Sunday, April 25, 2010

Concern about abuse - only from 1970's



Dr. Christine A. Courtois and Dr. Steven N. Gold (Psychological Trauma 2009 1:1 page 3).For several decades now, the knowledge base about psychological trauma has been continually expanding in the professional literature (Friedman, Keane, & Resick, 2007). In the earliest days of the practice of psychotherapy in Europe in the late 19th century, trauma was recognized as playing an important role in the genesis and exacerbation of many psychological difficulties; however, for various reasons, appreciation of the relevance of the experience of trauma to many psychological problems waned through much of the 20th century (Friedman, Resick, & Keane, 2007; Herman, 1992b; van der Kolk, 2007; Monson, Friedman, & LaBash, 2007). It was only in the 1970s that the focused attention on psychological trauma resumed. This trend was catalyzed largely by the difficulties exhibited by Vietnam War veterans and emerging awareness, via the feminist movement, of the alarming prevalence of rape, domestic violence, and all forms of childhood abuse. Renewed awareness of trauma in the 1970s culminated in the inclusion of the diagnosis of posttraumatic stress disorder (PTSD) and the dissociative disorders (DDs) in the in 1980 (American Psychiatric Association [APA], 1980). Since that time empirical and clinical exploration of psychological trauma has sustained and flourished. The extensive literature that has accumulated since the 1970s has simultaneously been accompanied by burgeoning awareness on a societal level of the broad reach, financial costs, and lasting adverse impact of traumatic events. In the final two decades of the 20th century, increasing sensitivity arose about the widespread and emotionally damaging nature of domestic violence, childhood abuse, and sexual assault. More recently, acts of terrorism such as the attacks in the United States on September 11, 2001, and much more recently those in Mumbai, India, the return of thousands of veterans of the wars in Afghanistan and Iraq, and widespread natural disasters such as the tsunami in Southeast Asia in 2004 and Hurricane Katrina have been increasingly framed through the lens of trauma by both professionals and the news media.


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