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Who was Rachel?
A Jewish woman, who had a nuclear family
What condition did Rachel have?
First flare of rheumatoid arthritis following re-enactment of childhood trauma
What hidden stressors did Rachel have? (4)
Problems at birth, forcing her to undergo lengthy hospitalization & invasive medical procedures
Parental separation before birth
Conflict with older brother
Father favored her brother
What was Dr. Mateās assessment of Rachel & what does it tell us? (8)
Repressed anger led to disordered immunity
Serving the needs of others before considering oneās own
Immune system gets confused if the self cannot differentiate
Had an expectation that she will be abandoned
Only some aspects of childhood experiences are available to conscious retrieval
Emotionally unsatisfying child-parent interaction is a recoccuring theme
Biology of potential illness arises early in life
Tactile contact is the newbornās earliest experience in the world
Who was Joyce?
44 year-old professor of applied linguistics for over a decade (also had a nucelar family)
What hidden stressors did Joyce have? (4)
Only female faculty member for years
Anger surrounding her childhood
Family tension related to father lashing out
Brotherās emotional attack triggered her
What was Dr. Mateās assessment of Joyce + what does it tell us? (4)
Chronic emotional stress
Highly emotional children pick up subconscious cues from the environment
Said āI never felt safeā
Positive social relationships involved in modulating stress
Who was Caitlin?
42 year-old women with 4 children with her husband, described as cheerful and welcoming (parents were still together)
What conditions did Caitlin have?
Diagnosed with scleroderma and died less than a year after her diagnosis
What hidden stressors did Caitlin have? (5)
Father was harsh & highly critical
Not emotionally close with her mother, who was not very loving
Family lied about grandfather dying
Rejection from the family business
āMultigenerational nature of sufferingā
What was Dr. Mateās assessment of Joyce? (3)
Concern for everyone but herself
āBottled up a lot of emotionā, rarely spoke of her illness or her childhood
Little emotional support and love in the family