Mental time travel after trauma: The specificity and temporal distribution of autobiographical memories and future-directed thoughts

The present study investigated the relationship between trauma exposure and specificity and temporal distribution of autobiographical memories and future-directed thoughts. A group of sexual assault victims were compared with women without previous trauma exposure in relation to specificity of autobiographical memories, as measured by the Autobiographical Memory Task (AMT) and specificity of future-directed thoughts as measured by the Future Cueing Task (FCT). The temporal distribution of future-directed thoughts and autobiographical memories was studied by asking the participants to estimate when each memory reported on the AMT had occurred and when each future event reported on the FCT would occur. The results showed no difference between the trauma group and the controls on specificity of autobiographical memories and future-directed thoughts. In line with a review of Moore and Zoellner (2007), PTSD symptoms as measured by the Impact of Event Scale (IES) correlated negatively with specificity. Furthermore, we observed no difference in temporal distribution of future-directed thoughts or autobiographical memories between trauma exposed participants and controls.     

Sex trade workers' narratives of sexual violence: A field investigation

A total of 119 sex trade workers were interviewed about sexually violent experiences. Up to three narratives were elicited: a remarkable, positive (control) event (POS), a well-remembered sexual assault (WELL), and a poorly recalled sexual assault (POOR). The results demonstrated that WELL narratives contained more details than POS narratives despite the fact that the respective experiences were older. WELL narratives were also associated with higher intoxication and more rehearsal than POS narratives. POOR narratives were as detailed as POS narratives. WELL narratives were associated with more PTSD symptoms than POOR narratives. No weapon focus effect and no differences in peritraumatic dissociation were observed to explain this difference. This study was the first to demonstrate great within-participants variability of narrative details in accounts of sexual violence. The findings challenge common opinions in the eyewitness literature. Implications for expert testimony and credibility assessment are discussed.     

Null's the word: A comparison of memory quality for intensely negative and positive events

Research comparing memories of traumatic and positive events has produced inconsistent results. Complicating the issue, researchers employ a variety of measures (e.g., narrative or questionnaire) that make comparison across studies difficult. Further, this research has been criticised for lacking adequate statistical controls (Sotgiu & Mormont, 2008). Our study employed both narrative and questionnaire methodologies and compared memories for highly negative and positive events while controlling for retention interval, intensity of the event, and word count in the narrative measures. A total of 108 racially diverse college undergraduates wrote narratives and completed the Memory Characteristics Questionnaire about the most negative and the most positive event they had experienced, and memories were assessed for narrative coherence, language indicative of cognition, insight and sensory experience, subjective ratings of clarity, sensory detail, contextual detail, temporal detail, and the inclusion of thoughts and feelings. Results indicate no differences between memories for highly negative and positive events when retention interval and emotional intensity are controlled.     

Becoming verbal: autism,trauma and playfulness

This paper will describe work in progress with a boy who was 3.4 years old at the time of referral. At this time he had no speech and there were a number of marked autistic features in his presentation, although no formal diagnosis had been made. He had suffered the trauma of a life-threatening illness requiring major medical interventions at the age of 5 months and again at 18 months, which may have been the precipitating factor for his disturbance. He is from an intact family with an older sister and a younger brother and no apparent significant family pathology. During the course of his treatment - which has now been on-going for nearly three years - he has acquired a capacity for play and has become very talkative. Using extensive clinical material, the paper will explore the factors which may have contributed to his improvement, especially the modifications in technique introduced by the therapist in order to make contact with this little boy. Special attention will be given to the role of playfulness, as introduced by the therapist, with particular reference to the way in which this may facilitate the emergence and expression of aggressive feelings and phantasies. The links with the development of the capacity for speech will be explored.     

The relevance of the Oedipus myth to fostered and adopted children

The paper makes a conceptual distinction between aggressive phantasies and acts against the object and a destructive form of potentially objectless violence resulting from attacks on the mental capacity for linking terms of –K. In thinking about the issue of the internal states leading to mindless destructiveness, the author suggests that such behaviour may result from active envious attacks on the capacity for linking, but that, in some cases, early trauma may result in a more passive breakdown of the human disposition for creating emotional mental links. The discussion of the clinical history of a destructive latency child who was born at six months of gestational age connects the traumatic beginning of his life with his violent behaviour.     

A psychoanalytic approach to language delay: When autistic isn't necessarily autism

This paper describes family work with four children from different ethnic backgrounds presenting with autistic features in the context of delayed or deviant language development and, in one case, elective mutism. It begins by describing how psychoanalytic approaches to language development have tended to see the process as underpinned by symbol formation as a compensation for loss of the object. This is contrasted with an approach which, following Bion, emphasizes language development as an aspect of a broad process concerned with enabling emotional experience to become thought. I also emphasize the significance of the survival and development of the self in achieving separation. In the case studies, the paper highlights the degree of trauma in the parents' backgrounds, which had impeded them from containing their children's developmental anxieties. The parents' telling their stories was both valuable to them and enabled them to become more emotionally available to their children. In all cases the work promoted language development and autistic features disappeared or waned considerably after relatively brief intervention. The conclusions discuss the relevance of these findings to the autistic child population, and the value of child psychotherapy to differential diagnosis within the autistic spectrum.     

Circuits and circumstances: the neurobiological consequences of early relationship experiences and how they shape later behaviour

The last decade has seen a vast increase in knowledge of how the human brain develops. It has been demonstrated that both the establishment of synaptic connections between neurones and the programming of neurochemical responses that have an effect on the whole body are dependent on experience. The most sensitive period for brain growth, the time of optimal plasticity, is over the first two or three years of life. If the baby's neurological development is threatened by abuse or neglect, which includes excessive attachment disruption, the damage may set its stamp on the rest of life.     

Reasonable Hope: Construct, Clinical Applications, and Supports

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full-text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ).
Hope may be the most laden shorthand term of all time. Everyone wants it; few know how to articulate what it is. Although family therapists frequently work to restore hope with hopeless families, they have contributed little to the abundant literature on hope. I present a new conceptualization of hope—reasonable hope—that reflects how family therapists think and practice. By subscribing to reasonable hope, clinicians enhance their ability to offer accompaniment and bear witness to clients. I describe clinical practices that, informed by reasonable hope, also facilitate its cocreation. Finally, I suggest supports for clinicians who practice reasonable hope.     

Participatory action research: The distress of (not) making a difference

Participatory action research (PAR) is alluring for researchers investigating traumatic and sensitive topics. While it is distressing for interviewees to recount these stories – and for researchers to hear them – PAR promises to make the pain worthwhile. Something good will come of it. In this paper, I reflect on a PAR project conducted with Tanzanian child domestic workers. Research vignettes are used to highlight moments of emotional complexity unique to PAR projects. First, the emotional burdens of PAR are distributed across a research team. Researchers need to think carefully about the appropriate ‘level’ of participation to pursue. Second, there is no guarantee that the impacts of PAR projects will be unambiguously positive. The risk of doing more harm than good can weigh heavily on the minds of the research team. Third, when PAR projects are conceived with the intent of producing long-lasting structural changes that benefit marginalised people, ‘failure’ can become a source of great distress. Those attempting PAR need to be prepared for the emotional pitfalls of research endeavours that seek to tangibly intervene in traumatised people's lives.     

Restructuring the health care system in british columbia: The experience of the shaughnessy hospital employees

Abstract

The impact of the Shaughnessy Hospital closure on a sample of full-time health care employees (n = 59) is examined within the context of the restructuring of the British Columbia health care system. Employee concerns focused on lack of consultation, concern for patients, and their own well being. Results from a repeated measures ANOVA (pre- and post-closure) revealed that the negative emotions (e.g., anxious, distressed, angry, nervous) associated with the closure did not dissipate until a full year after the announcement of the hospital closure. A pooled time series analysis (n = 177) found that both social support and positive coping activities were associated with greater coping effectiveness, perceptions of justice, and fewer sick days. The study findings suggest that health care organizations going through closure or restructuring activities should explore interventions which improve communication, develop supervisory support, provide employee assistance or counseling, and offer training interventions which help employees to maintain a positive mental outlook.