Search Results (484)

Intergenerational trauma significantly affects the health and mental health of African American families, particularly women whose lives are shaped by systemic inequities and historical oppression. This scoping review examines how trauma and resilience are transmitted across generations in African American communities, with a focus on dyads such as mother–child and mother–daughter relationships and a conceptual grandmother–mother–daughter triad. The review aims to identify mechanisms of trauma transmission and resilience and to inform culturally responsive, multigenerational interventions. Peer-reviewed studies published between 2012 and 2025 were identified that included African American caregivers and children and addressed biological, psychological, social, cultural, and resilience dimensions of intergenerational processes. Data were synthesized using a dimensional conceptual analysis approach. Findings indicate that intergenerational trauma is perpetuated through chronic stress and discrimination, maternal mental health challenges, family structure and caregiving strain, and cultural narratives about strength and self-reliance. At the same time, resilience is transmitted through sensitive caregiving, spirituality and faith, social and kin support, racial socialization, and economic survival strategies that draw on cultural and historical knowledge. These results underscore the importance of addressing intergenerational trauma holistically by integrating dyadic evidence within a broader conceptual triadic framework. Culturally responsive, multigenerational interventions that leverage family and community strengths and make space for emotional vulnerability are essential for interrupting cycles of trauma and fostering healing within African American families. Full article

Background/Objectives: Community violence remains a pervasive public health challenge that disproportionately affects Black youth, with lasting impacts on physical and mental health. Traditional models often conceptualize resilience as individual “bounce back” capacity, overlooking how adaptation unfolds amid chronic violence and structural inequity. This study examined how Black youth and trauma clinicians understand, navigate, and redefine resilience within contexts of ongoing community violence exposure. Methods: Using a phenomenological qualitative design, the study drew on semi-structured interviews and focus groups with Black youth and clinicians participating in a community violence trauma recovery program in Chicago, Illinois. Data were analyzed thematically to identify patterns in how resilience was described, practiced, and supported. Results: Black youth redefined resilience through adaptive survival strategies—such as hypervigilance, avoidance, and emotional regulation—that functioned as protective responses to continuous threat. Clinicians recognized resilience as relational and context-dependent but reported limited training to address trauma rooted in chronic, community-level conditions. Both groups highlighted the role of collective and structural supports, including family, peers, and community networks, in sustaining adaptation. Conclusions: Findings highlight the need to expand trauma-informed care beyond individual treatment to address structural conditions that perpetuate community violence. Integrating ecological and culturally grounded models of resilience into clinical training and community programming can improve support for Black youth navigating chronic exposure to violence. Full article

For the Simeulue community, trauma does not remain a source of fear or psychological burden. Instead, it becomes a guideline for their survival. This study explores how societies reconstruct themselves through memory by examining smong, the local knowledge of the Simeulue community in Indonesia, as a cultural mechanism that transforms disaster experience into social resilience. Using a qualitative ethnographic approach, the research utilizes interviews, nandong and song lyrics, field notes, and historical documentation. The findings indicate that smong operates through interconnected layers of communicative and cultural memory: it is preserved in family stories, bedtime stories, artistic expressions, commemorative practices, and symbolic markers such as monuments and grave inscriptions. Through these processes, traumatic experiences are reframed as moral instructions and actionable knowledge that guide rapid evacuation, mutual aid, and collective vigilance during earthquakes and tsunamis. This study demonstrates that the reconstruction of the Simeulue community is driven not by a formal disaster management system but by practices rooted in culture. Past disaster experiences are continuously reinterpreted and integrated into everyday life. This highlights the importance of memory-based strategies for strengthening community resilience and offers directions for future research on intergenerational knowledge transmission, cultural adaptation, and disaster preparedness in oral societies. Full article

The ideals of community and collective action are key tenets of the environmental justice (EJ) movement. Yet the pervasive grind culture that underpins capitalist societies makes it challenging to embrace these core values. EJ convenings are organized by a variety of entities, including grassroots organizations, government agencies, environmental non-governmental agencies, and academic institutions, and often reflect the tone of the organizing entity. This work explores the impact of a community and academic partnered EJ summit in addressing ecological grief (eco-grief) and ecological anxiety (eco-anxiety), supporting collective action, and attending to healing justice. We interviewed thirteen participants who attended the 2024 Pittsburgh Environmental Justice Summit using semi-structured, open-ended questions. Drawing on insights from lived experiences with the environment and environmental harms, we sought to understand how participants perceived EJ, health, and healing, as well as the role of summits and community efforts in shaping these perspectives. Emotional impacts like eco-grief, eco-anxiety, and intergenerational trauma were other common themes established through the interviews. Despite negative emotions being more commonly expressed than positive emotions, hope emerged as the most widely expressed theme. The summit was viewed as a space for reflection, support, establishing new contacts, and promoting growth and resilience. The results underscore the importance of integrating emotional and psychological aspects into EJ frameworks as well as the value of community-based approaches that combine EJ and healing practices to foster resilience, promote equitable health outcomes, and cultivate hope through collective action and support. Full article

This article examines how the Ahiska Turks—deported from Georgia’s Meskheti region to Central Asia in 1944—sustained their religious belonging under shifting Soviet and post-Soviet political and social conditions, and how this religious continuity became intertwined with processes of collective memory formation. Drawing on published archival materials, existing scholarship, and a long-term ethnographic corpus composed of fourteen life-history oral interviews conducted between 2006 and 2025 in Turkey and Kazakhstan, the study traces the multigenerational trajectories of ritual practice. The findings show that funeral ceremonies, mevlid gatherings, Ramadan practices, and domestic prayer circles function as “sites of memory” through which the trauma of displacement is reinterpreted and intergenerational belonging is continually reconstituted. These ritual forms generate a meaningful sense of continuity and communal resilience in the face of prolonged experiences of loss, uncertainty, and “placelessness.” Situated at the intersection of the anthropology of religion, cultural trauma theory, and Soviet/post-Soviet diaspora studies, the article conceptualizes Islam as more than a realm of belief: for the Ahiska Turks, it operates as a core cultural infrastructure that anchors post-displacement resilience, social organization, and collective memory. The study contributes to the literature by offering an integrated analytical framework that places the Ahiska community within broader debates on religion, memory, and forced migration; by examining rituals not only as emotional practices but also as institutional and cultural scaffolding; and by foregrounding the understudied post-traumatic religious experiences of Muslim diasporas. Full article

Dark tourism communication in Eastern Europe remains insufficiently examined, despite the region’s complex post-authoritarian memory landscape and the growing use of storytelling in tourism marketing. This study aims to clarify how Romanian dark tourism campaigns construct meaning through narrative structures and affective framing. Using a qualitative multi-method design, the analysis integrates ten promotional campaigns and six semi-structured interviews with professionals from tourism, memorial institutions, and cultural organizations. Results reveal four recurrent narrative–affective clusters, sacral-memorial, historical-didactic, spectral-sensational, and hybrid commercial, each shaped by trauma referentiality, emotional framing, and specific calls-to-action. These configurations map consistently onto Stone’s thanatological spectrum and highlight how practitioners negotiate authenticity and ethical boundaries. The study contributes a transferable narrative–affective model for dark tourism communication and underscores the need for transparency, contextual sensitivity, and responsible storytelling in the marketing of trauma-related heritage. Full article

First Nations children remain dramatically over-represented in Australia’s Out-of-Home Care (OOHC) system, particularly in New South Wales (NSW), which continues to report the highest numbers nationally. This narrative review, grounded in a relational First Nations Standpoint Theory and decolonising research paradigms, to critically examine the systemic, structural, and historical factors contributing to these disproportionalities. Drawing on interdisciplinary evidence across law, criminology, education, health, governance studies, and public policy, the analysis centres Indigenous-authored scholarship and contemporary empirical literature, including grey literature, inquiries, and community-led reports. Findings reveal that the OOHC system reproduces the colonial logics that historically drove the Stolen Generations. Macro-level structural drivers—including systemic racism, Indigenous data injustice, entrenched poverty and deprivation, intergenerational trauma, and Westernised governance frameworks—continue to shape child protection policies and practices. Micro-level drivers such as parental supports, mental health distress, substance misuse, family violence, and the criminalisation of children in care (“crossover children”) must be understood as direct consequences of structural inequality rather than as isolated individual risk factors. Current placement and permanency orders in NSW further compound cultural disconnection, with ongoing failures to implement the Aboriginal and Torres Strait Islander Child Placement Principle (ATSICPP). Contemporary cultural rights and Indigenous Cultural and Intellectual Property (ICIP) frameworks highlight the urgency of restoring Indigenous authority in decision-making processes. The literature consistently demonstrates that cultural continuity, kinship networks, and ACCO-led models are sort to produce stronger long-term outcomes for children. The review concludes that genuine transformation requires a systemic shift toward Indigenous-led governance, community-controlled service delivery, data sovereignty, and legislative reform that embeds cultural rights and self-determination. Without acknowledging the structural drivers and redistributing genuine power and authority, the state risks perpetuating a cycle of removal that mirrors earlier assimilationist policies. Strengthening First Peoples governance and cultural authority is therefore essential to creating pathways for First Nations children to live safely, remain connected to family and kin, and thrive in culture. Full article

Cutaneous infections caused by dematiaceous fungi are rare in the general population but are increasingly recognized in solid organ transplant recipients as a consequence of prolonged immunosuppression. When Alternaria species are confirmed as the causative agents of a skin infection, the condition is referred to as alternariosis. These infections may clinically resemble bacterial or neoplastic lesions and require accurate diagnosis and individualized therapy. We report one case of cutaneous alternariosis in a kidney transplant recipient receiving tacrolimus-based immunosuppression. The patient was a 47-year-old woman who sustained minor trauma to her knee three months after transplantation. She developed an ulcerated, crusted lesion, which coincided with severe neutropenia. Histology, culture and molecular identification confirmed A. infectoria. Treatment included systemic azole therapy (voriconazole followed by isavuconazole) and surgical excision, resulting in resolution without recurrence. This case highlights the importance of early recognition of alternariosis in transplant recipients. Successful management typically requires combined surgical and systemic antifungal therapy, with careful monitoring of drug interactions and immunosuppressive levels to prevent toxicity or rejection. Full article

This article examines memory and monuments in the science fiction Star Trek franchise as a lens for understanding commemoration technologies and how futuristic visions of memorials anticipated real ones, especially during times of conflict. To understand the cultural reciprocity of sci-fi television and contemporary commemoration of war and trauma, we investigate the interactive website produced by the Israeli Public Broadcasting Corporation, Kan, titled Kan 7.10.360, which commemorates the victims of the 7 October 2023 Hamas massacre of civilians, soldiers, and policemen in Israel’s Gaza Envelope region. The 7.10.360 website employs advanced technologies to create what we identify as a digital “counter-monument.” By applying the concept of metamemorial science fiction relating to the Shoah, investigating its victims’ commemoration and examining the globital turn in memory work, we demonstrate that the Kan project realizes digital mnemonic practices engaged in Star Trek. We argue that the renowned series performs and anticipates three aspects of globital memory work and novel digital commemoration, also prevalent in the Kan 7.10.360 website: the personalization of memory using images; televisual testimony or documentation that mediates personal experience; and the display of objects that symbolize quotidian aspects of the victims’ lives. Full article

Regarding Judah’s exilic realities and forced migration experience, this article proposes that the sage responsible for this poem functioned as a carrier group in articulating a narrative of collective trauma. The paper begins by summarizing key components of cultural trauma theory as developed by Jeffrey C. Alexander. It also situates the shared socio-historical context of the final textual forms of Jeremiah and Proverbs within the exilic/post-exilic realities of the Judahite community. It next traces the trope of wine inebriation across several Jeremiah texts, focusing especially on Jeremiah 25:15–29 to show how this motif is integrally woven into the book’s overarching themes of indictment, judgment, and exile. A conventional wisdom reading of Proverbs 23:29–35 yields a moralistic warning about the self-destructive cycle of wine intoxication of the fools in the book of Proverbs. But a cultural trauma hermeneutic of the poem—when paired with intertextual echoes of Jeremiah 25:15–29—opens the poem to a deeper reading. Within this framework, the sapiential poem emerges as a creative, dramatic and theologically rich act of trauma storytelling, depicting foolish Judah’s metaphorical intoxication as an embodiment of exilic indictment, woes and suffering, yet gesturing toward the possibility of healing and restoration through wisdom reflection and re-narration of their past. Full article

Background: Adolescents’ engagement with social media and emerging metaverse platforms has become nearly universal, creating environments rich in opportunities for learning, creativity, and social connection. However, these same spaces also enable a range of risky behaviors (RBs) with potential impacts on mental health, safety, and development. Recent research (2022–2025) has documented rising concerns over cyberbullying, online sexual exploitation, self-harm content, problematic use, and new risks specific to immersive VR. Aims: This Perspective uses a narrative synthesis of recent empirical and theoretical literature, including four key articles provided by the author and over 40 additional peer-reviewed and institutional sources, to (i) map the most prevalent and emergent RBs in adolescent social media and metaverse use, (ii) clarify the neurodevelopmental and socio-technical mechanisms that link these behaviors to individual and contextual factors, and (iii) propose a multi-level framework for intervention, policy, and future research aligned with adolescent development. Methods: A narrative synthesis approach was adopted, which is appropriate for integrating heterogeneous study designs and rapidly evolving evidence. The review emphasizes studies published from 2022 to 2025, with a focus on large-scale surveys, longitudinal cohorts, systematic reviews, and scoping reviews relevant to adolescent online risk. Results: Evidence indicates small but consistent associations between high-intensity platform use and internalizing symptoms, with gendered pathways and cultural moderators. Algorithmic amplification contributes to the spread of harmful content, while immersive environments increase the salience and emotional impact of interactions. Certain groups—those with prior trauma, low SES, or marginalized identities—face heightened vulnerability. Conclusions: RBs in digital spaces emerge from the interplay of adolescent neurodevelopment, platform affordances, and socio-cultural context. This Perspective synthesizes recent evidence via narrative review to articulate these mechanisms and to inform an integrated, multi-level framework for harm mitigation that aligns research, platform design, and policy with adolescent developmental needs, while preserving the benefits of digital engagement. Full article

Women in vulnerable living situations with schizophrenia face intersecting challenges, including migration-related trauma, caregiving burdens, and systemic barriers such as cultural dislocation, limited healthcare access, and stigma. These factors heighten vulnerability compared with men and contribute to delayed diagnoses, poor treatment adherence, and adverse outcomes. Advances in artificial intelligence (AI) and digital tools offer potential support, though they should be regarded as complementary rather than stand-alone solutions. This review synthesizes literature on gender-specific care for women with schizophrenia, examining clinical, social, and reproductive needs alongside the impact of migration and psychosocial adversity. Emerging models, including women-focused psychiatric units, perinatal services, and community therapeutic spaces, illustrate holistic approaches that integrate the medical, psychological, and social dimensions of care. Digital interventions, such as smartphone applications, mobile health tools, and digital participation strategies, are considered supportive extensions that offer opportunities to improve access, reduce costs, and enhance continuity of care. Despite this promise, digital tools remain under-validated for women in precarious contexts. Ethical challenges, including algorithmic bias, data privacy risks, and the exclusion of undocumented or marginalized groups, further constrain equitable implementation. This review aims to articulate conceptual linkages among gender, migration, and digital innovation in schizophrenia care, identifying thematic patterns, ethical tensions, and structural limitations in the existing literature. The synthesis provides a foundation for future hypothesis development and interdisciplinary research to advance inclusive and equity-driven mental health interventions. Full article

Purpureocillium lilacinum is an emerging pathogen that can cause severe ocular infections. This study aimed to investigate the risk factors, clinical manifestations, antifungal susceptibilities, and outcomes of ocular infections caused by P. lilacinum at a large ophthalmic center in Southern China. This retrospective study reviewed the medical records of 34 patients with culture-proven P. lilacinum oculomycosis treated at the Zhongshan Ophthalmic Center from January 2020 to December 2024. The study included 34 patients (17 males, 17 females). The most common risk factor was ocular trauma (38.2%). In vitro susceptibility testing revealed high resistance to fluconazole and caspofungin, but general susceptibility to voriconazole (median MIC 0.25 mg/L). Despite 97.1% of patients receiving voriconazole therapy, outcomes were generally poor, with 54.5% of patients experiencing a poor outcome (vision worse than counting fingers). A significantly shorter time to microbiological diagnosis was associated with a favorable outcome (median 26 days vs. 65 days, p = 0.007). In conclusion, the visual outcomes of this infection remain generally poor, with the major clinical challenge being the delay in diagnosis. Therefore, prompt microbiological investigation is recommended for patients with suspected intraocular infection. Voriconazole remains the first-line therapeutic choice, the therapeutic potential of newer triazoles warrants further investigation. Full article

Cervicofacial actinomycosis is a well-recognized infectious disease caused by Actinomyces, a Gram-positive filamentous bacterium. In contrast, Nocardia, a morphologically similar, hyphae-forming organism, is an exceedingly rare cause of cervicofacial abscesses, and even more uncommon associated osteomyelitis of mandible. We present such a case involving a kidney transplant recipient who presented with opioid-induced constipation, along with left jaw pain and swelling. CT scan of the soft tissue in the neck revealed a complex cervicofacial abscess with enhancement of underlying mandible. Culture growth and RNA sequencing of USG-guided aspirate identified a Nocardia species closely related to N. beijingensis/exalbida. The patient initially received broad-spectrum antibiotics, including ceftriaxone, imipenem, and trimethoprim-sulfamethoxazole (TMP-SMX). Imipenem was later discontinued in view of new-onset unexplained encephalopathy and replaced with linezolid, which was subsequently switched to minocycline following thrombocytopenia development. Minocycline therapy was intended for a total of 12 months. TMP-SMX was avoided long-term due to avoid nephrotoxicity risk in kidney transplant patients. On six-month follow-up, the patient showed clinical and radiological improvement; minocycline was discontinued after additional six months. This case highlights the importance of considering Nocardia as a differential diagnosis in immunosuppressed patients presenting with cervicofacial symptoms, especially following orofacial surgery or trauma. Early recognition, prompt diagnosis, and appropriate antibiotic therapy with adequate bone penetration seem crucial for optimal management and may help avoid the need for surgical intervention. Full article

Child sexual abuse (CSA) has consequences beyond the direct victim, affecting non-offending mothers, who may experience psychological, physical, and social symptoms after disclosure. This systematic review examined the impact of CSA on these mothers and the variables that influence coping and recovery. Searches were run in EBSCOhost (MEDLINE, PsycInfo, CINAHL) following PRISMA 2020 and a PEO framework. Three reviewers screened 128 records in Rayyan (Cohen’s κ = 0.73), and 17 empirical studies met the inclusion criteria. Risk of bias was appraised with ROBINS-E. Distress, anxiety, depression, and secondary traumatic stress were the most frequently reported symptoms. These consequences were associated with factors such as maternal history of abuse, perceived social support, coping style, and cultural or religious beliefs, highlighting potentially modifiable cognitive and contextual targets for support. A key contribution of this review is the identification of modifiable cognitive variables that are clinically relevant. Methodological limitations of the evidence base warrant cautious interpretation–comprising seven qualitative, nine quantitative cross-sectional, and one mixed-methods study, with heterogeneity that precluded meta-analysis and limited causal inference. Overall, the findings highlight the need for comprehensive, trauma-informed interventions that address not only the child’s recovery but also the well-being and resilience of their mothers. Full article