CADAVERIC STUDY OF KATIKTARUN MARMA WITH DETAILED DESCRIPTION OF ITS LOCATION AND AGHAT LAKSHANS

Marma Science is one of the most distinctive concepts of Ayurveda. There are 107 marma sites in the body, and they are the conglomeration of muscles, veins, ligaments, bones, and joints. This peculiarity makes Marmamarma a somewhat vulnerable point, and any injury can lead to disability, dysfunction and demise. The cause of the damage can either be traumatic or iatrogenic; therefore, it becomes a necessity to rule out the exact location of the marma and anatomical structure responsible for the traumatic effects. Katiktarun being a Prishthagata marma, is prone to get injured during significant surgeries of the gluteal region and spine. Its injury can lead to delayed death. The aim of this study revolves around the anatomical entity responsible for delayed death caused by katiktarun injury. By identifying the location and structure involved in the marma, it might be possible to repair the structure and deferment the delayed end. Based on Ayurvedic literature and cadaveric observations, the superior margin of the sciatic notch (suprapiriform foraman) is considered as the position of Katiktarun Marma, whereas the neurovasculature associated with suprapiriform foramen is the causative structure of marma trauma symptoms.

School Shootings and Therapeutic Interventions for Traumatized Victims

This study attempts an encapsulation of school shooting as a strand of mass violence with the purpose of presenting a perceived effective approach that could be therapeutically adopted for handling traumatized victims of school shooting incidents, particularly traumatized students. School violence involving firearms and high fatalities have been trending in many parts of the world. Pathetically, most of the students who are victims of school shootings receive inadequate or no therapeutic interventions that could help them to recover from the emotional trauma that usually accompany school violence. Students with trauma symptoms experience dysfunctional adaptation, leading to impairment of daily functionality, distortions in peer interactivity, and disruptive self-expressivity. This study leans on family system theory and elucidates how the application of this theory could help the traumatized to regain themselves psychosocially in order to maintain adaptation to function properly in the school or community.

Wounded Healers: Coping with Vicarious Trauma among Mental Health Professionals

Mental health professionals have been experiencing vicarious trauma due to their exposure to trauma-related cases. This study explored the coping strategies used by mental health professionals in dealing with vicarious trauma. A purposive sample of five (5) mental health professionals participated in this study. The study utilized Narrative Inquiry and Thematic Analysis to explore the stories of handling trauma cases and construct the central themes of coping strategies from vicarious trauma among mental health professionals. Findings of the study generated six central themes: a) recognition of experienced vicarious trauma symptoms, b) healthy personal and working relationships, c) fulfilling self-preserving needs, d) regulation of thought processes, e) professional competence and due care, and f) fate and faith. The results provided a holistic approach to vicarious trauma that targeted all dimensions of an individual; emotional, physiological, cognitive, occupational, and spiritual.

Memory Accuracy After 20 Years for Interviews About Child Maltreatment

When adults allege childhood victimization, their long-term memory comes under scrutiny. This scrutiny can extend to the adults’ memory of childhood interviews. The concerns raise important theoretical and applied issues regarding memory for long-past discussions of child maltreatment and trauma. In this longitudinal study, 104 adults, who as children (ages 3–15 years) were interviewed in child maltreatment investigations (Time 1), were questioned 20 years later (Time 2) about the Time 1 interviews. Verbatim documentation from Time 1 permitted scoring of memory accuracy. A subset of the participants (36%) reported no memory for the Time 1 interviews. Of the 64% who remembered being interviewed at Time 1, those who had been adolescents at Time 1 remembered the forensic interview discussion about abuse incidents better than discussion about general psychological issues. Adult trauma symptoms were associated with more accurate memory for interview content that directly concerned abuse experiences but not for non–abuse-specific information. Findings indicate that the veracity of adults’ long-term memory for clinical/forensic conversations about childhood maltreatment depends on age at interview, interview content, and traumatization factors. Implications are discussed.

Experiencing Trauma Before Trauma: Posttraumatic Memories, Nightmares and Flashbacks Among Finnish Soldiers

This chapter discusses the appearance of trauma symptoms among the Finnish soldiers of World War II. Kivimäki analyzes three kinds of sources: wartime psychiatric patient files, war veterans’ dream reminiscences and war-related fiction movies in the postwar era. These materials reveal that posttraumatic memories, nightmares and flashbacks were a wide-spread phenomenon already in the 1940s, although the concept of trauma was not yet developed within Finnish psychiatry. The chapter suggests that traumatic symptoms are not simply born out of psychiatric paradigms, but that the culture that shapes and produces the symptoms must be understood more broadly. In the end, Kivimäki proposes the concept of experience as a move forward in the historical analysis of human reactions to trauma.

An Overview on Borderline Personality Disorder

Borderline Personality Disorder (BPD) is a psychiatric disease marked by unstable interpersonal relationships, fear of abandonment, difficulty regulating emotions, feelings of emptiness, persistent dysphoria or sadness, impulsivity, and increased risk-taking behaviors. The prevalence of borderline personality disorder has been reported at 11 percent in the psychiatric outpatient community and as high as 20% in the psychiatric inpatient population. Patients with BPD have a high rate of morbidity, which makes medical treatment more difficult. Although the role of genetics in BPD is unclear, inheritance of BPD appears to be considerable. Life events are also found to play a role in the development of BPD. The most important risk factor for the development of BP is childhood trauma. Symptoms that have been present since adolescence or early adulthood and manifest in a variety of settings are used to make the diagnosis. There are no lab or imaging tests available to aid in the diagnosis. Patients with borderline personality disorder benefit from three evidence-based treatments. Mentalizing-based therapy (MBT). Dialectical behavior therapy (DBT) and transference-focused psychotherapy (TFP). In this review we will be discussing epidemiology, etiology, clinical features diagnosis and treatment of BPD.

Symptoms of Posttraumatic Stress and Sexual Concerns: The Intermediary Effects of Executive Functioning on Profiles of Youth Who Have Sexually Harmed

There are demonstrated links in the general population between developmental adversity, associated trauma symptoms, and executive functioning difficulties in children and youth. However, research on links among these indicators and their relationship to antisocial behavior more broadly in samples of youth who have sexually harmed is only beginning to emerge. Some research indicates that intermediary factors like sexual concerns may be critical in understanding this population. This study explored relationships between trauma symptoms, sexual concerns, executive functioning, and their relationship to non-sexual delinquency in a sample of 196 youth who committed sexual harm. Structural equation modeling revealed numerous direct and indirect effects on the path to delinquency and that executive functioning plays a key role among those with serious sexual concerns. The results are contextualized and implications are discussed.