Childhood trauma and problem behavior: Examining the mediating roles of experiential avoidance and mindfulness processes

Objective: Childhood trauma is associated with a variety of risky, unhealthy, or problem behaviors. The current study aimed to explore experiential avoidance and mindfulness processes as mechanisms through which childhood trauma and problem behavior are linked in a college sample. Participants: The sample consisted of college-aged young adults recruited November-December, 2016 (N = 414). Methods: Participants completed self-report measures of childhood trauma, current problem behavior, experiential avoidance, and mindfulness processes. Bootstrapped mediation analyses examined the mechanistic associations of interest. Results: Mediation analyses indicated that experiential avoidance was a significant mediator of the association between childhood trauma and problem behavior. Additionally, multiple mediation analyses indicated that specific mindfulness facets–act with awareness and nonjudgment of inner experience–significantly mediated the same association. Conclusions: Interventions for college students who have experienced childhood trauma might profitably target mechanisms such as avoidance and mindfulness in order to minimize engagement in problem behavior.     

Children's Psychological Response to Parental Victimization

Abstract

This study found that African American children, 6 through 12 years of age, whose parents had been victims of community violence (i.e., gunshot or stabbing) experienced distress symptoms differently, depending on their gender. In the authors' previous work (Dulmus & Wodarski, 2000), children, age 6-12, whose parents were victims of community violence (e.g., gunshot, stabbing), and whose victimization the children did not witness, were found to be experiencing distress symptoms related to their parents' victimization. The purpose of this current study was to do further analysis to examine children's psychological response to parental victimization by gender. Results indicated that all children in the study were experiencing symptoms in the borderline clinical range as measured by the total score on the Child Behavior Checklist (CBCL), with females having a mean score of 39.5 and males having a mean score of 38. The differences that were found by gender were in children's expression of symptoms; with females experiencing more internalizing symptoms (i.e., withdrawn, somatic complaints, anxiety, depression) and males experiencing more externalizing symptoms (i.e., aggression, delinquent behaviors). Such results support feminist theory, which suggests that girls and boys respond differently to stimuli because of gender differences related to socialization. Such distinctions may be clinically useful when choosing approaches to behavioral interventions.     

Factors Associated with Sexual Dysfunction Symptoms among Veterans who Have Experienced Military Sexual Trauma

Although military sexual trauma (MST) has been found to be associated with sexual dysfunction (SD), there is limited information about the demographic, health, and traumatic experience factors related to SD symptoms among veterans who have experienced MST. The current study surveyed a national sample of 2,002 U.S. veterans who had screened positive for MST. Relationship status, overall health, and antidepressant use were significantly related to the presence of SD symptoms. Analyses examining SD types demonstrated that different factors may contribute to different SD symptoms. Potential implications of these findings for clinical practice and sexual health research among veterans are discussed.     

A therapeutic social work team in practice

In 1996, as a result of interagency collaboration between social services and health, Leeds Social Services Department brought together three groups of social workers undertaking therapeutic work into a centrally managed team. Continued inter-agency working together has ensured that the Therapeutic Social Work Team has become an established service for children and families. This paper describes the work of the team by focusing on four areas: the context of interagency collaboration, therapeutic work in the child protection process, managing different theoretical approaches in one team, and evaluating practice.     

Compassion Fatigue in the Treatment of Combat-Related Trauma During Wartime

This article utilizes relevant data on the troops serving in Iraq and Afghanistan, and a composite case of a clinician working with combat survivors, in order to illustrate the potential for compassion fatigue in clinicians treating this cohort. Review of the literature on the effects of compassion fatigue related to combat trauma and the impact of collective shared trauma is presented. This is done in order to emphasize the complexity of the provision of war trauma treatment post 9/11 in the context of the ongoing wars. There is an urgent need for the mental health field to continue to develop interventions and educational programs that will help mitigate the deleterious effects of compassion fatigue in clinicians working with this population.     

The COVID‐19 Pandemic: An Evolving Story. Professional and Personal Insights using Self and Culture as Agents of Calm and Healing after a Year of Co‐habitation with Imminent Threat

Being a cross‐cultural systemic therapist, clinical supervisor, and educator means that culture and language are central to my work. They provide a scaffold to develop deeper understanding, increased trust, and connection between myself and my supervisees, students, and clients and facilitate a process for the latter to connect to their own selves and values. Given the fear and uncertainty generated by the COVID‐19 pandemic, there exists a pervasive activation of the sympathetic nervous system in the community. In this article, I present two case studies as examples of a cross‐cultural/cross‐linguistic approach that facilitates two clients to find a place of comfort and calmness and consequently a balancing activation of the para‐sympathetic nervous system. First is a client who, due to the overwhelming pandemic chaos, suddenly exhibited a host of signs and symptoms of a functional neurological nature, which she experienced as a lack of control and disconnection from her body, her primary language, and herself. Within a trusted therapeutic relationship that draws on the culture and primary language of the therapist, the client regains connection with language and enhances her ability to communicate and connect with her body. Second is an international student who is encouraged to use her culture of origin and primary language to induce calmness, reconnect with herself, and return to the familiar as a ‘known’ collectively inclusive, comforting, and nurturing environment.     

Reflections on Meanings and Applications of Social Justice

SUMMARY

This article conveys the author's personal thoughts, views, reflections, experiences, and observations about social justice. As a value and ideal, it is what social workers and activists work toward. As a goal and result, it is an unfinished product in most organizations, institutions, communities, and societies.