Exposure to community violence in adolescence: trauma symptoms

This research explored the relationship between exposure to violence and psychological stress among adolescents. It focused on the cumulative experience of recurring community violence during the high school years, differentiated victimization from witnessing violence, and examined four conceptually separate psychological symptoms of trauma (anger, anxiety, depression, and dissociation). Considerable exposure to recurring community violence, but also considerable variation in the amount of exposure, was found in the sample of 455 first-year students at an urban college. Exposure to recurring community violence was moderately correlated with the manifestation of psychological trauma symptoms. Further, being victimized and witnessing violence had independent (as well as overlapping) relationships with trauma symptoms. It was concluded that attempts to account for psychological stress among adolescents must include exposure to community violence.     

Extending the Rorschach trauma content index and aggression indexes to dream narratives of children exposed to enduring violence: an exploratory study

In this study, we compared dream narratives of children and adolescents living under conditions of enduring interpersonal violence (n = 220) versus those living in peaceful surroundings (n = 99) on content variables that have been associated with traumatic experiences in Rorschach (Exner, 1995) imagery. As predicted, children and adolescents living in circumstances of enduring violence reported a higher proportion of content scorable by Armstrong and Loewenstein's (1990) Trauma Content Index and a much higher proportion of aggressive objects in their dreams (AgC; Gacono & Meloy, 1994). In support of discriminant validity, no consistent group differences were observed for the relative frequencies of Animal (A), Clothing (Cg), or Cooperative movement (COP) content. The modest association between manifest dream content and psychological symptom scales suggests that the former may alternatively reflect adaptive or psychopathological processes. Our findings suggest that content analysis of dreams may be a valuable adjunct in tapping the psychological state of children traumatized by violence.     

Witnessed community violence and antisocial behavior in high-risk, urban boys

Examined the longitudinal relation between children's self-report of witnessing community violence, family environment, and parent report of child antisocial behavior in a sample of 6- to 10-year-old urban American boys (N = 97) at familial risk for antisocial behavior. Boys reported high rates of lifetime exposure to community violence. Boys' reports of witnessing community violence were significantly positively related to changes over 15 months in child antisocial behavior, even after controlling for the possible effects of 3 aspects of parent-child interactions shown previously to be related to problematic child behavior. Furthermore, family environment, particularly the degree to which parents engaged in conflict with their sons, moderated the effect of witnessed violence on changes in antisocial behavior. In families with low conflict, higher levels of witnessed violence predicted increases in antisocial behavior over time. In contrast, in families with relatively high levels of parent-child conflict, high-witnessed violence had no additional influence on antisocial outcome. This is the first prospective longitudinal study to document an association between witnessed community violence and changes in antisocial behavior in young, urban boys at familial risk for antisocial behavior.     

Acculturation and peritraumatic dissociation in young adult Latino survivors of community violence

This study examined the relationship between acculturation and peritraumatic dissociation in a sample of 304 physically injured Latino survivors of community violence. Item response theory analyses were conducted to document the measurement equivalence of English- and Spanish-language versions of a scale measuring peritraumatic dissociation. After establishing equivalence, structural equation modeling was used to determine the impact of acculturation on peritraumatic dissociation after controlling for other relevant covariates, including assault characteristics, intoxication before the assault, and trauma exposure history. Acculturation emerged as a significant and negative predictor of dissociation, so that high levels of acculturation were associated with low levels of peritraumatic dissociation. These findings offer a counterinstance to the emerging consensus that retention of Latin American cultural traditions serves to promote mental health.     

Exposure to community violence and trauma symptoms in late adolescence: comparison of a college sample and a noncollege community sample

This paper presents a comparison for two samples (college and noncollege) of older, urban African-American adolescents of correlations between two measures of exposure to community violence (victim and witness) and four types of psychological trauma symptoms (anger, anxiety, depression, and dissociation). The central issue is the generalizability of previous findings about these relationships obtained from beginning college students of traditional age. The two samples did not differ in the magnitude of either the zero-order correlations or the multiple correlations between the two types of exposure to community violence and the four types of symptoms of trauma. The conclusion is that findings regarding the relationship of exposure to community violence with psychological symptoms of trauma obtained from college students may tentatively be generalized to older adolescents who are not in college.     

Talking about the silent fear: adolescents' experiences of violence in an urban high-rise community

The self-reported violent experiences of adolescents living in a public-subsidized urban high-rise building were examined. This effort was part of an interdisciplinary, community-university collaboration program called the HOME (High-rise On-site Multifamily Environments) Family Support Project. A survey of violent experiences and a one-on-one structured interview were conducted with 20 adolescent residents. Results of the quantitative and qualitative analyses revealed high degrees of exposure to violence among these adolescents, concerns for their personal safety, as well as insights into what they believe adults could and should be doing to address increasing levels of community violence. The implications of these results for conducting ecologically valid research on sensitive issues with adolescents and for family support program planning are discussed.     

Diagnostic value of the Dominic Interactive Assessment with children exposed to intimate partner violence

This article reports on the diagnostic validity of the Dominic Interactive Assessment (DIA) in a sample of Spanish children exposed to intimate partner violence (IPV). The study participants included 55 children aged between 6 and 11 years whose mothers visited an IPV counselling centre. Psychopathology and functional impairment were used as the main criteria for assessing predictive and discriminative accuracy, as well as incremental validity, of DIA. The results indicate that DIA permits obtaining useful information from children. This information improves the prediction and validity of the process of clinical assessment of children exposed to IPV. Children's self-reports could prove effective in identifying cases in this high-risk population when developmentally adequate instruments and functional criteria are used.     

Blame, shame, and community: justice responses to violence against women

Justice processing for crimes against women is reviewed. The data reveal conviction rates for partner violence and rape by known acquaintances are miniscule; mandatory arrest, protection orders, and diversion programs inadequately deter rebattering; few losses are compensated; and the adversarial justice process is retraumatizing, exacerbating survivor's self-blame. To better address crimes against women, several nations and tribal communities use communitarian approaches, forms of restorative justice. The offense is framed to include the perpetrator, victim, and community. The process forgoes incarceration to have family, peers, and advocates design perpetrator rehabilitation, victim restoration, and social reintegration of both victim and perpetrator. Evaluations suggest communitarian justice may increase victim satisfaction, raise the social costs of offending, multiply social control and support resources, and open a new avenue to targeted prevention.     

Parents, children, and trauma: Parent role perceptions and behaviors related to the 9/11 tragedy

The trauma associated with 9/11 affected and continues to influence children, families, and other groups of people. While research is cataloging the various coping difficulties experienced, few studies specifically address issues related to parenting perceptions and related activities or behaviors. We examined individuals employed in close proximity to Ground Zero and considered these individuals’ perspectives regarding their parenting perceptions and behaviors. In addition to capturing parenting subsequent to 9/11, the researchers also asked participants about their parenting beliefs and behaviors prior to and immediately after 9/11. Additional variables, such as directly viewing 9/11 and participating in the evacuation, parent age and gender, child age and gender, and ethnicity, were considered in light of parenting beliefs and practices. The retrospective questions, while not ideal methodologically, reveal that some parent characteristics and behaviors changed immediately following 9/11 and subsequently returned to pre-9/11 levels, others changed and remain altered, while others stayed relatively stable over time. Implications of this research for further study as well as mental health practice related to children and families are presented.     

The loss and restoration of community: The treatment of severe war trauma

Abstract

One of the most devastating outcomes of trauma is the violation of trust and the subsequent loss of the survivor's sense of community. War is the breakdown of the very concept of community. The acts of war may leave combatants questioning their own suitability for community membership and the community rejecting them as members. Severe trauma also destroys the ability to trust to the extent that the conditions necessary for conducting therapy may no longer exist. Creating an infrastructure to conduct therapy requires that professionals actively demonstrate trust in their own community as a model. Survivors may engage and test the trustworthiness of the professional community before therapy can proceed.     

Child victims: Searching for opportunities to break the cycle of violence

In 1986 I began research to address the relationship between early child abuse and neglect and later deliquent and violent criminal behavior using a prospective cohort design. The relationship is not inevitable, suggesting an opportunity for long-range violence prevention through appropriate early intervention. Here, I briefly describe how childhood victimization and violent criminal behavior are related and illustrate a number of promising strategies and opportunities to intervene. Finally, I offer five principles to guide interventions: (1) the earlier the intervention, the better; (2) don't neglect neglected children; (3) one size does not fit all; (4) surveillance—a double-edged sword; and (5) accessibility to resources. Rather than focusing on responses to child abuse or neglect in court proceedings that “treat” offenders, primary prevention efforts should target childhood victims to reduce their risk of becoming offenders in the future.     

Reappraising the link between peritraumatic dissociation and PTSD symptom severity: evidence from a longitudinal study of community violence survivors

Cross-lagged panel analysis of longitudinal data collected from young adult survivors of community violence was used to examine the relationship between recall of peritraumatic dissociation and posttraumatic stress disorder (PTSD) symptom severity. Recollections of peritraumatic dissociation assessed within days of exposure differed from recollections measured at 3- and 12-month follow-up interviews. Peritraumatic dissociation was highly correlated with PTSD symptoms within each wave of data collection. Baseline recollections of peritraumatic dissociation were not predictive of follow-up PTSD symptom severity after controlling for baseline PTSD symptom severity. This pattern of results replicates previous work demonstrating a correlation between peritraumatic dissociation and subsequent symptom severity. However, findings are not consistent with the prevailing view that peritraumatic dissociation leads to increased PTSD symptom severity.     

Pathological and nonpathological dissociation: the relevance of childhood trauma

Although previous research has implicated a history of childhood trauma in the development of dissociative tendencies, insufficient cognizance (in this context) has been taken of the distinction between pathological and nonpathological dissociation. In this study, the relationship between childhood trauma and both pathological and nonpathological dissociation was investigated in a sample of 100 Australian adults. Pathological dissociation was positively predicted by dimensions of childhood trauma, but no such relationship was found for nonpathological dissociation (psychological absorption). The data are consistent with the traumagenic model of the dissociative disorders, but factors other than childhood trauma may also be pertinent.     

Effects of exposure to community violence on school functioning: The mediating role of posttraumatic stress symptoms

This study investigated the association between exposure to community violence (ECV) and school functioning, as well as posttraumatic stress (PTS) symptoms as a potential mediator of the relationship. PTS symptoms are commonly associated with ECV, and are characterized by difficulty regulating emotions and behaviors. Thus, PTS symptomatology may be one mechanism through which community violence impacts school functioning. The community-based sample included 47 low-income African American children (aged 10-13). Results revealed that ECV was inversely related to academic performance and attendance. Symptoms of posttraumatic stress emerged as a mediator of the relation between ECV and academic performance. Results have implications for urban students who face violence in their communities, and emphasize the need for school-based mental health services.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

Third parties, violence, and conflict resolution: the role of group size and collective action in the microregulation of violence

Although researchers know much about the causes of aggression, they know surprisingly little about how aggression leads to violence or how violence is controlled. To explore the microregulation of violence, we conducted a systematic behavioral analysis of footage from closed-circuit television surveillance of public spaces. Using 42 incidents involving 312 people, we compared aggressive incidents that ended in violence with those that did not. Behaviors of antagonists and third parties were coded as either escalating or conciliatory acts. Results showed that third parties were more likely to take conciliatory actions than to escalate violence and that this tendency increased as group size increased. This analysis revealed a pattern of third-party behaviors that prevent aggression from becoming violent and showed that conciliatory behaviors are more successful when carried out by multiple third parties than when carried out by one person. We conclude by emphasizing the importance of collective third-party dynamics in understanding conflict resolution.     

Child witnesses to violence between parents: Critical issues in Behavioral and social adjustment

This study examined the impact of exposure to family violence on children's adjustment. Two groups of residents of shelters for battered women (current and former residents) were compared to a nonviolent control group. All three groups of mothers completed interviews and selfreport questionnaires related to both their own and their children's adjustment. Children recently witnessing violence tended to have the lowest levels of social competence ratings, and their mothers reported the most health and emotional difficulties. Former residents of shelters experienced the highest level of family/social disadvantage. The results are discussed in the context of previous research findings, and implications for intervention programs are outlined.This research was supported by a grant from the Ontario Ministry of Community and Social Service and the Ontario Mental Health Foundation. The authors wish to thank the staff of transition houses in Cambridge, Catham, Guelph, Kitchener, Sarnia, and Woodstock for their generous support of this project.     

Postnatal exposure to methyl mercury and neuropsychological development in 7-year-old urban inner-city children exposed to lead in the United States

Background: The most common route for general population exposure to methyl mercury (MeHg) is fish consumption. Recommendations to pregnant women about consuming fish contaminated with MeHg are also applied to children, but there are few studies available about the effects of low-level postnatal MeHg exposure in them.

Objectives: To investigate the association between postnatal methyl mercury exposure and neuropsychological development in a study of children also exposed to lead, both measured at 7 years.

Methods: We measured MeHg concentrations in blood samples from the Treatment of Lead-Exposed Children (TLC) trial in which 780 children with elevated concentrations of lead in blood were followed with neuropsychological tests from ages 12–33 months through 7 years. Here we examine blood MeHg concentration and neuropsychological test scores, both measured at age 7 years. We used a maximum likelihood method to estimate geometric mean MeHg concentration and generalized linear regression models to analyze MeHg and neuropsychological test scores.

Results: Geometric mean MeHg concentration was 0.56 (95% confidence interval: 0.52, 0.59) μg/L. A 1 μg/L increase in MeHg was associated with a 2.1 (95% confidence interval: 0.4, 3.8) point increase in Full-Scale IQ and 0.2 (95% confidence interval: 0.02, 0.4) point increase in Learning Slopeindex T-score on a test of verbal memory.

Conclusions: Our results suggest that the relatively low MeHg exposure in US school-aged children from this population has no detectable adverse effect on neuropsychological development. The positive associations observed between MeHg and neurodevelopment may indirectly reflect consumption of beneficial polyunsaturated fatty acids from seafood.     

Prospective effects of interparental conflict on child attachment security and the moderating role of parents' romantic attachment.

This study investigated the impact of parents' observed conflict behavior on subsequent child attachment security, both as a main effect and as moderated by parents' romantic attachment. Participants were 80 heterosexual couples involving men from the Oregon Youth Study and their first-born children. The authors used hierarchical linear modeling to predict child security with each parent. Interparental psychological aggression predicted lower child security with father, regardless of romantic attachment. If the father was insecure, interparental positive engagement predicted lower child security with him. If either the mother or father was avoidant, interparental withdrawal did not predict lower child security, though it did for more secure parents. Results are discussed in terms of implications of attachment-(in)congruent behavior for parents' emotional availability.