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Kwok WK, Chiu CD, Brand BL, Chan LKN, Ho HL. Child Dissociation: The Descriptive Psychopathology Analysis of a Case. J Trauma Dissociation 2024:1-13. [PMID: 39523672 DOI: 10.1080/15299732.2024.2425087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Accepted: 09/16/2024] [Indexed: 11/16/2024]
Abstract
With a reliable retrospective link to early-life traumatic stress, dissociation has been formulated as a pathology of abnormal socioemotional development. Dissociation hence should be identifiable and diagnosable in childhood. This study aimed to address the extent to which current formulation and diagnostic criteria of adult dissociation is applicable to children. This case study documented and analyzed the potentially dissociative experiences and behaviors in a 11-year-old boy from a residential facility accommodating children from high-risk families. The first-person account from the child client about his potentially dissociative experiences and the observations of the clinician witnessing the targeted behaviors were documented, revealing a symptom profile similar to adult dissociation. Dissociation disrupted multiple domains of typically integrated mental functioning including memory, consciousness, and the sense of self. The child client presented unusual forgetfulness that was observed by others, while the child himself was able to describe experiences involving gaps in consciousness and a fragmented and disconnected sense of self. This case study renders support for the current formulation of dissociative pathology and its applicability to high-risk cases in early developmental stages. This finding also indicates the importance of trauma-informed care in child residential settings. With gentle guiding prompts, children are able to recognize and articulate unusual experiences, facilitating the early identification of dissociation.
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Affiliation(s)
- Wing Ki Kwok
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong, S.A.R
| | - Chui-De Chiu
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong, S.A.R
| | - Bethany L Brand
- Department of Psychology, Towson University, Towson, Maryland, USA
| | - Leong Ki Nicky Chan
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong, S.A.R
| | - Hoi Lam Ho
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong, S.A.R
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Li W, Ng FFY, Chiu CD. When Parents Are at Fault: Development and Validation of the Parental Guilt and Shame Proneness Scale. J Pers Assess 2024; 106:595-608. [PMID: 38335321 DOI: 10.1080/00223891.2024.2311208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 01/16/2024] [Indexed: 02/12/2024]
Abstract
Research has linked individuals' dispositional guilt and shame to their interpersonal processes. Although caregivers' guilt and shame proneness in the parenting context likely have important implications for their mental health and parenting, there is a lack of validated measures for such dispositions. In three studies with Chinese parents, we developed and validated the Parental Guilt and Shame Proneness scale (PGASP), which was based on the Guilt and Shame Proneness scale (GASP). The PGASP comprises two guilt subscales-negative behavior-evaluations (guilt-NBE) and repair action tendencies (guilt-repair)-and two shame subscales-negative self-evaluations (shame-NSE) and withdrawal action tendencies (shame-withdraw). Study 1 (N = 604) provided support for the four-factor structure of the PGASP, which was replicated in Study 2 (N = 451). The concurrent validity of the PGASP was examined in Study 2 and Study 3 (N = 455). The two guilt subscales were associated with better mental health and more positive parenting, whereas parents' shame-withdraw exhibited the opposite pattern; weak or no relations were found for shame-NSE. Findings highlight the need to differentiate between parents' shame-NSE and shame-withdraw. PGASP may be a useful tool for identifying parents at risk of engaging in negative parenting.
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Affiliation(s)
- Weijia Li
- Department of Educational Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Florrie Fei-Yin Ng
- Department of Educational Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong
| | - Chui-De Chiu
- Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong
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Siu HC, Lee SH, Au JS, Lo APK, Huang CM, Tsai YF, Lee TMC, Liu HL, Lin C, Chiu CD. Loneliness and Major Depressive Disorder in the Elderly with a History of Suicidal Ideation or Attempt: A Comment on "Therapist-Guided Internet-Based Treatments for Loneliness" by Käll et al. PSYCHOTHERAPY AND PSYCHOSOMATICS 2022; 91:142-144. [PMID: 34915527 DOI: 10.1159/000520420] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 10/16/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Hiu Ching Siu
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Shwu-Hua Lee
- Department of Psychiatry, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.,College of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Josephine Sheron Au
- Child and Adolescent Psychiatry Division, Department of Psychiatry, McLean Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Alfred Pak-Kwan Lo
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China
| | - Chih-Mao Huang
- Department of Biological Science and Technology, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.,Center for Intelligent Drug Systems and Smart Bio-devices (IDS2B), National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Yun-Fang Tsai
- School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan.,Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Tatia Mei-Chun Lee
- Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong SAR, China.,State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR, China
| | - Ho-Ling Liu
- Department of Imaging Physics, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
| | - Chemin Lin
- College of Medicine, Chang Gung University, Taoyuan, Taiwan.,Department of Psychiatry, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.,Community Medicine Research Center, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan
| | - Chui-De Chiu
- Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China
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