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> There's been an attempt to redefine "trauma" broadly. Technically trauma is acute stress. That is, a great deal of stress delivered all at one time. There's b

> There's been an attempt to redefine "trauma" broadly. Technically trauma is acute stress. That is, a great deal of stress delivered all at one time. There's been an attempt to redefine it to include chronic stress. That is, generally living under stressful conditions. > Do you have any references for trauma being tide to short acute stress? Looking at Wikipedia does not include acute stress and even talks about the difference between short trauma and long term trauma. Also I definitely recall that even when I was young (>30 years ago) we would talk about e.g. the trauma of child abuse or sexual abuse, which is often not acute.

ants_everywhere 1y ago
Acute in the sense that it's delivered all at once, not that its effects are short-lived. For example, the DSM defines PTSD, which is post-traumatic stess disorder. I.e. a trauma occurred (acute stess) and the lingering disorder is a stess disorder rather than a trauma disorder. You might colloquially say you have been living with the trauma of PTSD, but that doesn't make sense; you're really living with the stress of PTSD after having experienced the initial trauma. They don't use the words "acute" or "chronic", that was my attempt to explain it to a lay audience. The first paragraph of Wikipedia describes it as "caused by severe distressing events, such as bodily injury, sexual violence, or other threats to the life of the subject or their loved ones." The DSM-V diagnosis requires "exposure to actual or threatened death, serious injury, or sexual violence." I.e. a traumatic event. You can experience multiple traumatic events. But, medically, the distinction seems to be that delivering stress chemicals to your body all at once produces a different response than delivering them consistently over time. > the trauma of child abuse or sexual abuse, which is often not acute. People talk this way. Dictionary.com also mentions the "trauma of divorce." The trauma of divorce is clearly metaphorical rather than actual trauma. Sexual violence does count as a traumatic event. Violence toward children would also count as a traumatic event. Whether a child (or even adult) that has been abused has PTSD depends on the facts of the case. One should not assume that trauma is better or more severe than stress delivered over a longer period. Imprisonment, child abuse, and working in a military hospital are all things that come to mind as experiences that would leave a lasting impression. But those symptoms would generally not be the same as trauma symptoms. You do have to be careful on Wikipedia with this topic because they mention unconscious suppression of child abuse, which is not a thing that happens. It also says awareness of climate change causes trauma, which it does not. The article needs a pass from someone with a professional background.
- rendx 1y ago
  > they mention unconscious suppression of child abuse, which is not a thing that happens Chu, J. A., Frey, L. M., Ganzel, B. L., & Matthews, J. A. (1999). Memories of childhood abuse: dissociation, amnesia, and corroboration. The American journal of psychiatry, 156(5), 749–755. https://doi.org/10.1176/ajp.156.5.749 https://doi.org/10.1176/ajp.156.5.749 "Higher dissociative symptoms were correlated with early age at onset of physical and sexual abuse and more frequent sexual abuse. A substantial proportion of participants with all types of abuse reported partial or complete amnesia for abuse memories. For physical and sexual abuse, early age at onset was correlated with greater levels of amnesia." Boyer, S. M., Caplan, J. E., & Edwards, L. K. (2022). Trauma-Related Dissociation and the Dissociative Disorders:: Neglected Symptoms with Severe Public Health Consequences. Delaware journal of public health, 8(2), 78–84. https://doi.org/10.32481/djph.2022.05.010 https://doi.org/10.32481/djph.2022.05.010 "Dissociative amnesia is characterized by gaps in autobiographical memory beyond normal forgetting, that may range from one experience to several years." Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour research and therapy, 38(4), 319-345. https://doi.org/10.1016/S0005-7967(99)00123-0 https://doi.org/10.1016/S0005-7967(99)00123-0 etc > also says awareness of climate change causes trauma, which it does not Albrecht, G., Sartore, G.-M., Connor, L., Higginbotham, N., Freeman, S., Kelly, B., Stain, H., Tonna, A., & Pollard, G. (2007). Solastalgia: the distress caused by environmental change. Australasian Psychiatry, 15(Suppl 1), S95–S98. https://doi.org/10.1080/10398560701701288 https://doi.org/10.1080/10398560701701288. Cunsolo, A., & Ellis, N. R. (2018). Ecological grief as a mental health response to climate change-related loss. Nature Climate Change, 8, 275–281. https://doi.org/10.1038/s41558-018-0092-2 https://doi.org/10.1038/s41558-018-0092-2. Usher, K., Durkin, J., & Bhullar, N. (2019). Eco-anxiety: How thinking about climate change-related environmental decline is affecting our mental health. International Journal of Mental Health Nursing, 28(6), 1233–1234. https://doi.org/10.1111/inm.12673 https://doi.org/10.1111/inm.12673. Coffey, Y., Bhullar, N., Durkin, J., Islam, S., Usher, K. (2021). Understanding Eco-anxiety: A Systematic Scoping Review of Current Literature and Identified Knowledge Gaps, The Journal of Climate Change and Health, Volume 3, 2021, https://doi.org/10.1016/j.joclim.2021.100047 https://doi.org/10.1016/j.joclim.2021.100047. Walinski, A., Sander, J., Gerlinger, G., Clemens, V., Meyer-Lindenberg, A., & Heinz, A. (2023). The Effects of Climate Change on Mental Health. Deutsches Arzteblatt international, 120(8), 117–124. https://doi.org/10.3238/arztebl.m2022.0403 https://doi.org/10.3238/arztebl.m2022.0403 "The available evidence shows that traumatic experiences due to extreme weather events increase the risk of affective and anxiety disorders, *especially the risk of post-traumatic stress disorder*. Heat significantly increases the morbidity and mortality attributable to mental illness, as well as the frequency of psychiatric emergencies. Persistent stressors such as drought, food insecurity, and migration owing to climate change can also be major risk factors for mental illness." etc

ants_everywhere 1y ago

Acute in the sense that it's delivered all at once, not that its effects are short-lived. For example, the DSM defines PTSD, which is post-traumatic stess disorder. I.e. a trauma occurred (acute stess) and the lingering disorder is a stess disorder rather than a trauma disorder. You might colloquially say you have been living with the trauma of PTSD, but that doesn't make sense; you're really living with the stress of PTSD after having experienced the initial trauma. They don't use the words "acute" or "chronic", that was my attempt to explain it to a lay audience. The first paragraph of Wikipedia describes it as "caused by severe distressing events, such as bodily injury, sexual violence, or other threats to the life of the subject or their loved ones." The DSM-V diagnosis requires "exposure to actual or threatened death, serious injury, or sexual violence." I.e. a traumatic event. You can experience multiple traumatic events. But, medically, the distinction seems to be that delivering stress chemicals to your body all at once produces a different response than delivering them consistently over time. > the trauma of child abuse or sexual abuse, which is often not acute. People talk this way. Dictionary.com also mentions the "trauma of divorce." The trauma of divorce is clearly metaphorical rather than actual trauma. Sexual violence does count as a traumatic event. Violence toward children would also count as a traumatic event. Whether a child (or even adult) that has been abused has PTSD depends on the facts of the case. One should not assume that trauma is better or more severe than stress delivered over a longer period. Imprisonment, child abuse, and working in a military hospital are all things that come to mind as experiences that would leave a lasting impression. But those symptoms would generally not be the same as trauma symptoms. You do have to be careful on Wikipedia with this topic because they mention unconscious suppression of child abuse, which is not a thing that happens. It also says awareness of climate change causes trauma, which it does not. The article needs a pass from someone with a professional background.

rendx 1y ago
> they mention unconscious suppression of child abuse, which is not a thing that happens Chu, J. A., Frey, L. M., Ganzel, B. L., & Matthews, J. A. (1999). Memories of childhood abuse: dissociation, amnesia, and corroboration. The American journal of psychiatry, 156(5), 749–755. https://doi.org/10.1176/ajp.156.5.749 https://doi.org/10.1176/ajp.156.5.749 "Higher dissociative symptoms were correlated with early age at onset of physical and sexual abuse and more frequent sexual abuse. A substantial proportion of participants with all types of abuse reported partial or complete amnesia for abuse memories. For physical and sexual abuse, early age at onset was correlated with greater levels of amnesia." Boyer, S. M., Caplan, J. E., & Edwards, L. K. (2022). Trauma-Related Dissociation and the Dissociative Disorders:: Neglected Symptoms with Severe Public Health Consequences. Delaware journal of public health, 8(2), 78–84. https://doi.org/10.32481/djph.2022.05.010 https://doi.org/10.32481/djph.2022.05.010 "Dissociative amnesia is characterized by gaps in autobiographical memory beyond normal forgetting, that may range from one experience to several years." Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour research and therapy, 38(4), 319-345. https://doi.org/10.1016/S0005-7967(99)00123-0 https://doi.org/10.1016/S0005-7967(99)00123-0 etc > also says awareness of climate change causes trauma, which it does not Albrecht, G., Sartore, G.-M., Connor, L., Higginbotham, N., Freeman, S., Kelly, B., Stain, H., Tonna, A., & Pollard, G. (2007). Solastalgia: the distress caused by environmental change. Australasian Psychiatry, 15(Suppl 1), S95–S98. https://doi.org/10.1080/10398560701701288 https://doi.org/10.1080/10398560701701288. Cunsolo, A., & Ellis, N. R. (2018). Ecological grief as a mental health response to climate change-related loss. Nature Climate Change, 8, 275–281. https://doi.org/10.1038/s41558-018-0092-2 https://doi.org/10.1038/s41558-018-0092-2. Usher, K., Durkin, J., & Bhullar, N. (2019). Eco-anxiety: How thinking about climate change-related environmental decline is affecting our mental health. International Journal of Mental Health Nursing, 28(6), 1233–1234. https://doi.org/10.1111/inm.12673 https://doi.org/10.1111/inm.12673. Coffey, Y., Bhullar, N., Durkin, J., Islam, S., Usher, K. (2021). Understanding Eco-anxiety: A Systematic Scoping Review of Current Literature and Identified Knowledge Gaps, The Journal of Climate Change and Health, Volume 3, 2021, https://doi.org/10.1016/j.joclim.2021.100047 https://doi.org/10.1016/j.joclim.2021.100047. Walinski, A., Sander, J., Gerlinger, G., Clemens, V., Meyer-Lindenberg, A., & Heinz, A. (2023). The Effects of Climate Change on Mental Health. Deutsches Arzteblatt international, 120(8), 117–124. https://doi.org/10.3238/arztebl.m2022.0403 https://doi.org/10.3238/arztebl.m2022.0403 "The available evidence shows that traumatic experiences due to extreme weather events increase the risk of affective and anxiety disorders, *especially the risk of post-traumatic stress disorder*. Heat significantly increases the morbidity and mortality attributable to mental illness, as well as the frequency of psychiatric emergencies. Persistent stressors such as drought, food insecurity, and migration owing to climate change can also be major risk factors for mental illness." etc