This paper is based on a unique cohort led by @CUNY Prof Cathy Widom, following people identified by official court records of child #maltreatment and matched non-maltreated group, who also retrospectively reported on their childhood experiences as adults https://science.sciencemag.org/content/244/4901/160.short">https://science.sciencemag.org/content/2...
This design provided us with both objective and subjective measures of child #maltreatment enabling us to ask an age-old phenomenological question: which experience is more important? Also see a recent @TheJCPP review here https://onlinelibrary.wiley.com/doi/10.1111/jcpp.13160">https://onlinelibrary.wiley.com/doi/10.11...
We found that, even for severe cases of child #maltreatment identified through court records, risk of psychopathology linked to objective measures was minimal in the absence of subjective reports.
In contrast, risk of psychopathology linked to subjective reports of child #maltreatment was high, whether or not the reports were consistent with objective measures.
We highlighted (and tried our best to address) a set of issues related to misclassification, memory biases, treatment effects, unmeasured variables, and replicability.
ERGO: Overall, the findings suggest that psychopathology emerges as a function of subjective rather than objective experience of child #maltreatment.
IMPLICATION #1: Beyond the dominant *toxic stress* model (e.g., https://www.sciencedirect.com/science/article/abs/pii/S0031938411004045?via%3Dihub),">https://www.sciencedirect.com/science/a... we must learn more about the psychological and neurobiological processes (memory, perception, cognitions, and attitudes) through with subjective experience can bring about psychopathology.
[YES, I am challenging myself here…]
IMPLICATION #2: We end with cautious optimism. *IF* the effects of subjective experience are causal, current / new psychological treatments that address subjective experience can help relieve the heavy mental health toll associated with child #maltreatment.
I am told this link should give free full-text access to the article online ;-) https://rdcu.be/b4fgJ ">https://rdcu.be/b4fgJ&quo...
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