One is frequently presented with an individual who presents for evaluation as a result of traumatic events such as sexual harassment, sexual abuse in the school and workplace, electrical injury, and Traumatic Brain Injury.
Plaintiffs and other petitioners often sue for damages due to reported cognitive or emotional impairment. These impairments are often said to be the result of traumatic brain injury suffered in accidents or toxic exposures or due to medical procedures. Such impairments can often be subtle, not easily understood by nonprofessionals, but still claimed to have changed a person's life.
The public understanding of TBI is so poor that it is officially referred to by the US National Center for Injury Prevention and Control as "the silent epidemic." In the acute phase, the usual radiological examinations are not sensitive to TBI and diffuse axonal injury (DAI). There is a significant amount of false negatives with CT scans administered in the ER.
The author recently had a chapter accepted for publication on Methodology for Conducting Bonding Studies in Child Custody Evaluations (CCE). This chapter was written in response to the requests of many psychologists over the years who wanted guidance in procedures for conducting bonding studies. Many psychologists conduct bonding studies with cursory observations of parent and child. There is no application of an objective scoring system or any methods that can be replicated by other CCE Evaluators. This is essential in science.
This week marked the enshrinement of Junior Seau in the NFL Hall of Fame. Junior was an outstanding linebacker for USC who went onto great accomplishments in the NFL. However, all was not well. The effects of domestic violence, substance abuse and gambling difficulties; as reported on ESPN's Outside the Lines, took the toll on Junior. He repeatedly complained to a friend who was a fellow player and suffered from headaches, how he too, suffered for years from headaches. ESPN noted that he was reported to have been diagnosed with chronic traumatic encephalopathy, a neuro-degenerative disease that can lead to dementia, memory loss and depression. Gina Seau reported that Junior's disease was associated with head-to-head collisions caused from 20 years of playing in the NFL. This scenario affected his ability to think logically.
The United States is seeing more and more young men returning from Afghanistan and Iraq with horrendous results in terms of family integration, societal integration, and domestic violence. Some of these individuals, according to Cernak, are found on the battlefield dead with no marks whatsoever on them.