<b>Two Case Presentations with Unexpected Outcomes after Childhood Trauma</b>

Bowlby developed the theory of attachment, describing it as a lasting emotional bond between human beings, manifested by seeking proximity to caregivers, especially in times of distress. Children adjust their behavior to prevent separation from their primary attachment figure – someone who provides support, protection and care. Attachment theory provides a favorable framework for understanding our two cases and their developmental paths. We report two cases of female individuals, both of whom had a family history of psychiatric disease and experienced early parental separation with the grandparents playing significant roles in their upbringing. The two cases had radically different outcomes: one was diagnosed with schizophrenia and the other with generalized anxiety-depressive disorder. We attempt to analyze the reasons for the disparate outcomes of these two cases through the framework of numerous published studies that highlight protective and risk factors for psychiatric disease, studies that highlight the impact of traumatic events in childhood on a child’s biological, psychological and social development, as well as through the lens of psychodynamic and attachment theories. Throughout the analysis, the importance of early intervention is made clear: both through various treatment modalities and preventive measures, as well as by providing successful mental health programs directed towards the destigmatization of children with mental health problems.

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Publication Details

Journal
Southeastern European medical journal
Published
2024-09-23
DOI
https://doi.org/10.26332/seemedj.v8i1.296
Primary Topic
Trauma Management and Diagnosis
Type
article
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article

Two Case Presentations with Unexpected Outcomes after Childhood Trauma

Sven Želalić, Marta Okružnik Želalić
Southeastern European medical journal
Trauma Management and Diagnosis
article

Two Case Presentations with Unexpected Outcomes after Childhood Trauma

Sven Želalić, Marta Okružnik Želalić
article en

Abstract

Bowlby developed the theory of attachment, describing it as a lasting emotional bond between human beings, manifested by seeking proximity to caregivers, especially in times of distress. Children adjust their behavior to prevent separation from their primary attachment figure – someone who provides support, protection and care. Attachment theory provides a favorable framework for understanding our two cases and their developmental paths. We report two cases of female individuals, both of whom had a family history of psychiatric disease and experienced early parental separation with the grandparents playing significant roles in their upbringing. The two cases had radically different outcomes: one was diagnosed with schizophrenia and the other with generalized anxiety-depressive disorder. We attempt to analyze the reasons for the disparate outcomes of these two cases through the framework of numerous published studies that highlight protective and risk factors for psychiatric disease, studies that highlight the impact of traumatic events in childhood on a child’s biological, psychological and social development, as well as through the lens of psychodynamic and attachment theories. Throughout the analysis, the importance of early intervention is made clear: both through various treatment modalities and preventive measures, as well as by providing successful mental health programs directed towards the destigmatization of children with mental health problems.

Southeastern European medical journalVol. 8(1)
Klinička bolnica Merkur (HR)
Openalex Percentile: Top 68%
Trauma Management and Diagnosis
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<b>Two Case Presentations with Unexpected Outcomes after Childhood Trauma</b> — Sven Želalić, Marta Okružnik Želalić · Southeastern European medical journal (2024) | TGRS Research Map | TGRS