Researchers have uncovered connections between the experience of childhood traumas and later symptoms, both psychological and physiological. This article highlights, specifically for family counselors, the need for increased attention to physical expressions of childhood trauma in adulthood. This discussion enriches our systemic understanding of the way trauma alters both psychological and physiological processes. Preliminary analyses from a pilot study (N = 24) are presented from a small sample of individuals having an endocrine disorder whose symptoms correlated significantly with various childhood traumatic experiences. Our preliminary results highlight the importance of counselors having some basic knowledge of not only how trauma may influence cognitive and emotional processes but physical ones as well. Clinical practice implications are discussed.
AndersonH. (1997). Conversation, language, and possibilities: A postmodern approach to therapy. New York, NY: Basic Books.
2.
Banford WittingA.BusbyD. (2018). The long arm of trauma during childhood: Associations with resources in couple relationships. Journal of Marital and Family Therapy. Advance online publication. doi:10.1111/jmft.12354
3.
Banford WittingA.JensenJ. F.BrownM. (2016). Evaluating the utility of MFT models in the treatment of trauma: Implications for affect regulation. Contemporary Family Therapy, 39, 1–10. doi:10.1007/s10591-016-9387-5
4.
BankerJ. E.ValerasA.RioL. M. (2014). Hormonal disorders and the therapist: A family system perspective. In RioL. M. (Ed.), The Hormone Factor: Mental Health and the Pituitary; Bridging the Mind-Body Gap. London, England: JKP.
5.
BernsteinD. P.SteinJ. A.NewcombM. D.WalkerE.PoggeD.AhluvaliaT.…ZuleW. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27, 169–190. doi:10.1016/S0145-2134(02)00541-0
6.
BremnerD. J.SouthwickS. M.JohnsonD. R.YehudaR.CharneyD. S. (1993). Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans. American Journal of Psychiatry, 150, 235–239.
7.
CarpenterL. L.ShattuckT. T.TyrkaA. R.GeraciotiT. D. (2011). Effect of childhood physical abuse on cortisol stress response. Psychopharmacology, 214, 367–375.
8.
CattaneN.RossiR.LanfrediM.CattaneoA. (2017). Borderline personality disorder and childhood trauma: Exploring the affected biological systems and mechanisms. BMC Psychiatry, 17, 1–14.
9.
CloitreM.StolbackB.HermanJ.van der KolkB.PynoosR.WangJ.PetkovaE. (2009). A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22, 399–408.
10.
DucciF.EnochM. A.HodgkinsonC.XuK.CatenaM.RobinR. W.GoldmanD. (2008). Interaction between a functional MAOA locus and childhood sexual abuse predicts alcoholism and antisocial personality disorder in adult women. Molecular Psychiatry, 13, 334–347.
11.
EngelG. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136.
12.
GerlockA. A.GrimeseyJ.SayreG. (2014). Military-related posttraumatic stress disorder and intimate relationship behaviors: A developing dyadic relationship model. Journal of Marital and Family Therapy, 40, 344–356. doi:10.1017/CBO9780511500008.016
13.
GolaH.EnglerA.MorathJ.AdenauerH.ElbertT.KolassaI.EnglerH. (2014). Reduced peripheral expression of the glucocorticoid receptor α isoform in individuals with posttraumatic stress disorder: A cumulative effect of trauma burden. PLoS One, 9. doi:10.1371/journal.pone.0086333
14.
GunnarM. R.HostinarC. E. (2015). The social buffering of the hypothalamic-pituitary-adrenocortical axis in humans: Development and experiential determinants. Social Neuroscience, 10, 479–488. doi:10.1080/17470919.2015.1070747
HeimC.NaterU. M.MaloneyE.BonevaR.JonesJ. F.ReevesW. C. (2009). Childhood trauma and risk for chronic fatigue syndrome: Associations with neuroendocrine dysfunction. Arch Gen Psychiatry, 66, 72–80. doi:10.1001/archgenpsychiatry.2008.508
17.
HeimC.NewportD. J.MletzkoT.MillerA. H.NemeroffC. B. (2008). The link between childhood trauma and depression: Insights from HPA axis studies in humans. Psychoneuroendocrinology, 33, 693–710. doi:10.1016/j.psyneuen.2008.03.008
18.
HodgsonJ.LamsonA.MendenhallT.CraneR. (Eds.). (2014). Medical family therapy: Advanced applications. New York, NY: Springer.
19.
KnutzenR.RioL. M. (2006). The difficulty of pituitary disorders. US Endocrine Disease 2006(1), 68–70. doi:10.17925/USE.2006.00.1.68
20.
LabellaM. H.JohnsonW. F.MartinJ.RuizS. K.ShankmanJ. L.EnglundM. M.SimpsonJ. A. (2018). Personality and Social Psychology Bulletin, 44, 238–251. doi:10.1177/0146167217736049
21.
LillyM. M.LimB. H. P. (2012). Shared pathogeneses of posttrauma pathologies: Attachment, emotion regulation, and cognitions. Journal of Clinical Psychology, 69, 737–748. doi:10.1002/jclp.21934
22.
MideiA. J.MatthewsK. A.ChangY. F.BrombergerJ. T. (2013). Childhood physical abuse is associated with incident metabolic syndrome in mid-life women. Health Psychology, 32, 121–127. doi:10.1037/a0027891
23.
MinuchinS. (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
24.
Nelson GoffB. S.SmithD. B. (2005). Systemic traumatic stress: The couple adaptation to traumatic stress model. Journal of Marital and Family Therapy, 31, 145–157. doi:10.1111/j.1752-0606.2005.tb01552.x
25.
NicholsM. P.DavisS. (2017). Family therapy: Concepts and methods (11th ed.). Upper Saddle River, NJ: Pearson Education.
26.
OstlerT. (2015). Dysregulation of the caregiving system in the context of maternal depression: The role of mistrust in the development and causation of abusive parenting behavior. Psychiatry: Interpersonal and Biological Processes, 78, 42–54.
27.
PerryB. (2009). Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the neurosequential model of therapeutics. Journal of Loss and Trauma, 14, 240–255. doi:10.1080/15325020903004350
28.
PinelesS. L.RasmussonA. M.YehudaR.LaskoN. B.MacklinM. L.PitmanR. KOrrS. P. (2013). Predicting emotional responses to potentially traumatic events from pre-exposure waking cortisol levels: A longitudinal study of police and firefighters. Anxiety, Stress & Coping: An International Journal, 26. doi:10.1080/10615806.2012.672976
29.
RakS.CoffinJ. (2013). Affordable care act. The Journal of Medical Practice Management, 28, 317–319.
30.
ResnickH. S.YehudaR.PitmanR.FoyD. W. (1995). Effect of previous trauma on acute plasma cortisol level following rape. American Journal of Psychiatry, 152, 1675–1677.
31.
RioL. M. (2014). The hormone factor in mental health: Bridging the mind-body gap. London, England: Jessica Kingsley.
32.
SchalinskiI.ElbertT.Steudte-SchmiedgenS.KirschbaumC. (2015). The cortisol paradox of trauma-related disorders: Lower phasic responses but higher tonic levels of cortisol are associated with sexual abuse in childhood. PLoS One, 10, 1–18. doi:10.1371/journal.pone.0136921
33.
ShivanandaM. J.RaoT. S. (2016). Sexual dysfunction in medical practice. Current Opinion in Psychiatry, 29, 331–335. doi:10.1097/YCO.0000000000000281
34.
SpeiceJ.McDanielS. (2016). Training the medical family therapist in an integrated care setting. In JordanK.JordanK. (Eds.), Couple, marriage, and family therapy supervision (pp. 371–389). New York, NY: Springer.
35.
SpertusI.YehudaR.WongC.HalliganS.SeremetisS. (2003). Childhood emotional abuse and neglect as predictors of psychology and physical symptoms in women presenting to a primary care practice. Child Abuse & Neglect, 27, 1247–1258. doi:10.1016/j.chiabu. 2003.05.001
36.
SpinhovenP.PenninxB. W.HickendorffM.van HemertA. M.BernsteinD. P.ElzingaB. M. (2014, April28). Childhood Trauma Questionnaire: Factor structure, measurement invariance, and validity across emotional disorders. Psychological Assessment. Advance online publication. doi:10.1037/pas0000002
37.
SwansonL. W.SawchenkoP. E. (1983). Hypothalamic integration: Organization of the paraventricular and supraoptic nuclei. Annual Review of Neuroscience, 6, 269–324.
38.
TyndallL. E.HodgsonJ. L.LamsonA. L.WhiteM.KnightS. M. (2012). Medical family therapy: A theoretical and empirical review. Contemporary Family Therapy, 34, 156–170. doi:10.1007/s10591-012-9183-9
39.
UstaM.TuncelO.AkbasS.AydinB.SayG. (2016). Decreased dehydroepiandrosterone sulphate levels in adolescents with post-traumatic stress disorder after single sexual trauma. Nordic Journal of Psychiatry, 70. doi:10.3109/08039488.2015.1056752
40.
van der KolkB. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Viking.
41.
ZubatskyM.HarrisS. M.MendenhallT. J. (2017). Clinical training and practice patterns of medical family therapists: A national survey. Journal of Marital and Family Therapy, 43, 264–275. doi:10.1111/jmft.12203
