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There is abundant evidence showing a strong association between trauma exposure, psychotic symptoms, and posttraumatic stress disorder (PTSD). Early trauma exposure contributes to the formation of psychotic symptoms and the development of psychotic disorders or severe mental illnesses such as schizophrenia, bipolar disorder, and treatment-refractory major depression. Furthermore, among persons with psychotic disorders, multiple traumatization over the lifetime is common, due to factors such as social stigma, the criminalization of severe mental illness, and increased vulnerability to interpersonal victimization. In addition to these factors is the traumatic nature of experiencing psychotic symptoms and coercive treatments such as involuntary hospitalization and being placed in seclusion or restraints. Not surprisingly, these high rates of trauma lead to high rates of PTSD in people with psychotic disorders, which are associated with more severe symptoms, worse functioning, and greater use of acute care services. In addition to the impact of trauma on the development of psychotic disorders and comorbid PTSD, traumatic experiences such as childhood sexual and physical abuse can shape the nature of prominent psychotic symptoms such as the content of auditory hallucinations and delusional beliefs. Additionally, traumatic experiences have been implicated in the role of ‘stress responsivity’ and increased risk for transition to psychosis in those identified as being at clinical high risk of developing psychosis. Finally, although the diagnostic criteria for PTSD primarily emphasize the effects of trauma on anxiety, avoidance, physiological over-arousal, and negative thoughts, it is well established that PTSD is frequently accompanied by psychotic symptoms such as hallucinations and delusions that cannot be attributed to another DSM-V Axis I disorder such as psychotic depression or schizophrenia. Understanding the contribution of traumatic experiences to the etiology of psychosis and other symptoms can inform the provision of cognitive behavioral therapy for psychosis, including the development of a shared formulation of the events leading up to the onset of the disorder, as well as other trauma-informed treatments that address distressing and disabling symptoms associated with trauma and psychosis. Until recently the trauma treatment needs of this population have been neglected, despite the high rates of trauma and PTSD in persons with psychotic disorders, and in spite of substantial gains made in the treatment of PTSD in the general population. Fortunately, progress in recent years has provided encouraging evidence that PTSD can be effectively treated in people with psychotic disorders using interventions adapted from PTSD treatments developed for the general population. In contrast to clinician fears about the untoward effects of trauma-focused treatments on persons with a psychotic disorder, research indicates that post-traumatic disorders can be safely treated, and that participants frequently experience symptom relief and improved functioning. There is a need to develop a better understanding of the interface between trauma, psychosis, and post-traumatic disorder. This Frontiers Research Topic is devoted to research addressing this interface.

Psychosis --- PTSD --- Auditory Hallucinations --- Negative Symptoms --- Childhood Trauma --- Trauma --- Psychological Interventions --- Lived Experience

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Childhood adversity that is severe enough to be harmful throughout life is one of the biggest public health issues of our time, yet health care systems struggle to even acknowledge the problem. In Damaged, Dr. Robert Maunder and Dr. Jonathan Hunter call for a radical change, arguing that the medical system needs to be not only more compassionate but more effective at recognizing that trauma impacts everybody's health, from patient to practitioner. Drawing on decades of experience providing psychiatric care, Maunder and Hunter offer an open and honest window into the private world of psychotherapy. At the heart of the book is the painful yet inspiring story of Maunder's career-long work with a patient named Isaac. In unfiltered accounts of their therapy sessions, we see the many ways in which childhood trauma harms Isaac's health for the rest of his life. We also see how deeply patients can affect the doctors who care for them, and how the caring collegiality between doctors can significantly improve the medicine they practice. Damaged makes it clear that human relationships are at the core of medicine, and that a revolution in health care must start with the development of safe, respectful, and caring relationships between doctors and patients. It serves as a strong reminder that the way we care for those who suffer most reveals who we are as a society.

Adult child abuse victims --- Child abuse --- Psychic trauma. --- Psychotherapist and patient. --- Psychotherapy. --- Mental health. --- Psychological aspects. --- PTSD. --- adverse childhood experiences. --- bedside manner. --- care. --- child abuse. --- childhood trauma. --- counselling. --- doctor-patient relationships. --- empathy. --- family medicine. --- health care. --- mental health. --- psychology. --- psychotherapy.

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The chorus of the Christian hymn "Amazing Grace" reads, "I once was lost, but now am found, / Was blind but now I see." Composed by a minister who formerly worked as a slave trader, the song expresses his experience of divine intervention that ultimately caused him to see the error of his ways. This theme of personal awakening is a feature of countless stories throughout history, where the "lost" and the "blind" are saved from darkness and despair by suddenly seeing the light. In Seeing the Light, Thomas DeGloma explores such accounts of personal awakening, in stories that range from the discovery of a religious truth to remembering a childhood trauma to embracing a new sexual orientation. He reveals a common social pattern: When people discover a life-changing truth, they typically ally with a new community. Individuals then use these autobiographical stories to shape their stances on highly controversial issues such as childhood abuse, war and patriotism, political ideology, human sexuality, and religion. Thus, while such stories are seemingly very personal, they also have a distinctly social nature. Tracing a wide variety of narratives through nearly three thousand years of history, Seeing the Light uncovers the common threads of such stories and reveals the crucial, little-recognized social logic of personal discovery.

Autonomy (Psychology) --- Self-actualization (Psychology) --- Religious awakening. --- Awakening, Religious --- Awakening (Religion) --- Religion --- Growth, Personal --- Personal growth --- Self-improvement --- Self-realization (Psychology) --- Humanistic psychology --- Mental health --- Motivation (Psychology) --- Freedom (Psychology) --- Independence (Psychology) --- Self-determination (Psychology) --- Self-direction (Psychology) --- Dependency (Psychology) --- Ego (Psychology) --- Emotions --- personal discovery, sociology, social thought, divine intervention, awakening, religious truth, religion, faith, change, childhood trauma, sexual orientation, gender and sexuality, life-changing, community, child abuse, war, patriotism, political ideology, humanity, autonomy, self-actualization, autobiography, cultural studies, divided, plato, freud.

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Methamphetamine: A Love Story presents an insider's view of the world of methamphetamine based on the life stories of thirty-three adults formerly immersed in using, dealing, and manufacturing meth in rural Oklahoma. Using a respectful tone towards her subjects, Shukla illuminates their often decades-long love affair with the drug, the attractions of the lifestyle, the eventual unsustainability of it, and the challenges of exiting the life. These personal stories reveal how and why people with limited economic means and inadequate resources become entrapped in the drug epidemic, while challenging longstanding societal views about addiction, drugs, drug policy, and public health.

Methamphetamine abuse --- Drug traffic --- Drug dealing --- Drug production, Illicit --- Drug smuggling --- Drug trade, Illicit --- Drug trafficking --- Drugs --- Illicit drug production --- Illicit drug trade --- Narcotic trade --- Narcotic traffic --- Narcotic trafficking --- Smuggling of drugs --- Smuggling of narcotics --- Traffic, Drug --- Trafficking in drugs --- Trafficking in narcotics --- Drug abuse and crime --- Narco-terrorism --- Amphetamine abuse --- Social aspects --- Prices and sale --- addiction. --- childhood trauma. --- dealing. --- drug addict. --- drug dealer. --- drug epidemic. --- drug lab. --- drug lifestyle. --- drug manufacturing. --- drug policy. --- drug user. --- drugs. --- economy. --- hard times. --- healing. --- justice system. --- justice. --- law and order. --- manufacturing. --- mental health. --- meth. --- methamphetamine. --- oklahoma. --- public health. --- recovery. --- rehab. --- social science. --- true story. --- war on drugs.

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This book includes a compilation of papers published in 2020 and 2021 focused on dual disorders, which are found in significant and growing numbers in both substance addiction and mental health clinics. These contributions assume a broad perspective ranging from exposure to genetic and neurobiological elements to factors such as personality and quality of life. In all cases, these papers aimed to be transferred to and to benefit clinical practice.

Medicine --- Mental health services --- temperament --- character --- personality --- substance use disorder --- schizophrenia --- dual schizophrenia --- psychiatric symptoms --- global functioning --- dual disorders --- addiction --- sleep --- risk factors --- Substance-use disorder --- substance-related disorders --- alcohol use disorder --- post-traumatic stress disorder --- childhood trauma --- psychiatric disorders --- rehabilitation centers --- impulsive behavior --- addictive disorders --- flaws --- conceptual framework --- concurrent disorder --- co-occurring disorder --- dual diagnosis --- dual pathology --- addiction comorbidity --- comorbid substance abuse --- comorbid illicit use --- comorbid addiction --- comorbid mental illness --- coexisting mental illness --- psychological trauma --- posttraumatic stress disorder --- substance use disorders --- prevalence --- primary major depression --- alcohol induced major depression --- biomarkers --- comorbidity --- clinical characteristics --- GWAS --- dual disorders (DD) --- insomnia --- sleep disorders (SD) --- benzodiazepine use disorder (BUD) --- health-related quality of life --- major depressive disorder --- dual depression --- relapses --- polysubstance addictions --- gene polymorphisms --- primary/substance-induced depression --- cocaine use disorder --- tryptophan --- serotonin --- kynurenine --- cannabis --- cannabis use disorder --- n/a