Maladaptive fantasy predicts negatively distorted self and other mental representation: A consideration of child abuse from psycho/neuro/biological perspectives
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Abstract
Child abuse is a prevalent public health issue with one half of children worldwide experiencing some form of violence. Child abuse is associated with a myriad of impacts across the lifespan such as mental and physical illness, academic performance, and employment. For this reason, individual’s psychological functions such as emotional regulation, autobiographical memory and self, and psychological connection with others are changed by child abuse. However, to best of our knowledge, there is still much unknowns about the mechanism underlying these changes. In this article, we focusing on the relationships between fantasy and metacognition and its biological and neurological bases, and functional change of them caused by child abuse. Then, we also explain the effects of them for other psychological function in abused individual. In case of child abuse, there is suggests that children immerse themselves fantastic world in order to escape from the tragic experiences that are repeated on a daily living by the caregiver. In this process, functions that recognize the real world, such as metacognition, not functioning. Rather, there is consider that children refuse to develop metacognition in order to avoid realizing the truth of the real world. As results, it does not seem to develop child’s emotional regulative function such as metacognition. The experience of being continuously hurt by a caregiver and the image of being hurt are thought to change to maladaptive fantasy or autobiographical shame memory. Then, both maladaptive fantasy and autobiographical shame memory are lead to formed negatively distorted and unstable mental images of self and other. Finally, we discuss two potential new interventions such as picture book and breathing technique for abused children.
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1. World Health Organization. Child Maltreatment. 2022.
2. Leeb RT. Child maltreatment surveillance: Uniform definitions for public health and recommended data elements. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. 2008.
3. World Health Organization Global status report on preventing violence against children 2020. 2020.
4. Berber Çelik Ç, Odacı H. Does child abuse have an impact on self-esteem, depression, anxiety and stress conditions of individuals?. International journal of social psychiatry. 2020, 66(2): 171-178. https://doi.org/10.1177/0020764019894618
5. Currie J, Spatz Widom C. Long-term consequences of child abuse and neglect on adult economic well-being. Child maltreatment. 2010, 15(2): 111-120. https://doi.org/10.1177/1077559509355316
6. Ho FK, Celis-Morales C, Gray SR, et al. Child maltreatment and cardiovascular disease: quantifying mediation pathways using UK Biobank. BMC medicine. 2020, 18: 1-10. https://doi.org/10.1186/s12916-020-01603-z
7. Mainali P, Rai T, Rutkofsky IH. From child abuse to developing borderline personality disorder into adulthood: exploring the neuromorphological and epigenetic pathway. Cureus. 2020, 12(7): 10.7759/cureus.9474
8. Morton PM, Schafer MH, Ferraro KF. Does childhood misfortune increase cancer risk in adulthood?. Journal of aging and health. 2012, 24(6): 948-984. https://doi.org/10.1177/0898264312449184
9. Oprel DA, Hoeboer CM, Schoorl M, et al. Effect of prolonged exposure, intensified prolonged exposure and STAIR+ prolonged exposure in patients with PTSD related to childhood abuse: A randomized controlled trial. European Journal of Psychotraumatology. 2021, 12(1): 1851511. https://doi.org/10.1080/20008198.2020.1851511
10. Weiss EL, Longhurst JG, Mazure CM. Childhood sexual abuse as a risk factor for depression in women: psychosocial and neurobiological correlates. American journal of psychiatry. 1999, 156(6): 816-828. https://doi.org/10.1176/ajp.156.6.816
11. Carrick N, Quas JA, Lyon T. Maltreated and nonmaltreated children’s evaluations of emotional fantasy. Child Abuse & Neglect. 2010, 34(2): 129. https://doi.org/10.1016/j.chiabu.2009.02.009
12. Riccardi I, Bilotta E, Leone L, et al. Adverse experiences in childhood: association with metacognition, personality disorders and distress. Journal of Psychopathology. 2020, 26: 46-53. doi: 10.36148/2284-0249-366
13. Feiring C, Taska LS. The persistence of shame following sexual abuse: A longitudinal look at risk and recovery. Child maltreatment. 2005, 10(4): 337-349. https://doi.org/10.1177/1077559505276686
14. Johnson JG, Cohen P, Brown J, et al. Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of general psychiatry. 1999, 56(7): 600-606. doi:10.1001/archpsyc.56.7.600
15. Stuewig J, McCloskey LA. The relation of child maltreatment to shame and guilt among adolescents: Psychological routes to depression and delinquency. Child maltreatment. 2005, 10(4): 324-336. https://doi.org/10.1177/1077559505279308
16. Aspelmeier JE, Elliott AN, Smith CH. Childhood sexual abuse, attachment, and trauma symptoms in college females: The moderating role of attachment. Child abuse & neglect. 2007, 31(5): 549-566. https://doi.org/10.1016/j.chiabu.2006.12.002
17. Styron T, Janoff-Bulman R. Childhood attachment and abuse: Long-term effects on adult attachment, depression, and conflict resolution. Child abuse & neglect. 1997, 21(10): 1015-1023. https://doi.org/10.1016/S0145-2134(97)00062-8
18. Semerari A, Cucchi M, Dimaggio G, et al. The development of the Metacognition Assessment interview: instrument description, factor structure and reliability in a non-clinical sample. Psychiatry research. 2012, 200(2-3): 890-895. https://doi.org/10.1016/j.psychres.2012.07.015
19. Cooke EM, Connolly EJ, Boisvert DL, et al. A systematic review of the biological correlates and consequences of childhood maltreatment and adverse childhood experiences. Trauma, Violence, & Abuse. 2023, 24(1), 156-173. https://doi.org/10.1177/15248380211021613
20. Carrion VG, Weems CF, Watson C, et al. Converging evidence for abnormalities of the prefrontal cortex and evaluation of midsagittal structures in pediatric posttraumatic stress disorder: an MRI study. Psychiatry Research: Neuroimaging. 2009, 172(3): 226-234. https://doi.org/10.1016/j.pscychresns.2008.07.008
21. Perez DL, Matin N, Barsky A, et al. Cingulo-insular structural alterations associated with psychogenic symptoms, childhood abuse and PTSD in functional neurological disorders. Journal of Neurology, Neurosurgery & Psychiatry. 2017, 88(6): 491-497. https://doi.org/10.1136/jnnp-2016-314998
22. Zhong X, Ming Q, Dong D, et al. Childhood maltreatment experience influences neural response to psychosocial stress in adults: an fMRI study. Frontiers in psychology. 2020, 10: 2961. https://doi.org/10.3389/fpsyg.2019.02961
23. Dedovic K, Renwick R, Mahani NK, et al. The Montreal Imaging Stress Task: using functional imaging to investigate the effects of perceiving and processing psychosocial stress in the human brain. Journal of Psychiatry and Neuroscience. 2005, 30(5): 319-325.
24. Oosterman M, De Schipper JC, Fisher P, et al. Autonomic reactivity in relation to attachment and early adversity among foster children. Development and psychopathology. 2010, 22(1): 109-118. https://doi.org/10.1017/S0954579409990290
25. Bakema MJ, van Zuiden M, Collard D, et al. Associations between child maltreatment, autonomic regulation, and adverse cardiovascular outcome in an urban population: the HELIUS study. Frontiers in psychiatry. 2020, 11: 69. https://doi.org/10.3389/fpsyt.2020.00069
26. Marinova Z, Maercker A. Biological correlates of complex posttraumatic stress disorder—State of research and future directions. European Journal of Psychotraumatology. 2015, 6(1), 25913. https://doi.org/10.3402/ejpt.v6.25913
27. Sherin JE, Nemeroff CB. Post-traumatic stress disorder: the neurobiological impact of psychological trauma. Dialogues in clinical neuroscience. 2011, 13(3), 263-278. https://doi.org/10.31887/DCNS.2011.13.2/jsherin
28. Heim C, Young LJ, Newport DJ, et al. Lower CSF oxytocin concentrations in women with a history of childhood abuse. Molecular psychiatry. 2009, 14(10): 954-958. doi:10.1038/mp.2008.112
29. Savulich G, Riccelli R, Passamonti L, et al. Effects of naltrexone are influenced by childhood adversity during negative emotional processing in addiction recovery. Translational psychiatry. 2017, 7(3): e1054-e1054. https://doi.org/10.1038/tp.2017.34
30. Brown N, Panksepp J. Low-dose naltrexone for disease prevention and quality of life. Medical hypotheses. 2009, 72(3): 333-337. https://doi.org/10.1016/j.mehy.2008.06.048
31. Davis MH. A multidimensional approach to individual differences in empathy. 1980.
32. Davis MH. The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach. Journal of personality. 1983, 51(2): 167-184. https://doi.org/10.1111/j.1467-6494.1983.tb00860.x
33. Shiota S, Nomura M. Role of fantasy in emotional clarity and emotional regulation in empathy: A preliminary study. Frontiers in Psychology. 2022, 13: 912165. https://doi.org/10.3389/fpsyg.2022.912165
34. Banissy MJ, Kanai R, Walsh V, et al. Inter-individual differences in empathy are reflected in human brain structure. Neuroimage. 2012, 62(3): 2034-2039. https://doi.org/10.1016/j.neuroimage.2012.05.081
35. Gemignani ANGELO, Santarcangelo E, Sebastiani LAURA, et al. Changes in autonomic and EEG patterns induced by hypnotic imagination of aversive stimuli in man. Brain research bulletin. 2000, 53(1): 105-111. https://doi.org/10.1016/S0361-9230(00)00314-2
36. Bershad AK, Seiden JA, de Wit H. Effects of buprenorphine on responses to social stimuli in healthy adults. Psychoneuroendocrinology. 2016, 63: 43-49. https://doi.org/10.1016/j.psyneuen.2015.09.011
37. Montag C, Schöner J, Speck LG, et al. Peripheral oxytocin is inversely correlated with cognitive, but not emotional empathy in schizophrenia. Plos one. 2020, 15(4): e0231257. https://doi.org/10.1371/journal.pone.0231257
38. Kabat-Zinn J. Wherever you go, there you are: Mindfulness meditation in everyday life. 2023, Hachette UK.
39. Bonfils KA, Lysaker PH, Minor KS, et al. Metacognition, personal distress, and performance-based empathy in schizophrenia. Schizophrenia Bulletin. 2019, 45(1): 19-26. https://doi.org/10.1093/schbul/sby137
40. Critchley HD, Wiens S, Rotshtein P, et al. Neural systems supporting interoceptive awareness. Nature neuroscience. 2004, 7(2): 189-195. doi:10.1038/nn1176
41. Stange JP, Hamilton JL, Fresco DM, et al. Perseverate or decenter? Differential effects of metacognition on the relationship between parasympathetic inflexibility and symptoms of depression in a multi-wave study. Behaviour research and therapy. 2017, 97: 123-133. https://doi.org/10.1016/j.brat.2017.07.007
42. Sadeghi S, Ekhtiari H, Bahrami B. Metacognitive deficiency in a perceptual but not a memory task in methadone maintenance patients. Scientific reports. 2017, 7(1): 7052. https://doi.org/10.1038/s41598-017-06707-w
43. Aydın O, Lysaker PH, Balıkçı K, et al. Associations of oxytocin and vasopressin plasma levels with neurocognitive, social cognitive and meta cognitive function in schizophrenia. Psychiatry research. 2018, 270: 1010-1016. https://doi.org/10.1016/j.psychres.2018.03.048
44. Gilpin AT, Brown MM, Pierucci JM. Relations between fantasy orientation and emotion regulation in preschool. Early Education and Development. 2015, 26(7): 920-932. https://doi.org/10.1080/10409289.2015.1000716
45. He C, Fan D, Liu X, et al. Insula network connectivity mediates the association between childhood maltreatment and depressive symptoms in major depressive disorder patients. Translational psychiatry. 2022, 12(1): 89. https://doi.org/10.1038/s41398-022-01829-w
46. Hirose M, Hosokawa T, Tanaka Y. Extradural buprenorphine suppresses breast feeding after caesarean section. British journal of anaesthesia. 1997, 79(1): 120-121. https://doi.org/10.1093/bja/79.1.120
47. Shiota, S. Psychological, neurological, and biological bases of fantasy for emotional metacognitive process and fostering them by picture book. Understanding Emotional Regulation. in press, pp. 1-23, USA: Nova Science Publishers, Inc.
48. Conway MA, Pleydell-Pearce CW. The construction of autobiographical memories in the self-memory system. Psychological review. 2000, 107(2): 261. https://doi.org/10.1037/0033-295X.107.2.261
49. Thome J, Terpou BA, McKinnon MC, et al. The neural correlates of trauma‐related autobiographical memory in posttraumatic stress disorder: A meta‐analysis. Depression and Anxiety. 2020, 37(4): 321-345. https://doi.org/10.1002/da.22977
50. Berntsen D. Involuntary autobiographical memories and their relation to other forms of spontaneous thoughts. Philosophical Transactions of the Royal Society B. 2021, 376(1817): 20190693. https://doi.org/10.1098/rstb.2019.0693
51. Irish M. Autobiographical memory in dementia syndromes—An integrative review. Wiley Interdisciplinary Reviews: Cognitive Science. 2023, 14(3): e1630. https://doi.org/10.1002/wcs.1630
52. Shiota, S. Association among fantasy, metacognition, and autobiographical memory in self-compassion during empathy and its psycho/neuro/biological basis. Ventura, S. (Ed.). Through Your Eyes - Research and New Perspectives on Empathy. in press, London: IntechOpen.
53. Merckelbach H. Telling a good story: Fantasy proneness and the quality of fabricated memories. Personality and Individual differences. 2004, 37(7): 1371-1382. https://doi.org/10.1016/j.paid.2004.01.007
54. Patihis L. Individual differences and correlates of highly superior autobiographical memory. Memory. 2016, 24(7): 961-978. https://doi.org/10.1080/09658211.2015.1061011
55. Robertson S, Gow K. Do fantasy proneness and personality affect the vividness and certainty of past-life experience reports?. Australian Journal of Clinical and Experimental Hypnosis. 1999, 27(2): 136-149. 10.1037/cns0000272
56. Talbot J, Gatti D, Mitaritonna D, et al. Stimulating a hyper memory: A single case TMS study on an individual with Highly Superior Autobiographical Memory. Brain Stimulation: Basic, Translational, and Clinical Research in Neuromodulation. 2022, 15(5): 1122-1124. https://doi.org/10.1016/j.brs.2022.08.006
57. Marci CD, Glick DM, Loh R, et al. Autonomic and prefrontal cortex responses to autobiographical recall of emotions. Cognitive, Affective, & Behavioral Neuroscience. 2007, 7: 243-250. https://doi.org/10.3758/CABN.7.3.243
58. de Moura FC, Xavier MKF, Rodrigues FEL, et al. Behavioral, Neurochemical and Histological Changes in the Use of Low Doses of Naltrexone and Donepezil in the Treatment in Experimental Model of Alzheimer’s Disease by Induction of β-Amyloid1-42 in Rats. World Scientific Research. 2019, 6(1): 5-13. https://doi.org/10.20448/journal.510.2019.61.5.13
59. Ausubel DP. Relationships between shame and guilt in the socialization process. Psychological Review. 1955, 67: 378-390. https://doi.org/10.1037/h0042534
60. Lloyd CS, Nicholson AA, Densmore M, et al. Shame on the brain: Neural correlates of moral injury event recall in posttraumatic stress disorder. Depression and Anxiety. 2021, 38(6): 596-605. https://doi.org/10.1002/da.23128
61. Iffland B, Sansen LM, Catani C, et al. Rapid heartbeat, but dry palms: Reactions of heart rate and skin conductance levels to social rejection. Frontiers in Psychology. 2014, 5: 956. https://doi.org/10.3389/fpsyg.2014.00956
62. Hsu DT, Sanford BJ, Meyers KK, et al. Response of the μ-opioid system to social rejection and acceptance. Molecular psychiatry. 2013, 18(11): 1211-1217. doi: 10.1038/mp.2013.96
63. Khosravi M. Child maltreatment-related dissociation and its core mediation schemas in patients with borderline personality disorder. BMC psychiatry. 2020, 20: 1-9. https://doi.org/10.1186/s12888-020-02797-5
64. Matos M, Pinto‐Gouveia J. Shame as a traumatic memory. Clinical psychology & psychotherapy. 2010, 17(4): 299-312. https://doi.org/10.1002/cpp.659
65. Ferrante E, Marino A, Guglielmucci F, et al. The mediating role of dissociation and shame in the relationship between emotional trauma and maladaptive daydreaming. Psychology of Consciousness: Theory, Research, and Practice. 2022, 9(1): 27. https://doi.org/10.1037/cns0000253
66. Prosek EA, Wei Q, Scoffone CM, et al. Guilt, Shame, and Empathy as Predictors of Coping Engagement among United States College Students. International Journal for the Advancement of Counselling. 2022, 44(1): 64-78. https://doi.org/10.1007/s10447-021-09458-6
67. Bowlby J. Attachment and Loss: Attachment. 1969, New York: Basic Books.
68. Bowlby J. Attachment and Loss: Separation, anxiety and anger. 1973, New York: Basic Books.
69. Bowlby J. Attachment and Loss: Sadness and depression. 1973, New York: Basic Books.
70. Insel TR, Young LJ. The neurobiology of attachment. Nature Reviews Neuroscience. 2001, 2(2): 129-136. https://doi.org/10.1038/35053579
71. Buchheim A, Erk S, George C, et al. Measuring attachment representation in an fMRI environment: A pilot study. Psychopathology. 2006, 39(3): 144-152. https://doi.org/10.1159/000091800
72. Bernheim D, Buchheim A, Domin M, et al. Neural correlates of attachment representation in patients with borderline personality disorder using a personalized functional magnet resonance imaging task. Frontiers in Human Neuroscience. 2022, 16: 810417. https://doi.org/10.3389/fnhum.2022.810417
73. Zhang X, Ran G, Xu W, et al. Adult attachment affects neural response to preference-inferring in ambiguous scenarios: evidence from an fMRI study. Frontiers in Psychology. 2018, 9: 139. https://doi.org/10.3389/fpsyg.2018.00139
74. Ablow JC, Marks AK, Shirley Feldman S, et al. Associations between first‐time expectant women's representations of attachment and their physiological reactivity to infant cry. Child Development. 2013, 84(4): 1373-1391. https://doi.org/10.1111/cdev.12135
75. Eilert DW, Buchheim A. Attachment-Related Differences in Emotion Regulation in Adults: A Systematic Review on Attachment Representations. Brain Sciences. 2023, 13(6): 884. https://doi.org/10.3390/brainsci13060884
76. Nelson EE, Panksepp J. Brain substrates of infant–mother attachment: contributions of opioids, oxytocin, and norepinephrine. Neuroscience & Biobehavioral Reviews. 1998, 22(3): 437-452. https://doi.org/10.1016/S0149-7634(97)00052-3
77. George C, Solomon J. Representational models of relationships: Links between caregiving and attachment. Infant Mental Health Journal: Official Publication of The World Association for Infant Mental Health. 1996, 17(3): 198-216. https://doi.org/10.1002/(SICI)1097-0355(199623)17:3<198::AID-IMHJ2>3.0.CO;2-L
78. Granot D, Mayseless O. Attachment security and adjustment to school in middle childhood. International Journal of Behavioral Development. 2001, 25(6): 530-541. 10.1080/01650250042000366
79. Zayas V, Shoda Y. Do automatic reactions elicited by thoughts of romantic partner, mother, and self relate to adult romantic attachment?. Personality and Social Psychology Bulletin. 2005, 31(8): 1011-1025. https://doi.org/10.1177/0146167204274100
80. Mikulincer M, Shaver PR. Attachment Theory Applied. Guilford Publications. 2023.
81. Briere J, Runtz M, Eadie E, et al. Disengaged parenting: Structural equation modeling with child abuse, insecure attachment, and adult symptomatology. Child abuse & neglect. 2017, 67: 260-270. https://doi.org/10.1016/j.chiabu.2017.02.036
82. Collins BN. The Effects of Secure, Ambivalent, and Avoidant Attachment Styles on Number of Codependent Behaviors and Relationship Satisfaction. 2023.
83. Kesner JE, McKenry PC. The role of childhood attachment factors in predicting male violence toward female intimates. Journal of family violence. 1998, 13: 417-432. https://doi.org/10.1023/A:1022879304255
84. Britton PC, Fuendeling JM. The relations among varieties of adult attachment and the components of empathy. The Journal of social psychology. 2005, 145(5): 519-530. https://doi.org/10.3200/SOCP.145.5.519-530
85. Silva RG, Figueiredo-Braga M. The roles of empathy, attachment style, and burnout in pharmacy students’ academic satisfaction. American journal of pharmaceutical education. 2019, 83(5): 6706. https://doi.org/10.5688/ajpe6706
86. Strathearn L, Fonagy P, Amico J, et al. Adult attachment predicts maternal brain and oxytocin response to infant cues. Neuropsychopharmacology. 2009, 34(13): 2655-2666. https://doi.org/10.1038/npp.2009.103
87. Inagaki TK, Ray LA, Irwin MR, et al. Opioids and social bonding: naltrexone reduces feelings of social connection. Social cognitive and affective neuroscience. 2016, 11(5): 728-735. https://doi.org/10.1093/scan/nsw006
88. Christy E, Handojo PF. Picture Book on Raising Children’s Awareness against Sexual Abuse. Kata Kita. 2015, 3(1): 35-43. https://doi.org/10.9744/katakita.3.1.35-43
89. Ganea PA, Pickard MB, DeLoache JS. Transfer between picture books and the real world by very young children. Journal of cognition and development. 2008, 9(1): 46-66. https://doi.org/10.1080/15248370701836592
90. Sinha AN, Deepak D, Gusain VS. Assessment of the effects of pranayama/alternate nostril breathing on the parasympathetic nervous system in young adults. Journal of clinical and diagnostic research: JCDR. 2013, 7(5): 821. 10.7860/JCDR/2013/4750.2948
91. Spiesshoefer J, Giannoni A, Borrelli C, et al. Effects of hyperventilation length on muscle sympathetic nerve activity in healthy humans simulating periodic breathing. Frontiers in physiology. 2022, 1816. https://doi.org/10.3389/fphys.2022.934372
92. Udupa K, Bhavanani AB, Vijayalakshmi P, et al. Effect of pranayam training on cardiac function in normal young volunteers. Indian journal of physiology and pharmacology. 2003, 47(1): 27-33.
93. Sürücü CE, Güner S, Cüce C, et al. The effects of six-week slow, controlled breathing exercises on heart rate variability in physically active, healthy individuals. Pedagogy of Physical Culture and Sports. 2021, 25(1): 4-9. doi:10.15561/26649837.2021.0101
DOI: https://doi.org/10.59429/esp.v9i7.2079
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