+SOME ARTICLES FROM DR. MARTIN H. TEICHER – AN EXPERT ON THE CONSEQUENCES OF CHILDHOOD ABUSE

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Tuesday, March 04, 2014.  I am looking around online for some research articles about the work of Dr. Martin H. Teicher.  What HAS this great mind been up to lately, anyway?  I find it is actually difficult to find out –

The first article I found is a free open public access one about children/youth ages 11-14 and Seasonal Affective Disorder (SAD).  SAD “is a recurring mood disorder that has an onset and remission at predictable times during the year.”  While the article has a somewhat intimidating title — Scale-Invariant Locomotor Activity Patterns in Children with SAD (2013) it has some very fascinating material in it about SAD, circadian rhythm differences in children (that may match those seen in adults with SAD?), and regions of the brain involved.

According to the article by Kyoko Ohashi, Ann Polcari and Martin H. Teicher 3.3% to 4.2 % of youth in the United States report SAD symptoms (which are described here).  I’ve never specifically even thought about SAD and kids until I encountered this info!

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I am certainly experiencing a compound effect of my own reoccurring major depression with SAD in this frigid far north climate this winter, something I did NOT have to deal with in the lovely more southern Arizona climes.  My little apartment is FULL of daylight-natural light-full spectrum light bulbs!!  On days that the sun now reaches into my apartment with rays at least part of the day when it’s not cloudy – and it is certainly cloudy today – I can drastically FEEL a complete shift in my state of being as those rays disappear toward sunset.  I now know that there will be NO direct sunlight reaching into this apartment for 5 months out of the year due to a total lack of windows in all but the westerly direction.

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SAD evidently has not only has “typical major depression symptoms” but also has some “atypical symptoms” which are described in this article.  While the detailed specifics of how this research was accomplished can be rather tedious to read, a person can scroll down to the results and discussion sections for more understandable material from the findings of this study.

Teicher was also involved in this “small feasibility study” which suggested that more research on the subject of using infrared light in depression/anxiety treatment is warranted:

Psychological benefits 2 and 4 weeks after a single treatment with near infrared light to the forehead: a pilot study of 10 patients with major depression and anxiety.

Schiffer F, Johnston AL, Ravichandran C, Polcari A, Teicher MH, Webb RH, Hamblin MR.

Behav Brain Funct. 2009 Dec 8;5:46. doi: 10.1186/1744-9081-5-46.Free PMC Article

 

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This very important article (2000) by Dr. Martin H. Teicher – Wounds That Time Won’t Heal:  The Neurobiology of Child Abuse – is available free online by clicking on this title.

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There is a WordPress blog address for Teicher — http://drteicher.wordpress.com/about/  about “Recent findings regarding brain development and childhood abuse/adversity — but this page is taking forever to load and lists an archive of posts into March 2012. 

I have previously mentioned in one of my blog posts some time ago this very important article I find the link to on blogsite –

Parental Verbal Abuse Affects Brain White Matter

Choi J, Jeong B, Rohan ML, Polcari AM, Teicher MH.  Preliminary evidence for white matter tract abnormalities in young adults exposed to parental verbal abuse. Biol Psychiatry. 2009 Feb 1;65(3):227-34.

Here’s another:

Posts Tagged ‘corpus callosum’

Keynote: Pierre Janet Memorial Lecture ISSTD 10/18/10

November 21, 2010

Abuse and Sensitive Periods – Synopsis:

December 14, 2008

Research from my laboratory, and from other labs here and abroad, have shown that exposure to childhood abuse is associated with alterations in brain structure and function.  This research has largely focused on brain regions known to be susceptible to the effects of stress, such as the hippocampus.  We have recently expanded our knowledge regarding the potential adverse effects of abuse by publishing the first preliminary data indicating that the neurobiological consequences of abuse depend on the age of exposure (Andersen et al 2008).

Andersen SL, Tomada A, Vincow ES, Valente E, Polcari A, Teicher MH (2008): Preliminary evidence for sensitive periods in the effect of childhood sexual abuse on regional brain development. J Neuropsychiatry Clin Neurosci 20:292-301.

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There may be more on this blogsite of interest but at the moment I am simply – cruising around….

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The truth is at this moment in time I do not have the heart to go back and read Teicher’s articles such as THIS important one which appears online as a PowerPoint.  I post these links in case some readers browsing through my blog today would like to take a little time to study Teicher’s perspectives – there are NONE more accurate and critically important on the topic of childhood traumas than Teicher’s.

Windows of Vulnerability:  Neurobiology of Child Abuse

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OK – HERE PERHAPS I STRUCK GOLD!!  Great list of Teicher’s articles to scan through —

This is a Google Scholar page for Teicher that counts 13,319 citations for his work – and YAY!!!  Take a look at the active-link articles posted HERE, although the articles are not listed chronologicaly.   I am still not convinced, however, that this page is up-to-date.  (Is that was a typo at the top, “Harvard Medicl School?”  My heavens!)

Martin H. Teicher

Harvard Medicl School / McLean Hospital

Childhood Maltreatment and Brain Development – ADHD – Depression – Biomarkers 

Verified email at hms.harvard.edu

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The bio page I found for Teicher as he is connected to McLean Hospital, Harvard Medical School Affiliate, is not up-to-date.  There are articles listed for him there as of 2005 as being “in press.”

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You can also follow here:

Searches related to martin h teicher

dr martin h teicher

neurobiology martin h teicher

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And this all important information:   

+Dr. Teicher’s ARTICLE ON TRAUMA ALTERED DEVELOPMENT

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Here is our first book out in ebook format.  A very kind professional graphic artist is going to revise our cover pro bono (we are still waiting to hear that he has accomplished this job) – what a gift and thank you Ben!  Click here to view or purchase: 

STORY WITHOUT WORDS

It lists for $2.99 and can be read free for Amazon Prime customers.  Reviews for the book on the Amazon.com site are WELCOME and appreciated!

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Please click here to read or to Leave a Comment »

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+WAKING WITH HOT ICY TEARS – HOW COME?

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Monday, March 3, 2014.  There is nothing fun about waking into tears as I did this morning when my alarm went off, or with the need to make an instantaneous choice not to let those tears escape the body that holds them – mine — or to let that sadness completely control my day.

My next thoughts came from a conversation I had with a friend yesterday who also suffers from the lifelong effects of trauma altered physiological development from infant and child abuse:  The set point of our entire body (nervous systems-brain, etc.) is NOT set at peaceful calm as it should have been had early trauma not happened to us.  Mine is set at sorrow.

So this morning I went on a hunt for what I remember from my thorough reading of the works of Dr. Allan N. Schore 8-10 years ago about what is said about abused infants’ “set point of balanced equilibrium.” 

I didn’t know enough in the beginning of my studies to take issue with anything of Schore’s I read, yet today when I read a statement like “Dissociation is a very early appearing survival mechanisms for coping with traumatic affects, and it plays a critical role in the mechanism of projective identification” I can clearly separate the operation of “dissociation” from “the mechanism of projective identification.”  In my thinking they are NOT the same thing even though when I first read this text I didn’t realize that.

Both my mother and I were forced to form a brain-nervous system with dissociation built into it.  But while Mother continued her development in the direction of massive use of projective identification I do not believe that I did.

As a result of my having been so abused by my (mentally ill-psychotic) dysregulated Mother I also had my infant (and therefore adult) “homeostatic equilibrium” massively disorganized.  However, dissociation is, for me, in no way ONLY tied to “interactive forces that induce intensely stressful states.”  My body processes most information it receives in this fashion, not “just” interactive forces with people.  My body (as readers have mentioned in regard to Complex Posttraumatic Stress Disorder (C-PTSD)) receives nearly all information as intensely stressful – and this has gotten significantly worse the older I have gotten.

While no doubt this is true regarding projective identification, “Dissociation is a very early appearing survival mechanisms for coping with traumatic affects, and it plays a critical role in the mechanism of projective identification,” I believe that for myself dissociation NOW simply reflects my baseline state based upon how my body-brain was designed to operate as it changed in its developmental trajectory in an environment of massive ongoing trauma from birth.

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Affect Regulation and the Repair of the Self (2003) by Dr. Allan N. Schore – page 62 – (if this link does not take you to this page do a Google Books search for “allan n schore equilibrium” and follow the first link shown).  Scroll up from page 62 in the book online – very important reading as well. 

There is a great deal of interest amongst clinicians in intense, primitive affects, such as terror and rage.  But in recent work I have suggested that we must also deepen our understanding of the early etiology of the primitive defenses that are used to cope with – to autoregulate – traumatic, overwhelming affective states.  An interdisciplinary approach can thus model how developing systems organize primitive defense mechanisms, such as projective identification and dissociation, to cope with interactive forces that induce intensely stressful states that massively disorganize the infant’s homeostatic equilibrium (Schore, 2001a). Dissociation is a very early appearing survival mechanisms for coping with traumatic affects, and it plays a critical role in the mechanism of projective identification (Schore, 1998c, 2000g, 2002d).  Since these early events are imprinted into the maturing brain (Matsuzawa et al., 2001), where states becomes traits (Perry et al., 1995), they endure as primitive defense mechanisms.  It has been observed that patients who utilize projective identification have “dissociatively cleansed” themselves of traumatic affects in order to maintain some form of relationship with narcissistically vulnerable others (Sands, 1994.  1997b).”

In two seminal papers, Kelein conjectured that defensive projective identification is associated with the massive invasion of someone else’s personality (1955/1975) and represents an evacuation of unwanted parts of the self (1946).  The use of a unique and restricted set of defenses in severely disturbed personalities has been long noted in the clinical literature.  Indeed, a primary goal of treatment of such patients is to help them replace excessive used of projective identification with more mature defensive operations.  Boyer described a group of patients who experienced an early defective relationship with the m other that resulted in a grossly deficient ego structure.  Their excessive use of projective identification “very heavily influences their relationships with others as well as their psychic equilibrium.  Their principal conscious goal in therapy is to relieve themselves immediately of tension.  Often they greatly fear that the experience of discomfort is intolerable and believe that failure to rid themselves of it will lead to physical or mental fragmentation or dissolution” (Boyer, 1990, p. 304).

In writings on the “costs” of the characterological use of projective identification, Stark described, “Those patients who do n ot have the capacity to sit with internal conflicts will be in the position of forever giving important parts of themselves away, leaving themselves feeling internally impoverished and excessively dependent upon others” (1999, -. 269).

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It does not take much searching (using the same terms I mentioned above) to find Schore stating on pages 289-290 in his book, Affect Dysregulation and Disorders of the Self, the following: 

The brain of an infant who experiences frequent intense attachment disruptions and little interactive repair is chronically exposed to states of impaired homeostasis which he or she shifts into in order to maintain basic metabolic processes for survival.  If the caregiver does not participate in reparative functions that reduce stress and reestablish psychobiological equilibrium, the limbic connections that are in the process of developing are exposed to a toxic chemistry that negatively impacts a developing brain.  Developmental pscyobiological  studies indicate that hyperaroused attachment stressors are correlated with elevated levels of the arousal-regulating catecholamines and hyperactivation of the excitotoxic N-methyl-D-asparate (NMDA)-sensitive glutamate receptor, a critical site of neurotoxicity and synapse-elimination in eraly development (McDonald et al., 1988; Guilarte, 1998).  Research now indicates that apoptotic degeneration is intensifiec in the immature brain during the NMDA receptor hypersensitivity period (Johnston, 2001), and that the neonatal brain is more prone to excitotoxicity than the adult brain (Bittigua et al., 1999).  High levels of glutamate and cortisol are known to specifically alter the growth of the developing limbic system.  During critical periods, dendritic spines, potential points of connection with other neurons, are particularly vulnerable to long pulses of glutamate (Segal et al., 2000) that trigger severely altered calcium metabolism and therefore “oxidative stress” and cellular damage (Park et al., 1996; Schore, 1994, 1997a, 2001c).

Furthermore, basic research shows that adverse social experiences during early critical periods result in permanent alterations in opiate, corticosteroid, corticotropin releasing factor, dopamine, noradrenaline, and serotonin receptors (Coplan et al., 1996; Ladd et al., 1996; Lewis et al., 1990; Martin et al., 1991; Meerlo et al., 2001; Rosenblum et al., 1994; van der Kolk, 1987).  Such receptor alterations are a central mechanism by which “early adverse developmental experiences may leave behind a permanent physiological reactivity in limbic areas of the brain” (Post et al., 1994, p. 800).  Impairments in the limbic system, and in dopamine, noradrenaline, and serotonin receptors have all been implicated in aggression dysregulation (Dolan, Deakin, Roberts, & Anderson, 2002; Oquendo & Mann, 2000; Siever & Trestman, 1993).

Because the early maturing (Geschwind & Galaburda, 1987; Schore, 1994) right hemisphere is more deeply connected into the limbic system than the left (Borod, 2000; Gainotti, 2000; Tucker, 1992), this enduring reactivity is “burnt” into corticolimbic circuits of the right brain, the hemisphere dominant for the regulation of stress hormones cortisol and corticotropin releasing factor….”  READ MORE HERE – or go to the 2nd link following the term search I mentioned above)

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So how’s this for light early Monday morning reading?  You can Google search for any term you don’t recognize in order to get a clearer picture of what Schore is saying.  Personally I find myself wondering if in my situation the “aggression” circuits were not allowed to develop due to my exposure to SUCH abusive rage in Mother.

When I wake as I did today finding myself “on the verge of tears” I can now look for, find and use my mental aggression toward THE HUNT for supportive information about why it is NOT MY FAULT in any way that the set point of my entire being is set at sorrow rather than at peaceful calm.

This means that I must use massive amounts of my waking energy to fight against a state that is completely natural for my body’s resting state. 

Notice also in the above text Schore’s use of the word PERMANENT – and he means what he writes.  This is the kind of information that Dr. Daniel Siegel is NOT talking about – although I am open to the understanding that research in the past 10 years may have opened up areas of new knowledge about this kind of “permanence” that Schore is mentioning.  However, I would not take new concepts of brain plasticity to mean that we can change what happened to us on the level of permanent during the brain developmental stages Schore is talking about. 

It is also important to remember that the entire body is effected by this kind of traumatic stress in its development – certainly not “just” the brain.

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As I have mentioned many times I felt so hopelessly damaged as I read Schore’s work!  It was when I finally found the work of Dr. Martin Teicher that I realized all of what Schore describes of trauma-caused developmental changes actually means in the bigger picture that we become “evolutionarily altered” beings made within and to endure within a malevolent world.  It is the mismatch between our natural state and life in a more benign world that causes us the most trouble.

Who chooses to cross the morning’s threshold from sleep to wakefulness being forced to find such ways to cope with the icy threat of heated tears?

Who chooses to have to plow through the facts of developmental neuroscience to discover what changes create this kind of “resting state” within one’s body?

None of US, that’s for sure!

But here we find ourselves, none-the-less.  I would rather KNOW what’s “wrong=changed” within me as I fight every moment of the day to be “happier” than my body tells me I am than to NOT know.  And if you continue to study this kind of information you will recognize yourself AND most probably the reality of your abuser, as well.

It helps me to remember that for all else I need to cope with in my everyday life I will ALWAYS have a trauma altered body to cope with life with – and coping with the conditions within my trauma changed body is a life’s work all by itself!

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Here is our first book out in ebook format.  A very kind professional graphic artist is going to revise our cover pro bono (we are still waiting to hear that he has accomplished this job) – what a gift and thank you Ben!  Click here to view or purchase: 

STORY WITHOUT WORDS

It lists for $2.99 and can be read free for Amazon Prime customers.  Reviews for the book on the Amazon.com site are WELCOME and appreciated!

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Please click here to read or to Leave a Comment »

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+SOME HELPFUL ‘INS AND OUTS’ OF LAY SCHOLARSHIP

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Sunday, March 02, 2014.  Never before in the history of our species has so much information been available to so many people.  The exclusivity of access to this information is shrinking at the same time that the body of information is growing exponentially.  As lay scholars (and this includes everyone who has found their way to this blog) we can be as creative, far-ranging, thorough, specific and eclectic as we choose to be in our studies.

 Information posted below about how to find and access research online has kindly been provided by blog commenter mlhyde – and THANK YOU!  The link to this information will post at the top of this blog’s “ABOUT” page where it will remain so that I know where I put it and so that blog readers can also find it when they need it.

I have used PubMed in my studies.  It is a fantastic resource site which contains a MASSIVE searchable database of research in the format of abstracts and/or FREE access articles. 

Google Books at http://books.google.com/ may offer searchable pages of books that are not accessible via, say, amazon.com’s book pages.

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Here is the first comment about research provided yesterday, March 1, 2014:

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Sorry for my long comment but you need some information.

You made a comment about not being able to get internet access to some literature now that you are not at a university but I know that there are many ways to get access to some journals.  When searching using Google Scholar, you will find free access even when there are no pdf links to the right of the citation.  Just be sure to click on the “All x versions” to see which choices you have.  Look at the green words and see the journals/publishers.  The ones which say europepmc or cat.inist.fr usually are just catalogs, same for psycnet.apa.org (although not all of their journals are subscriber only–sometimes you need to put the name up onto Google search and see for yourself if the article is accessible.  You learn which psych journals are out of reach.

If it says Sage you can still get free access to many psych journals NOW by registering with Sage for email alerts, not just to specific journals but to informative notices (that then gives you global email alert checkoff boxes). They used to notify you in special newsletters devoted to specific fields when they had free access trials but now you have to go to

http://online.sagepub.com/cgi/freetrial

periodically to check if there is anything new. They have free access to ADDITIONAL psych journals right now until the end of March 2014.  However, I usually sign up for everything there so that when I do a search on something like “abuse” and I get journals that are not in the psych journal list (e.g. Journal of Interpersonal Violence), but are on free trial lists right now, I can still get the article.  I just copy the journal information of articles that I want but that are not yet freely available to a list for when a trial does open up.

Sage also has free access to all of its journals in the database in October or November (if you register).  Usually it has free trials to neuro journals in November and very often overlap with ALL Database free trials.  They never give you enough time to get everything.  However, if you periodically do searches on Sage, saving articles to a list, you soon discover which journals you want free access to and can save their names to a list, too.  That saves you a lot of time when the all database free trial occurs.

Also look for Oxford University Press which has a free access period, too at times, but it also has free access to many of its psych journals and others which it doesn’t often tell you about in the “About this Journal” section.  For instance:  I found that Integrative & Comparative Biology tells you that it will give you free access for 2012 and part of 2013 right now, but in fact it gives you free access back 17 years.  Now that may be because I am registered to get email alerts from them on many journals, so when I go to any Oxford University Press journal it automatically logs me in (I set those preferences in my browser).

Royal Society of London also has free periods, usually in November or December each year, but sometimes at other times.  They give free access to some journals if they are 1 year old, and to others if they are 2 years old, back to about 10 years old.  Since they have truly ancient articles dating back to the 1700’s, you generally have to wait until Nov/Dec to get those.  They do have open access journals, too, as well as open access articles (as all databases have).

In the class of rarely free belong the following with comments:

SpringerLink also has some open access journals, too. Even Elsevier/ScienceDirect have some freely accessible, but rarely. Taylor & Francis is rarely free.

Proceedings of the National Academy of Sciences gives free access to all year old issues and some new ones. Even Annals of the New York Academy of Sciences gives some free access. Then PLOS has free access all the time (get on the free email alerts there) and BMOC also has many journals that are free. Cell has many journals associated that have free access to many issues as does J. Neuroscience, and American Journal of Physiology journals.

Also I found some Indian journals, like

http://www.ijpm.info/

which is free access. I think that I found them through Medknow.

So always go to the listings after you click on “All x versions”.  Now ncbi doesn’t always have free access but

http://www.ncbi.nlm.nih.gov/pmc/journals/?filter=t4&titles=current&search=journals

gives a list of journals where for the most part, you can get free access. Some are listed on the Sage website where sometimes it won’t give you a location other than a citation in a search, or it won’t give you access there to articles earlier than 2014, but you can get them at the above website.

Some journals give free access after they are a year old, but Google Scholar may not let you think you have access by their notation because they are cataloged on information that is not updated.

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From today’s comment from mlhyde, March 2, 2014:

Actually, I find specific articles in Google Scholar. In fact, most of Teicher’s research is available for free there, as I said, much of it not implied when you see a list of sources without a *.pdf file on the right side of the page.  You just have to type the title and one author’s name into the right space under “Advanced Search”.  Sometimes, once I got a listing of all versions, I had to search for the journal on regular Google and then for the article on that journal’s website.

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These comments were made to this Friday, February 28, 2014 post:

  +BLACKBIRD PIE – WHAT IS TRUE FOR US?

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Here is our first book out in ebook format.  A very kind professional graphic artist is going to revise our cover pro bono (we are still waiting to hear that he has accomplished this job) – what a gift and thank you Ben!  Click here to view or purchase: 

STORY WITHOUT WORDS

It lists for $2.99 and can be read free for Amazon Prime customers.  Reviews for the book on the Amazon.com site are WELCOME and appreciated!

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Please click here to read or to Leave a Comment »

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