Childhood Interrupted: A Story of Loss,Separation, and Reconciliation

This essay presents a story of personal loss and childhood trauma experienced by the author in 1968. Written in autoethnographic form, the author narrates a particular time in his life when he lost his hearing and subsequently experienced “disrupted attachment”(Becker, 1997 Becker, G. (1997). Disrupted lives: How people create meaning in a chaotic world. Berkeley, CA: University of California Press. [Google Scholar]) caused by forced separation from family on the day he began life at a residential school for deaf children. Forty-six years later, the author weaves together a narrative of loss and trauma followed by his own reflections, showing how he used writing conversation as a source of healing that allowed him reconcile with his past.     

Resilience and Coping Intervention with Children and Adolescents in At-Risk Neighborhoods

This study evaluated the Resilience and Coping Intervention for Children (RCI), a group intervention to increase coping skills and resilience in children and adolescents. RCI was delivered to children and adolescents residing in five at-risk neighborhoods in a southern U.S. city. Children’s and adolescents’ self-report of coping strategies, strengths and difficulties with behaviors and emotions, and hope indicated decreased difficulties with behavior and emotions and increased feelings of hope postintervention. Parent report of difficulties with behavior and emotions revealed a significant decrease in children but not in adolescents. Mean scores for four coping dimensions increased, but the increase was not statistically significant.     

An Integrative Approach to Conceptualizing and Treating Complex Trauma

Complex trauma (CT) often presents with polymorphous symptoms (i.e., emotional dysregulation, dissociation, somatic distress) resulting from repeated and chronic exposure to traumatic stressors. While the public is increasingly aware of posttraumatic stress disorder (PTSD) and its accompanying symptoms, the phenomena of complex trauma is less recognized and understood. Since the trauma reactions with CT typically occur during childhood, and the symptoms go well beyond PTSD, the authors of this article assert that an integrative approach is needed that synthesizes the most effective elements of cognitive-behavioral therapy (CBT) while blending a self-psychological approach. A review of the literature addresses the definition of complex trauma, cognitive-behavioral conceptualizations and treatment approaches, self-psychological models, current theories of attachment, and advances in neuropsychoanalysis. An integrative model is then proposed, supported by clinicians in the trauma field, identifying three intertwined phases of treatment.     

Psychiatric Disorders and Childhood Parental Loss in Obesity: Relationship with the Mode of Weight Gain

We assessed the association between psychiatric disorders, childhood parental loss, and weight gain mode in 150 obese patients seeking bariatric surgery and with a history of sudden or gradual weight gain mode. Subjects with sudden weight gain mode (47%) showed significantly higher bipolar II disorder (p < .001), childhood parental death (p < .01), and separation (p < .01), but lower pure hypomania (p < .001) prevalence than subjects with gradual weight gain mode. We found preliminary evidence that lifetime bipolar spectrum disorders and childhood parental loss may influence weight gain mode in obese subjects. These findings may contribute to predict patients’ weight trajectories and implement preventive interventions.     

Ethnoracial comparisons in anxiety and depression outcomes among Native Hawaiian and Pacific Islander college students

We explored differences in distress scores at intake as well as the change in anxiety and depression scores over the course of 12 therapy sessions for Native Hawaiian and Pacific Islander (NHPI) college students. Data were collected from the Center for Collegiate Mental Health (N = 256,242). Results support the notion that NHPI college students experience anxiety and depression in therapy differently from other ethnic groups with moderate-to-large magnitudes of effect.     

Toxic Environment of war: Maternal prenatal heavy metal load predicts infant emotional development

BackgroundPeople in war zones are exposed to heavy metal contamination deriving from new-generation weapons, in addition to exposure to psychologically traumatizing war events. Pregnant women and their children-to-be are particularly vulnerable to both biological and psychological war effects.ObjectiveThe aim of the current study was to analyse the impact of maternal prenatal heavy metal contamination on infant emotional development and to examine the potential moderating role of maternal symptoms of post-traumatic stress disorder (PTSD) in the association between heavy metal load and infant emotional development.MethodsThe participants were 502 Palestinian mothers, pregnant in their first trimester during the 2014 War on Gaza. The mothers were recruited at their delivery (T1) and followed at the infants’ age of 6–7 months (T2; N = 392). The load of five weapon-related heavy metals (chromium, mercury, vanadium, strontium, and uranium) was analysed by Inductively Coupled Plasma Mass Spectrometry (ICP/MS) from mothers’ hair samples at childbirth (T1). Assessment of maternal PTSD symptoms was based on the Harvard Trauma Questionnaire (HTQ) and infant emotional development on the Infant Behavior Questionnaire (IBQ), both reported by mothers (T2).ResultsTwo of the analysed metals, chromium and uranium, adversely predicted children’s early emotional development, indicated by decreased positive affectivity, increased negative emotionality, and problems in early orientation and regulation. Mother’s PTSD did not moderate the impact of heavy metal contamination on children’s emotional development.ConclusionsAdverse impact of war is not limited to those who experience it directly, but is passed on to future generations through multiple mechanisms. International organizations are obliged to protect parents and infants from the modern weaponry in wars.     

“Get Off My Property”: A Personal Narrative Addressing Violence Against African Americans by Law Enforcement Post–Hurricane Katrina

Thousands of African American New Orleanians were displaced in the aftermath of Hurricane Katrina. It appeared that every African American suddenly became a suspect, “fair game” to be hunted, especially by the police. This autoethnography chronicles the author's personal background, experiences, and resulting emotions of her father's encounter with law enforcement post–Hurricane Katrina. Law enforcement–initiated interventions are explored. The article concludes with recommendations for members of the counseling profession and law enforcement. Miles de personas afroamericanas de Nueva Orleans perdieron sus hogares como consecuencia del huracán Katrina. Y de repente, cada persona afroamericana pareció convertirse en sospechosa, “presa legítima” para la caza, especialmente por parte de la policía. Esta autoetnografía documenta los orígenes personales y experiencias de la autora, así como las emociones resultantes de la interacción de su padre con las fuerzas policiales tras el huracán Katrina. Se exploran las intervenciones iniciadas por las fuerzas policiales. El artículo concluye con una serie de recomendaciones para los profesionales de la consejería y las fuerzas policiales.     

An Exploration of Black Teens' Experiences of Their Own Racial Identity Through Photovoice: Implications for Counselors

Multiculturally competent counselors and researchers are called to understand individuals’ worldviews and experiences (Ratts, Singh, Nassar‐McMillan, Butler, & McCullough, 2016). Therefore, in this study, the authors explored Black teens’ experiences of their own racial identity using a qualitative participatory action research method called photovoice. Eight participants ranging in age from 14 to 17 took part in this study. Three themes emerged from the data: places you don't belong, comfort places, and strengths/concerns. The authors address implications for counselors. Consejeros e investigadores multiculturalmente competentes están llamados a entender los cosmovisiónes y experiencias de los individuos (Ratts, Singh, Nassar‐McMillan, Butler, & McCullough, 2016). Por lo tanto, en este estudio, los autores exploraron las experiencias de adolescentes negros sobre su propia identidad racial, usando un método cualitativo de investigación‐acción participativa llamado fotovoz. Ocho participantes de edades comprendidas entre los 14 y 17 años tomaron parte en este estudio. De los datos obtenidos surgieron tres temas: lugares a los que no perteneces, lugares de comodidad y fortalezas/preocupaciones. Los autores abordan las implicaciones para consejeros.