A Content Analysis of 9 Case Studies

Size: px
Start display at page:

Download "A Content Analysis of 9 Case Studies"

Transcription

1 PSYCHOSOCIAL FACTORS ASSOCIATED WITH SEPARATION TRAUMA IN A Content Analysis of 9 Case Studies Presenter Talli Ungar Felding, Cand. Psych., Clinical Psychologist, Specialist and Supervisor in Psychotherapy Psykologisk Center, Copenhagen, Denmark Monday, January 9, 2012, 2:15 PM to 2:35 PM Trauma through the Life Cycle from a Strengths perspective: An International Dialogue 1

2 BACKGROUND OF THE STUDY The Danish Mental Health Care System is universal and free of charge The Danish population is very homogeneous. Refugees and immigrants in large numbers are a new phenomenon The Danish society is troubled by antisocial behavior in refugee and immigrant adolescents 2

3 POPULATION 9 adolescents were separated from parental figures in the age of 2 to 12 years simultaneously with flight or emigration to Denmark In the age of 14 to 17 years they underwent a psychological investigation 3

4 PURPOSE OF THE STUDY Do refugee and immigrant adolescents with a history of separation have mental health problems due to cultural circumstances or due to psychopathology? Do Danish social workers overestimate the importance of cultural circumstances and underestimate the importance of psychosocial factors? Are refugee and immigrant adolescents with a history of separation offered relevant mental health care? 4

5 METHOD A preliminary study of 9 refugee and immigrant adolescents referred for psychological investigation The psychological investigations were carried out by a clinical psychologist trained in Otto Kernbergs method of Structural Interviewing and experienced in psychotherapy of antisocial adolescents The psychological investigation did not focus on religion, culture or native country. Focus was on individual psychosocial factors The content of the investigation reports was analyzed following principles of emergent coding of the content 5

6 DATA Separation Trauma Symptoms Defense mechanisms Psychosocial risk factors Personality structure 6

7 Number of adolescents Age at separation & flight / emigration

8 Cumulative Separations Number of adolescents Total number of separations Age at separations 4 1 A: 2 B: 2 C: 7 D: E: 5, 12 F: 6, 12 G: 9, H: 7, 8-13, I: 9, 11, 12, 13 8

9 DSM-IV-TR Diagnostic criteria for Posttraumatic Stress Disorder The person has been exposed to a traumatic event in which both of the following were present: The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others & The person's response involved fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behavior 9

10 DSM-IV-TR Diagnostic criteria for Posttraumatic Stress Disorder The traumatic event is persistently reexperienced in one or more of the following ways: Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed. Recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event

11 DSM-IV-TR Diagnostic criteria for Posttraumatic Stress Disorder Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three or more of the following: Efforts to avoid thoughts, feelings, or conversations associated with 7 the trauma Inability to recall an important aspect of the trauma 2 Feeling of detachment or estrangement from others 1 Restricted range of affect (e.g., unable to have loving feelings) 2 11

12 DSM-IV-TR Diagnostic criteria for Posttraumatic Stress Disorder Persistent symptoms of increased arousal (not present before the trauma), as indicated by two or more of the following: Difficulty to falling or staying asleep 2 Irritability or outbursts of anger 7 Difficulty concentrating 5 Hypervigilance 2 12

13 DSM-IV-TR Diagnostic criteria for Posttraumatic Stress Disorder Duration of the disturbance is more than one month 8 The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning Acute: If duration of symptoms is less than 3 months 0 Chronic: If duration of symptoms is three months or more

14 IMPLICATIONS OF LACK OF RECOGNITION OF PSYCHOSOCIAL RISK FACTORS 5 adolescents had been seen by a school psychologist 2 adolescents received brief or sporadic psychotherapy 7 adolescents never received psychotherapy 1 adolescent received brief psychiatric treatment Danish Social Authorities are not very inclined to offer psychological or psychiatric treatment to traumatized adolescents 14

15 Antisocial symptoms Number of adolescents Distrust 8 Lack of honesty 8 Truancy 7 Lack of empathy 7 Lack of guilt feelings 5 Low frustration tolerance 5 Sensitivity to humiliation and insult 5 15

16 DSM-IV-TR Diagnostic criteria for Conduct Disorder A repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated, as manifested by the presence of three (or more) of the following criteria in the past 12 months, with at least one criterion present in the past 6 months: Aggression to people and animals 4 Destruction of property 3 Deceitfulness or theft 4 Serious violations of rules 2 The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning

17 DSM-IV-TR Diagnostic criteria for Conduct Disorder Age at onset: Conduct Disorder, Childhood-Onset Type: Onset of at least one criterion characteristic of Conduct Disorder prior to age 10 years Conduct Disorder, Adolescent-Onset Type: 1 Absence of any criteria characteristic of Conduct Disorder prior to age 10 years Conduct Disorder, Unspecified Onset: Age at onset is not known

18 DSM-IV-TR Diagnostic criteria for Conduct Disorder Severity: Mild: Few if any conduct problems in excess of those required to make the diagnosis and conduct problems cause only minor harm to others Moderate: Number of conduct problems and effect on others intermediate between "mild" and "severe" Severe: Many conduct problems in excess of those required to make the diagnosis or conduct problems cause considerable harm to others

19 DSM-IV-TR Diagnostic criteria for Antisocial Personality Disorder Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure Impulsivity or failure to plan ahead 5 Irritability and aggressiveness, as indicated by repeated physical fights or assaults Reckless disregard for safety of self or others 3 Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

20 Other symptoms Symptom Number of adolescents Identity diffusion 7 Depression 6 Anxiety 5 Feelings of emptiness 5 Disturbances in object relations 5 20

21 Defense mechanisms Defense mechanism Number of adolescents Denial 7 Projective mechanisms 7 Splitting 6 Devaluation and idealization 5 21

22 Object relation Object relation Number of adolescents Deep 1 Ambivalent 5 Superficial 3 22

23 Personality structure Personality structure Number of adolescents Normal 2 Borderline 6 Psychotic 1 23

24 REFERENCES Connection between separation trauma and antisocial symptoms August Aichhorn (1925): Wayward Youth John Bowlby (1946): Forty-four Juvenile Thieves John Bowlby (1972): Separation: Anxiety and Anger John Bowlby (1951): Maternal Care and Mental health D. W. Winnicott (1956): The Antisocial Tendency 24

25 Psychosocial risk factors Risk factor Number of adolescents Use of corporal punishment 8 Parental neglect 7 Separation/divorce among parents 7 More than one separation from parental figures 5 Substance abuse among parents 5 25

26 Level of recognition of psychosocial risk factors Psychosocial risk factor Corporal punishment (8 cases) Parental neglect (7 cases) More than one separation from parental figures (5 cases) Substance abuse in parents (5 cases) Psychiatric illness in parents (5 cases) Not recognized by Danish Social Authorities Recognized by Danish Social Authorities, but no intervention Recognized and intervened in by Danish Social Authorities 2 cases 2 cases 4 cases 2 cases 3 cases 2 cases 0 cases 4 cases 1 case 2 cases 2 cases 1 case 0 cases 2 cases 3 cases 26

27 CONCLUSIONS Independent of ethnicity, antisocial adolescents often face psychosocial risk factors, such as Cumulative traumas Parental neglect Use of corporal punishment Substance abuse among parents 27

28 CONCLUSIONS A high number of antisocial refugee and immigrant adolescents have more severe psychopathology than previously assessed by Danish Social Authorities Danish Social Authorities focus to much on cultural and ethnic factors, and to little on psychosocial factors, when they take decisions about help offered to antisocial refugee and immigrant adolescents 28

29 CONCLUSIONS Because Danish Social Authorities do not recognize psychosocial factors related to antisocial behavior in immigrant and refugee adolescents with separation trauma, they do not offer them psychosocial and psychological intervention. Because Danish Social Authorities do not differentiate between collective, ethnic and cultural factors and individual, psychosocial factors, they fail to notice psychopathology in immigrant and refugee adolescents with separation trauma, and unknowingly discriminate against them compared to Danish adolescents with similar psychopathology, who are more likely to receive relevant treatment. 29

30 IMPLICATIONS FOR PRACTICE Immigrant and refugee adolescents have less access to mental health services than Danish adolescents Danish Social Authorities must develop better methods for identifying psychosocial risk factors in immigrant and refugee adolescents in order to offer them relevant intervention 30

31 STRENGTHS AND LIMITATIONS OF THE STUDY Strengths: In-depth study of psychological and psychosocial factors Limitations: Small sample Religious, cultural and ethnic factors are not discussed Consequences of separation from parental figures in different ages are not discussed 31

32 FUTURE DIRECTIONS Expand the study to a substantial number of immigrant and refugee adolescents with separation trauma in order to make it a statistically significant study Educate Danish social workers to identify signs of antisocial psychopathology in immigrant and refugee adolescents with separation trauma in order to offer appropriate help 32

33 Talli Ungar Felding

Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV

Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV Milton L. Wainberg, M.D. Associate Clinical Professor of Psychiatry College of Physicians and Surgeons Columbia University mlw35@columbia.edu

More information

CHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD.!! Andrea DuBose, LMSW

CHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD.!! Andrea DuBose, LMSW CHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD!! Andrea DuBose, LMSW "There are words that Never Show on the body that are deeper and more harmful than anything that bleeds" Laurel K. Hamilton, Mistral's

More information

CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following:

CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: 1. The nature of the trauma such as military combat, sexual

More information

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder

DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder DSM-IV-TR Diagnostic Criteria For Posttraumatic Stress Disorder PTSD When an individual who has been exposed to a traumatic event develops anxiety symptoms, re-experiencing of the event, and avoidance

More information

Posttraumatic Stress Disorder

Posttraumatic Stress Disorder Posttraumatic Stress Disorder History and Treatment June 6, 2017 Yves Newmen, Ph.D. DSM V (2013) Trauma, and Stressor-Related Disorders Reactive Attachment Disorder Disinhibited Social Engagement Disorder

More information

CALIFORNIA STATE UNIVERSITY, SACRAMENTO

CALIFORNIA STATE UNIVERSITY, SACRAMENTO COLLEGE OF EDUCATION DEPARTMENT OF SPECIAL EDUCATION, REHABILITATION AND SCHOOL PSYCHOLOGY CALIFORNIA STATE UNIVERSITY, SACRAMENTO School Psychology Diagnostic Clinic 6000 J Street Sacramento, California

More information

ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER

ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER MPC 00620 ICD-9 309.81 ICD-10 43.1 DEFINITION Posttraumatic Stress Disorder (PTSD) is a condition in the Diagnostic and Statistical Manual

More information

New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality

New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality Paul A. Arbisi, Ph.D. ABAP, ABPP. Staff Psychologist Minneapolis VA Medical Center Professor Departments of Psychiatry

More information

PTSD HISTORY PTSD DEFINED BY SONNY CLINE M.A., M.DIV. PA C. PTSD: Post Traumatic Stress Disorder

PTSD HISTORY PTSD DEFINED BY SONNY CLINE M.A., M.DIV. PA C. PTSD: Post Traumatic Stress Disorder PTSD BY SONNY CLINE M.A., M.DIV. PA C HISTORY PTSD: Post Traumatic Stress Disorder The term was coined in the mid 70 s during the anti Vietnam war protest. The condition was more pronounced in those returning

More information

PRISM SECTION 15 - STRESSFUL EVENTS

PRISM SECTION 15 - STRESSFUL EVENTS START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these

More information

Underexplored Territories in Trauma Education: Charting Frontiers for Clinicians and Researchers

Underexplored Territories in Trauma Education: Charting Frontiers for Clinicians and Researchers Underexplored Territories in Trauma Education: Charting Frontiers for Clinicians and Researchers Abigail Carter Susan Drevo Yvette Guereca Namik Kirlic Elana Newman Rachel Micol Stephen Snider Jennifer

More information

The changing face of PTSD in 2013: Proposed Updates & Revised Trauma Response Checklist Quick Screener (Baranowsky, May 2013)

The changing face of PTSD in 2013: Proposed Updates & Revised Trauma Response Checklist Quick Screener (Baranowsky, May 2013) The changing face of PTSD in 2013: Proposed Updates & Revised Trauma Response Checklist Quick Screener (Baranowsky, May 2013) Dr. Anna B.Baranowsky Traumatology Institute http://www.ticlearn.com TRAUMATOLOGY

More information

PSYCHOLOGICAL DISORDERS Abnormal Behavior/Mental Disorders. How do we define these?

PSYCHOLOGICAL DISORDERS Abnormal Behavior/Mental Disorders. How do we define these? PSYCHOLOGICAL DISORDERS Abnormal Behavior/Mental Disorders How do we define these? Abnormality is identified from three vantage points: 1. That of society 2. That of the individual 3. That of the mental

More information

SECTION I: D Yes D No If no diagnosis of PTSD, check all that apply: Name of patient/veteran: SSN:

SECTION I: D Yes D No If no diagnosis of PTSD, check all that apply: Name of patient/veteran: SSN: Name of patient/veteran: SSN: This form is for use only by VHA, DoD, and VBA staff and contract psychiatrists or psychologists who have been certified to perform Initial PTSD Evaluations. VA will consider

More information

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose

3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual

More information

The Impact of Changes to the DSM and ICD Criteria for PTSD

The Impact of Changes to the DSM and ICD Criteria for PTSD The Impact of Changes to the DSM and ICD Criteria for PTSD Jonathan I Bisson Institute of Psychological Medicine and Clinical Neursociences Cardiff University What is PTSD? Question Diagnosing PTSD DSM-IV

More information

Annual Insurance Seminar. Tuesday 26 September 2017

Annual Insurance Seminar. Tuesday 26 September 2017 Annual Insurance Seminar Tuesday 26 September 2017 Dublin Dublin London London New New York York San San Franscisco Francisco Welcome Emer Gilvarry, Chairperson Dublin Dublin London London New New York

More information

Treatments for PTSD: A brief overview

Treatments for PTSD: A brief overview Treatments for PTSD: A brief overview Dr Jasmine Pang DPsych(Clin) Snr Clinical Psychologist Psychotraumatology Service Department of Psychological Medicine Changi General Hospital, Singapore Outline Brief

More information

Personality Disorders Explained

Personality Disorders Explained Personality Disorders Explained Personality Disorders Note: This information was taken pre-dsm-v. There are ten basically defined personality disorders. These are defined below in alphabetical order. Note:

More information

The mosaic of life. Integrating attachment- and trauma theory in the treatment of challenging behavior in elderly with dementia.

The mosaic of life. Integrating attachment- and trauma theory in the treatment of challenging behavior in elderly with dementia. The mosaic of life Integrating attachment- and trauma theory in the treatment of challenging behavior in elderly with dementia. 1 2 Holistic point of view Holism : a Greek word meaning all, entire, total

More information

POST-TRAUMATIC STRESS DISORDER

POST-TRAUMATIC STRESS DISORDER ISBN: 9780170999809 POST-TRAUMATIC STRESS DISORDER Grant J. Devilly (Swinburne University of Technology) & Jennifer McGrail (University of Melbourne) DSM-IV Criteria for PTSD Information detailing the

More information

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist

Introduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality

More information

Creating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s

Creating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s Creating and Sustaining a Trauma Informed Approach Re n e e D i e t c h m a n L e s l i e W i s s Meet the Facilitators Renee Dietchman, MA Licensed Psychologist Director of Clinical Services Leslie Wiss,

More information

The DSM-5: Juvenile Court Changes from a Mental Health Practitioner s and Defender s Perspective

The DSM-5: Juvenile Court Changes from a Mental Health Practitioner s and Defender s Perspective The DSM-5: Juvenile Court Changes from a Mental Health Practitioner s and Defender s Perspective Presented by: Antoinette Kavanaugh, Ph.D Forensic Clinical Psychologist, IL Mary Ann Scali, JD, MSW National

More information

Lecture Outline Trauma events, meaning Relevant concepts Diagnostic criteria Specifiers Responses to trauma Acute Stress Disorder PTSD

Lecture Outline Trauma events, meaning Relevant concepts Diagnostic criteria Specifiers Responses to trauma Acute Stress Disorder PTSD Posttraumatic Stress Disorder Cornelia Pinnell, Ph.D. Argosy University/Phoenix Lecture Outline Trauma events, meaning Relevant concepts Diagnostic criteria Specifiers Responses to trauma Acute Stress

More information

Clinician-Administered PTSD Scale for DSM-IV - Part 1

Clinician-Administered PTSD Scale for DSM-IV - Part 1 UW ADAI Sound Data Source Clinician-Administered PTSD Scale for DSM-IV - Part 1 Protocol Number: XXXXXXXX-XXXX a Participant #: d Form Completion Status: 1=CRF administered 2=Participant refused 3=Staff

More information

Vicarious Trauma. A Room with Many doors

Vicarious Trauma. A Room with Many doors The Foundations for Understanding Vicarious Trauma One of two discussions Today will focus on the conceptual foundations for understanding and managing vicarious trauma Next month we will discuss management

More information

Acknowledge the depth of the pain that your affair brought to your marriage

Acknowledge the depth of the pain that your affair brought to your marriage Acknowledge the depth of the pain that your affair brought to your marriage We ve already talked some about the pain and trauma that your spouse has experienced, but for a very long time most cheaters

More information

Chapter 7 Acute and Posttraumatic Stress Disorders, Dissociative Disorders, and Somatoform Disorders. Copyright 2006 Pearson Education Canada Inc.

Chapter 7 Acute and Posttraumatic Stress Disorders, Dissociative Disorders, and Somatoform Disorders. Copyright 2006 Pearson Education Canada Inc. Chapter 7 Acute and Posttraumatic Stress Disorders, Dissociative Disorders, and Somatoform Disorders Copyright 2006 Pearson Education Canada Inc. Overview Focus: normal vs. pathological reactions to trauma

More information

Deconstructing the DSM-5 By Jason H. King

Deconstructing the DSM-5 By Jason H. King Deconstructing the DSM-5 By Jason H. King Assessment and diagnosis of PTSD and skin-picking disorder I am enjoying the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

More information

Abnormal Psychology. Defining Abnormality

Abnormal Psychology. Defining Abnormality Abnormal Psychology Defining Abnormality Statistical Approach abnormality = infrequency but this is not sufficient on its own Valuative Approach abnormality = social deviance unacceptable or doesn t conform

More information

PTSD: Armed Security Officers and Licensed Operators. Peter Oropeza, PsyD Consulting Psychologist

PTSD: Armed Security Officers and Licensed Operators. Peter Oropeza, PsyD Consulting Psychologist PTSD: Armed Security Officers and Licensed Operators Peter Oropeza, PsyD Consulting Psychologist History of PTSD 1678 Swiss physician Johannes Hofer coins the term nostalgia. to describe symptoms seen

More information

Screening and Assessments for Trauma Adrian James, MS, NCC, LPC-S

Screening and Assessments for Trauma Adrian James, MS, NCC, LPC-S Screening and Assessments for Trauma Adrian James, MS, NCC, LPC-S What is a Traumatic Event? An experience that is emotionally painful, distressing, and shocking, which can result in lasting physical and/or

More information

ENVIRONMENT INJURIOUS UNDERSTANDING THE CHILDHOOD IMPACT OF DOMESTIC VIOLENCE JOSEPH W. DICKSON, MA, LPC, NCC

ENVIRONMENT INJURIOUS UNDERSTANDING THE CHILDHOOD IMPACT OF DOMESTIC VIOLENCE JOSEPH W. DICKSON, MA, LPC, NCC ENVIRONMENT INJURIOUS UNDERSTANDING THE CHILDHOOD IMPACT OF DOMESTIC VIOLENCE JOSEPH W. DICKSON, MA, LPC, NCC Defining Domestic Violence Domestic violence is not any single behavior but rather a pattern

More information

Understanding the role of Acute Stress Disorder in trauma

Understanding the role of Acute Stress Disorder in trauma Understanding the role of Acute Stress Disorder in trauma Dr. Trina Hall Police Psychologist Dallas Police Department Lessons Learned: Unfolding the story of PTSD NAMI 2014 Fall Conference Trauma and

More information

Serious Mental Illness (SMI) CRITERIA CHECKLIST

Serious Mental Illness (SMI) CRITERIA CHECKLIST Serious Mental Illness (SMI) CRITERIA CHECKLIST BEHAVIORAL HEALTH COLLABORATIVE NEW MEXICO SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the

More information

Psychological Disorders. Schizophrenia Spectrum & Other Psychotic Disorders. Schizophrenia. Neurodevelopmental Disorders 4/12/2018

Psychological Disorders. Schizophrenia Spectrum & Other Psychotic Disorders. Schizophrenia. Neurodevelopmental Disorders 4/12/2018 Psychological s Schizophrenia Spectrum & Other Psychotic s Schizophrenia Spectrum & Other Psychotic s 0Presence of delusions, hallucinations, disorganized thinking/speech, disorganized or abnormal motor

More information

Other Disorders Myers for AP Module 69

Other Disorders Myers for AP Module 69 1 Other s Myers for AP Module 69 Describe the general characteristics of somatic symptom disorders. How does culture influence people s expression of physical complaints? Compare the symptoms of conversion

More information

PTSD Defined: Why discuss PTSD and pain? Alicia Harding, RN-C, FNP-C Gretchen Noble, PsyD

PTSD Defined: Why discuss PTSD and pain? Alicia Harding, RN-C, FNP-C Gretchen Noble, PsyD Alicia Harding, RN-C, FNP-C Gretchen Noble, PsyD Why discuss PTSD and pain? The symptoms reported by your patients may represent an undiagnosed disorder. Mental health impairment may complicate physical

More information

Trauma and its Impact on the Developing Child

Trauma and its Impact on the Developing Child Trauma and its Impact on the Developing Child Melissa L. Hoffmann, Ph.D UT Center of Excellence for Children in State Custody Boling Center for Developmental Disabilities University of Tennessee Health

More information

Borderline Personality Disorder. Diagnostic Features of Borderline Personality Disorder

Borderline Personality Disorder. Diagnostic Features of Borderline Personality Disorder Borderline Personality Disorder Diagnostic Features of Borderline Criterion 1 Essential feature is a pervasive pattern of instability of interpersonal relationships Self-image and affects Marked impulsivity

More information

MODULE IX. The Emotional Impact of Disasters on Children and their Families

MODULE IX. The Emotional Impact of Disasters on Children and their Families MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty

More information

Countertransference with the psychopathic patient

Countertransference with the psychopathic patient Countertransference with the psychopathic patient J. Reid Meloy, Ph.D., ABPP San Diego Psychoanalytic Center UCSD Department of Psychiatry January 13, 2018 The Psychopathic Mind, 1988 Perhaps the analytic

More information

National Center for PTSD CLINICIAN-ADMINISTERED PTSD SCALE FOR DSM-IV

National Center for PTSD CLINICIAN-ADMINISTERED PTSD SCALE FOR DSM-IV National Center for PTSD CLINICIAN-ADMINISTERED PTSD SCALE FOR DSM-IV Name: ID # : Interviewer: Date: Study: Dudley D. Blake, Frank W. Weathers, Linda M. Nagy, Danny G. Kaloupek, Dennis S. Charney, & Terence

More information

Post-traumatic Stress Disorder following deployment

Post-traumatic Stress Disorder following deployment Post-traumatic Stress Disorder following deployment Fact Sheet Introduction A substantial majority of the Dutch population (approximately 80%) will at some point experience one or more potentially traumatic

More information

range of behaviours exhibited by humans and which are influenced by culture, attitudes, emotions, values, ethics, authority, rapport, and/or

range of behaviours exhibited by humans and which are influenced by culture, attitudes, emotions, values, ethics, authority, rapport, and/or range of behaviours exhibited by humans and which are influenced by culture, attitudes, emotions, values, ethics, authority, rapport, and/or genetics. Genetic Attitude Social Norms Perceived Behavioural

More information

WakeMed Health & Hospitals

WakeMed Health & Hospitals WakeMed Health & Hospitals The Power to Heal. A Passion for Care. WakeMed Health & Hospitals Raleigh, North Carolina Traumatic Brain Injury December 4th, 2012 Laurie Leach, Ph.D., FACPN Director of Neuropsychology

More information

CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT. Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital

CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT. Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital CHILDHOOD TRAUMA: THE PSYCHOLOGICAL IMPACT Gabrielle A. Roberts, Ph.D. Licensed Clinical Psychologist Advocate Children s Hospital What is a Trauma? Traumatic event: Witnessing or experiencing a frightening,

More information

CONDUCT DISORDERS. What to do with your oppositional defiant child. Humberto Nagera MD

CONDUCT DISORDERS. What to do with your oppositional defiant child. Humberto Nagera MD What to do with your oppositional defiant child Humberto Nagera MD This Lecture is based on the findings of research conducted at the Inpatient Units for Children and Adolescents of The University of South

More information

Appendix B1. Definitions of Selected Psychiatric Disorders: DSM IV Diagnostic Criteria

Appendix B1. Definitions of Selected Psychiatric Disorders: DSM IV Diagnostic Criteria Appendix B1. Definitions of Selected Psychiatric Disorders: DSM IV Diagnostic Criteria Anxiety Disorders Generalized Anxiety Disorder (GAD) (300.02) A. Excessive anxiety and worry, occurring more days

More information

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality disorder: the management and prevention of antisocial (dissocial) personality disorder 1.1 Short title Antisocial

More information

Understanding Secondary Traumatic Stress

Understanding Secondary Traumatic Stress Understanding Secondary Traumatic Stress Introduction Each year, millions of children are exposed to some type of traumatic event including physical, sexual or emotional abuse, neglect, witnessing domestic

More information

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC

Trauma FIRST RESPONDERS JADA B. HUDSON M.S., LCPC, CADC JADA B. HUDSON M.S., LCPC, CADC Trauma FIRST RESPONDERS Jada B. Hudson, M.S. Licensed Clinical Professional Counselor Certified Alcohol and Drug Abuse Counselor Operation Shattered Stars Clinical Consultant

More information

Definitions of primary terms and acronyms of trauma and shame disorders. [Draft ]

Definitions of primary terms and acronyms of trauma and shame disorders. [Draft ] Definitions of primary terms and acronyms of trauma and shame disorders. [Draft 7-23-2014] I welcome suggestions. Please email wteague@verizon.net Acronym Definition DSM- ACE Adverse Childhood Experiences

More information

Caring for Children Who Have Experienced Trauma

Caring for Children Who Have Experienced Trauma Caring for Children Who Have Experienced Trauma Introduction Illustrations by Erich Ippen, Jr. Used with permission. Why a Trauma Workshop? Many children in foster care have lived through traumatic experiences.

More information

Brief Psychiatric History and Mental Status Examination

Brief Psychiatric History and Mental Status Examination 2 Brief Psychiatric History and Mental Status Examination John R. Vanin A comprehensive medical evaluation includes a thorough history, physical examination, and appropriate laboratory, imaging and other

More information

Trauma Informed Practices

Trauma Informed Practices Trauma Informed Practices Jane Williams & Elizabeth Dorado Social Worker & Academic Counselor Gordon Bernell Charter Rising Up! Taking Charters to New Heights 2017 Annual Conference What is Trauma? Traumatic

More information

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)*

Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)* Manual for the Administration and Scoring of the PTSD Symptom Scale Interview (PSS-I)* Introduction The PTSD Symptom Scale Interview (PSS-I) was designed as a flexible semi-structured interview to allow

More information

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention V Codes & Adjustment Disorders Cornelia Pinnell, Ph.D. Argosy University/Phoenix Lecture Outline Signs and symptoms in psychiatry Adjustment Disorders Other conditions that may be a focus of clinical attention

More information

2. Conduct Disorder encompasses a less serious disregard for societal norms than Oppositional Defiant Disorder.

2. Conduct Disorder encompasses a less serious disregard for societal norms than Oppositional Defiant Disorder. COURSES ARTICLE - THERAPYTOOLS.US Print Test 1. Conduct Disorder is a psychiatric disorder of childhood and adolescence that is characterized by a persistent disregard for societal norms and rules, as

More information

Stress Reactions & Coping Mechanisms Honor Guard. Presented by the Military & Family Life Counselors

Stress Reactions & Coping Mechanisms Honor Guard. Presented by the Military & Family Life Counselors Stress Reactions & Coping Mechanisms Honor Guard Presented by the Military & Family Life Counselors Objectives» Define stress and stress reactions» Better understand how we try to cope with stress» Help

More information

Trauma and Stress- Related Disorders. Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder

Trauma and Stress- Related Disorders. Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder Trauma and Stress- Related Disorders Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder What is psychological trauma? Psychological trauma is an emotional response to a terrible

More information

Post-Traumatic Stress Disorder

Post-Traumatic Stress Disorder Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,

More information

Anxiety Disorders. Dr. Ameena S. Mu min, LPC Counseling Services- Nestor Hall 010

Anxiety Disorders. Dr. Ameena S. Mu min, LPC Counseling Services- Nestor Hall 010 Anxiety Disorders Dr. Ameena S. Mu min, LPC Counseling Services- Nestor Hall 010 Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18

More information

Copyright 2014 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill

Copyright 2014 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Copyright 2014 All rights reserved. No reproduction or distribution without the prior written consent of CHAPTER PREVIEW Defining/Explaining Abnormal Behavior Anxiety-Related Disorders Mood-Related Disorders

More information

SAMPLE OF LITERATURE REVIEW FOR PSYCHOLOGY CAPSTONE PROJECT

SAMPLE OF LITERATURE REVIEW FOR PSYCHOLOGY CAPSTONE PROJECT Abstract In the past one decade, there has been an increased concern about children being exposed to various traumatic events and violence. Most of them end up developing the post-traumatic stress disorder

More information

Understanding the Use of Psychotherapy and Psychotropic Medications for Oppositional Defiance and Conduct Disorders. Prof.

Understanding the Use of Psychotherapy and Psychotropic Medications for Oppositional Defiance and Conduct Disorders. Prof. Understanding the Use of Psychotherapy and Psychotropic Medications for Oppositional Defiance and Conduct s Prof. Daniel Kaplin College of Staten Island One of the new chapters in the Diagnostic and Statistical

More information

Children Exposed to Trauma

Children Exposed to Trauma Shock Waves: Children Exposed to Trauma N. Ann Lowrance, M.S., C.D.S.V.R.P. Department Head of Social Services Oklahoma State University, Oklahoma City One out of every 4 children attending school has

More information

Cluster A personality disorders- are characterized by odd, eccentric thinking or behavior.

Cluster A personality disorders- are characterized by odd, eccentric thinking or behavior. Personality Disorders Personality disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at

More information

Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems.

Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Duration:

More information

Trauma: It Complicates Everything! Presented by: Denise Packard, LMHP, LADC Program Director of Housing CenterPointe Inc, Lincoln, NE

Trauma: It Complicates Everything! Presented by: Denise Packard, LMHP, LADC Program Director of Housing CenterPointe Inc, Lincoln, NE Trauma: It Complicates Everything! Presented by: Denise Packard, LMHP, LADC Program Director of Housing CenterPointe Inc, Lincoln, NE Overview 1 Introduction 2 3 4 What is Trauma? How is Trauma displayed

More information

University of Pittsburgh

University of Pittsburgh 303: Childhood Mental Health Issues AGENDA Day 1 Introduction & Importance of Child/Adolescent Mental Health Issues in Child Welfare Perceptions about Child/Adolescent Mental Health Issues Child/Adolescent

More information

Visualizing Psychology

Visualizing Psychology Visualizing Psychology by Siri Carpenter & Karen Huffman PowerPoint Lecture Notes Presentation Chapter 13: Psychological Disorders Siri Carpenter, Yale University Karen Huffman, Palomar College Lecture

More information

What the heck is PTSD? And what do I do if I have it?

What the heck is PTSD? And what do I do if I have it? What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?

More information

Complementary/Integrative Approaches to Treating PTSD & TBI

Complementary/Integrative Approaches to Treating PTSD & TBI Complementary/Integrative Approaches to Treating PTSD & TBI Cathy M. St. Pierre, PhD, APRN, FNP- BC, FAANP ENRM VA Hospital Bedford, Massachusetts, USA The purpose To define Post Traumatic Stress Disorder

More information

CHILD AND ADOLESCENT ISSUES BEHAVIORAL HEALTH. SAP K-12 Bridge Training Module for Standard 4 Section 3: Behavioral Health & Observable Behaviors

CHILD AND ADOLESCENT ISSUES BEHAVIORAL HEALTH. SAP K-12 Bridge Training Module for Standard 4 Section 3: Behavioral Health & Observable Behaviors CHILD AND ADOLESCENT BEHAVIORAL HEALTH ISSUES SAP K-12 Bridge Training Module for Standard 4 Section 3: Behavioral Health & Observable Behaviors MODULE 4: SECTION 34: SECTION 3 4.b. Articulate the school

More information

Creating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute

Creating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute Creating A Trauma Informed System Al Killen-Harvey,LCSW The Harvey Institute Al@theharveyinstitute.com 619-977-8569 Goals and Objectives 1.Describe the attributes of the various forms of trauma 2.Delineate

More information

PTSD and TBI. Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder

PTSD and TBI. Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder PTSD and TBI Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder Outline Prevalence of Post Traumatic Stress Disorder What is a traumatic event? Acute Stress Disorder (ASD) Risk Factors for PTSD

More information

Personality and its disorders

Personality and its disorders Personality and its disorders An individual s unique constellation of consistent behavioral traits. Durable disposition to behave in a particular way in a variety of situations. Adjectives like honest,

More information

PSYCHOLOGY. Chapter 15 PSYCHOLOGICAL DISORDERS. Chaffey College Summer 2018 Professor Trujillo

PSYCHOLOGY. Chapter 15 PSYCHOLOGICAL DISORDERS. Chaffey College Summer 2018 Professor Trujillo PSYCHOLOGY Chapter 15 PSYCHOLOGICAL DISORDERS Chaffey College Summer 2018 Professor Trujillo 15.1 WHAT ARE PSYCHOLOGICAL DISORDERS? A psychological disorder is a condition characterized by abnormal thoughts,

More information

Understanding Trauma and PTSD: A Basic Overview. Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S.

Understanding Trauma and PTSD: A Basic Overview. Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S. Understanding Trauma and PTSD: A Basic Overview Dawn Brett, Ph.D., B.C.E.T.S.,F.A.A.E.T.S. Normative Stress (NS) All persons experience At certain stages of development Persons experience as part of their

More information

Getting the Informed in Trauma Informed Care right

Getting the Informed in Trauma Informed Care right WELCOME! Getting the Informed in Trauma Informed Care right David S. Prescott, LICSW Welcome! PLEASE BE PATIENT WITH ME We live in troubled times I am going to be very provocative I am going to be highly

More information

3/13/2015. ANXIETY: A Root Cause of Behavioral and Emotional Issues. Kerry Kyle Davies, LCSW. Erin Silva, M.A. Matthew Zaradich, B.A.

3/13/2015. ANXIETY: A Root Cause of Behavioral and Emotional Issues. Kerry Kyle Davies, LCSW. Erin Silva, M.A. Matthew Zaradich, B.A. 2015 Erikson Institute ANXIETY: A Root Cause of Behavioral and Emotional Issues Kerry Kyle Davies, LCSW Erin Silva, M.A. Matthew Zaradich, B.A. 2015 Erikson Institute 1 WebEx How-To You will automatically

More information

What s Trauma All About

What s Trauma All About What s Trauma All About Because early abuse impacts on the developing brain of these infants, it has enduring effects. There is extensive evidence that trauma in early life impairs the development of the

More information

10/4/2017. CBITS at Echo Glen Children s Center. A Pilot Implementation. Brief Background. Trauma-Related Disorders and Symptoms Overview

10/4/2017. CBITS at Echo Glen Children s Center. A Pilot Implementation. Brief Background. Trauma-Related Disorders and Symptoms Overview CBITS at Echo Glen Children s Center A Pilot Implementation Won-Fong Lau-Johnson, PhD, NCSP Echo Glen Children s Center University of Washington Division of Public Behavioral Health and Justice Policy

More information

FRC Newsletter Coming this month Winter Programming Posttraumatic Stress Disorder Calendar of Events

FRC Newsletter Coming this month Winter Programming Posttraumatic Stress Disorder Calendar of Events http://rds.yahoo.com/_ylt= FRC Newsletter + December 2010 Coming this month Winter Programming Posttraumatic Stress Disorder Calendar of Events Winter Programming 2010 at CCS + MH Programming Schedule

More information

DSM-V Update on Child Trauma-Related Diagnoses

DSM-V Update on Child Trauma-Related Diagnoses DSM-V Update on Child Trauma-Related Diagnoses Susan R. Schmidt, PhD Center on Child Abuse and Neglect OU Health Sciences Center Training materials may not be reproduced without permission of the material

More information

Raising Awareness: Trauma-Informed Practices

Raising Awareness: Trauma-Informed Practices Raising Awareness: Trauma-Informed Practices Presented by Michele A. Carmichael Director IL-AWARE Principal Consultant for Behavioral Health Supports in Schools Illinois State Board of Education Intentions:

More information

BUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA

BUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA BUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA 1 THIS SESSION IS DESIGNED TO HELP YOU Understand what PTSD is and how it might present

More information

16 Overview! 16 Mental disorder! Psychological disorders! Dilemmas of definition! Your turn!

16 Overview! 16 Mental disorder! Psychological disorders! Dilemmas of definition! Your turn! Psychological disorders! Overview! Defining and diagnosing disorder Anxiety disorders Mood disorders Personality disorders Drug abuse and addiction Dissociative identity disorder Schizophrenia Dilemmas

More information

POST TRAUMATIC STRESS DISORDER

POST TRAUMATIC STRESS DISORDER POST TRAUMATIC STRESS DISORDER Authors: Dr Janis Carter, MB BS DPM FRANZCP, Psychiatrist, Brisbane, Australia. Therapy with Yoga. www.therapywithyoga.com email: janiscarter@onaustralia.com.au Assoc. Prof.

More information

DSM5: How to Understand It and How to Help

DSM5: How to Understand It and How to Help DSM5: How to Understand It and How to Help Introduction: The DSM5 is a foreign language! Three Questions: I. The first was, What the key assumptions made to determine the organization of the DSM5? A. Mental

More information

Child Victims of Violence: Forging Multidisciplinary Approaches

Child Victims of Violence: Forging Multidisciplinary Approaches Child Victims of Violence: Forging Multidisciplinary Approaches Identifying and Caring for Child Victims of Violence, Part II Genevieve Preer, MD Department of Pediatrics Boston Medical Center/ Boston

More information

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health

Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health Molly Faulkner, PhD, CNP, LISW UNM, Dept of Psychiatry and Behavioral Sciences Div of Community Behavioral Health What is anxiety? What causes anxiety? When is anxiety a problem? What is the size of the

More information

Tuesday, February 17, Case Planning and Intervening for Permanence: Introduction to Mental Health. Slide 1 - Welcome

Tuesday, February 17, Case Planning and Intervening for Permanence: Introduction to Mental Health. Slide 1 - Welcome Slide 1 - Welcome Welcome to the training on Case Planning and Intervening for Permanence. : Developed and presented by the Indiana Child Welfare Education and Training Partnership. Page 1 of 65 Slide

More information

Explosive Youth: Common Brain Disorders. Juvenile Law Conference 2005 Larry Fisher, Ph.D. UHS Neurobehavioral Systems

Explosive Youth: Common Brain Disorders. Juvenile Law Conference 2005 Larry Fisher, Ph.D. UHS Neurobehavioral Systems Explosive Youth: Common Brain Disorders Juvenile Law Conference 2005 Larry Fisher, Ph.D. UHS Neurobehavioral Systems For More Information Larry Fisher, Ph.D. Director of Neuropsychological Services UHS

More information

Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington. Approach for doing differential diagnosis of PTSD

Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington. Approach for doing differential diagnosis of PTSD IN PRIMARY CARE June 17, 2010 Kari A. Stephens, PhD & Wayne Bentham, MD Psychiatry & Behavioral Sciences University of Washington Defining and assessing Approach for doing differential diagnosis of Best

More information

Psychological reaction to real or probable risk of HIV infection

Psychological reaction to real or probable risk of HIV infection Psychological reaction to real or probable risk of HIV infection Dorota Merecz HIV/AIDS, well-being and mental health problems 1 Critical events in HIV positives diagnosis Disclose HIV diagnosis to family

More information

Understanding Trauma in the Criminal Justice Population

Understanding Trauma in the Criminal Justice Population Understanding Trauma in the Criminal Justice Population What is the incidence of trauma in criminal populations? Is trauma a factor in the etiology of criminal behavior? Does trauma need to be considered

More information