Journal articles on the topic 'Effect of psychic trauma on children'

BackgroundAdolescent cannabis use has been shown in many studies to increase the risk of later psychosis. Childhood trauma is associated with both substance misuse and risk for psychosis. In this study our aim was to investigate whether there is a significant interaction between cannabis use and childhood trauma in increasing the risk for experiencing psychotic symptoms during adolescence.MethodPsychiatric interviews using the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) semi-structured instrument were carried out with 211 adolescents aged between 12 and 15 years and their parents as part of a population-based study. The interview enquired about early traumatic events, cannabis use and psychiatric symptoms in adolescence.ResultsIn separate analyses both cannabis use and childhood trauma were significantly associated with risk of experiencing psychotic symptoms. However, the presence of both childhood trauma and early cannabis use significantly increased the risk for psychotic symptoms beyond the risk posed by either risk factor alone, indicating that there was a greater than additive interaction between childhood trauma and cannabis use.ConclusionOur finding of a greater than additive interaction between childhood trauma and cannabis use may have implications for the identification of individuals at high risk of experiencing psychotic symptoms. For example, measures to actively discourage or intensively treat cannabis use in children and adolescents who have experienced abuse may help to prevent the development of psychosis in this vulnerable group. Our findings require replication in larger samples to confirm this interaction effect.

Background. Child sexual abuse (CSA) is associated, after controlling for other adversities, with a range of non-psychotic disorders in adult life. There is a need to clarify whether CSA contributes to risk of disorder in the absence of such adversities, and given that associations may be accounted for by genetic mechanisms, whether they are seen where the perpetrator of CSA is not a biological relative, and where there has been only one incident.Methods. A questionnaire-based study of a socio-economically representative sample of women age 25–36 (N = 862) was carried out. Parental care and control were assessed using the Parental Bonding Instrument, and CSA using a previously validated questionnaire. Current affective symptoms were assessed from the depression scale of the GHQ-28.Results. Low maternal and paternal care were associated with risk of abuse by a biologically unrelated perpetrator before the age of 11, but not during early adolescence. Low maternal care and CSA each made independent contributions to the prediction of affective symptoms. CSA by a non- relative was strongly associated with GHQ depression, as was CSA by a non-relative that had occurred only once.Conclusions. Quality of parental care probably influences risk of CSA by unrelated abusers in younger children, while there may be a combination of genetic and parental influences on the risk of abuse by a relative. The strong association of affective symptoms in adult life with CSA by a non- relative suggests an environmental effect. Studies, utilizing genetic designs, of the role of childhood trauma in relation to adult affective symptoms are needed.

This exploratory research on psychic consequences of armed conflicts has been carried out in Montreal on 30 latin-americans, eight to 12 year-old refugees. The principal objective was to assert the importance of traumas intensity, accumulation and age of occurence on the level and type of symptomatology (introversion-extroversion). Using two types of methodologies, clinical scales and in a more exploratory way, projective instruments to study the intra-psychic dynamic underlying the symptomatology observed. The children were classified according to trauma intensity and for this purpose, a trauma scale was defined with latin-american informants. ACHENBACH and DOMINIQUE clinical evaluation scales were appplied to the measure of clinical symptomatology. These instruments were analysed as a function of the symptoms intensity and type. Among results, the accumulation and intensity of traumas were found to be in significant correlation with anxio-depressive symptoms, as reported by the children with interiorization symptoms in ACHENBACH. The predominance of interiorization is discussed. The analysis of the TAT, based on objective indicators, brought out a light frequency of violent themes in relations with the clinical symptomatology. This research indicates the relevance of projective instruments to the study of traumatic response.

List of abstracts and authors:1. Comparative benefits of Atypical antipsychoticsDiana P Morrison2. Evidence-based management of depression in SchizophreniaAndre F Joubert3. Second generation Antipsychotics: An African updateDave Swingler4. The drug management of patients with HIV/Aids in the Mental Health Care setting: A therapeutic challengeDenise White5. New developments in the treatment of Bipolar depressionJospeh R Calabrese6. Dual action antidepressants: Faster onset, more remission, better value?Roger M Pinder7. Antisocial personality disorder: A reviewDonald W Black8. The South African study of stress and health: An overviewDavid R Williams9. Ugliness is in the eye of the beholder: Psychiatric apsects of body image disturbanceDavid Castle10. Over diagnosed or under recognized? Treating ADHDDora Wynchank11. The contagious effects of trauma and their impact on human service organisationsKerry Gibson12. Temporal lobe epilepsy in adolescence - 'Understanding the narrative'Helen Clark13. The effectiveness of treatment programs for Methaqualone (Mandrax) dependenceGreg McCarthy, Nandi Siegfried, Bronwyn Myers14. Community influence on alcohol and marijuanaAlan J Flisher, Robyn Mallett, Gary King, Neo Morojele, Martie Muller, Carl Lombard15. Psychiatric presentations of medical illnessSebastian Akalula16. Imaging of brain function using SpectJames Warwick17. Selected neuropsychological test performances and SSRI usageTheophilus Lazarus18. Comparative effectiveness and safety of antipsychotic treatments for outpatient SchizophreniaFrans Korb, Adel Sadak, Aly Akram, Sunar Birsoz, Abderrahmane Belaid19. Evidence-based mental healthcare - What do you know, think, feel?Nandi Siegfried, George Swingler, Soraya Seedat, Martie Muller, Rachel Churchill, Dan Stein20. Competitions Act - Anti-competitive health care practicesZ Nthakwana21. Unique approach to mental wellness by medical SchemesPetro Kempen22. What happens to my medical aid contribution?Eugene Allers23. Financial issues in a modern private practiceMike Edwards24. Transcranial magnetic stimulation: Uses in brain function research and medical interventionAlan St Clair Gibson25. The Neurochemistry of dreams: Implications for PsychiatryMark Solms26. Tenascin-R expression in the Central Nervvous system of lower vertebratesRuth Jarvis, N-. Hsu, P. Pesheva and D.M. Lang25. Localisation of the Nogo-A receptor in Neronal Lipid raftsEdward Nyatia, D.M. Lang26. Characterising an animal model for early life trauma using time dependent sensitisationJoachim D.K. Uys, Willie M.U. Daniels, Dan J. Stein27. Tolmetin affords protection against Quinoclinic acid induced Neurotoxixity in Rat brainAmichand Dairam, S Daya28. Acetaminophen and aspirin inhibit superoxide anion generation and Lipid Peroxidation, and protect against 1-Methyl-4Phenyl Pyridinim-induced Dopaminergic Neurotoxicity in ratsH. Maharaj, D.S. Maharaj, K. S. Saravanan, K.P. Mohanakumar, S. Daya29. Can exercise provide Neuroprotection in a rat model for Parkinson's disease?M Mabandla, L Kellaway, A St Clair Gibson, M Lambert, V Russell30. Treatment of rapid cycling Bipolar disorderJoseph R. Calabrese31. Depression as a Neurodegenerative Disorder: The need for achieving remissionRoger M Pinder32. Side-effects induced by modern antidepressants- Overview and managementFranco Colin33. The Placebo response in antidepressant clinical trialsRobin Emsley34. Impulse control disorders: An overviewDonald W. Black35. Post traumatic stress disorder: The Wits trauma clinic experienceUgash Subramaney36. Post traumatic stress disorder among recently diagnosed patients with HIV in South AfricaSoraya Seedat, Bo Olley, D J Stein37. Improving outcome in SchizophreniaDiana P Morrison38. Reviewing post Graduate trainingCliff W Allwood39. Ethics in HIV ResearchKeimanthro Moodley40. Improving and maintaining ethical standrads in Psychiatric researchTuviah Zabow=============================================================Posters: Neurosciences section (Presenting author only)1. Blunted Acth response correlates with altered Neurotransmitter function in maternally separatedratsW M U Daniels2. A mechanism for zinc toxicity in Neuroblastoma cellsW M U Daniels3. The effects of Hypericum Perforatum, Quercetin, and Fluoxetine on receptor densities in the Rat BrainL Heiderman4. Trichotillomania and obsessive-compulsive disorder: Clinical and genetic comparisons within a South African populationS M J Hemmings5. Expression of Nogo-A in the amphibian central nervous systemN. J. Hsu6. Biochemical model for inflammation of the brain: The role of iron, transferring and toxiferring in Lipid PeroxidationS J Van Rensburg7. Improvement in Alzheimer's disease patients with antioxidant supplementation over 15 monthsS J Van Rensburg8. The Placebo effect - Is it all in the mind?S J Van Rensburg9. Very low serum iron concentrations in elderly patients with active CarcinomaS J van Rensburg10. Melatonin affords protection against Rotenone-induced NeurotoxicityR John11. Effect of enriched environment on Ca uptake via NMDA receptors into barrel cortex slices of spontaneously HypertensiveratsM Lehohla12. Effects of Methylpenidate in a rat model for Attention Deficit Hyperactivity DisorderG. L. S. Lelaka13. 6-Hydroxymelatonin converts Fe (III) to Fe(II) and reduces iron-induced Lipid PeroxidationD S Maharaj14. Metrofinate Potentiates Quinolinic Acid and Potassium Cyanide induced NeurotoxicityA Ramsunder15. The effect of chronic Intra-Amylgdala CRF injections on rat behaviour and HPA-Axis functionL Richter16. Effect of Glutamate in the Prefrontal Cortex of a rat model for Attention-Deficit Hyperactivity DisorderV Russell17. An investigation into the relationship between Corticosterone and Neuron Cell deathP J Van Vuuren=============================================================41. Blunted Acth response correlates with altered Neurotransmitter function in maternally separated RatsW M U Daniels, C Y Pietersen, M E Carstens, D J Stein42. A mechanism for Zinc Toxicity in NeuroBlastoma CellsW M U Daniels, J Hendricks, R Salie, S J Van Rensburg43. The effects of Hypericum Perforatum, Quercetin and Fluoxetine on receptor densities in the rat brainL Heideman and S Daya44. Trichotillomania and obsessive-compulsive disorder: Clinical and genetic comparisons withn a South African populationS M J Hemmings, C J Kinnear, C Lochner, H Moolman-Smook, D J H Niehaus, V Corfield, D J Stein45. Expression of Nogo-A in the amphibian central nervous systemN. J. Hsu, R Jarvis, D. M. Lang46. Biochemical model for inflammation of the brain: The role of iron, transferring and Toxiferring in Lipid PeroxidationS J Van Rensburg, R T Erasmus, J M van Zyl, D Hon, W M U Daniels, F C V Potocnik, M J Kotze, N J De Villiers, P R Hurly47. Improvement in Alzheimer's Disease patients with antioxidant supplementation over 15 monthsS J van Rensburg, F C V Potocnik, J M Van Zyl, B J Van der Walt, D Hon, A Roos, E Rienhardt, R T Erasmus48. The Placebo effect - Is it all in the mind?S J van Rensburg, R A Emsley, C M Smuts, M Kidd, S Van der Merwe, C C Myburgh, P Oosthuizen, H Bleeker49. Very low serum Iron concentrations in elderly patients with active CarcinomaS J van Rensburg, R Erasmus, D Hon, C Bouwens50. Melatonin affords protection against Rotenone-induced NeurotoxicityR John, S Daya51. Effect of enriched environment on Ca uptake via NMDA Receptors into barrel Cortex slices of spontaneously Hypertensive ratsM Lehohla, V Russell, L Kellaway52. Effects of Methylpenidate in a rat model for Attention-Deficit Hyperactivity DisorderG. L. S. Lelaka, V. A. Russel, L. A. Kellaway53. 6-Hydroxymelatonin converts Fe (III) to Fe (II) and reduces iron-induced Lipid PeroxidationD S Maharaj, S Daya54. Metrofinate Potentiates Quinolinic Acid and Potassium Cyanide induced NeurotoxicityA Ramsunder, S Daya55. The effect of chronic Intra-Amygdala CRF injections on rat behaviour and HPA-Axis functionL Richter, W Daniels, D J Stein56. Effect of Glutamate in the Prefrontal Cortex of a rat model for Attention-Deficit Hyperactivity DisorderV Russell, M Lehohla, L Kellaway57. An investigation into the relationship between Corticosterone and Neuron cell deathP J Van Vuuren, J Hendricks, W M U Daniels=============================================================Posters: Psychiatry Section1. Descriptive study of Tardive Dyskinesia in a South African Xhosa populationS Brink2. Alcohol drinking problems at three urban High Schools in UmtataO Alonso Betancourt3. Childhood and adolescent sexual abuse - Demographic, traumatic and clinical signpostsP D Carey4. Inositol in the treatment of Obsessive Compulsive DisorderP D Carey5. A review of factors associated with Suicidal behaviour in children and adolescents admitted to Tygerberg HospitalT Du Plessis6. Psychological and physical outcomes fo elective abortion; Local Anaesthesia vs Intravenous SedationT Ericksen7. Mental health literacy of Human Resource Practitioners in South AfricaC J Hugo8. The importance of a specialized clinic for the care of patients with first episodes of psychosisN Keyter9. Self-report vs Urinary drug screening in Schizophrenia: A pilot studyL Koen10. The effect of aggression on the use of Psychotropics in Schizophrenia: A naturalistic studyH Lategan11. Factor analysis of obsessive-compulsive spectrum disorders in patients with obssessive-compulsive disorder: Clinical and Genetic correlatesC Lochner12. Experiences in obsessive-compulsive Disorder and Trichotillomania: Role of childhood traumaC Lochner13. Delusional systems in Xhosa Schizophrenia SibpairsJ E Muller14. OCD Heteogeneity reflected by lack of Genealogically determined founder effectD J H Niehaus15. The efficacy and tolerbaility of low-dose vs standard dose Haloperidol in first episode Psychosis. A randomised, double-blind studyP P Oosthuizen16. Treatment with low-dose Haloperidol does not protect against Tardive DyskinesiaP P Oosthuizen17. Do healthcare funders discriminate against members on the grounds of mental illness?O Scholtz18. Treatment strategies in patients with Clozaopine-resistant Schizophrenia at Stikland Hospital: A critical evaluation of one optionA Schulte19. Early coadministration of Clonazepam with Paroxetine for generalized social anxiety disorderS Seedat20. Trauma exposure and post-traumatic stress symptoms in adolescents: A schools' survey in Cape Town (South Africa) and Nairobi (Kenya)S Seedat21. The QTC effects of Thioridazine when used as a second line Anti-psychotic ( at Stikland Hospital)C Seller22. Brain imaging and substance related disordersD J Stein23. Gender differences in trauma exposure & post traumatic stress disorder in a clinic sampleS Suliman24. Assessing the prevalence of anxiety and depressive symptoms among clinica at Tygerbeg Academic Hospital and controlsH Van der Bijl25. Pharmacological challenge with a serotonin ID Agonist in alcohol dependenceB Vythilingum26. The treatment of ADHD in adultsW Verbeeck=============================================================58. Descriptive study of Tardive Dyskinesia in a South African Xhosa populationS Brink, D J H Niehaus, L Koen, J E Muller59. Alcohol drinking problems at three Urban High Schools in UmtataO Alonso Betancourt, M Morales Herrera60. Childhood and adolescent sexual abuse - Demographic, traumatic and clinical signpostsP D Carey, J Walker, S Seedat, D J Stein61. Inositol in the treatment of obsessive compulsive DisorderP D Carey, S Seedat, D J Stein62. A review of factors associated with suicidal behaviour in children and adolescents admitted to Tygerberg HospitalT Du Plessis, S M Hawkridge, F H Theron, S A Du Plessis63. Psychological and physical outcomes of elective abortion: Local anaestheisa vs Intravenous sedationT Ericksen, S Seedat, P Labuschagne, D J Stein64. Mental health literacy of Human resource practitioners in South AfricaC J Hugo, H D Vos, D J Stein65. The importance of a specialized clinic for the care of patients with first episodes of psychosisN Keyter, P P Oosthuizen, R A Emsley, H J Turner66. Self-reort vs urinary drug screening in Schizophrenia: A pilot studyL Koen, D J H Niehaus, J E Muller, C Seller, N Keyter67. The effect of aggression on the use of Psychotropics in Schizophrenia: A naturalistic studyH Lategan, L Koen, D J H Niehaus68. Factor analysis of obsessive-compulsive spectrum disorders in patients with obsessive-compulsive Disorder: Clinical and genetic correlatesC Lochner, D J H Niehaus, S M J Hemmings, C J Kinnear, V A Corfield, J C Moolman-Smook, D J Stein69. Experiences in obsessive-compulsive disorder and Trichotillomania: Role of childhood traumaC Lochner, S Seedat, P D Carey, D J Stein70. Delusional systems in Xhosa Schizophrenia SibpairsJ E Muller, D J H Niehaus, L Koen, C Seller, N Keyter, C Laurent, R A Emsley71. OCD Heteogeneity reflected by lack of Genealogically determined founder effectD J H Niehaus, L Endeman, I Bosman, S Hemmings, C Lochner, L Koen, H Moolman-Smook, V A Corfield, D J Stein72. The efficacy and tolerability of low-dose vs standard dose Haloperidol in first episode Psychosis. A randomised, double-blind studyP P Oosthuizen, R A Emsley, H J Turner, N Keyter73. Treatment with low-dose Haloperidol does not protect against Tardive DyskinesiaP P Oosthuizen, R A Emsley, H J Turner, N Keyter74. Do healthcare funders discriminate against members on the grounds of mental illness?O Scholtz, P P Oosthuizen, C Hugo, B Richards75. Treatment strategies in patients with Clozapine resistant Schizophrenia at Stikland Hospital: A critical evaluation of one optionA Schulte, D J H Niehaus, L Koen, J E Muller, P P Oosthuizen, R A Emsley76. Early coadministration of Clonazepam with Paroxetine for generalised Social Anxiety DisorderS Seedat, M B Stein77. Trauma exposure and post-traumatic stress symptoms in adolescents: A schools' survey in Cape Town (South Africa) and Nairobi (Kenya)S Seedat, C Nyamap, F Njenga, B Vythilingum, D J Stein78. The QTC effects of Thioridazine when used as a second line Antipsychotic (at Stikland Hospital)C Seller, P P Oosthuizen79. Brain imaging and substance related disordersD J Stein80. Gender differences in trauma exposure & post traumatic stress disorder in a clinic sampleS Suliman, S Seedat, F Gxama, J Walker, W Rossouw81. Assessing the prevalence of anxiety and depressive symptoms among clinicians at Tygerberg Academic Hospital and controlsH Van der Bijl, P P Oosthuizen82. Pharmacological challenge with a Serotonin ID agonist in alcohol dependenceB Vythilingum, C Wessels, S Maritz, W P Pienaar, D J Stein83. The treatment of ADHD in adultsW Verbeeck

Neuro-endovascular therapy is regarded as one of the greatest achievements of modern medicine because of its effectiveness and low-invasiveness in the treatment of difficult neurovascular diseases. On the other side of the coin however, occasionally complications may occur which not only have a profound neurological effect, but also have a severe effect on the vital prognosis. The nightmare of a neuro-endovascular therapist is a catastrophe resulting from a preventive treatment for an asymptomatic or minimally symptomatic patient with a potentially dangerous disease. Therefore, grave psychic distress tends to occur on both sides of the patient-doctor relationship. Once severe complications occur, we have simultaneously to take care of not only the psychic trauma of a patient and/or family but also our own psychic trauma. If treatment is not appropriate, we might invite malpractice suits or end up in occupational burnout. In order to study the adaptive mechanisms that allow our continued survival in this new specialty of medicine, we administered a questionnaire survey to members of the Japanese Society of Neuro-endovascular Treatment. 51% of 300 respondents stated that they had been the targets of severe recriminations by patients and/or families as a result of complications. 284 respondents had multiple (2.5 on average) signs and symptoms of psychic trauma. Also 23% of respondents were unable to continue the clinical practice of neuro-endovascular therapy or resorted to conservative treatment. Only 7% of respondents had medical curriculum or residency program training on the psychological problems of complications. There is no systematic approach to education regarding physician grief in clinical practice. Many respondents tend to focus their attention solely on the details of failed interventional procedures and repeatedly “undo” actions and relive past events. However, the study showed that intellectualization of the tragic experiences without accepting and working through grief only adds to the physician's grief. The correlation was evaluated between the respondents' initial response to grieving and their change of attitude regarding their ability or willingness to performing the procedure after they had experienced devastating complications. It may be said that by facing the emotional truths of responsibility and grief, physicians can develop the ability to empathize with patients and their families. Mention is also made of the patient-doctor relationship, medical education, and the relationship with fellow physicians and medical lawsuits.

Here the author examines the question of après-coup (afterwardsness) in psychoanalysis, commenting in particular on Jean Laplanche’s book, Après-Coup. The author appreciates Laplanche’s determination to avoid either a positivist interpretation of après-coup (as a “delay-action bomb”, as simply a delayed psychic effect) or an hermeneutic interpretation that makes of it a post-factum re-signification of past events. Yet at the same time, the author shows that Laplanche’s solution—which assumes an initial trauma to the subject, who must “translate” an ambiguous and enigmatic message originating from an adult other—ends up being, in effect, a clever combination of the two approaches, positivist and hermeneutic, that Laplanche was trying to avoid. Laplanche advances a much too linear theory, placing “the other” (that is, the desire of the adult) at the beginning of the process, while Lacan’s approach to après-coup opens up far more complex and disturbing perspectives for psychoanalysis. The author, having shown the limitations of Laplanche’s result (“the primacy of the other”), proposes his own interpretation of après-coup, wherein it would connect, in a unique way, the cause and the sense of the psychic world: a subsequent event in some way makes the sense of a preceding event function as the cause of later psychic phenomena or symptoms.

The eventual attacks of 9/11in America, on The World Trade Center at Ground Zero, had changed the world and brought disastrous problems to a lot of civilians. Many people lost their lives; others were traumatized and suffered a disordered life. The disastrous event revealed the hidden aspects of the States and its assistants-the soldiers and copes. Studying the relationship between the psyche of individuals and their outside world is the core of this paper. The project investigates the reasons behind acting out trauma and its impact on individuals and society. The sociocultural approach applied helps in examining the behavior of the individuals through their reactions to the event of 9/11. Ken Kalfus's A Disorder Peculiar to the Country (2007), is analyzed according to the psychologist, Cathy Caruth's trauma theory and the sociologist, Kia Erikson's theory of cultural trauma. The novel deals with both kinds of trauma; psychic and cultural. It examines the behavior of the traumatized couple, Marshall and Joyce, lived a rather miserable and too hard and harsh life because of terrorism. They finally separate from each other uncaring about their two children - Viola and Victor

Post-traumatic stress affects both the mental and physical health of individuals, giving rise to various psychological disturbances. The neurological effects of these disturbances are similar across age groups, irrespective of race or culture. However, the perception of psychological disturbances differs from culture to culture depending on issues such as the stigma that attaches to mental illness and the ability or willingness to seek assistance. While much research has been undertaken on the impact of trauma on both adults and children, research to explore the effect of trauma on people in the context of their various cultures, especially people of refugee background, remains at an early stage. Mental health professionals working with refugees encounter various challenges. They range from dealing with resistance by individuals to the notion of counselling itself, to barriers such as the perceived stigma that prevents some individuals from acknowledging mental health problems. Other challenges in providing mental health services in such cases are contributed to by government policies and the limited resources available. All this exacerbates the mental health of traumatised parents and caregivers, and has a ripple effect on their children, who exhibit the effects of trauma in their own ways. This paper aims to highlight and discuss these issues through the presentation of two case studies, suggest a workable recovery model, possible ways to deal with the challenges, and to propose recommendations for working with non-Western children and their families.

An attempt has been made in the present paper to study and analyse the troubled and traumatized self of Sethe in Toni Morrison’s Beloved. A psychoanalytic thinker says “trauma places the relation between external reality and psychic reality in focus. A person’s personal experiences are represented in one’s own psyche and gets personalised. The internal world of wishes, conflicts and deficits, resulting from trauma, is negotiated in human interaction”. Here, Sethe felt affected both by physical and emotional trauma caused by the institution of slavery.The institution of slavery not only repressed the maternal bond betweenSethe and her children but alsoher own individualization and the development of her consciousness as a normal human being. Here, an attempt has also been made to explore how much she was affected by the repression of the memories of the trauma she had endured in her life and how much she was victimized and traumatized that she felt unable to nurture her own child Beloved. Under the oppressive conditions of slavery she found herself unable to form a maternal bond between herself and her beloved daughter. Morrison also tried to restore the historical record of the atrocities on the blacks during the period of slavery and give voice to the collective memory of Afro-Americans by depicting the trauma faced by Sethe

This paper is intended as a contribution to understanding why, up until recently, there have been so few case reports of actual abuse and its sequelae in the psychoanalytic literature. We suggest that psychoanalytic insights into the nature of psychic reality, while indispensable to the evolution of psychoanalytic thinking, have nonetheless had the adverse effect of collapsing any distinction between unconscious fantasies and repressed memories. Moreover, the idea that knowledge of external reality is itself mentally constructed also has diminished interest in uncovering trauma and “real” history. We present a report of an adult analysis that illustrates the recovery of a dissociated memory of sexual abuse that occurred during adolescence, as a springboard to discuss problems analysts have had in dealing with trauma theoretically. We hypothesize that repressed memories and conscious fantasies can often be distinguished insofar as they may be “stored” or encoded differently, and that consequently the sequelae of trauma and fantasy often, but not always, can be disentangled. We describe some different modes of encoding trauma and some different ways of remembering, reexperiencing, and reenacting it. And, finally, we suggest why traumatic memories are increasingly accessible to patients today.

Aim. The article deals with developing a set of fitness dance exercises to improve basic movement qualities and psychic status in preschool children. Materials and methods. We studied two equal groups of apparently healthy children aged 5-6. All children frequent preschool educational establishments and a BABY CLUB education center (2 times per week, 20 people). We analysed the morphological and psychophysiological traits of pre-schoolers during their lessons. Results. This study demonstrates the results for the correction of individual psychological traits, interpersonal relationships, coordination abilities, endurance, and speed-strength qualities in preschool children by means of fitness dance. Additional lessons resulted in a significant increase of physical preparedness in children from the main group. We registered better results in children from the main group compared to the control group in the following tests: ball throwing, 3×10 shuttle run, hand grip test, 500 m and 30 m run. We established that a set of fitness dance exercises improved significantly the following parameters of children from the main group: body mass, body length, body mass/body weight index, behavioural deviations, self-esteem, anxiety index, general physical preparedness. Conclusion. This study proves that negative trends in children of a new generation tend to increase, in particular in preschool children. The existing programs and methods aimed at children’s health within educational establishments usually lack their comprehensiveness. Physical exercises in a dance form are usually better perceived and possess greater health-improving effect. The diagnostics of movement abilities and skills revealed that children possess limited movement arbitrariness, cramped muscles, limited emotional and inner freedom. These factors decrease health-improving effect and prevents the improvement of psychological and physical health.

Los tratamientos a víctimas de la dictadura chilena se ven desafiados por la mutación de la población atendida, los acontecimientos sociales y su correlación con los tiempos psíquicos. Se reflexiona sobre tres problemáticas incrementadas recientemente en PRAIS Oriente: el aumento de hijos y nietos como población atendida; la solicitud de elaborar “Informes de Daño” por tortura u otras formas de violencia política, dado el incremento de querellas contra el Estado; el reconocimiento de la tortura sexual como un apremio específicoPalabras claves: violencia política, transgeneracionalidad del trauma, Informes de Daño por violaciones a los derechos humanos, tortura sexual AbstractThe treatments to victims of the Chilean dictatorship are challenged by the mutation of the population taken care of, social events, and their correlation with psychic timing. The article reflects on three problems recently increased in Eastern PRAIS: the increase in children and grandchildren as population taken care of; the request to prepare "Damage Reports" for torture or other forms of political violence, given the increase in lawsuits against the State; the recognition of sexual torture as a specific constraint.Keywords: political violence, transgenerationality of trauma, damage reports for human rights violations, sexual torture

The pediatric population, as well as the adult population, is subject to similar injuries and traumatic events involving the craniofacial skeleton. Although less frequent than adult injuries, the craniofacial injuries sustained by children are considered separately in textbooks and the literature because of the special unique problems associated with their treatment and the effects they might have on growth and development that can arise as a result of their management. Some of the more challenging cases that I have seen involve the very young with cranial bone fractures and cranial base fractures and those that involve the nasal and/or orbital-ethmoidal areas in young children and their secondary reconstruction. Some of these types of cases are not always clearly and thoroughly addressed in textbooks or articles because of their infrequent occurrence. Often, surgeons differ in approaches to treatment because of certain anatomic or physiological factors specifically related to childhood, facial growth, and the timing of treatment. Some of the cranial and facial developmental malformations seen in older children or adults can be attributed to trauma sustained in early childhood. This is because trauma may have a deleterious effect on the growth and development of facial structures in the postnatal life similar to that seen resulting from a genetic mutation.

Victims of violence such as children who experience psychic trauma when not properly handled can experience Post Traumatic Stress Disorder (PTSD). Post-Traumatic Stress Disorder is a result of disasters or calamities such as accidents, natural disasters, war or violence that cause disruptions such as anxiety and impaired self-integrity. There are several factors that cause a person to experience PTSD, one of which is a factor associated with traumatic events. This research aims to know the education of mental health needed by children of violence with PTSD. The design of this research uses a type of quantitative research that is descriptive. The location of this research is six regencies/cities in West Sumatra province, namely Padang City, Agam Regency, Solok Regency, Solok City, Pariaman Regency and District 50 Kota. The sample samples amounted to 106 students taken using the Multistage Sampling technique. The measuring instrument used is a violent questionnaire, Mini ICD10 Questionnaire, DSM V questionnaire and questionnaire to determine the mental health education that children need with PTSD. Data analysis using the SPSS application and research results in the form of frequency distribution.The results of this study were 34.9% of children's violent victims with PTSD chose positive thinking education as a form of education needed..

ABSTRACTBullying (violence) has a very negative impact on victims both physically and psychologically. Not all victims of bullying dare to share the problems they are experiencing with others, even though this is very disturbing to the psychic or emotional level of the client. The minimal level of awareness of the surrounding environment is also the reason for the lack of handling victims of bullying. When not getting the right treatment it will be very detrimental to the victims in the future, especially when victims of bullying are underage children. The impact that will be caused is trauma.In this study we will discuss how reality therapy is used to deal with trauma for victims of bullying in the women's social protection and rehabilitation center (BPRSW). This study will also use several other therapies including religious therapy. Because in practice if you only use one theory or only use one theory, it is not very effective to help deal with the trauma experienced by victims of bullying.The choice of subject here is with the approval of the hall, psychologist, and also confirmation to the LS (victim). The data obtained by researchers is derived from the results of interviews with the parties, psychologists, and also victims. From the results of interviews and also conducting observations in the field directly, reality therapy is believed to be used to deal with trauma to victims of bullying even though it requires several other therapies in its application and also requires a short time and more intensive counseling with victims. Keyword: Bullying, Reality Therapy.

Psychiatry, psychoanalysis and infant mental health research of the last decades have led to intervention concepts for pre- and postnatal stages of human development. Such concepts reach from how parents-to-be can be prepared for parenthood to how to intervene in support of relation and attachment in infants, toddlers and older children. Especially the postnatal relation of infant and parents has been examined extensively, as have parental competencies. The expression of intuitive parental competencies (according to Papousek and Papousek) may be compromised by diverse factors, thus putting the infant's psychic development at risk in general. Early intervention concepts may help out to some extent. In German-speaking countries, there are intervention programs focusing on bonding as there are on handling, processing of and coping with trauma, on promoting secure attachment between infant and parents, on relational issues, on bodily contact, on understanding the infant's signals, including those of the preterm infant, as well as on educational practices. From prenatal period onwards up to kindergarten age there are structured interventions, including the involvement of parents and parents-to-be. Yet, some factors of psychic development and of pathology may not necessarily be reached by these. Whereas concepts on an individual level of personality education do exist, nevertheless there might have to be collective measures. There seems to be a need to augment the agenda as there is good reason to assume that in the last decades there has been a motion toward new social deprivation stemming from societal depravation processes, which might potentiate future deprivation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Purpose: This article provides benchmark data on within-group effect sizes from published randomized clinical trials (RCTs) supporting the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) for traumatized children. Methods: Within-group effect-size benchmarks for symptoms of trauma, anxiety, and depression were calculated via the Glass approach and adjusted for sample size using Hedges’ g. Results: Overall TF-CBT and control group benchmarks are presented, as well as specific benchmarks for sexual abuse and mixed trauma, and whether included studies utilized intent-to-treat analysis. Discussion: Community practitioners can use these benchmarks as a comparison tool to evaluate whether the way they are adopting or adapting the TF-CBT intervention is satisfactory, needs to be modified, or should be replaced by a different intervention approach. These benchmarks also have potential utility for future implementation research on TF-CBT assessing which service provision conditions are associated with effect sizes approximating benchmarks provided in this article.

The number of Iranian immigrants in Canada has been increasing since 1979. This study is the result of a review of 111 charts of Iranian patients who were referred for psychiatric treatment between 1985 and 1988. Ninety-eight percent of them arrived in Canada after the Iranian revolution, which started in 1979, and the Iran-Iraq war of 1980. Ten percent were experiencing trauma as a result of their involvement with the revolutionary government or the war. The symptoms were in accordance with the DSM-III-R criteria for posttraumatic stress disorder. Sixty percent met the criteria for adjustment disorder with depressed or anxious mood. Six percent had been subjected to physical and psychological torture and confinement. This is the first study that looks at the prevalence of psychiatric illness among Iranians and illustrates the effect of migration and displacement in the integrity of the psychic life of this population.

Children are still victims of sexual violence by perpetrators who are stronger than victims. Children who are victims of sexual violence have a negative impact on the psychic and mental, so that children will have trauma that is difficult to be eliminated or even prolonged trauma. So that the government established the Law Number 17 of 2016 concerning the Establishment of the Government Regulation in Lieu of Law Number 1 of 2016 concerning the Second Amendment to Law Number 23 of 2002 concerning Child Protection into Law. In the laws and regulations, it has been regulated regarding the castration penalty of chemistry. Indonesia is a country that still upholds all human rights possessed by every community in Indonesia without discrimination. This chemical castration execution raises the pros and cons in people's lives. So this chemical castration is considered to have violated the Human Rights of perpetrators of sexual violence against children. This research wants to dig deeper about the use of chemical castration punishment in perpetrators of recurrent crimes in the human rights perspective. This study uses normative research methods with conceptual and legislative approaches. Chemical castration has not been one of the effective penalties and provides a deterrent for perpetrators of sexual violence, so the laws governing chemical castration punishment need to be reviewed.Anak masih menjadi korban kekerasan seksual yang dilakukan oleh para pelaku yang lebih kuat dari korban. Anak yang menjadi korban kekerasan seksual mendapatkan dampak yang negatif terhadap psikis dan batinnya, sehingga anak akan memiliki trauma yang susah untuk dihilangkan atau bahkan trauma tersebut berkepanjangan. Sehingga pemerintah membentuk peraturan Undang-Undang Nomor 17 tahun 2016 tentang Penetapan Peraturan Pemerintah Pengganti Undang-Undang Nomor 1 tahun 2016 tentang Perubahan Kedua atas Undang-undang Nomor 23 tahun 2002 tentang Perlindungan Anak menjadi Undang-Undang. Didalam peraturan perundang-undangan tersebut, telah diatur tentang hukuman kebiri kimia. Indonesia adalah negara yang masih menjunjung setiap Hak Asasi Manusia yang dimiliki oleh setiap masyarakat di Indonesia tanpa adanya diskriminasi. Eksekusi kebiri kimia ini menimbulkan pro dan kontra didalam kehidupan masyarakat. Sehingga kebiri kimia ini dianggap telah melanggar Hak Asasi Manusia dari pelaku kekerasan seksual terhadap anak. Penelitian ini ingin menggali lebih dalam tentang penggunaan hukuman kebiri kimia pada pelaku kejahatan berulang dalam persektif hak asasi manusia. Penelitian ini menggunakan metode penelitian normative dengan endekatan konseptual dan perundang-undangan. Kebiri kimia belum menjadi salah satu hukuman yang efektif dan membuat jera untuk pelaku kekerasan seksual, Sehingga undang-undang yang mengatur tentang hukuman kebiri kimia perlu dikaji ulang.

The social crisis of the end of XX century in Russia negatively impacted psycho-emotional condition of society and provoked increasing of drug addiction and alcoholism among population. The article applies inter-disciplinary position analyzing relationship between severe social psychological atmosphere of those years and mental, behavioral disorders in generation of children caused by alcohol abuse in generation of parents, especially mothers. The dynamics is presented concerning social mood of society, level of female alcoholism, nervous diseases morbidity of children. The mental and neurological disorders are discussed in the aspect of patterns of brain development during prenatal period. The biological sociological evaluation is given concerning impact of crisis of 1990s as a macro-social factor of mental and behavioral health of age group of persons born in 1990-2000s. The burden of crisis and negative emotional atmosphere in society, especially in the middle of 1990s, increasing of alcohol consumption and also dynamics of alcoholism and alcoholic psychosis morbidity of women during the same years, dynamics of nervous diseases morbidity of children aged 0-1 year in the Russian Federation with its surges, especially in 1994-1995, 1998 and 2009, permit to consider focused effect of social crisis on physical and mental health of newborns. During relative stabilization of 2010s, there is no such a concentration of negative factors. Also, certain positive circumstances are manifesting: learning of legal standards according which person is primarily responsible for one's own health, measures of struggle with alcoholism, development of perinatal medicine, etc.

IntroductionIn line with a consistent literature, young patients with disruptive behavior disorders in childhood and adolescence have experienced some traumatic events, such as abuse, rejection and violence assisted. Recent studies are focusing the attention on the role of attachment and post-traumatic symptomatology for a better evaluation of this clinical condition.ObjectiveThis study investigates attachment models and post-traumatic symptomatology in young patients with disruptive behavior disorders.Aim(s)The following objectives are set by the present study: – to evaluate attachment models in a group of children diagnosed with disruptive behavior disorders;– to evaluate their post-traumatic symptomatology;– to test the extent of the association between post-traumatic symptomatology and attachment organization in young patients with disruptive behavior disorders.MethodForty-two Italian patients aged from 8 to 15 previously diagnosed with disruptive behavior disorders are compared to 42 healthy control subjects. We administer the child attachment interview and trauma symptom checklist for children-adolescent.ResultsInsecure attachment are found in more than half of the patients diagnosed with disruptive behavior disorders and disorganization are highly over-represented. Furthermore, low levels of post-traumatic symptoms are found in young patients with disruptive behavior disorders.ConclusionThis study suggests that attachment organization may be a fundamental element to be assessed in the evaluation of disruptive behavior disorders in children and adolescents. Nevertheless, traumatic experiences do not seem expressed through psychic symptoms. The clinical implications are discussed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

BackgroundThere has been little reported research into the effect of war on the behaviour and emotional well-being of pre-school children.AimsTo investigate the relationship between exposure to war trauma and behavioural and emotional problems among pre-school children.MethodAtotal of 309 children aged 3–6 years were selected from kindergartens in the Gaza Strip, and were assessed by parental reports in regard to their exposure to war trauma, using the Gaza Traumatic Checklist, and their behavioural and emotional problems, using the Behaviour Checklist (BCL) and the Strengths and Difficulties Questionnaire (SDQ).ResultsPre-school children were exposed to a wide range of traumatic events. The total number of traumatic events independently predicted total BCL and SDQ scores. Exposure to day raids and shelling of the children's houses by tanks were significantly associated with total behavioural and emotional problems scores.ConclusionsDirect and non-direct exposure to war trauma increases the risk of behavioural and emotional problems among pre-school children, which may present as non-specific psychopathology.

The article examines the problem of resilience building in adolescents affected by the armed conflict; presents and analyzes theoretical and empirical studies on internal and external resources for the individual resilience building in adolescents, resilience development dynamics, experiencing of psychological trauma and choice of coping strategies by adolescents in a context of armed conflicts; examines the concept of resilience building through the approach of resilience as a process and the social ecology model; focuses on crucial role of social and cultural context for the individual resilience development. In a period of adolescence an individual psyche is being transformed and proved to be especially vulnerable. This process of transformation becomes complicated and burdened with psychological trauma experienced in a situation of armed conflict. The resilience approach, in contrast to the traditional trauma-oriented paradigm, focuses on importance of inner potentials and external protective factors for resilience building, on individual capability to activate psychic resources and recover in extreme situation of armed conflict. The resilience approach and social ecology model allow to present structurally the problem of resilience building in conflict-affected adolescents with considering the interaction of inner and external resources: personal characteristics and contextual factors. Negative effect of risk factors in war conditions appear to be decreased or mitigated by activation of protective factors. Individual characteristics, different social and cultural contexts, as well as specifics of an armed conflict situation, shape difference in resilience building and coping processes. All of those should be thoroughly examined and taken into consideration while developing and implementing effective comprehensive intervention programs for resilience building and strengthening.

AbstractFollowing the secret’s customs, encountering it in the myriad manifestations of psychic life and relational domino effect, the current work separates the secret from the act of secretiveness and from trauma, with which the former often confused. The fact that it is intrinsically linked to truth, as it is hidden information waiting to be found, defines the secret as a process involved in working with information-about-self and the self: it is a joy to be hidden and a disaster not to be discovered. This hidden – found process that accompanies us our whole life is transformed according to the biological and psychological stages one must go through. Thus, the secret is interpreted differently, passing through successive stages of development. From the archaic game of “hide-and-seek”, through the primitive scene of “peeping through the keyhole” and discovering the secret of one’s own genitals, continuing with the type of secret offered by a relationship of friendship in latency, reaching the desecretisation and de-sacralisation of adolescence, the secret is an “act of secrecy” that requires an interior architecture as well as borders between the internal and external universe. Otherwise, the “act of secrecy” fails and turns into secretiveness, a failure of the hidden - found process, because either nothing can be hidden (as in paranoid mechanisms) or everything must be hidden (as in trauma mechanisms).

Objectives: Policies that increase household income, such as the earned income tax credit (EITC), have shown reductions on risk factors for child maltreatment (ie, poverty, maternal stress, depression), but evidence is lacking on whether the EITC actually reduces child maltreatment. We examined whether states’ EITCs are associated with state rates of hospital admissions for abusive head trauma among children aged <2 years. Methods: We conducted difference-in-difference analyses (ie, pre- and postdifferences in intervention vs control groups) of annual rates of states’ hospital admissions attributed to abusive head trauma among children aged <2 years (ie, using aggregate data). We conducted analyses in 14 states with, and 13 states without, an EITC from 1995 to 2013, differentiating refundable EITCs (ie, tax filer gets money even if taxes are not owed) from nonrefundable EITCs (ie, tax filer gets credit only for any tax owed), controlling for state rates of child poverty, unemployment, high school graduation, and percentage of non-Latino white people. Results: A refundable EITC was associated with a decrease of 3.1 abusive head trauma admissions per 100 000 population in children aged <2 years after controlling for confounders ( P = .08), but a nonrefundable EITC was not associated with a decrease ( P = .49). Tax refunds ranged from $108 to $1014 and $165 to $1648 for a single parent working full-time at minimum wage with 1 child or 2 children, respectively. Conclusions: Our findings with others suggest that policies such as the EITC that increase household income may prevent serious abusive head trauma.

Background: Dental injury and trauma are some of the most important public health concerns among school children that may require immediate management, as they could result in consequences affecting the child aesthetically, psychologically and socially. Purpose: The aim of this study was to determine the prevalence of dental trauma, the type of fracture, the most commonly affected tooth and the effect of gender on the occurrence of dental trauma. Methods: The methodology of this study was a cross-sectional survey consisting of a questionnaire and an oral examination which was conducted on 12-year-old public primary school children. Schools were selected from five different areas of Erbil city in Iraq. Results: The results indicate that 16.3% of the sample were affected with dental trauma in both genders. Maxillary central incisor was the most commonly affected tooth, and the majority of dental traumas were untreated. The most common type of dental trauma was simple enamel fracture. Conclusions: Child students are at great risk regarding dental trauma, which may affect their social activity especially within their school life.

ABSTRACT Traumatic dental injuries occur frequently in children and young adults. Orofacial trauma that results in fractured, displaced or lost teeth can have signifi cant negative functional, esthetic and psychological effect on child. Intrusive luxation of teeth results in axial impacts on maxillary and mandibular teeth and is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. To correctly diagnose the injury, effi ciently determine the extent of injury to teeth and periodontium and supporting structures and to have a favorable outcome after management requires a systematic approach. How to cite this article Gauba K, Goyal A, Bhatia SK. Intrusive Dental Injuries in Children: Manifestations and Management. J Postgrad Med Edu Res 2014;48(2):53-62.

Alice Munro (1931—), Canadian author and winner of the Man Booker International Prize in 2009, has written a number of short stories. “The Bear Came Over the Mountain” is a story of love, romantic affairs, family relationship, enigma of romance and psychological disorientation. The story reveals family bond through mental depression and physical inability, which, to a large extent, are traumatic. Munro’s presentation of human relationship and family bond gets a new dimension from psychopathological point of view. The story reveals a bizarre relationship between two unacquainted families, members of which suffer from two different types of trauma: psychic hysteria and physical immobility. Munro shows the effect of such frenzy on individuals as well as on societal connection. This paper attempts to illustrate, from psychoanalytic point of view, the nature of traumatic pathology and its testimony in the lives of individuals and how its outcome can be a major device in understanding human relationship. Stamford Journal of English; Volume 6; Page 103-113 DOI: http://dx.doi.org/10.3329/sje.v6i0.13906

A cross-sectional study was conducted among 286 Palestinian children 9-18 years of age and their mothers in the Gaza Strip. Traumatic events recollected by children living in areas of conflict, the prevalence of post-traumatic stress reactions and the relationship between children’s and mothers’ mental health were investigated. The Gaza Traumatic Events Checklist, Impact of Event Scale [IES] and General Health Questionnaire [GHQ] were used to measure outcome. Children experienced on average four traumatic events; one-third reported significant post-traumatic stress reactions. IES scores were higher among girls and mothers’ GHQ scores significantly predicted children’s IES scores.

BackgroundGenes for depression may act by making individuals more sensitive to childhood trauma. Given that childhood adversity is a risk factor for adult psychosis and symptoms of depression and psychosis tend to cluster within individuals and families, the aim was to examine whether the association between childhood adversity and psychotic-like symptoms is moderated by genetic liability for depression. A secondary aim was to determine to what degree a depression-related increase in stress sensitivity or depressive symptoms themselves occasioned the moderating effect.MethodFemale twins (n=508) completed both prospective and retrospective questionnaires regarding childhood adversity [the Symptom Checklist-90 – Revised (SCL-90-R) and SCID-I (psychotic symptoms)] and psychotic trait liability [the Community Assessment of Psychic Experiences (CAPE)]. Stress sensitivity was indexed by appraisals of event-related stress and negative affect (NA) in the flow of daily life, assessed with momentary assessment technology for five consecutive days. Multilevel regression analyses were used to examine moderation of childhood adversity by genetic liability for depression in the prediction of follow-up psychotic experiences.ResultsThe effect of childhood adversity was significantly moderated by genetic vulnerability for depression in the model of both follow-up psychotic experiences (SCL-90-R) and follow-up psychotic trait liability (CAPE). The moderation by genetic liability was mediated by depressive experience but not by stress sensitivity.ConclusionsGenetic liability for depression may potentiate the pathway from childhood adversity to psychotic-like symptoms through dysfunctional emotional processing of anomalous experiences associated with childhood trauma.

Being a victim of abuse in childhood can lead to the development of trauma-related psychopathology, which could affect the testimony of the child victim. Post-traumatic stress disorder (PTSD) is a factor that can increase both the levels of suggestibility and the production of memory errors, such as confabulations, which can be identified in distortions and fabrications. No studies have analyzed the relationship between suggestibility, fabrications, distortions, and PTSD on samples of children and adolescents suspected of being sexually abused. This study aims to verify in a sample of 221 sexually abused children and adolescents the effect of PTSD, measured by Trauma Symptoms Checklist for Children, in increasing the levels of immediate and delayed suggestibility and the production of fabrications and distortions in immediate and delayed memory tasks, obtained by Gudjonsson Suggestibility Scale 2, controlling age and non-verbal intelligence. Our results show that PTSD increases the levels of immediate and delayed suggestibility, but it has no effect on memory recall in immediate recall tasks. Moreover, PTSD leads to a greater number of distorted and fabricated information inserted in delayed memory. Forensic implications of PTSD consequences on memory tasks and suggestibility levels of sexually abused children are discussed.

Realizing the nature of the purpose of education is our duty together. A variety of efforts in achieving the goal of education is carried out by all parties, ranging from models, devices, education/educators, and parents together. Reward and punishment is part of the model and strategy in education. A cornerstone in the application of reward and punishment found in the human psychic instincts will feel pleasure when accepting gifts and grieve while receiving punishment. In Islam, there are several verses of the Quran which explains about reward and punishment, and in the West, there is a psychological theory that explains the importance of reward and punishment. Reward aims to provide motivation and a new spirit for the children so that repetition of the conduct plus behaviour, while the punishment is given to give a deterrent effect to the child and deliver a message to other children so as not to do the violation of a rule.