Okay here is my first attempt at a reply:
1. I believe there is a difference between whether we are discussing single onset trauma versus early onset chronic severe persistent trauma beginning in childhood.
- Single onset adult trauma (such as a car accident ) or single onset childhood trauma (car accident or tornado) would result in classic PTSD (assuming the individual had not otherwise suffered past persistent chronic childhood trauma).
- Single onset trauma like a natural disaster would express itself differently whether the individual has a past hx of chronic childhood trauma. Rape in an otherwise well and non-abused adult female would likely produce PTSD not chronic re-victimization (and rape would also be much less likely in an adult without a history of childhood trauma).
- Individuals with a hx of chronic childhood abuse or adversity are at risk for adult rape or multiple other types of adult traumatic re-victimization and I do not consider this to be PTSD but a direct effect of what Dr. Bessel van der Kolk and Martin Teicher attempted to define as Developmental Trauma Disorder (only as an adult these things would be the adult manifestations of Developmental Trauma.
- The tx for DT is NOT the same as for single incident trauma -- PTSD. That is where I believe there is a huge problem in language. We cannot have a language when there is no word to define what is occurring. Thus with chronic, persistent, childhood onset trauma -- I call this developmental trauma.
2. There is also the issue with adversity, adverse childhood experiences, stress and toxic stress.
Will get back to this in a bit but wanted to start a discussion and my own thinking about the organization of this important topic.