Dissertations / Theses: 'Developmental trauma'

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Murphy, Colin. "ADHD, developmental trauma & Therapeutic Community discourses." Thesis, Canterbury Christ Church University, 2017. http://create.canterbury.ac.uk/16468/.

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Quantitative research based on diagnostic classification has been limited in developing an understanding of ADHD and its related behaviour among children who have experienced Developmental Trauma, including neglect and abuse. Clinical practice may not attend sufficiently to the emotional experiences of these children with a diagnosis of ADHD, due to the dominance of biomedical discourse. This study utilised discourse analysis to examine discourses, of Therapeutic Community staff, about ADHD and its related behaviour among looked after children who have had experiences of Developmental Trauma. Non-medical and environmental discourses were dominant in this setting. A Biopsychosocial discourse legitimised multi-disciplinary collaboration between Therapeutic Community and mainstream practice for complex difficulties among this population of children. Children’s understanding of ADHD and stimulant medication prescribed for this diagnosis, along with clinical and research implications, were considered.

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Johney, Naydine. "Growth after Developmental Trauma: A Co-Constructed Story." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1566553579402693.

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Tissell, Rachel L. "Child maltreatment risk| Associations with mothers' representations of childhood attachment, trauma, caregiving, and regulation." Thesis, Mills College, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10163157.

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Child maltreatment models view risk as a complex constellation of factors that emphasize parents’ trauma experiences and regulation processes. Attachment research has shown that mothers’ representations of childhood attachment and caregiving places their children at developmental risk. Studies to date have evaluated contributing factors separately, but little research considers mothers’ past and current experiences combined with relational trauma and familial regulation patterns. The current research adopted an integrated perspective using known maternal risk factors, and extended existing research in several unique ways by examining association with both adult trauma and childhood trauma; caregiving representations; pathological mourning; and capacity for emotion regulation. Seventy-five mothers with children between 19-74 months (40% boys) from diverse socio-economic and cultural backgrounds completed assessments of maltreatment risk, adult attachment, caregiving, relational trauma, parenting stress, and emotion regulation. Maternal representations of attachment were significantly related to risk, with unresolved mothers demonstrating the highest risk. There were significant positive associations between risk and relational trauma – both frequency and subjective distress with parents and partners. Helpless and heightened caregiving representations, parenting stress, and emotion regulation were also all significantly related to risk. This is the first study to consider maltreatment in the context of relational trauma as defined by Bowlby’s (1980) model of pathological mourning. Risk scores were significantly greater for mothers classified in pathological mourning groups than other mothers. These findings punctuate the effects of problems associated with mourning attachment trauma on maternal regulatory capacities and parenting risk. Implications for infant mental health research and intervention are discussed.

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Shin, Eunice Solae. "Sensory-based Art Therapy for Children with Developmental Trauma." Digital Commons at Loyola Marymount University and Loyola Law School, 2013. https://digitalcommons.lmu.edu/etd/20.

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This research explores the therapeutic characteristics of the art‟s sensory properties in art therapy treatment for children with developmental trauma. The researcher used interview as a method for gathering data in the qualitative research design. Two art therapists were interviewed individually in order to gain a deeper understanding about the research topic. The participants were selected based on their knowledge and practice utilizing art therapy in cases related to developmental trauma. The data gathered were coded and analyzed for emergent findings. The researcher finds that sensory-based art therapy facilitates regulation of affect and behavior, attachment repair, and the potential to process trauma memory through regression in the art. Also, the therapist‟s role as a witness for the client and a provider of a safe holding space is found to be a crucial component in sensory-based art therapy. These findings suggest implications for clinical practice and the careful construction of sensory-based art therapy according to the client‟s developmental age. Regression stimulated by loose art media may be a key component of trauma treatment. In order to regulate a child‟s affect and behavior, the art material and its quantity must be carefully selected based on its inherent sensory properties. Containment and attachment repair as the overarching goals of the art therapy treatment may also influence the selection of which art materials may be utilized. The researcher recommends a broader research study to explore treatment implications concerning sensory-based art interventions for children with developmental trauma.

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Konkin, Serena F. "Between Worlds| Paracosms as Imaginal Liminality in Response to Trauma." Thesis, Pacifica Graduate Institute, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527608.

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Paracosms, or imaginary worlds, are phenomena only recently taken into account by the field of psychology, with only a smattering of publications on the topic. Whereas previous research has focused primarily on paracosms’ creative contributions to society, the perspective of this thesis postulates the value and role of the paracosm as it serves the internal system of the psyche. The paracosm is explored in its self-preserving function: an internal world that the psyche builds to replicate the infantile experience of wholeness through contact with a continuous selfobject. In this way the psyche is seen as maintaining itself through imaginal involvement in a paracosm, mirroring the self as world, when there is no external selfobject available. Hermeneutic and heuristic approaches utilize both the research of previous theorists and the author’s reflections on her own paracosmic activity in discussing the positive and negative aspects of paracosms as a psychological, trauma-related coping mechanism.

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Liles, Brandi D. "Social and emotional development in the young child| The effects of trauma exposure." Thesis, The University of Tulsa, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3622654.

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Although the deleterious social and emotional effects of trauma exposure on adults and older children are well documented, less is known about the effects of trauma on young children. Preliminary studies have indicated that young children (a) are exposed to traumatic events (e.g. Perry et al., 1995; Mongillo et al., 2009) (b) experience social and emotional problems (e.g. Scheeringa et al., 2006; Bogat et al., 2006) and (c) are affected by the caregiver-child relationship (e.g. Osfosky, 2000). However, no known study has compared social and emotional problems among trauma-exposed young children to a comparison group of non trauma-exposed young children connected to mental health services. This study aimed to strengthen the research and clinical literature by examining unique social-emotional and trauma-specific symptoms of 47 trauma-exposed service-involved young children (18 to 69 months of age) compared to 25 non trauma-exposed, service-connected young children. Additionally, this study examined the predictive nature of child temperament and the caregiver-child relationship (i.e. caregiver affect, responsiveness and intrusiveness) on the severity of the child's internalizing symptoms. Seventy-two young children and their primary caregivers, mostly mothers (82%) participated in the current study. Trauma exposure, social/emotional problems, and trauma-specific symptoms were measured by a variety of caregiver reports and interviews. Further, the caregiver-child relationship was examined using the Crowell Modified Parent-Child Relationship Scale. Regarding trauma exposure, 65.2% of the sample was exposed to a traumatic event, with many children (54%) being exposed to multiple traumatic events. Among trauma-exposed children, approximately 10% were exhibiting trauma-related reactions. Among MANCOVA and ANCOVAs, no statistically significant differences emerged among trauma-exposed and non trauma-exposed young children for social and emotional problems, trauma-specific symptoms, or observed distress in the caregiver-child relationship. Child temperament and caregiver depressive symptoms statistically significantly predicted child outcomes. In a hierarchical multiple regression examining the predictive nature of the caregiver-child relationship, only child temperament emerged as a statistically significant predictor.

Despite null findings, this study served as a pilot study examining unique social/emotional problems among service-involved trauma-exposed and non trauma-exposed young children allowing future studies to determine recommended sample sizes (200 and above is needed). Issues related to assessment of trauma symptoms in young children are discussed. Recommendations are provided for clinicians. For example, both child temperament and caregiver distress should be a focus of assessment and intervention in trauma-exposed young children. Detailed recommendations are provided to improve the reliability and validity of the Modified Parent-Child Relationship Scale. Recruitment recommendations and future directions are offered.

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Morris, Donna. "An investigation into the presentation of trauma in adolescents with a developmental disability and psychological treatment of trauma in adolescents." Thesis, University of Nottingham, 2015. http://eprints.nottingham.ac.uk/28245/.

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This thesis provides an investigation into the presentation and treatment of childhood maltreatment in adolescents, with a key focus on adolescents with developmental disabilities (DD). A range of methods, including an empirical study, a systematic review, a single case study and a critical evaluation of a psychometric assessment were used to explore this field. The empirical study explores the presentation of childhood maltreatment in a cohort of adolescents with and without DD, within a specialist inpatient setting. The systematic review investigates the effectiveness of psychological treatments for adolescents with a history of childhood maltreatment. The case study explores the effectiveness of an Adapted Sex Offender Treatment Programme (ASOTP) at reducing the risk of sexual re-offending, for a male adolescent with DD and a history of childhood maltreatment. The critical evaluation of the Trauma Symptom Checklist for Children (TSCC) (Briere, 1996) focuses on evaluating the reliability, validity and applicability of the measure for use with adolescents in secure psychiatric settings. The preliminary results of the empirical study found no significant differences between both groups for the dependent measures, however data trends suggested that adolescents with DD display a higher frequency of problematic behaviours. They also displayed some trauma symptoms and emotions more frequently compared with adolescents without DD. The findings of the systematic review were unclear due to methodological issues and bias, however the review showed that Cognitive Behavioural Therapy was not effective at reducing depression but Attachment Based Family Therapy may be an effective intervention for reducing depression and suicidal ideation in adolescents. The case study found that the ASOTP was not effective at reducing the Client’s risk of re-offending. The Client did not engage well with the work and the reasons for this are discussed in relation to the Client’s history of maltreatment and development of personality disorder traits. In the critical evaluation of the TSCC, it is recognised that the TSCC is a strong measure of trauma, however it has not been validated or standardised for use with children/adolescents with DD. The thesis concludes that there are many avenues of research about maltreated adolescents with DD which need to be explored. This research field needs to be substantially developed before clinicians can reap the beneficial clinical implications of the research.

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Ma, Yee-man Ellen, and 馬綺文. "Developmental trauma in Chinese children with repeated familial physical and sexual abuse." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45588521.

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Kellner, Deborah Y. "Creating a Mosaic Within Time and Space: The Role of Trauma in Indentity, Literacy and Life." Cincinnati, Ohio : University of Cincinnati, 2007. http://rave.ohiolink.edu/etdc/view.cgi?acc_num=ucin1177595035.

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Thesis (Dr. of Education)--University of Cincinnati, 2007.
Advisor: Dr. Chester Laine. Title from electronic thesis title page (viewed June 29, 2010). Includes abstract. Keywords: Developmental education; developmental students; trauma; literacy; identity. Includes bibliographical references.

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Horner, Michelle. "Complex Trauma Among Incarcerated Adolescent Females| Assessing the Utility of the Massachusetts Youth Screening Instrument-Version 2 and a Developmental Trauma Framework." Thesis, The Chicago School of Professional Psychology, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10276832.

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Female youth are a growing population in the juvenile justice system; however, research on female justice-involved youth is lacking relative to male counterparts. As research suggests this population has experienced higher rates of trauma, the purpose of this study was threefold: first, to describe the extent of complex trauma exposure and sequelae, second, to evaluate the utility of the Massachusetts Youth Screening Instrument–Version 2 (MAYSI-2) Trauma Experiences (TE) scale related to complex trauma, and third, to analyze the relationship between complex trauma and comorbid diagnoses of incarcerated adolescent females, using a developmental trauma framework. The present study used archival data from the records of 229 adolescent females, ages 13 to 20, who were remanded to a maximum security juvenile justice facility in Illinois. Scores from the MAYSI-2 TE scale were collected as well as Clinical Needs Assessments that provided demographic information and data regarding trauma exposure and sequelae. A developmental trauma rubric was specifically designed for this study based on the DSM-5 proposed developmental trauma disorder (DTD) diagnosis. Trauma-related data was mapped onto the rubric for the purpose of identifying youth with complex trauma reactions and comparing this data with MAYSI-2 TE scale scores. Exploratory analyses laid a foundation for understanding complex trauma exposure and sequalae among incarcerated female adolescents. As expected, over three fourths of participants were exposed to repeated interpersonal traumas with youth experiencing an average of five different types of trauma exposure. Contrary to the first hypothesis, the MAYSI-2 TE scale was significantly correlated with complex trauma exposure. The second hypothesis was supported, which was contrary to the literature on the subject, and indicated that the MAYSI-2 TE scale scores decrease upon re-assessment after re-admission to the facility. Finally, the third hypothesis revealed nearly universal comorbid diagnoses among the sample (97.4%) and a relationship was found between the proposed developmental trauma disorder diagnosis and diagnoses of personality, bipolar and related, neurodevelopmental, and trauma and stressor related disorders. These results suggest that screening for trauma should be a high priority in juvenile justice settings and that while the MAYSI-2 TE scale score is related to complex trauma exposure, added screening is warranted to identify trauma-related symptoms. Additionally, alternative screening strategies may be useful for those returning to the facility as these youth’s TE scale scores were found to be lower than those initially incarcerated as well as lower than their previous scores. Finally, the field would benefit from the adoption of a complex trauma diagnosis to prevent inadequate and inaccurate diagnoses being given when the etiology of symptoms is trauma-based.

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Thompson, Kelli R. "The Association between Trauma Exposure, Maladjustment, and Aggression in Detained Boys." ScholarWorks@UNO, 2014. http://scholarworks.uno.edu/td/1948.

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Previous research has demonstrated an association between violence exposure and aggression; however, research exploring the association between violence exposure and the forms and functions of aggression is scarce. The aim of this study was to explore the associations between trauma exposure with both reactive and proactive functions of aggression by examining two potential mediators (e.g., psychopathic traits and emotional dysregulation). Participants included 132 male juvenile offenders mandated to treatment in a residential facility (M = 16.78 years old; SD = 1.25). Results indicate emotional dysregulation partially mediated the association between trauma exposure and reactive aggression while controlling for proactive aggression. However, no evidence was found to support the hypothesis that psychopathic traits mediated the association between trauma exposure and proactive aggression. Results suggest trauma exposure is important in the development of reactive aggression. Thus, treatment approaches for aggressive youth should address issues of trauma exposure.

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Perez, Nicholas Michael. "The Path to Violent Behavior: The Harmful Aftermath of Childhood Trauma." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6129.

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Adverse childhood experiences can lead to a number of harmful outcomes throughout an individual’s life, ranging from medical problems to criminal behavior. These traumatic experiences, comprised of different forms of maltreatment and dysfunctional household environments, can affect the development of a child in a variety of different ways. The multitude of developmental changes can produce compounding harmful effects on the child’s life and lead to acutely maladaptive outcomes. Under the perspective of developmental psychopathology, the ever-changing biological, psychological, and social dynamics of children who experience trauma can contribute to deficiencies in all aspects of their subsequent development. Each of these developmental changes can lead to problem behaviors during adolescence and further progress the youth down a path toward both externalized and internalized violent behavior. In this study of youth who came in contact with the Florida Department of Juvenile Justice, the consequences of childhood trauma in the development of juvenile delinquents are examined. This data allowed for the calculation of each child’s Adverse Childhood Experiences (ACE) score (Felitti et al., 1998). Using a generalized structural equation model, the effects of ACE scores are estimated on several aspects of each child’s personality development, adolescent problem behaviors, and violent outcomes. Specifically, the model evaluates both the direct and indirect effects of the culmination of adverse childhood experiences on the initiation of externalized violence (serious, violent, chronic delinquency) and internalized violence (suicidal behavior), as mediated through the development of personality characteristics (such as aggression and impulsivity) and adolescent problem behaviors (such as the imitation of deviant peers, school failure and dropout, substance abuse problems, and symptoms of mental illness). This study aims to contribute to the formation of a more complete understanding of the role of childhood trauma in the development of these two types of violent behaviors to improve our assessment and treatment of children who suffer from early-life trauma.

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Ford, Jacqueline Yvonne. "Challenges of Child Trauma on Adoptive Families' Social and Emotional System." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/885.

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Adoption-focused psychoeducation is deemed essential in maintaining the permanency of traumatized children within a new family unit. However, adoptive parents of traumatized children struggle to find training to address their unique concerns. Guided by the lens of psychodynamic theory, the purpose of this study was to investigate the challenges faced by adoptive families of traumatized children. Special focus was placed on the social and emotional relationships of the adoptive parents of traumatized children, to identify the realistic expectations towards attachment from the families' perspectives. Fifteen families were randomly selected to participate in this study from a group of 30 parents who adopted traumatized children in Arizona. A phenomenological approach was utilized to gather information from face-to-face and telephone interviews. The data analysis utilized the horizontalization approach which highlighted significant statements that were classified into codes. Thematic categories were drawn and summarized. Textual descriptions evolved from the thematic groups acknowledging their experiences and how these lived experiences guided their decision to adopt a traumatized child. Verification techniques, data mining, journaling, clustering, brainstorming, and peer reviews were used to ensure the quality of data. Emergent themes emphasized the need for adoption-focused training specific to traumatized children. Further research on this phenomenon should determine the significance of specialized psychoeducational training versus general foster care training, before and after adoption. Positive social change may result in tailoring existing training programs to meet the needs of families who adopt traumatized children.

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Carmona, Jasmin. "The Effects of Trauma Events on Substance Use and Depressive Symptoms among Homeless Youth." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1356019823.

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Barnhart, Julie W. "Using Developmental Formational Prayer to Impact the Emotional Upheaval Resulting from Early Childhood Relational Trauma." Ashland Theological Seminary / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=atssem1619825724363621.

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Raza, Mattie V. "Trauma Informed Care Training Initiative: Implementation Study in Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/honors/632.

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This study aims to evaluate the implementation of Trauma-Informed Care (TIC) trainings in Johnson City, Tennessee, and the surrounding Appalachian area. Previous TIC trainees were sent an email survey asking them if they had followed through with their plan to implement the training at their place of work or in other areas of their lives. The response rate for this study was 2%, possibly due to extraneous variables such as the Coronavirus Pandemic and the lag time between the initial training and survey follow-up. The responses that were analyzed indicated promise for the practical implementation of TIC concepts at the companies involved in the training initiative. Additional research is needed in order to further analyze TIC implementation.

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Spencer, Ian M. "Work, War, and Rape| Is a Comprehensive Trauma Diagnosis Possible in a Free-Market System?" Thesis, Pacifica Graduate Institute, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1692038.

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Trauma is a social justice issue by which many of its sufferers historically have remained mystified in a web of misdiagnosis, the most notorious being hysteria. Today, individuals suffering from attachment disorders, anxiety, and depression and the victims of violence, addiction, emotional abuse, and physical abuse often have overlapping symptoms roughly mirroring trauma response symptomatology. These individuals comprise the bulk of those seeking relief from the healing professions, yet the DSM-V has but one diagnosis for trauma: posttraumatic stress syndrome. Recent advances in neuroscience have converged with observations from the field of psychology to confirm the need for a more complex trauma diagnosis. It is time to bring trauma out of the lab and into the streets. Using artistic-creative methodologies, this production thesis channels the expanding body of trauma research into comic strips designed to stimulate social dialogue about the existence of trauma response symptoms in our communities.

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Drotskie, Helene. "'n Beradingsprogram vir kinders wat 'n trauma beleef het." Diss., Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-03152005-141755.

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Litvin, Justin M. "Development of a Self-Report Measure of Post-Traumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD) According to the Eleventh Edition of the International Classification of Diseases (ICD-11): The Complex Trauma Inventory." Thesis, University of North Texas, 2016. https://digital.library.unt.edu/ark:/67531/metadc862735/.

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The work group editing trauma disorders for the upcoming edition of the International Classification of Diseases (ICD-11) made several changes. Specifically, they significantly simplified the guidelines for post-traumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). The new domains for PTSD and the addition of CPTSD require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (Complex Trauma Inventory; CTI) according to the proposed ICD-11 domains, creating several items to assess each domain. We examined the factor structure of the CTI (using both exploratory and confirmatory factor analyses) in two separate samples of diverse college students (n1 = 501; n2 = 500), reducing the original 53 trauma items in the item pool to 21 items. Confirmatory factor analyses supported two highly-correlated second-order factors (PTSD and complex factors), with PTSD (i.e., re-experiencing, avoidance, hyper-arousal) and complex factors (i.e., affect dysregulation, alterations in self-perception and alterations in relationships with others) each loading on three of the six ICD-11-consistent first-order factors (RMSEA = .08, CFI = .92, GFI = .87, SRMR = .06). Internal consistency for PTSD (α = .92) and complex factors (α = .93) are excellent.

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Hopton, Jennifer. "Assessment of the Needs of Complex Trauma-Exposed Boys and Girls in the Child Welfare System: Symptom Profile, Gender Differences, and Placement Disruption." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34192.

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This dissertation consists of two studies designed to broaden our understanding of the impact of complex trauma on symptom profiles and outcomes of children in the child welfare system through the lenses of gender, development, and placement permanency. Data for both were obtained using the Child and Adolescent Strengths and Needs Comprehensive Assessment tool (CANS; Lyons, Gawron, & Kisiel, 2005) for youth ages 6 -17 years involved in the child welfare system. In Study 1, I examined symptom profiles of 3,446 youth to determine the ability of gender, age, ethnicity, trauma type, and other adversity variables to predict the following CANS domains: posttraumatic stress symptoms (PTSS), emotional/ behavioral needs, risk behaviors, life domain functioning, and child strengths. Findings supported the hypothesis that males and females would exhibit a similar number and severity of PTSS subsequent to exposure to maltreatment, including complex trauma. Unique gender-specific developmental profiles of trauma exposure and symptomatology emerged. I concluded that the complex and dynamic interactions among gender, age, trauma experience, and psychosocial functioning are more complicated than can be elucidated in main effect or two-way interactions. It is therefore recommended that trauma researchers disaggregate analyses by gender in trauma research because the dynamics of trauma are different for males and females. In Study 2, I employed survival analyses to examine the ability of child characteristics, complex trauma exposure, and placement-related variables to predict placement disruption in a sample of 4,822 youth at high-risk for placement disruption. Older age, female gender, higher levels of externalizing behavior, and more prior placements increased risk for placement disruption, whereas longer time in care and type of out-of-home placement decreased risk for placement disruption in the sample. It is recommended that placement stability be directly targeted for those at higher risk through provision of intensive support to youth and their foster caregivers. Caseworkers should receive training about those subgroups most at-risk for placement disruption. Externalizing behavior and attachment, but not PTSS, mediated the relation between complex trauma and placement disruption. Intervention for youth with a history of complex trauma should focus on both attachment and externalizing behaviors.

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Davies, Joanna Melanie Marian. "The role of developmental/relational trauma in therapists' motivation to pursue a psychotherapeutic career : a grounded theory exploration." Thesis, University of the West of England, Bristol, 2018. http://eprints.uwe.ac.uk/32589/.

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Background: Psychotherapy research has consistently established a link between developmental/relational trauma and the motivation to pursue a psychotherapeutic career. Understanding why this relationship exists is important given the recognised adverse impact of developmental/relational trauma on sense of self, interpersonal relating, emotional regulation and reflective function, which could have significant clinical implications. Psychodynamic theorising and research exploring this link further suggests that therapists often suffered object-loss, and/or parentification as children, leading to narcissistic injury and a tendency towards compulsive caregiving, which is proposed to motivate towards the therapist role that satisfies a variety of unmet dependency, intimacy and narcissistic needs. However, it has been observed that therapists often deny, or lack conscious awareness of, their relational wounding and how this may incite career motivation, which is clinically problematic. Psychodynamic theorists caution that a lack of insight can increase the risk of burnout and defensive, unethical practice. Conversely, post-traumatic growth (PTG) literature proposes that individuals with trauma histories are motivated towards therapeutic careers to reconstruct meaning, which promotes self-growth. The reflective contexts of psychotherapeutic training and the career may facilitate this process, though these assertions have not been empirically explored. Most research in this field has been quantitative to date, leaving the developmental/relational processes involved in career motivation unexamined and in need of qualitative enquiry to deepen understanding. The aims of the study were twofold: to explore the role of developmental/relational trauma in therapists’ motivation to pursue a psychotherapeutic career and to formulate a grounded theory of this process. Method: This was a qualitative study which adopted a constructionist grounded theory methodology (Charmaz, 2006). A purposive, snowball and theoretical sampling strategy was adopted to recruit 15 therapists and 1 social worker. Findings: The Grounded Theory constructed from the data indicates 6 categories: Sustaining a Wound to the Sense of Self; Defending the Fragile Self; Gratifying Unmet Needs; Moving from Other-ish to Self-ish; Finding Me – Integrating the Self; and Liberating the Self. The first three categories represent a vicious circle formed by the unconscious compulsion to repeat relational wounds, thereby increasing the risk of defensive, unethical practice and burnout. A critical juncture, ‘Confronting the Self’, encouraged via self-reflection in training appears to represent a nexus through which it is essential that therapists must pass to enhance self-awareness. This pivotal process facilitates breaking the vicious circle, thus allowing progression to the later three categories of this process that comprise a pathway towards psychological integration and growth, and may over time, paradoxically, heal the neurosis underlying the motivation to pursue the career. Conclusion: This Grounded Theory describes the developmental/relational processes involved in the pursuit of a psychotherapeutic career. In addition, it identifies a critical juncture involving a confrontation with the disowned self; emphasising the importance of self-reflection to enhance self-awareness in the developmental journey from wounded healer to ‘Healing Healer’. This appears to reduce the risk of defensive, unethical practice and becoming a ‘Wounded Wounder’. As such the findings have significant implications for clinical practice and training.

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Borges, Edson Sá. "Prevalência dos critérios diagnósticos do transtorno traumático do desenvolvimento em crianças e adolescentes em diferentes cenários de risco para maus-tratos em um meio urbano." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/106867.

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O Transtorno Traumático do Desenvolvimento (TTD) é um conceito teórico-clínico que ainda não consta dos guidelines psiquiátricos oficiais. O presente trabalho consiste na apresentação dos dados referentes às prevalências encontradas para os diferentes critérios diagnósticos do TTD, oriundos da aplicação de um instrumento elaborado em língua portuguesa originalmente para esse estudo. A amostra foi constituída por 102 crianças e adolescentes de 8 a 14 anos, provenientes de diferentes cenários de risco para maus-tratos, incluindo uma escola pública (n=51), um ambulatório de violência (n=30) e um albergue para vítimas de violência familiar (n=21). Os resultados preliminares sugerem ser possível corroborar a hipótese que sustenta o conceito do transtorno ao indicar que crianças que são expostas à violência, têm maiores probabilidades de apresentar os sintomas que caracterizam o TTD.
The Developmental Trauma Disorder (DTD) is a clinical-theoretical construct that is not yet included in the official psychiatric guidelines. This study consists of the presentation of data on the prevalence found for the different diagnostic criteria of DTD, derived from the application of an instrument originally prepared in Portuguese for this study. The sample consisted of 102 children and adolescents 8-14 years old, representing different risk scenarios for abuse, including a public school (51), an outpatient clinic for violence (30) and a shelter for victims of family violence (21). The preliminary results suggest that it is possible to corroborate the hypothesis that supports the concept relating to the disorder, which indicates that children who are exposed to violence are more likely to exhibit symptoms that characterize DTD.

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Ronca, Kristen E. "THE IMPACT OF COMPLEX POST-TRAUMATIC STRESS DISORDER AND STRUCTURAL VIOLENCE ON CHILDREN IN IMPOVERISHED URBAN COMMUNITIES." Master's thesis, Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/497513.

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Urban Bioethics
M.A.
American children growing up in poor urban communities experience a disproportionate amount of direct and indirect violence in addition to the challenges of growing up with limited resources. Due to high amounts of physical and structural violence in these communities, urban youth are at increased risk for complex post-traumatic stress disorder (C-PTSD) and its associated sequelae, such as asthma, obesity, diabetes, and behavioral problems. Evidence demonstrates that sexual abuse and repeated interpersonal trauma leads to more intense symptomatology than traditional post-traumatic stress disorder (PTSD), and traumatic events in early childhood predisposes one to a C-PTSD reaction. This literature review of complex trauma serves to further validate the need for modern psychiatry to recognize C-PTSD as a diagnosis and to identify treatment interventions for this vulnerable population.
Temple University--Theses

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Schirm, Julia R. Lonoff. "Experiential Personal Construct Psychology and Severe Disturbances: Exploring Developmental/Structural Disruptions in Self-Other Permanence." Miami University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=miami1399719556.

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Morelen, Diana M., Rebecca Otwell, R. Dolson, Rachel M. Clingensmith, K. Rosenblum, and M. Muzik. "Implementation of a Trauma Informed Parenting Intervention to Promote Maternal Mental Health and Reduce Child Risk." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2712.

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Smith, Rebecca L. "A LONGITUDINAL STUDY OF THE STRESS-BUFFERING EFFECTS OF ROMANTIC RELATIONSHIPS ON ALCOHOL OUTCOMES IN COLLEGE STUDENTS EXPOSED TO TRAUMA." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/6055.

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This study examined interplay between interpersonal trauma (IPT), relationship status, relationship satisfaction (SAT), and partner substance use (PSU), and whether these relationship dimensions moderated associations between IPT and alcohol outcomes. Data came from a longitudinal study of college students (N=9,911; 61%female; 49%White). Precollege IPT increased the likelihood of being in a relationship, while college-onset IPT decreased the likelihood. IPT predicted lower SAT and higher PSU. Individuals with precollege IPT consumed more alcohol than those without IPT, but this was mitigated for those in relationships. Individuals with college-onset IPT consumed more alcohol than those without IPT, and this was more pronounced with higher PSU. Effects changed modestly when controlling for PTSD. Findings suggest timing of IPT impacts its effects on relationship dimensions, and their interactive effects on alcohol. Involvement in relationships, but not relationship satisfaction, buffers against the effects of IPT on alcohol use, while high PSU partner exacerbates it.

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Williams, Jaclyn Hardesty. "The Relationship of Trauma Severity, Rumination, and Restructured Core Beliefs to Posttraumatic Growth." Xavier University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1436967575.

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Garcia, Ester. "CHILD WELFARE: TRAUMA INFORMED PRACTICE AT TIME OF CHILD REMOVAL." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/873.

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As of 2018, approximately 442,995 children are in the foster care system in the United States according to the federal statistics from the Children’s Bureau. Entry into the foster system involves the removal of children from their home, making it a traumatic experience. The purpose of this study was to examine social workers’ perceptions of what trauma informed practice means and what it looks like in child welfare removals. The study also clarifies what trauma informed practice (TIP) is and how it can be applied in child welfare’s organizational structure. This was a qualitative study in which child welfare social workers from southern California agencies were interviewed. Interviews with experienced child welfare workers revealed many themes including the complexities of workers’ experiences during removals, the impact of removals on workers, social workers’ perceptions on TIP and suggestions on how to make removals more trauma informed for children. The findings from this project identified ways trauma may be minimized during detainment procedures in child welfare. All participants voiced that they felt the trauma informed removal (TIR) PowerPoint guide was beneficial to their learning and practice and that a training with this guide would be ideal for their agencies. Additionally, the findings shed light on the need for future research on creating a more trauma informed child welfare system and the need for policy implementation and or change.

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Roberts, Jennifer H. "Winnicott’s “Capacity to Be Alone” in Normative and Non-Normative Adolescent Development." Antioch University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1319053358.

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Fehrenbach, Amy K. "Hearing Sensitivity and the Effect of Sound Exposure on the Axolotl (Ambystoma Mexicanum)." TopSCHOLAR®, 2015. http://digitalcommons.wku.edu/theses/1496.

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The axolotl (Ambystoma mexicanum) has been used as a model organism for studying development, genetics, and regeneration. Although the sensory hair cells of the lateral line of this species have been shown to be able to regenerate, it is not known whether this also occurs in the inner ear. In fact, little is known about the hearing capabilities of the axolotl or other salamander species. I recorded auditory evoked potentials (AEPs) of six axolotls at eleven frequencies (0.1, 0.25, 0.4, 0.6, 0.8, 1, 1.5, 2, 3, 4, and 6 kHz) in order to produce baseline audiograms of underwater pressure sensitivity. Individuals were then subjected to a 48-hour, 150 Hz sound exposure at approximately 170 dB (re 1 μPa). AEPs were then performed to measure hearing thresholds immediately after sound exposure and at 2, 4, and 8 days post-sound exposure (DPSE). In the baseline audiogram, axolotls were most sensitive at 600 Hz, with an additional peak of sensitivity at 3 kHz. Following sound exposure, axolotls experienced a 6 to 12 dB temporary threshold shift (TTS) after sound exposure, with TTS being greatest at low frequencies near the 150 Hz stimulus frequency (i.e., 100 and 250 Hz). Hearing sensitivity returned to control levels within 8 DPSE. This indicates that axolotls do possess the ability to recover hearing sensitivity after damage following acoustical trauma. This study is the first to document hearing loss in the axolotl. Future studies are needed to correlate this hearing loss and recovery to sensory hair cell loss and regeneration in the axolotl inner ear.

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Jones, Kelley Simmons. "Childhood Sexual Behavior: An Integrated Developmental Ecological Assessment Approach." Antioch University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1463340188.

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Rajadinakaran, Gopinath. "Next Generation Sequencing Reveals Gene Expression Patterns in the Zebrafish Inner Ear Following Growth Hormone Injection." TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1197.

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Loss of hair cells due to acoustic trauma results in the loss of hearing. In humans, unlike other vertebrates, the mechanism of hair cell regeneration is not possible. The molecular mechanisms that underlie this regeneration in nonmammalian vertebrates remain elusive. To understand the gene regulation during hair cell regeneration, our previous microarray study on zebrafish inner ears found that growth hormone (GH) was significantly upregulated after noise exposure. In this current study, we utilized Next Generation Sequencing (NGS) to examine the genes and pathways that are significantly regulated in the zebrafish inner ear following sound exposure and GH injection. Four groups of 20 zebrafish each were exposed to a 150 Hz tone at 179 dB re 1μPa RMS for 40 h. Zebrafish were injected with either salmon GH, phosphate buffer or zebrafish GH antagonist following acoustic exposure, and one baseline group received no acoustic stimulus or injection. RNA was extracted from ear tissues at 1 and 2 days post-trauma, and cDNA was synthesized for NGS. The reads from Illumina Pipeline version SCS 2.8.0 were aligned using TopHat and annotated using Cufflinks. The statistically significant differentially expressed transcripts were identified using Cuffdiff for six different pairwise comparisons and were analyzed using Ingenuity Pathway Analysis. I found significant regulation of growth factors such as GH, prolactin and fibroblast growth factor receptor 2, different families of solute carrier molecules, cell adhesion molecules such as CDH17 and CDH23, and other transcription factors such as Fos, FosB, Jun that regulate apoptosis. Analysis of the cell proliferation network in the GH-injected condition compared to buffer-injected day 1 showed significant up-regulation of GH while downregulation of apoptotic transcription factors was found. In contrast, the antagonist-injected condition compared to the GH-injected condition showed an opposite pattern in which up-regulation of apoptotic transcription factors were found while GH was down-regulated. A number of other transcripts (e.g., POMC, SLC6A12, TMEM27, HNF4A, CDH17 and FGFR2) that showed up-regulation in GH-injected condition showed down-regulation in antagonist-injected condition. These results strongly suggest that injection of exogenous GH potentially has a protective role in the zebrafish inner ear following acoustic trauma.

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Seddio, Kaylee Rae. "Wearing the Inside Out: The Effects of Exogenous Oxytocin, Reading, and Stress on the Expression of Empathy for Victims of Trauma." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062872/.

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Considerable psycho-physiological research on empathy examines biological structures such as the hypothalamic-pituitary-adrenal axis (HPA-axis) and oxytocin systems as efficacious methods for strengthening positive emotional responses. This study recruited 76 adult participants (54 female, 23 male) for the purpose of evaluating the effects oxytocin and fiction reading have on empathetic responses. Participants completed a measure of trauma and received either intranasal oxytocin, a story created to induce emotional responses, or a neutral non-fiction story. Stressors were counterbalanced as a family or non-family stimuli to assess changes in stress response measured by salivary cortisol and heart rate variability. Results supported existing research stating that heart rate variability (HRV) is a more sensitive measure of stress. HRV statistically significantly interacted between type of stressor and PTSD symptomology (1, 70) = 5.018, p = .028, η2 =0.06. Scores on the Interpersonal Reactivity Index (IRI) indicated there were increases in empathy across time, but were not impacted by exposure to stress or treatment condition. Trauma was identified as a statistically significant factor on heart rate variability F(1, 70) = 8.39, p = .005, η2 = .10. Treatment condition did not impact cortisol levels across time F(2, 71) = .2.532, p = .087, η2 = .11. Taken together, these results suggest support for the use of biomarkers in measuring the rate of stress and recovery for those with and without trauma. These findings suggest potential avenues for translational research and implications for theory and practice.

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Dolson, Robyn. "Pocket ACE: Neglect of Child Sexual Abuse Survivors in the ACEs Study Questionnaire." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etd/3573.

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In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using the original item and an experimental item without the 5-year modifier. Results indicated many CSA survivors are not identified by a 5-year modifier, exclusion has service implications for some, and on most variables, they had increased adverse health outcomes compared to controls. Means of assessing CSA must be thoughtfully revised.

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Wilsman, Kristi. "Development of the Posttraumatic Stress Symptoms -- Childhood Obesity Model." TopSCHOLAR®, 2012. http://digitalcommons.wku.edu/theses/1185.

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This project developed a model to account for an obesity outcome in children who have posttraumatic stress disorder (PTSD) and whose parents have posttraumatic stress symptoms (PTSS) or PTSD. A literature review provided the basis for the model and covered the areas of childhood obesity, parental PTSS, childhood PTSD, adverse childhood experiences, relational PTSD, ineffective parent support, and the stress response. A model to explain the outcome of obesity in children with PTSD as mediated by parental support provided after a traumatic event was developed: The Parental PTSSChildhood Obesity Model. The literature review supports a relational perspective for viewing child outcomes from trauma. When the relational perspective is applied to parents who themselves are experiencing PTSS, several parent response patterns were supported. These response patterns are considered to detrimentally impact the parent’s ability to provide an environment that is safe, predictable and responsive. Therefore the parent experiencing PTSS will evidence less effective parenting. Thus the child’s environment will be more stressful, increase the child’s symptomology and promote ineffective coping skills resulting in obesity. The strengths, limitations, and contributions of the model are discussed, as well as recommendations made for further research.

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Miller, Molly A. "Evaluating the Effectiveness of a Community-Based Youth Non-Profit Organization at Increasing Prosocial Behavior and Decreasing Antisocial Behavior among Young Boys: A Pilot Study." ScholarWorks@UNO, 2019. https://scholarworks.uno.edu/td/2700.

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Community-based youth non-profit organizations (NPOs) have become increasingly popular for the provision of youth prevention and intervention services, yet many youth NPOs lack the resources to undergo formal evaluation. Further, most existing program evaluations do not consider individual characteristics of the child or the child’s exposure to stressors. The current pilot study sought to evaluate the extent to which boys participated in 1:1 mentoring and other program activities at the Son of a Saint (SOAS) NPO, an organization seeking to provide positive male role models for fatherless young boys. In addition, the current study examined the effects of program involvement on both prosocial (i.e., academic performance) and antisocial (i.e., aggression and delinquency) outcomes, as well as the moderating role of callous-unemotional (CU) traits and exposure to trauma/stressors on study outcomes. Data were collected from mothers (N = 37) and boys (N = 27) at the first assessment point, and from mothers (N = 21) one year later. Results of bivariate correlational and regression analyses at T1 indicated that boys who have been part of SOAS for shorter durations had higher levels of participation overall, and that behavioral/academic problems were associated with more program participation. Results at T2 indicated that participation in a greater variety of activities was related to lower levels of antisocial behavior. No significant interactions were detected for either CU traits or trauma exposure in the current sample. Implications of findings are discussed with regard to future program evaluation at SOAS. Detailed recommendations for overcoming the study limitations, particularly regarding the small sample size, are provided.

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Spisak, Stephanie. "Using Art Therapy to Empower Young Kenyan Girls." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1209239573.

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Redd, Michael John. "Adverse Childhood Experiences and Couple Relationships: Impacts on Relationship Quality and Partner Selection." University of Akron / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=akron1510336296933526.

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Price, Lorraine. "Back to the beginning : an exploration of the treatment and effects of therapeutic regression to dependence in psychotherapeutic practice." Thesis, De Montfort University, 2014. http://hdl.handle.net/2086/10510.

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This research builds upon and explores an enigmatic set of experiences which theorists in the Object Relations tradition have characterised as regression to dependence, a return to a primitive, pre-verbal relational process presenting in some clients in psychotherapy. This research is a study of the concept of regression to dependence, its manifestation within the psychotherapy process, and facilitation within the therapeutic relationship. The Psychoanalytic theoretical positions on regression to dependence are explored, together with the Relational/Developmental perspective which recognises regression and its importance within psychotherapy. This exploration seeks to understand the experience of regression to dependence, how regression to dependence can be effectively worked within Integrative Psychotherapy, and makes recommendations for Integrative practitioners and theorists related to effective facilitation of clients, showing how the Relational/Developmental approach can effect repair. The study employs a qualitative methodology. A heuristic study was undertaken in which eleven practicing psychotherapists were interviewed and data was collected via semi-structured interviews. Most participants were interviewed twice, with a view to collecting data on both their personal experience as a client in psychotherapy and also their experiences as practitioners when working with clients who were experiencing regression to dependence. The transcripts from these interviews were analysed for emergent themes. The themes are discussed in the context of and with reference to the Psychoanalytic theoretical position and the Relational/Developmental perspective. An account is offered of how these experiences have come to be understood as recollecting difficulties in early infantile relationships. Reflections are made on the essence and qualities of a therapy that can facilitate regression to dependence in order to promote healing. Recommendations are made for the practice of Integrative Psychotherapy and the training of Integrative Psychotherapists in order to prepare them for this work. These recommendations for therapists include; having sufficient preparation, knowledge and understanding to be able to recognise and work with a regressive process emerging in the client; having an understanding of the need to facilitate this process for some clients; and to be aware of the need for particular adaptations in the therapeutic stance in some circumstances, and the difficulties which may arise. Recommendations are also offered regarding the support needed for the therapist whilst working with this process, which include the need for ongoing personal therapy, and supervision. The researcher’s personal story is an intrinsic part of the research, and as an integral part of this study is in accordance with the heuristic and autoethnographic styles, and with the practice of Integrative Psychotherapy, where the use of self is seen as a crucial clinical tool in the therapeutic process. Throughout this study reflexivity has been used regarding the personal experiences of the researcher as client, therapist and researcher.

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Klein, Kacey. "The Reality of Child Sexual Abuse: A Critique of the Arguments Used by Adult-Child Sex Advoates." Scholarship @ Claremont, 2010. http://scholarship.claremont.edu/cmc_theses/53.

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In the United States, there are advocacy groups that support sexual relationships between adults and children. These groups use justifications that make pedophile behaviors seem normal and appropriate. This thesis describes the physical, emotional, and psychological harms that result from child sexual abuse. The reader will understand how prominent child sexual abuse is and how it takes a lot of effort for abusers to take advantage of children. There are many psychological resources available to children and their families, but it does not make sexual abuse okay for society to ignore. The justifications used by pedophile advocates are irrational and should be fought against by society.

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Reynolds, Kyle T. DDS. "Development of a Comprehensive Dental Trauma Database." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1372272751.

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Ross, Nicholas Dutra. "From Childhood Maltreatment to Depressive Symptoms in Adulthood: The Roles of Self-Compassion and Shame." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157627/.

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We hypothesized that the formation of malevolent introjects undermines the development of self-compassion, which in turn produces greater feelings of shame. We hypothesized that these feelings of shame account for concurrent depressive symptoms in adulthood. To test these hypotheses, we proposed a multiple mediator mediation model in which our independent variable was childhood maltreatment. We modeled child maltreatment as negatively predicting our first mediator, self-compassion, which in turn positively predicted internalized shame. We modeled internalized shame as positively predicting scores on our dependent variable, adult depressive symptoms. Participants were 158 adults fluent in English who were community members and college students living in a southwestern American metroplex. The model accounted for 61.8% of the variance in depressive symptoms in adulthood. A significant indirect effect from child maltreatment passed through both our mediators and ended in depressive symptoms in adulthood. We discuss limitations and theoretical and clinical implications, and future directions.

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Bennett, Brock. "Knowledge Retention of the Rural Trauma Team Development Course." Thesis, The University of Arizona, 2017. http://hdl.handle.net/10150/623228.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
The Rural Trauma Team Development Course (RTTDC) is a one day course given to trauma personnel at various rural medical centers across the United States with the goal of improving care to injured patients in such areas. The purpose of this study is to determine the retention of RTTDC knowledge by those trained, as well as the migration rates of trainees out of these sites. The teaching of the RTTDC includes both pre‐test and post‐test assessments to ensure proper skills were learned. There was a statistically significant increase in score from the average course pre‐test score of 76.9% to the average course post‐test score of 92.1%. At this interim analysis, plotting the study post‐test scores over time since the course was given does reveal a pattern of decreased scores over time. The average study post‐test score of 88.8% is only slightly below the average initial post‐test score of 92.1%, though this was not significant. When assessed by individual questions, the participants scored significantly worse with questions addressing initial approach to the trauma patient and management of burn patients. There was no significant difference in scores between trauma team role. In this data set, the percentage of trainees remaining at course sites was 100%, though this was not expected based on previous studies. Our goal of 200 participants to achieve power has not been met at this time, but this could be established if more sites become involved, thus providing significant feedback for possible course revision.

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Hoffman, Karen. "Development of a framework to improve rehabilitation and health outcome in major trauma patients and trauma systems." Thesis, Queen Mary, University of London, 2015. http://qmro.qmul.ac.uk/xmlui/handle/123456789/8913.

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Rehabilitation outcomes are an important measurement of trauma system effectiveness. However, currently there is no clinically applicable trauma rehabilitation score or framework available to evaluate health and rehabilitation needs after trauma. The World report on Disability (2011) recommended the application of the World Health Organisation International Classification of Function, Disability and Health (ICF) as a framework for all aspects of rehabilitation. A standardised language, based on coded categories would aid in international efforts to evaluate health and disability globally. The ICF framework has not been applied in trauma rehabilitation or trauma systems to date. The objectives were to investigate rehabilitation needs of trauma patients and evaluate to what extent the ICF can be used as a framework to capture and assess health and rehabilitation outcome of patients following traumatic injuries. Two cohort studies with 103 and 308 patients respectively demonstrated the utility of the Rehabilitation Complexity Scale (RCS) in an acute trauma setting. The RCS outperformed other acute measures and rehabilitation complexity correlated with length of stay and discharge destination. A systematic review of 34 articles confirmed that outcome measures frequently used in trauma outcome studies represent only six percent of health concepts contained in the ICF. A quantitative international on-line questionnaire with expert clinicians working in trauma (n=217), identified 121 ICF categories pertinent to rehabilitation and health outcome of trauma patients. Qualitative patient interviews (n=32) identified nearly double the amount of ICF categories (n=234) compared to clinicians. Combined analysis of qualitative and quantitative data presents 109 ICF categories important for rehabilitation and health outcome assessment of trauma patients, using the ICF as a framework. This thesis describes the need for improved outcome evaluation of trauma patients. It demonstrates the acceptability of the ICF language and framework amongst clinicians and suggests the application of the ICF as a framework for trauma service delivery and outcome assessment.

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Eade, Jessica E. "Individual differences and the development of trauma-related intrusions." Thesis, Bangor University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440965.

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Moultrie, Alison. "Indigenous trauma volunteers : survivors with a mission /." Thesis, Rhodes University, 2004. http://eprints.ru.ac.za/150/.

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Thesis (M. Soc. Sc. (Psychology))--Rhodes University, 2005.
"Dissertation submitted in partial fulfilment of the requirements for the degree of Master of Social Science (Clinical Psychology)" -T.p.

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Mavrothalassitis, Mariaan Janet. "Trauma and the pathogenesis of OCD : a literature review." Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52593.

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Thesis (MA)--Stellenbosch University, 2001
ENGLISH ABSTRACT: Post-traumatic stress disorder (PTSD) is the most recognised mental disorder stemming from severe psychological trauma. One of the differential diagnoses of post-traumatic stress disorder, amongst others, is obsessive-compulsive disorder (OGD). These two disorders overlap at some point in terms of symptomatology. More specifically, both are characterized by recurrent intrusive thoughts. It has been hypothesized that trauma may also be a significant source of OGD development. OGD and PTSD are disorders that present in adulthood, as well as in childhood and adolescence. It is shown that PTSD and OGD can present comorbidly in adulthood and it is theorized that it may also be the case in childhood and adolescence. Evidence of OGD developing in the context of trauma and theories of how this might have happened are presented. It is shown how complicated it is to distinguish between OGD developing in the wake of trauma and PTSD and the importance of such a distinction.
AFRIKAANSE OPSOMMING: Post-traumatiese Stresversteurig (PTSD) is een van die mees erkende sielkundigeversteurings wat ontwikkel na die blootstelling aan sielkundige trauma. Obsessiewe-kompulsieweversteuring (OGD) is, onder andere, een van die differensiële diagnoses van PTSD. Die twee versteurings oorvleuel ten opsigte van simptomalogie. Meer spesifiek word beide gekenmerk deur herhalende indringende gedagtes. Daar word tans gehipotiseer dat trauma nie net 'n rol in die ontwikkeling van PTSD speel nie maar ook 'n oorsaaklike rol het in die ontwikkeling van OGD. OGD en PTSD is versteurings wat kan voorkom tydens volwassenheid, asook tydens die kinderjare en adolessensie. Daar word bewys gedoen van PTSD en OGD wat saam voorkom gedurende volwassenheid en daar word geteoretiseer dat dit ook die geval mag wees tydens die kinderjare en adolessensie. Bewys word gelewer van OGD wat ontwikkel na blootstelling aan trauma en teorië ten opsigte van die ontwikkeling word aangebied. Die onderskeid tussen OGD wat na trauma blootstelling ontwikkel en PTSD is ingewikkeld, dog is die onderskeid baie belangrik in vele opsigte.

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Cashman, Nicky. "Subjectivity and society : mid-twentieth-century reconfigurations of the self, family and community in African American literature, 1940-1970." Thesis, Aberystwyth University, 2008. http://hdl.handle.net/2160/0ae1f26a-b923-48d9-a59b-b3fe1a21c3a4.

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The primary historical focus of this thesis falls in the years between 1940 and 1970. My main area of interest lies in the individual subject and how that child, adolescent or adult functions in particular situations and most importantly, how my chosen African American writers have portrayed their male and female protagonists in various environments and circumstances. Each of the seven chapters of this thesis covers specific experiences: an emotional journey toward one‘s sexual orientation; a trans-national urban experience of homosexuality; 1950s suburbia and the socio-cultural issue of interracial relationships; historical and legal concepts of interraciality; rural poverty and childhood trauma; communal responsibility and child abuse; and maturation and intergenerational relationships. An emphasis upon family, community and environment are threads that run throughout the thesis. Accordingly, social, political and legal histories are engaged, as are environmental studies. Furthermore, queer, black feminist, trauma and gender theories are utilised along with sociological studies, child development and psychology. This research has enabled my close textual examination of each narrative so as to ascertain how each writer deals with the relationship between subject and society, thus, I argue how they offer differing viewpoints than the ones we find presented by traditional theories and criticism that predominantly comprise issues of race. Finally, the aim of this thesis is to propose alternative avenues of critical inquiry regarding the treatment of child development and individual trauma through individual readings of these mid-twentieth-century examples of autobiography, drama and novel.

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Myers, Charles Edwin Bratton Sue. "Development of the Trauma Play Scale comparison of children manifesting a history of interpersonal trauma with a normative sample /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9059.

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Myers, Charles Edwin. "Development of the Trauma Play Scale: Comparison of Children Manifesting a History of Interpersonal Trauma with a Normative Sample." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9059/.

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Experts in traumatology have postulated traumatized children play differently than non-traumatized children. These differences are called posttraumatic play and include the behaviors of intense play, repetitive play, play disruption, avoidant play and negative affect. The purpose of this study is the continued development of the Trauma Play Scale through the addition of a normative sample. The Trauma Play Scale is an observation-based instrument designed to distinguish the play behaviors of children in play therapy with a history of interpersonal trauma when compared to non-traumatized children. The present study compares two samples of children. One group (n=6) currently in play therapy with a history of interpersonal trauma and another group (n=7) considered normally developing (cognitively, emotionally, socially, and physically) by their parents with no known history of interpersonal trauma. Trained raters blind to the trauma history of the children rated a series of eight consecutive video-recorded play therapy sessions for each participant. One-way analysis of variance statistics, including effect sizes were compute to determine the discriminant validity of the Trauma Play Scale. Traumatized children scored significantly higher on the Trauma Play Scale than non-traumatized children on all domains of the scale as well as the overall Average Trauma Play Scale score. Large effect sizes indicated strong relationships between group membership (trauma history versus normally developing) and scores on the Trauma Play Scale.

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Dissertations / Theses on the topic 'Developmental trauma'

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