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There is now ample evidence from the preclinical and clinical fields that early life trauma has both dramatic and long-lasting effects on neurobiological systems and functions that are involved in different forms of psychopathology as well as on health in general. To date, a comprehensive review of the recent research on the effects of early and later life trauma is lacking. This book fills an obvious gap in academic and clinical literature by providing reviews which summarize and synthesize these findings. Topics considered and discussed include the possible biological and neuropsychological effects of trauma at different epochs and their effect on health. This book will be essential reading for psychiatrists, clinical psychologists, mental health professionals, social workers, pediatricians and specialists in child development.
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The Impact of Early Life Trauma on Health and Disease The Hidden Epidemic
The Impact of Early Life Trauma on Health and Disease The Hidden Epidemic Edited by Ruth A. Lanius
Associate Professor, University of â•›Western Ontario, Canada
Eric Vermetten
Associate Professor, University Medical Center and Military Mental Health, Central Military Hospital, Utrecht, the Netherlands
Clare Pain
Associate Professor, University ofâ•› Toronto, Canada
CAMBRIDGE UNIVERSITY PRESS
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Dubai, Tokyo Cambridge University Press The Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521880268 © Cambridge University Press 2010 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2010 ISBN-13
978-0-511-77666-3
eBook (NetLibrary)
ISBN-13
978-0-521-88026-8
Hardback
Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every effort has been made in preparing this book to provide accurate and up-todate information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.
Contents List of contributorsâ•… page vii Forewordâ•… xiii Vincent J. Felitti Acknowledgementsâ•… xvii
Section 1 Early life trauma:€impact on health and disease
7 Complex adult sequelae of early life exposure to psychological traumaâ•… 69 Julian D. Ford
Part 1 Childhood trauma:€epidemiology and historical themes╅ 3
8 The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders and sexual behavior:€implications for healthcare╅ 77 Vincent J. Felitti and Robert F. Anda