The ACE pyramid is a self-reinforcing intergenerational circuit, not a linear diagram.
Evidence
Felitti draws a second arrow. This one does not go upward through the pyramid. It points from the apex — from the outcomes — back down to the base. Not the base of the same pyramid. The base of a new one. The pyramid built by his patients’ children. … The circuit is closed. Adverse childhood experiences produce disrupted adults who produce households that generate adverse childhood experiences in the next generation. The pyramid is not a linear diagram. It is a circuit. And the 1998 paper — the paper Felitti is about to finish — will not say so. It will establish the dose-response relationship for the surveyed generation with epidemiological precision that has never been achieved before. What it will not do is trace the loop. — , The Rod and the Child, 7020
Categorization
- XREF: Connects to the intergenerational-trauma literature I’ve read elsewhere, and to the genealogical/hereditary themes in other chapters of this book. — connects to: Six ACE categories are themselves outcomes of parents’ own high ACE scores. — , The Rod and the Child: A Global History…, 7018; High-ACE parents generate high-ACE environments for their children within a single practice — , The Rod and the Child: A Global History…, 7084; Intergenerational ACE transmission can begin prenatally through maternal stress hormones. — , The Rod and the Child: A Global History…, 7053
- SEED: Could anchor an essay on why the most famous diagram in public-health trauma research was left incomplete — original authors saw the loop but declined to trace it.
Related
- High-ACE parents generate high-ACE environments for their children within a single practice (similarity 0.85)
- Six ACE categories are themselves outcomes of parents’ own high ACE scores. (similarity 0.84)
- Intergenerational ACE transmission can begin prenatally through maternal stress hormones. (similarity 0.80)
- High ACE scores predict a 31-fold rise in lifetime suicide attempts (similarity 0.79)
Broader Connections
- High-ACE parents generate high-ACE environments for their children within a single practice
#exemplifies(0.75) — , The Rod and the Child, 7084 - Six ACE categories are themselves outcomes of parents’ own high ACE scores.
#exemplifies(0.70) — , The Rod and the Child, 7018 - Intergenerational ACE transmission can begin prenatally through maternal stress hormones.
#expands(0.65) — , The Rod and the Child, 7053