberation in April 1945, only two words stayed with him: Dora and Nordhausen

….Elliott, D. M., & Briere, J. (1995, October). Posttraumatic stress associated with delayed recall of sexual abuse: A general population study. Journal of Traumatic Stress, 8(4), 629-647. (Child Abuse Crisis Center, Harbor-UCLA Medical Center, Torrance, CA.)

Abstract: This study examined delayed recall of childhood sexual abuse in a stratified random sample of the general population (N = 505). Of participants who reported a history of sexual abuse, 42% described some period of time when they had less memory of the abuse than they did at the time of data collection. No demographic differences were found between subjects with continuous recall and those who reported delayed recall. However, delayed recall was associated with the use of threats at the time of the abuse.

….Feldman-Summers, S., Pope, K. S. (1994, June). The experience of “forgetting” childhood abuse: A national survey of psychologists. Journal of Consulting and Clinical Psychology, 62(3), 636-639.

Abstract: A national sample of psychologists were asked whether they had been abused as children and, if so, whether they had ever forgotten some or all of the abuse. Almost a quarter of the sample (23.9%) reported childhood abuse, and of those, approximately 40% reported a period of forgetting some or all of the abuse. The major findings were that (1) both sexual and nonsexual abuse were subject to periods of forgetting; (2) the most frequently reported factor related to recall was being in therapy; (3) approximately one half of those who reported forgetting also reported corroboration of the abuse….

Herman, J. L., & Harvey, M. R. (1997). Adult memories of childhood trauma: a naturalistic clinical study. Journal of Traumatic Stress, 10(4), 557-571.

Abstract: The clinical evaluations of 77 adult psychiatric outpatients reporting memories of childhood trauma were reviewed. A majority of patients reported some degree of continuous recall. Roughly half (53%) said they had never forgotten the traumatic events. Two smaller groups described a mixture of continuous and delayed recall (17%) or a period of complete amnesia followed by delayed recall (16%).

….Krell, R. (1993). Child survivors of the Holocaust: Strategies of adaptation. Canadian Journal of Psychiatry, 38, 384-389.

Excerpt: “The most pervasive preoccupation of child survivors is the continuing struggle with memory, whether there is too much or too little….For a child survivor today, an even more vexing problem is the intrusion of fragments of memory—most are emotionally powerful and painful but make no sense. They seem to become more frequent with time and are triggered by thousands of subtle or not so subtle events

….Kuch, K., & Cox, B. J. (1992). Symptoms of PTSD in 124 survivors of the Holocaust. American Journal of Psychiatry, 149, 337-340.

Potential subjects with confirmed or suspected organicity, bipolar or obsessive compulsive disorder were excluded. One group (N=78) had been detained in various concentration camps for greater than 1 month. A second group (N=20) had been detained in Auschwitz and had been tattooed. A third group (N=45) had not been in labor camps, ghettos, or had hidden in the illegal underground. Psychogenic amnesia was found in 3.2% of the totals sample, in 3.8 of the general concentration camp survivors, and in 10% of tattooed survivors of Auschwitz. 17.7% (N=22) of the total sample had received psychotherapy.

….Loftus, E. F., Polonsky, S., & Fullilove, M. T. (1994, March). Memories of childhood sexual abuse: Remembering and repressing. Psychology of Women Quarterly, 18(1), 67-84. (University of Washington, Psychology Department, Seattle, WA.)

Abstract: Women involved in outpatient treatment for substance abuse were interviewed to examine their recollections of childhood sexual abuse. Overall, 54% of the 105 women reported a history of childhood sexual abuse. Of these, the majority (81%) remembered all or part of the abuse their whole lives; 19% reported they forgot the abuse for a period of time, and later the memory returned.

….Melchert, T. P. (1996, October). Childhood memory and a history of different forms of abuse. Professional Psychology: Research & Practice, 27(5), 438-446. (Texas Tech University, Department of Psychology, Lubbock, TX.)

Abstract: A widespread professional and public controversy has recently emerged regarding recovered memories of child sexual abuse, but the prevalence and nature of these memories have received limited empirical examination. This study (N = 553 nonclinical participants) found that very similar proportions of those with histories of physical, emotional, or sexual abuse reported that they had periods without memory of their abuse (21%, 18%, and 18%, respectively).

….Musaph, H. (1993). Het post-concentratiekampsyndroom [The post-concentration camp syndrome]. Maandblad Geestelijke volksgezondheid [Dutch Journal of Mental Health], 28(5), 207-217.

Amnesia exists for certain Holocaust experiences, while other experiences are extremely well remembered.

….van der Hart, O., Bolt, H., & van der Kolk, B. A. (2005). Memory fragmentation in dissociative identity disorder. Journal of Trauma & Dissociation, 6(1), 55-70. (Department of Clinical Psychology, Utrecht University, the Netherlands.)

Abstract: This study examined the quality of self-reported memories of traumatic experiences in participants with dissociative identity disorder (DID) and compared them with their memories of non-traumatic, but emotionally significant life experiences. Systematic interview data were gathered from 30 DID patients in The Netherlands. All participants reported a history of severe childhood abuse; 93.3% reported some period of amnesia for the index traumatic event, and 33.3% reported periods of amnesia for significant non-traumatic childhood experiences. All participants who had been amnestic for their trauma reported that their memories were initially retrieved in the form of somatosensory flashbacks. This suggests that, like PTSD patients, DID patients at least initially recall their trauma not as a narrative, but as somatosensory re-experiencing.

….Wagenaar, W. A., & Groeneweg, J. (1990). The memory of concentration camp survivors. Applied Cognitive Psychology, 4, 77-87.

Abstract: This study is concerned with the question whether extremely emotional experiences, such as being the victim of Nazi concentration camps, leave traces in memory that cannot be extinguished. Relevant data were obtained from testimony by 78 witnesses in a case against Marinus De Rijke, who was accused of Nazi crimes in Camp Erika in The Netherlands. The testimonies were collected in the periods 1943–1947 and 1984–1987. A comparison between these two periods reveals the amount of forgetting that occurred in 40 years. Results show that camp experiences were generally well-remembered, although specific but essential details were forgotten. Among these were forgetting being maltreated, forgetting names and appearance of the torturers, and forgetting being a witness to murder.

….Williams, L. M. (1994, December). Recall of childhood trauma: A prospective study of women’s memories of child sexual abuse. Journal of Consulting and Clinical Psychology, 62(6), 1167-1176. (University of New Hampshire, Family Research Lab, Durham, NH.)

Abstract: One hundred twenty-nine women with previously documented histories of sexual victimization in childhood were interviewed and asked detailed questions about their abuse histories to answer the question “Do people actually forget traumatic events such as child sexual abuse, and if so, how common is such forgetting?” A large proportion of the women (38%) did not recall the abuse that had been reported 17 years earlier. Women who were younger at the time of the abuse and those who were molested by someone they knew were more likely to have no recall of the abuse.

….Yehuda, R., Schmeidler, J., Siever, L. J., Binder-Brynes, K., & Elkin, A. (1997). Individual differences in posttraumatic stress disorder symptom profiles in Holocaust survivors in concentration camps or in hiding. Journal of Traumatic Stress, 10, 453-465.

46% of 100 survivors report amnesia on PTSD measures.
http://blogs.brown.edu/recoveredmemory/scholarly-resources/traumatic-memory/

Hippocampal and Amygdalar Volumes in Dissociative Identity Disorder

Eric Vermetten, M.D., Ph.D. Christian Schmahl, M.D.
Sanneke Lindner, M.Sc. Richard J. Loewenstein, M.D. J. Douglas Bremner, M.D. (Am J Psychiatry 2006; 163:1–8)

Objective: Smaller hippocampal volume has been reported in several stress-related psychiatric disorders, including posttraumatic stress disorder (PTSD), borderline personality disorder with early abuse, and depression with early abuse.

Patients with borderline personality disorder and early abuse have also been found to have smaller amygdalar volume. The authors examined hippocampal and amygdalar volumes in patients with dissociative identity disorder, a disorder that has been associated with a history of severe childhood trauma….

Results: Hippocampal volume was 19.2% smaller and amygdalar volume was 31.6% smaller in the patients with dissociative identity disorder, compared to the healthy subjects. The ratio of hippocampal volume to amygdalar volume was significantly different between groups.

Conclusions: The findings are consistent with the presence of smaller hippocampal and amygdalar volumes in patients with dissociative identity disorder, compared with healthy subjects….

In clinical studies, most patients with dissociative identity disorder have also been found to meet the DSM-IV-TR criteria for posttraumatic stress disorder (PTSD). In epidemiological studies of the general population, the prevalence of dissociative identity disorder has been found to range from 1% to 3%.

Numerous studies have shown an association between a dissociative identity disorder diagnosis and an antecedent history of childhood trauma, usually multiple, sustained forms of maltreatment beginning in early childhood….

Magnetic resonance imaging (MRI) studies have shown that adults with PTSD related to combat or to childhood physical/sexual abuse have smaller hippocampal size, relative to healthy comparison subjects or to comparison subjects who experienced trauma but did not develop PTSD.

Borderline personality disorder is also commonly associated with exposure to childhood trauma. Patients with borderline personality disorder and a history of early abuse have been found to have smaller hippocampal and amygdalar volumes, compared to healthy subjects. Smaller hippocampal volume has been found in patients with major depressive disorder and a history of early childhood trauma, compared to major depressive disorder patients without early life trauma. A consistent finding of these studies is smaller hippocampal volume in patients with a history of exposure to traumatic stress and an accompanying stress-related psychiatric disorder….

All patients with dissociative identity disorder in this study also had a diagnosis of PTSD according to the DSMIV-TR criteria and the Clinician-Administered PTSD Scale….

Electrical stimulation of the hippocampus and adjacent regions in patients with epilepsy resulted in a number of dissociative-like symptoms, including feelings of déjà vu, depersonalization, derealization, and memory alterations. Administration of ketamine, an antagonist of N-methyl-D-aspartic acid (NMDA) receptors, which are highly concentrated in the hippocampus, resulted in dissociative symptoms in healthy subjects, including feelings of being out of body and of time standing still, perceptions of body distortions, and amnesia. On the basis of these findings, we have hypothesized that stress, acting through NMDA receptors in the hippocampus, may mediate symptoms of dissociation….

Clinical studies have found comorbid PTSD or a lifetime history of PTSD in 80%–100% of dissociative identity disorder patients. Davidson and Foa, in their summary of work by members of the APA DSM-IV Advisory Committee on PTSD, included multiple personality disorder/dissociative identity disorder among the disorders related to “abnormal stress reaction[s].”….

There are several possible explanations for the current study findings. Previous studies have shown that dissociative identity disorder patients essentially universally report high rates of exposure to repeated stressful experiences in early life. The hippocampus is a major target organ for glucocorticoids, which are released during stressful experiences. It has been hypothesized that prolonged exposure to glucocorticoids could lead to progressive atrophy of the hippocampus.

Smaller hippocampal volume in dissociative identity disorder could thus be related to stress exposure and could represent a neurobiological finding that dissociative identity disorder shares with other stress-related psychiatric disorders such as PTSD….

These findings suggest that early abuse associated with a stress-related psychiatric disorder may be related to smaller amygdalar volume. In addition, these findings are in contrast to findings from studies of depression that have shown no differences or larger amygdalar volume in depressed patients, compared with healthy subjects….

This finding suggests that dissociative identity disorder is associated with relatively greater volume reductions in the amygdala than in the hippocampus….

full text
http://userwww.service.emory.edu/~jdbremn/papers/DID_MRI.pdf

brain differences in DID/MPD patients, child abuse changes the brain

Hippocampal and Amygdalar Volumes in Dissociative Identity Disorder
The neurobiological consequences of early stress and childhood maltreatment
Recent findings regarding brain development and childhood abuse/adversity
Does Child Abuse Permanently Alter the Brain?
The Psychobiology of Posttraumatic Stress Disorder (including physical and sexual abuse)

Hippocampal and Amygdalar Volumes in Dissociative Identity Disorder
Eric Vermetten, M.D., Ph.D., Christian Schmahl, M.D., Sanneke Lindner, M.Sc., Richard J. Loewenstein, M.D., and J. Douglas Bremner, M.D.
Am J Psychiatry 163:630-636, April 2006
doi: 10.1176/appi.ajp.163.4.630….

METHOD: The authors used magnetic resonance imaging to measure the volumes of the hippocampus and amygdala in 15 female patients with dissociative identity disorder and 23 female subjects without dissociative identity disorder or any other psychiatric disorder. The volumetric measurements for the two groups were compared.

RESULTS: Hippocampal volume was 19.2% smaller and amygdalar volume was 31.6% smaller in the patients with dissociative identity disorder, compared to the healthy subjects. The ratio of hippocampal volume to amygdalar volume was significantly different between groups.

CONCLUSIONS: The findings are consistent with the presence of smaller hippocampal and amygdalar volumes in patients with dissociative identity disorder, compared with healthy subjects.
http://ajp.psychiatryonline.org/cgi/content/abstract/163/4/630

full text
“The patients with dissociative identity disorder in our study showed a 19.2% smaller hippocampal volume and a 31.6% smaller amygdalar volume, compared with the healthy subjects.”
http://ajp.psychiatryonline.org/cgi/content/full/163/4/630

The neurobiological consequences of early stress and childhood maltreatment
Martin H. Teicher, Susan L. Andersena, Ann Polcarib, Carl M. Andersona, Carryl P. Navaltae, and Dennis M. Kima

Abstract
Early severe stress and maltreatment produces a cascade of neurobiological events that have the potential to cause enduring changes in brain development. These changes occur on multiple levels, from neurohumoral (especially the hypothalamic–pituitary–adrenal {HPA} axis) to structural and functional. The major structural consequences of early stress include reduced size of the mid-portions of the corpus callosum and attenuated development of the left neocortex, hippocampus, and amygdala.

Major functional consequences include increased electrical irritability in limbic structures and reduced functional activity of the cerebellar vermis. There are also gender differences in vulnerability and functional consequences. The neurobiological sequelae of early stress and maltreatment may play a significant role in the emergence of psychiatric disorders during development.
http://www.sciencedirect.com/science/article/pii/S0149763403000071

Dr. Martin H. Teicher – Recent findings regarding brain development and childhood abuse/adversity
https://drteicher.wordpress.com/

https://drteicher.wordpress.com/2010/11/
Keynote: Pierre Janet memorial lecture ISSTD
Does Child Abuse Permanently Alter the Brain?
Martin H. Teicher, M.D., Ph.D. (PowerPoint)

Annals of the New York Academy of Sciences
New York Academy of Sciences June 1997
Volume 821 Psychobiology of Posttraumatic Stress Disorder, The Pages xi–xv, 1–548
http://onlinelibrary.wiley.com/doi/10.1111/nyas.1997.821.issue-1/issuetoc
includes:
Psychobiological Effects of Sexual Abuse : A Longitudinal Study (pages 150–159)
FRANK W. PUTNAM and PENELOPE K. TRICKETT
DOI: 10.1111/j.1749-6632.1997.tb48276.x

Preliminary Evidence for Abnormal Cortical Development in Physically and Sexually Abused Children Using EEG Coherence and MRI (pages 160–175)
MARTIN H. TEICHER, YUTAKA ITO, CAROL A. GLOD, SUSAN L. ANDERSEN, NATALIE DUMONT and ERIKA ACKERMAN
DOI: 10.1111/j.1749-6632.1997.tb48277.x

Implicit and Explicit Memory for Trauma-Related Information in PTSD (pages 219–224) RICHARD J. MCNALLY
DOI: 10.1111/j.1749-6632.1997.tb48281.x

Trauma, Dissociation, and Memory (pages 225–237)
DAVID SPIEGEL DOI: 10.1111/j.1749-6632.1997.tb48282.x

 

Post-Traumatic Childhood

Post-Traumatic Childhood By BESSEL A. van der KOLK
Op-Ed Contributor May 10, 2011 Brookline, Mass

describes graphic stories

….Rather than being subjected to bullets and bombs, children are victimized by those who are meant to care for them. These are children like a 3-year-old girl in Anchorage who was found by a police officer in her crib, hungry, underweight and covered in her own feces; an 11-year-old boy in New York City who has had violent outbursts since he was sexually molested, and whose terror of being alone makes him a subject of ridicule by his classmates; or a 14-year-old girl in Boston who set fire to a church and repeatedly attempted suicide after being beaten at home. The Pew Charitable Trusts estimates that the annual cost of childhood maltreatment like this is $103.8 billion.

Inspired by the work of the National Center for PTSD, Congress authorized the establishment of the National Child Traumatic Stress Network in 2001 to evaluate and develop treatments for traumatized children nationwide, with a budget that is now $40 million — about the cost of keeping 40 soldiers fighting in Afghanistan for one year.

President Obama’s 2012 budget has proposed a 70 percent reduction in financing for the network. That would be devastating for these children. The network has knitted together 130 clinics and universities in 38 states that specialize in helping traumatized children and adolescents. It has allowed the members to develop treatment programs and to hire and educate the staff to run them, enabling 322,000 children nationwide to get treatment from July 2002 to September 2009.

According to the latest figures available, 2.9 million children were mistreated in 2006, many of whom manifested serious behavioral and psychological problems. The network has started to document how trauma affects developing brains differently from those of adults exposed to wartime violence….

Most traumatized children now do not even receive a proper mental health assessment. Moreover, hundreds of thousands of them are numbed by powerful drugs that help control their “bad behavior,” but that don’t deal with the imprint of terror and helplessness on their minds and brains….

Untreated, traumatized children become failing adults who populate our jails and overwhelm our human services agencies. Cutting the development of effective treatments will produce many years of increasing costs and unquantifiable human misery.

Bessel A. van der Kolk, a professor of psychiatry at Boston University School of Medicine, is the founder and medical director of the Trauma Center at the Justice Resource Institute.
http://www.nytimes.com/2011/05/11/opinion/11kolk.html

Charges initiated against Pope for crimes against humanity, PTSD-trauma link

also: Twin study may quiet doubts over PTSD-trauma link

Charges initiated against Pope for crimes against humanity
TWO GERMAN lawyers have initiated charges against Pope Benedict XVI at the International Criminal Court, alleging crimes against humanity. PATSY McGARRY, Religious Affairs Correspondent The Irish Times – February 23, 2011

TWO GERMAN lawyers have initiated charges against Pope Benedict XVI at the International Criminal Court, alleging crimes against humanity. Christian Sailer and Gert-Joachim Hetzel, based at Marktheidenfeld in the Pope’s home state of Bavaria, last week submitted a 16,500-word document to the prosecutor of the International Criminal Court at the Hague, Dr Luis Moreno Ocampo.

Their charges concern “three worldwide crimes which until now have not been denounced . . . (as) the traditional reverence toward ‘ecclesiastical authority’ has clouded the sense of right and wrong”.

They claim the Pope “is responsible for the preservation and leadership of a worldwide totalitarian regime of coercion which subjugates its members with terrifying and health-endangering threats”. They allege he is also responsible for “the adherence to a fatal forbiddance of the use of condoms, even when the danger of HIV-Aids infection exists” and for “the establishment and maintenance of a worldwide system of cover-up of the sexual crimes committed by Catholic priests and their preferential treatment, which aids and abets ever new crimes”. http://www.irishtimes.com/newspaper/world/2011/0223/1224290630240.html

Criminal Charges against Dr. Joseph Ratzinger, Pope of the Roman Catholic Church on grounds of Crimes against Humanity According to Art. 7 ICC Statute
http://www.kanzlei-sailer.de/pope-lawsuit-2011.pdf

Twin study may quiet doubts over PTSD-trauma link
By Lynne Peeples NEW YORK  Sep 30, 2010 NEW YORK (Reuters Health) – Trauma really is the trigger of post-traumatic stress disorder, or PTSD, suggests a new study that could help settle an ongoing debate.
“It’s been argued by some that PTSD is not a bona fide disorder, that these people are just maladjusted and the trauma doesn’t have anything to with it,” senior researcher Dr. Roger Pitman of Boston’s Harvard University told Reuters Health….

Pitman and colleagues from Harvard and the U.S. Department of Veterans Affairs looked to 103 pairs of identical male twins from the Vietnam Era Twin Registry to test whether trauma truly causes PTSD, or if its sufferers would have developed symptoms of the disorder regardless. One brother from each pair had been exposed to combat in the Vietnam War; the other had not. Fifty of the combat-exposed men had PTSD.

The researchers found a substantial difference in mental disorders between the twins: Men exposed to combat and diagnosed with PTSD had three-fold more symptoms than their brothers, as well as compared to the combat veterans without PTSD and their co-twins. Similar patterns appeared when considering only PTSD-related psychiatric symptoms, report the researchers in the Journal of Clinical Psychiatry. According to Pitman, “If you assume that the identical twin is a representation of what the veteran would have been like had he not been exposed to combat, with the same genes and same family upbringing, then the conclusion is that psychiatric trauma causes substantial psychiatric symptoms in a portion of the population.”

Given the similarities in symptoms between co-twins of combat-exposed brothers that did and did not develop PTSD, the findings also refute the presence of any predisposing genetic or environmental traits that increase vulnerability to trauma-induced PTSD, the authors say.
http://www.reuters.com/article/2010/09/30/us-twin-ptsd-idUSTRE68T47B20100930

Is Trauma a Causal Agent of Psychopathologic Symptoms in Posttraumatic Stress Disorder? Findings From Identical Twins Discordant for Combat Exposure

Mark W. Gilbertson, PhD; Alexander C. McFarlane, MD; Frank W. Weathers, PhD; Terence M. Keane, PhD; Rachel Yehuda, PhD; Arieh Y. Shalev, MD; Natasha B. Lasko, PhD; Jared M. Goetz, BA; and Roger K. Pitman, MD, for the Harvard/VA PTSD Twin Study Investigators
J Clin Psychiatry 2010;71(10):1324–1330
10.4088/JCP.10m06121blu

….Method: A case-control twin study conducted between 1996–2001 examined psychopathologic symptoms in a national convenience sample of 104 identical twin pairs discordant for combat exposure in Vietnam, with (n = 50) or without (n = 54) combat-related PTSD (DSM-IV–diagnosed) in the exposed twin….

Results: Combat veterans with PTSD demonstrated significantly higher scores (P < .0001) on the Symptom Checklist-90-Revised and other psychometric measures of psychopathology than their own combat-unexposed cotwins (and than combat veterans without PTSD and their cotwins).
Conclusions: These results support the conclusion that the majority of psychiatric symptoms reported by combat veterans with PTSD would not have been present were it not for their exposure to traumatic events.
http://article.psychiatrist.com/dao_1-login.asp?ID=10007050&RSID=75635130271135

Study on twins may quiet doubts on PTSD-trauma link
Researchers found major difference in mental disorders in twins if one had seen combat
http://www.msnbc.msn.com/id/39441551/ns/health-mental_health/

Stern: Terrorism Expert No Longer in ‘Denial’ About Her Rape, clergy abuse

clergy abuse articles : Italy, Ireland, Belgium

Books of The Times – Violence Expert Visits Her Dark Past By DWIGHT GARNER
June 24, 2010 Jessica Stern is among the world’s experts on violence and evil, a woman who spends her time thinking about bad men and bad deeds. She has lectured at Harvard about terrorism and is the author of a respected book, “Terror in the Name of God: Why Religious Militants Kill” (2003). During the Clinton administration she was on the staff of the National Security Council….

“Denial” is Ms. Stern’s plainspoken and very raw account of why, long before 9/11, she was driven to study terrorism and to put herself repeatedly into danger as she flew around the world, like some scholarly twin of the former CNN war correspondent Christiane Amanpour,  interviewing committed terrorists. Central among the reasons, it turns out, was her own experience of terror. On Oct. 1, 1973, when Ms. Stern was 15 and her sister 14, the two of them, alone in a suburban house in leafy Concord, Mass., were raped by a man who cut the house’s telephone lines before walking inside and leading them upstairs.

Ms. Stern describes that evening in brutal detail. It was a night that changed her and taught her a dire lesson: “Shame can be sexually transmitted.” The crime wasn’t properly investigated. The police didn’t believe her when she said the rapist was a stranger. Because her story and those of others were not publicized or taken seriously enough by the police, the same man was able to rape some 44 girls — an incredible, heart-collapsing number — from 1971 to 1973. “The entire community,” she writes, “was in denial.”  http://www.nytimes.com/2010/06/25/books/25book.html

Terrorism Expert No Longer in ‘Denial’ About Her Rape  Andrea Stone  Senior Washington Correspondent 6/25/10 WASHINGTON (June 22) — Jessica Stern, one of the world’s foremost authorities on terrorism, never made the connection between her chosen profession and the terror she suffered as a teenager. Stern was 15 and her sister Sara 14 when a blue-eyed stranger carrying a small handgun entered their home in Concord, Mass., on the evening of Oct. 1, 1973. The man threatened to kill them. Then he raped them. There was no one for the girls to turn to — their mother was dead, their father on a business trip in Europe, the baby sitter had left them alone. The police refused to believe the girls didn’t know the man. They were in denial. Worse, their father refused to cut short his trip to rush home.

A few months later — his daughters’ rapist still at large — he told police they had gotten over it. He was in denial. But it took more than 30 years for Stern to discover that she, too, was in denial….Stern knew from therapy that she suffered from post-traumatic stress disorder (PTSD), a diagnosis she had denied for years….Stern was not content to confine herself to the personal. She talked to a fellow victim and met a veteran who was injured in Iraq and suffers from PTSD. While she doesn’t equate rape with being maimed by a roadside bomb — “I was not a victim of terrorism. That is much more serious and has a political element” — she was struck by how many symptoms she shared with the soldier….

Connecting her trauma to a wider circle, she wrote: Denial helps the bystander. We don’t want to know what the boys we send to Iraq have done to others out of terror, or what others have done to them. We would rather not know about terror or be confronted with evil. This is as true about Abu Ghraib as it is about personal assaults and more private crimes, the crimes that occur inside families. But the victim, too, cannot bear to believe. She may bury or disassociate from or disown her pain.
http://www.aolnews.com/nation/article/terrorism-expert-jessica-stern-no-longer-in-denial-about-her-rape/19524354

Abuse Loosens Church’s Culture of Silence in Italy
By RACHEL DONADIO June 26, 2010 ROME — One afternoon last month, a rare thing happened in Rome’s main courthouse: for perhaps the first time ever, an Italian bishop took the witness stand in the case of a priest accused of the sexual abuse of children.
Soon after, another rare thing happened. The leader of the Italian bishops’ conference acknowledged at a news conference that it was “possible” that bishops in Italy had covered up abuse, while his deputy said that in the past decade, 100 Italian priests had faced church trials in connection with the sexual abuse of minors.
http://www.presstv.ir/detail.aspx?id=132214&sectionid=351021820

Irish priest resigns over abuse case 27 Jun 2010 A priest in charge of protecting children in a rural diocese in Northern Ireland has been forced to resign over a case of child sex abuse filed against another priest under his authority. Earlier, an Irish Examiner report said Fr Bermingham in charge of the Diocese of Cloyne, in County Cork had received a note from a woman claiming abuse by a priest under his ministration. Bermingham had hushed up the matter and let his colleague know of the note before referring him to the police.

Bermingham said he had turned in the abuse statement which he received in May 2009 to the police and the Health Service Executive in the Irish Republic right away….This spring, a group of deaf men in Verona were granted a rare hearing on national television to denounce the priests they said serially molested them as children in a school for the deaf. “We just want justice,” said one of the men, Gianni Bisoli.
http://www.presstv.ir/detail.aspx?id=132214&sectionid=351021820

Pope denounces ‘deplorable’ raid on Belgian church – Raids come amid fresh claims of sex abuse in Catholic Church Agence France-Presse June 27, 2010
VATICAN CITY – Pope Benedict XVI on Sunday accused Belgian police of “deplorable methods” for raiding a bishops’ meeting as part of a pedophilia probe, as Brussels said the Vatican was overreacting….Thursday’s raids came amid new claims of child abuse by members of the Catholic Church in Belgium, one of the countries rocked by recent revelations of pedophilia by priests in Europe and North America. http://www.montrealgazette.com/life/Pope+denounces+deplorable+raid+Belgian+church/3208676/story.html

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