Loss of mental skills. Cognitive impairments in traumatized children (Moradi et al., 1999) and traumatized adults (Jenkins, Langlais, Delis, & Cohen, 2000; Vasterling, Brailey, Constans, & Sutker, 1998) have been reported, and include problems with memory, concentration, attention, planning, and judgment. Frank cognitive impairments can occur in up to a third of chronically traumatized individuals (e.g., Golier et al., 2002). Whereas these losses may sometimes relate to impaired brain functioning in trauma-related disorders, they generally are independent of intellectual functioning (Buckley, Blanchard, & Neill, 2000; Vasterling et al., 2002).
The marked fluctuations in knowledge and skills displayed by many traumatized children (Putnam, 1997) and adults (Boon & Draijer, 1993; Steinberg et al., 1994), and their difficulty in learning from experience (Putnam, Helmers, & Trickett, 1993), often relate to alternations among dissociative parts. For example, many ANPs but not EPs have a degree of depersonalization. This symptom is associated with attentional problems (Guralnik, Schmeidler, & Simeon, 2000).
- The Haunted Self, Onno van der Hart, Ellert R. S. Nijenhuis, and Kathy Steele