替代性创伤：危机干预中救援者的自我保护问题

替代性创伤是危机干预中的常见现象,它给救援者的身心带来不同程度的伤害,因此,需要及时关注救援者的替代性创伤问题,以维护其自身心理健康。已有研究表明,替代性创伤的成因主要与救援者个人自身因素以及特定的环境因素有关;当前,对替代性创伤的干预主要包括了提升专业水平、掌握自我调节方法、开展团体分享等策略     

The Experience of Vicarious Posttraumatic Growth in Mental Health Workers

In order to add to the body of research that examines the phenomenon of vicarious posttraumatic growth, this study sought to illuminate the lived experiences of mental health professionals who work on a day-to-day basis with multiply traumatized children and adolescents and, as a result, experience measurably high levels of vicarious trauma and compassion satisfaction. The findings from this qualitative study support positive vicarious experiences derived from trauma work and expose the pathologically focused nature of the profession.     

Trading Sex for Money or Compensation: Prevalence and Associated Characteristics from a Sexually Transmitted Infection (STI) Clinic Sample

The purpose of this study was to determine the prevalence and individual risk factors of people who trade or sell sex among sexually active individuals seeking HIV and sexually transmitted infection (STI) testing. Using electronic agency records, an analysis of the characteristics of 5,029 youth and adults who voluntarily obtained HIV and STI testing was conducted. Multiple imputation procedures for missing data from 3 variables and logistic regression were conducted. A total of 128 individuals reported having traded sex. Nine variables had statistically significant associations with trading sex. Individuals who identified as White and female had lesser odds of trading sex, whereas individuals who were transgender, were living in a shelter, had been sexually assaulted, had a previous STI, had high-risk sex, or used drugs had greater odds of trading sex. Elevated levels of high-risk behavior in addition to sexual trauma should be considered in intervention research and community health practice. Implications for service providers and researchers are discussed.     

From Posttrauma to Gender and Back: A Gender Motivation Theory-Explanation of Gender Differences in Trauma Exposure,Symptoms, Diagnosis,and Implications

This article proposes the “gender motivation theory” as a potential starting point for the study of gender differences in posttraumatic stress disorder (PTSD). Grounded in evolutionary and sociological theories, the gender motivational theory argues that men are generally motivated by status enhancement, whereas women are motivated by risk reduction. Accordingly, the theory considers these differing motivations as the core factor differentiating men and women in challenging situations regarding their perception, meaning, experience, and behavior. The theory refers to PTSD as a subjectively perceived failure fulfilling gender motives. Applying this theory to trauma victims enables expanding and increasing gender sensibility for an understanding of PTSD and its various consequences. It also allows a broader and deeper understanding of gender beyond normative boundaries. The article examines the validity of the gender motivation theory in view of the cumulative empirical evidence of gender differences in the study of PTSD as well as other fields of knowledge. Additionally, the proposed theory offers a coherent perspective and guidelines for further examination and practical applications in PTSD research.     

100 Years of Trauma: the Armenian Genocide and Intergenerational Cultural Trauma

The events of the Armenian Genocide of 1915, during which more than 1.5 million Armenians were massacred by the Ottoman Turkish Empire, has left a deep, painful scar on this small but prominent culture. Those who lived through the Armenian Genocide survived death marches, rapes, drownings, physical mutilation, and other such heinous crimes. As they have passed, it is being recognized that subsequent generations continue to fight for justice, manifesting their ancestral pain, sadness, and mourning for the loss of their family members. As sociocultural trauma has a multigenerational impact within families and communities and affects the feeling of membership and belonging within that community, understanding how previous traumas shape future generations of that group is important for clinicians. This article reviews the scarce research on intergenerational trauma in the Armenian community within the United States after the Armenian Genocide, using the constructivist self-development theory to provide clinical implications and suggestions.     

Coping With Vicarious Trauma in the Aftermath of a Natural Disaster

This study documents the vicarious psychological impact of the 2010 earthquake in Haiti on Haitians living in the United States. The role of coping resources—family, religious, and community support—was explored. The results highlight the importance of family and community as coping strategies to manage such trauma. Este estudio documenta el impacto psicológico vicario que tuvo el terremoto de 2010 en Haití sobre los residentes haitianos que viven en Estados Unidos. Se explora el papel de los recursos de afrontamiento—apoyo familiar, religioso y comunitario. Lo resultados destacan la importancia de la familia y la comunidad como estrategias de afrontamiento para superar un trauma de esas características.     

国内外助人者替代性创伤研究的可视化分析

为了解国内外助人者替代性创伤的研究热点及发展趋势,运用可视化软件VOSviewer对Web of Science、知网、万方数据库建库至2022年收录的相关文献进行信息挖掘与梳理。结果显示,当前国内外热点主题多聚焦于替代性创伤的影响因素、干预机制及各类助人者的替代性创伤,新冠疫情下助人者的替代性创伤是国内外近期共有的研究前沿。国外替代性创伤研究起步早,研究对象覆盖广泛,研究方法多元化,注重对替代性创伤的概念、机制,助人者替代性创伤体验等进行研究。而国内相关研究数量较少,重点关注特定情境下助人者的替代性创伤。

     

Trauma, Regression, and the Intensive Group Experience

Ferenczi contributed a theory of trauma and regression that has application in the contemporary practice of group therapy. This article seeks to present an extension of these seminal ideas in the form of interventions based on therapist induced regression. The Intensive Group Experience (I.G.E.), a time extended group format found to be necessary for extensive emotional reliving and working through of trauma is described. A clinical case example is then discussed in detail and concludes this report.     

Experience of a Lifetime: Study Abroad,Trauma, and Institutional Betrayal

This study is the first to expand the investigation of study-abroad risks to include a range of traumatic experiences for male and female students and to examine effects of institutional betrayal (i.e., an institution’s failure to prevent trauma or support survivors). In an online survey of 173 university students who had studied abroad, many respondents (45.44%, n = 79) reported exposure to at least 1 traumatic experience while abroad, most frequently natural disasters, sexual assault, and unwanted sexual experiences. Of students exposed to potentially traumatic events, more than one third (35.44%, n = 28) also reported at least 1 form of related institutional betrayal, which uniquely correlated with posttraumatic distress in some participants, when controlling for lifetime trauma history.     

Childhood Maltreatment Increases the Risk of Intimate Partner Violence via PTSD and Anger Personality Traits in Individuals Consulting for Sexual Problems

Childhood maltreatment is a significant risk factor for the perpetration of intimate partner violence (IPV) in adulthood. This study tested, in a clinical sample, a conceptual model suggesting that childhood maltreatment contributes to the development of anger personality traits, directly and indirectly via posttraumatic stress disorder (PTSD), and that anger personality traits, in turn, are associated with IPV. Adults consulting for sex therapy (n = 114) completed self-report measures of childhood maltreatment, PTSD, anger, and IPV. Participants were exposed to high rates of childhood maltreatment (83%). Path analysis supported the hypothesized model: Exposure to child maltreatment was associated with anger personality traits, and this association was partially mediated by PTSD symptoms. Anger personality traits were highly correlated with IPV.     

The Trauma of Poverty as Social Identity

Poverty is more than an income level; it is a socially constructed identity that leaves scars of psychological impoverishment. Using autoethnography, I tell my story about growing up poor, climbing out of poverty as an adult, and falling back into poverty during marriage. I explore the unforgettable traumas of poverty, including empty cupboards, social rejection, humiliation, homelessness, and loneliness. Through the lens of Goffman’s frame analysis theory, I cope with my memories of hardship and stigmatized identity.     

Intimate Partner Violence Victimization among Heterosexual,Gay, Lesbian and Bisexual College Students: The Role of Pro-Abuse Peer Support

Most studies of peer support for intimate partner violence (IPV) at U.S. institutions of higher learning focused solely on male assaults on heterosexual women. As well, the bulk of this work only examined how all-male social networks perpetuate and legitimate this behavior. Using recent data from a survey administered at a large U.S. residential university, the main objective of this paper is to help fill a research gap by presenting findings on (1) how having peers who have perpetrated dating abuse and (2) peers’ encouragement to be abusive to dates contributes to IPV victimization in a campus lesbian, gay, and bisexual (LGB) community. The results show that LGB students report a higher rate of such victimization than heterosexual students and the two aforementioned types of pro-abuse peer support significantly predict victimization among both sexual orientation groups.     

Foster Care Youth Share Stories of Trauma Before,During, and After Placement: Youth Voices for Building Trauma-Informed Systems of Care

Many research studies address child trauma experiences that take place before foster care placement. However, few studies focus on the types and patterns of trauma experiences that reportedly take place during and after foster care placement; that is, after entry into adult living. This study examined the testimony of 43 foster care youth who spoke to a listening panel comprised of state legislators, child welfare professionals, and university educators. Qualitative analyses of transcribed text data revealed 3 main themes. First, the youth reported experiencing trauma before, during, and after placement. Second, the youth described trauma events and situations that were chronic (i.e., intense, composite, or cumulative). Third, youth offered suggestions for reducing traumatic experiences for foster care youth. They recommended earlier family interventions, access to people who listen and care, improved parenting skills for foster parents, continuity of relationships, and opportunities for leadership for foster youth. Foster youth voices offer important suggestions for building, strengthening, and evaluating trauma-informed systems of care.     

Exposure,Loss, and Support Predicting the Dimensions of Posttsunami Trauma

This study examined whether exposure, resource loss, and social support predicted the posttsunami trauma of PTSD, depression, negative affect, and physical health problems of the 2004 tsunami survivors. Four hundred sixteen survivors were interviewed in Tamil Nadu (India) 14 months posttsunami. Loss of life followed by loss of property and disaster exposure positively predicted the dimensions of trauma. Survivors having lower social status and income received less material and informational support than their equally affected counterparts, which furthered stress and distress. The survivors’ trauma can be arrested, minimizing the exposure and tangible resource loss, and improving the delivery of social support.     

Social Trauma,Nostalgia and Mourning in the Immigration Experience

Immigration and exile can qualify as social traumas. The individual is deprived of a holding, secure environment in which to continue their life. The process of mourning is a necessary step to connect with “going on being.” Another psychic experience in migration is nostalgia; it helps the immigrant defend against the aggression resulting from current frustrations. The feeling of nostalgia can also be used to protect the ego from inadequacy. The complex components of nostalgia come from positive ones such as joy and gratitude connected with sadness about the associated loss of security, familiarity, and historical continuity. At other times, nostalgia cannot evolve, particularly in forced migration or exile. In this case, the individual enters a depressed state with accompanying feelings of self-pity, resentment, envy, and guilt, which prevents the mourning process from developing. To deal with these painful experiences, the person resorts to linking objects or linking phenomena that help them continue having contact with the past, while adjusting to their new environment.

     

The Role of Trauma in Conduct Disorder

Summary

Trauma is proposed as a key to understanding the development and persistence of conduct disorder, in conjunction with other contributing factors. Trauma history is ubiquitous in the conduct disordered population, and trauma effects can help to account for many features of conduct disorder, including lack of empathy, impulsivity, anger, acting-out, and resistance to treatment. The current standard of care fails to fully address trauma, which may partially explain the low success rate of extant treatment approaches. A trauma-informed perspective is introduced to current models of conduct disorder. Research, prevention, and treatment implications are discussed.     

Spirituality and Trauma: The Role of Clergy in the Treatment of Posttraumatic Stress Disorder

An increased awareness of the spiritual aspects of health and illness has recently led to changes in psychiatry residency training as well as hospital accreditation requirements. The spiritual impact of trauma has been an area of particular interest, as trauma evokes certain existential questions and crises. It is estimated that from 5–11% of trauma survivors will go on to develop posttraumatic stress disorder (PTSD). Given the spiritual challenges of the experience of trauma, patients with PTSD could benefit from spiritual assessment and intervention as part of their overall treatment plan, and clergy can be utilized to perform this. The literature exploring the spiritual impact of trauma and the use of clergy in the treatment of trauma survivors is reviewed. The methods used by three chaplains in a residential treatment program for PTSD at one facility are described and discussed. Both the literature and the experiences of the clergy suggest that exploration of trauma-related existential conflicts in patients with PTSD is beneficial. However, there is a notable dearth of controlled scientific studies evaluating the effectiveness of spiritual interventions with this treatment population. The need for controlled studies to verify the usefulness of spiritual assessment and intervention in patients with PTSD is noted, and a more rigorous analysis of how clergy can best serve this treatment population is encouraged.     

Introduction: Multicultural Perspectives of Intergenerational Transmission of Trauma

Intergenerational transmission of trauma (ITT) has increasingly been a topic of interest among researchers. What still appears lacking is the thorough understanding of ITT in various marginalized cultural groups. This special issue is the second part of a 2-part series that systematically reviews the literature, synthesizes the literature, and conducts original research in ITT in marginalized groups. Due to known devastating and far-reaching effects of ITT, the authors of the 4 articles in this special issue attempt to shed light on ITT mechanisms and salient sociocultural factors that might lead to or exacerbate ITT in 4 marginalized communities. The authors also offer suggestions on culturally responsive ways of healing from ITT in these cultural groups.