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1

Hulette, Annmarie Cholankeril. "Intergenerational Relationships between Trauma, Dissociation, and Emotion." Thesis, University of Oregon, 2011. http://hdl.handle.net/1794/11929.

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xvii, 103 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.
The purpose of this study was to investigate intergenerational relationships between trauma, dissociation, and emotion. Short and long term consequences of betrayal trauma on cognitive and emotion coping strategies in a sample of 67 mother-child dyads were explored. Group comparison, correlation, and regression strategies were used to examine relationships between the following variables: maternal and child trauma histories, maternal and child dissociation, maternal alexithymia, and child emotion coping strategies in response to distressful events. Experiences of high betrayal trauma were found to be related to higher levels of dissociation in both children and mothers. Furthermore, mothers who experienced high betrayal trauma in childhood and were subsequently interpersonally revictimized in adulthood were shown to have higher levels of dissociation than a group of mothers who had experienced high betrayal trauma in childhood but were not revictimized in adulthood. This may indicate that dissociation from a history of childhood betrayal trauma involves a persistent unawareness of future threats in the environment. Additional evidence consistent with this hypothesis was found. Maternal revictimization status was related to child interpersonal trauma history, suggesting that a dissociative unawareness for threats may extend to children. More generally, an association was found between maternal interpersonal trauma history and child interpersonal trauma history. Maternal dissociation was also predictive of maternal alexithymia. This relationship was examined because mothers high in alexithymia were hypothesized to display deficits in emotion socialization that could put their children at greater risk for dissociation. Evidence consistent with a relationship between maternal alexithymia and child dissociation was found. Furthermore, a significant association between maternal alexithymia level and child emotion coping strategy was revealed. Children with highly alexithymic mothers displayed higher levels of passive emotion coping strategies on a task assessing their reactions to a distressful parent-child event. This study provides evidence that the experience of parental trauma has intergenerational effects on children. It is an important first step towards longitudinal studies that can provide additional clarification of the nature of the relationships between these variables, as well as parent-child intervention studies that may help to prevent child trauma exposure and reduce symptomatology.
Committee in charge: Jennifer Freyd, Chairperson, Psychology; Jennifer Ablow, Member, Psychology; Philip Fisher, Member, Psychology; Debra Eisert, Outside Member, Special Education and Clinical Sciences
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2

Gatten, Shauna L. "Construct validation of the trauma-stren conversion : age, religiosity, mental health, and self-esteem." Virtual Press, 1987. http://liblink.bsu.edu/uhtbin/catkey/482303.

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Up to this point much of what has been learned regarding individuals' stress responses has been derived from the study of individuals who have suffered from psychopathology or physical illness. Recent research, however, has demonstrated a shift in focus toward individuals who effectively cope with stressful experiences. For example, previous research has identified a type of "conversion" process whereby an initially traumatic event is evaluated and later recognized to have positive effects through its assimilation into a new cognitive framework emphasizing psychological growth and adaptation. The present study investigated the conversion phenomenon, examining the relationship between older and younger subjects' perceptions of significant events and their current level of mental health, self-esteem and religious orientation. Results found conversion to be related to religiosity but not to age, self-esteem or transient mental health status. The findings are discussed and implications for future research are identified.
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3

McElroy, Sarah Kobielski. "Role of Meaning Making in the Association between Multiple Interpersonal Traumas and Post-Traumatic Adaptation." Bowling Green, Ohio : Bowling Green State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1245674525.

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4

Ingram, Lindsay D. Weathers Frank W. "Investigation of trauma type differences using the Personality Assessment Inventory." Auburn, Ala., 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SPRING/Psychology/Thesis/Ingram_Lindsay_35.pdf.

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5

Gershuny, Beth S. "Structural models of psychological trauma, dissociative phenomena, and distress in a mixed-trauma sample of females : relations to fears about death and control /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9974632.

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6

Van, Niekerk Lydia Mary. "Personality changes after complex trauma : a literature survey and case study." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52994.

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Thesis (MA)--University of Stellenbosch, 2002.
ENGLISH ABSTRACT: A century of clinical observations and literature has repeatedly noted that trauma responses occur in across a spectrum and on a continuum of severity. The existing, DSMIV trauma response classifications include Acute Stress Disorder and PTSD as anxiety disorders. Complex PTSD or DESNOS was considered as a proposed, alternative classification during the DSM-IV PTSD Field Trials. It was not included as a separate diagnosis, but briefly mentioned as an associated feature ofPTSD. Subsequent research and replica studies have not proved conclusively whether Complex PTSD should be a separate or associated feature ofPTSD, and the controversy continues to date. Childhood traumatization is strongly associated with adult psychopathology, and various Axis I and Axis II disorders, especially Borderline Personality Disorder, and to a lesser extent, Antisocial Personality Disorder. Prolonged, repeated traumatization during adulthood is also associated with subsequent Axis II pathology, including Borderline, Obsessive-Compulsive and Avoidant Personality Disorders. Chronically traumatized people with Axis II pathology often present with comorbid Axis I disorders including Major Depression, PTSD, Substance Abuse, Somatization Disorder, and Dissociative Disorders. There are divergent views regarding the etiology of personality disorders in chronically traumatized individuals. On the one hand, repeated, prolonged trauma could cause enduring personality dysfunction in individuals despite normal premorbid functioning. On the other hand, genetics, temperament, environmental factors and even a pre-existing stress diathesis in the pre-trauma personality could contribute to the development of post-trauma personality disorders. These two views do not necessary contradict each other, but illustrate the complexity the human stress reaction. Despite the controversy the inclusion of DESNOS into the diagnostic canon, it is a valuable measure of predicting prognosis to existing treatment options. The present main psychological treatment for post-traumatic stress disorders has been a cognitive-behavioral based, exposure intervention. Alternative therapies include psychodynamic approaches, pastoral interventions and more recently, ecological and recovery based models. The Complex PTSD conceptualization contributes to a better understanding of the personality structure of chronically traumatized people. There are three main areas of disturbance. Firstly, a complex symptomatic presentation including somatization, dissociation, and affect dysregulation. Secondly, deep characterological shifts including deformations in concepts of relatedness and identity. Thirdly, and increased vulnerability to harm, either self-inflicted or at the hands of others. The usefulness of integrating these three concepts into the personality conceptualization of chronically traumatized individuals is illustrated a case study.
AFRIKAANSE OPSOMMING: Die literatuur en kliniese waarneming vand die afgelope eeu dui herhaaldelik op trauma reaksies oor 'n spektrum. In die bestaande DSM-IV stelsel, val trauma reaksies net Akute Stress Steuring and Post-Traumatiese Stress Steuring. Hoewel Komplekse PTSD in 1992 voorgestel was as 'n alternatiefin die DSM-IV, is dit nie as aparte diagnose ingesluit is nie, maar wel wel gelys as geassosieerde symptoom van PTSD. Latere navorsing en duplikaat studies het nog nie konklusiefbewys of Komplekse PTSD 'n geassosieerde or aparte simptoom van PTSD is nie, en debat duur nog voort. Trauma gedurende kinderjare word sterk geassosieer met volwasse psigopatologie en verskeie As I en As II steurings, veral Grenslyn Persoonlikheids Steuring, en tot In mindere mate, Antisosiale Persoonlikheids Steuring. Langstaande, herhaalde traumatisering gedurende volwassenheid word ook geassosieer met latere As II patologie, insluitende, Grenslyn, Obsessief-Kompulsief en Vermydende Persoonlikheids Steurings, Kronies getraumatiseerde individue met As II patologie presenteer ook dikwels met komorbiede As II steurings insluitende Major Depressie, Post-Traumatiese Stres Steuring, Somatiserings Steuring, and Dissosiatiewe Steurings. Daar is uiteenlopende sienings oor die etiologie van persoonlikheids steurings in kronies getraumatiseerde individue. Aan die een kant, kan langstaande, herhaalde trauma persoonlikheids veranderinge veroorsaak ongeag normale premorbide funksionering. Aan die ander kant, kan genetika, temperament, omgewing en'n pre-morbide stressvatbaarheid almal bydra tot die ontwikkeling van post-trauma persoonlikheids steurings. Hierdie twee sienings weerspreek mekaar nie noodwendig nie, maar dui op die kompleksiteit van die menslike stres reaksie. Ongeag die akademiese debakeloor die insluiting van die Kompleks PTSD konseptualisasie in DSM-IV diagnostiese stelsel, is dit 'n waardevolle praktiese meetinstrument van prognose onder bestaande behandelings opsies. Tot dusver word die primere sielkundige intervensies gebaseer op 'n kognitiewe-gedragsterapie model. Alternatiewe terapieë sluit in psigodinamiese, pastorale en meer onlangse ekologiese en herstel-gebasseerde intervensies. Die Kompleks PTSD konseptualisasie dra by tot beter kennis oor die persoonlikheids struktuur van kronies, getraumatiseerde mense. Daar is drie hoof areas of versteuring. Eerstens, a komplekse simptomatiese presentasie insluitende somatisering, dissosiasie en affek disregulasie. Tweedens, diep veranderings in karakter insluitende versteurings in identiteit en interpersoonlike verhoudings. Derdens, in groter vatbaarheid vir seerkry, of aan hulle eie hande, of aan die hande van ander. Die waarde van die integrasie van hierdie drie konsepte in die persoonlikheids konseptualisasie van kronies getraumatiseerde individue word geillustreer deur 'n gevallestudie.
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7

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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8

Jayroe, Susannah Katherine. "Meat Shack and Other Creative Works." PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/3946.

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The works of creative writing which culminate in this thesis explore themes of everyday trauma, the gendered body as rendered in writing, and writing as propelled by the aural senses above factors such as logic and plot. Dysphoria of identity through gendered, geographical, and institutional means pervades each work in instances that range from the subtle to the all-consuming. Rhythm and intuition bond at the sentence level in each work, rendering a wildness to the pages. Moved by sensation rather than a drive to make something abundantly clear, the revelations of reading arrive at a level of the associative, the dreamy, and the sound of certain syllables and words as juxtaposed with deliberation posing as spontaneity. Grappling with a simultaneous urge to assimilate and to reject societal and geographical cultural norms, there is a fraught tension and a charged friction to the entire thesis herein.
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9

Cole, Alison S. "Differential adjustment among sexual assault survivors predicting positive outcomes /." Diss., Online access via UMI:, 2008.

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10

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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11

Buchianeri, Luís Guilherme Coelho [UNESP]. "Velocidade e tédio: o paradoxo da adolescência no mundo contemporâneo." Universidade Estadual Paulista (UNESP), 2012. http://hdl.handle.net/11449/105616.

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Made available in DSpace on 2014-06-11T19:35:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2012-02-10Bitstream added on 2014-06-13T18:46:07Z : No. of bitstreams: 1 buchianeri_lgc_dr_assis.pdf: 427890 bytes, checksum: b69c24604ad5af2fe659d09f81f02536 (MD5)
O mundo hipercinético da atualidade toca profundamente a subjetividade, fazendo emergir na superfície da conduta formas de ser e agir típicas, resultantes de elaborações cognitivas, emocionais e afetivas, que processam a experiência de tal aceleração da vida e ampliação do espaço. Dentre as subjetivações da velocidade, no mundo contemporâneo, destacamos o tédio como uma das principais, ainda que ele esteja sendo confundido com a depressão, por manter com ela uma sintomatologia semelhante, embora seja bem distinto quanto à sua gênese e dinâmica psicológica. Neste trabalho, além das considerações acerca do tédio, na adolescência, há também reflexões a respeito da noção de trauma. O conceito de trauma, que foi tão útil e iluminador em tempos outros, já não possui o mesmo valor heurístico, porque os processos de subjetivação, na atualidade, não carregam, como outrora, as marcas de embates, contradições, conflitos ou choques brutais. O mundo atual não se funda mais na lógica do conflito e do confronto, como ocorreu com a modernidade do século XVIII até o final do século XX, e, apesar de ser um mundo supermovimentado e acelerado, por isso mesmo, potencialmente capaz de produzir colisões, desenvolve mecanismos de ordenação e controle das mobilidades extremamente sofisticados, evitando “acidentes de trânsito”, especialmente no plano do trânsito psicológico (emocional, afetivo, dos vínculos e relacionamentos). O mundo que admitia ou até cultuava o sacrifício e o sofrimento cedeu lugar para um mundo que cultua o prazer, a felicidade e a frivolidade da vida. Há uma tendência ao esmaecimento do trauma, para seu deslocamento como experiência fundante do sujeito e do mundo...
The hyperkinetic world of today deeply touches the subjectivity, bringing out to the surface of the behavior typical forms of acting and being, resulting from cognitive, emotional and affective elaborations, which process the experience of such life and accelerating expansion of the space. Among the subjectivations of speed, in the contemporary world, we point out the boredom as one of the major. Although boredom is being confused with depression, for keeping with it similar symptoms, they are quite different as to their genesis and psychological dynamics. In this work, in addition to considerations about the boredom in adolescence, there are also considerations about the notion of trauma. The concept of trauma, so helpful and enlightening in other times, no longer has the same heuristic value, because the processes of subjectification, at present time, do not carry, as then, marks of struggle, contradictions, conflicts and brutal shock. The world today is no longer on the logic of conflict and confrontation, as it happened with the modernity of the eighteenth century until the late twentieth century. Moreover, despite being a super busy and fast-paced world, therefore, potentially able to produce collisions, develops mechanisms for ordering and control of highly sophisticated mobility, preventing traffic accidents, especially in terms of psychological traffic (emotional, affective bonds and relationships). The world that worshiped or even admitted sacrifice and suffering has given way to a world that worships... (Complete abstract click electronic access below)
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12

Van, der Merwe Amelia. "“Soos 'n vuil hond het ek gevoel” : shame narratives in South African survivors of chronic trauma." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85665.

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Thesis (PhD)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Both chronic trauma and shame, as well as the relation between them, are understudied phenomena. This is despite particularly high levels of both trauma- and shame-related psychopathology in South Africa (Edwards, 2005). I conducted a qualitative study exploring experiences of trauma, shame, post-traumatic reactions and coping mechanisms in single interviews with 19 South African survivors of chronic trauma (intimate partner violence) using narrative analysis. Results from the categorical content analysis indicated that all but one participant reported a history of physical violence perpetrated by her intimate partner. Sexual and emotional violence were also reported by the majority of the participants. The most significant reported mental health outcomes were persistent fear, depression and suicidality, dissociation and somatic complaints. Coping mechanisms included religion, support from family, counselling and substance misuse. Using smiling as a mask to conceal difficult feelings and keeping occupied were cited as the most effective defenses. Shame was viewed as a social emotion, and often described as humiliation (and sometimes embarrassment), which required the presence of a mocking, hostile audience. This was interpreted in socio-cultural terms. Eleven women presented with a split self – the authentic self who admitted to a great deal of shame when asked indirectly, and the false self who was described in surprisingly positive terms. I analysed this split using categorical content analysis and narrative analysis from a social constructivist point of view at individual (clinical) level, organisational (micro-cultural) level, and broader cultural level. I used Gee’s (1991) categorical form analysis to analyse five long complex shame and trauma narratives with the aim of determining if psychic fragmentation presents at linguistic level. I also analysed three short, compressed trauma and shame narratives. The structure of the short narratives tended to be circular, erratic, disjointed, and interrupted (Scarry, 1985; Simon, 2008). The three short, compressed trauma narratives were characterised by long pauses or silences, hesitations, avoiding eye contact, hunching over, covering the face with clothes, whispering, so making the narrative almost inaudible, crying, and defensive leaning in towards me, and laughing. These women were exceptions – most women expressed an urgency to talk about their experiences in great detail. Although the longer narratives are essentially fractured chaos narratives at linguistic level, they contain predominant trauma- and shame-related themes that are consistent throughout the narratives and that remain intact in spite of the signs of linguistic disruption and fragmentation. They are, in order of narratives, 1) shame/self-blame and deservedness; 2) truth/lies and bearing witness; 3) shame, humiliation and dissociation; 4) the concealed, shame-based self, including amnesiac-like disorientation of place and time; and 5) patterns of cyclical leave-return reflecting perpetrator-instilled abandonment terror, including disorientation of time. I have argued that although language, or narrative structure, continues to mimic and reflect narrative content (fractured narratives vs fractured selves) – there is also the intriguing possibility of a disconnection between form and content; and that thematic coherence or consistency and narrative fracturing can co-occur; co-exist. There are a number of clinical features in the narratives which are either related to, or comprise diagnostic criteria for chronic trauma syndromes such as chronic PTSD and DESNOS, and intersect with shame themes in the narratives I analysed. Consequently, I argue that there is a substantial intersection or co-occurrence between exposure to chronic trauma, and trauma-related clinical symptoms, including shame, which emerge from the narratives, which without exception, demonstrate significant linguistic fracturing. In conclusion, a number of gaps in the literature were identified. Future research should triangulate methods and chronic trauma prevalence and longitudinal studies are needed both internationally and locally.
AFRIKAANSE OPSOMMING: Sowel kroniese trauma as skaamte, en die verhouding tussen die twee, is tot dusver onvoldoende bestudeer – ondanks die besonder algemene voorkoms van trauma- en skaamte-verwante psigopatologie in Suid-Afrika (Edwards, 2005). Ek het ʼn kwalitatiewe studie onderneem en die ervaring van trauma, skaamte, post-traumatiese reaksies en oorlewingsmeganismes ondersoek in indiwiduele onderhoude met 19 Suid-Afrikaanse oorlewendes van kroniese trauma (geweld in intieme verhoudings). In my ondersoek het ek van narratiewe analise gebruik gemaak. Resultate van die kategoriese inhoudsanalise dui aan dat ál die vroue in die bestudeerde groep, behalwe een, ‘n geskiedenis van fisieke geweld gerapporteer het wat deur haar ‘partner’ gepleeg is. Seksuele en emosionele geweld is ook deur die meerderheid van die groep gerapporteer. Die mees betekenisvolle uitkomste in verband met psigiese gesondheid was voortdurende angs, depressie, selfmoordneigings, dissosiasie en somatiese klagtes. Oorlewingsmeganismes was onder andere godsdiens, berading en dwelms. Om ʼn glimlag te gebruik as masker vir die verberging van pynlike emosies, en om besig te bly, is genoem as die effektiefste verdedigingsmeganismes. Skaamte is gesien as ‘n sosiale emosie, en is dikwels ‘vernedering’ genoem (soms ʼn ‘verleentheid’), wat die teenwoordigheid van spottende, vyandige toeskouers impliseer. Skaamte is in die studie in sosio-kulturele terme geïnterpreteer. Elf vroue het 'n gesplete self vertoon – die outentieke self wat 'n groot hoeveelheid skaamte erken het wanneer hulle indirek daaroor uitgevra is, teenoor die valse self wat in verbasend positiewe terme beskryf is. Ek het hierdie gesplete self geanaliseer met gebruikmaking van kategoriale inhoudsanalise en ook van narratiewe analise uit 'n sosiaal-konstruktiewe perspektief – op 'n indiwiduele (kliniese), organisatoriese (mikro-kulturele) en ‘n breër kulturele vlak. Ek het Gee (1991) se kategoriale vorm-analise gebruik om vyf lang, komplekse skaamte- en traumanarratiewe te analiseer om te bepaal of psigiese fragmentering op 'n linguistiese vlak manifesteer. Ek het ook drie kort, gedronge trauma- en skaamtenarratiewe geanaliseer. Die struktuur van die kort narratiewe was geneig om sirkulêr, wisselvallig, onsamehangend en onderbroke te wees (Scarry, 1985; Simon, 2008). Die drie kort, gedronge traumanarratiewe is gekenmerk deur lang stiltes, aarseling, vermyding van oogkontak, vooroor buk, bedekking van die gesig met klere, fluistering (sodat die narratief byna onhoorbaar geword het), gehuil, defensiewe oorleun na my toe, en gelag. Hierdie drie vroue was uitsonderings – die meeste vroue het 'n dringende behoefte laat blyk om in fyn besonderhede oor hulle ervarings te praat. Alhoewel die langer narratiewe op 'n linguistiese vlak wesentlik gefragmenteerde chaos-narratiewe is, bevat hulle dominante trauma- en skaamte-temas wat konsekwent deur die verhale aanwesig bly ondanks die tekens van linguistiese disrupsie en fragmentering. Hulle is, in die volgorde van die narratiewe, 1) skaamte/selfblamering en verdiende loon; 2) waarheid/leuens en getuienis aflê; 3) skaamte, vernedering en dissosiasie; 4) bedekte, skaamte-gebaseerde self, insluitend die amnesieagtige disoriëntering van plek en tyd; en 5) patrone van sikliese vertrek en terugkeer, insluitend 'n disoriëntering van plek en tyd – 'n refleksie van die vrees om alleen gelaat te word, veroorsaak deur die gewelddadige optrede teen haar. Ek het geredeneer dat, alhoewel taal/ narratiewe struktuur geneig is om narratiewe inhoud na te boots en te reflekteer (gefragmenteerde narratiewe naas gefragmenteerde self) – is daar ook die interessante moontlikheid van 'n diskonneksie tussen vorm en inhoud; en dat tematiese samehang of konsekwentheid saam met narratiewe fragmentering kan voorkom. Daar is 'n aantal kliniese kenmerke in die narratiewe wat diagnostiese kriteria bevat vir kroniese trauma-sindrome soos kroniese PTSD en DESNOS, en wat verband hou met skaamtetemas in die betrokke narratiewe. Gevolglik redeneer ek dat daar 'n substansiële oorvleueling of saambestaan is van die blootstelling aan kroniese trauma en trauma-verwante kliniese simptome, insluitend skaamte. Dit kom na vore in die geanaliseerde narratiewe, wat sonder uitsondering deur linguistiese fragmentering gekenmerk word. Ten slotte is ‘n aantal leemtes in die literatuur geïdentifiseer. Toekomstige navorsing behoort metodes en algemeen-voorkomende kroniese trauma te trianguleer en longitudinale studies, plaaslik en internasionaal, word benodig.
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Appelt, Ilse. "Narratives of hope : trauma and resilience in a low-income South African community." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/956.

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Daniels, Jennifer B. Burkhart Barry R. "Writing as a coping mediator between psychological and physical health." Auburn, Ala, 2008. http://hdl.handle.net/10415/1500.

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Carr, Jamie Alexandra. "Lion in Summer & Other Beasts." PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1873.

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Lion in Summer & Other Beasts is an investigation into point of view, place and the fragment. Many of the characters are searching for a sense of home outside of their birthplace, in cities such as New York City, Charleston, Portland and Tel Aviv. Major themes include alienation, love and trauma.
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Vos, Sanel Marriet. "An application of the transtheoretical model to a case of sexual trauma in middle childhood." Thesis, Stellenbosch : University of Stellenbosch, 2005. http://hdl.handle.net/10019.1/2938.

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Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process.
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Manfroni, Antje. "An exploration of the role of the therapeutic relationship in the treatment of complex trauma : a psychodynamic-phenomenological case study." Thesis, Stellenbosch : Stellenbosch University, 2007. http://hdl.handle.net/10019.1/20447.

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Thesis (MA)--University of Stellenbosch, 2008.
ENGLISH ABSTRACT: Sometimes it is not entirely clear why certain clients improve. Critical clinical ingredients which may have led to this improvement or recovery are hard to identify and describe and decisions about therapeutic interventions often appear to be intuitive rather than following a strict modus operandi. This is true particularly if refractory or chronic cases start to improve and maintain this improvement. Refractory and chronic cases are the norm amongst clients suffering from complex, chronic trauma, also termed complex PTSD. Complex trauma is a multi-facetted, often multi-layered condition. It includes damage to the individuals’ self and to her ability to interpersonally relate, additionally to the DSM IV TR diagnosis of PTSD. Due to the manifold unique presentations of the syndrome, particular after long-term exposure and confounded by co-morbidities and rigid defenses, it is difficult to diagnose and treat the condition effectively. This study focuses on one such complex trauma case with an initially very poor prognosis, which improved significantly over a treatment period of eighteen months. The therapeutic intervention and progression of the case are closely examined, using the phenomenological method, with the aim of discerning and describing themes and patterns that could assist in understanding the healing process of this client during therapy and to promote further research in this regard. Integration of psychodynamic conceptualization, particularly self-psychology and intersubjectivity, and person-centered, supportive therapeutic methods were found helpful in the treatment of this case. The common factor to these approaches is their emphasis on the relationship between client and therapist. This therapeutic relationship was concluded to be the determining factor in the successful treatment of this client, because it addressed damage to self and to her relational ability. The research took place concurrent to the therapy with the client and this process led to a degree of integration on three levels: integration of the client’s self and interpersonal functioning, integration of the abovementioned approaches to form a creative synthesis in the therapist’s individual approach to trauma clients, and the integration of a phenomenological methodology with a psychodynamically conceptualized case study. It is noted that the theoretical explorations and therapeutic procedures described and explored in this study are but one way to conceptualize and treat complex trauma.
AFRIKAANSE OPSOMMING: Somtyds is dit nie duidelik hoekom sekere kliente se toestand verbeter nie. Dit is soms moeilik om die kritiese bestanddele wat tot hierdie verbetering of herstel gelei het, te identifiseer en te beskryf. Besluite met betrekking op therapeutiese intervensies blyk dikwels eerder intuitief, as die gevolg van ‘n streng modus operandi, te wees. Dit is spesifiek die geval wanneer chroniese en hardnekkige gevalle begin om te verbeter en die verbetering volhou. Hardnekkige en chroniese gevalle is nie ongewoon by kliente wat aan komplekse, chroniese trauma - ook genoem komplekse post-traumatiese stressversteuring - ly nie. Komplekse trauma is ‘n multi-fasettige toestand, wat dikwels ‘n verskeidenheid lae of vlakke van versteuring opwys. Dit sluit skade tot die individu se self in, asook verlies aan vaardigheid om met ander mense suksesvolle interpersoonlike verhoudings op te bou. Hierdie kenmerke is toevoegings tot die diagnose van die sindroom soos uitgevoer in die DSM IV TR. As gevolg van die meervoudige unieke voorstellings van die sindroom - in besonder na langtermyn blootstelling en verwarring deur co-ongesteldhede en rigiede verdedigings - is dit moeilik om die toestand korrek te diagnoseer en efektief te behandel. Hierdie studie fokus op die soort geval wat aanvanklik ‘n baie swak prognose gehad het, maar vervolgens oor ‘n tydperk van 18 maande ‘n beduidende verbetering getoon het. Die terapeutiese intervensie en die progressie van die geval is in hierdie studie noukeurig ondersoek, deur gebruik te maak van fenomenologiese ondersoekmetodes, met die doel om temas en patrone vas te stel en te beskryf wat die begrip van die genesingsproses van die klient gedurende terapie moontlik kan bevorder, en wat verdere navorsing op hierdie gebied kan stimuleer. Integrasie van psigodinamiese konseptualisering (spesifiek self-sielkunde en intersubjektiwiteit) asook persoongesentreerde, ondersteunende beradingsmetodes, is as waardevol bevind in die behandeling van hierdie geval . Die gemeenskaplike faktor tot hierdie benaderings is die klem op die verhouding tussen klient and terapeut. Die gevolgtrekking is gemaak dat hierdie terapeutiese verhouding die bepalende faktor in die sukkesvolle behandeling van hierdie klient was, omdat dit sowel die skade aan die self as die verlies aan die vaardigheid om verhoudings te bou, aangespreek het. Die navorsing en die terapeutiese intervensie met die klient het terselftertyd plaasgevind, en die proses het ten slotte tot ‘n mate van integrasie op drie vlakke gelei: integrasie van die klient se self en herstelling van interpersoonlike funksionering, integrasie van die bogenoemde benaderings wat tot ‘n kreatiewe sintese in die berader se benadering tot trauma behandeling gelei het, en die integrasie van fenomenologiese metodes en psigodinamies konseptualisering in ‘n gevallestudie. Dit is belangrik om in gedagte te hou dat die teoretiese navorsing en praktiese prosedures wat in hierdie studie beskryf en uiteengesit is, net een manier is om komplekse trauma te konseptualiseer en te behandel.
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18

Buchianeri, Luís Guilherme Coelho. "Velocidade e tédio : o paradoxo da adolescência no mundo contemporâneo /." Assis : [s.n.], 2012. http://hdl.handle.net/11449/105616.

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Orientador: José Sterza Justo
Banca: José Artur Molina
Banca: Cristina Amélia Luzio.
Banca: Lauro Cesar Ibanhes
Banca: Antônio Carlos Barbosa da Silva
Resumo: O mundo hipercinético da atualidade toca profundamente a subjetividade, fazendo emergir na superfície da conduta formas de ser e agir típicas, resultantes de elaborações cognitivas, emocionais e afetivas, que processam a experiência de tal aceleração da vida e ampliação do espaço. Dentre as subjetivações da velocidade, no mundo contemporâneo, destacamos o tédio como uma das principais, ainda que ele esteja sendo confundido com a depressão, por manter com ela uma sintomatologia semelhante, embora seja bem distinto quanto à sua gênese e dinâmica psicológica. Neste trabalho, além das considerações acerca do tédio, na adolescência, há também reflexões a respeito da noção de trauma. O conceito de trauma, que foi tão útil e iluminador em tempos outros, já não possui o mesmo valor heurístico, porque os processos de subjetivação, na atualidade, não carregam, como outrora, as marcas de embates, contradições, conflitos ou choques brutais. O mundo atual não se funda mais na lógica do conflito e do confronto, como ocorreu com a modernidade do século XVIII até o final do século XX, e, apesar de ser um mundo supermovimentado e acelerado, por isso mesmo, potencialmente capaz de produzir colisões, desenvolve mecanismos de ordenação e controle das mobilidades extremamente sofisticados, evitando "acidentes de trânsito", especialmente no plano do trânsito psicológico (emocional, afetivo, dos vínculos e relacionamentos). O mundo que admitia ou até cultuava o sacrifício e o sofrimento cedeu lugar para um mundo que cultua o prazer, a felicidade e a frivolidade da vida. Há uma tendência ao esmaecimento do trauma, para seu deslocamento como experiência fundante do sujeito e do mundo... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: The hyperkinetic world of today deeply touches the subjectivity, bringing out to the surface of the behavior typical forms of acting and being, resulting from cognitive, emotional and affective elaborations, which process the experience of such life and accelerating expansion of the space. Among the subjectivations of speed, in the contemporary world, we point out the boredom as one of the major. Although boredom is being confused with depression, for keeping with it similar symptoms, they are quite different as to their genesis and psychological dynamics. In this work, in addition to considerations about the boredom in adolescence, there are also considerations about the notion of trauma. The concept of trauma, so helpful and enlightening in other times, no longer has the same heuristic value, because the processes of subjectification, at present time, do not carry, as then, marks of struggle, contradictions, conflicts and brutal shock. The world today is no longer on the logic of conflict and confrontation, as it happened with the modernity of the eighteenth century until the late twentieth century. Moreover, despite being a super busy and fast-paced world, therefore, potentially able to produce collisions, develops mechanisms for ordering and control of highly sophisticated mobility, preventing "traffic accidents", especially in terms of psychological traffic (emotional, affective bonds and relationships). The world that worshiped or even admitted sacrifice and suffering has given way to a world that worships... (Complete abstract click electronic access below)
Doutor
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19

Kenny, Lucy Margaret Psychology Faculty of Science UNSW. "Memory processes in posttraumatic stress disorder." Awarded by:University of New South Wales. School of Psychology, 2006. http://handle.unsw.edu.au/1959.4/25206.

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Current theories of PTSD propose that impaired retrieval of trauma memories may impede processing of these memories and subsequent trauma recovery. This thesis investigated memory retrieval processes in trauma survivors with and without symptoms of posttraumatic stress, and in non-traumatised individuals exposed to a highly arousing event. Study 1 examined deliberate avoidance of unwanted memories in recent trauma survivors. The results indicated that attempts to forget were associated with poorer recall of forgotten information, but the size of this effect did not depend on the presence or absence of Acute Stress Disorder (ASD). Study 2 investigated automatic retrieval inhibition in trauma survivors with or without Posttraumatic Stress Disorder (PTSD). The results suggested that repeated retrieval of trauma-related information by individuals with PTSD can cause inhibition of related, but unpractised information. Studies 3 and 4 examined the relationship between the vantage point of trauma memories, avoidance and posttraumatic stress symptomatology. The findings indicated that recalling a traumatic event from an observer perspective is associated with post trauma avoidance. They also showed that an observer vantage point in the initial few weeks after trauma is associated with poorer long-term post trauma adjustment. Studies 5, 6 and 7 were analogue studies which analysed the impact of heightened arousal on memory retrieval in novice skydivers. The results suggested that elevated arousal can interfere with retrieval of information related to the arousal-inducing event. Study 7 also indicated that autobiographical memory for the event may be impaired. Finally, Study 8 examined the qualities of trauma memories that were accessed via different modes of retrieval. The results provided evidence that intrusive memories were experienced as more realistic and with more intense affect than memories for the same event that were deliberately retrieved. Together, the findings of this program of research extend current theories of PTSD by highlighting the mechanisms through which retrieval of trauma memories may be impaired. The results suggest that the quality of trauma memories is affected by avoidance processes, elevated arousal and level of conscious control the individual exerts over retrieval.
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20

Klopper, Liezl. "Mediating adolescents' insights into shared traumatic experiences through drawings." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/1072.

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21

Luna, Laura Liliana. "Childhood abuse, resiliency, and psychiatric outcomes in a college sample of women: A model." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3299.

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In the proposed study it is hypothesized that resiliency will moderate the relationship between child abuse and psychiatric outcomes. Secondly, it is expected that shame will mediate the above mentioned relationship. Mediation and moderation effects will be tested via SPSS REGRESSION. Data was collected from 160 women at California State University, San Bernardino. The following measures were used to examine the hypothesis: Childhood Trauma Questionnaire, Brief Symptom Inventory, Experience of Shame Scale, Self-Esteem Inventory, the Life Orientation Test-Revised, and the Social Support Inventory.
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22

Oertel, Ursula. "Childhood trauma and adolescent depression : examination of repressive coping style as a mediator /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19542.pdf.

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23

Isler, Diane E. (Diane Evelyn). "Psychoanalytic Assessment of Sexually Abused Girls: Questions of Trauma and Rorschach Methodology." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc277796/.

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Using a clinical sample of 63 girls aged 5 - 16 years, the Psychoanalytic Rorschach Profile (PRP; Burke et al., 1988), a measure of drive, ego, and object relations functioning, was examined for differences between sexual abuse (SA) victims and distressed but nonabused (NA) peers. The hypothesis that the SA group would evidence more pathological, less developed levels of drive, ego, and object relations functioning than the NA group was not supported. Limitations of the use of archival data are discussed. The effects of controlling for the number of responses (R) in Rorschach research were examined by comparing entire protocols of a clinical sample of girls from 5 - 16 years of age to shortened versions which included only the first one (N = 89; R = 10) or two (N = 17; R = 20) responses to each blot. Of 12 PRP scales compared, differences between the R = 10 and entire protocols were found on 5 variables, but when R was increased to 20, only 2 differences remained. Support was given for the notion of uniform Rorschach administration in which 2 responses per card are solicited.
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24

Mackinnon, Jeremy E. "Speaking the unspeakable : war trauma in six contemporary novels." Title page, contents and abstract only, 2001. http://web4.library.adelaide.edu.au/theses/09PH/09phm15821.pdf.

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Includes bibliographical references (leaves 246-258) Presents readings of six novels which depict something of the nature of war trauma. Collectively, the novels suggest that the attempt to narrativise war trauma is inherently problematic. Traces the disjunctions between narrative and war trauma which ensure that war trauma remains an elusive and private phenomonen; the gulf between private experience and public discourse haunts each of the novels.
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25

Bakelaar, Susanne Yvette. "A comparison of cognitive functioning, resilience, and childhood trauma among individuals with SAD and PTSD." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80200.

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Thesis (MA)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Background: Both human and animal studies indicate that early trauma can influence brain development and can lead to dysregulation and dysfunction. This includes cognitive deficits. The risk of childhood trauma (CHT) and resulting cognitive deficits are well established in Posttraumatic Stress Disorder (PTSD). This is not the case for Social Anxiety Disorder (SAD). The experience of CHT does not inevitably lead to later psychopathology, suggesting that resiliency factors may be at play. Indeed, research shows that resilience is protective against the development of PTSD although this has not been well studied in SAD, particularly in the context of childhood trauma and neurocognition. Methods: This exploratory study assessed for the possible contribution of CHT on cognitive functioning in adults with SAD. We assessed 44 individuals who formed part of a larger study on neurocognitive and neuroimaging correlates in a sample drawn from the Western Cape, South Africa. Using a neuropsychological test battery, memory, attention and executive functioning (EF) (underpinned by hippocampal, cingulate cortex and pre frontal-cortex function respectively) were assessed. CHT was assessed with the Childhood Trauma Questionnaire (CTQ). We compared neurocognitive and resilience (CD-RISC) variables across four groups (SAD with trauma, SAD without trauma, PTSD and healthy controls) using analysis of variance (ANOVA) statistics. Results: None of the groups differed significantly on cognitive variables, however, on average all outcomes were in the predicted direction. Separate analyses for the traumatised groups only showed a significant effect for EF and attention, suggesting an association between EF, attention and CHT. On a measure of resilience, healthy controls had significantly higher resilience scores than the other 3 groups. Unexpectedly, SAD and PTSD groups with CHT had higher resilience scores than the SAD group without CHT, suggesting that resilience moderates CHT. Lastly individuals with SAD and PTSD with CHT reported more emotional abuse and neglect than any other type of childhood trauma. Conclusion: This exploratory study is unique in its comparative assessment of the effects of CHT and resilience on discussed.
AFRIKAANSE OPSOMMING: Agtergrond: Beide mens- en dierestudies dui daarop dat vroeë trauma brein ontwikkeling kan beïnvloed en kan lei tot disfunksie. Dit sluit kognitiewe tekortkominge in. Die risiko van vroeë kinderjare trauma (KJT) en die gevolglike kognitiewe tekortkominge is goed gevestig in Posttraumatiese stresversteuring (PTSV). Dit is egter nie die geval in Sosiale angsversteuring (SAV) nie. Die ervaring van KJT lei nie noodwendig tot latere psigopatologie nie, wat daarop dui dat veerkragtigheidsfaktore 'n rol kan speel. Trouens, navorsing toon dat veerkragtigheid beskermend is teen die ontwikkeling van PTSV, maar dit is egter nie behoorlik nagevors in SAV nie - veral nie in die konteks van vroeë kinderjare en neurokognisie nie. Metodologie: Hierdie verkennende studie het die invloed van KJT op kognitiewe funksionering in 44 individue geëvalueer. Hierdie studie het deel gevorm van 'n groter studie oor neurokognitiewe- en neurobeeldingskorrelate in 'n steekproef wat gewerf is uit die Wes-Kaap, Suid-Afrika. ‘n Neurosielkundige toetsbattery was gebruik om geheue, aandag en uitvoerende funksionering (UF) (wat onderskeidelik deur die hippokampus, cingulate korteks en prefrontale korteks ondersteun word) te assesseer. KJT is beoordeel met die "Childhood Trauma Questionnaire" (CTQ). 'n Analise van variansie (ANOVA) was gebruik om die neurokognitiewe en veerkragtigheid (CD-RISC) veranderlikes oor vier groepe (SAV met trauma, SAV sonder trauma, PTSV en gesonde kontrole) te vergelyk. Resultate: Nie een van die groepe het beduidend verskil van mekaar op grond van kognitiewe veranderlikes nie, maar oor die algemeen was alle uitkomste in die voorspelde rigting. Afsonderlike analises op die getraumatiseerde groepe het 'n beduidende effek gehad vir UF en aandag, wat dui op 'n assosiasie tussen UF, aandag en KJT. Die gesonde kontrole het beduidende hoër veerkragtigheid tellings as die ander 3 groepe gehad. SAV en PTSV groepe met KJT het teen verwagtinge hoër veerkragtigheidstellings gehad as die SAV sonder KJT, wat daarop dui dat veerkragtigheid KJT modereer. Laastens, individue met SAV en PTSV met KJT het meer emosionele mishandeling en verwaarlosing gerapporteer as enige ander tipe kinderjare trauma. Bespreking: Hierdie verkennende studie is uniek in sy vergelykende evaluering van die invloed van KJT en veerkragtigheid op die neurokognisie in deelnemers met SAV en PTSV. Beperkings en aanbevelings vir toekomstige navorsing word bespreek.
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26

Oliveira, Tania Biazioli de. "O esquecimento do passado por refugiados africanos." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/47/47134/tde-20072011-110935/.

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Esta pesquisa trata do esquecimento do passado por refugiados africanos. As entrevistas foram recolhidas na Casa do Migrante, albergue que acolhe migrantes internos, imigrantes e refugiados recém-chegados em São Paulo. Foram entrevistados dois africanos: um angolano e outro congolês. Nosso objetivo de estudar o esquecimento emergiu nas entrevistas individuais e compartilhada entre estes refugiados, pois eles não queriam lembrar as cenas de guerra em África. Compreendemos o esquecimento, levantando a hipótese freudiana de que os refugiados querem esquecer o passado pois, ao tentarem dominar o golpe excessivo, repetem compulsivamente o trauma e a hipótese benjaminiana de que a dificuldade dos africanos em comunicar a experiência de guerra se deve ao declínio da narrativa e a experiência do choque após o avanço das forças produtivas. Porém, buscamos investigar se é possível elaborar o passado. Compreendemos as levas de refugiados ao redor do mundo como resultado da crise do capitalismo global, como nos mostrou Robert Kurz. Não se trata de povos obrigados a sair de sua pátria desde a antiga história religiosa da humanidade, tão pouco de vítimas de perseguição ou vítimas de violação dos direitos humanos, como concebe a Cáritas Arquidiocesana de São Paulo no atendimento aos refugiados. Analisamos as entrevistas a partir de três categorias de análise a fuga da guerra, a educação e o trabalho. Então, refletimos sobre o esquecimento dos refugiados africanos, partindo de um teor religioso para alcançar algumas considerações psicológicas. Mas o que resta aos psicanalistas diante de refugiados africanos? Concluímos o estudo, investigando a metodologia psicanalítica mais adequada para a pesquisa com africanos sobreviventes de guerra. E decidimos recolher seus sonhos traumáticos, segundo nossa hipótese de que eles pudessem sonhar à noite com aquilo que querem esquecer à luz do dia
This study is about the forgetting of the past by African refugees. The interviews were collected at Casa do Migrante hostel that offers shelter for migrants, immigrants and newcomers refugees in São Paulo. Two Africans were interviewed: an Angolan and a Congolese. Our aim of studying the forgetting emerged from the individual and shared interviews with these refugees, because they did not want to remember the scenes of war in Africa. We understand the forgetting, considering the freudian hypothesis that the refugees want to forget the past, as they compulsively repeat the trauma, when they try to dominate the excessive coup and considering the benjaminian hypothesis that the difficulty of Africans to communicate the war experience is due to the decline of narrative and the shock experience after the development of productive forces. Nevertheless, we try to investigate whether it is possible to work through the past. We understand the waves of refugees around the world as a result of the crisis of global capitalism, as Robert Kurz showed us. It is not about people obliged to leave home since the ancient religious history of mankind, or about victims of persecution or victims of human rights violation, as conceived by the Cáritas Arquidiocesana de São Paulo in the attendance of refugees. We analyze the interviews according to three categories of analysis the flight from war, education and work. So, we thought about the forgetting of African refugees, starting from a religious content to achieve some psychological considerations. But what does it remain for psychoanalysts in the presence of African refugees? We conclude the study, investigating the more suitable psychoanalytic methodology for the research with Africans war survivors. And we decide to collect their traumatic dreams, according to our hypothesis that they might dream at night with what they want to forget at day light
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Cowan, Beryl Ann. "Trauma Exposure and Behavioral Outcomes in Sheltered Homeless Children: The Moderating Role of Perceived Social Support." unrestricted, 2007. http://etd.gsu.edu/theses/available/etd-11282007-150104/.

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Thesis (Ph. D.)--Georgia State University, 2007.
Title from file title page. Gregory J. Jurkovic, Gabriel P. Kuperminc, committee co-chairs; Lisa Armistead, Sarah Cook, committee members. Electronic text (117 p.) : digital, PDF file. Description based on contents viewed June 6, 2008. Includes bibliographical references (p. 72-83).
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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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29

Peters, Elizabeth. "Understanding outcomes of traumatic experiences : roles of neuroticism and coping /." Read thesis online, 2009. http://library.uco.edu/UCOthesis/PetersE2010.pdf.

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30

Kearns, Nathan T. "Effects of Bodily Arousal on Desire to Drink Alcohol among Trauma-Exposed Emerging Adult College Students." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157520/.

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Alcohol consumption on college campuses is a major public health concern, particularly among emerging adults. Extant literature has identified trauma exposure and posttraumatic stress as robust risk factors for problematic alcohol use. However, the mechanisms underlying this association are less well-studied. Research indicates that bodily arousal is a fundamental feature of trauma exposure and posits that internal stimuli (e.g., heart pounding) at the time of trauma may manifest into conditioned cues that can trigger posttraumatic responding and related symptomatology, including alcohol use. However, past work supporting these assertions have used paradigms purposefully designed to evoke memories of the trauma, making it difficult to conclude whether the subsequent alcohol craving was due more to the explicit memory cue or the associated bodily arousal. The current study examined whether an implicit, trauma-relevant cue of bodily arousal (via hyperventilation) – independent of any explicit memory cue – would elicit increased desire to drink among 80 (Mage = 20.34; 63.8% female) trauma-exposed, emerging adult students. Results found no statistically significant difference in change in alcohol craving between the hyperventilation and control tasks. However, exploratory analyses indicated that trauma type (i.e., interpersonal/non-interpersonal) may moderate this relationship; more specifically, individuals reporting interpersonal trauma as their most traumatic event evidenced a significantly greater increase in desire to drink following hyperventilation compared to the non-interpersonal index trauma group. Generally, results suggest that bodily arousal, without an explicit trauma reminder, is not a specific and/or powerful enough trauma-relevant cue to reliably influence alcohol cravings across all trauma exposed emerging adult students. Suggestions for future directions to help in identifying at-risk subgroups, as well as methodological and procedural improvements, are discussed.
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Hendriks, Erika Erna. "Exploring eye movement desensitization and reprocessing (EMDR) as a technique for therapeutic intervention of adolescents experiencing trauma." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95946.

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Thesis (PhD)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: The research explores Eye Movement Desensitisation and Reprocessing (EMDR) as a possible therapeutic technique in interventions dealing with trauma. The study focuses specifically on the adolescent phase. A distinction is made between developmental trauma and single-incident trauma and its impact on development. An attempt is made to acquire a deeper insight into adolescents’ experience of trauma. The purpose of the adolescent phase is the development of a sound identity. The challenges and the impact of traumatic experiences on the development of the adolescent on the road to adulthood are examined more closely. The symptoms of trauma and specifically the effect of trauma on the adolescent are highlighted. The study adopted an interpretivist paradigm. A qualitative design with multiple case studies was selected for the research. The research included five cases. The study was limited to adolescents who ranged in age from 13-19 years in an Afrikaans school in Johannesburg. Intake discussions were held with the parents. Intake discussions in accordance with the EMDR approach were held with the participants. Each participant attended 4 sessions. Various themes were identified in each interview, but two main themes emerged: the emotions of the adolescents regarding the trauma they experienced; the influence of trauma on the self-concept of the participants; that led to a deeper grasp of the participants’ experiences. An insight was gained into the influence that traumatic experiences had on the lives of the participants as well as the influence of these experiences on their families, school and social contexts. The main findings indicate that EMDR as a therapeutic technique does have the potential to provide support to adolescents who have been exposed to single-incident or developmental trauma.
AFRIKAANSE OPSOMMING: Die navorsing handel daaroor om Oogbeweging Desensitisasie en Herprosessering (Eye Movement Desensitization and Reprocessing) (EMDR) as terapeutiese tegniek te eksploreer as moontlike intervensie vir trauma. Die studie fokus spesifiek op die adolessente fase. Daar sal onderskei word tussen ontwikkelingstrauma en ʼn enkele traumatiese ervaring en die impak daarvan op ontwikkeling. Daar is gepoog om ʼn verdieping van insig met betrekking to die adolessent in sy ervaring van trauma ter verkry. Die adolessente fase het ten doel tot die ontwikkeling van ʼn gesonde identitieit. Die uitdagings en die impak van traumatiese ervarings op die die ontwikkeling van die adolessent op sy pad na volwassenheid word van naderby bekyk. Die simptome van trauma en spesifiek die effek van trauma op die adolessent word uitgelig. Die studie was vanuit die interpretivistiese paradigma onderneem. ʼn Kwalitatiewe navorsingsontwerp met meervoudige gevallestudies was geselekteer. Vyf gevallestudies is in die navorsing ingesluit. Die studie was beperk tot adolessente wat wissel tussen die ouderdom van 13-19 jaar wat verbonde is aan ʼn Afrikaanse skool in Johannesburg. Invoergesprekke is met die ouers gehou. Invoergesprekke volgens die EMDR benadering is met die deelnemers afgelê. Daar is 4 EMDR sessies aan elke deelnemer gebied. Verskeie temas is in elke onderhoud geïdentifiseer. Daar het twee hooftemas na vore gekom: die emosies van die adolessente ten opsigte van die trauma wat hulle beleef het, die invloed wat trauma op die self-konsep van die deelnemers uitgeoefen het wat ondersteun het tot ʼn diepe begryping van die deelnemers se ervarings. Insig is verkry in watter invloed traumatiese ervarings op die lewe van die deelnemers gehad het asook die invloed daarvan op hul gesinne, skool en sosiale konteks. Die hoof-bevindinge dui daarop dat EMDR as terapeutiese tegniek wel oor die potensiaal beskik in die ondersteuning aan adolessente wat aan ʼn enkel-insident of ontwikkelingstrauma blootgestel is.
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32

Uys, Joachim De Klerk. "The effects of early life trauma on the neurochemistry and behaviour of the adult rat." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1249.

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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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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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Williams, Wendy Claudia. "Stress and traumatic symptoms among police officers: a gender analysis." Thesis, University of Fort Hare, 2008. http://hdl.handle.net/10353/144.

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This study assessed the extent to which exposure to traumatic events affected the traumatic stress response of male and female police officers. A convenience sample of male and female police officers (N = 66: n Male=46, n Female=20) was surveyed at an Eastern Cape police station. The following instruments were used: 1) Biographical questionnaire 2) PTSS-10 scales 3) The 39-item stress incident scale. Findings of this study indicate that the frequency of exposure to stressful incidents especially for more serious events is significant higher than that of Peltzer (2001) study. The four most frequent stressful incidents experienced by all participants were 1) Finding a corpse after murder (86.4 percent), 2) Responding to a scene involving accidental injury of a child (84.8 percent), .3) Finding a corpse (died of natural causes) (84.8 percent), 4) Duty related violence (non-shooting) (84.8 percent ).The four least frequent incidents experienced by participants were: (1) Response to the depressing social situation (71.2 percent), (2) Dragging of a corpse (74.2 percent), (3) Taking a life in the line of duty (75.8 percent), (4) Violent death of a colleague (77.3 percent ).Female participants results indicated a positive relationship between frequency of stressful incidents and total threat, anxiety, helplessness and PTSS-scale , where male participants’ results indicate no significant relationship between frequency of stressful incidents and total threat, anxiety, helplessness and PTSS-scale. Findings on male participants however indicate a positive relationship between years of service in police, age of police officers and PTSS-scale, while female participants’ results indicated no relationship between years of service in the police, age of police officer and PTSS-scale.
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Tang, Cheong Wai Acty. "Gazing at horror: body performance in the wake of mass social trauma." Thesis, Rhodes University, 2006. http://hdl.handle.net/10962/d1002381.

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This thesis explores various dilemmas in making theatre performances in the context of social disruption, trauma and death. Diverse discourses are drawn in to consider issues of body, subjectivity and spectatorship, refracted through the writer’s experiences of and discontent with making theatre. Written in a fractal-like structure, rather than a linear progression, this thesis unsettles discourses of truth, thus simultaneously intervening in debates about the epistemologies of the body and of theatre in context of the academy. Chapter 1: Methodological Anxieties Psychoanalytic theory provides a way in for investigating the dynamics of theatrical performance and its corporeal presence, by focusing on desire and its implication in the notions of loss and anxiety. The theories of the unconscious and the gaze have epistemological implications, shifting definitions of “presence” and “truth” in theatre performance and writing about theatre. This chapter tries to outline the rationale for, as well as to enact, an alternative methodology for writing, as an ethical response to loss that does not insist on consensus and truth. Chapter 2: (Refusing to) Look at Trauma This chapter examines the politics that strives to make suffering visible. Discursive binaries of public/private, dead/living, and invisible/visible underlie the politics of AIDS and sexuality. These discourses impact on the reception of Bill T. Jones's choreography, despite his use of modernist artistic processes in search of a bodily presence that aims to collapse the binary of representation (text) and its subject (being). The theory of the gaze shows this politics to be a phallocentric discourse; and narrative analysis traces the metanarrative that results in the commodification of oppositional identities, so that spectators participate in the politics as consumers. An ethical artistic response thus needs to shift its focus to the subjectivity of the spectator. Chapter 3: The Screen and the Viewer’s Blindness By appealing to a transcendent reality, and by constituting spectators as a participative community, ritual theatre claims to enact change. The “truth” of ritual rests not on rational knowledge, but on the performer’s competence to produce a shamanic presence, which director Brett Bailey embraces in his early work. Ritual presence operates by identification and belonging to a father/god as the source of meaning; but it represses the loss of this originary wholeness. Spectators of ritual theatre are drawn into an enactment of communion/community, the centre of which is, however, loss/emptiness. The claim of enacting change becomes problematic for its absence of truth. Bailey attempts to perform a hybrid, postcolonial aesthetics; but the problem rests in the larger context of performing the notion of “South Africa”, a communal identity hardened around the metanarrative of suffering, abjecting those that do not belong to the land of the father/god – foreigners that unsettle the meaning of South African identity. Conclusion: Bodies of Discontent The South African stage is circumscribed by political and economic discourses; the problematization of national identity is also a problematization of image-identification in the theatre. In search for a way to unsettle these interrogative discourses, two moments of performing foreignness are examined, one fictional, one theatrical. These moments enact a parallel to the feminine hysteric, who disturbs the phallocentric truth of the psychoanalyst through body performance. These moments of disturbing spectatorship are reflected in the works of performance artist Marina Abramovic. Her explorations into passive-aggression, shamanism and finally theatricality and the morality of spectatorship allow for an overview of the issues raised in this thesis regarding body, viewing, and subjecthood. Sensitivity to the body and its discontent on the part of the viewer becomes crucial to ethical performance.
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Benjamin, Arlene. "Community counsellors' experiences of trauma and resilience in a low-income community." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86553.

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Thesis (PhD)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Violence is considered a global mental health problem. The rate of violence in South Africa is amongst the highest in the world and much of this violence is disproportionately skewed towards the poorer and historically disadvantaged communities. Low-income communities continue to bear the brunt of historical legacies of violence which are perpetuated through current ongoing cycles of interpersonal and community violence. While much has been documented about trauma and resilience in environments where the violence or traumatic event has ceased, there is a dearth of literature conceptualising trauma and resilience in contexts where the violence persists. Furthermore, even fewer studies have captured how trauma and resilience are conceptualised from the perspectives of the voices who experience this violence daily. The social constructionist framework of this study aims to contribute to the knowledge of how trauma and resilience is constructed by those who experience ongoing violence, and whether resilience and healing does occur in an environment of continuous traumatic stress. The voices of the participants of the study provide an additional perspective from that of community-based counsellors. Their dual experience of living and working in a violent community gives a rich insight into the relationship between trauma and resilience. The study is located in Hanover Park, a low-income community, notorious for its high levels of community violence. The participants are community-based counsellors who volunteer at Organisation X, a community-based ecological intervention that has been developed in response to addressing the cyclical impacts of ongoing violence and continuous trauma. The research design is a purposive in-depth case study of eighteen counsellors, investigating the narratives of their lives within its real-life context. Follow-up focus groups held with the counsellors were guided by ideas and practices of narrative theory. The narratives were analysed using thematic content and experience-centred form analysis. Multi-level themes related to trauma and resilience were constructed by the participants. It was revealed that the trauma effects related to systemic ongoing violence are viewed as maladaptive features of negative resilience. At the same time positive resilience which promotes healing, empowerment and transformation is possible despite negative and violent environments. The perspectives of community counsellors which offer critically important insight into their experience of the context of violence, and the complex interconnecting of individual, interpersonal and social aspects of trauma and healing in disadvantaged communities, could also inform future evidence-based interventions, provide alternate paradigms within which mental health professionals could position themselves to engage in issues of social justice and psychosocial health.
AFRIKAANSE OPSOMMING: Geweld word wêreldwyd as 'n geestesgesondheidsprobleem beskou. Die voorkoms van geweld in Suid-Afrika, is tans een van die hoogstes in die wêreld en die meeste van hierdie geweld neig om veral die armer en histories benadeelde gemeenskappe negatief te raak. Gemeenskappe in die laer inkomstegroepe is dus die mense wat die spit afbyt, omdat hierdie historiese nalatenskap van geweld deur die huidige voortdurende kringloop van interpersoonlike en gemeenskapsgeweld voortleef. Alhoewel daar alreeds baie dokumentêre bewyse bestaan oor trauma en veerkragtigheid in omgewings waar geweld of traumatiese gebeure beëindig is, is daar 'n gebrek aan literatuur wat trauma en veerkragtigheid vasvang waar geweld die orde van die dag is. Daar is verder nog minder studies wat vaslê hoe trauma en veerkragtigheid uit die oogpunt van die betrokkenes wat geweld daagliks ervaar, gekonseptualiseer word. Die sosiale konstruksionisme raamwerk van hierdie studie beoog om 'n bydrae te lewer oor hoe , indien wel, trauma en genesing beleef word deur diegene wat voortdurende geweld ervaar in 'n omgewing waar aanhoudende traumatiese stres voorkom. Die deelnemers aan hierdie studie verskaf 'n addisionele perspektief van die van gemeenskapsberaders. Hul tweeledige ervaring van leef en werk in 'n gewelddadige gemeenskap verskaf 'n dieper insig in die verhouding tussen trauma en veerkragtigheid. Die buurt waar die studie gedoen is, is Hanover-park - 'n lae inkomste gemeenskap wat berug is vir hoe vlakke van gemeenskapsgeweld. Die deelnemers is beraders uit die gemeenskap wat vrywillige werk doen by Organisasie X - 'n gemeenskapsgebaseerde ekologiese intervensie wat ontwikkel is om die sikliese impak van voortdurende geweld en trauma te verminder. Die navorsingstudie is 'n doelgerigte diepgaande gevallestudie van agtien beraders wat hul lewensverhale binne die werklike konteks ondersoek. Die beraders het die opvolg fokus-groepe gelei deur idees en die narratiewe teorie in die praktyk toe te pas. Die vertellings is geanaliseer deur gebruik te maak van die tematiese inhoud en 'n ervarings-gesentreerde analitiese formaat. Veelvlakkige temas wat verband hou met trauma en veerkragtigheid is deur die deelnemers saamgestel. Dit het aan die lig gebring dat die effek van trauma wat verband hou met voortdurende sistemiese geweld geag word as wanaangepaste kenmerke van negatiewe veerkragtigheid. Terselfdertyd is die positiewe veerkragtigheid wat genesing, bemagtiging en verandering evorder moontlik, ten spyte van negatiewe en gewelddadige omgewings. Die vooruitsigte van die gemeenskapsberaders wat belangrike en kritiese insig in hul ervarings binne geweldsverband bied, die ingewikkelde verbondenheid van die indiwiduele, interpersoonlike en sosiale aspekte van trauma en genesing in benadeelde gemeenskappe kan insiggewend wees vir toekomstige ingryping. Dit kan alternatiewe modelle voorsien waarvolgens beroepslui in die geestesgesondheidveld hulself kan inrig om kwessies van sosiale geregtigheid en psigo-sosiale gesondheids-toestande aan te spreek.
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Rapela, Andréa Januário. "O trauma corporal por acidentes de trabalho e suas implicações psíquicas." Universidade Católica de Pernambuco, 2009. http://www.unicap.br/tede//tde_busca/arquivo.php?codArquivo=523.

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O estudo do acidente de trabalho é um tema relativamente recente, nasce no início do século XX, posteriormente à revolução industrial, tomando força com o nascimento da medicina do trabalho. Desde então, vem despertando o interesse por parte dos pesquisadores das ciências da saúde, ciências humanas e ciências sociais, pois é possível estudá-lo sob diferentes enfoques. Esta pesquisa se propõe estudar as implicações psíquicas do trauma corporal nos vitimados por acidentes de trabalhos. Especificamente, pretende abordar o conceito de trauma psíquico de modo a servir de subsídio para repensar a clínica com acidentados e analisar quais as razões que levam alguns indivíduos a permanecerem vinculados ao trauma decorrente do acidente do trabalho, fazendo dele um elemento central nas suas vidas. Trata-se de um projeto inserido num estudo mais amplo que discute as questões das psicopatologias do corpo no contexto social atual. O trabalho teve como referencial teórico estudos acerca do acidente de trabalho, a teoria freudiana do trauma, as contribuições de Paul - Laurent Assoun, sobre o corpo na psicanálise e autores psicanalíticos contemporâneos. A pesquisa de campo foi realizada junto a pessoas adultas que sofreram acidentes de trabalho, independente da faixa etária e sexo e, para tanto, escolhemos, uma instituição governamental, Instituto Nacional de Seguro Social (INSS). como campo de nossa pesquisa, por ser ela a instituição pública encarregada de prestar assistência ao trabalhador quando ele perde a capacidade de trabalho, seja por doença, por invalidez, por idade avançada, por desemprego, ou ainda por assistir às famílias dos trabalhadores em caso de morte. Coletamos depoimentos de sujeitos que sofreram acidentes de trabalho, tais depoimentos foram interpretados à luz dos conceitos psicanalíticos que sustentam a prática clínica. Esperamos que os resultados ampliem a discussão e o conhecimento sobre as repercussões psíquicas em pessoas traumatizadas por acidente de trabalho, mostrando os desdobramentos desses traumas no corpo e suas relações psicossociais
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39

Stevens, Nicole Marie. "Witnessing violence: The link to reactive aggression." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2758.

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This study uses a multiple regression correlational (MRC) analytic approach to examine the association between witnessing violence and reactive aggression, post-traumatic stress, and insecure attachment. One hundred adult male California State University students were surveyed using the Conflict Tactics Scale, the Adolescent Anger Rating Scale, the Inventory of Parent and Peer Attachment scale, the Child Report of Post Traumatic Symptoms scale, the Conduct Disorder scale, and the Modified Impact of Events scale.
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40

Bezner, Stephanie K. "History of Childhood Abuse and Posttraumatic Growth's Effects on Reactions to Subsequent Traumatic Events." Thesis, University of North Texas, 2006. https://digital.library.unt.edu/ark:/67531/metadc5479/.

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Previous research indicates that those with a history of abuse have an increased risk to experience subsequent traumatic events. This study utilized a convenience sample of undergraduate students to examine the reaction of those with a history of abuse to subsequent traumatic experiences. In addition, the study assessed the level of posttraumatic growth an individual experiences following childhood abuse. The level of posttraumatic growth was examined to determine if the growth allowed for participants to better handle successive traumas. Those with a history of abuse experienced higher levels of symptomology following a successive traumatic event. Results did not support the hypothesis that among those with a history of abuse, lower levels of posttraumatic growth would predict higher levels of symptoms following a later trauma. Implications and limitations of the study, as well as directions for future research are discussed.
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41

Hansel, Michelle. "Trauma, the Psyche, and the Soma." Thesis, Pacifica Graduate Institute, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10974262.

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Finding efficacious treatments for severe trauma and PTSD is an important endeavor in the field of clinical psychology. The present qualitative phenomenological study examines the experiences of clinicians (participants) and their patients, specifically veterans and soldiers suffering from severe trauma or Post Traumatic Stress Disorder symptoms. Giorgi and Moustakas’s phenomenological methods were employed in the research process. This study illustrates the effects of the integration of somatic therapies and psychodynamic therapy for treatment of severe trauma and PTSD symptoms. The relevant themes which emerged from the study include: (a) the clinical orientation of each therapist, (b) integration of somatic and psychodynamic therapies, (c) psychological and physiological symptoms, (d) resolution or reduction of PTSD symptoms, (e) benefits or risks of integration, (f) psycho-education, (g) affect regulation and the tracking and integration of bodily sensations, (h) other modalities utilized in the session, (i) relational patterns, (j) consideration for best evidence practice. The implications discovered from this study contribute to the field of psychology, by offering relevant efficacious treatments for trauma and/or PTSD. The value of integrative psychological, physiological, and somatic approaches, which are demonstrated in this study, support resolution or reduction of somatic symptoms, including affect regulation for patients experiencing trauma and or PTSD. Keywords: somatic therapy, psychodynamic therapy, PTSD, trauma, sensorimotor psychotherapy, somatic experiencing

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42

Turner, Michelle Hayley. "Post-psychotic trauma : contributory factors and interventions." Thesis, University of Birmingham, 2010. http://etheses.bham.ac.uk//id/eprint/3097/.

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Volume I: Research Component The literature review examines the high prevalence rate of posttraumatic stress disorder (PTSD) in people with a severe mental illness such as psychosis and discusses why such high rates may be found. There is anecdotal and empirical evidence that attests to the distressing nature of psychotic symptoms and treatment related experiences, including hospitalisation. The review looked at the contribution of such experiences in causing symptoms of PTSD. Interventions aimed at reducing symptoms of PTSD in people with a severe mental illness were then evaluated. It was concluded that the studies showed promising results in reducing PTSD symptoms, but the evidence base was still relatively small. Future research is needed to establish what interventions are effective and how established treatments for PTSD in other non-psychotic populations can be adapted to meet the needs of this vulnerable group. The empirical paper presents a quantitative study that aimed to look at the relationship between post-psychotic trauma, shame and depression in a clinical sample of people with first episode psychosis. Symptoms of PTSD were assessed in relation to a traumatic event that had occurred during a previous psychotic episode. The study distinguished between different types of shame to look at their relationship with PTSD symptoms and depression, an area that had not been investigated before in this clinical sample. Participants were asked about their experiences of internal and external shame in relation to having a mental illness and general shame. Consistent with previous research a significant proportion of people had clinically significant levels of psychosis related PTSD symptoms and depression; with shame found to correlate with both. However internal shame was found to make a unique contribution to depression, whilst external and general shame made a unique contribution to PTSD symptoms. This has implications for future research by showing it is not enough to simply measure overall or global shame. It also highlights the need to develop interventions that address shame, depression and symptoms of trauma in people with first episode psychosis. The paper is prepared for the submission to the journal Clinical Psychology and Psychotherapy. Volume II: Clinical Component The second volume of the thesis presents five clinical practice reports. Firstly, a case formulation from a cognitive behavioural and a systemic perspective are presented for an eleven year-old boy with anxiety related difficulties referred to a child and adolescent mental health service (CAMHS). Secondly, an audit was carried out to assess how well a CAMHS service met the guidelines set out by the National Institute for Clinical Excellence (NICE) when intervening with young people and adolescents diagnosed with an eating disorder. Thirdly, a case study is presented from predominantly a narrative perspective for a young woman with a learning disability who had relationship and anxiety related difficulties. In the forth report a single case experimental design was used to evaluate the effectiveness of a cognitive behavioural intervention for paranoid delusions with a man diagnosed with a psychotic disorder, who was under the care of an Early Intervention Service. Lastly an abstract is presented for a case study where cognitive analytic therapy (CAT) was used with a woman who presented with depression within a primary care setting.
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Boulind, Melissa Jane. ""I felt that I deserved it" : an Investigation into HIV-related PTSD, traumatic life events, and the personal experiences of living with HIV : a mixed-method study." Thesis, Rhodes University, 2014. http://hdl.handle.net/10962/d1012172.

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There appears to be a growing body of literature focusing on PTSD and HIV-related PTSD (the diagnosis of HIV being the significant traumatic event) amongst HIV-positive samples, but only a few African studies that attempt to estimate the prevalence of PTSD amongst HIV-positive people, and even fewer that attempt to estimate the prevalence of HIV-related PTSD. The systemic review presented in this study is currently fully inclusive and is the most up-to-date available. Estimates of the prevalence of PTSD and HIV-related PTSD in South Africa range from 0.7 to 54.1% and, 4.2 to 40% respectively. The current cross-sectional study made use of a mixed-method approach to investigate traumatic life events, PTSD and HIV-related PTSD within a primary health-care centre in KwaZulu-Natal. The quantitative sample consisted of 159 adults (18-50 years) who were compliant on ARV medication. Using the CIDI-PTSD module, the adapted CIDI-PTSD module for HIV, and IES-R, findings indicated that 62% had reported some kind of traumatic event in their lifetime, with 29.6% of participants meeting the criteria for lifetime PTSD, and 40.9% meeting the criteria for lifetime HIV-related PTSD. Altogether, 57.9% of individuals met the criteria for some form of PTSD (either regular PTSD or HIV-related PTSD), and 12.6% met the criteria for both PTSD and HIV-related PTSD. Of the different categories of traumatic events, interpersonal violence has the highest rate of PTSD, followed by a diagnosis of and living with HIV, and then disaster. Furthermore, the IES-R was compared for its usefulness as a screening measure for PTSD against both the CIDI, but results suggest that it is an inferior screening measure to the PDS. The qualitative study consisted of six participants who were examined using IPA methodology informed by the Ehlers and Clark (2000) Model of trauma. Their experiences revealed experiences of stigma, a number of negative appraisals, negative emotions and coping behaviours. Some of the latter might serve as compensatory mechanisms to avoid negative judgements. Hypervigilance seems to be a feature of ARV-compliance that might confer added vulnerability to PTSD and other anxiety disorders.
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Hays, Johanna T. "Healing trauma in the psyche-soma| Somatic experiencing(RTM) in psychodynamic psychotherapy." Thesis, Pacifica Graduate Institute, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3611759.

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Addressing the aftermath of trauma is among the most important contributions of psychology. As the numbers of individuals experiencing posttraumatic symptom sequelae continues to increase, it becomes imperative to research and explore a wider range of trauma treatment approaches in order to provide more individualized care. The goal of this study was to gain insights into the body-based approach of Somatic Experiencing®, a short-term naturalistic approach developed by Peter Levine (2007), through experiences of practitioners. The participants practice the Somatic Experiencing® in integration with psychodynamic psychotherapy. Based on a phenomenological case study approach, 4 licensed psychologists and Somatic Experiencing® practitioners were interviewed in order to learn more about how their integration of the 2 approaches impacts their clinical approach to working with trauma symptoms. Among the key themes that emerged from the analysis was the significance of integration in positive outcomes for individuals experiencing posttraumatic reactions by reducing or resolving their symptoms through a novel approach. The implications of this study for the field of clinical psychology are in further elucidation of the integration and its distinct contributions to treatment of trauma. Keywords: treatment of trauma; somatic psychotherapy; psychodynamic psychotherapy; posttraumatic stress disorder

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Kesheshe, Naris. "Wounds From the Womb| The Impact of Trauma on the Fetal Psyche." Thesis, Pacifica Graduate Institute, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10258142.

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This study explores the phenomena of birth and life in the womb and the possibility that much of the psychological suffering experienced throughout the lifespan is a result of deep wounds felt in the maternal womb. The findings of this thesis were honed from a heuristic process of investigation, and the analysis was informed by the theories and approaches of depth psychology. This thesis conceptualizes the human psyche by exploring Jung?s structure of psyche and his notion of the conscious and the unconscious in correlation with development of the fetus in utero. Using Jungian and object relations theory alongside the science of fetal development, it is found that trauma occurring before birth impacts psychological well-being of children later in life. This thesis sheds light on the importance of nurturing and caring for unborn children and brings awareness to this essential fact in the clinical world of psychology.

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46

Venter, Estelle. "Die benutting van projektiewe tegnieke ten opsigte van die moeder se emosionele belewenis van 'n miskraam." Diss., Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-10132004-081502.

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Mackenzie, Tania. "Reported responses to sexual trauma in people with intellectual disability : an analysis of clinical psychologists' psycho-legal reports." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/18425.

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While a large body of literature suggests that rape and sexual assault in the general population is pathogenic, there is a dearth of literature on its impact on people with intellectual disability (ID). Several studies have reported that individuals with ID may experience a range of psychopathology following rape that is similar to that experienced by adults and children in the general population (i.e. PTSD, Major Depression) but with stronger behavioural reactions. The main aim of this research was to identify the response of individuals with ID who had experienced sexual trauma. This was an archival study of the Sexual Abuse Victim Empowerment (SAVE) project's clinical psychologists' notes and psycho-legal reports from 2005 – 2009 on 295 female, child and adult, sexual assault/rape survivors with ID. It was hypothesised that in the different PTSD symptom criteria clusters there would be more symptoms of increased arousal than re-experiencing and avoidance, that there would be a difference in the number of reported symptoms between different levels of ID, and between the number of symptoms reported by the different psychologists who assessed the sample. Includes bibliographical references (pages 65-73).
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48

Laband, Jordan K. "Rebuilding and Empowering Psyche After Trauma| A Survivor's Journey Toward Healing, Self-Expression, and Artistic Creation." Thesis, Pacifica Graduate Institute, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1692138.

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Through the use of artistic-creative methodology and alchemical hermeneutic exploration, this production thesis examines the creation of images and the process of dialoguing with them as a therapeutic tool, helping to heal and empower female trauma survivors. By acknowledging and interacting with images from the unconscious, one may begin to reintegrate split or dissociated parts of the Self, ultimately leading to the reunification of psyche. Drawing upon the theories of Jung, depth psychology, and expressive arts therapy, the author presents her personal journey toward healing, selfexpression, and empowerment, which involves active imagination and dialogues with created images. The production, two original paintings, illustrates the process of accessing the unconscious through interaction with images as a way of making meaning and healing from trauma, splitting, and dissociation. Using these ideas, mental health clinicians can gain an additional modality for the successful treatment of trauma survivors.

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Enderlyn, Laouyane Allyn. "Narrative inquiry into psyche| Life story and trauma expressed through the photographs, novel, and memoire of three war veterans." Thesis, Pacifica Graduate Institute, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3588553.

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As our war veterans are growing in exponential numbers, so also are their psychic wounds in need of urgent treatment. This qualitative study explores the lives of three war veterans using a narrative-inquiry methodology, informed by their personal creations: a century-old photographic archive, a published novel, a memoire, interview transcripts, military and photography historians' accounts, and recently declassified documents in the National Security Archive of The George Washington University. The researcher addressed the questions: What are the main themes and functions of the coresearchers' self-expressive works? Can the creative process assist in restorying the lives and reconstructing the relationships of individuals? Can such works include those constructed from living memory, as well as those from the past?

Participants included World War II veteran Captain Arthur Enderlin, U.S.N.R, (deceased), former Chief, Office of Telecommunications, National Security Agency; and Vietnam War army veterans, "Harry George," Lieutenant Colonel, retired, former infantry company commander, 6/31 Infantry Battalion/9 th Infantry Division; and "Mr. Tu," regulatory policy analyst, Federal Civil Service Grade GS-15, Sergeant (E-5), Delta Company 3/187 Infantry Batallion/101st Airborne Division.

The intensive in-depth research process illuminated the creative healing journey of psyche, coconstructed by both the researcher and the participants. The relational approach and sensibility integrated Jungian analytical psychology, self-psychology, and other contemporary thought in psychoanalytic psychotherapy. The outcome supports that creating and expressing "new" life narratives support (a) new self-construction born from fragments, (b) relationship construction, and (c) recovery from trauma. In their interviews and writings, the Vietnam War army veterans echoed themes from their life journeys and healing from trauma, which supported and validated those of the third coresearcher's nonverbal photographic narrative. The researcher employed visual reading and professional curating practices to reach a cohesive understanding of the life narrative of Arthur Enderlin.

The researcher combined approaches in an innovative synthesis which will be valuable to clinical and depth psychotherapists and researchers as avenues for future narrative inquiry using photographic images, writings, and creative modalities with patients and their families. The results and implications will also be accessible to individuals and groups tending to victims of diverse trauma, visual-literacy scholars, archivists, and historians.

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Lange, Claudia. "Neuropsychologische Testleistungen, psychopathologische Symptomatik und Hippocampusvolumen bei psychisch traumatisierten Patientinnen." Doctoral thesis, [S.l. : s.n.], 2003. http://deposit.ddb.de/cgi-bin/dokserv?idn=969563760.

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