Contributors: Frank Putnam, MD, UNC at Chapel Hill, NC
William Harris, PhD, Children’s Research and Education Institute
& New School for Social Research, NYC, NY
Alicia Lieberman, PhD, UCSF, San Francisco, CA
Karen Putnam, PhD, UNC at Chapel Hill, NC
Lisa Amaya-Jackson, MD, Duke University, Durham, NC
Intimate Partner Violence and LGBT Relationshipsjayembee
This presentation describes how LGBT relationships are impacted by intimate partner abuse (IPV), and how these effects are similar or different to heterosexual relationships. A brief review of policy and law is included.
Contributors: Frank Putnam, MD, UNC at Chapel Hill, NC
William Harris, PhD, Children’s Research and Education Institute
& New School for Social Research, NYC, NY
Alicia Lieberman, PhD, UCSF, San Francisco, CA
Karen Putnam, PhD, UNC at Chapel Hill, NC
Lisa Amaya-Jackson, MD, Duke University, Durham, NC
Intimate Partner Violence and LGBT Relationshipsjayembee
This presentation describes how LGBT relationships are impacted by intimate partner abuse (IPV), and how these effects are similar or different to heterosexual relationships. A brief review of policy and law is included.
Developed a training on childhood trauma and the affects it has on elementary teachers.
The training was offered to teachers at Leffingwell Elementary School, part of the East Whittier City School District. After interning as the school's counselor for one year, it was found necessary to help train and remind teachers about childhood trauma.
The training offered:
- Reasons why students are referred to counseling
- Understanding experience of childhood trauma
- Review of PTSD
- Information of new DSM-V PTSD
- Discussion of potential misdiagnosed
- Role of Teachers
- Teacher Self-Care Practices
Raising awareness on what Intimate Partner Violence (IPV) is, who it effects, how to help & be helped. Provides actual statistics as well as myths which are assumed with this serious social problem.
Examines the health and social effects of ACEs throughout the lifespan among 17,421 members of the Kaiser Health Plan in San Diego County.
Involving those who don’t yet realize that they are working on issues that represent the “downstream” wreckage of child abuse and neglect--and other adverse childhood experiences--in the effort to bridge the chasm.
Larry K. Brown, M.D., Professor, Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island - presenting on the topic of Adolescent Sexual Behavior: What Does Reserch Say and What Can Clinicians Do? -- at the Sheppard Pratt Health System Wednesday Grand Rounds Series for Mental Health Professionals (in Towson, MD). Presentation delivered on January 20, 2010. Contact info@sheppardpratt.org for more information on CME presentations at Sheppard Pratt.
Implementing Trauma-Informed Care in Christian CounselingDenice Colson
A presentation for Professional Counselors on implementing trauma-informed care, evaluation, and potential treatment using Strategic Trauma and Abuse Recovery (c). Specifically for Christian-integration.
Freijy - ASBHM - Do interventions based on cognitive dissonance promote healt...Emily Kothe
Freijy, T., & Kothe, E., (2013). Do interventions based on cognitive dissonance promote health behaviour?. Paper presented at the Australasian Society of Behavioural Health and Medicine (ASBHM) 10th Annual Proceedings, Newcastle, Australia
Becoming a Trauma Informed Addictions Counselor using a Source-Focused Model Denice Colson
Being "trauma-informed" is the standard for best-practices. Learn what that means and the 4 developmental levels of trauma care, from "trauma-informed" to "trauma expert". Included is a description of a new, spiritually integrated model for treating and facilitating the healing of past trauma.
Sydney Sexual Health Centre Journal Club presentation by Kristen McCormack on AIDS and Behaviour Volume 20 Issue 7, published in July 2016.
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. The journal publishes original peer-reviewed papers addressing all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.
The Sydney Sexual Health Centre Journal Club allows our team to stay up-to-date with what is being published in the field of sexual health. Staff members take turns to read, review and share the contents of an allocated journal. Journal Club encourages knowledge sharing and discussion about topics raised.
Wekerle CIHR Team - Child Sexual Abuse & Adolescent Development: Moving from ...Christine Wekerle
Child Sexual Abuse & Adolescent Development: Moving from Trauma To Resilience - Findings from The Maltreatment and Adolescent Pathways (MAP) Research Study
Developed a training on childhood trauma and the affects it has on elementary teachers.
The training was offered to teachers at Leffingwell Elementary School, part of the East Whittier City School District. After interning as the school's counselor for one year, it was found necessary to help train and remind teachers about childhood trauma.
The training offered:
- Reasons why students are referred to counseling
- Understanding experience of childhood trauma
- Review of PTSD
- Information of new DSM-V PTSD
- Discussion of potential misdiagnosed
- Role of Teachers
- Teacher Self-Care Practices
Raising awareness on what Intimate Partner Violence (IPV) is, who it effects, how to help & be helped. Provides actual statistics as well as myths which are assumed with this serious social problem.
Examines the health and social effects of ACEs throughout the lifespan among 17,421 members of the Kaiser Health Plan in San Diego County.
Involving those who don’t yet realize that they are working on issues that represent the “downstream” wreckage of child abuse and neglect--and other adverse childhood experiences--in the effort to bridge the chasm.
Larry K. Brown, M.D., Professor, Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island - presenting on the topic of Adolescent Sexual Behavior: What Does Reserch Say and What Can Clinicians Do? -- at the Sheppard Pratt Health System Wednesday Grand Rounds Series for Mental Health Professionals (in Towson, MD). Presentation delivered on January 20, 2010. Contact info@sheppardpratt.org for more information on CME presentations at Sheppard Pratt.
Implementing Trauma-Informed Care in Christian CounselingDenice Colson
A presentation for Professional Counselors on implementing trauma-informed care, evaluation, and potential treatment using Strategic Trauma and Abuse Recovery (c). Specifically for Christian-integration.
Freijy - ASBHM - Do interventions based on cognitive dissonance promote healt...Emily Kothe
Freijy, T., & Kothe, E., (2013). Do interventions based on cognitive dissonance promote health behaviour?. Paper presented at the Australasian Society of Behavioural Health and Medicine (ASBHM) 10th Annual Proceedings, Newcastle, Australia
Becoming a Trauma Informed Addictions Counselor using a Source-Focused Model Denice Colson
Being "trauma-informed" is the standard for best-practices. Learn what that means and the 4 developmental levels of trauma care, from "trauma-informed" to "trauma expert". Included is a description of a new, spiritually integrated model for treating and facilitating the healing of past trauma.
Sydney Sexual Health Centre Journal Club presentation by Kristen McCormack on AIDS and Behaviour Volume 20 Issue 7, published in July 2016.
AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. The journal publishes original peer-reviewed papers addressing all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.
The Sydney Sexual Health Centre Journal Club allows our team to stay up-to-date with what is being published in the field of sexual health. Staff members take turns to read, review and share the contents of an allocated journal. Journal Club encourages knowledge sharing and discussion about topics raised.
Wekerle CIHR Team - Child Sexual Abuse & Adolescent Development: Moving from ...Christine Wekerle
Child Sexual Abuse & Adolescent Development: Moving from Trauma To Resilience - Findings from The Maltreatment and Adolescent Pathways (MAP) Research Study
Wekerle-Ron Joyce Centre Grand Rounds-Boy's and men's health: Child sexual ab...Christine Wekerle
Defines sexual violence and gives info. on prevalence rates, examines emotion dysregulation in at-risk youth, child sexual abuse research findings, and introduces a developing resilience-based app for at-risk youth.
This poster presentation at the Annual Meeting of the International Academy of Sex Research in Chicago in August 2014 details two studies looking at the link between engaging in casual sex and psychological health over time. I find that the way casual sex impacts wellbeing depends on why people engage in casual sex (i.e., their casual sex motivation) and how strongly they are interested and approving of casual sex in general (i.e., their sociosexual orientation).
Bullying and depression among transgender youthRachel Watkins
Bullying is a relevant issue for this population and we must find ways to advocate for them in order to increase their safety. This presentation will discuss the negative impacts of bullying as well as clinical applications for this population.
Director del Centro de Excelencia para rl Desarrollo de la Primera Infancia de la Univerisdad de Montreal, Canadá en el Seminario Internacional “El Impacto de la Educación Inicial”, organizado por JUNJI, Unicef y el Ministerio de Hacienda.
Presentation by Daniel Flannery, Ph.D. given at the 2010 RWJF LFP Annual Meeting in St. Paul, MN
This presentation will present recent research on the links between brain development and neurochemistry, mental health and violence. We will compare traditional treatment programs that focus separately on perpetrators, victims and witnesses with examples of specific, innovative, multi-systemic treatment models that providers have employed in an attempt to break the cycle of violence. Our discussion will revolve around several video vignettes and principles of Trauma-Informed care.
Participants will address the challenges of pilot-tested, “evidence-based practice” versus the “practice-based evidence” of community programs. Treatment challenges related to co-morbid functioning of high-risk individuals will be discussed including substance use, offending, mental health, family functioning and academic achievement. Examples of specific innovative treatment models and local and national data on multi-system involved youth and intervention outcomes will be provided. We will also consider the difficulties and benefits of working in collaborative, community-based coalitions to effect change and how this movement has been affected by policy, resources, and increased demands for accountability.
With the growing occurrence of child abuse in Nigeria and around the world, experts have expressed concern about the long-term health consequences of bad childhood experiences on progression into adulthood. According to the Centers for Disease Control and Prevention(2014), ACEs are stressful or traumatic events in childhood that have long-term health consequences, such as a weakened immune system, depression, and other psychological conditions, and are associated with mortality as well as morbidity in adults.
Child-Centered Play Therapy With Children Affected by AdverseJinElias52
Child-Centered Play Therapy With Children Affected by Adverse
Childhood Experiences: A Single-Case Design
Sara C. Haas
Northern Arizona University
Dee C. Ray
University of North Texas
We conducted single-case research with 2 participants to explore the influence of
child-centered play therapy (CCPT) on children who had 4 or more adverse childhood
experiences (ACEs) and analyzed data collected from the Strength and Difficulties
Questionnaire on a weekly basis and the Trauma Symptoms Checklist for Young
Children at pre- and posttest. Both participants demonstrated significant improvement
in total difficulties and prosocial behaviors, revealing potential therapeutic benefits for
the use of CCPT with children who have 4 or more ACEs. The discussion of study
results includes implications for practice, suggestions for future research, and
limitations.
Keywords: child-centered play therapy, adverse childhood experiences, single-case
design
Adverse childhood experiences (ACEs) can
be defined as traumatic and stressful experi-
ences occurring in childhood (Felitti et al.,
1998). Categories for ACEs include physical
abuse, sexual abuse, emotional abuse, emo-
tional neglect, physical neglect, mental illness,
substance abuse, separation/divorce, domestic
violence, incarceration, and living in foster care
(Felitti et al., 1998; Wade et al., 2016). The
commonality between all of the categories is a
self-report of feeling maltreated or living in
household dysfunction during childhood. The
Centers for Disease Control and Prevention
(CDC, 2019) noted that over 50% of adults in
the United States have reported experiencing at
least one ACE, and 15% have reported experi-
encing four or more ACEs. Adverse experi-
ences occurring in childhood have been found
to have a profound influence on the health and
well-being of children and adults (Clarkson
Freeman, 2014; Felitti et al., 1998; Wade et al.,
2016). The resulting trauma that, over multiple
events, leads to complex trauma is a common
outcome and response to the experiencing of
adverse experiences (Substance Abuse and
Mental Health Services Administration [SAM-
HSA], 2018). Although various mental health
interventions have been proposed to address the
symptoms resulting from ACEs and childhood
trauma, there is still little evidence to support
positive treatment outcomes for children who
have experienced ACEs. Child-centered play
therapy (CCPT) fosters connections and rela-
tionships in a safe, therapeutic environment,
lending to the potential of CCPT being an ef-
fective intervention with children who have ex-
perienced multiple ACEs.
Broad Spectrum of ACEs Outcomes
Adverse experiences occurring in childhood
have been found to have a profound influence
on the health and well-being of adults (Felitti et
al., 1998; Wade et al., 2016). ACEs have long-
term effects on physical and mental health, ad-
dictive behaviors, criminal activities, and adult
relationships. As a result of ACEs, adults may
This article ...
INDIGENOUS YOUTHS’ RELATIONSHIPS WITH WATER: TRAUMA, ADVOCACY & RESILIENCEChristine Wekerle
Indigenous communities often experience disproportionate access to clean, safe drinking water. For youth water insecurity may lead to adverse mental health effects, referred to as 'water anxiety'. However, water resilience actions such as advocacy and youths' responsibilities to water, may have the potential to mitigate potential mental health effects associated with 'water anxiety'.
Positive psychology evolved from a recognition that the clinical encounter is often over-focused on concerns and problems, and that positive actions may not have a central role in the treatment plan. With youth, many issues - treatment compliance, help-seeking, impulsive self-harm, high risk-taking - may be ameliorated with a plan of positive actions. The technology that are youths' worlds may deliver some of these therapeutics. Resilience may be galvanized when inner resources interacts with external resources. This talk will introduce the evidence-based components of a resilience in youth App, JoyPop, and open discuss for research use in clinical populations.
ISPCAN Jamaica 2018 (CIHRTeamSV) - Investigating the Path from Child Maltreat...Christine Wekerle
Investigating the Path from Child Maltreatment to Alcohol Problems in a Sample of Child Welfare-Involved Youth
Sherry Stewart, Tristan Park, Kara Thompson, Mohammed Al-Hamdani, Amanda Hudson, Christine Wekerle, Savanah Smith (CIHRTeamSV)
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
ISPCAN Jamaica 2018 - Personality-targeted Interventions for Building Resilie...Christine Wekerle
Personality-targeted Interventions for Building Resilience against Substance Use and Mental Health Problems among Adolescents Involved in Child Welfare System
Hanie Edalati, Patricia Conrod
ISPCAN Jamaica 2018 (CIHRTeamSV) - Improving Health and Behavioral Outcomes a...Christine Wekerle
Improving Health and Behavioral Outcomes among Sexually Victimized Male Youth: A Qualitative Investigation Among Trauma Treatment Providers
Ashwini Tiwari, Christine Wekerle, Andrea Gonzalez (CIHRTeamSV)
Adolescence is a key period for intervention among at-risk populations of youth, as this is when risk-taking behaviors tend to emerge. The Sustainable Development Goals for achieving 2030 youth health targets outline two issues central to reduce risks of gendered violence, sexual violence (SV) and adolescent sexual risk taking: (1) gender equity and (2) mental health promotion education. Only half of women reported having the autonomy to make their own decisions regarding sexual relations, usage of contraception and access to health care services. In developing countries women and children are extremely vulnerable to sexual violence which thereby places them at increased risk for contracting STIs from the perpetrator, as well as pregnancy as a result of SV. Undocumented minors; unaccompanied minors; refugees; child soldiers; youth post natural disasters; orphans; street-involved youth; and youth without parental care or financial means who are exposed to dangerous people or places are most vulnerable to sexual violence. UNICEF states that ending cases of new HIV infections by 2030 is unlikely, due to large concentrations of new infections occurring in areas where transactional sex, child sexual exploitation, drug use, street involved youth and SV are prevalent. Adverse Childhood Experiences (ACEs), which include forms of childhood maltreatment, increase the risk of contracting STIs. In particular, sexual abuse is linked with increased likelihood for risky sexual behavior, making victims vulnerable to poor sexual health outcomes.7 Protecting youth from exposure to SV and providing adolescents with sexual and mental health education are central to promoting resilience in youth.
Resilience Knowledge Mobilization and the ResilienceInYouth AppChristine Wekerle
This presentation outlines an exploratory knowledge mobilization study where research-based and evidence-based posts were shared on instagram (@resilienceinyouth) to see if instagram was a feasible outlet for resilience knowledge mobilization. Research conducted by researchers in the CIHRTeamSV grant was shared on instagram via links to ResearchGate. The development of a resilience-based app for youth is described and an overview of its features is given.
This pdf is about the Schizophrenia.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
Deep Behavioral Phenotyping in Systems Neuroscience for Functional Atlasing a...Ana Luísa Pinho
Functional Magnetic Resonance Imaging (fMRI) provides means to characterize brain activations in response to behavior. However, cognitive neuroscience has been limited to group-level effects referring to the performance of specific tasks. To obtain the functional profile of elementary cognitive mechanisms, the combination of brain responses to many tasks is required. Yet, to date, both structural atlases and parcellation-based activations do not fully account for cognitive function and still present several limitations. Further, they do not adapt overall to individual characteristics. In this talk, I will give an account of deep-behavioral phenotyping strategies, namely data-driven methods in large task-fMRI datasets, to optimize functional brain-data collection and improve inference of effects-of-interest related to mental processes. Key to this approach is the employment of fast multi-functional paradigms rich on features that can be well parametrized and, consequently, facilitate the creation of psycho-physiological constructs to be modelled with imaging data. Particular emphasis will be given to music stimuli when studying high-order cognitive mechanisms, due to their ecological nature and quality to enable complex behavior compounded by discrete entities. I will also discuss how deep-behavioral phenotyping and individualized models applied to neuroimaging data can better account for the subject-specific organization of domain-general cognitive systems in the human brain. Finally, the accumulation of functional brain signatures brings the possibility to clarify relationships among tasks and create a univocal link between brain systems and mental functions through: (1) the development of ontologies proposing an organization of cognitive processes; and (2) brain-network taxonomies describing functional specialization. To this end, tools to improve commensurability in cognitive science are necessary, such as public repositories, ontology-based platforms and automated meta-analysis tools. I will thus discuss some brain-atlasing resources currently under development, and their applicability in cognitive as well as clinical neuroscience.
THE IMPORTANCE OF MARTIAN ATMOSPHERE SAMPLE RETURN.Sérgio Sacani
The return of a sample of near-surface atmosphere from Mars would facilitate answers to several first-order science questions surrounding the formation and evolution of the planet. One of the important aspects of terrestrial planet formation in general is the role that primary atmospheres played in influencing the chemistry and structure of the planets and their antecedents. Studies of the martian atmosphere can be used to investigate the role of a primary atmosphere in its history. Atmosphere samples would also inform our understanding of the near-surface chemistry of the planet, and ultimately the prospects for life. High-precision isotopic analyses of constituent gases are needed to address these questions, requiring that the analyses are made on returned samples rather than in situ.
Seminar of U.V. Spectroscopy by SAMIR PANDASAMIR PANDA
Spectroscopy is a branch of science dealing the study of interaction of electromagnetic radiation with matter.
Ultraviolet-visible spectroscopy refers to absorption spectroscopy or reflect spectroscopy in the UV-VIS spectral region.
Ultraviolet-visible spectroscopy is an analytical method that can measure the amount of light received by the analyte.
(May 29th, 2024) Advancements in Intravital Microscopy- Insights for Preclini...Scintica Instrumentation
Intravital microscopy (IVM) is a powerful tool utilized to study cellular behavior over time and space in vivo. Much of our understanding of cell biology has been accomplished using various in vitro and ex vivo methods; however, these studies do not necessarily reflect the natural dynamics of biological processes. Unlike traditional cell culture or fixed tissue imaging, IVM allows for the ultra-fast high-resolution imaging of cellular processes over time and space and were studied in its natural environment. Real-time visualization of biological processes in the context of an intact organism helps maintain physiological relevance and provide insights into the progression of disease, response to treatments or developmental processes.
In this webinar we give an overview of advanced applications of the IVM system in preclinical research. IVIM technology is a provider of all-in-one intravital microscopy systems and solutions optimized for in vivo imaging of live animal models at sub-micron resolution. The system’s unique features and user-friendly software enables researchers to probe fast dynamic biological processes such as immune cell tracking, cell-cell interaction as well as vascularization and tumor metastasis with exceptional detail. This webinar will also give an overview of IVM being utilized in drug development, offering a view into the intricate interaction between drugs/nanoparticles and tissues in vivo and allows for the evaluation of therapeutic intervention in a variety of tissues and organs. This interdisciplinary collaboration continues to drive the advancements of novel therapeutic strategies.
This presentation explores a brief idea about the structural and functional attributes of nucleotides, the structure and function of genetic materials along with the impact of UV rays and pH upon them.
Richard's entangled aventures in wonderlandRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Professional air quality monitoring systems provide immediate, on-site data for analysis, compliance, and decision-making.
Monitor common gases, weather parameters, particulates.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
Multi-source connectivity as the driver of solar wind variability in the heli...
Wekerle Smith AFCC:The Future of Youth
1. Trauma and Resilience:
Focus on Gender and Diversity
Dr. Christine Wekerle, Ph.D. & Savanah Smith,
Department of Pediatrics, McMaster University
wekerc@mcmaster.ca
smiths73@mcmaster.ca
2. Brief Yoga Stretch – Deep Breathing!
● Warrior Pose
● https://www.youtube.com/
watch?v=O_-7OMTO-Cg
Mountain Pose
https://www.youtube.com/watch?v=
6rBbQ4GnFaw
S – Stop when
stressed
T – Take deep
breaths
O –Observe
without
judging
P – Proceed with
positives
3. Definition of Resilience (adapted from American
Psychological Association)
▶ Resilience is the process of adapting well
in the face of adversity, trauma, stress
▶ It means "bouncing back" from difficult
experiences
▶ Resilience is typical, self-righting tendency
▶ Being resilient does not mean lack of distress
▶ Resilience is not a trait, it is a daily
practice
▶ Resilience is a skill-set
5. Trauma-Informed Approach
Thought Questions:
How is your work trauma-
informed?
How is your organization
trauma-informed?
What practical steps could be
taken?
What would you anticipate
would change in impact to
youth, professionals,
organizations, and systems?
6. Adverse Childhood Experiences (ACEs) Study
(Felitti et al., 1998)
Three types of childhood adversity:
Abuse, neglect, and household
dysfunction
1. Physical Abuse
2. Emotional Abuse
3. Sexual Abuse
4. Physical Neglect
5. Emotional Neglect
6. Alcohol or drug abuse by parent
7. Having a parent that was mentally ill
8. Divorce
9. Parental Incarceration
10. Exposure to Intimate Partner Violence
(IPV)
8. LGBTQ2S+ Youth
➔ Are more likely to have experienced a higher prevalence of multiple ACEs, in
addition to heteronormative discrimination by their family or peers, putting them at
risk for mental health issues, substance abuse, sexual risk behaviours, and
homelessness (Stettler & Katz, 2017; Anderson & Blosnich, 2013; Austin, Herrick,
& Proescholdbell, 2016; Liles, Blacker, Landini, & Urquiza, 2016; Brown, Masho,
Perera, Mezuk, & Cohen, 2015; Clements-Nolle et al., 2018)
➔ Heteronormative discrimination associated with a two-fold increase in risk of TDV
victimization (Blais et al., submitted)
➔ Results from the US Behavioral Risk Factor Surveillance System Survey
(n=22071) found that gay and lesbian adults were more than twice as likely to report
physical, sexual, or emotional abuse in their childhood; and bisexual adults were
three times more likely to report being sexually abused as a child (Anderson &
Blosnich, 2013)
9. Teen Dating Violence (TDV)
The World Health Organization defines TDV as “any behaviour occurring in a dating
relationship that causes psychological, physical or sexual prejudice to one or both adolescent
partners” (Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002)
BC Adolescent Health Survey (10 year longitudinal data):
(Shaffer, Adjei, Viljoen, Douglas, & Saewyc, 2018)
➔ Reports of physical TDV have decreased significantly
➔ Reports of male TDV victimization have increased significantly
Exposure to Intimate Partner Violence (IPV) in home of origin:
(Forke et al., 2018)
➔ Witnessing perpetration by male only associated with higher perpetration for boys and
higher perpetration and victimization for girls
➔ Witnessing perpetration by female or both parties were aggressors was associated with
increased risk for both perpetration and victimization in boys and girls
10. ACEs and Dating Violence
Findings from the original ACEs Study:
(Whitfield, Anda, Dube, & Felitti, 2003)
➔ Physical abuse, childhood injury, sexual abuse and witnessing male perpetrated IPV toward
mother, significantly predicted male perpetration and female victimization in adulthood
➔ Having experienced cumulative ACEs has associated with stronger effects on victimization
than perpetration
➔ The link between childhood emotional abuse and adolescent dating violence was mediated
by Post-Traumatic Stress Symptoms for male perpetration and female victimization
(Wekerle et al., 2009)
The Role of Emotion Regulation:
➔ Adolescents with high previous dating violence perpetration ratings (high aggression) and
low emotional intelligence more likely to have a higher risk score of perpetration when
tested again over time (Fernández-González, Calvete, Orue, & Echezarraga, 2018)
11. Self-Compassion as a Resilience Strategy
Self-Compassion Scale (Neff,
2003)
Self-kindness: “I try to be loving
towards myself when I am feeling
emotional pain”
Common Humanity: “When
things are going badly for me, I
see the difficulties as part of life
that everyone goes through”
Mindfulness: “When something
upsets me, I try to keep my
emotions in balance”
Rating: 1 (almost never) to 5
(almost always)
12. The Maltreatment Adolescent Pathways (MAP) Study
➔ Goal: To assess the linkages between child maltreatment, risk-taking behavior, and health
outcomes in an adolescent population involved with Child Welfare Services
➔ First Canadian longitudinal Child Welfare study (2.5 years)
➔ Participants randomly selected from three Child Welfare agencies in Ontario
➔ 561 youth, ages 14-17 (mean age=16 years old); 89.6% Heterosexual, 9.7% Bisexual; 57.6%
Females, 42.4% Males were sexually active
➔ Approximately two-thirds of sample were Crown Wards
Map Study Video
13. US Longitudinal Study Predicting Emergence of Sexual
Violence (SV) Perpetration in Adolescence (Ybarra & Thompson,
2018)
➔ Average age of first perpetration was between 15-16 years of age
➔ Perpetrators of SV more likely to report alcohol use, multiple types of perpetration (i.e.,
sexual harassment, sexual assault, coercive sex, rape, TDV), and prior victimization
➔ Exposure to IPV between parents and violent pornography strongly associated with the
emergence of SV perpetration
➔ 82% of perpetrators reported aggressive behaviour (compared to 37% of non-perpetrators)
➔ Gender differences in predicting emergence of first assault:
◆ Males: Psychological dating violence victimization
◆ Females: Current aggression levels
14. MAP Study Findings
➔ Child Sexual Abuse (CSA):
(Wekerle, Goldstein, Tanaka, & Tonmyr, 2017)
◆ Of sexually active participants, females had experienced higher rates of CSA than
males (67% vs. 33%)
◆ Males less likely to disclose CSA history and less likely to be placed in out of home
care
◆ Gender socialization: “restrictive masculinity”
◆ Victims often endorsed characteristics of CSA (e.g., being touched sexually), but did
not endorse that they “were sexually abused”
➔ Mental Health:
(Daigneault et al., 2017)
◆ Male victims of CSA 2.2x less likely than female victims to see a doctor for physical
health issues; but 2.3x more likely to see a doctor for mental health
◆ Male CSA victims 10x more likely to be hospitalized for mental health issues
16. Intersectionality
➔ Humans are shaped by the ways in which different social locations interact within
systems and structures of power (Hankivsky, 2014)
➔ These processes create privilege for some and oppression for others
17. The Effects of Adversity on LGBTQ2S+ Mental Health
Minority Stress Theory:
(Meyer, 2003; Stettler & Katz, 2017)
➔ Sexual Minority youth are at higher risk for poor outcomes due to the stressors they face
living in a heterosexist environment
➔ Two major stress processes:
➔ Distal processes: External, objective events and conditions (e.g., laws, policies)
➔ Proximal processes: Subjective stressors (i.e., hiding identity, internalized heterosexism,
shame, fear of stigma)
Ports et al., 2017:
➔ Study of black homosexual males (intersecting two minority statuses)
➔ Exposure to ACEs extremely high--nearly 90% had been exposed to at least one ACE
➔ ACE scores were significantly associated with the participants’ mental health
18. PTSD Prevalence
Population Age PTSD Dx % Reference
-Transgender Women
enrolled in HIV
Prevention Program
16-29 7.9% Reisner et al., 2016
-LGB compared to
heterosexual participants
population study
Adults More than 2x as likely to
have PTSD than
heterosexual participants
Roberts, Austin, Corliss,
Vandermorris,& Koenen,
2010
-LGBT community
sample
16-20 9% Mustanski, Garofalo, &
Emerson, 2010
-Bisexual participants 16-24 10.8% Ross et al., 2014
-HIV-Infected youth 13.3% PTSD
20% PTSD Symptoms
Radcliffe et al., 2007
-National Comorbidity
Survey Replication
Adolescent Supplement
(6483 adolescents)
13-18 4.7% McLaughlin et al., 2013
19. LGBT Victimization & Mental Health Symptoms (Mustanski,
Andrews, & Puckett, 2016)
➔ Racially diverse sample of LGBT youth (ages 16-20)
➔ Participants rated LGBT victimization (i.e., verbal or physical threats, or assault) in the
past six months from 0=did not occur to 3=occurring three or more times
➔ For 84.6% of participants, victimization experiences had decreased in the four year follow-
up
➔ However, 10.3% experienced an increase in victimization and 5.1% consistently
experienced high levels of victimization
➔ Youth who had experienced moderate, increasing victimization and high, steady
victimization were at greater risk for developing depressive symptoms than those who had
experienced low victimization
➔ Youth who had experience moderate increasing victimization, high, steady victimization,
and high, decreasing victimization were at greater risk for developing Post Traumatic
Stress Disorder (PTSD) symptoms
21. Open Access Resources for Resilience
● Youth Rights and Resilience talk, Dr. C. Wekerle (14 minutes)
● http://www.cafdn.org/webcast/
● The Resilience Journey talk, Dr. C. Wekerle (20 minutes)
● https://www.youtube.com/watch?v=X0fwW-7lAoA
● TED Ed LESSONS:
● (1) Adverse childhood experiences and child maltreatment
● http://ed.ted.com/on/iOyQVfhd
● (2) Risk and resilience in youth suicidality
● http://ed.ted.com/on/6nReRcN0
● (3) The Resilience Journey: The value of Interpersonal resilience
● http://ed.ted.com/on/uNQzmOkB
23. THANK YOU FOR YOUR ATTENTION!
Access CIHRTeamSV publications on ResearchGate:
https://www.researchgate.net/project/Understanding-health-
risks-and-promoting-resilience-in-male-youth-with-sexual-
violence-experience-CIHR-Team-Grant-TE3-138302
International Journal of Child and Adolescent Resilience (Open
Access): www.in-car.ca
24. References
Andersen, J. P., & Blosnich, J. (2013). Disparities in adverse childhood experiences among sexual minority and heterosexual
adults: Results from a multi-state probability sample. PLoS One, 8(1), e54691. doi:10.1371/journal.pone.0054691
Austin, A., Herrick, H., & Proescholdbell, S. (2016). Adverse childhood experiences related to poor adult health among
lesbian, gay, and bisexual individuals. American Journal of Public Health, 106(2), 314-320. doi:10.2105/AJPH.2015.302904
Brown, M. J., Masho, S. W., Perera, R. A., Mezuk, B., & Cohen, S. A. (2015). Sex and sexual orientation disparities in
adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative
sample. Child Abuse & Neglect, 46, 89-102. doi:10.1016/j.chiabu.2015.02.019
Clements-Nolle, K., Lensch, T., Baxa, A., Gay, C., Larson, S., & Yang, W. (2018). Sexual identity, adverse childhood
experiences, and suicidal behaviors. Journal of Adolescent Health, 62(2), 198-204. doi: 10.1016/j.jadohealth.2017.09.022
Daigneault, I., Esposito, T., Bourgeois, C., Hébert, M., Delaye, A., & Frappier, J. Y. (2017). Health service use of sexually
abused adolescents aging out of care: A matched-cohort study. International Journal of Child and Adolescent Resilience,
5(1), 53-66. Retrieved from: in-car.ca
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V.,…& Marks, J. S. (1998).
Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse
Childhood Experiences (ACE) Study. American Journal of Preventative Medicine, 14(4), 245-258. doi:10.1016/S0749-
3797(98)00017-8
25. Fernández-González, L., Calvete, E., Orue, I., & Echezarraga, A. (2018). The role of emotional intelligence in the
maintenance of adolescent dating violence perpetration. Personality and Individual Differences, 127, 68-73.
doi:10.1016/j.paid.2018.01.038
Forke, C. M., Myers, R. K., Fein, J. A., Catallozzi, M., Localio, A. R., Wiebe, D. J., & Grisso, J. A. (2018). Witnessing
intimate partner violence as a child: How boys and girls model their parents’ behaviors in adolescence. Child Abuse &
Neglect (in press). doi:10.1016/j.chiabu.2018.07.031
Hankivsky, O. (2014). Intersectionality. The Institute for Intersectionality Research & PoliMeyer, I.H. (2003). Prejudice,
social stress, and mental health in lesbian, gay and bisexual populations: Conceptual issues and research
evidence. Psychological Bulletin, 129, 674-697. doi:10.1037/0033-2909.129.5.674cy, SFU.
https://www.sfu.ca/iirp/documents/resources/101_Final.pdf
Krug, E., Dahlberg, L., Mercy, J., Zwi, A., & Lozano, R. (2002). World report on violence and health. Geneva: World Health
Organization.
Liles, B. D., Blacker, D. M., Landini, J. L., & Urquiza, A. J. (2016). A California multidisciplinary juvenile court: Serving
sexually exploited and at-risk youth. Behavioral Sciences & the Law, 34(1), 234-245. doi:10.1002/bsl.2230
McLaughlin, K. A.., Koenen, K. C., Hill, E. D., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013).
Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of
Child and Adolescent Psychiatry, 52(8), 815-830. doi:10.1016/j.jaac.2013.05.011
26. Meyer, I.H. (2003). Prejudice, social stress, and mental health in lesbian, gay and bisexual populations: Conceptual issues
and research evidence. Psychological Bulletin, 129, 674-697. doi:10.1037/0033-2909.129.5.674
Mustanski, B., Andrews, R., & Puckett, J. A. (2016). The effects of cumulative victimization on mental health among
lesbian, gay, bisexual, and transgender adolescents and young adults. American Journal of Public Health, 106(3), 527-533.
doi:10.2105/AJPH.2015.302976
Mustanski, B. S., Garofalo, R., & Emerson, E. M. (2010). Mental health disorders, psychological distress, and suicidality in a
diverse sample of lesbian, gay, bisexual, and transgender youths. American Journal of Public Health, 100(12), 2426-2432.
doi:10.2105/AJPH.2009.178319
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250.
doi:10.1080/15298860390209035
Ports, K. A., Lee, R. D., Raiford, J., Spikes, P., Manago, C., & Wheeler, D. P. (2017). Adverse childhood experiences and
health and wellness outcomes among black men who have sex with men. Journal of Urban Health, 94(3), 375-383.
doi:10.1007/s11524-017-0146-1
Radcliffe, J., Fleisher, C. L., Hawkins, L. A., Tanney, M., Kassam-Adams, N., Ambrose, C., & Rudy, B. J. (2014).
Posttraumatic stress and trauma history in adolescents and young adults with HIV. AIDS Patient Care and STDs, 21(7).
doi:10.1089/apc.2006.0144
27. Reisner, S. L., Biello, K. B., White Hughto, J. M., Kuhns, L., Mayer, K. H., Garofalo, R., & Mimiaga, M. J. (2016).
Psychiatric diagnoses and comorbidities in a diverse, multicity cohort of young transgender women: Baseline findings from
Project LifeSkills. JAMA Pediatrics, 170(5), 481-486. doi:10.1001/jamapediatrics.2016.0067
Roberts, A. L., Austin, S. B., Corliss, H. L., Vandermorris, A. K., & Koenen, K. C. (2010). Pervasive trauma exposure
among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health,
100(12), 2433-2441. doi:10.2105/AJPH.2009.168971
Ross, L. E., Bauer, G. R., MacLeod, M. A., Robinson, M., MacKay, J., & Dobinson, C. (2014). Mental health and substance
use among bisexual youth and non-youth in Ontario, Canada. PLoS One, 9(8), e101604. doi:10.1371/journal.pone.0101604
Shaffer, C. S., Adjei, J., Viljoen, J. L., Douglas, K. S., & Saewyc, E. M. (2018). Ten-year trends in physical dating violence
victimization among adolescent boys and girls in British Columbia, Canada. Journal of Interpersonal Violence (in press), 1-
18. doi:1 0.1177/0886260518788367
Stettler, N. M., & Katz, L. F. (2017). Minority stress, emotion regulation, and the parenting of sexual-minority youth. Journal
of GLBT Family Studies, 13(4), 380-400. doi:10.1080/1550428X.2016.1268551
Wekerle, C., Goldstein, A. L., Tanaka, M., & Tonmyr, L. (2017). Childhood sexual abuse, sexual motives, and adolescent
risk-taking among males and females receiving child welfare services. Child Abuse & Neglect, 66, 101-111.
doi:10.1016/j.chiabu.2017.01.013
28. Wekerle, C., Leung, E., Wall, A. M., MacMillan, H., Boyle, M., Trocme, N., & Waechter, R. (2009). The contribution of
childhood emotional abuse to teen dating violence among child protective services-involved youth. Child Abuse & Neglect,
33(1), 45-58. doi:10.1016/j.chiabu.2008.12.006
Whitfield, C. L., Anda, R. F., Dube, S. R., & Felitti, V. J. (2003). Violent childhood experiences and the risk of Intimate
Partner Violence in adults: Assessment in a large health maintenance organization. Journal of Interpersonal Violence,18(2),
166-185. doi:10.1177/0886260502238733
Ybarra, M. L. & Thompson, R. E. (2018). Predicting the emergence of sexual violence in adolescence. Prevention Science,
19(4), 403-415. doi:10.1007/s11121-017-0810-4
