Difference between revisions of "Trauma"

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== Psychic trauma ==
 
== Psychic trauma ==
 
Psychic trauma is a  psychologically upsetting experience that produces an emotional or mental disorder or otherwise has lasting negative effects on a person's thoughts, feelings, or behavior.<ref name="trauma2003" />
 
Psychic trauma is a  psychologically upsetting experience that produces an emotional or mental disorder or otherwise has lasting negative effects on a person's thoughts, feelings, or behavior.<ref name="trauma2003" />
 +
== Birth trauma ==
 +
 +
De Mause (1996) argued that early trauma results in aggressive adult behavior.<ref name="demause1996">{{REFjournal
 +
|last=deMause
 +
|first=Lloyd
 +
|init=
 +
|author-link=
 +
|etal=no
 +
|title=Restaging Fetal Traumas in War and Social Violence
 +
|journal=Pre- and Perinatal Psychology Journal
 +
|location=
 +
|date=1996
 +
|volume=23
 +
|issue=4
 +
|pages=344-92
 +
|url=http://www.mattes.de/buecher/praenatale_psychologie/PP_PDF/PP_08_2_deMause.pdf
 +
|archived=
 +
|quote=
 +
|pubmedID=11609155
 +
|pubmedCID=
 +
|DOI=
 +
|accessdate=2024-04-03
 +
}}</ref> Jacobsen & Bygdeman (1998) reported an association between birth trauma and adult suicide.<ref>{{REFjournal
 +
|last=Jacobsen
 +
|first=
 +
|init=B
 +
|author-link=
 +
|last2=Bygdeman
 +
|first2=
 +
|init2=M
 +
|author2-link=
 +
|etal=no
 +
|title=Obstetric care and proneness of offspring to suicide as adults: case-control study
 +
|trans-title=
 +
|language=
 +
|journal=BMJ
 +
|location=
 +
|date=1998
 +
|volume=317
 +
|issue=7169
 +
|article=
 +
|page=1346
 +
|pages=
 +
|url=https://www.bmj.com/content/317/7169/1346
 +
|archived=
 +
|quote=
 +
|pubmedID=9812930
 +
|pubmedCID=28715
 +
|DOI=10.1136/bmj.317.7169.1346
 +
|doi=
 +
|accessdate=2023-10-18
 +
}}</ref>
  
 
== Circumcision trauma ==
 
== Circumcision trauma ==
−
Circumcision trauma includes ''both'' physical trauma and psychic trauma.<ref name="boyle2002">{{BoyleGJ GoldmanR SvobodaJS FernandezE 2002}}</ref>
+
There are no medical indications for infant [[circumcision]],<ref>{{REFbook
 +
|last=Committee on Fetus and Newborn
 +
|first=
 +
|init=
 +
|year=1971
 +
|title=Standards and Recommendation for Hospital Care of Newborn infants. 5th ed.
 +
|url=https://www.cirp.org/library/statements/aap/#a1971
 +
|scope=
 +
|location=Evanston
 +
|publisher=American Academy of Pediatrics
 +
|ISBN=
 +
|accessdate=2024-04-03
 +
}}</ref> which is a [[Pain| painful]] non-therapeutic, medically-unnecessary invasive amputative surgery. Infant circumcision still occurs more than 2,000 times a day in the [[United States]]. Circumcision trauma includes ''both'' physical trauma and psychic trauma.<ref name="boyle2002">{{BoyleGJ GoldmanR SvobodaJS FernandezE 2002}}</ref> <ref>{{REFjournal
 +
|last=Aydoğdu
 +
|first=
 +
|init=B
 +
|author-link=
 +
|last2=Azizoğlu
 +
|first2=
 +
|init2=M
 +
|author2-link=
 +
|last3=Okur
 +
|first3=
 +
|init3=MH
 +
|author3-link=
 +
|etal=no
 +
|title=Social and psychological effects of circumcision: A narrative review
 +
|trans-title=
 +
|language=
 +
|journal=Journal of Applied Nursing
 +
and Health
 +
|location=
 +
|date=2022
 +
|volume=4
 +
|issue=2
 +
|article=
 +
|page=
 +
|pages=264-71
 +
|url=https://janh.candle.or.id/index.php/janh/article/download/110/138
 +
|archived=
 +
|quote=
 +
|DOI=10.55018/janh.v4i2.110
 +
|format=PDF
 +
|accessdate=2023-01-16
 +
}}</ref> <ref name="boyle2015">{{REFjournal
 +
|last=Boyle
 +
|first=
 +
|init=GJ
 +
|author-link=Gregory J. Boyle
 +
|etal=no
 +
|title=Circumcision of Infants and Children: Short-Term Trauma and Long-Term Psychosexual Harm
 +
|trans-title=
 +
|language=
 +
|journal=Advances in Sexual Medicine
 +
|location=
 +
|date=2015-04-15
 +
|volume=5
 +
|issue=3
 +
|article=
 +
|page=
 +
|pages=22-38
 +
|url=https://pdfs.semanticscholar.org/2931/bb0b1cd39a0224fff37545c23931679488fd.pdf
 +
|archived=
 +
|DOI=10.4236/asm.2015.52004
 +
|format=PDF
 +
|accessdate=2024-03-05
 +
}}</ref> Batteley, Metters & Smith (2023) state, in addition to the physical risks, the psychological risks should receive attention.<ref name="batterley2023">{{REFjournal
 +
|last=Batterley
 +
|first=
 +
|init=M
 +
|author-link=
 +
|last2=Metters
 +
|first2=
 +
|init2=J
 +
|author2-link=
 +
|last3=Smith
 +
|first3
 +
|init3=D
 +
|author3-link=David Smith
 +
|etal=no
 +
|title=Male Circumcision-Based Trauma: Should it be Shown Greater Recognition?
 +
|trans-title=
 +
|language=
 +
|journal=PsyArXiv
 +
|location=
 +
|date=2023-01-18
 +
|volume=Preprint
 +
|pages=1-13
 +
|url=https://psyarxiv.com/4yv62/
 +
|archived=
 +
|quote=
 +
|DOI=10.31234/osf.io/4yv62
 +
|accessdate=2023-02-25
 +
}}</ref>
 +
 
 +
[[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 Experiences (ACEs)| Adverse Childhood Experience]].<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>
  
 
=== Physical circumcision trauma ===
 
=== Physical circumcision trauma ===
−
Circumcision, more properly described as ''posthectomy'', is the surgical excision and amputation of the foreskin of the penis, which permanently removes a significant portion of the epithelium of the penis and destroys the significant and important [[Foreskin#Protective_functions| protective]], [[Foreskin#Immunological_functions| immunological]], [[Foreskin#Sexual_functions| sexual]], and [[Foreskin#Sexual_behavior| sensory]] physiological functions of that structure, and leaves the patient permanently and irreversibly impaired by the loss of those functions.<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref>
+
Circumcision, more properly described as ''posthectomy'', is the surgical excision and amputation of the [[foreskin]] of the [[penis]], which permanently removes a significant portion of the epithelium of the [[penis]] and destroys the significant and important [[Foreskin#Protective_functions| protective]], [[Foreskin#Immunological_functions| immunological]], [[Foreskin#Sexual_functions| sexual]], and [[Foreskin#Sexual_behavior| sensory]] physiological functions of that structure, and leaves the patient permanently and irreversibly impaired by the loss of those functions.<ref name="cold-taylor1999">{{ColdCJ TaylorJR 1999}}</ref>
  
 
==== Results of physical circumcision trauma ====
 
==== Results of physical circumcision trauma ====
Line 25: Line 187:
  
 
=== Psychic circumcision trauma ===
 
=== Psychic circumcision trauma ===
−
The medical community has been slow to recognize the trauma of circumcision.<ref name="goldman1999">{{REFjournal
+
According to [[Marilyn Milos]], "every man who has a scar on his [[penis]] also has a scar on his psyche." The medical community, however, has been slow to recognize the trauma of [[circumcision]].<ref name="batterley2023" /> <ref name="goldman1999">{{REFjournal
 
  |last=Goldman
 
  |last=Goldman
 
  |first=
 
  |first=
Line 50: Line 212:
 
  |DOI=10.1046/j.1464-410x.1999.0830s1093.x
 
  |DOI=10.1046/j.1464-410x.1999.0830s1093.x
 
  |accessdate=2022-11-14
 
  |accessdate=2022-11-14
−
}}</ref>
+
}}</ref>  
  
 
Although a [[circumcision]] may be performed at any age, circumcisions are most commonly performed on newborn boys in the first month of life outside of the mother's womb. At that tender age general anesthesia is too dangerous to administer, so newborn boys receive only minimal [[pain]] relief at best and, in many cases, none at all.
 
Although a [[circumcision]] may be performed at any age, circumcisions are most commonly performed on newborn boys in the first month of life outside of the mother's womb. At that tender age general anesthesia is too dangerous to administer, so newborn boys receive only minimal [[pain]] relief at best and, in many cases, none at all.
Line 62: Line 224:
 
  |ref=<ref name="taddio1997"/>
 
  |ref=<ref name="taddio1997"/>
 
}}
 
}}
 +
 +
Boyle & Ramos (2019) reported [[PTSD]] in [[circumcised]] boys in the Philippine Islands where [[Tuli]] remains the usual practice.<ref>{{REFjournal
 +
|last=Boyle
 +
|first=Gregory J.
 +
|init=GJ
 +
|author-link=Gregory J. Boyle
 +
|last2=Ramos
 +
|first2=Samuel
 +
|init2=S
 +
|author2-link=
 +
|etal=no
 +
|title=Post-traumatic stress disorder (PTSD) among Filipino boys subjected to non-therapeutic ritual or medical surgical procedures: A retrospective cohort study
 +
|journal=Annals of Medicine and Surgery
 +
|location=
 +
|date=2019
 +
|volume=42
 +
|issue=
 +
|pages=19-22
 +
|url=https://www.sciencedirect.com/science/article/pii/S2049080119300305
 +
|archived=
 +
|quote=
 +
|pubmedID=31080593
 +
|pubmedCID=6506608
 +
|DOI=10.1016/j.amsu.2019.04.004
 +
|accessdate=2023-01-26
 +
}}</ref>
  
 
==== Results of psychic circumcision trauma ====
 
==== Results of psychic circumcision trauma ====
 
Results of psychic circumcision trauma include:
 
Results of psychic circumcision trauma include:
−
* [[Posttraumatic stress disorder]]
+
* [[Post-traumatic stress disorder]]
 
* [[Adamant father syndrome]]
 
* [[Adamant father syndrome]]
 
* [[Psychological issues of male circumcision]]
 
* [[Psychological issues of male circumcision]]
  
 +
== Ethics ==
 +
Two ethicists, Myers & Earp (2020), have conducted a detailed review and analysis of the claimed medical benefits of non-therapeutic [[circumcision]]. They have determined that the alleged benefits are not material, so they do not support granting of consent by a surrogate. Moreover, they comment that even the most perfectly executed surgery produces trauma and harm to the patient. Circumcision also produces tissue loss and loss of function, therefore, circumcision should be performed only after the individual reaches the age of consent.<ref name="myers2020">{{REFjournal
 +
|last=Myers
 +
|first=
 +
|init=A
 +
|author-link=
 +
|last2=Earp
 +
|first2=
 +
|init2=BD
 +
|author2-link=Brian D. Earp
 +
|etal=no
 +
|title=What is the best age to circumcise? A medical and ethical analysis
 +
|trans-title=
 +
|language=
 +
|journal=J Biosoc Sci
 +
|location=
 +
|date=2020-09
 +
|volume=34
 +
|issue=7
 +
|pages=560-72
 +
|url=https://www.researchgate.net/profile/Brian-Earp-2/publication/337720859_What_Is_the_Best_Age_to_Circumcise_A_Medical_and_Ethical_Analysis/links/5f815f61a6fdccfd7b555395/What-Is-the-Best-Age-to-Circumcise-A-Medical-and-Ethical-Analysis.pdf
 +
|archived=
 +
|quote=
 +
|pubmedID=32068898
 +
|pubmedCID=
 +
|DOI=10.1111/bioe.12714
 +
|accessdate=2023-05-18
 +
}}</ref> Consent by a surrogate for a non-therapeutic circumcision is an unethical practice.
 +
== Video ==
 +
<b>Circumcision: Trauma, Psychological Effects, Cultural Beliefs</b>
 +
<youtube>v=lNItNHs9PR8&list=PLmrnvFzPoEloNFlh1lNKzig41vqprZnoc&index=1</youtube>
 
{{SEEALSO}}
 
{{SEEALSO}}
 +
* [[Circumstraint]]
 
* [[Pain]]
 
* [[Pain]]
 +
* [[Protection of intact newborns in hospital]]
 
* [[Ronald Goldman Testifies On Circumcision Trauma At Historic PACE Hearing]]
 
* [[Ronald Goldman Testifies On Circumcision Trauma At Historic PACE Hearing]]
  
 
{{LINKS}}
 
{{LINKS}}
 +
* {{REFweb
 +
|url=https://kindredmedia.org/2015/08/infant-circumcision-and-trauma-with-dr-dean-edell/
 +
|title=Infant Circumcision And Trauma – With Dr. Dean Edell
 +
|last=Edel
 +
|first=Dean
 +
|init=
 +
|publisher=Kindred
 +
|date=2015-08-17
 +
|accessdate=2022-11-20
 +
}}
 +
*{{REFweb
 +
|url=https://circumcision.org/circumcision-permanently-alters-the-brain/
 +
|title=Circumcision Permanently Alters the Brain: The surgery subjected the infant to significant trauma
 +
|last=Tinari
 +
|first=Paul D.
 +
|init=
 +
|publisher=Circumcision Resource Center
 +
|date=
 +
|accessdate=2022-11-20
 +
}}
 +
* {{REFweb
 +
|url=https://iaim.net/extreme-trauma-from-male-circumcision-causes-damage-to-areas-of-brain/#:~:text=Based%20on%20MRI%20data%20collected,and%20frontal%20and%20temporal%20lobes.
 +
|title=Extreme trauma from male circumcision causes damage to areas of the brain
 +
|last=Anonymous
 +
|first=
 +
|init=
 +
|publisher=International Association of Infant Massage.
 +
|date=2016-02-17
 +
|accessdate=2024-03-14
 +
}}
 
* {{REFweb
 
* {{REFweb
 
  |url=https://www.psychologytoday.com/us/blog/moral-landscapes/201501/circumcision-s-psychological-damage
 
  |url=https://www.psychologytoday.com/us/blog/moral-landscapes/201501/circumcision-s-psychological-damage
Line 98: Line 349:
 
  |accessdate=2022-11-14
 
  |accessdate=2022-11-14
 
}}
 
}}
−
 
+
* {{REFweb
 +
|url=https://intactamerica.org/circumcision-trauma/
 +
|title=Circumcision Trauma: The Invisible Elephant in the Room
 +
|last=Anonymous
 +
|publisher=Intact America
 +
|date=2023-12-17
 +
|accessdate=2023-12-31
 +
}}
 +
* {{REFweb
 +
|url=https://intactamerica.org/timeline-of-circumcision-suffering/
 +
|title=A Timeline of Circumcision Suffering: A Detailed Look
 +
|last=Anonymous
 +
|first=
 +
|init=
 +
|publisher=Intact America
 +
|date=2024-02-02
 +
|accessdate=2024-02-09
 +
}}
 
{{REF}}
 
{{REF}}
  
−
[[Category:Term]]
+
[[Category:Medical term]]
 
[[Category:Circumcision]]
 
[[Category:Circumcision]]
 
[[Category:Male circumcision]]
 
[[Category:Male circumcision]]
 
[[Category:Pain]]
 
[[Category:Pain]]
 
[[Category:Psychology]]
 
[[Category:Psychology]]
 +
[[Category:Parental information]]
 +
[[Category:Trauma]]
  
 
[[de:{{FULLPAGENAME}}]]
 
[[de:{{FULLPAGENAME}}]]

Latest revision as of 17:03, 3 April 2024

Trauma is defined as physical injury or psychological or emotional damage.[1]

Physical trauma

Physical trauma is any injury caused by a mechanical or physical agent.[1]

Psychic trauma

Psychic trauma is a psychologically upsetting experience that produces an emotional or mental disorder or otherwise has lasting negative effects on a person's thoughts, feelings, or behavior.[1]

Birth trauma

De Mause (1996) argued that early trauma results in aggressive adult behavior.[2] Jacobsen & Bygdeman (1998) reported an association between birth trauma and adult suicide.[3]

Circumcision trauma

There are no medical indications for infant circumcision,[4] which is a painful non-therapeutic, medically-unnecessary invasive amputative surgery. Infant circumcision still occurs more than 2,000 times a day in the United States. Circumcision trauma includes both physical trauma and psychic trauma.[5] [6] [7] Batteley, Metters & Smith (2023) state, in addition to the physical risks, the psychological risks should receive attention.[8]

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.[9]

Physical circumcision trauma

Circumcision, more properly described as posthectomy, is the surgical excision and amputation of the foreskin of the penis, which permanently removes a significant portion of the epithelium of the penis and destroys the significant and important protective, immunological, sexual, and sensory physiological functions of that structure, and leaves the patient permanently and irreversibly impaired by the loss of those functions.[10]

Results of physical circumcision trauma

Results of physical trauma include:

Psychic circumcision trauma

According to Marilyn Milos, "every man who has a scar on his penis also has a scar on his psyche." The medical community, however, has been slow to recognize the trauma of circumcision.[8] [11]

Although a circumcision may be performed at any age, circumcisions are most commonly performed on newborn boys in the first month of life outside of the mother's womb. At that tender age general anesthesia is too dangerous to administer, so newborn boys receive only minimal pain relief at best and, in many cases, none at all.

Circumcised boys had a higher pain response at time of vaccination six months later as compared with intact boys,[12][13] showing that the nervous system had been permanently sensitized to heightened pain sensation.

Taddio et al. (1997) concluded:

“ Although postsurgical central sensitisation (allodynia and hyperalgesia) can extend to sites of the body distal from the wound, suggesting a supraspinal effect, the long-term consequences of surgery done without anaesthesia are likely to include post-traumatic stress as well as pain. It is, therefore, possible that the greater vaccination response in the infants circumcised without anaesthesia may represent an infant analogue of a post-traumatic stress disorder triggered by a traumatic and painful event and re-experienced under similar circumstances of pain during vaccination.
– Taddio et al. (1997)[13]

Boyle & Ramos (2019) reported PTSD in circumcised boys in the Philippine Islands where Tuli remains the usual practice.[14]

Results of psychic circumcision trauma

Results of psychic circumcision trauma include:

Ethics

Two ethicists, Myers & Earp (2020), have conducted a detailed review and analysis of the claimed medical benefits of non-therapeutic circumcision. They have determined that the alleged benefits are not material, so they do not support granting of consent by a surrogate. Moreover, they comment that even the most perfectly executed surgery produces trauma and harm to the patient. Circumcision also produces tissue loss and loss of function, therefore, circumcision should be performed only after the individual reaches the age of consent.[15] Consent by a surrogate for a non-therapeutic circumcision is an unethical practice.

Video

Circumcision: Trauma, Psychological Effects, Cultural Beliefs

See also

External links

References

  1. ↑ a b c REFweb (2003). Trauma, The Free Medical Dictionary by Farlex. Retrieved 13 November 2022.
  2. ↑ REFjournal deMause, Lloyd. Restaging Fetal Traumas in War and Social Violence. Pre- and Perinatal Psychology Journal. 1996; 23(4): 344-92. PMID. Retrieved 3 April 2024.
  3. ↑ REFjournal Jacobsen B, Bygdeman M. Obstetric care and proneness of offspring to suicide as adults: case-control study. BMJ. 1998; 317(7169): 1346. PMID. PMC. DOI. Retrieved 18 October 2023.
  4. ↑ REFbook Committee on Fetus and Newborn (1971): Standards and Recommendation for Hospital Care of Newborn infants. 5th ed.. Evanston: American Academy of Pediatrics. Retrieved 3 April 2024.
  5. ↑ REFjournal Boyle GJ, Goldman R, Svoboda JS, Fernandez E. Male Circumcision: Pain, Trauma and Psychosexual Sequelae. Journal of Health Psychology. 2002; 7(3): 329-43. DOI. Retrieved 29 September 2019.
  6. ↑ REFjournal Aydoğdu B, Azizoğlu M, Okur MH. Social and psychological effects of circumcision: A narrative review PDF. Journal of Applied Nursing and Health. 2022; 4(2): 264-71. DOI. Retrieved 16 January 2023.
  7. ↑ REFjournal Boyle GJ. Circumcision of Infants and Children: Short-Term Trauma and Long-Term Psychosexual Harm PDF. Advances in Sexual Medicine. 15 April 2015; 5(3): 22-38. DOI. Retrieved 5 March 2024.
  8. ↑ a b REFjournal Batterley M, Metters J, Smith D. Male Circumcision-Based Trauma: Should it be Shown Greater Recognition?. PsyArXiv. 18 January 2023; Preprint: 1-13. DOI. Retrieved 25 February 2023.
  9. ↑ REFjournal Bollinger D. Adverse Childhood Experiences, Dysfunctional Households, and Circumcision.. Kindred. 28 February 2023; Retrieved 1 March 2023.
  10. ↑ REFjournal Cold CJ, Taylor JR. The prepuce. BJU Int. January 1999; 83, Suppl. 1: 34-44. PMID. DOI. Retrieved 8 July 2021.
  11. ↑ REFjournal Goldman R. The psychological impact of circumcision. BJU Int. 1 January 1999; 83 Suppl. 1: 93-103. PMID. DOI. Retrieved 14 November 2022.
  12. ↑ REFjournal Taddio A, Goldbach M, Ipp M, Stevens B, Koren G. Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet. 1995; 345: 291-292. PMC. DOI. Retrieved 15 November 2022.
  13. ↑ a b REFjournal Taddio A, Katz J, Ilersich AL, Koren G. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet. 1 March 1997; 349: 599-603. PMC. DOI. Retrieved 15 November 2022.
  14. ↑ REFjournal Boyle GJ, Ramos S. Post-traumatic stress disorder (PTSD) among Filipino boys subjected to non-therapeutic ritual or medical surgical procedures: A retrospective cohort study. Annals of Medicine and Surgery. 2019; 42: 19-22. PMID. PMC. DOI. Retrieved 26 January 2023.
  15. ↑ REFjournal Myers A, Earp BD. What is the best age to circumcise? A medical and ethical analysis. J Biosoc Sci. September 2020; 34(7): 560-72. PMID. DOI. Retrieved 18 May 2023.
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