Abstract
Translation and application of current complex trauma knowledge for high-risk groups such as the homeless is needed. Existing research in this area has been limited by lack of a cohesive theoretical framework that captures the dynamic and heterogeneous nature of complex trauma within the context of ecological vulnerability (e.g. homelessness). This paper aims to address these gaps by proposing an integrated resources perspective framework situating Layne and colleagues’ (Layne et al. 2009, 2010) concept of ‘risk factor caravans’ as central focus. We demonstrate how the ‘risk factor caravan’ representation captures current theoretical and clinical insights into the pervasive and enduring consequences of complex trauma exposure. Personal resources are highlighted as key for understanding resource loss and gain in the current context. Longitudinal person-centered approaches as integral methodological considerations for future application of this proposed framework are examined. Implications for reducing barriers to access of available support services are discussed.
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References
Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C. H., Perry, B. D., et al. (2006). The enduring effects of abuse and related adverse experiences in childhood. European Archives of Psychiatry and Clinical Neuroscience, 256, 174–186. https://doi.org/10.1007/s00406-005-0624-4.
Anderson, I. (2003). Synthesizing homelessness research: Trends, lessons and prospects. Journal of Community & Applied Social Psychology, 13, 197–205. https://doi.org/10.1002/casp.714.
Australian Institute of Health and Welfare (2018). Family, domestic and sexual violence in Australia 2018. (Cat. no. FDV 2). Canberra: AIHW. https://www.aihw.gov.au/reports-statistics. Accessed 27/02/2018.
Bandura, A. (2006). Toward a psychology of human agency. Perspectives on Psychological Science, 1, 164–180. https://doi.org/10.1111/j.1745-6916.2006.00011.x.
Bandura, A. (2018). Toward a psychology of human agency: Pathways and reflections. Perspectives on Psychological Science, 13, 130–136. https://doi.org/10.1177/1745691617699280.
Barnes Holmes, Y., Barnes Holmes, D., McHugh, L., & Hayes, S. C. (2004). Relational frame theory: Some implications for understanding and treating human psychopathology. International Journal of Psychology and Psychological Therapy, 4, 355–375 Retrieved from: http://www.redalyc.org/articulo.oa?id=56040210. Accessed 25/03/2015.
Benight, C. C., & Bandura, A. (2004). Social cognitive theory of posttraumatic recovery: The role of perceived self-efficacy. Behavior Research and Therapy, 42, 1129–1148. https://doi.org/10.1016/j.brat.2003.08.008.
Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28. https://doi.org/10.1037/0003-066X.59.1.20.
Bowlby, J. (2012). A secure base. London: Routledge.
Bowman, M. L. (2013). Individual differences in posttraumatic response: Problems with the adversity-distress connection. New York: Routledge.
Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biological Psychiatry, 50, 699–704. https://doi.org/10.1016/S0006-3223(01)01167-2
Briere, J., & Scott, C. (2015). Complex trauma in adolescents and adults: Effects and treatment. Psychiatric Clinics, 38, 515–527. https://doi.org/10.1016/j.psc.2015.05.004.
Briere, J., Kaltman, S., & Green, B. L. (2008). Accumulated childhood trauma and symptom complexity. Journal of Traumatic Stress, 2, 223–226. https://doi.org/10.1002/jts.
Cassidy, J., & Shaver, P. R. (Eds.). (2002). Handbook of attachment: Theory, research, and clinical applications. Rough Guides.
Chamberlain, C., & Johnson, G. (2011). Pathways into adult homelessness. Journal of Sociology, 49, 60–77. https://doi.org/10.1177/2F1440783311422458.
Cloitre, M. (2015). The “one size fits all” approach to trauma treatment: Should we be satisfied? European Journal of Psychotraumatology, 6, 27344. https://doi.org/10.3402/ejpt.v6.2734T.
Cloitre, M., Stolbach, B. C., Herman, J. L., Kolk, B. V. D., Pynoos, R., Wang, J., & Petkova, E. (2009). A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22, 399–408. https://doi.org/10.1002/jts.20444.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., et al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35, 390–398. https://doi.org/10.3928/00485713-20050501-05.
Courtois, C. A. (2008). Complex trauma, complex reactions: Assessment and treatment. Psychological Trauma: Theory, Research, Practice, and Policy, S(1), 86–100. https://doi.org/10.1037/1942-9681.S.1.86.
Courtois, C. A., & Ford, J. D. (Eds.). (2009). Treating complex traumatic stress disorders: An evidence-based guide. New York: Guilford Press.
De Lange, H. J., Sala, S., Vighi, M., & Faber, J. H. (2010). Ecological vulnerability in risk assessment—A review and perspectives. Science of the Total Environment, 408, 3871–3879. https://doi.org/10.1016/j.scitotenv.2009.11.009.
Deforge, B. R., Belcher, J. R., O’Rourke, M., & Lindsey, M. A. (2008). Personal resources and homelessness in early life: Predictors of depression in consumers of homeless multiservice centers. Journal of Loss Trauma, 13, 222–242. https://doi.org/10.1080/15325020701769105.
Delima, J., & Vimpani, G. (2011). The neurobiological effects of childhood maltreatment: An often overlooked narrative related to the long-term effects of early childhood trauma? Family Matters, 89, 42–52 Retrieved from: https://search.informit.com.au/documentSummary;dn=717010661945019;res=IELAPA.
Elzy, M., Clark, C., Dollard, N., & Hummer, V. (2013). Adolescent girls’ use of avoidant and approach coping as moderators between trauma exposure and trauma symptoms. Journal of Family Violence, 28, 763–770. https://doi.org/10.1007/s10896-013-9546-5.
Fazel, S., Geddes, J. R., & Kushel, M. (2014). The health of homeless people in high-income countries: Descriptive epidemiology, health consequences, and clinical and policy recommendations. The Lancet, 384(9953), 1529–1540. https://doi.org/10.1016/S0140-6736(14)61132-6.
Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2009). Lifetime assessment of poly-victimization in a national sample of children and youth. Child Abuse & Neglect, 33, 403–411. https://doi.org/10.1016/j.chiabu.2008.09.012.
Finlay, C. G., & Lyons, J. A. (2007). Issues in conducting exposure therapy to treat combat veterans’ PTSD. In. Richard, D. C. S., & Lauterbach, D. L. (eds.). (Ch 7). Handbook of exposure therapies. Amsterdam; Sydney: Elsevier/AP.
Ford, J. D., Courtois, C. A., Steele, K., Hart, O. V. D., & Nijenhuis, E. R. (2005). Treatment of complex posttraumatic self-dysregulation. Journal of Traumatic Stress, 18, 437–447. https://doi.org/10.1002/jts.20051.
Gabowitz, D. & Konnath, K. (2008). Developing trauma-informed Services for Families Experiencing Homelessness. An interactive training video and guide. Retrieved from: www.familyhomelessness.org.
Hobfoll, S. E. (1988). The ecology of stress. New York: Taylor & Francis.
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524. https://doi.org/10.1037/0003-066X.44.3.513.
Hobfoll, S. E. (1991). Traumatic stress: A theory based on rapid loss of resources. Anxiety Research, 4, 187–197. https://doi.org/10.1080/08917779108248773.
Hobfoll, S. E. (2001). The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory. Applied Psychology, 50, 337–421. https://doi.org/10.1111/1464-0597.00062.
Hobfoll, S. E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6, 307–324. https://doi.org/10.1037/1089-2680.6.4.307.
Hobfoll, S. E., Freedy, J., Lane, C., & Geller, P. (1990). Conservation of social resources: Social support resource theory. Journal of Social and Personal Relationships, 7, 465–478. https://doi.org/10.1177/0265407590074004.
Hobfoll, S. E., Tirone, V., Holmgreen, L., & Gerhart, J. (2016). Conservation of resources theory applied to major stress. In G. Fink (Ed.), Stress: Concepts, Cognition, Emotion, and Behavior (pp. 65–71). https://doi.org/10.1037/1089-2680.6.4.307.
Johnson, G., & Chamberlain, C. (2011). Are the homeless mentally ill? Australian Journal of Social Issues, 46, 29–48. https://doi.org/10.1002/j.1839-4655.2011.tb00204.x.
Jonkman, C. S., Verlinden, E., Bolle, E. A., Boer, F., & Lindauer, R. J. (2013). Traumatic stress symptomatology after child maltreatment and single traumatic events: Different profiles. Journal of Traumatic Stress, 26, 225–232. https://doi.org/10.1002/jts.21792.
Kliethermes, M., Schacht, M., & Drewry, K. (2014). Complex Trauma. Child and Adolescent Psychiatric Clinics, 23, 339–361. https://doi.org/10.1016/j.chc.2013.12.009.
LaGory, M., Fitzpatrick, K., & Ritchey, F. (2001). Life chances and choices: Assessing quality of life among the homeless. The Sociological Quarterly, 42, 633–651. https://doi.org/10.1111/j.1533-8525.2001.tb01783.x.
Lamagna, J. (2011). Of the self, by the self, and for the self: An intra-relational perspective on intra-psychic attunement and psychological change. Journal of Psychotherapy Integration, 21, 280–307. https://doi.org/10.1037/a0025493.
Lawson, D. M., & Quinn, J. (2013). Complex trauma in children and adolescents: Evidence-based practice in clinical settings. Journal of Clinical Psychology: In Session, 69, 497–509. https://doi.org/10.1037/a0032677.
Layne, C. M., Beck, C. J., Rimmasch, H., Southwick, J. S., Moreno, M. A., & Hobfoll, S. E. (2009). Promoting “resilient” posttraumatic adjustment in childhood and beyond: “Unpacking” life events, adjustment trajectories, resources, and interventions. In D. Brom, R. Pat-Horenczyk, & J. Ford (Eds.), Treating traumatized children: Risk, resilience, and recovery (pp. 13–47). New York: Routledge.
Layne, C. M., Olsen, J. A., Baker, A., Legerski, J. P., Isakson, B., Pasalić, A., et al. (2010). Unpacking trauma exposure risk factors and differential pathways of influence: Predicting post-war mental distress in Bosnian adolescents. Child Development, 81, 1053–1076. https://doi.org/10.1111/j.1467-8624.2010.01454.x.
Layne, C. M., Briggs, E. C., & Courtois, C. A. (2014). Introduction to the special section: Using the trauma history profile to unpack risk factor caravans and their consequences. Psychological Trauma: Theory, Research, Practice, and Policy, 6(S1), S1. https://doi.org/10.1037/a0037768.
Luci, M. (2017). Disintegration of the self and the regeneration of ‘psychic skin’in the treatment of traumatized refugees. Journal of Analytical Psychology, 62, 227–246. https://doi.org/10.1111/1468-5922.12304.
Luthans, F., Avey, J. B., Avolio, B. J., Norman, S. M., & Combs, G. M. (2006). Psychological capital development: Toward a micro-intervention. Journal of Organizational Behavior, 27, 387–393. https://doi.org/10.1002/job.373.
Mohaupt, H., Holgersen, H., BINDER, P. E., & Nielsen, G. H. (2006). Affect consciousness or mentalization? A comparison of two concepts with regard to affect development and affect regulation. Scandinavian Journal of Psychology, 47(4), 237–244. https://doi.org/10.1111/j.1467-9450.2006.00513.x.
Muthèn, B. (2004). Latent variable analysis: Growth mixture modelling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 345–368). Newbury Park: Sage Publications.
O’Donnell, M., Varker, T., Cash, R., Armstrong, R., Di Censo, L., Zanatta, P., Murnane, A., Brophy, L., & Phelps, A. (2014). The trauma and homelessness initiative. Report prepared by the Australian Centre for Posttraumatic Mental Health in collaboration with Sacred Heart Mission, Mind Australia, Inner South Community Health and Vincent Care Victoria.
Purvis, K. B., McKenzie, L. B., Cross, D. R., & Razuri, E. B. (2013). A spontaneous emergence of attachment behavior in at-risk children and a correlation with sensory deficits. Journal of Child and Adolescent Psychiatric Nursing, 26, 165–172. https://doi.org/10.1111/jcap.12041.
Rice, E., Kurzban, S., & Ray, D. (2012). Homeless but connected: The role of heterogeneous social network ties and social networking technology in the mental health outcomes of street-living adolescents. Community Mental Health Journal, 48, 692–698. https://doi.org/10.1007/s10597-011-9462-1.
Scheier, M. F., Carver, C. S., & Bridges, M. W. (2001). Optimism, pessimism, and psychological well-being. In Chang, E (Ed.), Optimism and pessimism: Implications for theory, research, and practice, 189-216. Retrieved from: http://search.ebscohost.com/login.aspx?direct=true&db=pzh&jid=200016270&site. Accessed 3/04/2014.
Schore, A. N. (2002). Advances in Neuropsychoanalysis, attachment theory, and trauma research: Implications for self psychology. Psychoanalytic Inquiry, 22, 433–484. https://doi.org/10.1080/07351692209348996.
Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: The central role of affect regulation in development and treatment. Clinical Social Work Journal, 36, 9–20. https://doi.org/10.1007/s10615-007-0111-.
Staudinger, U. M., & Kunzmann, U. (2005). Positive adult personality development: Adjustment and/or growth. European Psychologist, 10, 320–329. https://doi.org/10.1027/1016-9040.10.4.320.
Sundin, E. C., & Baguley, T. (2015). Prevalence of childhood abuse among people who are homeless in Western countries: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 50, 183–194. https://doi.org/10.1007/s00127-014-0937-.
Teague, C. M. (2013). Developmental trauma disorder: A provisional diagnosis. Journal of Aggression, Maltreatment & Trauma, 22, 611–625. https://doi.org/10.1080/10926771.2013.804470.
van der Kolk, B. A., Roth, S., Pelcovitz, D., Sunday, S., & Spinazzola, J. (2005). Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma. Journal of Traumatic Stress, 18, 389–399. https://doi.org/10.1002/jts.20047.
Widom, C. S., Czaja, S. J., & Dutton, M. A. (2008). Childhood victimization and lifetime revictimization. Child Abuse & Neglect, 32, 785–796. https://doi.org/10.1016/j.chiabu.2007.12.006.
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This research has been conducted with the support of the Australian Government Research Training Program Scholarship.
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Keane, C.A., Magee, C.A. & Kelly, P.J. Complex Trauma and Ecological Vulnerability: Development of a Resources Perspective Framework to Inform Longitudinal Examination. Journ Child Adol Trauma 13, 229–237 (2020). https://doi.org/10.1007/s40653-019-00276-y
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DOI: https://doi.org/10.1007/s40653-019-00276-y