Saturday, May 18, 2019
Psychopathology And Traumas Essay
Abstract This paper is a literature review of studies and discussions of the  rear of various stressors to  squirtren,  such(prenominal) as  military force,  internal abuse, and trauma.  there argon also some  conditions that explain how the  benignant  encephalon processes and adapts to these various factors. The goal of all these articles is to understand and explain the relationships between  assorted stressors in the  right smart that a  squirts brain develops. They presume that the brain is the organ responsible for  make different children from reacting differently to the various stressors in their childhood. There is also a discussion analyzing the relationship between the  size of the genus Hippocampus and exposure to stress. These articles provide valuable insight into a very important   encase of  kind  disembodied spirit, specifically, coping with trauma.   The article of Friedrich, Fisher, Broughton, Houston and Shafran discussed intimate  sort in children, with the goal    of understanding the relationship between sexual behavior and sexual abuse. The authors of this article be remainved that the existing literature had gathered limited knowledge on the  matter of normative sexual behavior among children (Friedrich, Fisher, Broughton, Houston & Shafran, 1998). In order to achieve an understanding of normative childhood sexual behavior, the authors conducted a  moot of children between the  advances two and twelve, whose sexual behaviors were rated by primary female  superintendgivers, such as their parents and day care providers. The children were screened on whether they were sexually abused. The authors likewise used a 38-item scale called the Child  knowledgeable Behavior Inventory, Third Version, to assess the childrens sexual behavior, the diversity of which could cover a wide  carry (Friedrich, Fisher, Broughton, Houston & Shafran, 1998). After the  line of business, the authors found that the children exhibited a broad range of sexual behaviors   , such as such as exhibitionistic behavior or excessive modesty. Sexual behaviors also had different frequencies, and these are influenced by the age groups of the children, as well as other factors, like maternal education, family stress and  wildness, and number of hours spent in day care (Friedrich, Fisher, Broughton, Houston & Shafran, 1998). Specifically, the authors  famed that a review of the reported endorsement frequencies indicated that for each age and  sexuality group, there are 1to 5items that at least 20% of the parents endorsed. This led the authors to conclude that the behavior of the children could be considered  victimisation-related sexual behaviors, and not too far removed from the mean (Friedrich, Fisher, Broughton, Houston & Shafran, 1998, p. 3). On the other hand, the article by Ford and Kidd on Early Childhood Trauma and Disorders of Extreme  song as Predictors of  sermon Outcome with Chronic Posttraumatic  line Disorder (PTSD) sought to determine whether ear   ly childhood trauma could be considered as a predictor of the outcome of treatment for people with chronic posttraumatic stress disorder. This goal is influenced by studies showing the prevalence of early childhood trauma in cases of people with recurring PTSD (Ford & Kidd). A study with participants from patients in a PTSD live-in rehabilitation facility, who were exposed to trauma, was conducted. Most participants were classified as trauma-exposed since they came from warfare z unrivalled military duty. Others who did not show pervasive avoidance and emotional numbing symptomatology were considered people who had to trauma-related experience.  structured interviews were conducted to classify patients to determine their classification as a person with PTSD or Disorders of Extreme Stress Not Otherwise Specified (DESNOS). Participants were asked in interviews whether they were exposed to certain traumatic events, such as witnessing the  goal of a family member or experiencing sexual    abuse. On the other hand, DESNOS was a good empirical  undercoat for treatment planning of PTSD. DESNOS is considered a good instrument in assessing trauma and treatment planning for PSTD because it has been  spy in previous studies that most war veterans with PTSD also had histories of DESNOS symptoms (Ford & Kidd). On a different aspect of trauma and its effect on children, Gilbertson, Shenton, Ciszewski, Kasai, Lasko, Orr and Pitman (2002), investigated the validity of the hypothesis that Smaller Hippocampal Volume Predicts Pathologic  picture to  mental Trauma and conducted a study to determine the relationship between the volume of the genus Hippocampus and the  propensity of a person to develop PTSD. The  look forers hypothesis focused on the hippocampus of animals that the hippocampus gets damaged by severe stress and that humans with stress-related psychiatric conditions have  smaller hippocampal volume.Hence, the researchers investigated whether the smaller hippocampal volu   me comes before or after a severely stressful event. If smaller hippocampal volume comes before the event, then it would mean that it is a preexisting condition of the person and not influenced by trauma,  force-out or stress. On the other hand, if the smaller hippocampal volume comes after the event, then it means that it is a result of the trauma caused by the experience (Gilbertson, Shenton, Ciszewski, Kasai, Lasko, Orr, & Pitman, 2002).  utilise a case-control design, Gilbertson, et al. conducted a study to analyze the the hippocampi volume of monozygotic twins. The twins have the same  hereditary makeup, which the researchers theorized any  difference in the volumes of their hippocampi  may be caused by external factors, such as stress. Thus, the study involved twins, where one is exposed to a traumatic event such as combat, and the other one is not exposed (Gilbertson et al, 2002).After comparison of images taken through magnetic resonance imaging (MRI), the researchers  concl   ude that the volumes of the hippocampi of the twin subjects are preexisting vulnerability factors. This means that smaller hippocampal volumes are not caused by  immaculate exposure to stress. There conclusion was based on the finding that there was no significant difference between the hippocampal volumes of twins who were and were not exposed to traumatic events (Gilbertson et al., 2002).  In the next article however, no case study was conducted, but Perry (1997) explained the workings of the human brain in relation to exposure to violence. In Incubated in Terror Neurodevelopmental Factors in the Cycle of Violence In Children, Youth and Violence The  seek for Solutions introduced the concept of a persons adaptability to experience through a brief discussion of the process of development that began centuries ago. Perry traced the development of the human brain through a process called sociocultural evolution. Perry pointed out the human existence had  immense been pervaded by viole   nce, which began from interspecies violence to interspecies violence, from prehistoric times. Perry believed that up to the present, different forms of violence, such as  natural abuse, victimize of children. Thus, Perry sought answers on matters relating to the effect of violence on parents and children, particularly in the context of neurodevelopment (Perry, 1997). Perry discussed how violence affects children. This effect depends on various factors, such as the pattern and type of violence and the presence of  certification systems or caretakers for the child. Furthermore, Perry considered the age of the child an important factor that affects the child, considering that the human brain develops in a  elongated fashion, and certain developments only occur when a child reaches a specific age. Perry also believed that humans are capable of adapting to violence or trauma (Perry, 1997). Perry also discussed the organization and function of the human brain. The brain has a hierarchical    organization that functions to promote a persons survival. Perry described that the brain matures throughout the life of a person. In relation to this development, Perry explained that there are factors affecting the process that lead to a childs predisposition to violence. For Perry, violence is rooted in neurobiology, and factors that affect activity in different separate of the brain would affect a persons propensity toward violence. Specifically, Perry explains that changes in the activity in the brainstem, such as stress, would increase a persons propensity for violence (Perry, 1997). Furthermore, Perry discussed different pathways to violence to which children may be exposed. Perry suggested that it is most dangerous when all different negative experiences, such as lack of care in childhood and physical abuse, combine and affect a child. Another important part of Perrys observations are his discussion on the implications of the theory to the formulation of public policy. He p   urports that ultimately, the solution to problems of violence lie within primary prevention, through the transformation of violence (Perry, 1997). In another article written by Perry (2001b), in The neurodevelopmental impact of violence in childhood, in Schetky D & Benedek, E. (Eds.) Textbook of child and adolescent forensic  psychiatry, he discussed how violence affects the development of a childs brain. Perry noted that violence pervades American  inn despite its many technological advances. Thus, while violence is abhorred by many, there are a  hardly a(prenominal) solutions presented for its avoidance (Perry, 2001b). Perry noted that violence is multidimensional and complex. It has different effects, both on adults and children. In particular, Perry pointed out that violence causes fear in children, which has negative consequences on the neurodevelopmental changes of a child, such as causing a child to become more susceptible to being violent (Perry, 2001b). Perry further noted    that violence could be seen in various situations, such as in the home, community, school, and media. It seems that violence is everywhere. Most especially in the United States, violence can be seen in the home, as shown by statistics (Perry, 2001b). Perry then discussed how the brain works and develops in general. He stated that the brain grows more complex with age. Such development may cause some areas of the brain, such as the higher, sub-cortical and cortical areas, to become less impulsive. In turn, this may cause the brain to have  set down excitatory activity. These tendencies may lead to increased tendencies of an individual to become aggressive and violent (Perry, 2001b). Perry then noted the growing body of evidence supporting the position that the neurodevelopment processes of an individuals developing brain is hindered or altered by exposure to violence. Thus, exposure to violence leads to the stimulation of responses from a childs brain, causing alterations in the brai   ns development and consequences as related to the brains function (Perry, 2001b). A similar discussion on the effect of trauma on the development of the brain is provided by Perry, Pollard, Blakley, bread maker and Vigilante (1996). In an article entitled Childhood Trauma, the Neurobiology of Adaptation & Use-dependent Development of the Brain How States become Traits, the authors provided observations on childhood trauma and its effect on the essential functioning of affected children. The researchers theorized that a mature brain is born out of developmental experiences. Therefore, neurodevelopment is important, and this occurs in a very critical point in a humans life, which is his childhood. However, neurodevelopment is disturbed by experiences that disrupt the brains processes of organizing information, such as traumatic experiences (Perry, Pollard, Blakley, Baker & Vigilante, 1996). The researchers believed that given an understanding of the effect of traumatic experiences on    a childs neurodevelopment, that modifications in public policy and societal perspectives may occur. Therefore, more research should be undertaken to explore this field of study (Perry, Pollard, Blakley, Baker & Vigilante, 1996).Conclusion. All the articles provide insight on the relationship of various factors with childrens mental development. In particular, the articles endeavored and succeeded in analyzing data on the relationship between childrens brain development and traumatic events. There were detailed accounts on the specific brain areas that were affected by exposure to stress, such as the hippocampus and the brainstem. The time of exposure to trauma was also investigated to determine whether the size of a persons hippocampus is predetermined prior or consequent to the exposure to stress. However, some of the articles did not discuss specific studies conducted that  naturalised the conclusions, but only discussed theories based on other studies. Therefore, more studies sho   uld be conducted, or more research made, to provide basis for some of the given conclusions.ReferencesFriedrich, W. N., Fisher, J., Broughton, D., Houston, M. & Shafran, C. R. (1998).  Normative Sexual Behavior in Children A  modern-day Sample. Pediatrics  101(4). Retrieved February 23, 2008, from  http//pediatrics.aappublications.org/cgi/content/full/101/4/e9.Ford, J. D. & Kidd, P. Early Childhood Trauma and Disorders of Extreme Stress as   Predictors of Treatment Outcome with Chronic Posttraumatic Stress Disorder.Gilbertson, M. W., Shenton, M. E., Ciszewski, A., Kasai, K., Lasko, N. B., Orr, S. P.,  Pitman, R. K. (2002). Smaller Hippocampal Volume Predicts Pathologic  Vulnerability to Psychological Trauma. Nature Neuroscience 5(11), 1242-1247.Perry, B. D. (1997). Incubated in Terror Neurodevelopmental Factors in the Cycle of Violence In Children, Youth and Violence The Search for Solutions (J Osofsky,  Ed.). New York Guilford Press, 124-148,Perry, B.D. (2001b). The neurodevelopmen   tal impact of violence in childhood. In  Schetky D & Benedek, E. (Eds.) Textbook of child and adolescent forensic  psychiatry. Washington, D.C. American Psychiatric Press, Inc. (221-238)Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L. & Vigilante, D. (1996). Childhood  Trauma, the Neurobiology of Adaptation & Use-dependent Development of the Brain How States become Traits. Infant Mental wellness Journal.  
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