ISSN (Print): 2210-6766
ISSN (Online): 2210-6774
Volume 9, 3 Issues, 2019
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ISSN (Print): 2210-6766
ISSN (Online): 2210-6774
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21 Articles Ahead of Print are available electronically
We are delighted to be Guest Editors for this special issue of Adolescent Psychiatry on Trauma and
Adolescents. During the past thirty years, there has been an increased public awareness of the scope and
serious impact of traumatic stress on the safety and healthy development of children and youth. The articles
assembled represent a range of clinical and research advances from an international group of distinguished
authors. The goals of this publication are to provide the readers an update on developmental psychopathology,
trauma treatment and interventions, and new developments as related to adolescent trauma.
The journal begins with an article on “Complex Trauma and Developmental Trauma Disorder in
Adolescence,” in which Julian Ford describes the phenomena of complex trauma which involves ongoing
or multiple exposures to severe adverse childhood experiences, typically of an interpersonal nature, during
critical periods in individual development. The roadmap Ford provides is likely to advance clinical evaluation
and research with seriously traumatized youth.
We continue to wonder about the impact of early adverse experiences on the lives of our patients with
eating disorders. As a result, we explore the relationship between abuse and eating disorders and discuss
implications for clinical care in our paper, “Eating Disorders and Abuse.”
The article with a focus on resilience by Betty Pfefferbaum, Richard Van Horn and Rose Pfefferbaum
is entitled “Involving Adolescents in Building Community Resilience for Disasters.” They describe working
with established systems of care including the health, mental health, education, law enforcement, child
welfare, juvenile justice, and military family service systems to ensure that there is a comprehensive
trauma informed continuum of accessible care.
The next article is on “The Interplay of Trauma and Bereavement in Adolescence: Pioneering Work
and Recent Advancement,” by Christopher Layne and colleagues. There is greater awareness that trauma
which occurs together with loss and bereavement is very different than trauma alone. The authors describe
therapeutic strategies that address trauma co-occurring with death of loved ones.
In “Academic Achievement in Young Adults with a History of Adolescent Physical Abuse” David Pelcovitz
and colleagues present a follow-up study ten to fourteen years after initial assessment. They document
the lasting effects that physical abuse during adolescence has on educational attainments and occupational
From Quebec, Canada and London, England, Karen Ensink and colleagues report on research with a
community-based sample of adolescents and young adults, using a psychodynamic lens to examine impact
of childhood trauma. In “Pathological Narcissism in Adolescents: Relationships with Childhood Maltreatment
and Internalizing and Externalizing Difficulties” they discuss experiences of childhood maltreatment
in relation to psychosocial difficulties and the negative influence it has on narcissism.
In “A three-tiered Model of School-Based Trauma Services to Address Long-term Impact of a Major
Natural Disaster,” Peter D’Amico and colleagues describe a multi-faceted program to address impact of
community-wide trauma on adolescents. They report on creating trauma-informed, developmentally and
culturally sensitive clinical interventions that included a broad range of effective services, resulting in improved
standard of care in two-highly impacted communities following Super Storm Sandy.
Finally, we end the volume with Michaël Bégin and colleagues who provide a report on their research
on “A Person Centered Approach to understanding the Impact of Childhood Maltreatment.” The authors
explain findings regarding the relationship between the type of abuse experienced during childhood and
the subsequent forms of serious psychopathology.
Several of the papers in this issue involve work by individuals associated with the National Child
Traumatic Stress Network (NCTSN). Established in 2001, NCTSN has ensured that widely shared knowledge
and skills have become a sustainable national resource. NCTSN continues to foster a professional
interdisciplinary community dedicated to improving the lives of traumatized youth.
Note. Finally, we would like to dedicate this issue to the late Sandra Kaplan, MD who devoted her
clinical and academic career to the care of survivors of childhood maltreatment and their families. Dr.
Kaplan headed one of the original NCTSN treatment development programs (focused on the needs of
traumatized adolescents), was a co-investigator with Dr. Pelcovitz in the work he reports here, and influenced
the work of multiple contributors to this volume.