If human beings have experienced repeatedly psychological trauma in interpersonal relationship across their life span, their basic self-system could be disrupted. The current study investigated whether repetitive interpersonal trauma leads to significant disruption in individual's self-system, which is different from that caused by simple trauma or single event interpersonal trauma. The Traumatized Self-System Scale(TSSS) was developed and validated in the first study. In the following study, significant differences in impairments of self-consistency, self-integration, and self-destructive behavior were found between participants experiencing repetitive interpersonal trauma and those experiencing other trauma. Such results implied that it is necessary to assess and adopt distinct intervention strategies according to the types of interpersonal trauma in order to recover a self-system effectively. Implications and limitations of the current study are discussed.
김광일, 김재환, 원호택 (1984). <간이정신진단검사> 실시 요강. 중앙적성출판부.
김교헌 (2006). 도박행동의 자기조절모형: 상식 모형의 확장. 한국심리학회지: 건강, 11(2), 243-274.
김영환, 김지혜, 오상우, 임영란, 홍상황 (2001). PAI 표준화연구: 신뢰도와 타당도. 한국심리학회지: 임상, 20(2), 311-329.
남보라, 권호인, 권정혜 (2010). 한국판 외상후 스트레스 진단 척도의 신뢰도 및 타당도 연구. 한국심리학회지: 임상, 29(1), 148- 167.
라영선 (2009). 아동기 정서적 학대와 복합 PTSD 경향성의 관계: 용서의 조절효과를 중심으로. 석사학위 청구논문. 중앙대학교.
박철옥 (2007). 새터민의 대인관계적 외상 경험, 용서, 경험 회피와 외상 후 스트레스 증상간의 관계. 석사학위 청구논문. 이화여자대학교.
박현진 (1997). 자아탄력성에 따른 지각된 스트레스, 대처 및 우울. 석사학위 청구논문. 고려대학교.
안현의 (2005). 청소년의 심리적 외상에 관한 탐색적 연구: 외상 후 스트레스 증상과 성격 특성을 중심으로. 한국심리학회지: 상담 및 심리치료, 17(1), 217-231.
안현의, 장진이, 조하나 (2009). 자기체계 손상으로 본 복합외상증후군. 한국심리학회지: 일반, 28(2), 283-301.
양계령 (2008). 심리적 학대와 자아탄력성이 복합 PTSD에 미치는 영향: 가정폭력 피해 여성을 중심으로. 석사학위 청구논문. 강원대학교.
이순묵 (2000). 요인분석의 기초. 서울: 교육과학사.
이유경 (2006). 여대생의 아동기 외상 경험이 심리적 증상과 대인관계 문제에 미치는 영향: 애착의 매개효과를 중심으로. 석사학위 청구논문. 이화여자대학교.
이지영, 권석만 (2006). 정서조절과 정신병리의 관계: 연구 현황과 과제. 한국심리학회지: 상담 및 심리치료, 18(3), 461-493.
정지선 (2008). 학교폭력 피해 청소년의 복합외상 후 스트레스 증상. 석사학위 청구논문. 이화여자대학교.
조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26(4), 1015-1038.
조은향 (2009). 삶의 의미추구와 의미발견의 관계에서 긍정 및 부정정서와 자아탄력성의 매개 효과 검증. 석사학위 청구논문. 이화여자대학교.
주혜선 (2008). 외상 후 위기 체크리스트(Posttrauma Risk Checklist: PRC) 개발 연구. 석사학위 청구논문. 이화여자대학교.
홍세희 (2000). 구조방정식모형의 적합도 지수 선정 기준과 그 근거. 한국심리학회지: 임상, 19, 161-178
Allen, J. (2001). Traumatic Relationships and Serious Mental Disorders. Chichester, England: John Wiley & Sons Ltd.
Allen, J. (2005). Coping with trauma: Hope through understanding. Washington, DC: American Psychiatric Publishing, Inc.
Baumeister, R. F., & Uohs, K. D. (Eds.) (2004). Handbook of Self-Regulation-research, thoery, and applications. New York: Guilford Press.
Boulanger, G. (2007). Wounded by Reality: Understanding and Treating Adult Onset Trauma. Mahwah, NJ: The Analytic Press.
Briere, J. (1992). Child abuse trauma: Theory and treatment of the lasting effects. Newbury Park, CA: Sage.
Briere, J. (1997). Treating adults severely abused as children: The self-trauma model. In D. A. Wolfe, R. J. McMahon, & R. D. Peter (Eds.), Child abuse: New directions in prevention and treatment across the lifespan. Banff international behavioral science series(Vol. 4, pp.177-204). Amberwood Parkway, Ashland: Hogrefe & Huber Publishers.
Briere, J., & Rickards, S. (2007). Self-Awareness, Affect Regulation, and Relatedness Differential Sequels of Childhood Versus Adulthood Victimization Experiences. Journal of Nervous and Mental Disease, 195(6), 497-503.
Classen, C., Pain, C., Field, N. P., & Woods, P. (2006). Posttraumatic personality disorder: A reformulation of complex posttraumtic stress disorder and borderline personality disorder. Psychiatric Clinics of North America, 29(1), 87-112.
Cloitre, M., Stovall-McClough, C., Zorbas, P., & Charuvastra, A. (2008). Attachment Organization, Emotion Regulation, and Expectations of Support in a Clinical Sample of Women With Childhood Abuse Histories. Journal of Traumatic Stress, 21(3), 282-289.
Cole, P. M., & Putnam, F. W. (1992). Effect of Incest on Self and Social Functioning: A Development Psychotherapy Perspective. Jouranl of Consulting and Clinical Psychology, 60(2), 174-184.
Connor, P. K., & Higgins, D. J. (2009). The ‘HEALTH’ model =Part1: treatment program guidelines for Complex PTSD. Sexual and Relationship Therapy, 23(4), 293-303.
Cook A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., DeRosa, R., Hubbard, R., Kagan, R., Liautaud, J., Mallah, K., Olafson, E., & van der Kolk, B. (2005). Complex Trauma in children and adolescents. Psychiatric Annals, 35(5), 390-398.
Courtois, C. A. (2004). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 41(4), 412-425.
Daud, A., Klinteberg, B., & Rydelius, P. (2008). Trauma, PTSD and personality: the relationship between prolonged traumatization and personality impairments. Scandinavian Journal of Caring Science, 22(3), 331-340.
Derogatis, L. R. (1977). SCL-90: Administration, Scoring, and Procedure Manual. Baltimore, MD: Johns Hopkins.
Foa, E. B., Zinberg, R., & Rothbaum, B. O. (1992). Uncontrollability and unpredictability in post-traumatic stress disorder: An animal model. Psychological Bulletin, 412(2), 218-238.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The Validation of a self-report mesures of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445-451.
Fonagy, P., & Target, M. (1997a). Attachment and reflective function: Their role in selforganization. Development and Psychopathology, 9(4), 679-700.
Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
Fonagy, P., & Target, M. (2006). The Mentalization-focused approach to self pathology. Journal of Personality Disorders, 20(6), 544-576.
Ford, J. D., Stockton P., Kaltman, S., & Green, B. L. (2006). Disorders of Extreme Stress(DESNOS) Symptoms Are Associated With Type and Severity of Interpersonal Trauma Exposure in a Sample of Healthy Young Women. Journal of Interpersonal Violence, 21(11), 1399-1416.
Ford, J. D., & Courtois, C. A. (2009). Defining and understanding complex trauma and complex traumatic stress disorders. In C. A. Courtois, & J. D. Ford (Eds.), Treating Complex Traumatic Stress Disorders-An Evidence-Base Guide(pp.13-30). New York: The Guilford Press.
Fuchs, T. (2007). Fragmented Selves: Temporality and Identity in Boderline Personality Disorder. Psychopathology, 40(6), 379-387.
Gidycz, C., Hanson, K., & Layman, M. (1995). A prospective analysis of the relationship among sexual assault experiences. Psychology of Women Quarterly, 19(1), 5-29.
Grand, S. (2003). Unsexed and ungendered bodies: The violated self. Studies in Gender and Sexuality, 4(4), 313-341.
Gratz, K. L., & Roemer, L. (2004). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54.
Harter, S. (1999). The construction of the self: A developmental perspective. New York: The Guilford Press.
Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolnged and repeated trauma. Journal of Traumatic Stress, 5(3), 377-391.
Herman, J. L. (1997). Trauma and recovery: The aftermath of violence. New York: Basic Books.
Howe, M. L., & Courage, M. L.(1993). On resolving the enigma of infantile amnesia. Psychological Bulletin, 113(2), 305-326.
Klohenn, E. C. (1996). Conceptual analysis and measurement of the construct of ego-resiliency. Journal of Personalty and Social Psychology, 70(5), 1067-1079.
Livesley, W. J. (2006). Introduction to special feature on self and identity. Journal of Personalty Disorders, 20(6), 541-543.
Luxenberg, T., Spinnazzola, J., & van der Kolk, B. A. (2001). Complex trauma and disorder of extreme stress (DESNOS) diagnosis, part one: assessment. Directions in Psychiatry, 21, 363-392.
Messman-Moore, T. L., Brown, A. L., & Koelsch, L. E. (2005). Posttraumatic Symptoms and Self-Dysfunction as Consequences and Predictors of Sexual Revictimization. Journal of Traumatic Stress, 18(3), 253-261.
Morey, L. C. (1991). Personality Assessment Inventory-Professional Manual. Florida, USA: Psychological Assessment Resources, Inc.
Muller, R. T., Sicoli, L. A., & Lemieux, K. E.(2000). Relationship Between Attachment Style and Posttraumatic Stress Symptomatology Among Adults Who Report the Experience of Childhood Abuse. Journal of Traumatic Stress, 13(2), 321-332.
Ouimette, P. C., Saxe, G. N., & van der Kolk, B. A. (1996). The Complex PTSD interview. In H. Stamm (Ed.), Measurement of stress, trauma and adaption. Baltimore, MD, US: Sidran Press.
Pelcovitz, D., van der Kolk, B., Roth, S., Mandel, F., Kaplan, S., & Resick, P. (1997). Development of a criteria set and a structured interview for disorders of extreme stress (SIDES). Journal of Traumatic Stress, 10(1), 3-16.
Putnam, F. M. (1993). Dissociation and disturbances of the self. In D. Cicchetti & S. Toth (Eds.), Rochester Symposium on Developmental Psychopathology: Disorders and dysfunctions of the self(Vol.5, pp.251-266). Rochester, NY: University of Rochester Press.
Salo, J., Punamaki, R., & Qouta, S. (2004). Association between self and other representaions and posttraumatic adjustment among political prisoners. Anxiety, Stress, and Coping, 17(4), 421-439.
Stern, D, N. (1985). The interpersonal world of the infant: A view from psychoanalysis and developmental psychology. New York: Basic Books.
Street, A. E., Gibson, L. E., & Holohan, D. R. (2005). Impact of Childhood Traumatic Events, Trauma-Related Guilt, and Avoidant Coping Strategies on PTSD Symptoms in Female Survivors of Domestic Violence. Jouranl of Traumatic Stress, 18(3), 245-252.
Terr, L. C. (1995). Childhood traumas: An outline and overview. In M. E. Hertzig & E. A. Farber (Eds.), Annuals progress in child psychiatry and child development(pp.165-186). New York: Brunner/Mazel.
van der Kolk, B. A., & Courtois, C. A. (2005). Editorial Commments: Complex Developmental Trauma. Journal of Traumatic Stress, 18(5), 385-388.
van Dijke, A. (2008). The Clinical Assessment and Treatment of Trauma-Related Self and Affect Dysregulation. In A. Vingerhoets, I. Nyklicek, & J. Denollet (Eds.), Emotion Regulation. New York: Springr Science+Business Media, LLC.
www.istss.org. The International Society For TraumaticStress Studies.
Westen, D. (1993). The impact of sexual abuse on self on self structure. In D. Cicchetti & S. Toth (Eds.), Rochester Symposium on Developmental Psychology: Disorders and dysfunction of the self(Vol. 5, pp.223-250). Rochester, NY: University of Rochester Press.
Williams, W. I. (2006). Complex trauma: approachs to theory and treatment. Journal of loss and Trauma, 11(4), 321-335.
Wilson, J. P., Droždek, B., & Turkovic, S. (2006). Posttraumatic Shame and Guilt. Trauma, Violence, & Abuse, 7(2), 122-141.