Thank you for this excellent resource! I am so impressed by the level of research and insight. It really seems that the various disciplines doing this work aren't really talking to each other. I do social science research and I don't think I would have come across this as it seems more provider oriented. There are sociologists doing this work, epidemiologists, physicians, anthropologists, psychologists, social psychologists... I wonder how many of us read outside our discipline. Thanks again.
Indeed, it's not often these days that psychological material is included for review on this forum, but one recent study, of mediators between a particular type of adversity, bullying during childhood, and later psychosocial adjustment, illustrates just how important the role of such factors can be -- this article IS available "Open Access" and is very much in tune wiith the approach of the BPS -- see here https://doi.org/10.1080/20008198.2017.1418570
"shame mediated 70% of the association between bullying victimization and psychological distress, 55% of the association between bullying victimization and impaired functioning, and 40% of the association between bullying victimization and social support barrier"
it's rare that a single variable of any type has this strength of effect, but, depending on the type of stressor, other mediators include such trait variables as neuroticism, extraversion, and such cognitive variables as attribution biases, experiential avoidance (avoidance of any type in cases of trauma), psychological inflexibility, early maladaptive schemas, as well as many others -- as Finkelhor notes, your average clinician might not be au fait with all these, and aware of clinical interventions to address these factors, but the ACEs, as a screening tool, backed up by an uptodate (the article cited is 2018) knowledge of the research in such areas can provide a very valuable lead-in to assisting those affected by these adversities.