{"id":37013,"date":"2013-06-03T14:06:04","date_gmt":"2013-06-03T18:06:04","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=37013"},"modified":"2013-06-03T14:06:04","modified_gmt":"2013-06-03T18:06:04","slug":"coming-soon-3","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/06\/03\/coming-soon-3\/","title":{"rendered":"coming soon&#8230;"},"content":{"rendered":"<div align=\"justify\">During the 1990s, we had a group that met to discuss traumatic illness at Emory where I was on the clinical faculty. There were biological researchers, a distinguished group of literature professors from the college, colleagues from the analytic institute, behavioral therapists [EMDR], the staff from the rape crisis unit, a guru from the <em>false memory<\/em> set, etc. It was an enthusiastic lot that met periodically for a while, though it never coalesced &#8211; too eclectic to produce the desired collaboration was my guess. I haven&#8217;t thought about the group for a long time, but it came to mind when I saw this report. At the time, Dr. Charlie Nemeroff&nbsp; was chairman of the Department of Psychiatry at Emory, but he wasn&#8217;t a member of our group. In fact, it was only in recent years that I even learned that he had an interest in trauma:<\/div>\n<blockquote>\n<div align=\"center\"><a href=\"http:\/\/med.miami.edu\/news\/changes-in-brain-structure-found-after-childhood-abuse\" target=\"_blank\">Changes in Brain Structure Found After Childhood Abuse<\/a><br \/>        <strong><font color=\"#200020\">Miller School of Medicine: University of Miami<\/font><\/strong><br \/>        June 1, 2013<\/div>\n<div align=\"justify\"><sup><strong>       <\/p>\n<p>Different  forms of childhood abuse increase the risk for mental illness as well  as sexual dysfunction in adulthood, but little has been known about how  that happens. An international team of researchers, including the Miller  School&rsquo;s Charles B. Nemeroff, M.D., Ph.D., Leonard M. Miller Professor  and Chair of Psychiatry and Behavioral Sciences, has discovered a neural  basis for this association. The study, published in the June 1 issue of  the <em>American Journal of Psychiatry<\/em>, shows that sexually abused  and emotionally mistreated children exhibit specific and differential  changes in the architecture of their brain that reflect the nature of  the mistreatment&#8230;<\/p>\n<p>The results showed a correlation between specific forms of  maltreatment and thinning of the cortex in precisely the regions of the  brain that are involved in the perception or processing of the type of  abuse. Specifically, the somatosensory cortex in the area in which the  female genitals are represented was significantly thinner in women who  were victims of sexual abuse in their childhood. Similarly, victims of  emotional mistreatment were found to have a reduction of the thickness  of the cerebral cortex in specific areas associated with self-awareness,  self-evaluation and emotional regulation.  \t<\/p>\n<p>         &ldquo;This is one of the first studies documenting long-term alterations  in specific brain areas as a consequence of child abuse and neglect,&rdquo;  said Nemeroff, who is also Director of the Center on Aging. &ldquo;The finding  that specific types of early life trauma have discrete, long lasting  effects on the brain that underlie symptoms in adults is an important  step in developing novel therapies to intervene to reduce the often  lifelong psychiatric\/psychological burden of such trauma&rdquo;&#8230;<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">Traumatic Illness emerged as a major topic in psychiatry during World War I with an epidemic in the face of trench warfare. It was variously seen as a brain disorder [Shell Shock], a psychological illness [Traumatic Neurosis], or cowardice [firing squads]. After that war, it became clear that there were many instances where symptoms lasted for a lifetime, and the debate between psychological versus biological reasons for the persistence continues to the present.<\/div>\n<ul>\n<div align=\"justify\"><strong><sup><u>Disclosure<\/u>: Anyone reading this blog even casually would know that I&#8217;m no fan of Dr. Nemeroff because of his financial connections to the pharmaceutical industry and his history of shady dealings, the cause of his removal as editor of the Neuropsychopharmacology journal and from the Chairmanship of Psychiatry at Emory. I see him near the center of a subgroup of prominent academic psychiatrists whose misbehavior accounts for the corruption of the specialty itself and our credibility. But in this case, I&#8217;m skeptical of his research for other reasons. The first has to do with the observation that only a fraction of people in a given situation develop PTSD. Dr. Nemeroff believes that some are genetically predisposed to developing PTSD, and others aren&#8217;t [are <em>resilient<\/em>]. The second is his belief that the persistence of illness has to do with actual changes in the brain in response to trauma. I, on the other hand, believe that PTSD is the paradigm of an acquired psychological illness<\/sup><\/strong><strong><sup><strong>&nbsp; based on my own clinical experience with many such cases<\/strong>, and that there are cogent other explanations for these phenomena. As they say, I &quot;have a dog in this hunt.&quot; So I&#8217;m biased against this investigator <u>and<\/u> against these specific conclusions.<\/sup><\/strong><\/div>\n<\/ul>\n<div align=\"justify\">Dr. Nemeroff has mentioned this present study for a while [see the Jan 2012 <a href=\"http:\/\/www.veomed.com\/grandrounds\/archive&#038;vid=817631&#038;gnr=824342\" target=\"_blank\">NYU Grand Rounds<\/a> video @ 37:11], but only with the conclusions &#8211; neither the data nor the particulars. Yesterday, both Google and friends alerted me this article, but it hasn&#8217;t yet made it to the mailbox or on-line. While I I&#8217;ve read many of his previous trauma studies, I haven&#8217;t had much to say about them because they never have sufficient information to judge the clinical findings. There are lots of people who have been through some terrible things in their lives, and those things can have a profound effect on the psyche one way or another. But PTSD is more than that. It&#8217;s a specific syndrome with particular symptoms, and his papers don&#8217;t address that in enough detail to assess them properly. However, this study doesn&#8217;t purport to be about PTSD. It&#8217;s about childhood abuse, and the previous mentions don&#8217;t really talk about the the patient base. So I&#8217;m glad it&#8217;s finally made it to print to see if the clinical information is included this time.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>During the 1990s, we had a group that met to discuss traumatic illness at Emory where I was on the clinical faculty. There were biological researchers, a distinguished group of literature professors from the college, colleagues from the analytic institute, behavioral therapists [EMDR], the staff from the rape crisis unit, a guru from the false [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-37013","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/37013","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=37013"}],"version-history":[{"count":13,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/37013\/revisions"}],"predecessor-version":[{"id":37026,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/37013\/revisions\/37026"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=37013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=37013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=37013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}