Relationship of purported measures of pathological and nonpathological dissociation to self-reported psychological distress and fantasy immersion

In order to investigate both the psychometric structure of the Dissociative Experiences Survey (DES) and the discriminant validity of the DES-Taxon (Waller, Putnam, & Carlson, 1996) as a specific marker of pathological dissociation, 376 non-clinical community based respondents completed the DES and a battery of psychopathology and imaginative involvement self-report measures. The DES was scored for both the Taxon and the DES-Absorption subscale. A DES subscale purported to tap normative dissociative processes. The two DES subscales demonstrated substantial overlap, both with each other (r = .80) and with the self-report measures with both DES scales comparably associated with high levels of psychological distress. Both DES subscales were also associated with elevated levels of "normative" imaginative involvement (fantasy proneness, absorption, daydreaming immersion). We conclude that both DES scales are largely indistinguishable from each other in relation to other self-report measures of psychopathology and fantasy access.     

Uprooted minds: displacement,trauma and dissociation

The author, English born and living in Sydney, Australia, presents an argument for the usefulness of the recognition of the implicit simultaneous links between the following:

• development of psychic skin and the establishment of the body schema
• development of a sense of identity
• relationship with place

such that the formulation psychic skin< > mind < > body < > self < > place < > world can be thought of as an organising gestalt or implicit continuum of ‘skin’ experience and process upon which the explicit always depends. This constitutes a taken‐for‐granted ground‐plan of the self‐in‐place . The author follows this with an exploration of the consequences for psychic health of a traumatic rupture of this gestalt for both individual and group. Material from two cases is presented: first, a young woman whose family fled the Balkan wars which splintered the former Yugoslavia; second, the transmission of displacement trauma into the third generation of a family who arrived in Australia after WW II from the former Yugoslavia. For the purposes of this paper I will not make a distinction between migrants/exiles/refugees and instead refer to either displacement or dislocation.     

The multiple self: working with dissociation and trauma

This paper describes a patient who appears to have a chronic dissociative personality disorder. Renewed clinical interest in dissociative disorders had arisen in North America in the 1980s, in part due to the influence of the Women's Movement which had highlighted the incidence of child sexual abuse. The early psychological observations of Janet, Freud and Jung on hysterical patients who displayed dissociative phenomena were similar to those displayed by the patient. consideration is given to theoretical understanding of the condition, taking into account the views of the earlier theorists and object-relations theory. The possibility of trauma, in particular childhood sexual abuse, as a causative factor in dissociative disorders is discussed.     

Self-reports of trauma and dissociation: An examination of context effects

To examine context effects in moderating the link between self-reported trauma and dissociation in undergraduate samples, we administered these measures either in the same or different experimental contexts. Trauma History Screen/THS (Carlson et al., 2011)-Dissociative Experiences Scale/DES-II (Bernstein & Putnam, 1986) correlations revealed a context effect (greater correlations in same test context), although multiple regression analyses did not confirm this finding. A context effect was supported in DES-Taxon scores using multiple regression for the THS but not the Modified Posttraumatic Stress Scale (MPSS-SR; Falsetti, Resnick, Resick, & Kilpatrick, 1993), an effect confirmed with correlation comparisons. Ethnicity influenced the association between measures of trauma and dissociation. Overall, the relation between measures of trauma and dissociation was small to medium, although high correlations were observed between the DES depersonalization/derealization subscale and the Multiscale Dissociation Inventory (Briere, Weathers, & Runtz, 2005) depersonalization and derealization subscales, supporting the construct validity of these measures.     

Evaluation of the evidence for the trauma and fantasy models of dissociation

The relationship between a reported history of trauma and dissociative symptoms has been explained in 2 conflicting ways. Pathological dissociation has been conceptualized as a response to antecedent traumatic stress and/or severe psychological adversity. Others have proposed that dissociation makes individuals prone to fantasy, thereby engendering confabulated memories of trauma. We examine data related to a series of 8 contrasting predictions based on the trauma model and the fantasy model of dissociation. In keeping with the trauma model, the relationship between trauma and dissociation was consistent and moderate in strength, and remained significant when objective measures of trauma were used. Dissociation was temporally related to trauma and trauma treatment, and was predictive of trauma history when fantasy proneness was controlled. Dissociation was not reliably associated with suggestibility, nor was there evidence for the fantasy model prediction of greater inaccuracy of recovered memory. Instead, dissociation was positively related to a history of trauma memory recovery and negatively related to the more general measures of narrative cohesion. Research also supports the trauma theory of dissociation as a regulatory response to fear or other extreme emotion with measurable biological correlates. We conclude, on the basis of evidence related to these 8 predictions, that there is strong empirical support for the hypothesis that trauma causes dissociation, and that dissociation remains related to trauma history when fantasy proneness is controlled. We find little support for the hypothesis that the dissociation-trauma relationship is due to fantasy proneness or confabulated memories of trauma.     

The causal link between self-reported trauma and dissociation: a critical review

The idea that traumatic experiences cause dissociative symptoms is a recurrent theme in clinical literature. The present article summarizes evidence that cast doubts on the commonly voiced view that the connection between self-reported trauma and dissociation is a simple and robust one. It is argued that: (1) the correlations between self-reported traumatic experiences and dissociative symptoms reported in the literature are, at best, modest; (2) other factors may act as a third variable in the relationship between trauma and dissociation; and (3) high scores on the Dissociative Experiences Scale are accompanied by fantasy proneness, heightened suggestibility, and susceptibility to pseudomemories. These correlates of dissociation may promote a positive response bias to retrospective self-report instruments of traumatic experiences. Thus, the possibility that dissociation encourages self-reported traumatic experiences rather than vice versa merits investigation. While attractive, simple models in which trauma directly causes dissociation are unlikely to be true.     

Religion,trauma and non-pathological dissociation in Northern Ireland

This study assessed the relationships between non-pathological dissociation, trauma and religion in members of the Northern Irish diaspora in England. One hundred and seventy-nine opportunity sampled participants completed the non-pathological absorption and imaginative involvement items from the Dissociative Experiences Scale, the Age Universal Intrinsic-Extrinsic Religious Orientation Scale, and a measure of exposure to traumatic events in the form of political violence derived from the Irish Social Mobility Survey (1973), the Social Attitudes Survey (1978), the Social Identity Survey (1995) and the Northern Ireland Referendum and Election Survey (1998). Analysis indicated that non-pathological dissociative experiences were not significantly predicted by intrinsic religiosity, extrinsic religiosity, direct exposure to political violence or indirect exposure to political violence, but were significantly predicted by some specific religious practices. Findings are discussed with specific reference to research on dissociation, trauma, and religion.     

Correlates of autobiographical memory specificity: the role of depression, anxiety and childhood trauma

The present study examined the role of childhood trauma, major depressive disorder (MDD), and anxiety disorder (AD) in overgeneral autobiographical memory. Ninety-three outpatients and 24 healthy controls completed a childhood trauma questionnaire and an autobiographical memory test (AMT). Results showed that MDD diagnosis rather than trauma history predicted AMT-performance. Memory specificity was not related to AD diagnosis, recovered MDD, or self-rated depression severity. The present findings cast doubts on theories that emphasize the role of childhood trauma in overgeneral autobiographical memory.     

Developmental correlates of emotional intelligence: Temperament,family environment and childhood trauma

This study examined temperament, environmental factors (family environment and childhood trauma), and the interaction between them as developmental correlates of ability and trait emotional intelligence (EI). Using 97 university students, correlational analyses revealed that temperament characteristics were related to trait but not ability EI. Components of family environment and childhood trauma were not significantly related to ability or trait EI. Multiple regression analyses confirmed the importance of temperament in predicting trait EI, but provided little support for the role of environmental factors or their interactions with temperament in predicting either type of EI.     

Reported childhood trauma and suicide attempts in schizophrenic patients

Childhood traumas are associated with suicidal behavior but this aspect has not been examined in relation to schizophrenia. In this study, 50 chronic schizophrenic patients who had attempted suicide were compared with 50 chronic schizophrenic patients who had never attempted suicide for their scores on the 34-item Childhood Trauma Questionnaire (CTQ). It was found that schizophrenics who had attempted suicide reported significantly higher CTQ scores for emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect than schizophrenics who had never attempted suicide. Therefore, childhood trauma may be a risk factor predisposing schizophrenic patients to attempt suicide.     

Attitude-behaviour relationship: Attitude relevance and behaviour relevance

In a 2 × 2 experiment, the influence of attitude relevance and behaviour relevance on attitude-behaviour relationship was examined. The highest attitude-behaviour correlation was found in the situation where no external factor made relevant neither attitude nor behaviour, while the lowest correlation was found in the situation where both attitude and behaviour were made relevant.     

The role of early care and education in addressing early childhood trauma

Young children's experience of trauma is associated with a wide range of adverse events and circumstances, including abuse and neglect, domestic violence, loss of a parent, and community violence. Policymakers and practitioners are increasingly aware that trauma during the first few years of life is especially widespread, and there is growing interest in new ways to support these young children and their families. Many young children who experience trauma attend early care and education (ECE) programs, and these settings offer important opportunities to promote their well‐being. This paper examines strategies currently being implemented in ECE to address early childhood trauma. The paper first examines research on how trauma affects young children's development, ECE environments, and society. We then describe the unique needs of young, traumatized children and features of trauma‐informed care that can address their needs, along with emerging interventions and supports that can be incorporated into or linked with ECE settings as part of a trauma‐informed approach. We conclude with a discussion of future directions for ECE and trauma research, policy, and practice, bearing in mind both the promise of new approaches and a limited evidence base to date.     

Associations between childhood trauma and emotion-modulated psychophysiological responses to startling sounds: a study of police cadets

Childhood trauma may confer risk for adult psychopathology by altering emotional and physiological responses to subsequent stressors. Few studies have distinguished effects of childhood trauma from effects of current Axis I psychopathology on adult psychophysiological reactivity. The authors exposed 90 psychiatrically healthy police cadets to startling sounds under increasing threat of shock while assessing their eyeblink electromyogram (EMG), skin conductance (SC), and heart rate responses. When compared with those who did not endorse early trauma (n = 65), cadets reporting childhood trauma (n = 25) reported less positive emotion and showed greater SC responses across all threat levels. They also showed threat-dependent elevations in reported negative emotions and EMG responses. Results suggest that childhood trauma may lead to long-lasting alterations in emotional and psychophysiological reactivity even in the absence of current Axis I psychopathology.     

A psychodynamic perspective on early childhood trauma in an adult: A case study

Abstract

This paper uses a long-term case to illustrate, from a psychodynamic perspective, a number of issues arising in working with an adult survivor of early childhood trauma. The paper takes an overview of the case study, identifying issues which are inextricably interwoven in the client's experience of trauma, and which impact on the working alliance. The therapeutic relationship forged with the client is discussed in terms of its intrinsic successes and failures together with the implications of early traumatic experiences for the termination of counselling.     

The association of childhood trauma with perceptions of self and the partner in adult romantic relationships

In this study, the association of childhood trauma with perceptions of self and the partner was explored. Using a large sample of more than 5,400 couples who completed the RELATE inventory, couples in which neither partner experienced childhood physical abuse were compared on personality and communication scales with couples where only the female experienced abuse, only the male experienced abuse, and both partners experienced abuse. The primary question of interest was to evaluate whether childhood trauma was associated with selection effects of romantic partners, perceptual effects of partners, or reciprocal negativity with partners. The evidence from the analysis of variance and path analysis indicates that trauma is more likely to be associated with perceptual effects than selection effects. Individuals who were traumatized rated both themselves and their partners as more neurotic and conflictual, even when controlling for overall levels of relationship satisfaction. However, the partners of traumatized persons do not consider themselves more neurotic or conflictual than partners in relationships where neither partner was abused.