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This chapter synthesizes the known examples of skeletal paleopathology in Neandertals including nonspecific stress indicators (mainly dental enamel hypoplasias), oral pathology (periodontal disease, caries, and tooth loss), osteoarthritis, trauma, infections and inflammations, neoplasms, and congenital disorders. Frequencies of lesions can be assessed for the dental/oral pathologies based on their larger sample sizes, but the other examples are predominately individual cases. Issues of the “osteological paradox,” mortality profiles, taphonomy, burial versus incidental preservation, and behavior must also be weighed when attempting to reconstruct aspects of Neandertal health and trauma from bony and dental lesions. Considering these skeletal pathologies together provides an indication of the levels of risk and general health experienced during the Middle Paleolithic as well as the larger biosocial implications of a foraging subsistence strategy in the Pleistocene. Overall, these abnormalities are not unique to Neandertals and reflect larger hunter-gatherer skeletal biology patterns.
Mass casualty incidents (MCIs) continue to pose significant operational challenges for health care facilities, particularly when compounded by electronic health record (EHR) downtime or cyberattacks. Despite advancements in technology, providers may consider using simple, paper-based patient triage and tracking methods during an MCI. This study describes the implementation of a paper-based triage and patient tracking tool, integrated into a broader MCI Toolkit, to support operational continuity.
Methods
Developed by NYU Langone Hospital—Brooklyn Emergency Department in collaboration with Emergency Management, the tool was deployed in 6 full-scale exercises (2021–2025) and 2 real-world MCIs across trauma and non-trauma ED settings. The tool follows a 3-step process: rapid triage using Simple Triage and Rapid Treatment (START), documentation of acuity and location, and post-triage identity reconciliation. The MCI Toolkit includes operational resources such as contact lists, patient placement maps, and job action sheets. After each event, feedback was gathered from clinical staff and senior leadership.
Results
In the feedback sessions, the tool was noted to be intuitive and required minimal training. It enabled rapid triage, patient placement, and real-time situational awareness for Incident Command. During a downtime simulation, it supported a seamless transition from electronic to manual processes. Across incidents, it improved patient throughput, ensured appropriate team assignment, and supported role flexibility when leadership was unavailable.
Conclusions
Our experience using the paper-based Triage Tracker showed it reliably maintained patient tracking without electronic systems. Its ease of use and integrated resources supported coordination, patient flow, and operational continuity during MCIs and EHR disruptions.
This Element investigates the challenges and possibilities of writing histories of trauma. Interpreting trauma as not only an event but also as an analytical framework and an apparatus for working on suffering, it explores how the historiography of trauma intersects with pressing matters of postcolonialism, historical subjectivity, and modernity. It is designed to illuminate the pressing theoretical matters that histories of trauma touch upon, whether explicitly or implicitly. Drawing from histories of trauma as well as foundational theoretical work in literary studies and memory studies, it argues that thinking traumatic histories requires a commitment on the part of historians to theoretical self-reflexivity, to querying not just the past or the archive for the traces of trauma, but the concept itself in its historical and historiographical modulations.
A fundamental dilemma in both the radiology reading room as well as the courtroom is whether a potential abusive head or spinal injury may be mistaken for other entities – both pathological processes and also normal anatomical or physiological variants.
A number of differential diagnoses, or mimics, for abusive head trauma may be apparent radiologically, but many may not be. Striving to achieve a medical “diagnosis” of an abusive injury requires the interplay between the radiologist and numerous other clinical specialties. The wide differentials which we discuss include accidental trauma, coagulopathies – both congenital and acquired, metabolic disorders, sepsis and vascular malformations, with all needing to be excluded before reaching a conclusion of nonaccidental trauma.
The experienced radiologist and clinician working in the challenging field of child protection also recognises that it is not always possible to reach a clear-cut decision and learning to communicate levels of uncertainty is essential. Part of this process is to always be alert to diagnostic mimics that may mislead the inexperienced and unwary.
This commentary reflects on what Dostoevsky’s work offers contemporary psychiatry, showing how his portrayals of fractured selves, dissociation, shame and the ambivalent force of beauty deepen our understanding of trauma’s lived experience and highlight the psychological complexities that clinical language cannot always capture.
Suicidal ideation and trauma exposure are significant health challenges worldwide, and their interaction increases their burden on individuals and communities. However, limited research has been devoted to these conditions in low- and middle-income countries, where the majority of the burden of these disorders exists. Additionally, unique cultural factors that may contribute to differential relationships in these symptoms and disorders make this an important area to explore. This study examines relationships between the number and types of adverse exposures, PTSD symptoms and severity, depression and suicidal ideation in a sample of Cambodian women with experiences of trauma using logistic and linear regressions. Overall, PTSD severity significantly contributes to suicidal ideation, with hyperarousal symptoms playing a particularly influential role in this association. Further, adverse experiences, including physical abuse and parental mental health problems, contributed significantly to increased suicidal ideation. Lastly, depression severity partially mediates the relationship between PTSD severity and suicidal ideation. These results illustrate the significant role of PTSD in the experience of suicidal ideation, particularly within regions like Cambodia with high trauma loads. These findings point to psychological constructs that may be especially important to include in suicidality screening tools and to target within prevention and intervention efforts.
In 2014, the Islamic State of Iraq and Syria targeted the Yazidi ethno-religious minority in Sinjar, northern Iraq, abducting Yazidi boys aged 8 to 14 who endured violence, family separation and significant trauma exposure. Upon return, these children needed mental health care. This study investigates the availability of mental health services for male Yazidi former CAAFAGs (children associated with armed forces and armed groups) and discusses their rights under international legal frameworks.
The study used a convergent mixed-methods design involving male Yazidi former CAAFAGs and mental health providers in the Sinjar district and the Duhok governorate. Quantitative data were collected through a descriptive survey of thirty CAAFAGs and ten providers. Qualitative insights from semi-structured interviews with ten CAAFAGs and ten providers expanded on these findings, and the results were integrated into a joint display for interpretation.
Among the thirty CAAFAGs, 70% had not received any mental health care since their captivity. After captivity, 33% wanted (personal desire) mental health care; of those who wanted care, 80% received services through non-governmental organizations (NGOs). In contrast to this “personal desire” for care, 96.7% of male Yazidi former CAAFAGs acknowledged that they are in need of mental health care, yet only one is currently seeking it. Qualitative data revealed a gap in mental health and psychosocial support (MHPSS) services specifically for male CAAFAGs, as NGOs focused more on female survivors. It also identified financial, personnel and logistical challenges for NGOs, as well as discrepancies between CAAFAGs and providers regarding perceived willingness to receive mental health care.
CAAFAGs and providers recognize an urgent need for tailored, trauma-informed MHPSS and reintegration services for male Yazidi former CAAFAGs. While NGOs play an essential role in delivering mental health care, their focus is primarily on female survivors, leaving a gap in support for male CAAFAGs. International legal frameworks protecting child victims’ rights remain inadequately respected in practice. Addressing these gaps is crucial for CAAFAGs’ successful reintegration and rehabilitation.
The impact of combat injury on the development of chronic pain and mental health concerns in combat-exposed populations is unknown. This study examined associations of combat injury and injury–related pain with pain-related factors and mental health outcomes, and potential mediation of the relation between combat injury and mental health outcomes by pain-related factors.
Methods
Pain interference, pain catastrophizing, pain intensity, post-traumatic stress disorder (PTSD), and major depressive episode (MDE) were assessed in (1) a probability sample of US Army soldiers and veterans cross-sectionally and (2) US Army soldiers before and 1, 3, and 9 months after deployment to Afghanistan. Associations among these variables were modeled using logistic regression and multiple mediation analyses.
Results
Among 5003 service members with cross-sectional data, combat injury–related pain was associated with increased odds of clinically significant pain intensity (OR=2.69), pain interference (OR=3.69), MDE (OR=2.17), and PTSD (OR=3.96) relative to pain from other injuries and conditions. Among 4645 service members assessed pre- and post-deployment, combat injury was associated with increased odds of new-onset pain interference (OR=2.78), pain catastrophizing (OR=2.75), PTSD (OR=4.06), and MDE (OR=2.56) 3 months post-deployment, and PTSD (OR=2.86) and MDE (OR=1.74) 9 months post-deployment. Pain-related factors mediated the relations of combat injury with post-deployment PTSD and MDE.
Conclusions
Combat injury is associated with greater odds of pain interference, pain catastrophizing, PTSD, and MDE compared to other sources of pain in a cohort of US service members. Efforts to address pain-related factors following combat injury may mitigate the risk of subsequent chronic pain and mental health disorders.
Whether taken as literal phenomena or as loose semantic suggestions, ghosts make their mark on virtually every piece of Bowen’s writing. This chapter focuses on the more suggestive ghostliness that spans her oeuvre by way of the threat and realities of a haunting dispossession. Her treatment of dispossession uncannily exposes a relation between the social and the physical or the public and the private. Embodied, subjectively lived experience conjoins with the forces of history, ideas, and conventions. In forging these relationships, the always unsettling crises of modern dispossession at the heart of Bowen’s work articulate her astute theory of historical change and the problem of historical accountability in the aftermath of traumatic events. This essay proposes two ideas – claustrophobia and flight – for thinking about ghostly dispossession in her short stories and novels. The unviable past makes itself known through an unsettling claustrophobia, and those who have been dispossessed and find no workable alternative haunt in their turn, projecting ghostliness into the future via the urge to flee. No one escapes the effects of dispossession, making it, for Bowen, the condition of twentieth-century modernity.
This chapter calls attention to the violence of everyday life in the Roman world as the backdrop to the more extraordinary violence of war. Drawing specifically on archaeology, which is poorly equipped, it is argued, to reveal war violence but well situated to reveal the unusual volatility of living in the Roman world, it describes the ordinary upheavals of daily life. In particular, it examines the archaeological evidence for volatility in domestic circumstances, in how one made a living, and the physical trauma experienced by working bodies.
Blunt and penetrating trauma are common in many disasters, including hurricanes. Injured patients can present to the hospital during the event or up to several days after. Patients often present with lacerations and abrasions, but well-appearing patients still require a thorough physical exam and appropriate imaging with necessary consults. During disasters, patients can overwhelm the hospital and traditional imaging modalities (CTs); therefore, ultrasound can assist in patient triage and diagnoses during these times while accelerating patient care.
Unpredictability in the child’s environment has recently emerged as a significant and unique form of early life adversity (ELA). Cross-sectional studies have linked childhood unpredictability with increased post-traumatic stress disorder (PTSD) symptoms in adults; however, no prospective studies have tested the link between childhood unpredictability and PTSD risk in later life, nor what processes, such as increased anhedonia symptoms, might mediate such risk. Here, we leveraged three distinct prospective, longitudinal cohorts to test the hypothesis that unpredictability during childhood contributes to adult PTSD via worsening anhedonia symptoms.
Methods
Participants were male service members (n=314), adult females (n=170), and adolescents (n=137) recruited for separate longitudinal investigations. All completed dimensional assessments of anhedonia symptoms and PTSD; childhood trauma and childhood unpredictability were measured by the Questionnaire for Unpredictability in Childhood (QUIC). Pearson correlations tested relations between QUIC, anhedonia symptoms, and PTSD symptoms. Mediational models tested whether the link between childhood unpredictability and PTSD is mediated by increased anhedonia symptoms by estimating indirect effects via bootstrapped path analysis.
Results
Childhood unpredictability was associated with increased adult PTSD symptoms in all three cohorts (rs>.19, ps<.016). Further, in all three cohorts, the relationship was partially mediated by higher anhedonia symptoms (bs>0.046, 95% confidence intervals = 0.01–0.12). All effects remained significant when controlling for levels of childhood trauma and removing anhedonia-related PTSD items.
Conclusions
Unpredictability during childhood may confer risk for adult PTSD, and this increased risk may occur via alterations in anhedonia symptoms. Efforts to increase predictability during childhood could enhance resilience to later traumatic events.
Although there are several evidence-based treatments for post-traumatic stress disorder (PTSD), up to half of patients do not experience significant symptom relief. Executive functioning (EF) impairment is believed to impede PTSD recovery and diminish treatment response, but is not directly targeted by traditional treatments. Cognitive training for EF has emerged as a promising treatment alternative for PTSD, but may only benefit certain patients. The present study aimed to identify, validate, and characterize the subgroup of patients with PTSD who respond to an EF training program.
Methods
Veterans with PTSD (N = 79) completed neuropsychological tests and a working memory task during functional magnetic resonance imaging scanning, followed by 16 sessions of an EF training program (working memory training [WMT]). Growth mixture modeling identified subgroups based on session-by-session working memory changes. Mixed-effects models then evaluated differences in spatial working memory and PTSD symptom improvement among these subgroups. Finally, the subgroups were compared on baseline neuropsychological performance and neural activity.
Results
Three subgroups were extracted, with one subgroup (labeled low-WM/steep improvement subgroup) exhibiting steeper working memory improvement across training and greater spatial working memory and PTSD symptom improvement following training. The low-WM/steep improvement subgroup was uniquely characterized by a combination of lower EF task performance and lower working memory-related neural activity at baseline.
Conclusions
WMT may be a promising alternative PTSD treatment for Veterans with EF impairments. Patients likely to benefit from WMT could be identified using a combination of neuropsychological and neuroimaging assessments, but further research is needed to confirm these indicators.
This response provides two examples for which an understanding of the biology of stress has informed approaches to supporting children. In the first, educators at the University of Cambridge Primary School are trained to view children’s behavior as a reflection of their needs and to utilise a variety of support strategies, including coaching, non-violent communication, careful language choices and emotional health education. In the second, the Yoga Story Time project, implemented in an at-risk school in Sicily, aimed to support the well-being of children who had experienced trauma. Through interactive storytelling, creative activities and yoga poses, the project sought to improve children’s communication skills, emotional regulation and social interaction.
In this chapter, the intersection of systemic inequality, oppression, and trauma are explored. We outline outlines the deep historical and contemporary roots of oppression and trauma, explores the multifaceted impact on individuals and communities, and suggests practical strategies for dismantling these systems, all with an eye toward long-term healing and justice.
Creative engagement with the Arthurian myth has been prolific in the modern period and shows no sign of abating. This chapter provides a panoramic shot, an overview of how and where the Arthurian myth surfaces in texts in English in Great Britain and Ireland from 1920 to the present. Additionally, it provides close-ups, more detailed readings of selected works that capture the critical concerns of modern artists and their audiences, foregrounding especially trauma and the impacts of war and industrialised culture; expressions of the interconnectedness between all living things, often in response to contextual ecopolitical crises; and human interactions, including tragic relationships and empowering female networks. The discussion breaks materials into broad categories that are loosely determined by form – poetry, prose and drama – and moves between foundational works and newer narratives. Where possible, the discussion foregrounds Arthuriana that has previously received little or no attention, especially works by women.
Suicide is a serious global health problem with ~73% deaths by suicide occurring in low- or middle-income countries (LMICs), many of which are among people experiencing humanitarian emergencies. Few guidelines outline specific steps and strategies to tackle suicide risk and manage post-attempt consequences in these settings, leaving program implementers with limited information to translate guidance to practice. This article describes the implementation of the Common Elements Treatment Approach (CETA) suicide safety protocol as part of a randomized controlled trial in northern Thailand for displaced adults from Myanmar with chronic physical health conditions. The CETA safety protocol has been used in many trials and programs to screen for and manage suicide risk, including in a prior CETA effectiveness trial with Myanmar adults. In this article, we describe how this safety protocol was adapted for the study setting, and utilized to effectively screen, assess suicidal thoughts and behaviors, develop and manage action plans for study participants with active suicidal ideation. We present three illustrative case descriptions of individuals with whom we implemented the safety protocol to highlight how suicide risk intersects with physical illness, psychosocial stressors and structural vulnerability. Reflections on feasibility, acceptability and adaptations – such as language translation, culturally grounded referral pathways and training for nonspecialist providers – are shared to inform future implementation. Our findings support the implementation of suicide safety protocols within humanitarian programming and offer practical insights for global health practitioners and policymakers working in similarly complex settings.
A substantial portion of adult health is programmed in the first 1,000 days after conception. Birthweight is a good indicator of fetal development. Low birthweight leads to compromised neural development. Preconception stresses have health impacts, as do prenatal ones. Natural experiments have demonstrated the adverse health impacts of various early-life stresses. Secure infant attachment to caregivers, with much global variation, leads to salutary health outcomes. Trauma or abuse in early life leads to many health compromises. Stress causes much chronic pain in the US, leading to people there consuming most of the world’s opioids. Beneficial posttraumatic growth may occur. Poverty policies affecting early life lead to adverse adult health outcomes
This chapter explores the evolving depiction of the Land of Israel in Hebrew poetry, reflecting the creation of modern Hebrew culture. It contrasts ancient expressions of longing for Zion with the transformed image of Israel as a tangible landscape. The chapter examines how poets from various Zionist immigration periods depicted their encounters with the land, ranging from messianic ecstasy to realistic sobriety. Each era produced poets who articulated their complex experiences, as exemplified by Noah Stern’s poem “Smells” (1935), which captures the blend of hallucinations, disappointments, tortures, pleasures, closeness, and alienation. Each poem is a new chapter in the ongoing narrative of encountering the land.