Advances in Continuous Traumatic Stress Theory: Traumatogenic Dynamics and Consequences of Intergroup Conflict: The Palestinian Adolescents Case — Oak Academic Publishing
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Advances in Continuous Traumatic Stress Theory: Traumatogenic Dynamics and Consequences of Intergroup Conflict: The Palestinian Adolescents Case
Center for Cumulative Trauma Studies, Stone Mountain, USA
,
Georgia State University, Atlanta, USA
,
University of Massachusetts, Amherst, USA
,
Arab and Middle East Resource Center, Dearborn, USA
,
ACCESS Community Health and Research Center, Dearborn, USA
,
Emory University, Atlanta, USA
1 Center for Cumulative Trauma Studies, Stone Mountain, USA
2 Georgia State University, Atlanta, USA
3 University of Massachusetts, Amherst, USA
4 Arab and Middle East Resource Center, Dearborn, USA
5 ACCESS Community Health and Research Center, Dearborn, USA
The goal of this paper is to advance the theory of chronic and traumatic stressors that have been identified as type III traumas in the trauma developmentally-based framework (DBTF) and use it to investigate the mental and physical health effects of such traumas on impacted individuals and groups. Participants were 438 Palestinian adolescents from the West Bank who had been exposed to a number of types of trauma including chronic intergroup violence. The age of participants in the sample ranged from 12 to 19 with a mean of 15.66 and SD of 1.43. The sample included 54.6% males, 52.3% resided in cities, 44.4% resided in villages, while 3.2% resided in refugee camps. The study utilized a measure for cumulative traumas that is based on the DBTF and measures of post-traumatic stress disorder (PTSD), cumulative trauma re lated disorders (CTD), depression, anxiety, collective annihilation anxiety (AA), identity salience, and fear of death. The results of partial correlation and path analyses indicated that continuous traumatic stress was a significant predictor of mental health. The analyses also indicated that poverty predicted identity salience and AA that mediated their negative effects on physical and mental health of Palestinian adoles cents. The relevance of these results to peace, social and clinical psychology was discussed.
KeywordsDBTF Trauma FrameworkType III traumaStress GenerationStress ProliferationCollective Annihilation Anxiety
Al-Krenawi, A., Graham, J., & Kanat-Maymon, Y. (2009). Analysis of trauma exposure, symptomatology and functioning in Jewish Israeli and Palestinian adolescents. British Journal of Psychiatry, 195, 427-432. doi:10.1192/bjp.bp.108.050393
Arbuckle, J. L. (2006). Amos 7.0 User’s Guide. Chicago: SPSS.
Berg, A. O., Melle, I., Rossberg, J., Romm, K., Larsson, S., Lagerberg, T. V., Andreassen, O., & Hauff, E. (2011). Perceived discrimination is associated with severity of positive and depression/anxiety symptoms in immigrants with psychosis: A cross-sectional study. BMC Psychiatry, 11, 77. doi:10.1186/1471-244X-11-77
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M. (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. The Behavior Therapist, 13, 187-188.
Bowlby, J. (1988). A secure base: Parent child attachment and healthy human development. New Work: Basic Books.
Brody, G., Chen, Y., Kogan, S., Murry, V., Logan, P., & Luo, Z. (2008). Linking perceived discrimination to longitudinal changes in African American mothers’ parenting practices. Journal of Marriage and Family, 70, 319-331. doi:10.1111/j.1741-3737.2008.00484.x
Burke, B. L., Martens, A., & Faucher, E. H. (2010). Two decades of terror management theory: A meta-analysis of mortality salience research. Personality & Social Psychology Review, 14, 55-195. doi:10.1177/1088868309352321
Canetti, D., Galea, S., Hall, B. J., Johnson, R. J., Palmieri, P. A., & Hobfoll, S. E. (2010). Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians. Psychiatry, 73, 219-232. doi:10.1521/psyc.2010.73.3.219
Carmel, S., & Mutran, E. (1997). Wishes regarding the use of life sustaining treatments among elderly persons in Israel: An explanatory model. Social Science and Medicine, 45, 1715-1727. doi:10.1016/S0277-9536(97)00104-4
Cassidy, J., & Shaver, P. (1999). Handbook of attachment: Theory, research, and clinical applications. New York: Guilford Press.
Cassiman, S. A. (2005). Toward more inclusive poverty knowledge: Traumatological contributions to the poverty discourse. The Social Policy Journal and Cutting Edge of Social Policy Research, 4, 93-106. doi:10.1300/J185v04n03_06
Cohen, S., Janicki-Deverts, D., Doyle, W. J., Miller, G. E., Frank, E., Rabin, B. S., & Turner, R. B. (2012). Chronic stress, glucocorticoid receptor resistance, inflammation, and disease risk. Proceedings of the National Academy of Sciences, 109, 5995-5999. doi:10.1073/pnas.1118355109
Courtois, C. A., Ford, J. D., Herman, J. L., & van der Kolk, B. A. (2009). Treating complex traumatic stress disorders: An evidence-based guide. New York: Guilford Press.
Courtois, C. A., & Ford, J. D. (2013). Treatment of complex trauma: A sequenced, relationship-based approach. New York: Guilford Press.
DeLongis, A., Folkman, S., & Lazarus, R. S. (1988). The impact of daily stress on health and mood: Psychological and social resources as mediators. Journal of Personality and Social Psychology, 54, 486-495. doi:10.1037/0022-3514.54.3.486
Dickstein, B. D., Schorr, Y., Stein, N., Krantz, L. H., Solomon, Z., & Litz, B. T. (2012). Coping and mental health outcomes among Israelis living with the chronic threat of terrorism. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 392-399. doi:10.1037/a0024927
Dimitry, L. (2012). A systematic review on the mental health of children and adolescents in areas of armed conflict in the Middle East. Child: Care, Health and Development, 38, 153-161. doi:10.1111/j.1365-2214.2011.01246.x
DuBois, D. L., Burk-Braxton, C., Swenson, L. P., Tevendale, H. D., & Hardesty, J. L. (2002). Race and gender influences on adjustment in early adolescence: Investigation of an integrative model. Child Development, 73, 1573-1592. doi:10.1111/1467-8624.00491
Erceg-Hurn, D., & Mirosevich, V. (2008). Modern robust statistical methods: An easy way to maximize the accuracy and power of your research. American Psychologist, 63, 591-601. doi:10.1037/0003-066X.63.7.591
Erikson, E. H. (1968). Identity, youth and crisis. New York: Norton.
Everly, G. E., & Lating, J. M. (2002). A clinical guide to the treatment of the human stress response (2nd ed.). New York: Kluwer Academic/Plenum Publishers.
Figley, C. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. Philadelphia, PA: Brunner/Mazel.
Flores, E., Tschann, J. M., Dimas, J. M., Pasch, L. A., & de Groat, C. L. (2010). Perceived racial/ethnic discrimination, posttraumatic stress symptoms, and health risk behaviors among Mexican American adolescents. Journal of Counseling Psychology, 57, 264-273. doi:10.1037/a0020026
Ford, J. D. (1999). Disorders of extreme stress following war-zone military trauma: Associated features of posttraumatic stress disorder or comorbid but distinct syndromes? Journal of Consulting and Clinical Psychology, 67, 3-12. doi:10.1037/0022-006X.67.1.3
Freyd, J. J. (1996). Betrayal trauma: The logic of forgetting childhood abuse. Cambridge, MA: Harvard University Press.
Freyd, J. J., DePrince, A. P., & Gleaves, D. (2007). The State of Betrayal trauma theory: Reply to mcnally—Conceptual issues and future directions. Memory, 15, 295-311. doi:10.1080/09658210701256514
Fuller-Rowell, T. E., Evans, G. W., & Ong, A. D. (2012). Poverty and health: The mediating role of perceived discrimination. Psychological Science, 23, 734-739. doi:10.1177/0956797612439720
Galtung, J. (1969). Violence, peace, and peace research. Journal of Peace Research, 6, 167-191. doi:10.1177/002234336900600301
Gee, G., & Walsemann, K. (2009). Does health predict the reporting of racial discrimination or do reports of discrimination predict health? Findings from the national longitudinal study of youth. Social Science & Medicine, 68, 1676-1684. doi:10.1016/j.socscimed.2009.02.002
Gee, G., Spencer, M., Chen, J., & Takeuchi, D. T. (2007). A nationwide study of discrimination and chronic health conditions among Asian Americans. American Journal of Public Health, 97, 1275-1282. doi:10.2105/AJPH.2006.091827
Gelkopf, M., Solomon, Z., Berger, R., & Bleich, A. (2008). The mental health impact of terrorism in Israel: A repeat cross-sectional study of Arabs and Jews. Acta Psychiatr Scand, 117, 369-380. doi:10.1111/j.1600-0447.2008.01164.x
Gilbert, S. (1989). L’Individuation psychique et collective. Paris: Aubier.
Gilman, S. E., Cochran, S. D., Mays, V. M., Hughes, M., Ostrow, D., & Kessler, R. C. (2001). Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey. American Journal of Public Health, 91, 933-939. doi:10.2105/AJPH.91.6.933
Green, B. L. (1995). Defining trauma: Terminology and generic stressors dimensions. Journal of Applied Social Psychology, 20, 1632-1642. doi:10.1111/j.1559-1816.1990.tb01498.x
Greene, M. L., Way, N., & Pahl, K. (2006). Trajectories of perceived adult and peer discrimination among Black, Latino, and Asian American adolescents: Patterns and psychological correlates. Developmental Psychology, 42, 218-238. doi:10.1037/0012-1649.42.2.218
Hammen, C. (2006). Stress generation in depression: Reflections on origins, research, and future directions. Journal of Clinical Psychology, 62, 1065-1082. doi:10.1002/jclp.20293
Helms, J., Nicolas, G., & Green, C. (2012). Racism and ethno-violence as trauma: Enhancing professional and research training. Traumatology, 18, 65-74. doi:10.1177/1534765610396728
Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377-391. doi:10.1002/jts.2490050305
Hobfoll, S. E., Canetti-Nisim, D., & Johnson, R. J. (2006). Exposure to terrorism, stress-related mental health symptoms, and defensive coping among Jews and Arabs in Israel. Journal of Consulting and Clinical Psychology, 74, 207-218. doi:10.1037/0022-006X.74.2.207
Hobfoll, S. E., Palmieri, P. A., Johnson, R. J., Canetti-Nisim, D., Hall, B. J., & Galea, S. (2009). Trajectories of resilience, resistance, and distress during ongoing terrorism: The case of Jews and Arabs in Israel. Journal of Consulting and Clinical Psychology, 77, 138-148. doi:10.1037/a0014360
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional versus new alternatives. Structural Equation Modeling, 6, 1-55. doi:10.1080/10705519909540118
Hurvich, M. (2003). The places of annihilation anxieties in psychoanalytic theory. Journal of the American Psychoanalytic Association, 51, 579-616. doi:10.1177/00030651030510020801
Kelman, H. C. (2001). The role of national identity in conflict resolution: Experiences from Israeli-Palestinian problem-solving workshops. In R. D. Ashmore, L. Jussim, & D. Wilder (Eds.), Social identity, intergroup conflict, and conflict reduction. Oxford and New York: Oxford University Press.
Kira, I. (2001). Taxonomy of trauma and trauma assessment. Traumatology, 2, 1-14.
Kira, I. (2002). Suicide terror and collective trauma: A collective terror management paradigm. Chicago, IL: American Psychological Association Annual Convention.
Kira, I. (2004). Secondary trauma in treating refugee survivors of torture and their families. Torture, 14, 38-44.
Kira, I. (2006). Collective identity terror in the Israeli-Palestinian conflict and potential solutions. In J. Kuriansky (Ed.), Terror in the holy land, inside the anguish of Israeli-Palestinian conflict (pp. 125-130). New York: Praeger.
Kira, I. (2010). Etiology and treatments of post-cumulative traumatic stress disorders in different cultures. Traumatology: An International Journal, 16, 128-141. doi:10.1177/1534765610365914
Kira, I., Clifford, D., Wiencek, P., & Al-Haidar, A. (2001). Iraqi refugees in Southeast Michigan: First report. Dearborn: ACCESS community Health and Research.
Kira, I., Clifford, D., & Al-haider (2003). Assessing and treating cumulative trauma disorders (CTD) in Iraqi refugees. Toronto: American Psychological Association Annual Convention.
Kira, I., Templin, T., Lewandowski, L., Clifford, D. Wiencek, E., Hammad, A., Al-Haidar, A., & Mohanesh, J. (2006). The effects of torture: Two community studies. Peace and Conflict: Journal of Peace Psychology, 12, 205-228. doi:10.1207/s15327949pac1203_1
Kira, I., Lewandowsk, L., Templin, T., Ramaswamy, V., Ozkan, B., & Mohanesh, J. (2008a). Measuring cumulative trauma dose, types and profiles using a development-based taxonomy of trauma. Traumatology, 14, 62-87. doi:10.1177/1534765608319324
Kira, I., Lewandowski, L., Templin, T., Ramaswamy, V., Chiodo, L., Ozkan, B., & Mohanesh, J. (2008b). Measuring Cumulative Trauma dose, types and profiles using a development-based taxonomy of traumas: The long version. Boston, MA: American Psychological Association 116th Annual Convention.
Kira, I., Lewandowsi, L., Templin, T., Ramaswamy, V., Ozkan, B., Mohanesh, J. (2010a). The effects of perceived discrimination and backlash on Iraqi refugees’ physical and mental health. Journal of Muslim Mental Health, 5, 59-81. doi:10.1080/15564901003622110
Kira, I., Smith, I., Lewandowski, L., & Templin, T. (2010b). The effects of perceived gender discrimination on refugee torture survivors: A cross-cultural Traumatology Perspective. Journal of the American Psychiatric Nurses Association, 16, 299-306. doi:10.1177/1078390310384401
Kira, I., Templin, T., Lewandowski, L., Ramaswamy, V., Bulent, O., Abu-Mediane, S., Mohanesh, J., & Alamia, H. (2011a). Cumulative Tertiary appraisal of traumatic events across cultures: Two studies. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 16, 43-66. doi:10.1080/15325024.2010.519288
Kira, I., Alawneh, A. N., Aboumediane, S., Mohanesh, J., Ozkan, B., & Alamia, H. (2011b). Identity salience and its dynamics in Palestinians adolescents. Psychology, 2, 781-791. doi:10.4236/psych.2011.28120
Kira, I., Templin, T., Lewandowski, L., Ramaswamy, V., Bulent, O., Mohanesh, J., & Abdulkhaleq, H. (2012a). Collective and personal annihilation anxiety: Measuring annihilation anxiety AA. Psychology, 3, 90-99. doi:10.4236/psych.2012.31015
Kira, I., Templin, T., Lewandowski, L., Ashby, J. S., Oladele, A., & Odenat, L. (2012b). Cumulative trauma disorder scale: Two studies. Psychology, 3. doi:10.4236/psych.2012.39099
Kira, I., Lewandowski, L., Somers, C., Yoon, J., & Chiodo, L. (2012c). PTSD, Trauma types, cumulative trauma, and IQ: The Case of African American and Iraqi refugee adolescents. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 128-139. doi:10.1037/a0022121
Kira, I., Ashby, J., Lewandowski, L., Smith, I., & Odenat, L. (2012d). Gender inequality and its effects in females torture survivors. Psychology, 3, 352-363. doi:10.4236/psych.2012.34050
Kira, I., Fawzi, M., & Fawzi, M. (2012e). The dynamics of Cumulative Trauma and Trauma types in adults’ patients with psychiatric disorders: Two cross-cultural studies. Traumatology.
Kira, I., Abou-Mediene, S., Ashby, J., Odenat, L., Mohanesh, J. & Alamia, H. (2013). The dynamics of post-traumatic growth across different trauma types in a Palestinian sample. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 18, 120-139. doi:10.1080/15325024.2012.679129
Kline, R. B. (2005). Principles and Practice of Structural Equation Modeling (2nd ed.). New York: The Guilford Press.
Liu, R. T. (2013). Stress generation: Future directions and clinical implications. Clinical Psychology Review.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the depression anxiety and stress scales (DASS) with the beck depression and anxiety inventories. Behavior Research and Therapy, 33, 335-342. doi:10.1016/0005-7967(94)00075-U
Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York: Springer.
Lazarus, R. S. (2000). Toward better research on stress and coping. American Psychologist, 55, 665-673. doi:10.1037/0003-066X.55.6.665
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Madianos, M. G., Sarhan, A. L., Koukia, E. (2011). Posttraumatic stress disorders comorbid with major depression in West Bank, Palestine: A general population cross-sectorial study. The European Journal of Psychiatry, 25, 19-31. doi:10.4321/S0213-61632011000100003
McEwen, B. S. (2000). The neurobiology of stress: From serendipity to clinical relevance. Brain Research, 886, 172-189. doi:10.1016/S0006-8993(00)02950-4
McNair, R. (2002). Perpetration-induced traumatic stress: The psychological consequences of killing. Westport, CT: Praeger.
Nuttman-Shwartz, O., & Dekel, R. (2009). Ways of coping and sense of belonging to the college in the face of a persistent security threat. Journal of Traumatic Stress, 22, 667-670.
Palmieri, P., Weathers, F., Difede, J., & King, D. (2007). Confirmatory factor analysis of the PTSD Checklist and the Clinician-Administered PTSD Scale in disaster workers exposed to the World Trade Center Ground Zero. Journal of Abnormal Psychology, 116, 329-341. doi:10.1037/0021-843X.116.2.329
Pascoe, E. A., & Richman, S. L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531-554. doi:10.1037/a0016059
Pearlin, L. I., Aneshensel, C. S., & Leblanc, A. J. (1997). The forms and mechanisms of stress proliferation: The case of AIDS caregivers. Journal of Health and Social Behavior, 38, 223-236. doi:10.2307/2955368
Peretz, T., Baider, L., Ever-Hadani, P., & De-Nour, A. (1994). Psychological distress in female cancer patients with Holocaust experience. General Hospital Psychiatry, 16, 413-418. doi:10.1016/0163-8343(94)90117-1
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. doi:10.1177/014662167700100306
Rothschild, B. (2000). The body remembers: The psychophysiology of trauma and trauma treatment. New York: W. W. Norton & Company.
Seeman, T. E., McEwen, B. S., Rowe, J. W., & Singer, B. H. (2001). Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging. PNAS: Proceedings of the National Academy of Sciences of the United States of America, 98, 4770-4775. doi:10.1073/pnas.081072698
Selye, H. (1956). The stress of life. New York: McGraw-Hill.
Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. Journal of the American Medical Association, 301, 2252-2259. doi:10.1001/jama.2009.754
Solomon, S., Greenberg, J., & Pyszczynski, T. (1991). A terror management theory of social behavior: The psychological functions of esteem and cultural worldviews. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 93-159). San Diego, CA: Academic Press.
Sterling, P., & Eyer, J. (1988). Allostasis: A new paradigm to explain arousal pathology. In S. Fisher, & J. Reason (Eds.), Handbook of life stress, cognition, and health (pp. 629-649). Oxford, England: Wiley.
Straker, G., & The Sanctuaries Counseling Team (1987). The continuous traumatic stress syndrome: The single therapeutic interview. Psychology in Society, 8, 46-79.
Sue, D. (2010). Microaggressions in everyday life: Race, gender, and sexual orientation. Hoboken, NJ: Wiley.
Terr, L. C. (1991). Childhood traumas: An outline and overview. American Journal of Psychiatry, 148, 10-20.
Turner, R. J., Blair, W., & Donald, L. (1995). The epidemiology of social stress. American Sociological Review, 60, 104-124. doi:10.2307/2096348
Uliaszek, A. A., Zinbarg, R. E., Mineka, S., Craske, M. G., Griffith, J. W., Sutton, J. M., Epstein, A., et al. (2012). A longitudinal examination of stress generation in depressive and anxiety disorders. Journal of Abnormal Psychology, 121, 4-15. doi:10.1037/a0025835
van der Kolk, B. A., Weisaeth, L., & van der Hart, O. (1996). History of trauma in psychiatry. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress. The effects of overwhelming experience on mind, body, and society. New York: Guilford Press.
Werner, P., & Carmel, S. (2001). Life-sustaining treatment decisions: Health care social workers’ attitudes and their correlates. Journal of Gerontological Social Work, 34, 83-97. doi:10.1300/J083v34n04_07
Williams, D., & Mohammed, S. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32, 20-47. doi:10.1007/s10865-008-9185-0
Winter, D. D., & Leighton, D. C. (2001). Structural violence. In D. J. Christie, R. V. Wagner, & D. D. Winter (Eds.), Peace, conflict, and violence: Peace psychology in the 21st century (pp. 99-101). New York: Prentice-Hall.