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The '''Adverse Childhood ExperiencesExperience Study''' originated with a questionnaire mailed 13,494 adults. The adverse childhood experiences (ACEsACE) harm children's developing brains. They lead to changing how children respond to [http://www.cirp.org/library/pain/gunnar/ stress] and damaging their immune systems so profoundly that the effects show up decades later. ACEs cause much of our chronic disease burdenstudied included psychological, most mental illnessphysical, and are at the root of or sexual abuse; violenceagainst mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned. Involuntary childhood genital cutting—including female genital mutilationThe study, gender-norming surgery of [[intersex]] childrenwhich was carried out in the 1990s, and male did not include infant [[circumcision]]—is [[Pain| painful and traumatic]] and has been found to permanently alter individuals' sexuality, and to have other lifelong consequences.<ref name>{{REFbook |last=van der Kolk |first=Bessel |init= |author-link=Bessel van der Kolk |year=2015 |title=The Body Keeps the score |url= |chapter=Chapter Nine |scope= |page= |pages="bollinger2023"140-3 |ISBN=978-0-14-312774-1 |accessdate=2023-08-07 }}</ref> <ref>{{REFjournalREFdocument |title=Child genital cutting as an adverse childhood experience |trans-title= |language= |url=http://adversechildhoodexperiences.net/CGC_as_an_ACE.pdf |archived= |contribution= |quote= |trans-quote= |quote-lang=
|last=Bollinger
|initfirst=DDan
|author-link=Dan Bollinger
|last2=Chapin |init2first2=Georganne |author2-link=Georganne Chapin |urlpublisher=https://kindredmedia.org/2023/02/adverse-childhood-experiences-dysfunctional-households-and-circumcision/Intact America |titlelocation=Adverse Childhood Experiences, Dysfunctional Households, And Circumcision.Tarrytown |journalformat=KindredPDF |date=20232019-0208-28 |volume= |issue= |pages=01 |accessdate=2023-0308-0108}}</ref> These early traumas The study revealed that ACEs are not yet included on the ACE checklistclosely related to adult health problems. ACEs are strongly associated with high-risk health behaviors in adulthood, such as smoking, alcohol and drug abuse, promiscuity, and obesity; and with ill health, including depression, heart and lung disease, cancer, and decreased lifespan. ACEs have a dose-response relationship with many health problems. That is, as the number of ACEs accumulates, the greater the health risks to the individual. ACEs come from the CDC-Kaiser Adverse Childhood Experiences Study, a groundbreaking public health study that discovered that childhood [[trauma]] leads to the adult onset of chronic diseases, depression and other mental illness, violence and being a victim of violence, as well as financial and social problems.<refname="felitti1998">{{REFjournal |last=FerlittiFelitti |first=Vincent J.
|init=VJ
|author-link=
|last2=Anda
|first2=Robert F.
|init2=RF
|author2-link=
|last3=Nordenberg
|first3=Dale
|init3=D
|author3-link=
|etallast4=Williamson |first4= |init4=DF |author4-link= |last5=Spitz |first5= |init5=AM |author5-link= |last6=Edwards |first6= |init6=V |author6-link= |last7=Koss |first7= |init7=MP |author7-link= |last8=Marks |first8= |init8=JS |author8-link=yes |title=Relationship of Childhood Abuse childhood abuse and Household Dysfunction household dysfunction to Many many of the Leading Causes leading causes of Death death in Adultsadults. The Adverse Childhood Experiences (ACE) Study
|trans-title=
|language=
|journal=Am J of Prev Med
|location=
|date=1998-05
|season=
|volume=14
|issue=4
|article=
|page=
|pages=245-58
|url=https://www.ajpmonline.org/article/S0749-3797(98)00017-8/pdffulltext |archived=
|quote=
|pubmedID=9635069
|pubmedCID=
|DOI=10.1016/s0749-3797(98)00017-8 |doi= |accessdate=2023-08-06}}</ref>==Nervous system injury=='''Adverse Childhood Experiences''' (ACEs) harm children's developing brains.<ref>{{REFjournal |last=Anand |first= |init=KJS |author-link= |last2=Scalzo |first2= |init2=FM |author2-link= |etal=no |title=Can Adverse Neonatal Experiences Alter Brain Development and Subsequent Behavior? |trans-title= |language= |journal=Biol Neonate |location= |date=2000-02 |season= |volume=77 |issue=2 |article= |page= |pages=69-8210657682 |url=https://doiwww.cirp.org/library/pain/anand4/ |archived= |quote= |pubmedID=10657682 |pubmedCID= |DOI=10.10161159/S0749000014197 |doi= |accessdate=2023-379708-06}}</ref> Fitzgerald & Walker (2003) described the effect of pain on developing nerve pathways.<ref>{{REFbook |last=Fitzgerald |first= |init=M |author-link= |last2=Walker |first2= |init2=S |author2-link= |year=2003 |title=The role of activity in developing pain pathways. |url=https://www.cirp.org/library/pain/fitzgerald2/ |work=Proceedings of the 10th World Congress on Pain |editor=Dostovsky JO, Carr DB, Koltzenburg M (98eds)00017 |edition= |volume=24 |chapter=Progress in Pain Research and Management |scope= |page= |pages=185-896 |location=Seattle |publisher=IASP Press |ISBN= |quote= |accessdate=2023-08-07 |note=}}</ref>They lead to changing how children respond to [http://www.cirp.org/library/pain/gunnar/ stress] and damaging their immune systems so profoundly that the effects show up decades later. ACEs cause much of our chronic disease burden, most mental illness, and are at the root of violence.<ref>{{REFweb |url=http://adversechildhoodexperiences.net/about-aces.html |title=What Are ACEs? |last= |first= |init= |publisher=HCHEQ |date=2019 |accessdate=2023-1208-0706
}}</ref>
==Health risks==
ACEs have a dose-response relationship with many health problems. That is, as the number of ACEs accumulates, the greater the health risks to the individual.
ACEs come from the CDC-Kaiser Adverse Childhood Experiences Study, a groundbreaking public health study that discovered that childhood [[trauma]] leads to the adult onset of chronic diseases, depression and other mental illness, violence and being a victim of violence, as well as financial and social problems.<ref name="felitti1998" />
==Classification of genital cutting==
Involuntary childhood genital cutting — including [[female genital mutilation]], gender-norming surgery of [[intersex]] children, and male [[circumcision]] — is [[Pain| painful]] and [[Trauma| traumatic]] and has been found to permanently alter individuals' sexuality, and to have other lifelong consequences.<ref name="bollinger2023">{{REFjournal
|last=Bollinger
|init=D
|author-link=Dan Bollinger
|last2=
|init2=
|author2-link=
|url=https://kindredmedia.org/2023/02/adverse-childhood-experiences-dysfunctional-households-and-circumcision/
|title=Adverse Childhood Experiences, Dysfunctional Households, and Circumcision.
|journal=Kindred
|date=2023-02-28
|volume=
|issue=
|pages=
|accessdate=2023-03-01
}}</ref> These early traumas are not yet included on the ACE checklist.
[[Dan Bollinger| Bollinger]] (2023) reported a preliminary survey comparing [[intact]] and [[circumcised]] men using the ACE test. The [[circumcised]] men had higher ACE scores than the [[intact]] men. Bollinger has called for additional study to determine if male genital cutting (circumcision) should be classified as an Adverse Childhood Experience.<ref name="bollinger2023" />
{{SEEALSO}}
* [[Circumcision and violence]]
* [[Depression]]
* [[Post-traumatic stress disorder]]
* [[Psychological issues of male circumcision]]
* [[Sudden Infant Death Syndrome]]
* [[Trauma]]
{{LINKS}}
* [http://adversechildhoodexperiences.net Adverse Childhood Experiences]
* {{REFweb |url=https://www.reddit.com/r/Intactivism/comments/qbpzqr/trained_medical_professionals_restrain_infant_to/ |archived= |title=Trained medical professionals restrain infant to amputate part of its body while baby kicks and screams in pain |trans-title= |language= |last= |first= |author-link= |publisher= |website= |date= |accessdate=2023-09-19 |format= |quote=}}
{{REF}}