Dissociation during trauma lacks an adequate definition. Using data obtained from interviews with 36 posttraumatic individuals conducted according to the phenomenological approach, this paper seeks to improve our understanding of this phenomenon. In particular, it suggesting a trade off model depicting the balance between the sense of agency and the sense of ownership : a reciprocal relationship appears to exist between these two, and in order to enable control of the body during trauma the sense of ownership (...) must decrease. When the relationship between the sense of agency and sense of ownership changes disproportionately to the constraints of the traumatic event, the dissociative mechanism becomes dysfunctional. By contrast, when the relations alter in accordance with the surrounding conditions, the dissociative mechanism functions properly. (shrink)

Religious practices centered on controlled trance states, such as Siberian shamanism or North African zar, are ubiquitous, yet their characteristics vary. In particular, cross-cultural research finds that female-dominated spirit possession cults are common in stratified societies, whereas male-dominated shamanism predominates in structurally flatter cultures. Here, we present an agent-based model that explores factors, including social stratification and psychological dissociation, that may partially account for this pattern. We posit that, in more stratified societies, female agents suffer from higher levels of (...) psychosocial trauma, whereas male agents are more vulnerable in flatter societies. In societies with fewer levels of formal hierarchy, males come into informal social competition more regularly than in stratified contexts. This instability leads to a cultural feedback effect in which dissociative experiences deriving from chronic psychosocial stress become canalized into a male religious trance role. The model reproduces these patterns under plausible parameter configurations. (shrink)

Psychological traumatisation, as we understand it today, was—in terms of the history of ideas—anticipated by various approaches which have had a lasting impact on modern psychiatry, psychotherapy, and psychosomatic medicine. On the one hand, there is the traditional concept of possession and exorcism with its impressive psychodynamics. On the other hand, there is the theory of the imagination, of an illusion in the sense of a pathogenic infection. Especially the pathological teachings of Paracelsus (sixteenth century) and Johann Baptist van Helmont (...) (seventeenth century)—the latter having advanced the former’s alchemist approach—demonstrate the extent to which demonological, parasitological, and psychological ideas were amalgamated in their ontological notion of a disease. Only the introduction of hypnotism in the middle of the nineteenth century made possible a psychological or psychodynamic understanding of psychological trauma in the modern sense. Hypnotism was striving to strictly dissociate from the magical and natural philosophical speculations of mesmerism and its theory was quite compatible with the model representations of scientific medicine. Sigmund Freud was able to tie in his ideas of hysteria and neurosis with this concept and especially to define repression of (infantile) sexuality as the cause of a culturally ineluctable psychological trauma. Finally, a brief survey of medical history is given to explore artificial trauma as a healing factor. (shrink)

Dissociation is an important aspect of responses to traumatic events. According to a number of influential theories, it negatively impacts cognitive performance including encoding of the trauma memories, leading to an increased risk of later conditions such as posttraumatic stress disorder . We tested this hypothesis experimentally in two studies by inducing dissociation in the laboratory and investigating the effects on several aspects of cognition, including time estimation, digit and spatial span, and story recall. Dissociation was related to decrements (...) in time estimation, digit span, and story retention, but did not affect perceptual attention, spatial span, or immediate story recall. The results are discussed in the context of theoretical models of PTSD and their implications for official questioning of traumatized individuals such as sexual assault survivors. (shrink)

The sense of self has always been a topic of high interest in both psychoanalysis and most recently in neuroscience. Nowadays, there is an agreement in psychoanalysis that the self emerges from the relationship with the other (e.g., the caregiver) in terms of his/her capacity to attune, regulate, and synchronize with the emergent self of the infant. The outcome of this relational/intersubjective synchronization is the development of the sense of self and its regulatory processes both in dynamic psychology and neuroscience. (...) In this work, we propose that synchrony is a fundamental biobehavioral factor in these dialectical processes between self and others which shapes the brain–body–mind system of the individuals, including their sense of self. Recently in neuroscience, it has been proposed by the research group around Northoff that the self is constituted by a brain-based nested hierarchical three-layer structure, including interoceptive, proprio-exteroceptive, and mental layers of self. This may be disrupted, though, when traumatic experiences occur. Following the three levels of trauma theorized by Mucci, we here suggest how different levels of traumatic experiences might have an enduring effect in yielding a trauma-based topographic and dynamic re-organization of the nested model of self featured by dissociation. In conclusion, we propose that different levels and degrees of traumatic experience are related to corresponding disruptions in the topography and dynamic of the brain-based three-layer hierarchical structure of the self. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Post-Traumatic Hermeneutics: Melancholia in the Wake of TraumaAngelika Rauch (bio)1Classical Analysis: Problems for Trauma TherapyAccording to the Journal of the American Psychoanalytical Association, American ego psychology has taken a leading role in debunking what it considers antiquated Freudian approaches to the study of trauma. As neutral observers and students of the facts, ego psychologists have purportedly reclaimed the study of trauma as the search for an (...) objectifiable traumatic event in the past, one that can be accessed as recovered memory, as a specimen of pathogenic development, or as cognitive and behavioral effects that point to an inaccessible implied memory buried in the psyche. Central to this revision of psychoanalytical trauma therapy is the dismissal of Nachträglichkeit as an antiquated and irrelevant concept. Harold P. Blum, for instance, writes in a recent article of JAPA that “‘deferred action’ is an ambiguous concept, a dubious, antiquated, theoretical legacy.” According to Blum, “deferred action overlooks the immediate and potentially powerful effects of preoedipal trauma and is dissociated from considerations of cumulative trauma and developmental disturbance.” [1155]. With respect to Freud’s case of the Wolf-Man, Blum states that “[d]eferred action emphasized traumatic events and memory rather than cumulative developmental effects of shock and strain trauma, and pathogenic object relationships.” Key to Blum’s view, then, is the assertion that “the concept of deferred action deterred consideration of real infantile experience and the complex overdetermination of pathogenesis through development” [1156]. Blum apparently takes the side of those who like to argue that trauma is more real than imagined. Whereas oedipal trauma is an imaginary or illusory trauma, preoedipal trauma is comprehensible as real shock and, as such, is empirically true. This is an idea that is very compatible with “recovered memory” therapy, a subject that has become controversial in recent debates about child abuse and recovered memory syndrome.In contrast, Arnold H. Modell in Other Times, Other Realities points out that “[t]he concept of Nachträglichkeit is virtually unknown among American psychoanalysts. This may be due in part to Strachey’s faulty translation; but this idea is also inconsistent with the belief in an orderly hierarchical psychic development such as that envisioned by ego psychologists.” [3]. In other words, Freudian Nachträglichkeit violates the principles of space and time assumed by empirical scientists whose conceptions are founded on the causality of such principles as stimulus/response. It is here, of course, that ego psychology’s treatment of trauma would come into conflict not only with Freudian analysis, including its French Freudian variants, but with the kind of trauma studies being conducted by the contributors to Cathy Caruth’s Trauma: Explorations in Memory. They include Bessel [End Page 111] van der Kolk, Onno van der Hart, Shoshana Felman, Dori Laub, Robert Lifton, and, of course, Cathy Caruth herself.Emphasis on the reality of traumatic shock (as abuse, stress, accident, and so on), however important it may be, loses sight of a hermeneutical dimension of psychoanalytic therapy that Caruth and her contributors emphasize: the question of how meanings are associated or bound to the understanding of life’s events. My own clinical approach to psychoanalysis favors the introduction of an even stronger hermeneutical perspective that is sensitive to the kinds of issues raised by philosophers like Dilthey, Heidegger, Benjamin, and Gadamer, for whom the question of experience is not reducible to restricted understandings of stimulus/response, nor—as in the case of Caruth (for example, in Unclaimed Experience)—to the privileging of language as a formal (that is, literary) construct. Rather, I am interested in emphasizing a hermeneutics of the therapeutic encounter within which questions of language, culture, history, and behavior are situated. With respect to trauma therapy, I will introduce a number of well-known analytical contributions even as I take the following statement of Arnold Modell’s as my point of departure:The analyst or therapist becomes an unwitting collaborator in the recreation of the past, while still retaining a proximity to present time. The therapist becomes the person with whom one can reexperience trauma within a new context or experience for the first time what has been absent in the past. Affects belonging to... (shrink)

According to Aristotle, "to be learning something is the greatest of pleasures not only to the philosopher but also to the rest of mankind," (Poetics 1448b). But even as he affirms the unbounded human capacity for integrating new experience with existing knowledge, he alludes to a significant exception: "The sight of certain things gives us pain, but we enjoy looking at the most exact images of them, whether the forms of animals which we greatly despise or of corpses." Our capacity (...) for learning is happily engaged in viewing representations of painful objects, but not, it seems, in viewing the objects themselves. When an experience is intensely painful, what then is a rational animal to do? We can neither disable our learning process, nor erase its traces. In the face of intense pain, horror, or terror, learning and remembrance cause no pleasure but rather persistent psychological pain and disruption. The memorious mind reverberates with trauma. (shrink)

Survivors of trauma commonly report feeling as though a part of themselves has died. This article provides a theoretical interpretation of this phenomenon, drawing on Waldenfels' notion of the split self. We argue that trauma gives rise to an explicit tension between the lived and corporeal body which is so profoundly distressing that it can be experienced by survivors as the death of part of oneself. We explore the ways in which this is manifest in the posttraumatic phenomena (...) of dissociation; indescribability; and the fragmentation and repetition of time. Acknowledging that the traumatic loss of part of oneself involves significant grief, we then consider whether the bereavement literature might be helpfully applied. We focus specifically upon the continuing bonds model, which emphasizes an ongoing and meaningful relationship with the deceased through an active process of memorializing. In considering how this might be appropriated to the death of the self in trauma, we suggest that the development of an intrapersonal relationship between parts lost and living might, over time, offer a unique way in which to adapt to loss and approach the future. (shrink)

Background:Although the term “mental pain” is often the subject of expert opinions regarding claims for damages, there is still no standardized questionnaire in the German-speaking area to operationalize this concept. Therefore, the aim of this work is the development and validation of a self-assessment measurement for psychological pain after traumatic events (FESSTE).Methods:A first version of the questionnaire was applied on a sample of the German speaking general population (N=425; 88% female). After performing an item analysis and exploratory factor analysis, the (...) questionnaire was shortened and tested on a second German speaking general population sample (N=619; 89% female). Finally, the newly developed questionnaire was related to the extent of traumatization (measured with a uniquely designed trauma checklist attached to the FESSTE) and already established instruments for the assessment of psychiatric symptom burden, which included the Brief Symptom Inventory-18 (BSI-18) and the Post-traumatic-Stress-Scale (PTSS-10).Results:The final version of the FESSTE consists of a total of 30 items and covers the subscales “Somatization,” “Depression,” “Intrusive Memories,” “Dissociation” and “Anxiety,” and a total scale “Mental Pain.” Based on the confirmatory factor analysis, it is assumed that the latent factor structure of the FESSTE can be best described as a bifactor-model. The final version shows a satisfactory model fit, high internal consistencies, and strong positive correlations with the BSI-18 and PTSS-10, as well as the extent of traumatic experiences.Discussion:The FESSTE enables an operationalization of mental pain comprising five subscales and one total scale. What is more, the trauma checklist attached to the FESSTE allows for the standardized assessment of potentially traumatic experiences and the corresponding extent of these experiences. The results indicate that the FESSTE is a reliable and valid self-assessment procedure for mental pain, which is suitable for use in research and in expert practice. (shrink)

In this article, we analyze both M. J. Wainwright and E. M. Reingold's view of the process dissociation measurement models presented by A. Buchner, E. Erdfelder, and B. Vaterrodt-Plunnecke and their suggestions on that topic. This analysis reveals a number of problems in Wainwright and Reingold's approach. Some of these problems are more subtle than others, but they are nevertheless consequential. Thus, researchers working with the process dissociation procedure should be aware of these problems.

_The Dissociative Mind in Psychoanalysis: Understanding and Working With Trauma_ is an invaluable and cutting edge resource providing the current theory, practice, and research on trauma and dissociation within psychoanalysis. _Elizabeth Howell and Sheldon Itzkowitz _bring together experts in the field of dissociation and psychoanalysis, providing a comprehensive and forward-looking overview of the current thinking on trauma and dissociation. The volume contains articles on the history of concepts of trauma and dissociation, the linkage of complex trauma (...) and dissociative problems in living, different modalities of treatment and theoretical approaches based on a new understanding of this linkage, as well as reviews of important new research. Overarching all of these is a clear explanation of how pathological dissociation is caused by trauma, and how this affects psychological organization -- concepts which have often been largely misunderstood._ _This book will be essential reading for psychoanalysts, psychoanalytically oriented psychotherapists, trauma therapists, and students. (shrink)

Relational trauma can be understood as a psychological injury that occurs in the context of abusive interpersonal relationships and appears to be correlated with a wide array of mental illnesses. However, one potential harm of trauma that has not received much attention from philosophers is the threat it poses to authenticity. To understand why relational trauma potentially creates impediments to authentic agency, we need to consider two other phenomena that are commonly associated with it: (i) dissociation, and (...) (ii) diminished habitual trust. Whereas trauma-related dissociation commonly involves bodily alienation and detachment from the self, diminished habitual trust often leads to alienation from others. I maintain that dissociative detachment and diminished habitual trust often are mutually reinforcing and that, together, they can cause agents to become disconnected from themselves, others, and the reality of what has happened to them. What implications does this have for authentic agency among traumatized individuals? After outlining existing conceptions, I emphasize the important sense in which authenticity is relational and scaffolded by social connections. I also discuss several competencies that undergird authenticity and argue that the interplay between dissociative detachment and attenuated habitual trust can make it difficult for traumatized individuals to develop and sustain these competencies. Thus, the trauma they have experienced impedes their ability to conduct their lives in accordance with their genuine cares and desires. (shrink)

Dissociation and the Dynamics of Personality addresses the nature of personality in trauma-dissociation and proposes a dynamic understanding of persons that fundamentally challenges conventional views of the self and consciousness. This important book provides a clear and coherent understanding of how childhood trauma can lead to a range of dissociative responses, addressing the fundamental issues underlying the controversy in this field. By recognising causal complexity and the dynamic convergence of biology and culture, Boag demonstrates the significance of (...) class='Hi'>trauma-dissociation for understanding personality and consciousness. Drawing upon both philosophy of mind and current psychiatric and neurobiological evidence, this book proposes a dynamic understanding of persons that fundamentally challenges the conventional view of the self and consciousness. Dissociation and the Dynamics of Personality will be of interest to readers concerned with the trauma-dissociation controversy, including philosophers of mind and psychiatrists. It will also interest psychological practitioners and psychologists, as well as anyone concerned with the implications of the dissociative mind for understanding personality. (shrink)

Four pairs of connectionist simulations are presented in which quasi‐regular mappings are computed using localist and distributed representations. In each simulation, a control parameter termed input gain was modulated over the only level of representation that mapped inputs to outputs. Input gain caused both localist and distributed models to shift between regularity‐based and item‐based modes of processing. Performance on irregular items was selectively impaired in the regularity‐based modes, whereas performance on novel items was selectively impaired in the item‐based modes. Thus, (...) the models exhibited double dissociations without separable processing components. These results are discussed in the context of analogous dissociations found in language domains such as word reading and inflectional morphology. (shrink)

Dissociation is the psychological aspect of stress response. It is an adaptive reaction to a stressor on a short-term basis but can be maladaptive if under- or overutilized and comprises the partitioning of consciousness, ranging from barely to rigidly partitioned. Current means of measuring dissociation focus primarily on DSM-IV-TR Dissociative Disorders and do not sufficiently account for adaptive sub-clinical forms or maladaptive under-dissociating. These measures of pathology are not useful for determining how well-adapted a population is to stress– i.e., how (...) well dissociation is generally put to use. The purpose of this paper is: (1) to analyze the general population and university student studies that have been conducted using current epidemiological methods of assessing dissociation in sub-clinical populations; and (2) to compare and contrast anthropological and epidemiological models of dissociation. An alternative method for assessing dissociation that synthesizes these two views is proposed. (shrink)

This article presents a model of dissociative experience that includes a transpersonal perspective. The first aspect ofthe model focuses on whether an experience represents controlled flow, uncontrolled flow, controlled dissociation, or uncontrolled dissociation. The second aspect asks whether there are alterations in one's identification with the ego-self or whether one transcends the ego-self, making contact with a hypothetical All-Self. The third aspect of the model asks whether the experience is life-affirming or life-denying. The model is postmodern (...) in that it recognizes that these latter judgments are a matter of time, place, and power, as is the determination whether or not a dissociative experience is psychopathological. (shrink)

Insight into animal biology and development provided by classical genetic analysis of the model organism Drosophila melanogaster was an incentive to develop advanced genetic tools for this insect. But genetic systems for the over one million other known insect species are largely undeveloped. With increasing information about insect genomes resulting from next generation sequencing, RNA interference is now the method of choice for reverse genetics, although it is constrained by the means of delivery of interfering RNA. A recent advance (...) to ensure sustained delivery with minimal experimental intervention or trauma to the insect is to exploit commensal bacteria for symbiont‐mediated RNA interference. This technology not only offers an efficient means for RNA interference in insects in laboratory conditions, but also has potential for use in the control of human disease vectors, agricultural pests and pathogens of beneficial insects. (shrink)

Dissociative amnesia is a diagnosis category that implies a proposed mechanism (often called dissociation) by which amnesia is caused by psychogenic means, such as trauma, and that amnesia is reversible later. Dissociative amnesia is listed in some of the most influential diagnostic manuals. Authors have noted the similarities in definition to repressed memories. Dissociative amnesia is a disputed category and phenomenon, and here I discuss the plausibility that this cognitive mechanism evolved. I discuss some general conditions by which cognitive (...) functions will evolve, that is, the relatively continuous adaptive pressure by which a cognitive ability would clearly be adaptive if variation produced it. I discuss how adaptive gene mutations typically spread from one individual to the whole species. The article also discusses a few hypothetical scenarios and several types of trauma, to examine the likely adaptive benefits of blocking out memories of trauma, or not. I conclude that it is unlikely that dissociative amnesia evolved, and invite further development of these ideas and scenarios by others. (shrink)

Neuropsychological dissociations between regular and irregular English past-tense morphology have been reported using a lexical decision task in which past-tense primes immediately precede present-tense targets. We present N400 event-related potential data from healthy participants using the same design. Both regular and irregular past-tense forms primed corresponding present-tense forms, but with a longer duration for irregular verbs. Phonological control conditions suggested that differences in formal overlap between prime and target contribute to, but do not account for, this difference, suggesting a link (...) between irregular morphology and semantics. Further analysis dividing the irregular verbs into two categories (weak irregular and strong) revealed that priming for strong verbs was reliably stronger than that for weak irregular and regular verbs, which were statistically indistinguishable from one another. We argue that, although we observe a regular-irregular dissociation, the nature of this dissociation is more consistent with single- than with dual-system models of inflectional morphology. (shrink)

ArgumentIn this article, we trace shifting narratives of trauma within psychiatric, neuroscience, and environmental epigenetics research. We argue that two contemporary narratives of trauma – each of which concerns questions of time and psychopathology, of the past invading the present – had to be stabilized in order for environmental epigenetics models of suicide risk to be posited. Through an examination of these narratives, we consider how early trauma came to be understood as playing an etiologically significant role (...) in the development of suicide risk. Suicide, in these models, has come to be seen as a behavior that has no significant precipitating event, but rather an exceptional precipitating neurochemical state, whose origins are identified in experiences of early traumatic events. We suggest that this is a part of a broader move within contemporary neurosciences and biopsychiatry to seelife as post: seeing life as specific form of post-traumatic subjectivity. (shrink)

_Treating Dissociative and Personality Disorders_ draws on major theorists and the very latest research to help formulate and introduce the Relational/Multi-Motivational Therapeutic Approach, a new model for treating such patients within a clinical psychoanalytic setting. Supported by her fellow contributors, Antonella Ivaldi provides an overview of existing theories and evidence for their effectiveness in practice, sets out her own theory in detail and provides rich clinical detail to demonstrate the advantages of the REMOTA model as applied in a (...) clinical setting. The narratives in this book show how it is possible to integrate different contributions within a multidimensional aetiopathogenic treatment model, which considers the mind as a manifestation of the relationship between body and world. From a conceptual perspective, according to which consciousness emerges and develops in the interpersonal dimension, this book shows how it becomes possible to understand, in the therapeutic space, what stands in the way of sound personal functioning, and how to create the conditions for improving this. Treating Dissociative and Personality Disorders will be highly useful in addressing the particular clusters of symptoms presented by patients, stimulating therapists of different backgrounds to explore the complexity of human nature. On reading this book, it will become clear that theories can truly become useful instruments, if approached with a critical mind and with humbleness, in order to venture into what we do not know and will never know completely: the relationship with the other, unique and irreplaceable. Treating Dissociative and Personality Disorders provides an integrative and comparative new approach that will be indispensable for combining relational clinical knowing and motivational theories. It_ _will appeal to psychoanalysts and psychotherapists, especially those in training, clinicians of different backgrounds interested in comparative psychotherapy, as well as social workers and graduate and postgraduate students. (shrink)

In ‘The autonomy of the affect’ Brian Massumi wrote of the gap between affective and cognitive registering of the traumatic experience. Affect theorists and neuroscientists have long shared the notion of a gap between the somatic response to a traumatic event and the appraisal of the affective situation. This article develops theories on dissociation or nothingness, where nothingness is a measurement of the space between the affective and the cognitive registering of a traumatic event. It explores the concept of two (...) different systems, one a ‘conscious automatic’ system and the other an ‘intensity system’ that exists outside of normal physiological sequencing, beyond narration, and therefore incapable of integrating into memory systems. (shrink)

Recent models of cognition in Posttraumatic Stress Disorder predict that trauma-related, but not neutral, processing should be differentially affected in these patients, compared to trauma-exposed controls. This study compared a group of 50 patients with PTSD related to the war in Bosnia and a group of 50 controls without PTSD but exposed to trauma from the war, using the DRM method to induce false memories for war-related and neutral critical lures. While the groups were equally susceptible to (...) neutral critical lures, the PTSD group mistakenly recalled more war-related lures. Both false and correct recall were related more to depression than to self-rated trauma. Implications for accounts of false memories in terms of source-monitoring are discussed. (shrink)

In the 1980s, there was a significant upsurge in diagnoses of Dissociative Identity Disorder. Ian Hacking suggests that the roots of this tendency lie in the excessive willingness of psychologists past and present to engage in the “psychologization of trauma.” I argue that Hacking makes some philosophically problematic assumptions about the putative threat to human autonomy that is posed by the increasing availability, attractiveness, and plausibility of various forms of simulated experience. I also suggest how a different set of (...) axiological and historical assumptions might have led to a less dismissive and possibly more plausible account of this diagnostic trend. (shrink)

The phenomenology of trauma is a historical, epistemological, and methodic inquiry that wishes to test the validity of an already settled dynamic model of surprise as shock-rupture based on its correlated inner structures of attention and emotion. Thanks to an integrative approach, crossing phenomenological subjective experiences and empirical data, we hope to renew the understanding of the blank lived experience of trauma and the passive preconscious dynamics of traumatism, as well as to generate possible therapeutic effects.

Since Freud and his co-author Breuer spoke of dissociation in 1895, a scientific paradigm was painstakingly established in the field of unconscious cognition. This is the dissociation paradigm. However, recent critical analysis of the many and various reported dissociations reveals their blurred, or unveridical, character. Moreover, we remain ignorant with respect to the ways cognitive phenomena transition from consciousness to an unconscious mode. This hinders us from filling in the puzzle of the unified mind. We conclude that we have reached (...) a Kuhnian crisis in the field of unconscious cognition, and we predict that new models, incorporating partly the relevant findings of the dissociation paradigm—but also of dynamic psychology—, will soon be established. We further predict that some of these models will be largely based on the pairs representation–process and analog–digital. (shrink)

In this paper, we will attempt to describe an integrative model that links stress, trauma, and post-traumatic health disorders through biological, psychological, and behavioral mechanisms of influence. Each of these phenomena has its specificities but also shares common characteristics (sources, symptoms, and consequences) related to health and an individual’s functioning. Prolonged stress and sudden experiences can lead to trauma, and repeated experiences of trauma over time can result in the development of post-traumatic stress disorder (PTSD). This (...) key mechanism illustrates how long-term stress and trauma can lead to severe health impairment. A review of the literature on this topic, along with our many years of experience and research in these areas, reveals that the majority of authors in their research primarily focus on one of these topics, usually stress. There are fewer studies that provide a comprehensive representation of both stress and trauma. We have not come across any research that unifies all three topics in their presentation, highlighting the common elements as well as the specificities and differences. The aim of this paper is to demonstrate, through an integrative approach, the combined impact of these three phenomena on health and an individual’s functioning. First, we will describe each of these phenomena along with their respective specifications. Finally, we will attempt to integrate the knowledge of physiological and psychological mechanisms for dealing with stress, trauma, and post-traumatic stress disorder. Although challenging, we will also touch upon prevention strategies towards the end. (shrink)

We read with interest Lanphier and Anani’s manuscript on trauma-informed ethics consultation. Their model rightly integrates trauma-informed principles within the ethics c...

Child trauma plays an important role in the etiology of Bordeline Personality Disorder. Of all traumas, sexual trauma is the most common, severe and most associated with receiving a BPD diagnosis when adult. Etiologic models posit sexual abuse as a prognostic factor in BPD. Here we apply machine learning using Multiple Kernel Regression to the Magnetic Resonance Structural Images of 20 BPD and 13 healthy control to see whether their brain predicts five sources of traumas: sex abuse, emotion (...) neglect, emotional abuse, physical neglect, physical abuse. We also applied the same analysis to predict symptom severity in five domains: affective, cognitive, impulsivity, interpersonal for BPD patients only. Results indicate that CTQ sexual trauma is predicted by a set of areas including the amygdala, the Heschl area, the Caudate, the Putamen, and portions of the Cerebellum in BPD patients only. Importantly, interpersonal problems only in BPD patients were predicted by a set of areas including temporal lobe and cerebellar regions. Notably, sexual trauma and interpersonal problems were not predicted by structural features in matched healthy controls. This finding may help elucidate the brain circuit affected by traumatic experiences and connected with interpersonal problems BPD suffer from. (shrink)

Wainwright and Reingold presented equations for various versions of the process dissociation procedure that has been used to separate conscious and unconscious memory processes. In the present reply it is suggested that these equations, though helpful, may not capture some of the key theoretical possibilities that could help to resolve apparent contradictions and paradoxes in the empirical literature. Specifically, there could be an independence ofprocessesthat might be estimated to a sufficient degree of accuracy for some theoretical purposes despite a violation (...) of the assumption ofstochasticindependence. (shrink)

Current thinking suggests that dissociation could be a significant comorbid diagnosis in a proportion of schizophrenic patients with a history of trauma. This potentially may explain the term “schizophrenia” in its original definition by Bleuler, as influenced by his clinical experience and personal view. Additionally, recent findings suggest a partial overlap between dissociative symptoms and the positive symptoms of schizophrenia, which could be explained by inhibitory deficits. In this context, the process of dissociation could serve as an important conceptual (...) framework for understanding schizophrenia, which is supported by current neuroimaging studies and research of corollary discharges. These data indicate that the original conception of “split mind” may be relevant in an updated context. Finally, recent data suggest that the phenomenal aspects of dissociation and conscious disintegration could be related to underlying disruptions of connectivity patterns and neural integration. (shrink)

This paper discusses the political implications of the British military's Trauma Risk Management (TRiM) approach to personnel suffering from combat-related mental debilities such as post-traumatic stress disorder. Drawing on narratives that emerged from qualitative interviews with trained TRiM practitioners and military welfare workers, I tease out some of the assumptions and beliefs about mental health and mental illness that underpin this mental health intervention programme. I explore TRiM as a biopolitical strategy targeted towards the construction of a particular conceptualisation (...) of mental wellness and militarised masculine personhood. As a biopolitical strategy, I argue that TRiM plays an important role in the construction of ideas around mental well-being and mental frailty that best enable the operation of military power in the contemporary British context. I discuss the narrative of transformation in militarised models of masculinity that emerge from discussions of TRiM, and highlight the important political function that this plays in enabling and legitimating militarism. Finally, I draw attention to the ways in which the focus on individual and cultural factors, rather than war as the primary cause of difficulties for servicemen experiencing psychological distress, functions to neutralise the potential trouble that could be instigated for the British military by the bodies of servicemen psychologically damaged by their experiences of conflict. (shrink)

Blanche DuBois, the tragic heroine of Tennessee Williams’ A Streetcar Named Desire , has always been read as either “mad” from the start of the play or as a character who descends into “madness.” We argue that Streetcar adumbrates elements of trauma theory, specifically symptoms of post-traumatic stress disorder such as involuntary reliving of traumatic events, dissociation, guilt, shame, denial, the shattering of the self, the compulsion to repeat the story of trauma, as well as the early stages (...) of recovery from trauma. We are the first to employ trauma theory as a critical framework through which to view Blanche and the dramaturgical devices used to concretize her post-traumatic state of mind. Williams’ heroine speaks from traumatic experience and not from psychic fabrications. Indeed, we contend that the play traces Blanche’s deliberate and self-conscious working through and mourning of the traumatic losses of the past, including her idealized, narcissistic conceptions of herself within a traumatic present. Thus she is more attuned to the most disturbing parts of reality and exhibits tragic insight born of traumatic experience. Critics who see Blanche as “mad” do not fully recognize her struggle to come to terms with trauma and loss within a culture of denial. We conclude that Streetcar stages the inextricable relation between the individual and social dialectics of trauma. (shrink)