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Intro
Foreword by Ann Wolbert Burgess
Foreword by Christina D. Spink
Foreword by Harold G. Koenig
Preface
Contents
About the Book
About the Author
Part I: Overview of Adverse Traumatic Experiences
1: Introduction, Epidemiology, Measurement, and the Cycle of Trauma
Epidemiology of Adverse Childhood Experiences (ACEs)
The Cost of ACEs
Measurement of Adverse Childhood Experiences (ACEs)
Healthy Stress Versus Toxic Stress
Intergenerational and Other Cycles of Trauma: Hurt People May Hurt Themselves and Others
Epigenetics
Conclusion
Resources

Suicide Resources
References
Part II: The Potential Serious Nature of Adverse Childhood Experiences
2: Adverse Childhood Experiences and Neurodevelopment
Mental Health Conditions
Attention-Deficit/Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD)
Post-traumatic Stress Disorder (PTSD)
Bipolar Affective Disorder (BP) and Schizophrenia (SZ)
Intrauterine Environment
Exposure to Alcohol and Other Substances
Maternal Health and the Developing Child
Summary and Conclusion
Resources
References

3: Potential Lifelong Neurobiological, Bio-behavioral, and Other Outcomes of Trauma
Post-traumatic Stress Disorder (PTSD)
Complex Trauma
High-Risk Behaviors: Lack of Regard for Self and Others
Lifestyle, Mental and Physical Outcomes
Obesity, Type 2 Diabetes, and Related Health Conditions
Risky Sexual Behavior and Sexually Transmitted Diseases
Substance Use
Other Eating Disorders
The Impact of COVID-19 Trauma on Diet and Weight
Relationships
Criminal Behavior
Antisocial Personality Disorder
Homelessness
Summary and Conclusion
Resources

Suicide Resources
Eating Disorder Resources
References
Part III: The Potential Impact of Trauma on the Brain, Body, Behavior and Society
4: Childhood Physical Abuse (CPA), Childhood Sexual Abuse (CSA), Abusive Traumatic Brain Injury (TBI), Childhood Emotional Abuse (CEA), Neglect, and Other Trauma
Individual Risk Factors
Family Risk Factors
Community Risk Factors
Childhood Physical Abuse
Abusive Traumatic Brain Injuries (TBI)
Long-Term Outcomes
Childhood Sexual Abuse (CSA) and Other Sexual Trauma
Neurobiology of the Normal Stress Response

Potential Lifelong Hypothalamic-Pituitary-Adrenal (HPA) Axis and Stress System Changes After ACEs
Implications of Stress Systems Changes on Bio-behavioral Health Outcomes
Childhood Emotional Abuse (CEA), Neglect, and Poverty
Human Trafficking
Secondary Vicarious Trauma
Summary, Conclusions, and Recommendations
Resources
Suicide Resources
Vicarious Trauma Resources
References
5: Absence of a Healthy Parent: Mental and Physical Illness, Substance Misuse, and Trauma in the Life of Parents, Caregivers, and Significant Others
Mental Health Conditions

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