Social Acknowledgment of Violent Experiences and Its Role in PTSD and Appetitive Aggression Among High-Risk Males in South Africa

Abstract

Violence exposure poses a risk for posttraumatic stress disorder (PTSD) and appetitive aggression. Does acknowledgment of violent experiences by one’s social environment also affect these adverse consequences of violence? We investigated relations between number of traumatic event types, number of violent offenses, PTSD symptoms, appetitive aggression, and social acknowledgment. A total of 290 participants were recruited through a Cape Town rehabilitation center for offenders. Using path analysis, we demonstrate higher societal disapproval to be associated with more intense PTSD symptoms and greater appetitive aggression. However, past experiences of recognition were also related to more intense PTSD symptoms. Violence exposure was positively associated with PTSD symptoms and appetitive aggression, and a higher number of violent offenses was related to greater appetitive aggression. Results indicate that besides violence exposure, social acknowledgment may play a significant role in the severity of PTSD and appetitive aggression. Intervention programs should not neglect targeting social structures.

Keywords

violence exposure social acknowledgment PTSD appetitive aggression South Africa

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References

Amaya-Jackson

(1998). Child’s Exposure to Violence Checklist. Durham, NC: Centre for Child and Family Health, Trauma Evaluation, Treatment and Research Program.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Barbarin

O. A.

Richter

deWet

(2001). Exposure to violence, coping resources, and adjustment of South African children. American Journal of Orthopsychiatry, 7, 16–25. doi:10.1037//0002-9432.71.1.16

Baumeister

R. F.

Campbell

W. K.

(1999). The intrinsic appeal of evil: Sadism, sensational thrills, and threatened egotism. Personality and Social Psychology Review, 3, 210–221. doi:10.1207/s15327957pspr0303_4

Benhorin

McMahon

S. D.

(2008). Exposure to violence and aggression: Protective roles of social support among urban African American youth. Journal of Community Psychology, 36, 723–743. doi:10.1002/jcop.20252

Bolger

K. E.

Patterson

C. J.

(2001). Developmental pathways from child maltreatment to peer rejection. Child Development, 72, 549–568. doi:10.1111/1467-8624.00296

Crombach

Elbert

(2014). The benefits of aggressive traits: A study with current and former street children in Burundi. Child Abuse & Neglect, 38, 1041–1050. doi:10.1016/j.chiabu.2013.12.003

DeWall

C. N.

Twenge

J. M.

Gitter

S. A.

Baumeister

R. F.

(2009). It’s the thought that counts: The role of hostile cognition in shaping aggressive responses to social exclusion. Journal of Personality and Social Psychology, 96, 45–59. doi:10.1037/a0013196.

10.

Eitle

Gunkel

Van Gundy

(2004). Cumulative exposure to stressful life events and male gang membership. Journal of Criminal Justice, 32, 95–111. doi:10.1016/j.jcrimjus.2003.12.001

11.

Elbert

Moran

Schauer

(in press). Appetitive aggression. In Bushman

B. J.

(Ed.), Aggression and violence. New York, NY: Taylor & Francis/Routledge.

12.

Elbert

Rockstroh

Kolassa

Schauer

Neuner

(2006). The influence of organized violence and terror on brain and mind—A co-constructive perspective. In Baltes

Reuter-Lorenz

Roesler

(Eds.), Lifespan development and the brain: The perspective of biocultural co-constructivism (pp. 326–363). Cambridge, England: Cambridge University Press. doi:10.1017/CBO9780511499722.017

13.

Elbert

Weierstall

Schauer

(2010). Fascination violence: On mind and brain of man hunters. European Archives of Psychiatry and Clinical Neuroscience, 260, 100–105. doi:10.1007/s00406-010-0144-8

14.

Enders

C. K.

(2006). A primer on the use of modern missing-data methods in psychosomatic medicine research. Psychosomatic Medicine, 68, 427–736. doi:10.1097/01.psy.0000221275.75056.d8

15.

Foa

E. B.

Tolin

D. F.

(2000). Comparison of the PTSD Symptom Scale–interview version and the clinician-administered PTSD Scale. Journal of Traumatic Stress, 13, 181–191. doi:10.1023/A:1007781909213

16.

Guerra

N. G.

Huesmann

L. R.

Spindler

(2003). Community violence exposure, social cognition, and aggression among urban elementary school children. Child Development, 74, 1561–1576.

17.

Hecker

Hermenau

Mädl

Hinkel

Schauer

Elbert

(2013). Aggression inoculates against PTSD symptom severity insights from armed groups in the eastern DR Congo. European Journal of Psychotraumatology, 4, 20070. doi:10.3402/ejpt.v4i0.20070

18.

Hellmuth

J. C.

Stappenbeck

C. A.

Hoerster

K. D.

Jakupcak

(2012). Modeling PTSD symptom clusters, alcohol misuse, anger, and depression as they relate to aggression and suicidality in returning U.S. veterans. Journal of Traumatic Stress, 25, 527–534. doi:10.1002/jts.21732

19.

Bentler

P. M.

(1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118

20.

King

L. A.

King

D. W.

Fairbank

J. A.

Keane

T. M.

Adams

G. A.

(1998). Resilience-recovery factors in post-traumatic stress disorder among female and male Vietnam veterans: Hardiness, postwar social support, and additional stressful life events. Journal of Personality and Social Psychology, 74, 420–434. doi:10.1037/0022-3514.74.2.420

21.

King

R. U.

Sakamoto

(2015). Disengaging from genocide harm-doing and healing together between perpetrators, bystanders, and victims in Rwanda. Peace and Conflict: Journal of Peace Psychology, 21, 378–394. doi:10.1037/pac0000078

22.

Kingdon

G. G.

Knight

(2004). Race and the incidence of unemployment in South Africa. Review of Development Economics, 8, 198–222. doi:10.1111/j.1467-9361.2004.00228.x

23.

Köbach

Schaal

Elbert

(2015). Combat high or traumatic stress: Violent offending is associated with appetitive aggression but not with symptoms of traumatic stress. Frontiers in Psychology, 5, 1518. doi:10.3389/fpsyg.2014.01518

24.

Littleton

H. L.

(2015). The impact of social support and negative disclosure reactions on sexual assault victims: A cross-sectional and longitudinal investigation. Journal of Trauma & Dissociation, 11, 210–227. doi:10.1080/15299730903502946

25.

Maercker

Müller

(2004). Social acknowledgment as a victim or survivor: A scale to measure a recovery factor of PTSD. Journal of Traumatic Stress, 17, 345–351. doi:10.1023/B:JOTS.0000038484.15488.3d

26.

Maercker

Povilonyte

Lianova

Pöhlmann

(2009). Is acknowledgment of trauma a protective factor? The sample case of refugees from Chechnya. European Psychologist, 14, 249–254. doi:10.1027/1016-9040.14.3.249

27.

Malik

Sorensen

S. B.

Aneshensel

C. S.

(1997). Community and dating violence among adolescents: Perpetration and victimization. Journal of Adolescent Health, 21, 291–302.

28.

Martin

Revington

Seedat

(2013). The 39-item Child Exposure to Community Violence (CECV) Scale: Exploratory factor analysis and relationship to PTSD symptomatology in trauma-exposed children and adolescents. International Journal of Behavioral Medicine, 20, 599–608. doi:10.1007/s12529-012-9269-7

29.

Miller-Johnson

Coie

J. D.

Maumary-Gremaud

Lochman

Terry

(1999). Relationship between childhood peer rejection and aggression and adolescent delinquency severity and type among African American youth. Journal of Emotional and Behavioral Disorders, 7, 137–146. doi:10.1177/106342669900700302

30.

Neugebauer

Fisher

P. W.

Turner

J. B.

Yamabe

Sarsfield

J. A.

Stehling-Ariza

(2009). Posttraumatic stress reactions among Rwandan children and adolescents in the early aftermath of genocide. International Journal of Epidemiology, 38, 1033–1045. doi:10.1093/ije/dyn375

31.

Neuner

Schauer

Karunakara

Klaschik

Robert

Elbert

(2004). Psychological trauma and evidence for enhanced vulnerability for PTSD through previous trauma in West Nile refugees. BMC Psychiatry, 4, 34. doi:10.1186/1471-244X-4-34

32.

Ruble

N. M.

Turner

W. L.

(2000). A systematic analysis of the dynamics and organization of street gangs. American Journal of Family Therapy, 28, 117–132. doi:10.1080/019261800261707

33.

Scarpa

Haden

S. C.

(2006). Community violence victimization and aggressive behavior: The moderating effects of coping and social support. Aggressive Behavior, 32, 502–515. doi:10.1002/ab.20151

34.

Schumm

J. A.

Koucky

E. M.

Bartel

(2014). Associations between perceived social reactions to trauma-related experiences with PTSD and depression among veterans seeking PTSD treatment. Journal of Traumatic Stress, 27, 50–57. doi:10.1002/jts.21879

35.

Schwab-Stone

Chen

Greenberger

Silver

Lichtman

Voyce

(1999). No safe haven II: The effects of violence exposure on urban youth. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 359–367. doi:10.1097/00004583-199904000-00007

36.

Seedat

Van Niekerk

Jewkes

Suffla

Ratele

(2009). Violence and injuries in South Africa: Prioritising an agenda for prevention. Lancet, 374, 1011–1022. doi:10.1016/S0140-6736(09)60948-X

37.

Shields

Nadasen

Pierce

(2008). The effects of community violence on children in Cape Town, South Africa. Child Abuse & Neglect, 32, 589–601. doi:10.1016/j.chiabu.2007.07.010

38.

Spaccarelli

Coatsworth

J. D.

Bowden

B. S.

(1995). Exposure to serious family violence among incarcerated boys: Its association with violent offending and potential mediating variables. Violence and Victims, 10, 163–182.

39.

Twenge

J. M.

Baumeister

R. F.

Tice

D. M.

Stucke

T. S.

(2001). If you can’t join them, beat them: Effects of social exclusion on aggressive behavior. Journal of Personality and Social Psychology, 81, 1058–1069. doi:10.1037/0022-3514.81.6.1058

40.

Ullman

S. E.

Filipas

H. H.

(2001). Predictors of PTSD symptom severity and social reactions in sexual assault victims. Journal of Traumatic Stress, 14, 369–389. doi:10.1023/A:1011125220522

41.

Wagner

Keller

Knaevelsrud

Maercker

(2011). Social acknowledgment as a predictor of post-traumatic stress and complicated grief after witnessing assisted suicide. International Journal of Social Psychiatry, 58, 381–385. doi:10.1177/0020764011400791

42.

Ward

C. L.

Bakhuis

(2010). Intervening in children’s involvement in gangs: Views of Cape Town’s young people. Children & Society, 24, 50–62. doi:10.1111/j.1099-0860.2009.00195.x

43.

Weierstall

Elbert

(2011). The Appetitive Aggression Scale—Development of an instrument for the assessment of human’s attraction to violence. European Journal of Psychotraumatology, 2, 8430. doi:10.3402/ejpt.v2i0.8430

44.

Weierstall

Hinsberger

Kaminer

Holtzhausen

Madikane

Elbert

(2013). Appetitive aggression and adaptation to a violent environment among youth offenders. Peace and Conflict: Journal of Peace Psychology, 19, 138–149. doi:10.1037/a0032489

45.

Weierstall

Schaal

Schalinski

Dusingizemungu

J.-P.

Elbert

(2011). The thrill of being violent as an antidote to posttraumatic stress disorder in Rwandese genocide perpetrators. European Journal of Psychotraumatology, 2, 6345. doi:10.3402/ejpt.v2i0.6345

46.

Weierstall

Schalinski

Crombach

Hecker

Elbert

(2012). When combat prevents PTSD symptoms—Results from a survey with former child soldiers in Northern Uganda. BMC Psychiatry, 12, 41. doi:10.1186/1471-244X-12-41

47.

Wilker

Pfeiffer

Kolassa

Koslowski

Elbert

Kolassa

I. T.

(2015). How to quantify exposure to traumatic stressors? Reliability and validity of measures for cumulative trauma exposure in a post-conflict population. European Journal of Psychotraumatology, 6, 28306. doi:10.3402/ejpt.v6.28306