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Clinician’s Corner: Revisiting the Topic of Sexual Boundary Violations by ‎Psychotherapists
StressPoints
Date posted: 05/25/2022
Topic: Clinical Issues and Treatment
Drs. Arlene (Lu) Steinberg, Judie Alpert, and I recently co-edited a book entitled Sexual Boundary Violations in Psychotherapy: Facing Transgressions, Indiscretions, and Misconduct (2021). The topic has not received much recent attention in the professional literature, not because it no longer happens, but because it has gone into one of those voids that so often occur with various trauma topics, especially those involving interpersonal violence and aversive sexual misbehavior. We decided to write the book in the context of the numerous disclosures of sexual boundary violations (SBVs) in professional relationships that were brought to public attention due to the #MeToo Movement. Quite a number of these reports involved sexual harassment and other types of transgressions on the part of mental health and other service professionals, and we sought to bring new attention to these issues.
Do disorders comorbid with PTSD differ between servicemen and women?
Date posted: 04/19/2022
Topic: Clinical Issues and Treatment
Psychological comorbidity, or when mental health disorders co-occur, is an important health issue because it is common and may negatively affect quality of life and treatment for individuals with more than one disorder. Approximately 80% of both civilians and active duty military service members with posttraumatic stress disorder have a comorbid disorder. Further understanding which comorbid disorders most commonly present with PTSD—and among whom—is critical for developing treatments that directly address these symptom presentations to improve functioning for those with psychological comorbidity. 
Risk and Resilience: Revictimization among US Military Veterans
Date posted: 04/1/2022
Topic: Clinical Issues and Treatment
Individuals who have experienced abuse in childhood have a heightened risk of being victimized again in adulthood. Revictimization has been associated with negative physical and mental health outcomes. Our study aimed to identify factors related to revictimization over time in a group of US military veteran men and women. Identifying risk and protective factors can aid in prevention and intervention work with veterans.
Clinician’s Corner: Alaska Native Alcohol Misuse: Etiology and Symptoms of Traumas‎
StressPoints
Date posted: 03/31/2022
Topic: Clinical Issues and Treatment
Alaska Native (AN) people experience posttraumatic stress disorder (PTSD), alcohol problems, and alcohol-related health disparities at higher rates than the general population (Bassett et al., 2014; Emerson et al., 2017). These are compounded by historical traumas, contemporary oppressions, marginalization, and racialized traumatic stressors. In fact, AN people have a higher 12-month and lifetime prevalence of PTSD in comparison to all other Unites States (U.S.) ethnoracial groups (Goldstein et al., 2016). It has been posited by both American Indian and AN Elders and thinkers alike that the higher rates of problematic alcohol and drug use among these communities is a symptom and direct result of the cost of oppression and trauma, and quite literally has been referred to as a wounding that is imposed on one’s soul (Duran, 2006). This reflects the continued and intergenerational nature of trauma for AN communities.
Trauma and Diversity: Transgenerational Transmission of Intimate Partner Violence and ‎the Need for More Holistic Treatment Approaches
StressPoints
Date posted: 03/31/2022
Topic: Clinical Issues and Treatment
Trauma can occur in many forms and often has severe negative consequences for those directly and/or indirectly exposed. Treatment of trauma has largely focused on single present-life traumatic events (e.g., Sloan, Marx, Lee, & Resick, 2018), despite research suggesting that exposure to trauma likely provokes cascading and interactive effects across multiple dimensions (e.g., biological, psychological, philosophical), domains (e.g., interpersonal, family), and systems (e.g., individual, family, community, culture; Masten & Cicchetti, 2010). In this way, trauma-focused treatment often fails to address the vast and long-lasting impacts of trauma.
Clinician’s Corner: Cognitive Biases as a Barrier to Accurate Trauma and PTSD Assessment
StressPoints
Date posted: 01/27/2022
Topic: Clinical Issues and Treatment
The cornerstone to any psychological treatment plan is an accurate diagnosis from a comprehensive assessment. However, due to the wide array of psychopathology and overlapping diagnostic criteria within the two predominant psychiatric classification systems, the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) and the International Classification of Diseases (ICD-11; World Health Organization, 2019) conducting an accurate assessment seems more difficult than ever.
Lifelong trauma sequelae: Complex PTSD in a new lifespan model
Date posted: 12/6/2021
Topic: Clinical Issues and Treatment
In addition to the core symptoms of “classic” PTSD, patients with complex PTSD are also affected by specific disturbances in self-organization. A couple of theoretical ideas exist on the development of complex PTSD. However, there are still few empirically tested models. ​The developmental model of this study focuses on specific risk factors that are associated with the full range of symptoms of complex PTSD, such as the type and extent of trauma and maltreatment in childhood, attachment difficulties, and social-interpersonal processes.
Why Me? Why Now? Abstract Thinking Predicts the Development of PTSD Symptoms in Student Paramedics
Date posted: 12/15/2021
Topic: Clinical Issues and Treatment
Imagine that you are a student paramedic. You arrive at the scene of an accident, recognise symptoms that you learnt about recently, but you cannot remember what you need to do next. What might go through your head? You might be thinking: "Why do I always struggle to remember important stuff? Why is this happening to me? What if I never learn this stuff?”
Clinician's Corner: Psychotherapy Interventions for Co-occurring PTSD and Substance Use Disorders
StressPoints
Date posted: 12/2/2021
Topic: Clinical Issues and Treatment
Important advances in the psychosocial treatment of posttraumatic stress disorder (PTSD) and substance use disorders (SUD) have occurred over the past two decades. Whereas before it was believed that trauma work could not be initiated until the patient was abstinent from all alcohol and drug use, ample data now show that trauma-focused treatment need not wait for a person to stop all substance use.
Human Rights and Policy: Narrowing the Treatment Gap for Complex Trauma Populations
StressPoints
Date posted: 11/30/2021
Topic: Clinical Issues and Treatment
In the recently updated International Classification of Diseases 11th Edition (ICD-11), a distinction has been made between posttraumatic stress disorder (PTSD) and its sister disorder, complex-PTSD (Karatzias, et al., 2017; ICD-11, 2021). 
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