Future directions in studies of trauma among ethnoracial and sexual minority samples: Commentary.

Objective: Studies examining psychological trauma or posttraumatic stress disorder (PTSD) in ethnoracial or sexual minority groups are relatively few. The Journal of Consulting and Clinical Psychology recently published 4 articles (Balsam, Lehavot, Beadnall, & Circo, 2010; Harrington, Crowther, & Shipherd, 2010; Lester, Resick, Young-Xu, & Artz, 2010; Marshall, Schell, & Miles, 2009) that examine trauma exposure and posttraumatic outcomes in ethnoracial and sexual minority samples. This commentary focuses on the overlap between traumatic stress and diversity studies in order to consider future areas in need of development. Method: Within the framework of a generalized overview of current trends in the study of traumatic stress, an assessment of the strengths and limitations of these 4 articles is provided. Populations and syndromes covered by the articles include ethnoracial differences in child maltreatment and adverse mental health outcomes among sexual minority participants, PTSD symptom elevations among Hispanic Americans, binge eating and the strong Black woman schema, and retention of African American female participants in cognitive behavioral psychotherapy trials for PTSD. Results: Recommendations to enhance culturally competent traumatic stress studies include increasing the examination of within-group cultural variability and key social, contextual, and cultural variables and constructs; examining the temporal sequencing of traumatic events and key transitions in sexual and ethnic minority identity development; and conducting prevention and treatment studies for those sexual minority children most at risk for maltreatment. Conclusions: By following these recommendations, the next generation of studies of traumatic stress studies will be enhanced. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Repressed memories: Avoiding the obvious.

Sorting out the distinctions between reality and fantasy in terms of apparently recovered memories and reconstructions is at least as puzzling as sorting out current realities. In responding to C. B. Brenneis's (see records 2007-10660-001 and 2001-07368-001) challenge to the existence of the phenomena of repression and of recovered or reconstructed memories, the authors point out the data from the Recovered Memory Archive web site, the data from World War I and World War II battlefield neuroses, as well as the clinical observations of psychoanalysts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

切牙牙体、牙周膜的应力分析

本文应用有限单元法,从生物力学的角度,揭示切牙在外力作用下,牙体、牙周膜内部的应力分布,从而为分析牙齿、牙周膜损伤,引起临床病变,提供理论依据。     

APA's response to international and national disasters and crises: Addressing diverse needs. 2005 annual report of the APA Policy and Planning Board.

The 2005 Policy and Planning Board of the American Psychological Association (APA) was chaired by Sandra E. Tars, PhD. Other members of the Policy and Planning Board included G. Andrew H. Benjamin, JD, PhD; Mae Lee Billet-Ziskin, PhD; Connie Chan, PhD; Cynthia P. Deutsch, PhD; Lisa R. Grossman, JD, PhD; Janet R. Matthews, PhD; Morgan T. Sammons, PhD; Derald Wing Sue, PhD; Susan Krauss Whitbourne, PhD; and Gerald P. Koocher, PhD, the liaison for the Board of Directors. APA Bylaws Article XI.7 requires that the Policy and Planning Board report annually by publication to the membership and review the structure and function of the Association as a whole every fifth year. Given the tremendous psychological impact of disasters and crises, the Policy and Planning Board decided to focus this 2005 annual report on the history and evolution of APA's responses to such traumas, with an eye to future directions that might be taken as the need arises. This report reviews the phases of response to disaster and proposes parameters for APA's organizational response. It also highlights concerns posed by the racial and economic disparities laid bare in the aftermath of Hurricane Katrina and raises questions about the proper role of psychology in addressing the broader social context in both preparation for and the aftermath of disaster. Ultimately, it is our intent to identify points of both pride and challenge for APA members and governance leaders to consider. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The dissociative mind.

Reviews the book, The dissociative mind by Elizabeth F. Howell (see record 2005-14945-000). In her book, The Dissociative Mind, Elizabeth Howell presents a complex and thorough overview of what she describes as a "sea change" in psychoanalytic theory. From her vantage point as both psychoanalyst and traumatologist, she demonstrates how, in the last 15-20 years, relational trauma and the resulting impact on the individual mind-namely the splits and fissures that comprise dissociation- have made their way back into psychoanalytic thinking. Howell's elaboration of the overwhelmed, traumatized mind is very useful in clients who present with problems in thinking or who have limited capacity to symbolize. However, detailed clinical material of how an analyst thinking of dissociated self states would work with such a client, what Bromberg termed the "relational bridge," would support her fundamental assertions more effectively. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

To ask, or not to ask, about abuse--New Zealand research.

Comments on the article by K. Becker-Blease and J. Freyd (see record 2006-03947-003), which addressed the ethics of asking and not asking research subjects about abuse. J. Read reviews some clinical research in New Zealand in which there was a low level of inquiry about abuse by mental health staff, and notes that this is consistent with the results of similar studies elsewhere. He agrees with Becker-Blease and Freyd that there are many consequences to researchers and clinicians of not asking. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

What predicts psychological resilience after disaster? The role of demographics, resources, and life stress.

A growing body of evidence suggests that most adults exposed to potentially traumatic events are resilient. However, research on the factors that may promote or deter adult resilience has been limited. This study examined patterns of association between resilience and various sociocontextual factors. The authors used data from a random-digit-dial phone survey (N = 2,752) conducted in the New York City area after the September 11, 2001, terrorist attack. Resilience was defined as having 1 or 0 posttraumatic stress disorder symptoms and as being associated with low levels of depression and substance use. Multivariate analyses indicated that the prevalence of resilience was uniquely predicted by participant gender, age, race/ethnicity, education, level of trauma exposure, income change, social support, frequency of chronic disease, and recent and past life stressors. Implications for future research and intervention are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Holocaust trauma reconstructed: Individual, familial, and social trauma.

Psychic trauma is characterized by ego damage, regression, and relative helplessness. Following a historic catastrophe, psychic trauma with ego damage is frequently encountered as cumulative trauma. Reconstruction was essential to the understanding of an adult patient initially unaware of his holocaust trauma. When the patient was a child, he and his parents were simultaneously traumatized. Intrapsychic intergenerational psychosocial and neurobiological factors were adverse codeterminants of his cumulative trauma. Isolated affects and fragmented memories required sequential connection in the context of family, identity, and society. Reconstruction importantly contributed to ego reintegration of a lost, lacerated childhood, and to adaptive mastery of trauma and conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Refugee survivors of torture: Trauma and treatment.

It is increasingly likely that psychologists may be faced with clients who have been tortured, although the significance of this background can be easily unrecognized or mishandled. With the growing incidence of refugees to the United States escaping from organized violence and human rights violations in many parts of the world, the need for psychological assistance in the recovery from torture is well documented. By integrating principles from trauma theory and multicultural theory with a conceptual analysis of power and liberation theory, the author offers an understanding of both the nature of the damage inflicted by politically based torture and strategies to help overcome that damage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Earthquakes and children: The role of psychologists with families and communities.

The 2008 Sichuan Province earthquake and 2005 Pakistan earthquake are examples of natural disasters that took an unimaginable toll on children. In such disaster management contexts, family members as well as health care and school personnel are the first-line responders and are natural sources of continued social support as children recover. Although psychologists have increasingly sophisticated understandings of post-disaster reactions and strategies for helping children and adolescents cope with trauma, models for responding to mass catastrophes are limited, particularly in geographically remote communities and in regions in which mental health services are stigmatizing. With children’s well-being subsequent to earthquakes inextricably linked to family and community, psychologists can make important contributions in 3 spheres: (a) coordinating and activating collaborations within children’s existing social contexts to develop post-earthquake interventions; (b) designing prevention and preparedness programs focused on the emotional needs of children in earthquake-prone communities; and (c) conducting research on interventions and recovery with particular attention to developmental stage, sociocultural-economic contexts, and the similarities versus differences across various types of disasters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)