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Monitor on Psychology - Volume 38, No. 3 March 2007 - A new diagnosis for childhood trauma? Some push for a new DSM category for children who undergo multiple, complex traumas. By Tori DeAngelis Print version: page 32 No one knows how many children are affected, but one gauge is the number of children reported annually to child protection services for abuse and neglect—3 million. About 1 million of those cases are substantiated, according to a 2003 report by the Administration on Children, Youth and Families. Yet no one diagnosis adequately captures the plight of these youngsters, and that’s why a new diagnosis is needed for them, asserts a working group of child psychiatrists and psychologists developing such a diagnosis for possible inclusion in the 2011 iteration of the Diagnostic and Statistical Manual of Mental Disorders, the DSM-5, published by the American Psychiatric Association. As it stands now, these children are often misdiagnosed and incorrectly treated, working group members argue. The team is an interest group of the National Child Traumatic Stress Network, a consortium of 70 child mental health centers founded and funded by the Substance Abuse and Mental Health Services Administration that brings together clinicians who work with children who have complex trauma histories. To fill the gap, the group is proposing a diagnosis called “developmental trauma disorder” or DTD, to capture what members see as central realities of life for these children: exposure to multiple, chronic traumas, usually of an interpersonal nature; a unique set of symptoms that differs from those of post-traumatic stress disorder (PTSD) and a variety of other labels often applied to such children.... _http://www.apa.org/monitor/mar07/diagnosis.html_ (http://www.apa.org/monitor/mar07/diagnosis.html) The Trauma Center is a program of Justice Resource Institute (JR1), a large nonprofit organization dedicated to social justice by offering hope and promise of fulfillment to children, adults, and families who are at risk of not receiving effective services essential to their safety, progress, and/or survival. The Executive Director of the Trauma Center is Joseph Spinazzola, Ph.D., and the Medical Director and Founder of the Trauma Center is Bessel van der Kolk, MD, who is an internationally recognized leader in the field of psychological trauma. _http://www.traumacenter.org/_ (http://www.traumacenter.org/) Robert F.Anda - Vincent J. Felitti - J. Douglas Bremner - John D.Walker - Charles Whitfield - Bruce D. Perry - Shanta R.Dube - Wayne H. Giles - The enduring effects of abuse and related adverse experiences in childhood - A convergence of evidence from neurobiology and epidemiology.... - Published online: 29 November 2005 Abstract - Background Childhood maltreatment has been linked to a variety of changes in brain structure and function and stress-responsive neurobiological systems. Epidemiological studies have documented the impact of childhood maltreatment on health and emotional well-being. Methods - After a brief review of the neurobiology of childhood trauma, we use the Adverse Childhood Experiences (ACE) Study as an epidemiological case example of the convergence between epidemiologic and neurobiological evidence of the effects of childhood trauma. The ACE Study included 17,337 adult HMO members and assessed 8 adverse childhood experiences (ACEs) including abuse,witnessing domestic violence, and serious household dysfunction....Results Based upon logistic regression analysis, the risk of every outcome in the affective, somatic, substance abuse,memory,sexual,and aggressionrelated domains increased in a graded fashion as the ACE score increased (P<0.001). The mean number of comorbid outcomes tripled across the range of the ACE score. Conclusions - The graded relationship of the ACE score to 18 different outcomes in multiple domains theoretically parallels the cumulative exposure of the developing brain to the stress response with resulting impairment in multiple brain structures and functions. _http://userwww.service.emory.edu/~jdbremn/papers/anda_abuse.pdf_ (http://userwww.service.emory.edu/~jdbremn/papers/anda_abuse.pdf) ************************************** See what's new at http://www.aol.com www.ctrl.org DECLARATION & DISCLAIMER ========== CTRL is a discussion & informational exchange list. Proselytizing propagandic screeds are unwelcomed. Substance—not soap-boxing—please! These are sordid matters and 'conspiracy theory'—with its many half-truths, mis- directions and outright frauds—is used politically by different groups with major and minor effects spread throughout the spectrum of time and thought. 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