The current research and clinical focus on single traumas fails to assess numerous important trauma dynamics including trauma proliferation. In this study, 2 trauma proliferation pathways were identified that utilize a developmentally based trauma framework (DBTF). Data previously collected from 6 different cultural groups (N = 2279; 2 mental health clinics in Egypt and the United States, Native Americans, Palestinian adults in Gaza, and college students in Poland and Egypt) were reanalyzed. The 6 studies utilized DBTF-based measures of cumulative trauma and trauma types. Path analysis was used to test the trauma proliferation model and PROCESS software was used to identify mediators and their effect sizes. Results of the analyses indicated that attachment trauma and collective identity trauma independently predicted (directly and through mediators) personal identity trauma, role identity trauma, secondary trauma, and survival trauma. The pattern of proliferation was configurally invariant across the 6 groups and strictly invariant across genders. Implications for the consideration of trauma global dynamics, such as trauma proliferation, are discussed. (PsycINFO Database Record

The current research utilized a new integrative traumatology framework to measure and study chronic stress and trauma profiles, cumulative trauma (CT) appraisal, and coping in 2 multiply traumatized communities: Palestinians in Gaza (N ϭ 132) and American Indians in the United States (N ϭ 302). The first study with Palestinians was conducted by using the CT scale and other mental and physical health variables. The second study with American Indians used the same trauma measure with different measures of physical and mental health and coping. Trauma profiles of the 2 groups were compared. American Indians had a higher trauma load with different trauma profiles than Palestinians. Using path analysis in both studies, CT, mediated by appraisal and coping, indirectly predicted mental disorders and directly predicted comorbidity and negative health. Cumulative positive and negative appraisals, rather than CT, predicted positive or negative outcomes in coping and posttraumatic growth. These results may help to clarify the dynamics of the cognitive-behavioral approaches' success using reappraisal and coping. The implications of the study for trauma theory and clinical psychology are discussed.

The current dominant focus on treating single past traumas rarely addresses current, ongoing, or continuous interpersonal, intergroup, and systemic traumas or their cumulative and proliferation dynamics. The goal of this paper is to close this gap by introducing an alternative model that addresses these trauma types. The model incorporates eight precognitive, cognitive, behavioral, and social interventions. The behavioral interventions are (1) prioritizing safety and (2) addressing threats through behavior skills training inclusive of regulating personal and group-based emotions. The precognitive components are (3) stimulating the will to live and positive dispositional qualities and (4) identity work. The cognitive components are (5) psychoeducation, (6) stress inoculation, and (7) trauma narration. The social intervention is (8) advocacy, social justice and reconnecting to social networks. We discuss the evidence for each component and provide a case example to illustrate the model's utility. We also discuss future directions for research and model development.

Traumatology perspective on gender discrimination GD, views it as type III identity continuous trauma that has continuous and stable negative mental health effects. Current work evaluated the salience of GD's negative effects across different cultures and outcome measures and tested the differential impact of GD within the household (GD-P), and GD within social institutions (GD-S). Data from four previous studies on American Indians, Palestinians, and clients of mental health clinics in Egypt and torture survivors in the US were re-analyzed. All the four studies used the same measure of GD, and trauma types, with similar and different outcome measures which allowed measuring the stability of the effects across different cultures and different outcome measures. Partial correlation and path analysis were conducted. GD predicted increased PTSD, cumulative trauma disorders, general anxiety, annihilation anxiety, and decreased in self-esteem, general assessed functioning. Results suggested that linear and non-linear effects of GD supported its cumulative dynamics. GD-S was associated with more negative outcomes than GD-P. Further, internalizing and appraising GD as positive mediated by resulted decrease in self-esteem, predicted negative mental health outcomes, while negative appraisal did not predict any negative change. Positive appraisal of GD may be a negative coping strategy. The implications of results for trauma I. A. Kira et al. 94 theory, counseling and social justice, and for future research were discussed.