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  • 1
    In: Journal of Traumatic Stress, Wiley
    Abstract: Alternative models of traumatic stress and broader psychopathology have been proposed to address issues of heterogeneity, comorbidity, clinical utility, and equitable representation. However, systematic and practical methods and guidelines to organize and apply these models remain scarce. The Middle‐Out Approach is a novel, integrative, contextually informed framework for organizing and applying existing empirical methods to evaluate current and alternative traumatic stress reactions. Rather than beginning to identify traumatic stress reactions from the top‐down (i.e., disorder‐first approach) or bottom‐up (i.e., symptom‐first approach), constructs are evaluated from the middle out (i.e., presentation‐first approach), unconstrained by higher‐order disorders or lower‐order diagnostic symptoms. This approach provides innovation over previous methods at multiple levels, including the conceptualization of traumatic stress reactions as well as the type of assessments and data sources used and how they are used in statistical analyses. Conceptualizations prioritize the identification of middle‐order phenotypes, representing person‐centered clinical presentations, which are informed by the integration of multidimensional, transdiagnostic, and multimodal (e.g., psychosocial, physiological) assessments and/or data sources. Integrated data are then analyzed concurrently using person‐centered statistical models to identify precise, discrete, and representative health outcomes within broader heterogeneous samples. Subsequent variable‐centered analyses are then used to identify culturally sensitive and contextually informed correlates of phenotypes, their clinical utility, and the differential composition within and between broader traumatic stress reactions. Examples from the moral injury literature are used to illustrate practical applications that may increase clinical utility and the accurate representation of health outcomes for diverse individuals and communities.
    Type of Medium: Online Resource
    ISSN: 0894-9867 , 1573-6598
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2017312-X
    SSG: 2,1
    SSG: 5,2
    Location Call Number Limitation Availability
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  • 2
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Experimental Criminology
    In: Journal of Experimental Criminology, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 1573-3750 , 1572-8315
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2181946-4
    SSG: 2
    SSG: 2,1
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  • 3
    Online Resource
    Online Resource
    Wiley ; 2021
    In:  Journal of Forensic Sciences Vol. 66, No. 1 ( 2021-01), p. 11-24
    In: Journal of Forensic Sciences, Wiley, Vol. 66, No. 1 ( 2021-01), p. 11-24
    Abstract: Recent discussions have revolved around the concept of ancestry and ancestry estimation; however, the associated terminology and its theoretical underpinnings have not been similarly examined. This research evaluates the concepts (e.g., race, ancestry, ethnicity) currently in use, examines if they are consistent with the groups employed to illustrate them (e.g., Black, European, Hispanic), and looks for patterns in language usage. Articles in the Anthropology, Odontology, and General sections of the Journal of Forensic Sciences between 2009 and 2019 were evaluated for ancestry‐related language use. For each article, the concepts, examples, and bibliographic information were recorded, and the relationship between concept and example was examined. These data were cross‐tabulated to evaluate relationships between the variables. Cramer's V was used to assess the strength of association of these relationships. In this sample, ancestry predominates, especially recently The concept used is significantly associated with all variables except publication date and authors’ institution(s). Despite the prevalence of the ancestry concept, racially based terms for individual groups were common. The use of ancestry, over race, in forensic contexts has been suggested to be a primarily linguistic change; these results may support that assertion. Inconsistent language usage leads to a lack of clarity in meaning among researchers and misinterpretation of the data. It is critical to recognize that inconsistencies exist, but also to understand why they exist. These results underscore the long overdue need for the inclusion of diverse perspectives in forensic anthropology, especially in the current conversations surrounding ancestry and ancestry estimation.
    Type of Medium: Online Resource
    ISSN: 0022-1198 , 1556-4029
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2026357-0
    SSG: 2,1
    Location Call Number Limitation Availability
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