Dissertations / Theses on the topic 'Trauma'
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Kühl, Inga-Marie. "Zwischen Trauma, Traum und Tradition." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2001. http://dx.doi.org/10.18452/14897.
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Anhand von gesellschaftspolitischen, demographischen und kulturellen Entwicklungen werden in Anlehnung an Michel Foucault die konstituierenden Regeln eines innerjüdischen Diskurses beschrieben, welcher vor zwei Jahrzehnten in der Bundesrepublik Deutschland und der DDR entstanden ist. Innerhalb dieses Diskurses wird die junge jüdische Gegenwartsliteratur verortet, die durch signifikante Korrespondenzen zur gesellschaftlichen Wirklichkeit gekennzeichnet ist. Mithilfe einer methodenpluralistischen Vorgehensweise, die neben literatur-wissenschaftlichen Ansätzen auch solche der geschichtsphilosophischen, sozio-psychologischen, kunst- und kulturhistorischen Forschung einbezieht, wird die Konstruktion junger jüdischer Identität in ausgewählten Texten exemplarisch untersucht. Wiederkehrende Konstanten der Identitätskonstruktionen werden genauso herausgearbeitet wie Divergenzen der ästhetischen Verfahren, durch die subversive, oftmals geschlechtsspezifisch konnotierte Deutungsebenen eröffnet werden. Dem übergeordneten Interesse der Arbeit folgend, werden die Ergebnisse der Textanalysen innerhalb des diskursiven Aussagekontextes betrachtet.Following Michel Foucault, the author uses socio-political, demographic, and cultural developments to define a set of rules organizing the inner-Jewish discourse that emerged approximately two decades ago in the Federal Republic of Germany and the former GDR. Within that discourse, the author locates a body of contemporary German-Jewish literature characterized by strong resemblances to socio-historical reality. The dissertation examines the construction of contemporary Jewish identity within selected works of literature, using a variety of methodological approaches from the fields of literary criticism, history of art, culture and philosophy as well as socio-psychology. Recurring identity traits within those constructions are emphasized as well as differences in the aesthetic scheme which often bear subversive, gender specific connotations. Consistent with the overall aim of the dissertation, the results of the literary analyses are transferred to the discursive level.
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Kidd, Pamela Ann Stinson. "Trauma patients perception of the trauma experience." Diss., The University of Arizona, 1989. http://hdl.handle.net/10150/184756.
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A grounded theory study was conducted to identify, describe and provide a theoretical analysis of the conditions and events surrounding the occurrence of physical trauma. Research questions addressed were: What pattern of behavior is present in individuals prior to experiencing a motor vehicle collision (MVC)?; To what degree do trauma patients view themselves as active participants in a MVC that results in physical injury? Twenty one informants participated in the study. Theoretical sampling involved the use of a variety of sources of data. Vignettes, interviews, songs, commercials and automobile advertisements were triangulated with existing literature. Constant comparative analysis revealed a grounded theory of self protection. Self protection consists of three phases; perceptions of actual control over the environment, experiencing a traumatic event that signifies loss of control over their environment, and self protection to enhance perceptions of actual control over the environment post event. Controlling perceptions influenced use of protection devices and post trauma driving behavior. Self protection involved emotional focused and problem focused strategies similar to that described in the literature. Perceptions of actual control over the environment was not a static trait but appeared to be situationally dependent. The theory explained the behavior of the majority of the informants regardless of their mechanisms of injury; although patients with injuries resulting from violence were omitted from the study. Informants who viewed driving as a pleasurable action with unpredictable outcomes, as a form of risk taking behavior, did not identify self protection strategies post event. The other informants viewed driving as an unconscious, automatized behavior and denied engaging in risk taking prior to the MVC. Findings indicate the need to explore the social context of the American lifestyle and the image of the automobile when explaining self protective strategies. Automobile manufacturers provide the illusion of control over the environment in their advertisements perhaps negating the need for self protection. Rationale for not supporting mandatory protection for the use of seat belts and helmets was provided by the informants. Further testing with contrasting groups is indicated to determine the usefulness of the theory outside the trauma patient population.
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Moisaitė-Žilinskienė, Vitalija. "Socialinės ir kultūrinės traumos atspindys muziejaus ekspozicijoje." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2009. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2006~D_20081203_184026-82837.
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Magistro darbo objektas – Socialinės ir kultūrinės traumos eksponavimas Lietuvos muziejuose. Darbo tikslas – išanalizuoti socialinės ir kultūrinės traumos eksponavimo problemą Lietuvos muziejuose. Pagrindiniai darbo uždaviniai: išnagrinėti smurtinio paveldo įtaką muziejus lankytojui; surasti subtilesnes socialinės bei kultūrinės traumos eksponavimo galimybes. Naudoti metodai: dokumentų analizės; bibliografinis; sociologinė apklausa derinant kokybinį bei kiekybinį metodus. Apklausa labiau orientuota į kokybinį metodą, tačiau pateikus skaičius ir procentus buvo gauta kiekybinė išraiška. Buvo pasitelktas klasikinės atrankos principas – apklausti muziejaus lankytojai. Taip pat remtasi tikslinės atrankos principu – apklausti muziejų darbuotojai, giluminis ekspertų interviu. Tai galima pavadinti optimalios atrankos principu: kuo geresnė atranka su esamais ribotais resursais. Prieita prie išvados, jog nagrinėjant istoriją, susiduriama su individo sąmonės ir grupės, besivadovaujančios vienodais dorovės ir gyvensenos principais savimonės ugdymo suderinamumo problema. Šiuo atveju kyla reali grėsmė, kad mokydamiesi istorijos iš vadovėlių ar muziejinių ekspozicijų, žinodami savo tėvų ir senelių patirtį, žmonės pasiklys painiuose istorinės sąmonės labirintuose. Siekiant sušvelninti ideologijos poveikį istorijos didaktikai, labai padėtų multikultūrinio švietimo principų taikymas muziejuje. Tai sudarytų sąlygas ne ideologizuoti, o supažindinti visuomenę su savos šalies istorija, parodant... [toliau žr. visą tekstą]SUMMARY REFLECTION OF A SOCIAL AND CULTURAL TRAUMA IN AN EXHIBITION OF A MUSEUM By Vitalija Moisaitė-Žilinskienė First of all, museums are meant to satisfy visitors’ curiosity and their needs of information, aesthetics and education. It is not an easy task. So, what has to be done in order to meet those needs and to get out of those difficulties? In a modern museum it is not enough to display the relics of the past in its show windows. By means of performance as well as audio and visual media visitors are being invited to participate in the process of the reconstruction of the past. Museums are also keepers and caretakers of the past and memories about it in order to preserve it for would be generations. In this case we encounter not only the means of exhibiting but moral and ethics problems as well. How to avoid insulting and to remain impartial at the same time while exhibiting the period of war or post-war or discussing the subjects of genocide, holocaust, deportation or resistance? A lot of people are concerned. Events of such a kind are considered to be standard examples of the psychological trauma. How to arrange the exhibition and to display the events that caused the psychological and physical violence without distressing the eye-witnesses or their family members and relatives? Might it be so, that the mission of a museum is not only an impartial reconstruction of the history but subtle ways of presenting it to the visitors? In this case, museums are seen not only as... [to full text]
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Pearce, Simon Anthony. "'Zwischen traum und trauma' : East German intellectuals reassessing the past." Thesis, University of Nottingham, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.391432.
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Gonak, Anton. "Asmens sveikatos priežiūros įstaigų tinklo, teikiančio pagalbą traumas patyrusiems pacientams, optimizavimo galimybių ir poreikių vertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2008. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2008~D_20080620_142458-20506.
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Darbo tikslas. Įvertinti asmens sveikatos priežiūros įstaigų (toliau ASPĮ), teikiančių ortopedijos traumatologijos ir/arba chirurgijos paslaugas, galimybes teikti kvalifikuotą pagalbą ir jų infrastruktūros atnaujinimo poreikius.
Tyrimo metodika. Tyrimo objektas – ASPĮ, teikiančios pagalbą traumas patyrusiems pacientams bei GMP įstaigos. Tyrimo metodai: Mokslinės literatūros analizė, respondentų apklausa, statistinė duomenų analizė naudojant SPSS 13 versiją bei MS Excel, geografinės informacinės sistemos „Arc View 9.11” programinę įranga.
Rezultatai. Esant vienam traumos centrui apskrityje (i��� viso 10 centrų), visiems Lietuvos gyventojams pagalba būtų prieinama per 1 val. Šiuo metu GMP per 15 minučių prieinama pusei LR teritorijos. Iš viso į 0 lygio traumos centrus kreipiasi beveik trečdalis visų traumą patyrusių pacientų, tačiau vienas šio lygio centras vidutiniškai aptarnauja 13,5 kartų mažiau pacientų, nei trečiojo lygio (p<0,005). Nulinio lygio centre vidutiniškai teikiama 9 kartų mažiau stacionarių paslaugų, lyginant su III lygio traumos centru (p<0,005). Nulinio lygio įstaigose traumos pacientų srautas yra nepakankamas lyginant su kitų lygių ASPĮ srautais. Dalis 0 lygio traumos centrų neturi pakankamo specialistų (ortopedų traumatologų, anesteziologų ir reanimatologų) skaičiaus, kurie užtikrintų nenutrūkstamą 24 valandų pagalbos teikimo ciklą. Didžiausias investicijų poreikis yra III lygio traumos centrų, tačiau investicijų poreikis 1 ligoniui šio lygio centre - 6,5... [toliau žr. visą tekstą]The aim - to evaluate possibilities of the health care institutions which provides orthopaedic traumatology and/or surgery services, to provide qualified medical care and their infrastructure renewal needs. Methods. The object of the study is health care institutions which provide services for patients after trauma and also emergency service providers. Methods of the study: the analysis of the academic literature, respondents surveys, analysis of the statistical data using „SPPS“ 13th version, MS Excell program and geographical information system as well as Arc View 9.11 software program. Results. If there is one trauma centre in the area (there are 10 centres overall), all residents of Lithuania would have the access to the health care institutions in one hour. At this time emergency service is available in 15 minutes in the half of the Lithuanian territory. Overall, third part of the patients are maintained by zero level hospitals. Unfortunately, one of these centres (hospital) service 13.5 times less patients than third level canters (p < 0.005). On average, zero level centres provide service for the stationary care 9 times less compared to the third level hospitals (p<0.005). The demand for the zero level centres is insufficient compared to demand for university level care (hospitals). Part of the zero level trauma centres don‘t have sufficient number of specialists of anaesthesiology, reanimatology and traumatology disciplines that could provide continues 24 hour... [to full text]
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Dudley, Alexandra, and Amanda Pierson. "Blunt Trauma." Digital Commons at Loyola Marymount University and Loyola Law School, 2018. http://www.kaltura.com/tiny/hm6bw.
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Hassan, Salwan. "Shoulder trauma." Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/36584.
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Trauma to the shoulder is common. Injuries range from a separated shoulder resulting from a fall onto the shoulder to a high-speed car accident that fractures the shoulder blade (scapula) or collar bone (clavicle). One thing is certain: everyone injures his or her shoulder at some point in life. Fractures of the clavicle or the proximal humerus can be caused by a direct blow to the area from a fall, collision, or motor vehicle accident.
When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/36584
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Liebig, Natasha Noel. "writing/trauma." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6303.
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In writing/trauma, I address the association of trauma with knowledge, language, and writing. My discussion first works to establish the relationship between trauma and knowledge. I argue that trauma does not fit into the traditional Enlightenment model of scientific knowledge or the ontological model of what Michele Foucault calls the ‘truth-event.’ Rather, I contend that trauma is unique embodied knowledge, different from that of praxis and normal memory. In general, embodied knowledge is a matter of prenoetic and intentional operations. The body schema and body image maintain a power of plasticity and adjust to new motilities in order to re-establish an equilibrium when disrupted or threatened. In line with this, embodiment involves a sense of temporality, agency, and subjectivity. But in the case of extreme disruption, such as trauma, these fundamental aspects of embodiment are compromised to the point that there is a corruption of the “embodied feeling of being alive.” Physical pain, to some extent, produces this phenomenon. However, the distinctive function of the repetition compulsion within trauma distinguishes it as an exceptional embodied experience unlike physical pain or analogous phenomena. In the case of trauma, an equilibrium is not maintained, similar to the ontology of the accident. Instead, at best, we can say that what takes place is a destructive plasticity, in which the individual is transformed to the point of being a whole new ontological subject.
This phenomenon of destructive plasticity is significant in establishing the relationship of language to trauma-knowledge as trauma is the precise point at which language is ruptured. That is to say, purported within psychanalytic discourse, traumatic experience is observed in a break within the symbolic order. As opposed to physical pain, then, trauma is more akin to the abject, sharing the same resistance to narrative language. Traumatic experience is expressed through semiotic compulsions in the body as a revolt of being. In light of this, I argue that trauma, rather than being treated as a pathology, is a specific embodied knowledge which can be captured in semiotic, poetic language. Moreover, fragmentary writing, the interface of fragmented knowledge and language, captures the disruptive force of traumatic experience. In conclusion, I assert that writing-trauma is valuable, not because it allows for a ‘working through’ of the traumatic experience, but because it is an expression of a distinctly human experience.
My work canvases nineteenth century to contemporary literature on trauma such as Bessel van der Kolk in the neurobiological discipline, literary critics including Cathy Caruth, Dori Laub, Dominick LaCapra, et al, and the psychoanalytic theorists Sigmund Freud and Jacques Lacan. I draw from such literature to analyze the ambiguous impossible-possibility of witnessing and giving testimony of traumatic experience in history and writing, as well as the concern with trauma and language specific to the repetition compulsion and the unconscious. Yet, my primary focus is on the contribution of philosophy to the ongoing discourse of trauma. I look to philosophical thinkers such as Michele Foucault and Friedrich Nietzsche to depict the types of epistemological models traditionally addressed within the history of philosophy. My analysis of phenomenology and embodiment is mainly informed by the works of Maurice Merleau-Ponty and Shaun Gallagher. Additionally, Catharine Malabou’s work on destructive plasticity provides an understanding of the ontology of the accident, one of the most critical pieces to my work. Additionally, the works of Elaine Scarry and Julia Kristeva help to disclose the intimate relationship between language and trauma. I also incorporate the work of Gloria Anzalúa along with Julia Kristeva to describe the multi-dimensionality of poetic language and how this is what allows for an articulation of embodied trauma-knowledge. Finally, Maurice Blanchot’s depiction of the disaster and fragmentary writing best captures writing-trauma as it is, like trauma, a process of fragmenting language and meaning.
My purpose is to make clear the value of poetic language and fragmentary writing in regard to knowing and writing trauma. The significance to philosophy is that my discussion bridges the phenomenological and epistemological perspectives with that of the literary in order to engage in philosophical discussion on the implications and value of traumatic experience for understanding the human condition. It is my observation that the more we experience trauma, the more valuable artistic expression becomes, and the more we are pressed within the philosophical tradition to account for an experience so many individuals suffer.
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Disque, J. Graham. "Trauma Work." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/2841.
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Isobel, Sophie. "Trauma, intergenerational trauma and Trauma Informed Care in mental health services: A poststructuralist qualitative inquiry." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/23918.
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The majority of people accessing mental health services have experienced psychological trauma, which can affect health, recovery from illness, responsiveness to treatment, and engagement with services. Relational trauma arises from events occurring in relationships, with the transmission of traumatic effects across generations known as intergenerational trauma. Trauma Informed Care (TIC) is an approach to service delivery focused on awareness and sensitivity to trauma in the lives of people accessing care. Currently there are inconsistent understandings of trauma within TIC and a lack of understanding about how preventative interventions can be integrated. This thesis was informed by a poststructural theoretical framework and sought to explore what is known about relational trauma including its intergenerational transmission, for the purposes of informing preventative interventions and TIC within adult mental health services. A qualitative inquiry using a conventional thematic and an alternative metaphor analysis addressed the research questions: How do psychiatrists understand trauma and its relationship to mental health care, including their perceptions of Trauma Informed Care?; How do psychiatrists conceptualise intergenerational trauma and its implications for practice?; and What do metaphor patterns reveal about the expressed beliefs of psychiatrists in relation to trauma? Key findings include that the relationship between trauma and mental illness remains contested and without resolution of paradigmatic challenges related to biomedical approaches to mental health care, it may not be possible to integrate TIC into current services. The thesis provides greater conceptual clarity, new theory and understandings of relational trauma and prevention of its intergenerational transmission. The thesis informs the integration of trauma-awareness, including prevention, into mental health care, with implications for practice, the mental health system and further research.
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Kühl, Inga-Marie. "Zwischen Trauma, Traum und Tradition Identitätskonstruktionen in der jungen jüdischen Gegenwartsliteratur /." [S.l. : s.n.], 2001. http://deposit.ddb.de/cgi-bin/dokserv?idn=968770134.
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Tarpey, Brianna. "Addressing Intergenerational Trauma as Part of Trauma-Informed School Programs." Thesis, Saint Mary's College of California, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10273782.
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This thesis proposed an Adlerian therapy group with a focus on integrating art, play, trauma-, and attachment-informed practices to treat children who are experiencing the effects of intergenerational trauma. Summaries of the research documented various mechanisms of trauma transmission from parents to children, as well as the consequences for the children, including a decrease in executive and behavioral functioning and less academic success. The review of the literature supported multilevel, school-wide, trauma-informed interventions that provide information and support to administrators, teachers, staff, and parents, and direct services to the children. These services include the proposed Adlerian therapy group designed to support school-aged children suffering from the effects of trauma. The purpose of the group is to foster self-worth, to improve mental health, and to enhance better academic and social functioning. This paper also recommended future research to assess the effectiveness of the approach and of school-based trauma-informed programs, in general.
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Duggan, Patrick. "Trauma-tragedy : towards an understanding of trauma in contemporary performance." Thesis, University of Leeds, 2009. http://nectar.northampton.ac.uk/2177/.
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Perri, Emanuela. "The Trauma Towers: Dimensions of Trauma in 9/11 Literature." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2015. http://amslaurea.unibo.it/8147/.
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The topic of this dissertation is the aspects of trauma and reaction to the traumatic experience that can be found in 9/11 literature. The research engages in a comparative analysis of five books that can be categorised as 9/11 literature, which means that the events of 9/11 are central in the novels and are a recurrent theme. The books have been written by authors of different nationalities: "Extremely Loud & Incredibily Close" by J. S. Foer, "Falling Man" by D. DeLillo, "Windows on the World" by F. Beigbeder, "Saturday" by I. McEwan and "The Reluctant Fundamentalist" by M. Hamid. The characters have either experienced the attacks personally or their lives have been largely influenced by the event. In either case, the protagonist has been traumatised by the tragedy. Therefore, in this study two different fields are fused together – the field of comparative literature and that of trauma studies.
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Dawson, Mark. "Suffering and survival : considering trauma, trauma studies and living on." Thesis, University of Leeds, 2010. http://etheses.whiterose.ac.uk/1693/.
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Referring to the academic phenomenon of 'Trauma Studies', this thesis argues that if it is possible to 'speak about and speak through' trauma (Caruth, 1996), such a double operation can only occur through a writing which, paradoxically, touches on what exceeds it. To structure this argument, the thesis proposes a distinction between 'Trauma Studies' – as a discipline or field of academic study – and a trauma study; the latter being a writing (on) trauma which suffers and survives as an inscription of the traumatic event, an event which nevertheless remains irreducible to the text 'as such'. Moreover, by referring to Jacques Derrida's consideration of the term 'survivre', a quasi-originary textual dimension which 'survives' or 'lives on' the border between life and death, I suggest that if a trauma study is to 'take place', it must affirm this essentially 'spectral' dimension as its very condition. Following Derrida's suggestion that all events are in a sense traumatic, I further argue that a trauma study must write (on) the traumatic event in terms of the force and potentiality of the future – what I refer to as the 'might' of what remains to come. This thesis, therefore, considers a trauma study in terms of 'living on', a textual dimension which suffers and survives the 'might' of what remains to come. Chapter One reads Chris Marker's film La Jetée, Chapter Two Roland Barthes's reading of Stendhal, and Chapter Three considers Hélène Cixous's Le jour où je n‟étais pas là. These chapters read how a trauma study remains a possibility of the im-possible, an experimental writing which survives or lives on the precarious border between experience and study. The thesis concludes by suggesting that, in order to write (on) what remains traumatic, the (im)possibility of a trauma study is determined by a certain feminine 'might'.
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Zaccari, Annette. "Vicarious Trauma Coping and Self-Care Practices Among Trauma Therapists." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4117.
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Therapists who specialize in trauma therapy are indirectly exposed traumatic events presented by clients within the therapeutic relationship. The potential consequences for trauma therapists may be the risk of vicarious trauma. Effective coping and self-care are essential in the practice of trauma work. The research question for this study is: Do coping skills and self-care practices in trauma therapists moderate the disruptive effect of vicarious trauma on the fulfillment of their psychological needs (trust/dependence and control)? The purpose of this research study was to examine quantitatively, the role of trauma therapists' beliefs in the effectiveness of coping skills and time spent devoted to self-care practices as moderators of the disruptive effect of vicarious trauma on their fulfillment of psychological needs of trust/dependence and control. Based on the constructive self-development theory, this study explored 2 psychological needs areas including trust/dependence and control. A sample of therapists with 10 years or more experience in the field and who primarily treated traumatized populations were recruited. A survey design methodology via a customized internet-based system was used to administer the trauma and attachment belief scale and the coping inventory scale. A hierarchical multiple regression analysis was completed to address the research question and hypotheses. The results of regression analysis supported the research question. Contributions to positive social change include increased awareness of the risk of vicarious trauma and potential coping strategies necessary to address this phenomenon. Therapists may then enhance their therapeutic effectiveness and organizational service delivery to traumatized client populations.
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Falk, Henriksson Anna. "Trauma och missbruk." Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1762.
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Människor med allvarligare missbruksproblem lider ofta av samsjuklighet. Syftet med studien var att undersöka kvantitativ förekomst av PTSD bland klienter med diagnosen missbruk/beroende på ett behandlingshem i Sverige samt skillnader i förekomst av PTSD mellan män och kvinnor. Även ett kvalitativt syfte fanns avseende missbrukande människors livsvärld och deras syn på sambandet mellan trauma och missbruk samt behandling. Urvalet bestod av 41 individer med diagnosen missbruk/beroende som testats med mätinstrumentet PCL-C vilket mäter problem och besvär som människor kan få som en reaktion på stressande upplevelser. Två av individerna från urvalet valdes för djupintervjuer. Studiens kvantitativa resultat visade att urvalsgruppen i förhållande till en normalpopulation, har betydande större del individer med indikationer på PTSD (65% mot 5,6%). Mer än dubbelt så många kvinnor som män indikerade förekomst av PTSD vilket överensstämmer med normalpopulationen. 90% av kvinnorna hade värden över det kritiska värdet på PCL-C. Studiens kvalitativa resultat visade på ett möjligt samband mellan tidigare svåra upplevelser i livet och situationen idag. Båda de intervjuade individerna hade erfarenhet av svåra händelser i barndomen, tonåren och i vuxenlivet. Båda såg de svåra händelsernas påverkan på psykisk- och fysisk hälsa och relationer samt en koppling mellan svåra händelser och missbruk. Båda hade också tankar om att fokus på/behandling av svåra händelser kan påverka missbruket. Slutsatser av studien kan sammanfattas i att många människor med missbruksproblem också har en traumabakgrund, att kvinnor har det i större utsträckning än män och att detta bör beaktas vid mötet med, och i behandlingen av missbrukare.
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Hutton-Carty, Stephanie. "Trauma following childbirth." Thesis, University of Birmingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487226.
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A review ofthe literature revealed that norsearch to date has focused on women's recovery from post-natal trauma. The aim ofthe current study was to explore the 'lived experience ofrecovery' (Deegan, 1988) using a qualitative approach. A purposive sample ofeleven participants who felt that they had made a partial or fuII recovery after being traumatised by childbirth completed written accounts oftheir recovery. Retrospective assessment ofwomen's PTSD symptoms when they were at their worst indicated that fIve women had met fuII criteria for PTSD according to a checklist based on the Post-traumatic Distress Scale (Foa, 1995), and all nine participants who returned the checklist could be considered as 'partial PTSD'. Analysis ofrecovery stories produced four main themes. Women's recovery was aided by the provision ofvalidation and support and a healing birth experience. Recovery was hindered by items that kept them living the trauma and feelings ofloss. Despite making a partial recovery, some women could not progress further as they continued to feel an intense sense ofloss at not having had their desired 'good' birth experience. This had implications for their mood, behaviour and perception ofthemselves as mothers.
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Wladis, Andreas. "Hypothermia and trauma /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4574-8/.
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Akers-Douglas, Lara. "Trauma and coping." Thesis, University of Southampton, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.560818.
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There is an extensive literature exploring the effects of trauma, and the variables which moderate reactions following a stressful experience. Emotional responses can vary in response to numerous factors, and one area receiving increasing attention is that of coping. It has been acknowledged that there is an important relationship between how individuals cope and their psychological wellbeing following a trauma. Highly stressful experiences can impact on coping styles, and at times this can lead to maladaptive coping, exacerbating the original symptoms and potentially invoking additional difficulties. Existing coping styles also appear to impact on how individuals cope with events, possibly predicting future symptomatology. It is known that some populations, for example combat veterans, the homeless and refugees, experience a higher than average exposure to trauma, but less is known about they cope with these experiences. On the basis of this, this study aimed to investigate trauma and coping styles in street and hostel homeless adults, and additionally explore the relationship between coping and trauma symptomatology on the basis of existing research findings. It found that the street homeless reported more approach coping skills than those living in hostels, and this group also displayed higher levels of trauma symptomatology. Furthermore, it was shown that there is an association between avoidant coping and trauma, complex trauma and PTSD, supporting existing literature. Due to the cross-sectional design, causal associations could not be drawn, but the research gives suggestions for future research and potentially beneficial psychotherapeutic interventions for those who have experienced trauma, including homeless populations. 3.
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何存德 and Chuen-tak Douglas Ho. "Trauma Centre Prototype." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31984575.
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James-Dunbar, Heidi. "Trauma and wounding." Thesis, Kingston University, 2011. http://eprints.kingston.ac.uk/22972/.
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This thesis recalls and surveys the work of major theorists in the field of Trauma theory, including Freud, Charcot, Prince, Caruth and Leys. It will consider if literature can provide a positive response to the attestation and representation of trauma. For Derrida, testimony must always remain irreducible to evidence or proof. This secret at the heart of every telling is what is at stake for survivors of trauma. Further, pain (either physical or mental) is that which precisely can't be shared between subjects it cannot be denied neither can it be confirmed. On the one hand it induces certainty (I feel pain) and on the other, doubt (I can't see or feel your pain). One's pain is entirely aversive, a secret that evades language. How does this affect the textual production of trauma narratives? And how are those narratives received? The definition of testimony, that it alone can't constitute a 'proof whilst possibly recuperating one's right to 'tell' insomuch as one can construct an apparatus to evade censorship by government or other authorities, reduces that telling to a fiction, a story; which could be described as akin to the violence of blocking one's ears, refusing to partake in witnessing, a dismissal of subjectivity/sovereignty. Can literature and the art of testimony confront the impossibility of a proper response to trauma, a trauma that evades language and majority discursive practices?.
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Freitas, Ana Sofia Gonçalves. "Trauma Abdominal Fechado." Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/50161.
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Freißmann, Stephan. "Trauma als Erzählstrategie." [S.l. : s.n.], 2005. http://nbn-resolving.de/urn:nbn:de:bsz:352-opus-23023.
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Ho, Chuen-tak Douglas. "Trauma Centre Prototype." Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25947813.
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Turel, Friyan. "Maternal Birth Trauma." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/18401.
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Objectives: 3D/4D translabial ultrasound (4D TLUS) is used to image the levator ani muscle and the anal sphincter to diagnose maternal birth trauma. We tested the validity of these methods. Secondly, we studied the pelvic floor of Nepali women. Finally, we undertook a medium to long-term outcomes in women after OASI. Methods: The first study was a retrospective analysis of 172 nulliparae. All had an interview, clinical examination and 4D TLUS. For the Nepal study, 129 consecutive women attending a gynaecology clinic were offered the same. The long-term follow-up of 146 women after OASI included the above plus anal manometry. Results: Datasets of 162 and 153 nulliparae were available for levator and anal sphincter assessment. One woman was diagnosed with an avulsion, another with a significant external anal sphincter defect. In Nepal, 21% had significant cystocele, 38% uterine and 8% posterior compartment prolapse. 60% had uterine retroversion which was associated with uterine prolapse. There were 2 avulsions and 2 significant EAS defects. The OASI study showed a >50% prevalence of anal incontinence (AI) of high bother over 6 years after the index birth. Women after 3c/4th degree tear had more AI (58 vs 44%), lower MRP P<0.001, MSP P<0.001 and more residual EAS (P<0.001) and IAS (P=0.012) defects compared to 3a/3b tear. Residual IAS defects (P=0.001) and avulsion (P=0.048) were independent risk factors for AI. Conclusions: 1.) Published criteria for the diagnosis of maternal birth trauma on TLUS are unlikely to result in false-positive findings. 2.) POP is common in Nepali women, especially uterine prolapse. Retroversion is common and associated with uterine prolapse. Patterns of POP in Nepal seem to be different from Western populations. Maternal birth trauma is not prevalent. 3.) In a long-term follow-up after OASI, symptoms of AI were present in 51%. Higher tear grade were associated with more AI, more residual defects and lower manometric pressures.
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Cruz, Villalobos Luis. "Hermenéuticas del Trauma." Tesis, Universidad de Chile, 2014. http://repositorio.uchile.cl/handle/2250/137165.
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Magíster
en Psicología Clínica de AdultosAutor no autoriza la publicación de su tesis a texto completo en el Portal de Tesis Electrónicas.
Autor: Luis Cruz Villalobos (cires.chile@gmail.com). Profesor Guía: Juan Yáñez M. Título: Hermenéuticas del Trauma. Aproximación al Trauma y su Afrontamiento Positivo como Fenómenos Hermenéuticos. Grado: Magíster en Psicología Clínica de Adultos. El presente trabajo es una investigación de carácter teórico sobre el trauma y su afrontamiento positivo, que tiene como tesis central la comprensión de estos como fenómenos fundamentalmente hermenéuticos. El documento desarrolla un abordaje inicial del estrés, los procesos de afrontamiento, el trauma y los fenómenos psicopatológicos que se le vinculan. Luego revisa los últimos planteamientos investigativos referidos al estudio del afrontamiento positivo del trauma, particularmente en torno a los constructos de resistencia (hardiness), resiliencia y crecimiento postraumático. Como abordaje central para el desarrollo de la tesis se presentan algunas perspectivas que se consideran muy relevantes para una comprensión del trauma como fenómeno interpretativo, tales como una revisión al día sobre neurofisiología de los procesos de memoria, una reseña al constructivismo y la hermenéutica y un recorrido por los principales aportes de la fenomenología hermenéutica desarrollada por Heidegger. Se realiza una integración de las perspectivas, aplicando la comprensión heideggeriana del hombre como Dasein y ser-en-el-mundo, abordando sus consecuencias para el estudio del trauma y su afrontamiento, integrándolas con los referidos descubrimientos de la neurociencia respecto a la memoria humana como fenómeno dinámico y en permanente reconsolidación. Finalmente entregamos una perspectiva que integra los desarrollos conceptuales ya articulados a los modelos que abordan el afrontamiento positivo del trauma, incorporando como constructo articulador el sentido de coherencia, que logra conjugar la comprensión del trauma y su afrontamiento positivo como fenómeno hermenéutico. Se entregan algunas implicancias clínicas y posibles líneas de investigación futuras
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Guimarães, Beatriz da Fontoura. "Trauma e real." reponame:Repositório Institucional da UFSC, 2013. https://repositorio.ufsc.br/xmlui/handle/123456789/122952.
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Tese (doutorado) - Universidade Federal de Santa Catarina, Centro de Filosofia e Ciências Humanas, Programa de Pós-Graduação em Psicologia, Florianópolis, 2013.Made available in DSpace on 2014-08-06T17:35:38Z (GMT). No. of bitstreams: 1 325605.pdf: 1646690 bytes, checksum: c753aaa0466231ff4e7679cf5f433e91 (MD5) Previous issue date: 2013
O presente estudo tem como ponto de partida a interrogação sobre o trauma, considerando que no centro da experiência traumática existe um excesso que comporta a ideia de um "corpo estranho", de impossível assimilação e representação. A partir das investigações freudianas sobre o trauma e do registro do real, em relação ao traumático, na obra lacaniana, pretende-se traçar um diálogo com a poética de Paul Celan. A questão inicialmente formulada neste estudo parte do fato de que a escrita celaniana busca atravessar - por meio da linguagem e na própria linguagem - o horror da catástrofe vivida no território europeu nos anos 1933-1945, sendo esta uma forma de buscar orientar-se frente a esta violência. Interessa analisar de que maneira a escrita enfrenta a experiência traumática, considerada de impossível representação. No diálogo traçado com a psicanálise, os conceitos que balizam este percurso, em razão da sua aproximação com a lírica celaniana, são, além do trauma e do registro do real, os conceitos de compulsão à repetição (Wiederholungszwang), de letra e de significante, de Das Unheimliche, bem como a noção de temporalidade no psiquismo, passando, ainda, pela questão do endereçamento. A obra de Paul Celan caracteriza-se pela busca do Outro, mantendo-se aberta, comporta em si mesma o estranho, o estrangeiro.
Abstract : The present study has the interrogation about the trauma as a starting point, considering the existence of some excess that holds the ideia of a "strange body" in the core of the traumatic experience, which is of impossible representation and assimilation. From the Freudian investigations about the trauma and the category of the real, in relation to the traumatic, in Lacan's works, we aim at establishing a dialogue with Paul Celan's poetics. The initially formulated question in this study starts off from the fact that Celan's writing seeks for crossing - through language and in language itself - the horror of the catastrophe experienced in the European territory between 1933-1945, being this a way of searching for orienting himself towards that violence. It is of our interest to investigate in which way writing faces the traumatic experience, considered of impossible representation. In the dialogue with psychoanalysis, the concepts that ground this path, due to their proximity to Celan's lyric, are, beyond the trauma and the order of the real, the concepts of compulsion to repetition (Wiederholungszwang), of letter and significant, and of Das Unheimliche, as well as the notion of temporality in the psyche, passing by the matter of addressing. Paul Celan's work is characterized by the search for the Other, and by keeping itself open, bears the strange, the stranger in itself.
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Farias, Thiara Cristina de Oliveira Ramos. "Trauma abdominal fechado." reponame:Repositório Institucional da UFSC, 2015. https://repositorio.ufsc.br/xmlui/handle/123456789/135813.
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Dissertação (mestrado profissional) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Cuidados Intensivos e Paliativos, Florianópolis, 2015.Made available in DSpace on 2015-10-27T03:09:39Z (GMT). No. of bitstreams: 1 335670.pdf: 517486 bytes, checksum: 72a1f4b574c177044dea1229a2a270ae (MD5) Previous issue date: 2015
Objetivo. Analisar o perfil epidemiológico e o manejo de crianças vítimas de trauma abdominal fechado na Unidade de Terapia Intensiva em um hospital pediátrico terciário. Metodologia. Trata-se de um estudo observacional, de coorte histórico, descritivo, por meio de análise de prontuários. Resultados. Foram analisados 58 prontuários. Trinta e cinco crianças (60% do total) foram do sexo masculino. A idade média foi de 8,6 anos e a mediana de 9 anos. O tipo de lesão mais comum foi a esplênica com 35% dos casos, seguida da hepática, com 26%. A associação de lesões foi encontrada em 26% dos casos, sendo que o baço foi o principal órgão acometido dentre as associações. Os acidentes com veículos automotores foram os principais mecanismos de lesão, sendo responsáveis por 57% do total. Queda foi a segunda causa de lesão, em 31% dos casos. O tempo de permanência hospitalar médio foi de 12,8 dias, enquanto que o tempo médio aproximado de permanência na unidade de terapia intensiva foi de 37 horas. Treze crianças (22% do total) chegaram hemodinamicamente instáveis ao hospital. A chance de uma criança que chegou hemodinamicamente instável ao hospital ser submetida à cirurgia foi 7 vezes maior do que uma criança que chegou estável. Oito crianças mantiveram a instabilidade hemodinâmica mesmo após a ressuscitação volêmica. A chance de um paciente que manteve instabilidade hemodinâmica ser submetido à cirurgia foi 18 vezes maior do que uma criança que se tornou estável hemodinamicamente.
Abstract : Objective. To analyze the epidemiology and management of patients with blunt abdominal trauma in the intensive care unit in a tertiary care pediatric hospital. Methodology. This is an observational, cross-sectional, descriptive, through analysis of medical records. Results. Fifty-eigth records were analyzed. Thirty-five children (60% of total) were male. The mean age was 8.6 years old and the median was 9 years old. The splenic injury was the most common type of injury, with 35% of cases, followed by the liver injury, with 26%. The injury association was found in 26% of cases, and the spleen was the main organ affected among the associations. The motor vehicle accidents were the main mechanisms of injury, accounting for 57% of the total. Fall was the second cause of injury (31% of cases). The mean length of stay in the hospital was 12.8 days, while in the intensive care unit was approximately 37 hours. Thirteen children (22% of the total) came with hemodynamic instability to the hospital. The chance of a child who came with hemodynamic instability to the hospital undergoing surgery was 7 times greater than a child who came with hemodynamic stability. Eight children maintained hemodynamic instability even after resuscitation. The chance of a patient that remained hemodynamically unstable to undergo surgery was 18 times greater than of a child who became hemodynamically stable.
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Freitas, Ana Sofia Gonçalves. "Trauma Abdominal Fechado." Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/50161.
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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1659.
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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/1959.
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Fagelson, Marc A. "Tinnitus and Trauma." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1956.
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Trauma-provoked tinnitus challenges patients and clinicians. Effects of trauma may exacerbate tinnitus, and patients with both tinnitus and posttraumatic stress disorder rate distress levels as higher than patients who experience only one or the other. This presentation will highlight links between tinnitus and trauma histories relevant to clinical audiologists.
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Disque, J. Graham. "Working with Trauma." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/2844.
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Dean, K., and Michele R. Moser. "Trauma Informed Teaming." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/4989.
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Salazar, Thieroldt Eduardo Giancarlo. "Índice de trauma abdominal y complicaciones postoperatorias en trauma abdominal penetrante." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2008. https://hdl.handle.net/20.500.12672/14022.
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Determina la relación entre ATI y complicaciones postoperatorias en pacientes quirúrgicos. El trabajo es analítico y retrospectivo. La población de estudio corresponde a pacientes operados por trauma abdominal penetrante en el Hospital Daniel Alcides Carrión durante enero 2007 a febrero 2008. Se realizaron tabulaciones descriptivas de las características demográficas, órganos afectados, puntaje de ATI, tiempo operatorio, mecanismo de trauma, desarrollo de complicaciones y reintervenciones. Se determinó la asociación entre el puntaje de ATI y las complicaciones o la reintervención utilizando el test de suma de rangos Wilcoxon, se realizó un modelo de regresión logística para determinar la asociación entre el puntaje ATI y las complicaciones. Se determinó la asociación entre complicaciones y el puntaje de ATI con puntos de corte menor o igual a 15 y menor o igual a 25, utilizando el test exacto de Fischer. Toda evaluación estadística se determinó a un nivel de significancia de 95%. La población total de estudio fue de 53 pacientes, 51 hombres y 2 mujeres, edad promedio 26.67 años (15-57 años). El tiempo operatorio promedio fue de 141.98 minutos (30-290 minutos). El mecanismo de lesión en 37 pacientes fue arma de fuego y en 16 arma blanca. Se presentaron complicaciones postoperatorias en 20 pacientes, de ellos 10 presentaron dos o más. 10 pacientes tuvieron un solo órgano afectado por el trauma, 40 tuvieron dos o más. Los órganos más afectados fueron: asa delgada (50%), epiplón (46%), colon (36%) e hígado (26%). Se excluyeron del análisis referente al ATI a 3 pacientes (laparotomía en blanco). El puntaje de índice de trauma abdominal promedio fue de 15.36 (rango de 2-52). En pacientes no reoperados (n=44) el ATI promedio fue 13.63 y para reoperados (n=6) fue de 28 (p=0.012). En pacientes que no presentaron complicaciones (n=29) el ATI promedio fue 10.13, mientas que los que las presentaron (n=21) fue de 22.57. Después de una regresión logística ajustada para edad, sexo, mecanismo de trauma y tiempo de cirugía el puntaje de ATI persiste asociado a las complicaciones (OR 1.14 (IC95%: 1.01-1.29), p=0.035). El grupo con ATI mayor de 25 tuvo mayor riesgo de reintervenciones que el grupo con ATI menor (33.33% vs 7.32%; OR 6.33 [IC 95% 1.029-38.98]) y mayor riesgo de desarrollar complicaciones (88.88% vs 28.27%; OR 17.231 [IC 95%; 1.9-152.]). El grupo con ATI mayor de 15 tuvo mayor riesgo de reintervenciones que el grupo con ATI menor (26.32% vs 3.23%; OR 10.7 [IC 95% 1.14-100.52]) y mayor riesgo de desarrollar complicaciones (73.68% vs 19.35%; OR 9.6 [IC 95%; 2.55-36.06.]). Se concluye que el índice de trauma abdominal es un factor predictivo de complicaciones postoperatorias, tanto con el puntaje de corte de 25, como con el puntaje de 15; es un significativo predictor de reoperaciones, recomendamos su utilización en pacientes con trauma abdominal penetrante.Trabajo académico
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Myers, Abby Marie. "Multiple Interpersonal Traumas and Specific Constellations of Trauma Symptoms in a Clinical Population of University Females." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/cps_diss/46.
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Female survivors of multiple forms of trauma are increasingly found to be a significant portion of the university population (Briere, Kaltman, & Green 2008). While there is a strong literature base for understanding the effects of individual trauma on psychological functioning (e.g., Briere, 1992; Kaltman, Krumnick, Stockton, Hooper, & Green, 2005), little is known about specific symptom constellations for those who have experienced multiple traumas (Rich, Gingerich, & Roseìn, 1997). Using a clinical population of 500 female university students, this study explored the rates of multiple interpersonal traumatic experiences, the connection between multiple traumas and symptom severity, and the association of specific constellations of multiple types of traumas with specific constellations of trauma symptoms. The Trauma Symptom Inventory-Alternate (Briere, 1995) and self-report measures of demographic data and abuse histories were used to collect data, which was analyzed with frequencies, Multivariate Analysis of Variance, and a Canonical Correlation to explore the interrelationships of abuse and trauma symptoms. Multiple abuse was common, with 81% of participants experiencing two or more types of abuse. Multiple trauma generally predicted more severe trauma-related symptoms than those with no trauma or single traumas. A Canonical Correlation revealed a moderately significant relationship between participants with aggressive types of abuse (e.g., childhood physical, adult physical, and adult sexual abuse) with higher symptoms of intrusive experiences, defensive-avoidance, and dissociation. These findings suggest a differential model of trauma effects, particularly for trauma types characterized by aggression. Implications for future research and clinical practice are addressed.
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Rebulla, Elena. "Psychological reaction to life’s traumas: well-being and trauma among college nursing students." Doctoral thesis, Università degli studi di Trieste, 2014. http://hdl.handle.net/10077/10073.
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2012/2013The present study examined the relationship between symptoms of post-traumatic stress, resilience, and growth in undergraduate students attending the University of South Florida, College of Nursing, in Tampa. Some trauma survivors will demonstrate negative reactions to trauma, some will not demonstrate any post-trauma symptoms, while some individuals will show positive reactions. This study investigated how, in a sample of nursing students, the psychological factors associated with adverse reactions, resiliency, and post-traumatic growth occur. The identification of these factors within a nursing population can be used to better understand these reactions as well as aid in training nurses to improve their role as health care providers. The relationships among three major areas of interest were investigated: negative reactions, resilience, and growth, using the following standardized scales and their subscales, as well as looking at moderators that may impact on these relationships. This study used on-line survey methodology. Surveys included Demographic information, Traumatic Event Questionnaire (TEQ), Post-Traumatic Growth Inventory (PTGI), Response to Stressful Experience Scale (RSES), PTSD Checklist-Civilian Version (PCL-C), Self-Compassion Scale (SCS), Multidimensional Scale of Perceived Social Support (MSPSS), and Center for Epidemiologic Studies Depression Scale (CES-D). The study population consisted of 115 undergraduate students. PCL-C total scores were significantly positively correlated with CES-D. Higher PCL-C scores were associated with higher CES-D scores. PCL-C scores were significantly negatively associated with other instrument scores such as PTGI and RSES. A hierarchical regression model was used to model the association of depression, self-compassion, growth, resilience, and social support on post-traumatic stress. The overall model significantly predicted PCL symptoms and explained a significant proportion of variance. Depression was the largest significant predictor of post-traumatic stress. Depression also explained a significant proportion of variance in post-traumatic stress. A hierarchical regression model was used to model the association of resilience, PCL-C, self-compassion, social support and depression on post-traumatic growth. The overall model significantly predicted post-traumatic growth and explained a significant proportion of variance. Resilience was the largest significant predictor of post-traumatic growth. Resilience also explained a significant proportion of variance in post-traumatic stress. A hierarchical regression model was used to model the association of post-traumatic growth, depression, PCL-C, self-compassion, and social support on resilience. The overall model significantly predicted resilience and explained a significant proportion of variance. Post-traumatic growth was the largest significant predictor of resilience. Post-traumatic growth also explained a significant proportion of variance in resilience. This study supports previous notions that psychological distress and growth can coexist and are indeed related. Helping trauma survivors develop self- compassion and acceptance may prove to be of great benefit in finding positive outcome from life’s traumas'. Findings may guide interventions with other populations who experience PTSD and other post trauma reactions.
XXVI Ciclo
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Papadima, Maria. "Debates on child abuse and trauma in psychoanalysis and feminism : the shift from non-trauma to trauma-based psychotherapy discourse." Thesis, University of East London, 2010. http://roar.uel.ac.uk/2609/.
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The aim of this thesis is to explore the currently dominant discourse on child abuse and trauma as it has come to be understood in the last 30 years in British psychoanalysis. This research mainly draws on a psychoanalytic framework, to show how a specific way of conceptualising trauma and child abuse has led to a shift from a non-trauma based psychoanalysis in the UK to a trauma-based one. In order to present the core elements of this discourse, I closely read psychoanalytic (British and French) and second-wave feminist texts that are relevant to this topic, against the background of the wider trauma paradigm and memory studies, which are also presented in the thesis. In the British psychoanalytic tradition in particular in attachment theory and contemporary Kleinianism this shift towards trauma has not yet been studied in the context of wider discussions that are occurring in cultural and social studies. Hence, the shift towards trauma-based psychoanalysis is routinely seen as a positive step forward, without examining it in the context of wider discussions about trauma and its meaning. The shift from a non-trauma based to a trauma-based psychoanalysis signifies a parallel shift towards the desexualisation of psychoanalysis, which I also examine. The introduction of trauma as a central concept in psychoanalysis has meant a shift from a discourse of desire to a discourse of needs, and this is one of this thesis' central findings.
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Nesbitt, Catherine. "Emotion and trauma : underlying emotions and trauma symptoms in two flooded populations." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/4021.
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Flood literature presents an inconsistent account of post-disaster distress; debating whether distress is pathological or normal and attempting to understand distress in terms of disaster variables. The literature therefore provides little guidance as to how to formulate difficulties in a clinically meaningful way reflective of individual’s experiences. The SPAARS model is presented as a model by which to reconcile these differences and quantitative support for its concepts were studied within two flooded samples. Participants who were flooded in Carlisle in 2005 (n=32) and participants flooded in Morpeth in 2008 (n=29) provided two samples at different stages in flood recovery and facilitated a quasi-longitudinal sample for comparison of flood-related distress over time. Participants were asked to complete a survey pertaining to: basic emotions experienced during the flood event, basic emotions experienced after the flood, Impact of Events Scale-Revised (IES-R), Regulation of Emotions Questionnaire (REQ) and the Trauma Symptom Inventory (TSI). Findings suggest that a third of participants who were flooded experienced clinically significant levels of distress, even after four years. Both samples showed higher levels of impact symptoms on the IES compared to symptoms on the TSI. Anxiety and anger were significant in reported flood experiences both during and after the flooding. Flood-related variables and previous experiences had no effect on increased distress but greater use of internal-dysfunctional emotion regulation strategies was related to increased impact and distress symptoms. Study findings and the SPAARS model are discussed in relation to previous flooding and PTSD literature, as well as clinical implications for the treatment of post-disaster distress and for the future management of flood-affected populations.
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Rebiere, Denis. "Approche du trauma psychique à l'hôpital pédiatrique : effroi, sidération, élaboration du trauma." Phd thesis, Université Rennes 2, 2014. http://tel.archives-ouvertes.fr/tel-00987026.
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Le traumatisme est historiquement une notion centrale dans le champ de la médecine chirurgicale. Avec les revendications des associations de victimes, il est devenu un syndrome psychiatrique. La psychanalyse va s'efforcer tout au long du siècle dernier d'en décrire son fonctionnement. Elle met à l'ordre du jour la responsabilité de chaque sujet traumatisé dans ce qui lui arrive. L'événement vient réactiver un processus psychopathologique dont l'existence serait antérieure à l'accident traumatique. Mais le problème général du traumatisme psychique et de son interprétation reste encore une réalité de nos jours.Cette recherche clinique, effectuée auprès d'enfants et adolescents malades (services pédiatriques) ou blessés (services de chirurgie pédiatrique), généralise la psychopathologie du traumatisme dans le domaine des affections somatiques pédiatriques. Elle établit une différence entre une clinique de l'effroi et une clinique de l'angoisse. L'effroi associé à un mécanisme de sidération se rencontre plutôt dans le domaine des blessures corporelles, l'angoisse articulée au refoulement est plutôt mise en jeu après l'annonce d'une maladie grave, type cancer.
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Wu, Harry Yi-Jui. "Transnational trauma : trauma and psychiatry in the world and Taiwan, 1945-1995." Thesis, University of Oxford, 2012. http://ora.ox.ac.uk/objects/uuid:4cbd4718-1b20-4512-9e57-642532310686.
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This study considers the history of trauma, both as a psychiatric concept and as a diagnosis, and its social and cultural representation from a transnational perspective after WWII. The intellectual evolution of trauma was determined by various medical, social and cultural variables, institutions, and people who wielded influence in the postwar world order as well as diverse local contexts. This thesis focuses on the globalisation and localisation of such concept and diagnosis shaped by international and local mental health experts at the World Health Organization and the National Taiwan University Hospital. Through the efforts of these experts, trauma not only became one of the most globally diffused psychiatric diagnoses, but also a hyperbole appropriated by Taiwanese psychiatrists to account for extreme forms of social suffering. Studies have criticised the universality and the Anglo-American-centred approach to the history of traumatic psychiatry. Scholars have also begun to explore transnational histories of psychiatry by systematically comparing or tracing the diffusion routes of psychiatric topics. Their methods of enquiry and problems solved, however, differ. My research analyses a disparate collection of evidence at the level of international organisations and from local aspects, allowing not only a critical reconsideration of trauma in the trend of global medicine, but also its reception, contestation and appropriation in the non-Western contexts. Guided by the works of medical historians, literary critics and cultural anthropologists, this project combines archival research with oral history interviews to challenge the existing historical accounts of trauma, and provide evidence of the limited capacity of globalised psychiatric norms and their reception and appropriation beyond the imagination of world citizenship. It argues that such scientific artefacts were not only produced through mutual reference between Eastern and Western experiences, but also measures of instrumental rationality employed by postwar internationalists to engineer their modernity in the Global South.
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Gomes, Ernestina da Piedade Rodrigues. "New paradigms in trauma care, an analysis of a trauma centre registry." Doctoral thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/26555.
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Sander, Anthony. "Penetrating Abdominal Trauma: Spectrum of disease in a Level 1 Trauma Centre." Master's thesis, Faculty of Health Sciences, 2019. http://hdl.handle.net/11427/31208.
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Background: Penetrating abdominal trauma (PAT) in South Africa represents a significant burden of disease. The current global trend has seen management shift towards selective conservatism. The purpose of this study is to describe the presentation, management and outcomes of PAT in a level I trauma unit, which routinely practices selective non-operative management (SNOM). Methods: This was a retrospective descriptive audit of prospectively collected data. The Setting was Groote Schuur Hospital Trauma Centre, Cape Town, South Africa over 24 months (1 May 2015 to 30 April 2017). All patients presenting to the centre with PAT during the study period were included. The data captured and analysed included: basic demographics; admission vital signs; blood investigations; number of traumatic insults; penetrating wound positions; radiological investigations and interventions; indication for laparotomy; operative or nonoperative management; laparotomy findings: negative, therapeutic or non-therapeutic; abdominal visceral injuries and associated injuries. The Revised Trauma Score (RTS); Injury Severity Score (ISS); Penetrating Abdominal Trauma Index (PATI); and Kampala Trauma Score (KTS) were then calculated. The descriptive end points included the following: Length of hospital stay (LOS); ICU admission time; relaparotomy; readmission; mortality; and in-hospital complications. Results: During the study period, 805 patients with penetrating abdominal trauma were managed. There were 502 (62.4%) and 303 (37.6%) patients with gunshot and stab wounds, respectively. The majority were young men (762 – 94.7%) with a mean age of 28.3 (95%CI: 27.7-28.9) years. The median trauma scores were as follows: RTS – 7.84 (IQR: 7.00-7.84); ISS: 13 (IQR: 9-22), PATI: 6 (IQR: 1-14); and KTS: 14 (IQR: 14-15). Abdominal penetration was thoracoabdominal in 332 (41.2%), abdominal in 694 (86.5%), and pelvic in 192 (23.9%) patients. Immediate laparotomy was performed in 446 (55.4%) patients for: haemodynamic instability – 42 (5.2%); peritonism – 296 (36.8%); evisceration - 27 (3.4%); unreliable clinical evaluation – 24 (3.0%); and positive radiological findings – 57 (7.1%). There were 406 (50.4%) therapeutic laparotomies; 18 (2.3%) negative laparotomies; and 22 (2.7%) nontherapeutic laparotomies in the immediately operated group. Initial SNOM was performed in 359 (44.5%) patients, of which 208 (68.7%) sustained stab wounds and 151 (30.1%) gunshot wounds. Thirty-five (4.3%) patients failed SNOM and underwent delayed laparotomy. Should a policy of mandatory laparotomy have been implemented in this series, 206 (68.0%) SW and 163 (32.5%) GSW patients would have underwent unnecessary exploration. Overall non-fatal complications were 179 (22.2%) which were then further classified according to the Clavien-Dindo grading system. The median hospital stay was 4.5 (IQR: 3-7) and 7 (IQR: 5-12) days for SW and GSW, respectively. Overall 114 (14.2%) patients required admission to critical care unit for a median stay of 3 (IQR: 2-5) days. Total mortality was 7.2% (n=58). Conclusion: Clinical evaluation (haemodynamic instability, peritonism and evisceration) was remarkably accurate in determining the need for early laparotomy. The unnecessary laparotomy rate of this group was 5.0% (negative: 2.3% and nontherapeutic: 2.7%) overall. Selective nonoperative management was performed in 44.5% of patients with a successful SNOM rate of 90.3%. The overall mortality was 7.2 %.
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Moschytz-Ledgley, Miriam. "Trauma, Scham und Selbstmitleid vererbtes Trauma in Bernhard Schlinks Roman "Der Vorleser"." Marburg Tectum-Verl, 2005. http://d-nb.info/994677170/04.
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Gomes, Ernestina da Piedade Rodrigues. "New paradigms in trauma care, an analysis of a trauma centre registry." Tese, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/26555.
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Rebière, Denis. "Approche du trauma psychique à l’hôpital pédiatrique : effroi, sidération, élaboration du trauma." Thesis, Rennes 2, 2014. http://www.theses.fr/2014REN20009/document.
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Le traumatisme est historiquement une notion centrale dans le champ de la médecine chirurgicale. Avec les revendications des associations de victimes, il est devenu un syndrome psychiatrique. La psychanalyse va s’efforcer tout au long du siècle dernier d’en décrire son fonctionnement. Elle met à l’ordre du jour la responsabilité de chaque sujet traumatisé dans ce qui lui arrive. L’événement vient réactiver un processus psychopathologique dont l’existence serait antérieure à l’accident traumatique. Mais le problème général du traumatisme psychique et de son interprétation reste encore une réalité de nos jours.Cette recherche clinique, effectuée auprès d’enfants et adolescents malades (services pédiatriques) ou blessés (services de chirurgie pédiatrique), généralise la psychopathologie du traumatisme dans le domaine des affections somatiques pédiatriques. Elle établit une différence entre une clinique de l’effroi et une clinique de l’angoisse. L’effroi associé à un mécanisme de sidération se rencontre plutôt dans le domaine des blessures corporelles, l’angoisse articulée au refoulement est plutôt mise en jeu après l’annonce d’une maladie grave, type cancerThe traumatism is historically a central notion in the field of the surgical medicine. With the claimss of victims' associations, it becomes a psychiatric syndrome. The psychoanalysis will endeavour throughout the last century to describe its functioning. It puts at the day order the responsibility of each traumatized subject in what happens to him. The event comes to reactivate a psychopathological process whose existence would be previous to the traumatic accident. But the general problem of the psychic traumatisme and of its interpretation (performance) still remains a reality nowadays. This clinical research, conducted among children and adolescents sick ( pediatric services) or wounded (pediatric surgery services), generalizes the psychopathology of the traumatism in the domain of pediatric somatic affections. It establishes a difference between a clinic of the dread and a clinic of anguish. The dread (or terror) associated with a mechanisme of sideration, rather occurs in the domain of corporal wounds, the anguish articulated with the repression is rather concerned after the annoncment of a serious disease, such as cancer
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Hunt, Tambria. "Professionals' Perceptions of Vicarious Trauma From Working With Victims of Sexual Trauma." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5879.
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Professionals who work with victims of sexual trauma frequently experience emotional and psychological stressors that affect their everyday life. Vicarious traumatization is an occupational risk among helping professionals, but it is not known how this phenomenon can be identified and minimized among professionals who work with victims of sexual trauma. The purpose of this qualitative narrative study was to explore the personal experiences of licensed and nonlicensed professionals who work with female victims of sexual trauma. Constructivist self-development theory and the traumagenic dynamics model provided the framework for the study. The research questions focused on the evidence of vicarious trauma among participants, the skills and techniques used to minimize the risk of vicarious trauma, and the influence of vicarious traumatization on helping professionals. Data were collected through semistructured interviews with 8 helping professionals in the Southern United States. Findings from data coding and theme analysis indicated that (a) professionals experience psychological and emotional risks in trauma work, (b) establishing boundaries and implementing self-care techniques can minimize vicarious trauma, and (c) consistent training and ongoing discussions about vicarious trauma are essential to professionals who commit their lives to helping sexual trauma victims. Findings may be used to increase awareness and education about vicarious trauma among professionals who work with victims of sexual trauma, and to develop techniques to minimize the risk of vicarious trauma.
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Kühl, Inga-Marie [Verfasser], Hannelore [Gutachter] Scholz, and Inge [Gutachter] Stephan. "Zwischen Trauma, Traum und Tradition / Inga-Marie Kühl ; Gutachter: Hannelore Scholz, Inge Stephan." Berlin : Humboldt-Universität zu Berlin, 2001. http://d-nb.info/1207646024/34.
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Bailham, Dawn Bernadette Ruth. "Psychological trauma following childbirth." Thesis, University of Warwick, 2001. http://wrap.warwick.ac.uk/4506/.
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The aim of this study was to assess risk factors to PTSD following childbirth incorporating a longitudinal design. Since the introduction of DSM-IV (APA, 1994) there has been an awareness in the literature that women can develop PTSD following childbirth. The first study in this thesis provides a comprehensive review of the literature in this area and the clinical implications of the disorder. The aim of the second study was to investigate the factor structure of a questionnaire measure (PLDQ) that has been used in past studies to assess women's perceptions of labour and delivery. The findings from this study indicate that the PLDQ consists of three internally reliable factors that can assess a woman's perception of pain, staff support/care and fear during labour and delivery. The scale can differentiate among women on these factors according to type of delivery. The aim of the third paper was to assess risk. factors to PTSD across time in the antenatal period, appraisal factors during delivery with the PLDQ, and maintenance factors in the postnatal period. There is an absence of studies in the literature that assess risk factors to PTSD over time. The results of this study indicate that postnatal depression (PND) and a negative appraisal of staff support and care during labour and delivery can predispose women to PTSD at 5-8 weeks following delivery. At 10 -14 weeks the relationship between PTSD and PND was still consistent. The clinical implications of the research are discussed for screening women at risk of PTSD following childbirth, assessment of a woman's appraisal of a difficult labour and delivery and the provision of support in the postnatal period.