Childhood Trauma and the Impact of Adulthood

Terr, L. C. (1991). Childhood traumas: an outline and overview. Am J Psychiatry, 1, 48.

Victims of sexual assault suffer from a wide variety of mental and emotional issues throughout their lives as a result of the experience. Results can range from depression, anger, feelings of loneliness, and difficulty when trying to formulate relationships of trust (Hyde 45). Victims experience a wide variety of psychological issues as a result of sexual crimes, which they will have to carry with them throughout their entire lives. Also, “Psychological problems can start later in life with changes in behavior- vague fears, feeling unprotected and helpless, nightmares, bedwetting, sleeping problems, fear to loss parents approval/love, need to please others, poor self esteem, anger, depression, withdrawal from activities, daydreaming, difficulty concentrating, behavior problems” (Hyde 47).

Childhood and adolescence is a crucial time for humans- a time full of physical, emotional, and cognitive development. Upon observing the significant impact that trauma induced stress can have on adults following time in combat or an injury, when adults have fully matured in all areas, it raises the question of what influence post-traumatic stressors can have on development in children. This issue was so significant that in the DSM-5, the psychologists introduced a new, and separate, section of criteria for PTSD that specifically relates to the preschool subtype, or those individuals six years and younger. The first age specific sub-type for this disorder is important due to the rising number of studies and cases of PTSD in children.

The exposure of children to potentially traumatic events (PTEs) and other forms of maltreatment is

Trauma is perceived as a physical or psychological threat or assault to a person’s physical integrity, sense of self, safety and/or survival or to the physical safety of a significant other; family member, friend, partner. (Kilpatrick, Saunders, and Smith, 2003). An adolescent may experience trauma from a variety of experiences, including but not limited to: abuse (sexual, physical, and/or emotional); neglect; abandonment; bullying; exposure to domestic violence and/ or community violence; natural disasters; medical procedures; loss/grief due to a death of a family member(s); surgery; accidents or serious illness; and war (Kilpatrick, Saunders, and Smith, 2003).

Early childhood trauma generally addresses the distressing experiences that happen to the zero to six-age population. These traumatic events can be the same as those of adult individuals, such as the ones mentioned above (nctsn.org). (Stiles &

Sixty percent of adults report experiencing abuse or other difficult family circumstances during childhood. (Mental Health Connection, N.D.). This shocking statistic exemplifies the high prevalence of childhood trauma. Furthermore, twenty-six percent of children in the United States will witness or experience a traumatic event before the age of four. (Mental Health Connection, N.D.) Trauma is an extremely common and complex phenomenon. But what is trauma? According to Merriam Webster, trauma is defined as, “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury.” (Merriam Webster, 2017). Dr. Lenore C. Terr from the Child and Adolescent Psychiatric Clinics of America further describes trauma as unique to each individual. It can be caused by a series of events or one severe incident. Unfortunately, childhood trauma is usually experienced repeatedly. For example, many children endure sexual abuse, bullying, and severe family problems over and over again. Children may experience a variety of traumas that have lasting consequences on their mental health. Those who experience childhood trauma are more likely to develop psychological disorders. This occurs because their brains lack neuroplasticity, which inhibits their ability to adapt to various stressful circumstances.

An article written about the effects of sexual abuse in accordance with male victims, claims: “[t]hree perspectives of early family relationships and attachment theory, developmental psychopathology, and trauma theory provide a conceptual understanding as to why some victims are vulnerable to the effects of sexual abuse while others appear resilient to it.” Although the study's main objective is to understand the developmental effects of male CSA survivors, it also notes that the majority of the data collected about the psychological well being of the sample is also representative of female CSA survivors. In a similar study on the repercussions of sexual abuse in male victims, Scott Eastman depicts a table simply explaining the process of coping, or the problems tied to CSA. Much like a story line, there is a beginning a middle and an end after the initial incident, but not all survivors reach the stages of completion and often times face difficulties coping. In the middle stage of the process, is distraction, obsessive review. These are symptoms tied to PTSD, defined as a disorder which a traumatic event causes flashbacks, nightmares, and uncontrollable thoughts about the event. It may reasonably be concluded that the obsessive thoughts are tied to PTSD because reviewing the traumatic experience may give the illusion of understanding to the survivor. In the final Stage of the process, following acceptance, is

In the immediate, as well as long-term aftermath of exposure to trauma, children are at risk of developing significant emotional and behavior difficulties (CWIG, 2012). The most damaging types of trauma include early physical and sexual abuse, neglect, emotional/psychological abuse, exposure to domestic violence and other forms of child maltreatment (Hoch, 2009). Research has shown that children that are exposed to these types of trauma will experience developmental delays including language and verbal processing. Also, they will have risk of poor physiological and psychosocial functioning, and will be vulnerable to emotional and behavioral dysregulation disorders, thus, leading to an increase risk of poor outcomes including substance abuse, suicidality, teen pregnancy and paternity, criminal activity, and revictimization (Hoch, 2009).

Childhood trauma contributes to the development of disorders later in life. Several psychological disorders may be caused by childhood trauma. These disorders may include: post-traumatic stress disorder (PTSD), depression, addiction, borderline personality disorder, and dissociative identity disorder.

Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.

To obtain the measures of the study Hukkelberg used different trauma detections. One of the measures Hukkelberg used was” The Traumatic Events Screening Inventory for Children” (as cited in Ford et al., 2000). “The Traumatic Events Screening Inventory for Children was used to assess trauma experiences” (as cited in Ford et al., 2000). “The Traumatic Events Screening Inventory” (as cited in Ford et al.,2000) assed how serious the trauma experiences were that the child went through. The screening was a checklist that included these experiences “severe accident, natural disaster, sudden death or severe illness of a close person, extremely painful medical procedures, violence outside the family context, witnessing violence within the family physical abuse within the family, sexual abuse inside and outside the family, and other overwhelming experiences” (as cited in Ford et al., 2000). The study had the children rate how many times they were involved in from 0 to 3 (p. 263). “The 0= Not at all, 1 Once a week or less/once in a while, 2= 2 to 4 times a week/ half of the time, and 3= 5 or more times a week/ almost always” (Hukkelberg, 2013). If a child circled a three to all or almost all of the experiences they were involved in they were assessed for posttraumatic stress disorder systems (p. 263).

Childhood trauma is one of the most heartbreaking situations to ever fathom happening. Childhood trauma includes neglect, maltreatment, physical and emotional abuse, and many other forms of mistreatment amongst children. Childhood trauma occurs between the ages of 0 and 6 years of age. When referencing to childhood trauma, one must take thought into who commits the abuse, who is affected by the abuse, and what long term effects can the abuse have on the victims. One must also take into consideration the sex differences when referring to childhood trauma. Numerous of studies have been conducted and many findings have been made. Prior to conducting this research paper, I only considered childhood trauma to be what it was and never considered the long term effects. Because of my assumption, I never even considered the other categories of the trauma.

There are many types of trauma that can effect an adolescent and without the proper treatment of the traumatic event the adolescent can have difficulty adapting and developing into adulthood. Kathleen J. Moroz, of the Vermont Agency of Human Services, defines trauma as a physical or psychological threat or assault to a child’s physical integrity, sense of self, safety of survival or to the physical safety of another person significant to the child. She goes on to list the types of trauma a child may be exposed to. Abuse of every kind, domestic violence, natural disasters, abandonment, serious illness or an accident are just a few traumatic events that can effect the development of a child. (2) When these events occur as an acute event

Loss of speech, sleeplessness, self-harms, nightmares, having suicidal thoughts or actions are some signs that indicate a child that has experienced a traumatic event. Trauma is a reflective emotion, triggered by how an individual /child may react to a frightening or shocking situation. It is defined by the reaction of the child to a specific event. However, trauma to one child may not be trauma to another. But the child that experiences this can be scared for a lifetime. This strain can begin as soon as birth is given to a child, throughout his /her eighteen (18) years of childhood. Nevertheless that child can have flashback of the event straight over into their adulthood depending on how they cope with the situation.