Showing posts with label emotional abuse. Show all posts
Showing posts with label emotional abuse. Show all posts

Monday, February 6, 2012

HealthDay: Neurologists Should Screen Patients for Abuse: Experts

People with certain disorders might be more vulnerable to violence, says American Academy of Neurology

By Robert Preidt
Wednesday, January 25, 2012

WEDNESDAY, Jan. 25 (HealthDay News) -- Neurologists should screen their patients for abuse by family members, caregivers or other people, the American Academy of Neurology says in a new position statement.

Problems to look for include elder, sexual, child, financial and emotional abuse; bullying, cyberbullying and violence.

Certain neurologic disorders, such as Parkinson's disease, Alzheimer's disease or stroke, may raise the risk for abuse and neglect, the academy said.

The statement outlines 10 principles for neurologists to use when meeting with patients. These include integrating questions about abuse into a patient's medical history and routinely checking patients for past and ongoing violence.

The academy is also offering free training to members interested in learning how to deal with domestic violence issues in their communities.

"Neurologists see patients with neurologic disorders that may make them more susceptible to abuse or neglect. They also see patients with neurologic issues that may be either directly or indirectly related to mistreatment," statement lead author Dr. Elliott Schulman, of Lankenau Medical Center in Wynnewood, Penn., said in an academy news release.

More than 90 percent of all injuries caused by intimate partner violence occur to the head, face or neck and can result in traumatic brain injury, according to the statement.

It also noted that people with neurologic disorders such as stroke, Alzheimer's disease or Parkinson's disease may be at increased risk for abuse and neglect.

"By routinely asking about violence and abuse, the neurologist increases the opportunity for both identifying ongoing abuse and intervening when appropriate," Schulman said. "In addition to further physical and emotional harm, consequences of not asking about abuse might include failure of treatments and, when children are exposed to abuse, perpetuation of the cycle of abuse from generation to generation."

The statement appears Jan. 25 in the online issue of the journal Neurology.

SOURCE: American Academy of Neurology, news release, Jan. 18, 2012
HealthDay

Thursday, May 26, 2011

Abuse History More Common in Those With Pelvic Pain, CFS, and Fibromyagia

by The Annapolis Chronic Fatigue and Fibromyalgia Research Center. 
Although the research findings are mixed, I have found a history of abuse to be common in my CFS/FMS patients. In one study, exposure to childhood trauma was associated with a 6-fold increased risk of CFS and this was associated with the stress hormone changes seen in CFS (see abstract below). And as many as 70% have suffered physical or emotional abuse-as opposed to 15% of healthy people and 45% of those with other rheumatologic problems.1 In another study, 18-33% of patients with Interstitial Cystitis had a history of sexual abuse.2
 
We have also seen in our practice that the pelvic pain , is sometimes associated with hysterectomy at a young age associated with a history of childhood sexual abuse, with the psyche seemingly trying to create a "clean sweep" of the pelvic area surgically.

Meanwhile, physicians continue this abuse pattern by invalidating and not adequately treating the medical problems that can occur downstream from abuse issues, and treating women with these severe processes like they are crazy. It is like treating people with crushing chest pain and a massive heart attack like they were crazy because hostility and depression are associated with an increased heart attack risk.

Whether or not associated with a history of abuse, or whether or not CFS/FMS are also present, pelvic pain can be a major problem, and deserves to be treated. So whether it is vaginal pain (e.g., vulvodynia) or bladder pain (e.g., interstitial cystitis), here is information on pelvic pain in women that can help ease the pain.

Study Abstract

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
Author Affiliations: Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine (Drs Heim and Nater), and Chronic Viral Diseases Branch, National Center for Zoonotic, Vector-borne, and Enteric Diseases, Centers for Disease Control and Prevention (Drs Nater, Maloney, Boneva, Jones, and Reeves), Atlanta, Georgia

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.

Main Outcome Measures
Self-reported childhood trauma (sexual, physical, and emotional abuse; emotional and physical neglect), psychopathology (depression, anxiety, and posttraumatic stress disorder), and salivary cortisol response to awakening.

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.

References

1Castro I, Barrantes F, Tuna M, Cabrera G, Garcia C, Recinos M, Espinoza LR, Garcia-Kutzbach A. Prevalence of Abuse in Fibromyalgia and Other Rheumatic Disorders at a Specialized Clinic in Rheumatic Diseases in Guatemala City. Clin Rheumatol. 2005 Jun;11(3):140-145.
2J Urol. 2008 Nov; 180(5):2029-33 10.1016/j.juro. 2008.07.053

Ritual Abuse and Torture-based Mind Control: Reducing and Preventing Re-contact with Abusers

End Ritual Abuse  The Website of Ellen P. Lacter, Ph.D.

Cautionary Notes: This is one of the more distressing pages on my website. Survivors in therapy should  read this webpage only after their therapists have first read it and assessed that the survivor would benefit from reading it. If a survivor does not have a therapist, I strongly recommend that she/he obtain a therapist and only read this webpage with the therapist’s approval. Information on this website and webpage should not be construed as a substitute for therapy. Even if a survivor is certain that she or he is no longer in abuser contact, this material may exacerbate trauma-based fear, and should only be read with proper support. It is also important that this piece be read slowly, in small installments, taking time to cognitively and emotionally process the material, and to psychologically rest, even sleep, periodically. Finally, it is important to guard against quickly believing that all of the things discussed on this webpage apply to you.  Each survivor’s experience is unique and ultimately, the truth of one’s life must be discovered from within.

This page represents my current opinions on mind-sets and measures that help survivors of ritual abuse and torture-based mind control to reduce and prevent re-contact with their abusers.

Most definitions of the term “ritual abuse” refer to ceremonial practices that involve physical and sexual abuse of children and adults, and human sacrifice, to appease, win favor with, or empower deities whom the abusers believe demand abuse and sacrifice, such as Satan and other polytheistic gods and goddesses.

Torture-based mind control programming can be defined as systematic torture that blocks the victim’s capacity for conscious processing (through pain, terror, drugs, illusion, sensory deprivation, sensory over-stimulation, oxygen deprivation, cold, heat, spinning, brain stimulation, and often, near-death), and then employs suggestion and/or conditioning to implant thoughts, directives, and perceptions in the unconscious mind, often in newly-formed trauma-induced dissociated identities, that force the victim to do, feel, think, or perceive things for the purposes of the programmer. The objective is for the victim to follow directives with no conscious awareness, including execution of acts in clear violation of the victim’s volition, moral principles, and spiritual convictions.

Torture-based mind control is practiced by individuals and groups who seek to maximally control and exploit others, usually beginning in childhood. Included are practitioners of abusive religious rituals (e.g., Satanism and abusive witchcraft), organized crimes against children (child pornography, prostitution, and trafficking), and groups with political, military, and espionage agendas.

My opinions are based on a synthesis of 17 years of experience in providing psychotherapy to victims and survivors of ritual abuse and mind control and extensive interviews of other survivors, including many survivor-therapists, and my ongoing communication with therapist and clergy colleagues working with survivors.
The two primary forms of re-contact with abusers include reporting back by phone or written correspondence, and physically returning to abusers to be abused again. Perpetrators of ritual abuse and mind control attempt to coerce their victims into submission and service to the abuser group for a lifetime. Abuser methods of exerting long-term contact and control vary in relation to the level of psychological sophistication of the abusers and the size of the abusers’s criminal network.

Some abuser groups rely primarily on threats to force their victims into compliance and to prevent their victims from escaping. For some of these groups, these are empty threats. The groups may be limited to one or two extended families or a relatively small abuser network. They make claims of having more power than they have, and may even claim responsibility for murders that they did not commit, much like political terrorists. Some abuser groups have larger criminal networks and thus, more power to carry out their threats. But, they too reliably overstate their power to maximally terrorize their victims. This is not to dismiss the reality that these abusers commit murder, but it is to say that they lie and exaggerate their power. Clearly, people who systematically abuse others lie to further their own interests. Words are just one more tool of manipulation to control their victims. Everything they say should be questioned and examined for underlying motives and feasibility. This holds particularly true for their claims of having the man power, technological power, and magical/spiritual power to carry out their surveillance and threats.

Many of these abusers also manipulate their victims’ attachment needs, that is, their basic survival needs and needs for security and love, usually beginning in early childhood. They also go to great lengths to try to make their victims believe that the victims are accomplices to the abuse, that they are as evil as their abusers themselves, and that they are unworthy and incapable of belonging anywhere but with the abusers.

Some abuser groups go a step further and manipulate their victims’ psychological capacity to form dissociated self-states in response to extreme pain and terror. I am using the term, “dissociated self-states,” here to refer to states of consciousness with some sense of self that exist out of the conscious awareness of the most-often conscious parts of the psyche, and that typify DSM-IV Dissociative Identity Disorder, and forms of Dissociative Disorder Not Otherwise Specified in which self-states exist internally, affecting the psyche from within, but never assume complete control of executive functions (e.g., purposive action).

These Machiavellian abusers systematically torture their victims for the intended purpose of coercing their victims’ psyches into forming new dissociated self-states that they then work to exploit. They “torture-hypno-condition” these self-states, that is, they use torture, hypnosis, and behavioral conditioning, to try to coerce these dissociated self-states into fulfilling functions that serve the abusers. (I thank Hans Ulrich Gresch, Ph.D., psychologist, mind control survivor, and respected colleague, for the term, “torture-hypno-conditioning,” the most succinct descriptive phrase that I have found that explains what occurs in most torture-based mind control programming; see: http://www.mind-control.psychoprobleme.de/). These abusers “program” some of these dissociated self-states to take on “reporter” and “re-contact” functions, that is, to report to the abusers on a regular basis from a distance, and to return to the abusers as directed.

In many cases, even though the survivor is working hard to break free of her or his abusers, these programmed self-states continue to report to, and return to, the abusers, often out of the conscious awareness of the most-often conscious parts of the psyche. Ongoing access allows the abusers to retaliate against their victims for attempting to break free and to escalate their abuse and programming in efforts to increase their control of their victims.

The purpose of this article is to help survivors, therapists, clergy, and other support people, to understand the tactics, briefly outlined above, used by ritually abusive and mind control abusers to attempt to trap their victims into life-long submission, and to use this knowledge to help survivors to overcome these abuser tactics of control, to break free of their abusers more easily and more quickly, and to prevent re-contact. ..... (cont.)

 Please visit The Website of Ellen P. Lacter, Ph.D. for complete article

Sunday, July 18, 2010

Impact of Exposure to Domestic VIolence on Children and young people

Stephanie Holt; Helen Buckley; Sadhbh Whelan;
Children's Research Centre, University of Dublin, Trinity College, Dublin, Ireland.
OBJECTIVE: This article reviews the literature concerning the impact of exposure to domestic violence on the health and developmental well-being of children and young people. Impact is explored across four separate yet inter-related domains (domestic violence exposure and child abuse; impact on parental capacity; impact on child and adolescent development; and exposure to additional adversities), with potential outcomes and key messages concerning best practice responses to children's needs highlighted. 
METHOD: A comprehensive search of identified databases was conducted within an 11-year framework (1995-2006). This yielded a vast literature which was selectively organized and analyzed according to the four domains identified above. 
RESULTS: This review finds that children and adolescents living with domestic violence are at increased risk of experiencing emotional, physical and sexual abuse, of developing emotional and behavioral problems and of increased exposure to the presence of other adversities in their lives. It also highlights a range of protective factors that can mitigate against this impact, in particular a strong relationship with and attachment to a caring adult, usually the mother. 
CONCLUSION: Children and young people may be significantly affected by living with domestic violence, and impact can endure even after measures have been taken to secure their safety. It also concludes that there is rarely a direct causal pathway leading to a particular outcome and that children are active in constructing their own social world. Implications for interventions suggest that timely, appropriate and individually tailored responses need to build on the resilient blocks in the child's life. PRACTICE 
IMPLICATIONS: This study illustrate the links between exposure to domestic violence, various forms of child abuse and other related adversities, concluding that such exposure may have a differential yet potentially deleterious impact for children and young people. From a resilient perspective this review also highlights range of protective factors that influence the extent of the impact of exposure and the subsequent outcomes for the child. This review advocates for a holistic and child-centered approach to service delivery, derived from an informed assessment, designed to capture a picture of the individual child's experience, and responsive to their individual needs.
PMID: 18752848 [PubMed - as supplied by publisher]