Trauma Screening in Students Attending a Medical University

Abstract

Clinicians seldom assess trauma history in patients who seek treatment for psychological problems, yet trauma exposure is often related to psychological distress. Assessing trauma history can provide valuable information for treatment conceptualization and provision, although patients may not spontaneously share their histories because of embarrassment, avoidance, or other concerns. The authors compared 73 students at a southeastern US medical university who sought counseling and psychological services and completed intake paperwork without a trauma screen with 130 students whose intake procedures included trauma screening. They found that (a) patients who were specifically asked about trauma history were more likely to report such events, (b) previous physical assaults with a weapon were related to current psychological distress, and (c) physical assaults with or without a weapon were related to clinically significant psychological distress. These findings suggest that screening for lifetime trauma history should be a standard part of mental health screenings in similar medical university counseling centers.     

Predicting Emotions in Everyday Social Interactions

Abstract

Social workers appreciate that emotions are an important component of the human experience. Advances in sociology offer improvements in measuring, explaining, and predicting emotions. However, empirical appraisals of theories are limited, based on researcher fabricated events, and have yet to compare theories. The purpose of this study was to test and evaluate the predictive abilities of two theories that have potential to inform social work practice and research: Affect Control Theory (ACT) and Social Interactional Theory (SIT). From subject- provided social interactions, findings demonstrate the ability of both theories to predict ordinary emotion. Whereas SIT predictions were generally more precise, this accuracy would have been lost without the precise emotion measurement capabilities of ACT.     

Resiliency in the Aftermath of Repetitious Violence in the Workplace

Summary

The definition and occurrence of traumatic events is expanding and impacts everyone's lives in some way. The degree to which a violent event impacts an individual, a group, a workplace or the community varies. Unfortunately violent events are all too common. Businesses are realizing the significance of violence as a workplace problem and the varying degrees of trauma that has a devastating impact on employee retention, workplace functionality and personal well-being. The events can include industrial or natural disasters; worksite accidents; organizational changes; suicide; homicides; robbery; assault; threats of violence and even terrorism. How prepared an organization is varies and may be correlated with how resilient individuals and the entire workplace are after workplace violence/trauma. This article focuses on what workplace violence and trauma includes, the effects of repeat events, how resilient people are while trying to prevent additional events if possible in the workplace.     

Tweeting India’s Nirbhaya protest: a study of emotional dynamics in an online social movement

Abstract

Previous research has recognized the role of emotions in protests and social movements in the offline world. Despite the current scenario of ubiquitous social media and ‘Twitter revolutions,’ our knowledge about the connections between emotions and online protests still remains limited. In this study, we examine whether online protest actions follow the same emotional groundwork for supporting and nurturing a social movement as in the offline world, and how these emotions vary across various stages of the social movement. Through a computer-assisted emotion analysis of 65,613 Twitter posts (tweets), posted during the Nirbhaya social movement (movement against the Delhi gang-rape incident) in India, we identified a strong resemblance between online emotional patterns and offline protest emotions as discussed in literature. Formal statistical testing of a range of emotions (negativity, positivity, anger, sadness, anxiety, certainty, individualism, collectivism, and achievement) demonstrates that they significantly differed across stages of the social movement; as such, they influenced the course of the online protest, resonating parallels with offline events. The findings highlight the importance of anger and anxiety in stirring the collective conscience, and identify that positive emotion was pervasive during the protest event. Implications of these findings are discussed.     

Persistent Complications of Child Sexual Abuse: Sexually Compulsive Behaviors,Attachment, and Emotions

ABSTRACT

Child sexual abuse has the potential to cause distress for the victim across the lifespan. Romantic relationships may be particularly difficult for victims of child sexual abuse. This retrospective study examined differences in adult romantic attachment, sexually compulsive behaviors, and emotion regulation by history of child sexual abuse in a large, nonclinical sample. Those with a history of child sexual abuse reported more attachment anxiety in romantic relationships and engaged in more sexually compulsive behaviors. Overall, males displayed more sexually compulsive behaviors than females regardless of history of sexual abuse. Males with a history of sexual abuse displayed the greatest number of sexually compulsive behaviors. Surprisingly, no differences were observed in emotion regulation or attachment avoidant behaviors by history of child sexual abuse. Future research should seek to replicate current findings and examine emotion regulation difficulties experienced as a result of trauma.     

A Test of Symbolic Interactionist Predictions About Emotions in Imagined Situations

From the perspective of symbolic interactionism, inner experiences—including emotions—are shaped culturally as individuals formulate events in words, and individual experiences are shaped socially as others contribute to the verbal formulation of one's experiences. Understanding cultural shaping and social negotiation of emotions requires understanding how emotion attributions arise from linguistic framings of events, and Affect Control Theory (ACT) offers a model of emotions that addresses this issue. We report tests of ACT predictions of emotions in 128 events against self-reported emotions of respondents imagining themselves in such situations. ACT predictions are found to correlate with self-reported emotions. Thus, empirical results validate ACT's postulate that emotions emerge from the personal impression that is generated in an event, along with the difference between that impression and the person's identity. In the conclusion, we discuss how the ACT formulation can enlighten interpretations of social negotiations regarding emotions.     

Building Trauma Informed Practice: Appreciating the Impact of Trauma in the Lives of Women with Substance Abuse and Mental Health Problems

ABSTRACT

This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women with co-occurring disorders. Substantial rates of intimate and community-based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs.     

Perceived Loss of Social Contact and Trauma Symptoms among Adolescents Who Have Experienced Sexual Abuse

ABSTRACT

Child sexual abuse (CSA) is a robust predictor of trauma symptoms. Past research has identified many correlates of trauma symptoms following disclosure of CSA. Theory suggests that loss of social contact may be another important contributor to adolescents’ trauma symptoms following CSA. A clinical sample of 166 adolescents (95% female) between 11 and 19 years (M = 13.80, SD = 1.87) reported on perceived loss of social contact, the extent to which the CSA was coercive, appraisals of self-blame for the abuse, supportiveness of a primary non-abusing caregiver, and trauma symptoms. The adolescent’s relationship to the abuser, abuse severity and duration were coded from forensic interviews. Results indicated that greater perceived loss of social contact was associated with higher levels of trauma symptoms, even after controlling for other correlates of trauma symptoms and demographic variables. These findings suggest that perceived loss of social contact may be an important variable to consider in assessing and intervening with adolescents who have been sexually abused.     

GENDERED SPECTRE

The focus of this essay is gendered collective memory of the partition of the Indian sub-continent in 1947, at the time of Independence from British rule. The essay addresses the question of whether there are similarities between trauma studies that developed within a Western Freudian psychoanalytic framework and the anti-colonial theory practiced by decolonizing nations. Taking two women's texts, the essay examines how gender manifests itself within the framework of trauma and how it is played out in collective memory of partition. The texts chosen raise interesting questions about gender, trauma and the nation and provide an alternative non-Western framework through which the trauma of partition can be read. The essay points to how the category of memory and its meanings vary in their national, cultural and historical specificity.     

The identity curation game: digital inequality,identity work,and emotion management

ABSTRACT

The research examines an understudied facet of digital inequality: how digital inequality impacts identity work and emotion management. The analysis reveals how unequal access to digital resources shapes how well youths are able to play what I call the identity curation game. Digital resources determine youths’ ability to succeed in this game that is governed by three implicit rules: (1) constantly update or be sidelined, (2) engage in constant reciprocated identity-affirming interactions, and (3) maintain a strategy of vigilance to remove traces of failed identity performances. This article draws on Symbolic Interactionism and pays particular attention to Hochschild’s theory of emotion management. Drawing on these frameworks, the findings reveal how under-resourced youths experience connectivity gaps that disrupt their ability to play the identity curation game, as well as the resulting emotional consequences. Under-resourced youths manage distinctive negative emotions arising from connectivity gaps that hinder their digital identity work, as well as engaging in distinct kinds of suppressive work to police their own emotions including longing, envy, shame, frustration, and stigmatization. In making these linkages, the research reveals the cascading effects of digital inequality among youths where constant connectivity is the sine qua non of social inclusion.     

Predictors of well-being in the lives of student service members and veterans

Objective: The current study examined predictors of well-being, including quality of life and academic engagement, in a sample of student service members and veteran college students. Methods: Eighty-seven student service members/veterans (SSM/V) completed an online survey containing questions about post-deployment social support, emotion regulation skills, psychological distress, academic engagement, quality of life, and demographics. Participants were recruited from September 2012 through May 2014. Results: Results provided partial support for the proposed bi-directional mediational relations between post-deployment social support and emotion regulation predicting to quality of life and academic engagement. Path models indicated that both post-deployment social support and emotion regulation skills partially mediated the relation with quality of life while accounting for the effect of psychological distress, and that emotion regulation skills fully mediated the relation between social support and academic engagement. Conclusions: These findings suggest that both social support and emotion regulation skills may be useful targets for health promotion and intervention efforts for this population. Limitations and clinical implications for the development of on-campus SSM/V focused health promotion services are discussed.     

Interactive association between negative emotion regulation and savoring is linked to anxiety symptoms among college students

Abstract

Objective: This study tested the interactive relationships between college students’ perceived capability of regulating negative emotions and savoring positive emotions on mental health outcomes, including anxiety and depressive symptoms. Participants: Participants were healthy undergraduates (n?=?167) recruited from two universities in Hong Kong. Methods: Students completed four scales assessing their perceived capability of using strategies to regulate negative and positive emotions and their anxiety and depressive symptoms. Results: Findings revealed that both anxiety and depressive symptoms were negatively linked to perceived capabilities of regulating negative emotions and savoring positive emotions. Furthermore, regulating negative emotions interacted with savoring positive emotions to predict anxiety symptoms. Conclusions: The need to simultaneously perform negative and positive emotion regulation is highlighted. The results suggest the priority of regulating negative emotions over savoring positive emotions in alleviating anxiety symptoms. Nevertheless, enhancing positive emotion shows greater benefits for those who are less adept at regulating negative emotions.     

New Directions for Research Examining Sexual Trauma Histories of Gay Men

Summary

Research efforts have been unable to accurately examine the effect of childhood sexual trauma in the adult lives of gay men. Complications stemming from precise definitions of abuse, as well as the subjectivity inherent in the terms, make comprehensive research difficult. As abuse and traumatic events may sometimes be subtle and not involve overt violence, these more delicate events are often overlooked or unaccounted for. Further, because it is a complex endeavor to obtain accurate reporting from children, research efforts rely on the self-reports of adults remembering traumatic events. The symptomatology that results from trauma, including amnesia and dissociation, also affects the reliability of self-report. Additionally, gay men have been notably absent from sexual trauma research efforts for a variety of reasons. A research study which investigates childhood sexual trauma in the histories of adult gay men is discussed. Directions for future research efforts are suggested.     

Employee Crisis and Occupational Functioning

Abstract

This study focuses on how employees respond to acute life events and chronic stressors that threaten the maintenance of effectual occupational functioning and productive activity. A profile of employees that experienced the most distress and job disruption is offered. Additionally, this study examines the type of event and how certain employee characteristics relate to post-crisis functioning. Implications of these findings for supervisory and/or managerial personnel fall into three categories: training, intervention and policy development.     

The embodiment of complex trauma in domestic minor sex trafficking victims and the dangers of misidentification

ABSTRACT

Domestic minor sex trafficking (DMST) victims face many barriers to getting appropriate, trauma-informed treatment. Many of these victims experience childhood trauma by trusted adults or by non-familial perpetrators of abuse. Complex trauma, later defined in depth, captures what many DMST victims endure as the harm that they experience is ongoing and cannot be identified as a singular event. Due to the complex trauma these victims experience, they become dissociated as a tool for survival. As a result of trauma, many DMST victims do not embody protective skills, and attempt to gain control of their lives through maladaptive behaviors that can lead to re-victimization. I begin by discussing the literature around embodiment, trauma and the body, and dissociation to demonstrate why a trauma-informed approach in identification and therapy is important when working with DMST victims. Subsequently, I present a case study to explore an example of how the presentation of trauma, or ways it is masked, can lead to misidentification. This case study will illustrate how social workers can effectively advocate for DMST victims at the early stages of identification and also foster a safe, accepting therapeutic space to assist these clients in trust-building and identify formation. Trauma-informed care needs to be integrated from the first interaction with law enforcement, throughout the development of a treatment plan with providers, and for the duration of the therapeutic relationship.     

‘Putting Humpty Together Again’: Working With Parents to Help Children Who Have Experienced Early Trauma

Early interpersonal trauma can have a profound impact on young children's emotional, cognitive and physical function, and on their ongoing development. This article outlines the diverse effects of trauma and how they might present in school or childcare settings. It considers the role of the family in the development of children's emotion regulation, especially if trauma occurs in the context of the family and how trauma affects family dynamics. A therapeutic approach is then outlined to help address the multiple areas of difficulty. Work with parents and the whole family is aimed at maintaining physical and emotional safety and building trust between parent and child. Work with the parents, teachers and the child individually is directed at helping the child develop emotion regulation and competence physically, cognitively and interpersonally.     

Subjective distress from trauma in older clients with severe mental illness

There is little research on older persons with severe mental illness (SMI) who have experienced trauma. We conducted an exploratory study with 174 community mental health clients with SMI who were 50 years of age or older (range 50–87; mean age 58) to examine the relationship between subjective distress related to six common traumas and post-traumatic stress symptoms while controlling for gender and other key psychiatric symptoms. With regression analysis, we found that of the six common traumas, only distress from unexpected loss of a loved one was significant. That factor accounted for the most variance in post-traumatic stress symptoms than all other factors in the model including gender, psychiatric symptoms of SMI, and other trauma. Gender and symptoms of psychosis were also significant in the model. Unexpected losses, particularly in older persons with SMI, can cause considerable emotional distress and could be related to post-traumatic stress symptoms. Practitioners should be vigilant in regularly screening older people with SMI for recent loss of loved ones and be prepared to address their distress with grief/bereavement counseling.     

The Magic of Multiple Emotions: An Examination of Shifts in Emotional Intensity During the Reclaiming Movement’s Recruiting/Training Events and Event Reattendance1

This article examines whether emotional fluctuations predict the likelihood of future attendance at a movement’s week‐long recruitment and training events. I present a statistical analysis of longitudinal survey data, and then examine qualitative data on multiple emotions and “chains” of emotions over time. Qualitative and quantitative data together generate a multifaceted understanding of emotions’ interactions over time and their independent and combined ability to predict who returns to the events a year later. Previous work on emotions and movement recruitment has confined itself to whether emotional experiences were positive or negative or focused in depth on one particular emotion. This article’s findings show that confusion, courage, fear, and hope have a substantial and sometimes interactive impact on attendance at subsequent events.     

EXAMINING EMOTION AS DISCOURSE: Emotion Codes and Presidential Speeches Justifying War

Observers commonly argue that emotional appeal is critical for persuasive communication in mass media, science and social policy hearings, social problem advocacy, and politics. This raises a practical question: How can appeals to emotion be accomplished in mass audiences characterized by heterogeneity? I explore this question by theorizing emotional persuasion to be encouraged by the artful use of “emotion codes,” which are sets of socially circulating ideas about which emotions are appropriate to feel when, where, and toward whom or what, as well as how emotions should be outwardly expressed. As an illustration, I examine an instance of presidential communication surrounding war, the “Story of September 11” crafted by President George W. Bush in his first four nationally televised speeches after the events of that day. I explore how this melodramatic tale contains multiple and interlocking reflections of emotion codes which encourage audience members to feel in particular ways about the Good American victim and hero and the evil terrorist villain who are the primary story characters. In the conclusion I speculate about ways in which deploying elements of socially circulating ideas about emotion might encourage persuasion in large heterogeneous audiences as well as the necessities for examining emotion as discourse in other arenas of social life. My goal is to develop a model for empirically examining emotional meaning as social phenomena.