However, individuals exposed to ACEs, pervasive interpersonal traumas, and polyvictimization may not only go on to develop PTSD, but may also undergo significant shifts in their developmental trajectories. Healthcare providers widely use the DSM-5 to determine whether a person's symptoms are severe enough to warrant a diagnosis of PTSD. Persistent trauma symptoms (i.e., that last longer than a month after the traumatic event(s) and are accompanied by social, behavioral, and academic impairments) indicate the presence of PTSD and differentiate it from other psychiatric disturbances. The symptoms of PTSD, as defined by the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria, are characterized by persistent and intrusive thoughts, hyperarousal (i.e., heightened startle in response to unexpected sounds or movements), deliberate avoidance of trauma reminders, and alterations to conscious awareness (i.e., dissociation, derealization, and depersonalization). PTSD is a psychiatric disorder brought on by exposure to a highly stressful and potentially life-threatening event such as a natural disaster, motor vehicle accident, witnessing family or community violence, experiencing abuse and neglect, or losing a loved one. Trauma and PTSDĬhildren and adults who have experienced trauma and developed measurable mental health symptoms associated with the trauma may present with indications of posttraumatic stress disorder (PTSD) that warrant careful diagnostic evaluation. The paper concludes with a discussion about future directions for research and practice. The current article provides discussion of how early, repeated interpersonal traumas can interrupt the development of secure attachment and precipitate the emergence of chronic and severe traumatic adaptations, followed by an analysis of contemporary research, conceptual and diagnostic issues, and assessment and treatment. Children affected by interpersonal trauma often experience more global and profound changes than adults who conceivably have more developed adaptations to stress and more cognitive resources to mitigate risks and promote resiliency. Children are more likely than adults to lack the cognitive and behavioral capacities to understand and respond to traumatic circumstances effectively. Recent developments suggest that multiple, repeated experiences of ACEs and interpersonal traumas have broad, cumulative, and lasting effects. There has been much interest in understanding the prevalence and impact of adverse childhood experiences (ACEs), which refer to potentially traumatic events that occur in childhood and adolescence (e.g., abuse, rejection, and abandonment by caregivers loss of a caregiver interpersonal violence exposure). Psychological and medical correlates of Developmental Trauma Disorder are considered, and directions for future research are discussed. Developmental trauma associated with early experiences of abuse or neglect leads to multi-faceted and longstanding consequences and underscores critical periods of development, complex stress-mediated adaptations, and multilevel, trans-theoretical influences in the diagnostic formulation and treatment of traumatized children, adolescents, and adults. This paper examines contemporary research on Developmental Trauma (DT), which is inextricably linked to disruptions in social cognition, physiological and behavioral regulation, and parent-child attachments. 2Independent Private Practice, Clifton, NJ, United StatesĬhildren exposed to adverse childhood experiences (ACEs) and pervasive interpersonal traumas may go on to develop PTSD and, in most cases, will further undergo a significant shift in their developmental trajectory.1Hackensack Meridian Health Mountainside Medical Center, Montclair, NJ, United States.Daniel Cruz 1 * Matthew Lichten 2 Kevin Berg 1 Preethi George 1
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |