Insult,then Injury: Interpersonal and Institutional Betrayal Linked to Health and Dissociation

Psychological trauma, particularly trauma involving betrayal, has been linked to health problems. Betrayal trauma is also characterized by dissociation and difficulty remembering as victims face conflicting demands presented by a harmful but important relationship. Institutional betrayal is related to, but distinct from, interpersonal betrayal and in need of research on its unique effects. The current study has two related goals. First, the association between institutional betrayal and health problems is examined. Second, the previously documented association between institutional betrayal and dissociative symptoms is re-examined, while controlling for betrayal trauma. This study utilizes a sample of 302 college students (70% female, 63% Caucasian) who reported their trauma history (Brief Betrayal Trauma Survey), institutional betrayal history (Institutional Betrayal Questionnaire), distress related to health problems (Patient Health Questionnaire), and dissociative symptoms (Wessex Dissociation Scale). We found that institutional betrayal is uniquely associated with both health problems and dissociative symptoms even when controlling for betrayal trauma exposure. Findings add to the understanding of how institutional betrayal is uniquely associated to trauma-related physical and mental health outcomes. Small effect sizes, likely due to low base rates of health problems and dissociative symptoms in college students, and problems generalizing these results to clinical samples are discussed.     

Analyses of mental contamination: Part I,experimental manipulations of morality

The fear of contamination is thought to be comprised of two separate but related fears: those pertaining to physical and mental contamination. Previous research on mental contamination involved studies in which more than one independent variable was manipulated simultaneously. In particular, an immoral act (e.g., a non-consensual kiss) had been coupled with an immoral man (e.g., the person who forces the kiss) in each manipulation. The purpose of this study was to separate manipulations of the immorality of the man from the immorality of the act. Female undergraduate students (n = 148) listened to an audio recording and imagined that they were experiencing either sharing a consensual kiss with a man described as moral or immoral, or receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and then completed a behavioural task for which spontaneous washing was recorded. Results indicated that a non-consensual kiss evoked greater feelings of mental contamination than a consensual kiss. In particular, participants who imagined a non-consensual kiss from a man described as either moral or immoral reported the greatest feelings of mental contamination, whereas participants who imagined a consensual kiss from a man described as moral reported the least. Results are discussed in terms of cognitive–behavioural conceptualizations of and treatments for contamination fears.     

Varieties of trust‐betrayal: emotion and relief patterns in different domains

This study investigates the emotional responses to betrayal in two domains—social norms and personal acquaintances. The study relies on a newly developed Betrayal‐Domain Questionnaire and the Portrait Value Questionnaire. Study 1 confirmed the existence of two distinct betrayal domains differing in the pattern of emotional response evoked, in the actions that relieve negative emotions and the influence of values on the emotional response. In the social norms domain, betrayal evokes predominantly anger‐related emotions that can be alleviated effectively, whereas in the personal domain, more profound negative emotions are elicited by betrayal and fewer actions can relieve them. Study 2 replicates the findings with a modified questionnaire designed to comply with more stringent methodological restrictions.     

Relationship closeness and trauma narrative detail: A critical analysis of betrayal trauma theory

Betrayal Trauma Theory (BTT) holds that certain traumas, such as incest, should be uniquely categorized as betrayal trauma: a subcategory of trauma in which the violation of trust, within a close relationship, occurs in the context of a traumatic event. According to BTT, betrayal trauma results in either partial or complete traumatic amnesia because repression is adaptive when a victim depends on a perpetrator for physical or emotional needs. In a test of BTT, undergraduates screened for betrayal and non‐betrayal trauma histories provided detailed accounts of these events. In order to account for threats to internal validity that are often overlooked by traumatic amnesia researchers, we also assessed factors known to compromise narrative detail. Consistent with BTT predictions, more betrayal was associated with less detailed trauma narratives. However, this relationship was no longer significant after controlling for survivor age, avoidance symptoms, gender and purposeful omission of detail. Copyright © 2008 John Wiley & Sons, Ltd.     

Betrayal aversion: When agents of protection become agents of harm

A form of betrayal occurs when agents of protection cause the very harm that they are entrusted to guard against. Examples include the military leader who commits treason and the exploding automobile air bag. We conducted five studies that examined how people respond to criminal betrayals, safety product betrayals, and the risk of future betrayal by safety products. We found that people reacted more strongly (in terms of punishment assigned and negative emotions felt) to acts of betrayal than to identical bad acts that do not violate a duty or promise to protect. We also found that, when faced with a choice among pairs of safety devices (air bags, smoke alarms, and vaccines), most people preferred inferior options (in terms of risk exposure) to options that included a slim (0.01%) risk of betrayal. However, when the betrayal risk was replaced by an equivalent non-betrayal risk, the choice pattern was reversed. Apparently, people are willing to incur greater risks of the very harm they seek protection from to avoid the mere possibility of betrayal.     

Analyses of mental contamination: Part II,individual differences

Recent research on mental contamination (internal, psychological feelings of dirtiness) has focused primarily on examining the experimental variables necessary to provoke contamination-related thoughts, feelings and behaviour; yet, relatively little is known regarding the individual differences among participants' mental contamination responses to these situational and experimental characteristics. The purpose of this study was to determine whether variables associated with symptoms, beliefs and appraisals could predict the experience of mental contamination after an established provocation. Female undergraduate students (n = 70 from Part I of this study; Elliott & Radomsky, 2009), completed a series of questionnaires then listened to an audio recording and imagined that they were receiving a forced, non-consensual kiss from a man described as moral or immoral. Participants indicated the presence and degree of mental contamination and appraisals of the man and act, then completed a behavioural task for which spontaneous washing was recorded. Results indicated that, although symptoms of physical contamination were able to predict feelings of mental contamination, appraisal variables emerged as unique predictors of feelings of mental contamination. Results are discussed in terms of cognitive-behavioural conceptualizations of and treatments for contamination fears.     

Vulnerability to mental contamination

Mental contamination refers to feelings of contamination that arise without physical contact with a contaminant. Mental contamination has been documented among sexual assault victims, some of whom report feeling dirty and wanting to wash in response to memories of the assault. This study examined variables associated with increased vulnerability to mental contamination. Female undergraduates (n=100) filled out a series of questionnaires and listened to an audiotape that instructed them to imagine experiencing a forced kiss by an undesirable male. Controls (n=20) imagined a consensual kiss by a desirable male. Women in the non-consensual condition reported stronger feelings of dirtiness and urge to wash than those in the consensual condition. Twenty-seven women in the non-consensual condition spontaneously rinsed in order to alleviate physical sensations evoked by the tape. Regression analyses revealed that significant predictors of dirtiness included contact contamination fear and disgust sensitivity, and there was a trend for anxiety sensitivity to predict dirtiness. Contact contamination fear was also a significant predictor of urge to wash. Prior experience with unwanted sexual contact was a significant predictor of rinsing, and there was a trend for fear of negative evaluation to predict rinsing. Discussion focuses on the implications of these findings for our understanding of mental contamination.     

Silenced by Betrayal: The Path from Childhood Trauma to Diminished Sexual Communication in Adulthood

Betrayal traumas (Freyd, 1996), abuses that violate trust or dependency, predict numerous negative outcomes, including dissociation and revictimization (DePrince & Freyd, 2007; Gobin & Freyd, 2009; Goldsmith, Freyd, & DePrince, 2012). No previous empirical research examines the relation between betrayal and sexual health, including dissociation during sex. This article addresses this gap with 2 studies, which provide support for a multiple mediation model where high betrayal in childhood predicts worsened sexual communication in adulthood through trait dissociation and sexual dissociation in serial. In both studies, the direct path between betrayal and sexual communication was nonsignificant; only when accounting for trait dissociation overall and sexual dissociation in particular does childhood betrayal predict diminished communication with sex partners in adulthood.     

Avoiding awareness of betrayal: Comment on Lindblom and Gray (2009)

Betrayal trauma theory (BTT) predicts that unawareness of abuse by someone on whom a victim is dependent may serve to protect a necessary relationship. Lindblom and Gray (2009) contribute to a growing line of BTT studies by measuring narrative detail in a sample of undergraduates who met Criterion A of the PTSD diagnosis and who rated the abuse as their most distressing trauma. Although many core betrayal traumas do not fit Criterion A, Lindblom and Gray found a small effect in the predicted direction. Having found an effect as predicted by BTT, curiously the authors then argue that PTSD Avoidance is a confound for forgetting the abuse to be statistically managed. This is particularly curious since symptom 3 of Criterion C is ‘inability to recall an important aspect of the trauma’. Despite constraining participant selection and other methodological issues, Lindblom and Gray's results add support to BTT. Copyright © 2009 John Wiley & Sons, Ltd.     

Betrayal Trauma,Health Care Relationships,and Health in Patients with a Chronic Neurovascular Condition

Individuals who have been exposed to trauma are at a greater risk of developing a chronic physical health condition and use health services more frequently than individuals who have not experienced trauma. The mechanism by which trauma affects health is not fully understood, but relationships with health care providers could be important in understanding this association. The purpose of this study was to explore the relationships among betrayal trauma, health care relationships, and physical and mental health in a chronic medical population. Participants (N = 272) diagnosed with a chronic neurovascular condition (cavernous malformation) completed an online survey. Questionnaires assessed self-rated health, instances of betrayal trauma, posttraumatic stress disorder (PTSD) and depression symptoms, income, and other demographic factors, and health care relationships. Level of income and the experience of betrayal trauma predicted mental health symptoms (depression, PTSD, or both) and also predicted health care relationships. After controlling for income and previous trauma, mental health symptoms significantly predicted health care relationships. Finally, mental health symptoms, health care relationships, and income predicted self-rated health, although the associations were not straightforward. These results suggest complex interrelations among trauma, mental health, income, health care relationships, and physical health, and a model is proposed for explaining these associations.     

Betrayed? That’s Me: Implicit and Explicit Betrayed Self-Concept in Young Adults Abused as Children

Attenuated awareness of betrayal, or “betrayal blindness,” is a proposed survival mechanism in relationships where awareness of betrayal will mobilize confront-or-withdraw responses that jeopardize a needed relationship. Empirical tests of betrayal blindness and its effects are hampered by the methodological conundrum of how to measure an absence of awareness. The purpose of this study was to evaluate the validity of a novel empirical method to measure implicit betrayed self-concept, the first step in a long-term research aim to operationalize “betrayal blindness.” Informed by betrayal trauma theory, we hypothesized that a history of betrayal within close childhood relationships (but not recent close relationships or “not-close” relationships) would predict implicit betrayed-self associations in young adulthood. An adaptation of the Implicit Association Test (IAT) and measured implicit and explicit betrayed-self associations and self-reported history of physical, sexual, and psychological abuse in 529 university undergraduates was designed. Internal consistency reliability of the betrayed self IAT was low but adequate. Hierarchical regression modeling revealed that history of abuse within close childhood relationships (but not recent close relationships or “not-close” relationships) predicted betrayed-self IAT scores. The effect size was small, β = .12, p < .05, 95% CI [.01, .07], R² = .12. In addition, history of betrayal by someone close (but not someone “not close”) at any age predicted increased explicit evaluations of the self as betrayed versus respected, a small effect size, R² = .16. Findings indicate that implicit betrayed self-concept can be measured empirically.     

Within a hair's breadth of buying the product: The impact of tangible and intangible bodily cues of contamination: The role of disgust and mental imagery

In most retail environments, customers can handle products. However, the downside of this freedom to touch products is product contamination. The objectives of this paper are threefold: (a) to examine the effects of contamination cues (tangible vs. intangible) on consumer responses; (b) to show the mediating role of contamination, disgust, and mental imagery; and (c) to assess the robustness of the results on three product categories for different levels of contact intimacy. Three experimental laboratory studies on different product categories (a book [n = 95], T‐shirt [n = 118], and apple [n = 102]) showed that tangible contamination cues decreased product evaluation and purchase intentions more than intangible contamination cues did. Moreover, contamination, disgust, and mental imagery mediated the effects of contamination cues on product evaluation and purchase intention. The findings provide theoretical and practical insights to help researchers and retailers understand the effect of tangible contamination cues on consumer responses.     

Dealing with betrayal in close relationships: does commitment promote forgiveness?

This work complements existing research regarding the forgiveness process by highlighting the role of commitment in motivating forgiveness. On the basis of an interdependence-theoretic analysis, the authors suggest that (a) victims' self-oriented reactions to betrayal are antithetical to forgiveness, favoring impulses such as grudge and vengeance, and (b) forgiveness rests on prorelationship motivation, one cause of which is strong commitment. A priming experiment, a cross-sectional survey study, and an interaction record study revealed evidence of associations (or causal effects) of commitment with forgiveness. The commitment-forgiveness association appeared to rest on intent to persist rather than long-term orientation or psychological attachment. In addition, the commitment-forgiveness association was mediated by cognitive interpretations of betrayal incidents; evidence for mediation by emotional reactions was inconsistent.     

Betrayal Trauma: Traumatic Amnesia as an Adaptive Response to Childhood Abuse

Betrayal trauma theory suggests that psychogenic amnesia is an adaptive response to childhood abuse. When a parent or other powerful figure violates a fundamental ethic of human relationships, victims may need to remain unaware of the trauma not to reduce suffering but rather to promote survival. Amnesia enables the child to maintain an attachment with a figure vital to survival, development, and thriving. Analysis of evolutionary pressures, mental modules, social cognitions, and developmental needs suggests that the degree to which the most fundamental human ethics are violated can influence the nature, form, and processes of trauma and responses to trauma.     

公共资源困境中领导对群体成员合作行为的影响

过去社会困境的领导研究大多都以被试作为领导, 发现贴上领导标签后, 被试倾向于拿取更多的公共资源, 从而有碍公共利益的实现。本研究指出, 如果领导的背叛行为能够使群体成员表现出自我节制行为的话, 那么设置领导则有可能促进公共利益的实现。研究通过三个实验, 考察领导与普通群体成员不同的行为方式以及领导的产生方式对群体成员行为的影响, 并检验公平理论和社会认同理论的解释力。研究结果表明, 领导表现出背叛行为时, 被试表现出更多的自我节制行为; 指派领导及外群体选举领导背叛时, 被试表现出更多的自我节制行为, 验证了社会认同理论的正确性。     

不同人际情境影响工作记忆的初探

采用信任博弈任务创设人际信任、人际背叛及背叛后利他惩罚三种人际情境,探讨三种人际情境对不同任务难度工作记忆的影响。结果发现：（1）随着工作记忆的难度增加,三组正确率均显著下降。在低难度任务中,人际信任组和背叛后利他惩罚组正确率均高于人际背叛组;中等难度任务中,人际信任组正确率高于背叛后利他惩罚组和人际背叛组;高难度任务中,三组正确率无明显差异;（2）随着工作记忆的难度增加,三组反应时均显著增加。低难度任务中,人际信任组、背叛后利他惩罚组反应时均低于人际背叛组;中等难度和高难度任务中,三组反应时无明显差异。结论：人际信任、人际背叛及背叛后利他惩罚对工作记忆有不同作用。     

The death of a mind: a study of Shakespeare's Richard III

Some of the most difficult aspects of our work involve our encounters with states of mind which are steeped in and spread violence. In these circumstances, we experience our best efforts to offer empathic presence and thought to avoid being assaulted and obliterated. In these instances, a figure from literature depicting the details in question may come to our aid. In the play popularly known as Richard III,William Shakespeare depicts how the state of mind which is etched by grievance and committed to revenge may impose the 'winter of (its) discontent' upon the sunny dispositions of others' healthy, integrated functioning. Shakespeare masterfully depicts Richard's cunning and malice, but he also illustrates how this vengeful state uses guile and 'changes of shape' to seduce its way past protective boundaries, utilizing the human qualities of trust, open-heartedness and longing as pathways for invasion, betrayal and emotional devastation. This paper will view excerpts of the play's text from a psychoanalytic perspective which suggests that several clear lessons about this obliterative state of mind may be gleaned: that grievance can only operate to spread grievance and destruction; that our open-hearted and trusting qualities do make us vulnerable to such invasion and betrayal, but that our humanity is also the only avenue for rescue from this plight. In addition a clear lesson is offered about the value of protected 'sanctuary', that is, mental space where our most potent tool in these circumstances, our discerning minds, might find residence.