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Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation

 

My colleague, Brad Kammer, shared a great journal article on the long term effects of ACEs on our physiology.  The graphic alone that they created is super helpful in seeing visually how ACEs affect us holistically.  I have attached the graphic here so you can see the whole image.

From the article:
The identification of factors related to risk and resilience in the wake of child abuse is a matter of central importance for public health interventions (465). Understanding the pathways susceptible to disruption following ELS/CT  (Early Life Stress/Childhood Trauma) exposure and the effects of a dysregulated interconnection between all neural systems involved could provide new insights into the pathophysiologic trajectories that link toxic stress during developmental stages of childhood and adolescence to adult maladjustment and psychopathology. Future studies should prospectively investigate potential confounders, their temporal sequence and combined effects at the epidemiological, biological, and epigenetic level (466, 467), while considering the potentially delayed time-frame for the expression of their effects. Finally, screening strategies for ELS/CT and trauma need to be improved. Information about ELS/CT history and the number of adverse experiences could help to better identify the individual risk for disease development, predict individual treatment response and design prevention strategies to reduce the negative effects of ELS/CT (468). Detecting and healing of the “hidden wounds” left by ELS/CT should thus be a public health priority.

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  • Early LIfe Stress Agorastos 2018

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Thanks Suzie for highlighting this very interesting journal article. I'm afraid I couldn't get the infographic to reproduce in full - but what I can see looks interesting?

Coincidentally - or by synchronicity - I was rereading Allan Schore's "Relational Trauma: the neurobiology of broken attachment bonds" [in Tessa Baradon's "Relational Trauma in Infancy" (2010, Routledge)], which covers very similar ground but from a more attachment-oriented perspective. Schore traces the trauma idea as far back as the work of Pierre Janet in Paris in 1889!

http://www.allanschore.com/pdf...lTraumaBaradon10.pdf 

I wish there was more overlap between the practice of relational/attachment psychotherapists and the ACEs movement because I think there is some danger of reinventing the wheel, when they both could inform and help each other.

I have just had two linked articles - one a brief history of the ACEs movement, and the other a 1,500 word review of Dr Nadine Burke Harris's recent book "The Deepest Well", accepted for the June 2019 issue of the [British] Attachment psychotherapy journal Vol 13, No 1, which seek to establish better links between the two practices. In the course of my research I discovered that Dr John Bowlby actually coined the term "adverse childhood experiences" in 1981, as my articles will show.

Simon Partridge

Writer & Complex-PTSD Survivor and Advocate

Email simonpartridge846@btinternet.com

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