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Davis, Phyllis A. "The use of aerobic exercise as an occupational therapy intervention for post traumatic stress disorder patients." FIU Digital Commons, 1994. http://digitalcommons.fiu.edu/etd/2746.
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Post Traumatic Stress Disorder (PTSD) is a psychiatric diagnosis receiving increased attention. Occupational therapists are becoming more involved with this diagnosis, particularly with Vietnam Veterans in Veteran Affairs Hospitals. Aerobic exercise is a treatment which has not been explored with this population. Depression and anxiety are symptoms commonly associated with PTSD. This study sought to determine whether aerobic exercise would reduce overall PTSD symptomatology, including depression and anxiety. Three psychological inventories: The Penn Inventory for PTSD, The Beck Depression Inventory (BDI), and The Beck Anxiety Inventory (BAI) and one physiological inventory: The Queens Step Test for VO2 Max were given to eighteen subjects before and after a four week period. Ten subjects engaged in no exercise, and eight subjects participated in an aerobic exercise program. Results indicate that aerobic exercise has a significant effect on reducing depression and anxiety and a marginal effect on their overall symptomatology.
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Smith, Tracy-Ann. "Frozen in time to reclaiming one's life: the evaluation of the Ehlers and Clark Cognitive Therapy Model in the assessment and treatment of a hijacking survivor." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002569.
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The aim of this research study was achieved by providing support for the effectiveness and the transportability of the Ehlers and Clark (2000) cognitive therapy model for the assessment and treatment of PTSD. Furthermore, the contextual factors which were important in this case were investigated and documented. However, research within the social sciences will inevitably produce various limitations due to the unique individuals and dynamic phenomena that are studied.
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Payne, Charmaine. "Breaking the silence : Zanele's journey to recovery." Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1007651.
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This study employed a case-based research design to document the psychological assessment and treatment of Zanele, a 15-year-old black Xhosa speaking female who was raped twice in 2006 by the same perpetrator. The aim of the study was to explore whether, the model for assessment and intervention for posttraumatic stress disorder (PTSD) developed by Ehlers and Clark (2000) was effective and transportable to the South African context. Zanele had a sufficient understanding of English for assessment to proceed without use of an interpreter. She reported a number of PTSD symptoms which were causing her significant distress and had impacted on her social and educational functioning. These included flashbacks of the perpetrator's face when she looked at the faces of black men, nightmares about the traumas she had endured and feeling isolated from others. A number of cognitive techniques were utilised in this study, however the central interventions included working with triggers, imagery rehearsal techniques with a focus on nightmares, and reliving with cognitive restructuring within and outside reliving. Psychoeducation and increasing her social support were also important components of the intervention. Her progress was monitored by means of several self-report measures which were displayed in graphic and tabular form. In addition, a thematically selective narrative of the assessment and first 23 sessions of the intervention was written which documents some of the central processes set in motion by the interventions. These results provide evidence that this model was both effective and transportable to the South African population. In addition, the study demonstrated that it is possible for a white English speaking clinician to work with a black Xhosa speaking individual and make substantial therapeutic gains.
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Dyster-Aas, Johan. "Psychiatric History and Adaptation in Burn Injured Patients." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7252.
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Fagelson, Marc A. "Post-Traumatic Stress Disorder." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/1635.
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Fagelson, Marc A. "Post-traumatic Stress Disorder Affects Auditory Behavior of Tinnitus Patients." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/1599.
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Fagelson, Marc A., Sherri Smith, and L. M. McDaniel. "Analysis of Self-assessed Tinnitus Handicap in Patients with Post-Traumatic Stress Disorder." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/1631.
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Rabold, Christopher. "A study of post-traumatic stress disorder and depression in poly-trauma patients." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12197.
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Thesis (M.A.)--Boston University<br>Introduction: A paucity of research has been performed to understand the prevalence and predictors of post-traumatic stress disorder and depression in patients who have experienced multiple blunt forced traumas. These two disorders are very debilitating for the patients who are affected, thus it is important to understand who may be at greatest risk and what factors predict poor outcomes in order to design interventions aimed at decreasing the negative psychological consequence of traumatic injury.
Aims and Hypotheses: Our goals are to examine if there is a relationship between gender and the prevalence of depression, if an open fracture leads to an increased prevalence of depression, and if there is a link between a patient’s length of stay in the hospital and depression. In regards to PTSD we wanted to
investigate if there was a significant relationship between gender and PTSD, and if there was a strong relationship between a patient’s past trauma and an increased risk of developing PTSD after subsequent trauma.. We believed that women would have a higher prevalence of depression and PTSD. We also expected that patients with open fractures, and patients with longer stays in the hospital, would all have a higher prevalence of depression. We also hypothesized that patients with past traumas would have a higher prevalence of PTSD. [TRUNCATED]
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D'Souza, Belinda J. "Deinstitutionalizing Rehabilitation: An Alternative Approach to Rehab for Veterans Suffering from Post-Traumatic Stress Disorder and Substance Abuse Disorder." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1397734253.
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Karpelowsky, Belinda Jodi. "Imagery and the transformation of meaning in psychotherapy for post-traumatic stress disorder: a hermeneutic case study." Thesis, Rhodes University, 2004. http://hdl.handle.net/10962/d1002509.
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This study discusses the assessment and treatment of a 21-year old male who had suffered multiple traumas, which had culminated in the death of his younger brother. He presented with Acute Stress Disorder. The literature review examines a diverse range of theorists and discourses, that have addressed the psychological consequences of trauma and highlights the complexity of the phenomena involved. The case study, located in the South African context, aims to sensitise the reader to the unique dilemmas facing each trauma survivor, and serves to highlight specifically those areas, which are pertinent and further more contribute significantly to the recovery process. The case narrative consists of a detailed synopsis of the therapy process, extracted from the session record notes documented at the time. Several other sources of information, including contributions from the participant, were used to verify and validate the accuracy of the data included. The narrative is written in a style that conveys the intensity of the nature of trauma work and the manner in which both patient and clinician are frequently confronted with very difficult emotional work. Finally the discussion examines the case narrative through the use of a set of carefully selected hermeneutic questions. These focused on (I) key concepts from the work of Robert Lifton who highlights the existential dimensions of the impact of trauma; (2) the role of the image in encapsulating the complex traumatic and post-traumatic experience of the survivor as well as facilitating the emotional processing of the trauma is examined; (3) the contribution to the process of therapy of aspects of the therapeutic relationship; and (4) the concept of recovery in relation to the question of what constitutes 'trauma work'. In conclusion, several meta-theoretical issues related to trauma, the strengths and weaknesses inherent to the research and relevant future areas of research are highlighted.
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Rajandram, Rama Krsna. "Posttraumatic growth in oral cancer patients: a novel coping strategy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44661691.
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Alberry, Rebecca Jane. "Risk factors for the development of post-traumatic stress disorder following traumatic physical injury : the impact of intrusive imagery on physical rehabilitation and post-traumatic distress following hand injury." Thesis, University of Southampton, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.548322.
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Henson, Brandy Renee. "PTSD and health among VA general medical care patients an investigation into the mediating effects of coping /." Online access for everyone, 2004. http://www.dissertations.wsu.edu/Thesis/Fall2004/b%5Fhenson%5F100804.pdf.
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Fagelson, Marc A. "Hearing Aid Use for Patients with Posttraumatic Stress Disorder." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1592.
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The Official Publication of the Canadian Academy of Audiology, Marc Fagelson writes about how awareness and consideration of the special needs of patients with PTSD – the increased need to monitor the acoustical environment
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Fagelson, Marc A., and Sherri L. Smith. "Tinnitus Self-Efficacy and Other Tinnitus Self-Report Variables in Patients With and Without Post-Traumatic Stress Disorder." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1598.
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Objective: Individuals with tinnitus and co-occurring psychological conditions typically rate their tinnitus as more disturbing than individuals without such comorbidities. Little is known about how tinnitus self-efficacy, or the confidence that individuals have in their abilities to successfully manage the effects of tinnitus, is influenced by mental or psychological health (PH) status. The purpose of this study was to examine the influence of psychological state on tinnitus perceptions and tinnitus self-efficacy in individuals with chronic tinnitus.
Design: Observational study. Three groups (N = 199) were examined and included: (1) those with tinnitus without a concurrent psychological condition (tinnitus-only; n = 103), (2) those with tinnitus and concurrent PH condition other than post-traumatic stress disorder (PTSD; tinnitus + PH; n = 34), and (3) those with tinnitus and PTSD (tinnitus + PTSD; n = 62). The Self-Efficacy for Tinnitus Management Questionnaire (SETMQ) was administered. Responses on the SETMQ were compared among the groups, as well as to other indicators of tinnitus perception such as (1) the percentage of time tinnitus was audible (tinnitus awareness), (2) the percentage of time tinnitus was distressing/bothersome, (3) tinnitus loudness, (4) tinnitus handicap inventory scores, (5) subjective ratings of degree of hearing loss, and (6) subjective ratings of sound tolerance problems.
Results: The tinnitus + PTSD group reported significantly poorer tinnitus self-efficacy levels on average than the tinnitus-only group on all SETMQ subscales and poorer self-efficacy levels than the tinnitus + PH group for most subscales (except for routine management and devices). Tinnitus self-efficacy levels were similar between the tinnitus + PH and tinnitus-only groups except for the emotional response subscale in which the tinnitus-only patients reported higher self-efficacy on average than both the other groups. Group differences were not seen for tinnitus loudness ratings nor for the amount of time individuals were aware of their tinnitus. Group differences were observed for the percentage of time tinnitus was distressing/bothersome, self-reported degree of hearing loss, sound tolerance problems ratings, and responses on the tinnitus handicap inventory (THI). In general, the group differences revealed patient ratings for the tinnitus-only group were least severe, followed by the tinnitus + PH group, and the tinnitus + PTSD group rated tinnitus effects as most severe. With all patient responses, the tinnitus + PTSD group was found to be significantly more affected by tinnitus than the tinnitus-only group; in some cases, the responses were similar between the tinnitus + PTSD and tinnitus + PH group and in other cases, responses were similar between the tinnitus + PH group and the tinnitus-only group.
Conclusions: Tinnitus self-efficacy, along with other self-assessed tinnitus characteristics, varied across groups distinguished by PH diagnoses. In general, individuals with tinnitus and concurrent PTSD reported significantly poorer tinnitus self-efficacy and more handicapping tinnitus effects when compared to individuals with other psychological conditions or those with tinnitus alone. The group differences highlighted the need to consider tinnitus self-efficacy in intervention strategies, particularly for patients with tinnitus and concurrent PTSD as the results reiterated the unique ability of PTSD to interact in powerful and disturbing ways with the tinnitus experience and with patients’ coping ability.
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Fagelson, Marc A. "The Influence of Posttraumatic Stress “Disorder” on Patients with Tinnitus." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1654.
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Cook, Eddie Walton. "The effect of faith on post-traumatic stress and survivor guilt among global war on terrorism patients." Theological Research Exchange Network (TREN), access this title online, 2006. http://dx.doi.org/10.2986/tren.064-0125.
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Cox, Michelle, and shelleyjcox@hotmail com. "Attentional bias effects following trauma exposure comparison of emotional Stroop and emotional lexical decision task paradigms." Swinburne University of Technology, 2005. http://adt.lib.swin.edu.au./public/adt-VSWT20051130.132059.
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Attentional bias effects for threat and emotional words were investigated, using both the emotional Stroop and emotional lexical decision paradigms. Twenty-eight controls and twenty-eight survivors of sexual assault participated in this study, which comprised three key comparisons. First, key predictions of the threat and emotionality hypotheses were compared, in particular specific and general threat effects, and positive and negative emotionality effects. Second, two separate group comparisons were conducted, specifically controls versus survivors of sexual assault overall, and a matched subset of controls versus PTSD positive survivors of sexual assault versus PTSD negative survivors of sexual assault. Third, performance on the emotional Stroop task and emotional lexical decision task paradigms were compared directly. Slowed colour naming responses (i.e. interference) were observed for both threat effects and emotionality effects in the emotional Stroop task. For the emotional lexical decision task, slowed lexical decisions (i.e. interference) were observed for threat effects, whereas speeded lexical decisions (i.e. facilitation) were observed for emotionality effects. The findings of the current study indicate that threat and emotionality effects may co-exist in both control and survivor populations. The relationship between the presence or absence of PTSD symptoms and threat and emotionality effects requires further investigation with larger sample sizes. There may be a relationship between the presence of PTSD symptoms and specific threat effects, however the findings of the current study for general threat information were inconclusive. No relationship was evident between the presence of absence of PTSD symptoms and positive or negative emotionality effects. The current findings suggest that the emotional Stroop task may be better suited to quantifying threat effects but not emotionality effects, whereas the emotional lexical decision task appears to be able to quantify both threat and emotionality effects.
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McDowell, Julia, Sherri L. Smith, Marc A. Fagelson, and Kim Schairer. "Hearing Aid Outcomes in Patients with and without Posttraumatic Stress Disorder." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1809.
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Killebrew, Mark. "A Qualitative Approach to Explore the Experiences of Health Care Providers who Treat Patients for Post Traumatic Stress Disorder (PTSD)." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2124.
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Post Traumatic Stress Disorder (PTSD) is an anxiety disorder that occurs when people are exposed to stressful, life-threatening experiences. Consequently, after exposure to such an event, many people may experience fear, guilt, or anger and may believe the trauma is reoccurring. According to the National Institute of Mental Health, approximately 5.2 million U.S. adults age 18-54 have PTSD in any given year. The prevalence of PTSD is even more problematic within the military where an estimated 30% of those who have spent time in war zones experiences PTSD. Researchers have been examining the impact of veterans’ PTSD symptoms on family relationships, and on children in particular yet there is little understanding of the residual impact of PTSD or its secondary effects on children. This study aims to begin to understand how the health care providers’ experiences and acumen may assist patients with addressing PTSD. Additionally, by exploring the treatments and experiences of physicians, further insight and a deeper understanding may be gained on how PTSD impacts family relationships, specifically, hardiness and parental skills. A secondary aim of this study is identify those factors that promote resiliency in hopes of creating new interventions to lessen the residual effects of PTSD and prevent intergenerational trauma. This study begins to explore the residual impact of PTSD and will contribute to inform future research to design new methods and tools which may assist physicians to address intergenerational PTSD. This study was approved by Virginia Commonwealth University (VCU) Institutional Review Board (IRB).
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Duncan, Ryan E. "Objective: Amelioration Applied Environmental Psychology to Foster Convalescence in Transitional Care and Transient Housing for U.S. Veterans." University of Cincinnati / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460731356.
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Bertoli, Elizangela. "A COMPARISON BETWEEN MASTICATORY MUSCLE AND TEMPOROMANDIBULAR JOINT PAIN PATIENTS WITH REGARD TO THE PREVALENCE AND IMPACT OF POST-TRAUMATIC STRESS DISORDER SYMPTOMS." UKnowledge, 2005. http://uknowledge.uky.edu/gradschool_theses/239.
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The purpose of this study was to evaluate masticatory muscle (MM) and temporomandibular joint (TMJ) pain patients regarding the prevalence of Posttraumatic Stress Disorder (PTSD) symptoms, and evaluate the level of psychological dysfunction and its relationship to PTSD symptoms in these patients. This study included 445 adult patients (male = 42, female = 403). Psychological questionnaires included the Symptom Check List-90-Revised (SCL-90-R), the Multidimensional Pain Inventory, the Pittsburgh Sleep Quality Index and the PTSD Check List Civilian. The total sample of patients was divided into two major groups: The MM group (n=242) and TMJ group (n=203). Each group was divided into three subgroups according to the presence of a stressor and severity of PTSD symptoms. Thirty six patients (14.9%) in the MM group and 20 patients (9.9%) in the TMJ group presented symptomatology of PTSD. MM and TMJ pain patients in the positive PTSD subgroups scored higher on all scales of the SCL-90-R (p = .000) than the other two subgroups and reached levels of distress that were indicative of psychological dysfunction. MM and TMJ pain patients in the positive PTSD subgroups were more often classified as dysfunctional than as adaptive copers and presented with more sleep disturbances than patients in the no stressor and negative PTSD subgroups. A somewhat elevated prevalence rate for PTSD symptomatology was found in the MM than in the TMJ group. Significant levels of psychological dysfunction appear limited to temporomandibular disorder patients with symptoms of PTSD.
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Merhaut, Juliana S. "A retrospective cohort study to determine the documented incidence of post-traumatic stress disorder in breast cancer patients treated at Boston Medical Center." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12159.
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Thesis (M.A.)--Boston University<br>Purpose: The purpose of this study was to determine the incidence of documented PTSD in adult breast cancer survivors treated at Boston Medical Center and the strength of its relationship to important PTSD risk factors.
Methods/Procedures: The cohort was defined retrospectively and a chart review was conducted.
Results: The results of the study support that adult breast cancer patients treated at Boston Medical Center are at risk for developing PTSD. Additionally, younger and patients with more co-morbidities are at highest risk.
Conclusions: These results underscore the need for both further descriptive studies and interventions aimed at early identification and treatment of PTSD in breast cancer survivors.
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Sanborn, Kathryn L. "The lived experience of ruptured aortic aneurysm in adults." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1036187.
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The experience of living through an unexpected, life-threatening cardiovascular surgery can be a profound. This study examined the experience of 4 men who had survived ruptured aortic aneurysm using a phenomenological research design.Audio-taped interviews were analyzed for common themes and patterns. Two strong, opposing constitutive patterns were found. The patterns the data conveyed were: 1) fear as a response to overwhelming pain and clouded perceptions, and 2) gratitude for recovery in an atmosphere of caring support.This study was significant in beginning to bring to understanding the phenomenon of surviving major, unexpected cardiovascular surgical trauma. It is recommended that health care providers be more attentive to similar patients' experiences and listen to how their lives have changed as a result of their experiences.<br>School of Nursing
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Van, der Linde Francois. "Past trauma, anxious future a case-based evaluation of the Ehlers and Clark model for PTSD applied in Africa." Thesis, Rhodes University, 2007. http://hdl.handle.net/10962/d1002584.
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This research report documents the therapeutic intervention undertaken with a 23-year-old Swazi rape victim. The format of this research report takes the form of a case study that follows the principles proposed by Fishman (2005). Its aim is to document the treatment process of an individual of African decent in order to establish whether the treatment model can be effective in clinical settings and in contexts and cultural settings different from that in which it was developed. The Ehlers and Clark (2000) cognitive therapy model for post-traumatic stress disorder (PTSD) was utilised to assess, conceptualise, and treat the case. The client entered therapy three years after being raped for a third time. The case formulation identified factors maintaining the disorder as well as how other traumatic and abusive events earlier in her life influenced her response to the rapes. Data consisted off audio-tape recordings and detailed written synopses of each assessment and therapy session, psychometric measurement instruments and self-report scales completed throughout the intervention, material written by the client, and a research interview conducted by an independent party. She was treated for PTSD and comorbid depression over a period of five months in accordance with the principles described by Ehlers and Clark and a narrative of the treatment process was written. The case narrative in conjunction with quantitative data suggested that this model assisted the client in initiating a healing process. As such the model was found to be both effective and transportable to an African context. Various points of discussion are highlighted, including the challenges of working with PTSD and comorbid major depression, the client-therapist relationship, and that a client and therapist from different cultures, backgrounds, and with different home languages can work together effectively using the Ehlers and Clark model.
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Klein, Robert S. "Neuropsychological Functioning in Active Duty Soldiers with Physical and/or Psychological Trauma." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33180/.
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This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.
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Noble, Adam J. "The role of post-traumatic stress disorder in explaining the psychosocial outcome of subarachnoid haemorrhage patients and their informal carers in both the short- and long-term." Thesis, Durham University, 2008. http://etheses.dur.ac.uk/2553/.
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Surviving subarachnoid haemorrhage (SAH) patients' experience significantly reduced health-related quality of life (HRQoL) in both the short- and long-term, as well as mysterious symptoms of fatigue and sleep dysfunction. Patients’ family members and friends - who often act as their informal carers - can also experience psychosocial disability. The cause for these poor outcomes remains unknown. Traditional explanations focusing on the neurological sequelae associated with SAH or the characteristics of the illness are not satisfactory; nor are attempts to explain family members' difficulties on the basis of carer burden. The hypothesis which is tested in this thesis is that post-traumatic stress disorder (PTSD) may be abnormally high in both the SAH patient and 'significant other' (SO) population and that this may explain their outcomes. SAH patients are known to be at risk of suffering from PTSD, but it is unknown if this explains their outcome. In terms of patients' SOs, they are known to experience psychiatric symptoms and I suggest these could be caused by their development of PTSD, but this has never been examined. In Part One (Chapter 2-5), I focus on patients' outcomes. Before examining my PTSD hypothesis, I present a meta-analysis (Chapter 2) I conducted of studies which have tried to explain patients' outcome using neurological factors. I conducted the meta-analysis as a tendency for prior studies to be underpowered and use unreliable statistics could have meant that the actual importance of traditional factors was obscured. The results of my meta-analysis however did not support this possibility and instead showed traditional neurological variables did not explain patients' outcome. With this in mind, I then present a longitudinal study (Chapter 5) in which I examined one of the largest prospective series of SAH patients to establish PTS D's explanative importance. Using regression analyses, this study showed PTSD was the best predictor for patients' mental HRQoL - the domain most persistently impaired. It also helped predict patients' physical HRQoL. Moreover, PTSD was linked to sleep problems and may therefore cause fatigue. Crucially, to establish the cause of PTSD, logistic regression was performed. This showed that maladaptive stress coping strategies were the best predictor for PTSD development. In Part Two of the thesis (Chapter 6), I present my longitudinal study of one of the largest prospective samples of SOs. All SOs were assessed with a diagnostic PTSD measure and coping skills were assessed. An elevated incidence of PTSD was found in both the short- and long-term. Although SOs' PTSD did not impinge on the recovery of the SAH patients being cared for, given that it is important to ensure SOs continue caring, regression results are presented which show the cause of SOs' PTSD was (at least in the short- term) due to the use of maladaptive coping strategies. The overarching conclusion is that the elevated incidence of PTSD in SAH patients and SOs helps explain why they experience psychosocial disability. In the final part of the thesis (Chapter 8) the clinical and theoretical implications of this conclusion are considered, such as that teaching patients and their SOs more effective coping skills might prevent PTSD and psychosocial disability.
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Padmanabhanunni, Anita. "A series of systematic case studies on the treatment of rape-related PTSD in the South African context implications for practice and policy." Thesis, Rhodes University, 2011. http://hdl.handle.net/10962/d1002544.
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In 2009, South African police statistics revealed that more than 68 332 women were raped in the country. The evidence from independent researchers has shown that SAPS statistics are highly susceptible to under-reporting and the actual figure is more than double this amount. One pervasive feature of the phenomenology of rape is post-traumatic stress disorder (PTSD). PTSD is a highly debilitating condition with severe individual and societal costs. The condition takes a critical toll on occupational functioning, schooling and personal relationships and is associated with depression, suicide risk, self-harming behaviours and alcohol-abuse problems. The Ehlers and Clark (2000) cognitive model represents the most efficacious treatment for PTSD but the approach is severely under-utilised by South African practitioners working with sexual trauma. The reasons for such under-utilisation relate to a lack of exposure and training surrounding the model and concerns about the transportability of the treatment to a multi-cultural context. One method of addressing these barriers to treatment delivery is through systematic case-based research. Systematic case-based research offers a complementary means of refining theory and developing evidence-based practice in the context of a developing country. The method offers an intensive analysis and description of the particular phenomena under study within its real-life context. It allows the researcher to intensively examine and identify the specific aspects of the therapist’s responses and client’s reactions that contributed to significant change. Unlike efficacy studies, generalisability in case-study research is based on replication on a case-by-case basis and the creation of case law. This research study uses a systematic-case study approach to investigate the applicability of the Ehlers and Clark (2000) model in the treatment of rape-related PTSD in South Africa. The study aims to demonstrate the transportability of the model and develop a needed evidence base for service providers in the country. Seven women participated in the project and lent their treatment process to the research. The participants varied in terms of age, race, culture, socio-economic status and the nature of their sexual trauma. Through synoptic thematic analysis of their therapy process specific client-related personal aspects, client-related contextual factors and state-level factors were found to impede treatment delivery and implementation. The implications of these aspects for clinical practice and social policy are comprehensively discussed.
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Fagelson, Marc A. "Loudness Growth in Patients with Tinnitus and PTSD." Digital Commons @ East Tennessee State University, 2005. https://dc.etsu.edu/etsu-works/1618.
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Ward, Laurian Gillian. "Family experiences of physical trauma." Diss., Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-04292008-113212.
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Stålnacke, Britt-Marie. "Detection and outcome of mild traumatic brain injury in patients and sportsmen : persisting symptoms, disabilities and life satisfaction in relation to S-100B, NSE and cortisol." Doctoral thesis, Umeå universitet, Institutionen för samhällsmedicin och rehabilitering, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-259.
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Traumatic brain injuries are common (hospitalization incidence: 250-300 per 100.000 inhabitants/year) and a great majority of these injuries (80-85%) are classified as mild traumatic brain injury (MTBI/concussion). Many patients with MTBI (20-80%) suffer from subsequent persistent and often disabling symptoms. In previous studies serum levels of biochemical markers of brain tissue damage (S-100B and neuron-specific enolase, NSE) have been propounded to serve as predictors of persisting symptoms.In the present studies serum concentrations of S-100B, NSE and cortisol in acute phase and post-concussion symptoms, post-traumatic stress-related symptoms, disabilities and life satisfaction one year after the trauma, were investigated in 88 patients (53 men and 35 women) with MTBI. Serum concentrations of S-100B and NSE were also assessed in elite players (n=54) of typical contact sports (ice-hockey and soccer), which are known to be high risk activities with respect to head injury. Basketball players (n=18) were used as a control group. A majority of patients with MTBI showed higher serum concentrations of S-100B, NSE and cortisol on admission compared with a second blood sample obtained about 7 hours later (p<0.001 for all analyses). Sequelae were common one year after the injury. Postconcussion symptoms were encountered in 45 % of the patients, stress-related symptoms in 17 % and disabilities in 48 %, but only 3 patients (4 %) were on sick-leave on follow-up due to the head trauma. There was a statistically significant negative correlation between the total score of life satisfaction and the total score of disability (r= -0.514, p<0.001). Symptoms on admission (dizziness, nausea) and S-100B were statistically significantly associated with disabilities (p<0.024, multiple logistic regression analysis). Nausea on admission was also statistically significantly associated with life satisfaction (p=0.004). A statistically significant association was found only for S-100B with early (0-1 week postinjury, p=0.008) and only for cortisol with late (more than 52 weeks post-injury, p=0.022) post-traumatic stress-related symptoms. Concentrations of S-100B after game were statistically significantly increased in comparison with the levels before game (soccer, p<0.001; ice-hockey, p<0.001; basketball (p<0.001). Concentrations of NSE were only raised after soccer play (p<0.001). Increases in S-100-B (post-game minus pre-game values) were correlated to the number of jumps in basketball play (r=0.706, p=0.002). For soccer, increases in S-100B were correlated to the number of headers (r=0.428, p=0.02) and to the number of acceleration/deceleration events other than heading (r=0.453, p=0.02). The findings provide support for the idea that injury of brain tissue is involved in the genesis of persisting disabilities and long-term changes of life satisfaction in MTBI. Since S-100B increases in serum were correlated to the number of headers and since soccer play also increased serum levels of NSE (in contrast to ice hockey and basketball), it seems that heading may have an impact on brain tissue. The studies have also shown that ordinary playing of the team sports in question (i.e. soccer, ice hockey and basketball) increases S-100B serum concentrations, which has to be taken into consideration when S-100B is used for the detection of injury of brain tissue in sportsmen with acute/overt head trauma during sport practice. An analysis of the biochemical markers of brain damage (in particular S-100B) may be an additional source of valuable information in the management of patients and sportsmen with MTBI. S-100B also seems to be promising for the prediction of impairments and disabilities after MTBI.
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Alizadeh, Amir, and Elisar Kassem. "Patienters upplevelser av kontakten med hälso- och sjukvården vid posttraumatiskt stressyndrom : en litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8890.
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Fagelson, Marc A. "The PTSD Patient in the Audiology Clinic." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1650.
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Posttraumatic stress disorder, or PTSD, is associated with enduring and profound impairments affecting emotional stability and the ability to perform fundamental activities. In our VA tinnitus clinic population, more than 35% of the patients carry the diagnosis. Perhaps of greater concern, PTSD is generally acknowledged to be substantially underreported among children (Herman, 1997). Individuals with PTSD experience disruptions to a variety of life functions, intrusive memories, and other powerful symptoms. Functional and emotional consequences of trauma are measured using a variety of handicap scales, and several physiological measures such as EEG and EKG are altered by the effects of trauma. Additionally, fMRI and PET scans reveal enduring changes to neural structures such as the hippocampus following exposure to traumatic events (Bremner, 2002).
In this eAudiology Web seminar, we will stress that PTSD should be viewed as a psychological injury; the trauma-provoked physiologic changes that influence not only an individual's to function, but also their ability to obtain benefit from medical care. This presentation will also review the history of the PTSD diagnosis and identify specific elements of the injury that are of significance to audiologists.
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Hedlund, Mathilde. "Coping, Psychiatric Morbidity and Perceived Care in Patients with Aneurysmal Subarachnoid Haemorrhage." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ-bibl. [distributör], 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-109761.
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Peng, Xiaomei. "Posttraumatic stress disorder and chronic musculoskeletal pain : how are they related?" Thesis, 2014. http://hdl.handle.net/1805/4659.
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Indiana University-Purdue University Indianapolis (IUPUI)<br>Symptoms of post-traumatic stress disorder (PTSD) are a common comorbidity in veterans seeking treatment of chronic musculoskeletal pain (CMP). However, little is known regarding the mutual influence of PTSD and CMP in this population. Using cross-sectional and longitudinal data from a randomized clinical trial evaluating a stepped care intervention for CMP in Iraq/Afghanistan veterans (ESCAPE), this dissertation examined the relationships between PTSD and CMP along with other factors including depression, anxiety, catastrophizing and health-related quality of life. The Classification and Regression Tree (CART) analysis was conducted to identify key factors associated with baseline PTSD besides CMP severity. A series of statistical analyses including logistical regression analysis, mixed model repeated measure analysis, confirmatory factor analysis and cross-lagged panel analysis via structural equation modeling were conducted to test five competing models of PTSD symptom clusters, and to examine the mutual influences of PTSD symptom clusters and CMP outcomes. Results showed baseline pain intensity and pain disability predicted PTSD at 9 months. And baseline PTSD predicted improvement of pain disability at 9 months. Moreover, direct relationships were found between PTSD and the disability component of CMP, and indirect relationships were found between PTSD, CMP and CMP components (intensity and disability) mediated by depression, anxiety and pain catastrophizing. Finally, the coexistence of PTSD and more severe pain was associated with worse SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Together these findings provided empirical support for the mutual maintenance theory.
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Sherman, Jeffrey J. "The identification of posttraumatic stress disorder in facial pain patients." 1997. http://catalog.hathitrust.org/api/volumes/oclc/48133562.html.
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Ventrano, Victor Albert. "Histologic analysis of cortical tissue from patients with post traumatic stress disorder and chronic traumatic encephalopathy." Thesis, 2017. https://hdl.handle.net/2144/24027.
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BACKGROUND: Mild Traumatic Brain Injury (mTBI) is increasingly recognized as an adverse health consequence for athletes who participate in contact sports, such as football or boxing, as well as military personnel who are exposed to concussive blasts during training and combat operations. A consequence of this repetitive brain injury can be the development of a number of neurodegenerative diseases, particularly chronic traumatic encephalopathy (CTE), a disease involving the buildup of toxic phosphorylated tau (p-tau) in the pre-frontal cortical tissue. Additionally, it has been found that military personnel suffering repeated mTBI from primary blast concussions are prone to development of post traumatic stress disorder (PTSD), a disease that is becoming increasingly common among returning service members. Because mTBI is a common cause for both PTSD and CTE, it is possible for the two diseases to manifest comorbidly in an individual. Though much is known about PTSD psychologically and CTE neuropathologically, little is known about the overlapping effect of the two diseases together as well as PTSD neuropathologically. What is known, however, is that aquaporin-4; a channel involved in the movement of water through the blood brain barrier, is often affected by CTE and may play a role in PTSD as well.
OBJECTIVE: The objective of this study was to primarily to analyze the disruption of aquaporin-4 around cerebral blood vessels due to chronic traumatic encephalopathy. A secondary objective of this project was to determine if any unique physiopathological biomarkers exist in PTSD and if the effects of CTE are exacerbated when present comorbidly with PTSD.
METHODS: This study involved the analysis of multiple cohorts that had suffered from CTE, PTSD and CTE comorbidly, or neither disease as a control. In order to assess the primary objective, two cohorts, a CTE-only and a control, were analyzed to determine the effect of p-tau on aquaporin-4 directly around cerebral vessels in the pre-frontal cortex. The samples were cut from blocks and stained for the desired markers. Following staining, images were taken using a confocal microscope and the images were analyzed using Amaris and FIJI. For the secondary objective, samples were prepared in a similar way with three cohorts: CTE-only, CTE+PTSD comorbid, and a control. Images were obtained and processed in the same way.
RESULTS: It was found that aquaporin-4 density is significantly reduced around both arterial and venous lesional vessels. Additionally, it was found that p-tau was more readily deposited in the depths of the sulci of the pre-frontal cortex due to the unique forces caused by repeated mTBI. However, PTSD was not found to significantly compound the disease when comorbidly present with CTE nor to have a unique biomarkers present.
CONCLUSION: P-tau present in CTE causes a significant reduction in aquaporin-4 around cerebral vessels in the pre-frontal cortex, thereby potentially inhibiting the movement of fluids and clearance of metabolites into and out of the brain. Additionally, p-tau is more readily deposited in the depths of the sulci of the pre-frontal cortex. However, PTSD does not compound the CTE disease process when comorbidly present.<br>2018-07-13T00:00:00Z
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Restaino, Anthony Cole. "Expression of oxidative stress related genes in cortical tissue of patients with post-traumatic stress disorder." Thesis, 2017. https://hdl.handle.net/2144/23732.
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BACKGROUND: In recent years, studies have increasingly pointed to a number of different mechanisms that potentially form the foundation for the neurodegenerative pathology seen in Post-Traumatic Stress Disorder (PTSD). One such mechanism is neural damage due to oxidative stress. This study attempted to identify significantly altered expression levels of particular genes of interest between PTSD and control groups, as well as between PTSD samples and samples exhibiting commonly seen PTSD comorbidities, major depressive disorder (MDD), and depressive disorder not otherwise specified (DepNOS). The genes of interest being pursued in the study encompass the production of reactive oxygen species, such as inflammatory response mechanisms, the processes that control the removal of reactive oxygen species (ROS), and genes that are activated in response to oxidative stress. Other genes of interest involve factors important in the structural integrity of the prefrontal cortex, such as junction proteins, the blood-brain barrier, such as aquaporins, and neuronal integrity. These genes were included due to the evidence of structural degeneration in PTSD patients. A total of 54 genes were tested in all four groups.
OBJECTIVES: To identify and determine genetic differences amongst individuals with PTSD in comparison to non-PTSD sufferers, and sufferers of common PTSD comorbidities.
METHODS: The expression levels of the genes of interest were measured using quantitative polymerase chain reaction (qPCR) techniques. RNA is extracted and collected from tissues samples of deceased military PTSD patients from the prefrontal cortex. The prefrontal cortex derived RNA is used as the experimental samples, due to the prevalence of the pathology of PTSD in this region. Complimentary DNA (cDNA) is reverse transcribed from the collected RNA, and then products of genes of interest are amplified during the qPCR reaction using specifically designed primers. The expression level of the genes of interest were then compared to the ubiquitously expressed gene 18s for normalization calculations. Genetic expression levels in the PTSD, MDD, and DepNOS cohorts were then normalized to the expression of non-PTSD controls.
RESULTS: Of the 54 genes of interest analyzed, two genes, NQO1 and IL-6, exhibited significantly decreased and increased levels of expression in comparison to the control group, respectively (p < 0.05). Alongside this, NQO1 showed significantly decreased expression in comparison to the DepNOS cohort, while IL-6 exhibited significantly increased expression in comparison to the MDD cohort (p < 0.05).
CONCLUSION: Two genes involved with the production and elimination of reactive oxygen species were identified with having significantly altered levels of expression. NQO1, which facilitates the removal of ROS was shown to have significantly lower expression when compared to the control group, indicating an inhibited ability to remove ROS readily. Furthermore, IL-6, a proinflammatory cytokine and a promotor of ROS production, exhibited significantly increased expression, indicating a potential increase in ROS formation. Together these results indicate a potential mechanism for the production and accumulation of ROS in patients with PTSD, leading to the observed neurodegeneration.<br>2018-07-11T00:00:00Z
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Metz, Kristina Lynne. "Predictive factors of Post-Traumatic Stress Disorder in pediatric medical trauma patients : the influence of cognitive development on appraisal factors." Thesis, 2011. http://hdl.handle.net/2152/ETD-UT-2011-12-4497.
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This report will provide an overview of the literature on predictive factors of the development of Post-Traumatic Stress Disorder in pediatric medical trauma patients as well as discuss the influence of cognitive development on the validity of such predictive factors. The report will propose that the validity of current predictive factors, including trauma memory, parental influence, and appraisals of the trauma and its sequelae, may alter across child development due to differences in cognitive abilities. In particular, the report proposes examining the following questions for pediatric patients (5 to 17 years of age) who have endured a medical trauma: 1) Are appraisal predictive values of PTSD moderated by age; 2) Is data-driven processing‟s predictive value of PTSD moderated by parental attitude of avoidance. The report additionally outlines hypotheses as well as proposes the methodology and statistics to examine the proposed hypotheses. Limitations as well as the importance of this study are discussed.<br>text
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Garieballa, Samia Sirag [Verfasser]. "Trauma, post-traumatic stress disorder and psychiatric comorbidity in forensic patients / vorgelegt von Samia Sirag Garieballa." 2005. http://d-nb.info/974328235/34.
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"Individual cognitive-behavioural intervention in car hijacking-related posttraumatic stress disorder." Thesis, 2012. http://hdl.handle.net/10210/5617.
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D.Litt. et Phil.<br>This research focuses on the development of a short-term cognitive behavioural intervention treatment programme for adult victims of hijackings who developed Post-Traumatic Stress Disorder (PTSD) as a result. A programme was developed incorporating previously tested cognitive behavioural techniques and was tailored to the South African context. The need for the study arose out of the serious crime problem facing the South African population.Crime is rampant and has spread to all avenues of people's lives. There is no place that can be presumed to be safe. Being a victim of a car hijacking is a traumatic experience, and the effects thereof are often far-reaching in a person's life. It has been found that many people develop PTSD as a result of an experience, which is out of the range of 'normal' human experience (a trauma).
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Brayshaw, Bertram Maclear. "A psychiatric study of Zulu male certified patients, comparing those who had been exposed to extreme civil unrest before admission, with those who had not been so exposed : with special emphasis on post-traumatic stress disorder." Thesis, 1991. http://hdl.handle.net/10413/2036.
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Foster, Michael Ben. "The impact of combat-related PTSD on employment." Thesis, 2010. http://hdl.handle.net/2152/ETD-UT-2010-12-2278.
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PTSD (Post Traumatic Stress Disorder) has impacted veterans of combat throughout history. With current advances in protective combat armor and in combat medical treatment, more and more of the soldiers who would have perished in the battlefield are being saved and returned home. While their physical wounds may heal, the traumatic events experienced on the battlefield continue to impact their personal, social, and vocational lives. This study explores the perceptions of veterans with respect to their vocational stability and the impact that PTSD has had on their vocational functioning.
Eleven veterans were selected to participate in this qualitative study. These veterans were all veterans of combat actions ranging from the Vietnam War to the current military actions in Iraq and Afghanistan. Once selected, these veterans participated in interviews which explored their vocational history, their perceptions of their employment instability, and their perceptions of the impact that PTSD had on their vocational functioning and employment instability.
Once the interviews were completed, they were transcribed and analyzed using open coding to identify common themes throughout the data. These themes included behavioral issues, perception of treatment, and their military experiences. Each theme was explored and interpreted to identify how PTSD impacted these participants in maintaining employment instability.
Interpretations of the data lead to the conclusion that combat-related PTSD does, as the literature identifies, cause vocational instability. However, the data shows that while the participants did experience vocational instability, it was not because they were typically fired or dismissed from employment, but rather, they quit jobs prior to being fired. The participants were able to identify their triggers and stressors to the point that they simply quit their jobs when these triggers and stressors arose.
Thus, much of their vocational instability may possibly have been prevented had they been able to effectively communicate their stressors and triggers to their employers and co-workers. Limitations of the study as well as implications for practice and future research are discussed.<br>text
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Ross-Durow, Paula Lynn. "Depression and post-traumatic stress disorder in women subsequent to erotic contact with health care professionals a research report submitted in partial fulfillment ... psychiatric-mental health nursing /." 1989. http://catalog.hathitrust.org/api/volumes/oclc/68788470.html.
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Feldmann, Olaf Theodor. "Cue incubation in posttraumatic stress disorder amongst members of the South African Police." Thesis, 2014. http://hdl.handle.net/10210/10266.
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M.A. (Psychology)<br>The present study was undertaken in an attempt to understand and ascertain the nature of PTSD in the South African Police leading to chronic illness and work-related dysfunctions as well as to investigate the possibility of triggering events leading to the loss of latency in PTSD. The specific hypothesis for this study was that a significant proportion of members of the SAP who report for medical treatment of stress-related physical or psychological complaints, will show PTSD in conjunction with a triggering stimulus event prior to the manifestations of the first clinical signs of PTSD. The testing of the hypothesis, entailed utilizing an experimental group. consisting of a number of police officers, who had been referred for psychological and/or medical treatment for work-related disorders. None of these subjects had previously been diagnosed with PTSD. A control group was used that consisted of police officers who had not seen active duty in an area where a traumatic stress disorder event could take place. These subjects were subjected to assessment of PTSD by means of the Mississippi Scale for Combat-Related PTSD, and concomitant stress-related events by means of the Life Experiences Survey. Alienation was assessed by the means of the VSVA. Indices of psychophysiological reactivity were obtained by means of galvanic skin response deviation and heart rate deviation to specific stimuli, including neutral stimuli, war-related stimuli and stimuli with political content.
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"Group art therapy with rape survivors: a postmodern, feminist study." Thesis, 2008. http://hdl.handle.net/10210/1680.
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D.Litt. et Phil.<br>The negative psychological effect of rape on survivors has been extensively researched, with most studies emphasising rape-related Post Traumatic Stress Disorder (PTSD) its symptoms, diagnosis and treatment. Interventions described in the current literature mainly aim at measuring and reducing symptoms, and restoring functioning in rape survivors. Group art therapy has been used with adult and adolescent survivors of incest with encouraging results, but little research has been published regarding its use with rape survivors. My intention in the current study is to examine the utility of a group art therapy intervention with adult female rape survivors in a South African context. I selected a postmodern feminist theoretical basis for the study, and examined the societal discourses that promote women’s disadvantaged status and high levels of rape in South Africa. I used qualitative methods to analyse the art works, journals and transcripts produced by three participants during seven weekly group art therapy sessions. I used postmodern feminist research methods, such as participant observation, reflexivity, and concepts such as situatedness, bodiliness, relatedness and plurality of explanations to assess the women’s lived experience of rape, their recovery from it, and the intervention itself. The current study proposes that analysing the data reveals metaphors, symbols and meanings that represent the lived experience of the women participants in the group art therapy intervention. I used a grounded theory approach to data analysis, as well as methods from content analysis, visual anthropology, iconography, social semiotics and visual cultural studies in order to assist with triangulation of the visual and verbal data. The data was voluminous and rich, and fourteen strands of meaning emerged from the data, consisting of vivid metaphors, visual and verbal symbolic language, and insights into the challenges and victories of each of the participants. I gathered these strands under two overarching themes: one of themes related to the rape, and the other related to the group art therapy experience. I conclude that group art therapy was useful to the participants, and that the data analysis gave considerable insight into the individual nature of recovery from rape, such as coping mechanisms, influence of personality on recovery, the dialectical nature of recovery and the difficulty of recovering from a trauma that affects every area of functioning. The current study provides a structured format for clinicians interested in group art therapy, and I have provided suggestions for those who wish to replicate the intervention. My findings propose that the intervention was a powerful therapeutic tool for the participants, and that it provides a structured short-term group outline for use with the vast numbers of rape survivors in South Africa.
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"Fostering resilience in primary educators: resilient women and their ability to endure, recover and grow through trauma." Thesis, 2011. http://hdl.handle.net/10210/3695.
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D. Ed.<br>Trauma can be described as the emotional shock response to a physical or emotional injury that is overwhelming and has a lasting effect on a person. Based on this definition, trauma can be considered an integral part of life in South Africa. The consequences and effects of trauma are severe, both on individual and society levels. Nobody escapes the effects of trauma, but women and children are particularly vulnerable. Unfortunately the vast majority of South Africans have little or no access to mental health services. Some people, however, seem to be resilient in response to trauma and hardship. Although various definitions of resilience can be found in the literature, resilience is defined in this thesis as the ability and characteristics that enable a person to endure, recover from, and be strengthened to grow personally, regardless of exposure to traumatic life events. Women are generally the primary educators of children in the South African society, whether it be their own children, grandchildren or others. If South African women were equipped with skills that could enable them to deal more effectively with trauma, they would – as primary educators – naturally transfer their skills and knowledge to the children in their care. There exists a need for preventative interventions that may equip women to cope effectively with trauma. Certain educational interventions may provide avenues through which this may be achieved. Educational drama is one such avenue through which women of diverse educational, socio-economical, and cultural backgrounds may be reached in a comprehensible, accessible and non-discriminatory way. In this study a number of issues pertaining to the prevalence of resilience in South African women have been explored and described. The purpose of this study was to create an interactive educational play aimed at facilitating mental health in women exposed to traumatic life events.
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Fourie, Gertruida. "An integrated Ericksonian and ego state intervention for the treatment of survivors of childhood sexual abuse." Thesis, 2011. http://hdl.handle.net/10210/4146.
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D.Litt. et Phil.<br>The objective of this study was to describe, apply and evaluate the effect of an integrated Ericksonian and ego state therapy intervention approach for the treatment of adult survivors of childhood sexual abuse. Sexual abuse rips away an invaluable inner resource from the victim and this needs to be restored during the healing process. Every adult survivor presents a unique pattern of symptoms and effects of having experienced childhood sexual abuse. Therefore, it was necessary to plan an intervention strategy individualised according to each sexually abused person's unique experience. Therapeutic models and approaches developed to assist in the treatment of adult survivors of childhood sexual abuse are available but not always comprehensive and often not evaluated. Thus, evaluated studies that determine the effectiveness of distinct strategies and procedures for treating sexual abuse, are required. Psychological research regarding sexual abuse has tended to focus on aspects related to pathology. This study aimed to explore the possibilities for treatment plans for sexually abused individuals from the salutogenic/fortigenic perspective. This focus emphasises the promotion of strengths, well-being and wholeness. Accordingly, both the Ericksonian and ego state therapy approaches acknowledge the existence of resources within an individual, and therefore focus on the utilisation and mobilisation of strengths and resources during psychotherapy. In 2002, Hartman integrated these two approaches and proposed the Utilisation Model of Ego State Therapy, which included principles of the SARI Model (Frederick & McNeal, 1999; Phillips & Frederick, 11 1995), which was primarily developed for the treatment of trauma and dissociative disorders. Therefore, this study described, applied and evaluated the application of the Utilisation Model of Ego State Therapy as a broad and integrated approach for intervention with adult survivors of childhood sexual abuse.
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Manganye, Leslie. "The re;lationship between posttraumatic stress disorder and alcohol use : a qualitative study of out-patients in Thulamela hospitals in Vhembe District Municipality of Limpopo Province." Diss., 2014. http://hdl.handle.net/11602/149.
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Martin, James Henry Iain. "Carrying the torch of hope: survivors' narratives of trauma and spirituality." Diss., 2003. http://hdl.handle.net/10500/1311.
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This research journey examines the process of co-creating, along with my co-travellers (research participants), a more holistic approach to trauma debriefing. Whilst incorporating elements of Mitchell's (1983) Critical Incidence Stress Debriefing model (C.I.S.D.), our point of difference has been to adopt a narrative pastoral approach. This was achieved by introducing spirituality and narrative therapy practices. Our research pathway has been further shaped by adopting a qualitative research approach within a postmodern, social construction discourse.
My research curiosity was invited by both the mind, body and soul divide expressed in psychology; and the healing possibilities of spirituality I have witnessed in both my own and in the lives of others. While my co-travellers predominantly preferred to express their spirituality in terms of Christianity, our narrative pastoral approach to trauma debriefing is offered to people of all religious persuasions.<br>Practical Theology<br>M.Th. (with specialisation in Pastoral therapy)