Specific Pathways From Adverse Experiences to BPD in Adolescence: A Criteria-Based Approach of Trauma

2021 ◽  
pp. 1-17
Author(s):  
Marion Robin ◽  
Marie Douniol ◽  
Alexandra Pham-Scottez ◽  
Ludovic Gicquel ◽  
Veronique Delvenne ◽  
...  

Within the European Research Network on BPD (EURNET-BPD; n = 85 BPD adolescents, n = 84 healthy controls, aged 13–19), this study explored the combination of three types of adversity—maltreatment, stressful life events (early separation from parents, parental suicide attempt, parental chronic disease) and parental bonding—as predictors of BPD, on a criteria-based approach. Results indicated that cumulative traumatic experiences largely characterize borderline adolescent's history; and, in the multivariate regression models, all adversity experiences were likely to contribute to BPD symptoms. The role of emotional abuse, parental suicide attempt, and a decrease in paternal level of care were particularly prominent. Moreover, adversities combinations were different for each criterion, suggesting that specific sets of traumatic experiences are leading to BPD. These findings argue for a further criteria-based exploration of trauma in borderline patients, as well as a more accurate and efficient prevention.

2019 ◽  
Vol 1 (3) ◽  
pp. 211-233
Author(s):  
Magen Mhaka-Mutepfa ◽  
Tapologo Maundeni

Children living in sub-Saharan African (SSA) countries face a plethora of challenges that require adaptation and resilience for them to develop typically. The experiences of epidemics, armed conflicts, and many other man-made and natural disasters create abject poverty and psychological issues: the vulnerable children become orphans and/or refugees in addition to premature deaths because they lack safety nets. This article explores the role of faith (i.e., religion or spirituality) as a source of resilience with regard to chronic stressful life events experienced by children. There is need to establish the role of faith in children's lives because of the different types of adverse events that impact child development. African countries are inundated by many hazards that impact children more than any other age group and this trend requires urgent intervention by all stakeholders. At research level, there is need to conduct studies that explore, over prolonged periods of time, the processes and role of spirituality/religion (S/R) in facilitating or inhibiting children's adjustment to traumatic experiences. Additionally, at policy level, there is need for governments in SSA to implement policies, intervene and protect children; in addition to encouraging collaboration among the religious fraternity, traditional leaders, and other stakeholders to make the world a better place for children.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Andreoli

The following educational topics will be carefully addressed:a.to establish a coherent model of the borderline syndrome as a complex, heterogeneous reaction resulting from the interaction of psychobiological vulnerabilities, psychosocial stressors and abnormal mental processes;b.to teach how new data from recent investigations of the clinical course of the borderline crisis are changing our view of both the scopes and the limitations of mental health policies for borderline patients;c.to review the several issues associated with adequate acute service provision for borderline patients in order to define a set of well structured recommendations for good quality, comprehensive emergency services organisation and acute treatment delivery;d.to teach a well structured, simple, cost-effective, easy to implement psychodynamic crisis intervention program with specific accent on: case management, risk management, facilitating an alliance, inactivating pathological personality traits triggered from acute traumatic experiences, empathic exploration of distressing feelings, conveying insight on repetitive patterns of ego syntonic masochistic behaviour, active support for problem solving;e.to teach the main aspects of an innovative brief psychodynamic psychotherapy program (mourning focused psychodynamic psychotherapy) model and its relevance to increased cost-effectiveness of psychiatric treatment among acute patients with borderline emotional crisis triggered from traumatic abandonment and other stressful life events.The course is intended for people with an experience in the field of personality disorders and an interest in combining psychobiological science and psychotherapeutic wisdom to improve acute treatment and psychiatric services.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1068-1068
Author(s):  
E. Dragkioti ◽  
V. Mavreas ◽  
D. Damigos ◽  
E. Kotrotsiou ◽  
M. Gouva

IntroductionTraumatic experiences during childhood may contribute to somatizing fear and anxiety related pain behaviour.ObjectiveThis study tested the role of childhood traumatic/stressful events on adult fear related pain behaviours.AimThe aim was to investigate the differences in fear of pain, anxiety pain symptoms and heart focused anxiety, among individuals who had been exposed to childhood traumatic/stressful life events in contrast to those who had not experienced.Method595 healthy individuals participated to the present study (164 men – 431 women, mean age 34, SD = 12, ranged 18–75). Subjects were classified into two groups— trauma and no-trauma — based on their personal ratings of experienced traumatic and or stressful events during childhood (300 and 295 individuals respectively). In all participants, the Fear of Pain Questionnaire - III (FPQ-III), The Pain Anxiety Symptoms Scale-20 (PASS-20) and the Cardiac Anxiety Questionnaire (CAQ) were administered.ResultsSignificantly differences between trauma and no-trauma group were observed in almost all total scores and subscales: Severe Pain FPQ-III (t = 2,992, p = .003), Total FPQ-III (t = 2,443, p = .015), Fearful Thinking PASS-20 (t = 3,616, p = .000), Cognitive Anxiety PASS-20 (t = 2,989 p = .003), Physiological Responses PASS-20 (t = 3,666, p = .000), Total PASS-20 (t = 3,218, p = .001), Fear CAQ (t = 2,016, p = .044), Avoidance CAQ (t = 2,269, p = .024), Attention CAQ (t = 2,288, p = .022) and Total CAQ (t = 2,749, p = .006).ConclusionOur results illustrate the meangfull of trauma in clinical practise and are in a similar vein with psychoanalytic thoughts that all types of trauma are firstly psychological trauma's.


2019 ◽  
Author(s):  
Ifigenia Kostoglou-Athanassiou ◽  
Lambros Athanassiou ◽  
Eleni Xanthakou ◽  
Panagiotis Spyropoulos ◽  
Thomais Kalogirou ◽  
...  

2021 ◽  
Vol 12 (1) ◽  
pp. 1947002
Author(s):  
Leonardo F. Fontenelle ◽  
Julia E. Muhlbauer ◽  
Lucy Albertella ◽  
Jan Eppingstall

2021 ◽  
Vol 30 (2) ◽  
pp. 106-116
Author(s):  
Abira Reizer ◽  
Meni Koslowsky ◽  
Rivki Antilevich-Steg

In recent years, several investigations of the medical clowning profession have appeared in the literature. However, few studies have focused on factors associated with turnover among medical clowns early in their careers. The current study examined whether individual differences in humor disposition predicted turnover behavior. Participants were 111 medical clowns in a three-phase longitudinal study. Humor disposition was measured in the first week of their training, clowns' job satisfaction two months later, and turnover six months after that. Results showed that humor appreciation decreased actual turnover through the mediating role of job satisfaction, whereas individual differences in humor creation directly decreased turnover. In addition, previous traumatic experiences moderated the associations between humor appreciation and turnover. Overall, our research findings support the notion that humor disposition can help predict which clowns remain in the hospital.


2005 ◽  
Vol 29 (2) ◽  
pp. 197-206 ◽  
Author(s):  
Julie L. Goldberg ◽  
Karen M. O'Brien

The purpose of this study was to examine the contributions of attachment, separation, and Jewish identity to psychological well-being in a sample of 115 late adolescent Jewish women. Results from multiple regression analyses demonstrated that attachment to parents, separation from parents, and Jewish identity collectively accounted for variance in psychological distress, as measured by anxiety, depression, self-esteem problems, and interpersonal problems. Thus, late adolescent Jewish women's psychological functioning may be fostered by therapeutic interventions addressing their relationships with parents and Jewish identity.


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