Complex trauma in childhood, a psychiatric diagnosis in adulthood: Making meaning of a double-edged phenomenon.
Abstract
Objective No known research explores the double-edged phenomenon of childhood trauma/adult mental health consumer. Therefore, whether receiving a psychiatric diagnosis in light of childhood trauma supports or impedes psychological wellbeing in adult life, is unknown. Method Interpretative phenomenological analysis (IPA) provided the methodological framework. Data were collected through the use of semistructured interviews. Analysis sought thematic representation from subjective interpretations of the experienced phenomenon: childhood trauma survivor/mental health consumer. Results Data revealed 1 superordinate theme, Childhood Betrayal, Identity, and Worthiness, that overarched 5 subordinate themes a) legacies, (b) the label, (c) putting the jigsaw together, (d) stigma, and (e) better than good enough self. Legacies of doubt that perpetuated "not good enough" delayed the development of an adult identity of worthiness in these participants. Importantly, the right diagnosis separated self as worthy-adult from self as traumatized child and facilitated positive change for breaking harmful cycles, self-valuing, and increased empathy, wisdom, and patience. Conclusions Findings inform future research and therapeutic practice in regards to adult help seeking behaviors in light of childhood trauma, often postponed through fear of stigma associated with mental health diagnoses and services. Similarly, findings suggest that ameliorating wellbeing may be dependent on a therapeutic relati…
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Complex trauma often has a major impact on the physical and mental health of victims and on the types of interpersonal relationships they have in different social contexts throughout their lives.
“These traumas often have a major impact on the physical and mental health of victims and the types of interpersonal relationships they have in different social contexts throughout their lives”
From Complex Racial Trauma: Evidence, Theory, Assessment, and Treatment (2023) · cites this paper as McCormack & Thomson, 2017
Cites
On Happiness and Human Potentials: A Review of Research on Hedonic and Eudaimonic Well-Being
Ryan, R. M., & Deci, E. L. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.141 · Cited by 11,567 · see citing works
The SAGE handbook of qualitative research
(2005) · Choice Reviews Online · doi:10.5860/choice.43-1330 · Cited by 10,173 · see citing works
Interpretative Phenomenological Analysis: Theory, Method and Research
(2010) · QMiP Bulletin · doi:10.53841/bpsqmip.2010.1.10.44 · Cited by 8,189 · see citing works
(2014) · SAGE Publications Ltd eBooks · doi:10.4135/9781446294406.n148 · Cited by 7,272 · see citing works
(1978) · Medical Entomology and Zoology · Cited by 6,077 · see citing works
Positive Psychology Progress: Empirical Validation of Interventions.
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005) · American Psychologist · doi:10.1037/0003-066x.60.5.410 · Cited by 5,947 · see citing works
(1992) · Cited by 5,228 · see citing works
Verification strategies for establishing reliability and validity in qualitative research
Morse, J. M., Barrett, M., Mayan, M., Olson, K., & Spiers, J. (2002) · International Journal of Qualitative Methods · doi:10.1177/160940690200100202 · Cited by 4,978 · see citing works
Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006) · European archives of psychiatry and clinical neuroscience · doi:10.1007/s00406-005-0624-4 · Cited by 4,292 · cited 2× · see citing works
“…specific traumatic experiences with crucial domains of development in childhood, genetic vulnerabilities, neural development through chronic stress, the characteristics of the abuse itself, and social factors are all identified markers (Anda et al., 2006; Briere & Jordan, 2009; van der Kolk, 2005).”
Background(1992) · Cited by 3,325 · see citing works
Optimizing well-being: The empirical encounter of two traditions.
Keyes, C. L. M., Shmotkin, D., & Ryff, C. D. (2002) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.82.6.1007 · Cited by 3,322 · see citing works
Smith, J. A. (1996) · Psychology & Health · doi:10.1080/08870449608400256 · Cited by 2,380 · see citing works
Positive change following trauma and adversity: A review
Linley, P. A., & Joseph, S. (2004) · Journal of Traumatic Stress · doi:10.1023/b:jots.0000014671.27856.7e · Cited by 2,260 · see citing works
Smith, J. A. (2008) · BIROn (Birkbeck, University of London) · doi:10.1191/1478088704qp004oa · Cited by 2,209 · see citing works
Complex Trauma in Children and Adolescents
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., DeRosa, R., Hubbard, R., Kagan, R., Liautaud, J., et al. (2005) · Psychiatric Annals · doi:10.3928/00485713-20050501-05 · Cited by 1,619 · see citing works
van der Kolk, B. A. (2005) · Psychiatric Annals · doi:10.3928/00485713-20050501-06 · Cited by 1,609 · see citing works
Link, B. G. (1987) · American Sociological Review · doi:10.2307/2095395 · Cited by 1,588 · see citing works
The SAGE Dictionary of Qualitative Inquiry
Schwandt, T. A. (2007) · Sage eBooks · doi:10.4135/9781412986281 · Cited by 1,518 · see citing works
Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L., & Vigilante, D. (1995) · Infant Mental Health Journal · doi:10.1002/1097-0355(199524)16:4 · Cited by 1,325 · see citing works
Trauma and Transformation: Growing in the Aftermath of Suffering
Tedeschi, R. G., & Calhoun, L. G. (1995) · Medical Entomology and Zoology · Cited by 1,169 · see citing works
Epistemological and Methodological Bases of Naturalistic Inquiry
Guba, E. G., & Lincoln, Y. S. (1983) · Springer eBooks · doi:10.1007/978-94-009-6669-7_18 · Cited by 1,041 · see citing works
The Place of Inter-Rater Reliability in Qualitative Research: An Empirical Study
Armstrong, D., Gosling, A., Weinman, J., & Marteau, T. (1997) · Sociology · doi:10.1177/0038038597031003015 · Cited by 1,008 · see citing works
Positive Adjustment to Threatening Events: An Organismic Valuing Theory of Growth through Adversity
Joseph, S., & Linley, P. A. (2005) · Review of General Psychology · doi:10.1037/1089-2680.9.3.262 · Cited by 909 · see citing works
Betrayal trauma: the logic of forgetting childhood abuse
(1997) · Choice Reviews Online · doi:10.5860/choice.34-4772 · Cited by 784 · see citing works
Positive and negative life changes following sexual assault.
Frazier, P. A., Conlon, A., & Glaser, T. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.6.1048 · Cited by 560 · see citing works
Stress-Response Syndromes: A Review of Posttraumatic and Adjustment Disorders
Horowitz, M. J. (1986) · Psychiatric Services · doi:10.1176/ps.37.3.241 · Cited by 489 · see citing works
Parenting in Battered Women: The Effects of Domestic Violence on Women and Their Children
Levendosky, A. A., & Graham‐Bermann, S. A. (2001) · Journal of Family Violence · doi:10.1023/a:1011111003373 · Cited by 452 · see citing works
Reaction to trauma: A cognitive processing model.
Creamer, M. C., Burgess, P., & Pattison, P. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.3.452 · Cited by 371 · see citing works
The impact of trauma on meaning: From meaningless world to meaningful life.
Janoff‐Bulman, R., & Frantz, C. M. (1997) · Cited by 349 · see citing works
Joseph, S., Williams, R. M., & Yule, W. (1993) · Journal of Traumatic Stress · doi:10.1002/jts.2490060209 · Cited by 319 · see citing works
What doesn't kill us: the new psychology of posttraumatic growth
(2012) · Choice Reviews Online · doi:10.5860/choice.49-3550 · Cited by 273 · see citing works
Posttraumatic Growth: Future Directions
Calhoun, L. G., & Tedeschi, R. G. (1998) · Routledge eBooks · doi:10.4324/9781410603401-13 · Cited by 223 · see citing works
Social cognition and clinical psychology: A synthesis.
Abramson, L. Y. (1988) · Cited by 202 · see citing works
Childhood Maltreatment, Intervening Variables, and Adult Psychological Difficulties in Women
Briere, J., & Jordan, C. E. (2009) · Trauma Violence & Abuse · doi:10.1177/1524838009339757 · Cited by 185 · see citing works
Hooper, L. M., DeCoster, J., White-Chapman, N., & Voltz, M. L. (2011) · Journal of Clinical Psychology · doi:10.1002/jclp.20807 · Cited by 174 · see citing works
Foucault and the turn to narrative therapy
Besley, T. A. C. (2002) · British Journal of Guidance and Counselling · doi:10.1080/03069880220128010 · Cited by 158 · see citing works
Attachment, Self-Regulation, and Competency (ARC)
Blaustein, M. E., & Kinniburgh, K. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-46138-0_14 · Cited by 108 · see citing works
An Interpretative Phenomenological Analysis of Posttraumatic Growth in Adults Bereaved by Suicide
Smith, A., Joseph, S., & das Nair, R. (2011) · Journal of Loss and Trauma · doi:10.1080/15325024.2011.572047 · Cited by 78 · see citing works
McCormack, L., & Joseph, S. (2012) · Community Work & Family · doi:10.1080/13668803.2012.735478 · Cited by 48 · see citing works
Self-citationAttachment and Psychopathology Among Formerly Maltreated Adults
Muller, R. T., Lemieux, K. E., & Sicoli, L. A. (2001) · Journal of Family Violence · doi:10.1023/a:1011158919303 · Cited by 46 · see citing works
Distress and growth: The subjective “lived” experiences of being the child of a Vietnam veteran.
McCormack, L., & Sly, R. (2013) · Traumatology An International Journal · doi:10.1177/1534765613481855 · Cited by 24 · see citing works
Self-citationMcCormack, L., & McKellar, L. (2015) · Traumatology An International Journal · doi:10.1037/trm0000025 · Cited by 21 · see citing works
Self-citationPsychological Growth in Aging Vietnam Veterans
McCormack, L., & Joseph, S. (2013) · Journal of Humanistic Psychology · doi:10.1177/0022167813501393 · Cited by 15 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Perkins, A., Ridler, J., Browes, D., Peryer, G., Notley, C. J., & Hackmann, C. (2018) · The Lancet Psychiatry · doi:10.1016/s2215-0366(18)30095-6 · Cited by 192 · see citing works
Maercker, A., Hecker, T., Augsburger, M., & Kliem, S. (2018) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0000000000000790 · Cited by 163 · see citing works
Complex Racial Trauma: Evidence, Theory, Assessment, and Treatment
Cénat, J. M. (2023) · Perspectives on Psychological Science · doi:10.1177/17456916221120428 · Cited by 145 · see citing works
“These traumas often have a major impact on the physical and mental health of victims and the types of interpersonal relationships they have in different social contexts throughout their lives (Lewis et al., 2021; McCormack & Thomson, 2017; Wong et al., 2016).”
BackgroundConsequences of a Diagnostic Label: A Systematic Scoping Review and Thematic Framework
Sims, R., Michaleff, Z. A., Glasziou, P., & Thomas, R. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.725877 · Cited by 80 · see citing works
Swaab, L., McCormack, L., & Campbell, L. (2017) · Advances in Neurodevelopmental Disorders · doi:10.1007/s41252-017-0033-5 · Cited by 21 · see citing works
Self-citationLubieniecki, G., McGrath, I., & Sharp, G. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01335-6 · Cited by 11 · see citing works
Huggard, L., & O’Connor, C. (2023) · PLoS ONE · doi:10.1371/journal.pone.0284095 · Cited by 9 · see citing works
Cumulative Harm: Chronicity, Revictimisation, and Developmental Victimology
Bryce, I. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815344-4.00009-x · Cited by 9 · see citing works
Collaborative diagnosis between clinician and patient: why to do it and what to consider
Hackmann, C., Wilson, J., Perkins, A., & Zeilig, H. (2019) · BJPsych Advances · doi:10.1192/bja.2019.6 · Cited by 8 · see citing works
Banaj, N., & Pellicano, C. (2020) · Springer eBooks · doi:10.1007/978-3-030-49414-8_19 · Cited by 13 · see citing works
McCormack, L., & Lowe, B. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105770 · Cited by 5 · see citing works
Self-citationJanes, K., Vernon, P., Estefan, D., Sheibani, F., Caesar, G., & Burgess, R. A. (2024) · SSM - Mental Health · doi:10.1016/j.ssmmh.2024.100352 · Cited by 4 · see citing works
Çetinkaya, H. Z., Alpar, G., & Arıcak, O. T. (2017) · Neuropsychiatric Investigation · doi:10.5455/nys.20180114113242 · Cited by 3 · see citing works
Rosenthal, A., Christl, M.-E., Wright, N. M., Olomi, J. M., Dmitrieva, J., & DePrince, A. P. (2025) · Journal of Trauma & Dissociation · doi:10.1080/15299732.2025.2481029 · Cited by 2 · see citing works
Loizidou, M., Busse, A., Lane, R., & Marshall, S. (2025) · Children · doi:10.3390/children12101300 · Cited by 2 · see citing works
Elliott, M. (2022) · International Journal of Social Psychiatry · doi:10.1177/00207640221109156 · Cited by 2 · see citing works
Pezzi, M., Rossi, A. A., Santoro, G., Mannarini, S., Gori, A., Gámez‐Guadix, M., Corsano, P., & Musetti, A. (2025) · Behaviour and Information Technology · doi:10.1080/0144929x.2025.2545314 · Cited by 2 · see citing works
The Accumulation of Childhood Maltreatment, Developmental Trauma and Victimology
Bryce, I. (2025) · Springer eBooks · doi:10.1007/978-3-031-91957-2_9 · Cited by 1 · see citing works
Complex racial trauma in nursing
Cuccia, A. F., Boston‐Leary, K., & Anselme, N. (2024) · Nursing Management · doi:10.1097/nmg.0000000000000174 · Cited by 1 · see citing works
Comella, S. (2020) · University of North Florida Digital Commons (University of North Florida) · Cited by 1 · see citing works
FAMILY ENVIRONMENT AND ATTACHMENT IN RELATION TO COMPLEX TRAUMA AND C-PTSD
Ocean, S. E. (2020) · The Mathematics Enthusiast · Cited by 1 · see citing works
Improving Therapeutic Relationships among Psychiatric Nursing Staff and Adolescent Patients
Cozart, C. K. (2018) · Digital Commons - Gardner-Webb University (Gardner–Webb University)
Painter, K. R., & Scannapieco, M. (2021) · doi:10.1093/oso/9780190927844.003.0004
Posttraumatic growth in child sexual abuse survivors: a scoping review protocolPreprint
Sicilia, L., Otero, A. Á., Barrios, M., & Pereda, N. (2022) · Research Square · doi:10.21203/rs.3.rs-2084346/v1
Research Progress on the Influence of People from Childhood Trauma to Fear of Compassion
Cheng, Z.-L. (2025) · Transactions on Materials, Biotechnology and Life Sciences · doi:10.62051/3k7msa11
A Single Case Study of an Emerging Adult Complex Trauma Survivor Pursuing a Graduate Degree
Rahmandani, A., Subandi, M. A., & Utami, M. S. (2025) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-025-00783-1 · Cited by 1 · see citing works
Dvoriakovska, T., & Savchenko, O. (2026) · Bulletin of Taras Shevchenko National University of Kyiv. Psychology · doi:10.17721/bpsy.2026.1(23).5
- Authors
- McCormack, L., & Thomson, S.
- Affiliations
- University of Newcastle Australia (AU)
- ORCID
- McCormack, Lynne
- Venue
- Psychological Trauma: Theory, Research, Practice, and Policy
- Published
- 2017-03
- Volume
- 9
- Issue
- 2
- Pages
- 156-165
- ISSN
- 1942-9681 (ISSN-L)
- 1942-969X
- OpenAlex
- W2528230297
- Cited by
- 29
- References
- 43
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 2
- FWCI
- 3.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Trauma Theory Research Practice and Policy (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- complex trauma, childhood trauma, psychiatric diagnosis, identity, worthiness, stigma, help-seeking, self-worth, self-blame, therapeutic relationship, psychological well-being
- MeSH terms
- Adult Survivors of Child Adverse Events, Adaptation, Psychological, Adult, Mental Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, Self Concept, Qualitative Research, Social Stigma
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