Leslie Lieberman posted:Thanks Jane for re-posting this excellent article which I've either not seen or not remembered. I'll be sharing it with medical colleagues who are beginning to integrate ACEs question into their practice and often struggle with what to say.
I guess one of the classics in the field (in some ways -- I suspect the author has personal "lived experience", but his view tends to be limited to that sort of adversity) is John Read's article (2007) (sent via PM) "Why, when and how to ask about childhood abuse" which recommends a "funnel technique", (DOI: 10.1192/apt.bp.106.002840) asking questions more and more directly related to the abuse.
One of the reasons the comprehensive examination is no longer in use, apart from its cost, might be that these days there's a lot more concern that clients / patients have the resources before asking about the "abuse", trauma, adversity. Such direct approaches used previously may simply not be allowed these days -- foolishly, I consider. Some years ago there was an issue of American Psychologist which examined the question of whether or not victims of abuse had the resources to be subjects / participants in research about abuse, The consensus was that they could be, provided "emotional safety" was assured.
Jane, looking at the comments, I presume that post by Zorrah was in 2015 -- is that right? How things have changed!