Showing posts with label posttraumatic stress disorder. Show all posts
Showing posts with label posttraumatic stress disorder. Show all posts

Friday, July 12, 2013

Pope updates Vatican law, criminalizing sex abuse, leaks, The case of Fran and Dan Keller - Fran’s Day Care, PTSD treatments

Pope updates Vatican law, criminalizing sex abuse, leaks
New laws apply to clergy, others in the city-state
By Nicole Winfield   Associated Press  
July 12, 2013 VATICAN CITY

Pope Francis overhauled the laws that govern the Vatican city-state on Thursday, criminalizing leaks of Vatican information and specifically listing sexual violence, prostitution, and possession of child pornography as crimes against children that can be punished by up to 12 years in prison.

The legislation covers clergy and laypeople who live and work in Vatican City and is different from the canon law which covers the universal Catholic Church.

It was issued at a critical time, as the Vatican prepares for a grilling by a UN committee on its efforts to protect children under a key UN convention and prevent priests from sexually abusing children. The Vatican signed and ratified the UN Convention on the Rights of the Child in 1990 yet only now — 23 years later — has it updated its legislation to reflect some of the treaty’s core provisions....
http://www.bostonglobe.com/news/world/2013/07/11/pope-updates-vatican-law-crminalizing-sex-abuse-leaks/URHItA5fuIxJNruXaGO2jI/story.html


Fran’s Day Care Case - Randy Noblitt, PhD
The case of Fran and Dan Keller

excerpts:
"Some of the parents whose children attended the preschool became suspicious when their children returned home wearing underwear not their own, or with their clothes inside out or with their hair wet. There were always reasonable explanations: the child had an accident and was changed into clothes on hand for that purpose; or the child splashed water on herself when the children were cleaning up; and so forth. However, when one of the children made an outcry, the parents more closely scrutinized the strange behaviors some of the children had started engaging in and the aforementioned episodes, and they took their concerns to the police. The police took the concerns seriously and collected statements and evidence. The grand jury found a basis for indictment. The Kellers responded to the warrant for their arrest by fleeing the state in disguise, obtaining false identifications in their new personas, and attempting to leave the country. They were apprehended in Las Vegas, Nevada and extradited back to Travis County."

"The case ended with the conviction of the Kellers and their sentencing to 48 years in prison each. They are in prison still, any efforts for appeal having failed to date."

"the perspective was one of advocacy for falsely accused, persecuted, prosecuted, and convicted victims of a malicious or inept legal system that places too much trust in the stories children tell. A particular flaw in this story was the story. It was certainly not founded on anything I witnessed during my participation in the case. Evidence was not withheld from the prosecution to my knowledge. The defense was left flat-footed by their own conviction that the children would not be believed. And the advice I offered may have helped to prevent influence or contamination of the children’s testimony. The children’s stories were credible – Fran and Dan Keller’s defense was not."

"One of the child victims, Veejay Staelin, a now 21-year old...re-asserted that he had been abused by Fran and Dan Keller."
http://ritualabuse.us/ritualabuse/articles/frans-day-care/

Meta-analysis of the efficacy of treatments for posttraumatic stress disorder. Authors Watts BV, et al

Journal
J Clin Psychiatry. 2013 Jun;74(6):e541-50. doi: 10.4088/JCP.12r08225.

Abstract
OBJECTIVE: Posttraumatic stress disorder (PTSD) is an important mental health issue in terms of the number of people affected and the morbidity and functional impairment associated with the disorder. The purpose of this study was to examine the efficacy of all treatments for PTSD....

RESULTS: Effective psychotherapies included cognitive therapy, exposure therapy, and eye movement desensitization and reprocessing (g = 1.63, 1.08, and 1.01, respectively). Effective pharmacotherapies included paroxetine, sertraline, fluoxetine, risperidone, topiramate, and venlafaxine (g = 0.74, 0.41, 0.43, 0.41, 1.20, and 0.48, respectively)....

CONCLUSIONS: Our findings suggest that patients and providers have a variety of options for choosing an effective treatment for PTSD. Substantial differences in study design and study participant characteristics make identification of a single best treatment difficult. Not all medications or psychotherapies are effective.
http://www.ncbi.nlm.nih.gov/m/pubmed/23842024/

Wednesday, November 21, 2012

Embattled Childhoods May Be the Real Trauma for Soldiers With PTSD

Embattled Childhoods May Be the Real Trauma for Soldiers With PTSD 

ScienceDaily (Nov. 19, 2012) — New research on posttraumatic stress disorder (PTSD) in soldiers challenges popular assumptions about the origins and trajectory of PTSD, providing evidence that traumatic experiences in childhood -- not combat -- may predict which soldiers develop the disorder....

"Most studies on PTSD in soldiers following service in war zones do not include measures of PTSD symptoms prior to deployment and thus suffer from a baseline problem. Only a few studies have examined pre- to post-deployment changes in PTSD symptoms, and most only use a single before-and-after measure," says Berntsen....

Rather than following some sort of "typical" pattern in which symptoms emerge soon after a particularly traumatic event and persist over time, Berntsen and colleagues found wide variation in the development of PTSD among the soldiers.

The vast majority of the soldiers (84%) were resilient, showing no PTSD symptoms at all or recovering quickly from mild symptoms.

The rest of the soldiers showed distinct and unexpected patterns of symptoms. About 4% showed evidence of "new-onset" trajectory, with symptoms starting low and showing a marked increase across the five timepoints. Their symptoms did not appear to follow any specific traumatic event.

Most notably, about 13% of the soldiers in the study actually showed temporary improvement in symptoms during deployment. These soldiers reported significant symptoms of stress prior to leaving for Afghanistan that seemed to ease in the first months of deployment only to increase again upon their return home.

What could account for this unexpected pattern of symptoms?

Compared to the resilient soldiers, the soldiers who developed PTSD were much more likely to have suffered emotional problems and traumatic events prior to deployment. Childhood experiences of violence, especially punishment severe enough to cause bruises, cuts, burns, and broken bones actually predicted the onset of PTSD in these soldiers. Those who showed symptoms of PTSD were more likely to have witnessed family violence, and to have experienced physical attacks, stalking or death threats by a spouse. They were also more likely to have past experiences that they could not, or would not, talk about. And they were less educated than the resilient soldiers....

The findings challenge the notion that exposure to combat and other war atrocities is the main cause of PTSD.

"We were surprised that stressful experiences during childhood seemed to play such a central role in discriminating the resilient versus non-resilient groups," says Berntsen. "These results should make psychologists question prevailing assumptions about PTSD and its development."

http://www.sciencedaily.com/releases/2012/11/121119140625.htm 


Peace and War Trajectories of Posttraumatic Stress Disorder Symptoms Before, During, and After Military Deployment in Afghanistan

Dorthe Berntsen, Kim B. Johannessen, Yvonne D. Thomsen, Mette Bertelsen, Rick H. Hoyle and David C. Rubin

Abstract
In the study reported here, we examined posttraumatic stress disorder (PTSD) symptoms in 746 Danish soldiers measured on five occasions before, during, and after deployment to Afghanistan. Using latent class growth analysis, we identified six trajectories of change in PTSD symptoms. Two resilient trajectories had low levels across all five times, and a new-onset trajectory started low and showed a marked increase of PTSD symptoms. Three temporary-benefit trajectories, not previously described in the literature, showed decreases in PTSD symptoms during (or immediately after) deployment, followed by increases after return from deployment. Predeployment emotional problems and predeployment traumas, especially childhood adversities, were predictors for inclusion in the nonresilient trajectories, whereas deployment-related stress was not.

These findings challenge standard views of PTSD in two ways. First, they show that factors other than immediately preceding stressors are critical for PTSD development, with childhood adversities being central. Second, they demonstrate that the development of PTSD symptoms shows heterogeneity, which indicates the need for multiple measurements to understand PTSD and identify people in need of treatment.

http://pss.sagepub.com/content/early/2012/11/02/0956797612457389

Sunday, May 8, 2011

Childhood Trauma and Risk for Chronic Fatigue Syndrome

Childhood Trauma and Risk for Chronic Fatigue Syndrome: Association With Neuroendocrine Dysfunction - Journal: Arch Gen Psychiatry. 2009;66(1):72-80 Authors: Christine Heim, PhD; Urs M. Nater, PhD; Elizabeth Maloney, MS, DrPH; Roumiana Boneva, MD, PhD; James F. Jones, MD; William C. Reeves, MD, MSc

Context
Childhood trauma appears to be a potent risk factor for chronic fatigue syndrome (CFS). Evidence from developmental neuroscience suggests that early experience programs the development of regulatory systems that are implicated in the pathophysiology of CFS, including the hypothalamic-pituitary-adrenal axis. However, the contribution of childhood trauma to neuroendocrine dysfunction in CFS remains obscure.

Objectives
To replicate findings on the relationship between childhood trauma and risk for CFS and to evaluate the association between childhood trauma and neuroendocrine dysfunction in CFS.
Design, Setting, and Participants
A case-control study of 113 persons with CFS and 124 well control subjects identified from a general population sample of 19 381 adult residents of Georgia....

Results
Individuals with CFS reported significantly higher levels of childhood trauma and psychopathological symptoms than control subjects. Exposure to childhood trauma was associated with a 6-fold increased risk of CFS. Sexual abuse, emotional abuse, and emotional neglect were most effective in discriminating CFS cases from controls. There was a graded relationship between exposure level and CFS risk. The risk of CFS conveyed by childhood trauma further increased with the presence of posttraumatic stress disorder symptoms. Only individuals with CFS and with childhood trauma exposure, but not individuals with CFS without exposure, exhibited decreased salivary cortisol concentrations after awakening compared with control subjects.

Conclusions
Our results confirm childhood trauma as an important risk factor of CFS. In addition, neuroendocrine dysfunction, a hallmark feature of CFS, appears to be associated with childhood trauma. This possibly reflects a biological correlate of vulnerability due to early developmental insults. Our findings are critical to inform pathophysiological research and to devise targets for the prevention of CFS.
http://www.endfatigue.com/health_articles_c/Cfs_fm-child_abuse_can_lead_to_cfs_fibromyalgia.html