Tesi: "Traumat" – Grafiati

1

Carlsson, Heléne. "När traumat sätter sätter sig i kroppen : Affektreglering och somatoforma dissociationer hos patienter". Thesis, Ersta Sköndal högskola, S:t Lukas utbildningsinstitut, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5154.

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Traumatiska upplevelser som inte bearbetas kan ge somatiska symtom, i en del fall som uttryck för dissociation, så kallade somatoforma dissociationer. Patienter med dessa symtom söker sig till sjukvården där bristande kunskap om symtom på trauma kan fördröja adekvat behandling. Studiens syfte är undersöka traumainriktade terapeuters erfarenheter av arbete med patienter som har somatoforma dissociationer. Frågeställningarna är: Vilka upplevelser har psykoterapeuter av affektreglering och allians med traumatiserade patienter? Vilka symtom i form av somatoforma dissociationer ses hos patienterna? Hur kan man fånga upp traumarelaterad problematik inom sjukvården? Metoden är en kvalitativ undersökning i form av intervjuer med fem legitimerade psykoterapeuter som arbetar på traumamottagningar. Resultatet visar att somatiska symtom är vanliga hos traumatiserade patienter och att en del av symtomen kan betraktas vara somatoforma dissociationer. De somatiska symtomen kan ses som ett uttryck för obearbetade affekter och affektreglering är en väg till minskning av symtomen. I psykoterapin är tilliten en viktig del i alliansen. Slutsatser som kan dras är att somatoforma dissociationer kan behöva lyftas fram för att tydliggöra de somatiska uttryckens koppling till trauma. Inom sjukvården är det av vikt med ökad kunskap kring trauma så att patienten även får hjälp till affektreglering genom terapi och inte endast t ex fortsatt medicinsk behandling för somatiska och psykiska symtom.
Experiences of trauma that not are taken care of may give somatic symptoms, in some cases as signs of dissociation, so called somatoform dissociations. Patients with these symptoms search for help in the medical care where insufficient knowledge of trauma symptoms can delay adequate treatment. The aim of this study is to investigate therapists’ experiences of therapy with traumatized patients that have somatoform dissociations. The questions to be asked are: Which experiences do psychotherapists have of affect regulation and alliance with traumatized patients? Which symptoms do patients have that can be seen as somatoform dissociations? How can you be aware of trauma related problems in the medical care? The method is a qualitative approach based on interviews of five legitimated psychotherapists working with traumatized patients. The result shows that somatic symptoms are common in traumatized patients and that some symptoms can be seen as somatoform dissociations. The somatic symptoms can be seen as signs of unprocessed affects and affect regulation is a way to reduce the symptoms. In psychotherapy faith is an important part of the alliance. Derived conclusions are that somatoform dissociations need to be highlighted so that the link between somatic symptoms and dissociation can be clarified. In the medical care the knowledge of trauma is essential so that the patient also gets help with affect regulation and not only further medical treatment of somatic and psychological symptoms.

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2

Nyke, Siri. "Notes Towards a Mental Breakdown : det teknologiska traumat i J.G. Ballards The Atrocity Exhibition". Thesis, Södertörn University College, School of Gender, Culture and History, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-3143.

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This study examinates technology's traumatic impact on the male subject in The Atrocity Exhibition by J.G. Ballard. In my analysis I show how the protagonist uses a fetischistic strategy in order to make sense of the trauma that technology embeds. Paradoxically it proves to be the agent of his trauma, but also functions as his shield. The machine is thus in a position of the hinge, the point in a structural system that both enables and deconstruct the system. In the same position we find the woman. She is the very epicentre of the novel and the violence directed towards her is part of a complex problem that I adress. The woman is divided into pieces and fetischized by the male gaze to serve as a solution for his trauma.

Hal Foster's notion ”the double logic of prosthesis” constitutes a theoretical base. The model shows how a fetischistic strategy is applied by avant-garde artists to solve the technological trauma that they experience. Both content and composition of The Atrocity Exhibition are inspired by avant-garde practices, I have therefore compared the text with Foster's theory on how the avant-garde problematized the interaction between man and machine. Marshall McLuhan's belief that the human body and technology are inseparable in the era of electronics further helps me to study technology's effect on perception.

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3

Clark, Ruth M. "Loss, trauma and post-traumatic growth". Thesis, City University London, 2010. http://openaccess.city.ac.uk/8706/.

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This study explored the lived experiences of twelve mental health care clinicians working therapeutically with suicidal clients and following client suicide. The participants included six mCounselling Psychologists, two Consultant Psychiatrists, three Community Psychiatric Nurses and a Cognitive Behavioural Therapist from an opportunity sample. The study took place within a National Health Service Mental Health Trust located in the South East of England. All the participants worked with suicidal clients. Nine had experienced the suicide of one or more clients. Employing interpretative phenomenological analysis, four key themes emerged: Being with suicidal clients, Impact of client death, Subsequent influential experiences and Evolving. Therapeutic intervention with suicidal clients emerged as being a source of anxiety for some participants, while others felt confident in wanting to explore the clients' concerns in depth. Following client suicide, shock, initial disbelief, fear, guilt and anger were apparent. Therapeutic relationships were influential in the participants' interpretations and understandings of the death. The attachment to the client was considered, by some, as being almost shameful, while others had tenuous therapeutic relationships. Some participants expressed potent feelings of grief arising from the loss. Past experience of bereavement by suicide emerged as shaping the views taken of suicidal clients and the responses to client suicide. Subsequent events, including involvement in an investigation into the cause of the death, were considered as being influential factors in the overall experience. Relationships with others which provided comfort and affirmation were considered to be a protective factor. While several participants gained support from clinical supervision, others felt that it did not meet their needs. An attempt was made to offer explanatory frameworks in order to situate the participants' experiences. Together with the effects of a loss, some participants' perceptions of failing as a competent professional added some support to the notion of threatened identity, due to rupture of the 'continuity' of professional identity. Transformative processes included gains, such as being considered as an 'expert.' The changes that are described are consistent with the reflexive practitioner position of Counselling Psychologists. The implications of the findings include Counselling Psychologists' involvement in the development of support systems. Finally, a suggested method of providing information to clinicians (Appendix 11) has been drafted as a result of the study outcomes.

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4

Jonsson, Simon. "Förtvivlan, Sorg, Hämnd : En analys av spelfilmerna World Trade Center och Zero Dark Thirty, en inblick i det sociala minnets rekonstruktion av traumat den 11 september 2001". Thesis, Linnéuniversitetet, Institutionen för kulturvetenskaper (KV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-60949.

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The purpose of this paper is to examine popular cultures impact on the social and collective memory in the post 9/11 era, more specific visual medias reconstruction of the traumatic event of September 11, 2001. The movies that will be in the center of this paper is World Trade Center (2006) produced by Oliver Stone and Zero Dark Thirty (2012) by Kathryn Bigelow. This paper will argue that the movie World Trade Center and Zero Dark Thirty is maintaining and reproducing the ideological discourses set by the Bush-administration after the events of September 11. The result of the investigated movies is that they are characterized by “we against the other” perspective and is reproducing stereotypes that will function as a mean to exclusion of minority’s. This is linked to the social and the collective memory. Where social and collective identities define, who belongs or not.

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5

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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6

Browne, Tessa. "Trauma-related quilt and post-traumatic stress among journalists". Thesis, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542436.

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7

Chan, Cho-yan Jonathan, e 陳祖恩. "Traumatic cyberspace: witnessing cyberspace as a site of Trauma". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31227144.

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8

Leung, Ka-kit Gilberto, e 梁嘉傑. "Trauma system and traumatic brain injury in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42182487.

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9

Leung, Ka-kit Gilberto. "Trauma system and traumatic brain injury in Hong Kong". Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42182487.

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10

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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11

Gelaye, Bizu, Qiu-Yue Zhong, Archana Basu, Elizabeth J. Levey, Sixto Sanchez, Karestan C. Koenen, David C. Henderson, Michelle A. Williams e Marta B. Rondón. "Trauma and traumatic stress in a sample of pregnant women". Elsevier B.V, 2017. http://hdl.handle.net/10757/622257.

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Revisión por pares
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
OBJECTIVE: To examine the construct validity of the 9 item Traumatic Events Questionnaire (TEQ) and to evaluate the extent to which experiences of trauma assessed using the TEQ are associated with symptoms of psychiatric disorders among 3342 pregnant women in Lima, Peru. METHODS: Symptoms of depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) and Edinburgh Postnatal Depression Scale (EPDS) while the PTSD Checklist-civilian (PCL-C) and Generalized Anxiety Disorder-7 (GAD-7) were used to assess symptoms of PTSD and generalized anxiety. Hierarchical logistic regression procedures were used to evaluate relations between TEQ and symptoms of psychiatric disorders. RESULTS: The majority of participants (87.8%) experienced at least one traumatic event (mean = 2.5 events). The trauma occurrence score was moderately correlated with symptoms of PTSD (PCL-C: rho = 0.38, P-value < 0.0001), depression (EPDS: rho = 0.31, P-value < 0.0001; PHQ-9: rho = 0.20, P-value < 0.0001), and GAD (GAD-7: rho = 0.29, P-value < 0.0001). Stronger correlations were observed between the trauma intensity score with symptoms of psychiatric disorders (PCL-C: rho = 0.49, P-value < 0.0001; EPDS: rho = 0.36, P-value < 0.0001; PHQ-9: rho = 0.31, P-value < 0.0001; GAD-7: rho = 0.39, P-value < 0.0001). CONCLUSION: Given the high burden of trauma experiences and the enduring adverse consequences on maternal and child health, there is an urgent need for integrating evidence-based trauma informed care programs in obstetrical practices serving Peruvian patients.
Revisión por pares

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12

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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2012/2013
The 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
1967

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13

Elwakili, Najat. "War-related trauma : forced migrants' experiences of trauma therapy in the treatment of Post-Traumatic Stress Disorder". Thesis, City, University of London, 2018. http://openaccess.city.ac.uk/20918/.

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The world’s biggest forced migration is currently taking place. This population now makes up a considerable proportion of those accessing trauma services in the UK. Narrative exposure therapy (NET) is increasingly used with this population in services across the NHS. However, there are no studies reporting on its acceptability or how this group experiences this narrative and exposure-informed approach. Although the evidence base for the use of NET is promising, it remains symptom-reduction focused. This study sought to capture the accounts of seven forced migrants who had had NET for their PTSD through Interpretative Phenomenological Analysis. Six super-ordinate themes emerged from the data: (1) The struggle with therapy, fear, ambivalence and exposure; (2) Living with loss, pain, grief and uncertainty; (3) Trusting someone else to be your voice; (4) A life more than just trauma – ‘remembering the good and the bad’; (5) From trauma and despair to understanding the big things in life – ‘something to navigate from’; and (6) Reconstructing a sense of self, identity and attachment. The latter three themes reflect new findings in relation to the existing trauma-focused literature for this population, unique to NET. A sub-theme that emerged unanimously from the accounts was NET as ‘shaking up symptoms’. The tangible and experiential aspects of the therapy contributed to participants being able to ‘see the bigger picture’ at a flashback and gestalt level, seeing the ‘self’ as a survivor and as having ‘a life more than just trauma’. Developing a future orientation, reinvesting in the ‘self’, developing a balanced perspective of life and of a ‘self’ that endured more than just trauma, were some of the outcomes. The findings represent real-world subjective outcomes that existing studies on NET for this population have not been able to capture. Implications, limitations, and suggestions for future research are discussed.

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14

Moore, Tal. "Post-traumatic cultural differences in trauma-centered identity and self-consistency". Thesis, University of East Anglia, 2012. https://ueaeprints.uea.ac.uk/48119/.

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Posttraumatic stress disorder (PTSD) is an anxiety disorder that can occur in response to traumatic experiences. Research has shown that the trauma memory may become central to a survivor’s life story and result in a trauma-centred identity. Posttraumatic changes to identity vary across cultures. Trauma-centred identity has been found to be positively associated with PTSD symptoms in individualistic cultures, but not in collectivistic cultures. Cultural differences have also been observed in levels of self-consistency. Individualistic cultures value high levels of consistency, whereas collectivistic cultures promote identity flexibility and adaptation to different social contexts. Several PTSD models describe the involvement of selfconsistency in posttraumatic coping, but research to date has yet to examine cultural variations in self-consistency and their relation to trauma-centred identity and PTSD. The present study investigated the relationships between self-consistency, traumacentred identity and posttraumatic symptoms across cultures. Trauma survivors from individualistic (n= 60 British) and collectivistic (n= 37 Soviets) cultures completed the Centrality of Events Scale, a self-consistency measure, and provided self-defining memories and self-cognitions. Trauma-centred identity was positively associated with posttraumatic symptoms in both cultural groups. Self-consistency was negatively associated with traumacentred identity in the two groups, and with posttraumatic symptoms in the Soviet culture. Mediation analyses indicated that levels of self-consistency mediated the impact of traumacenteredness on the development of PTSD. It can be concluded that, following trauma, selfconsistency appears to be protective for British and Soviets. The clinical implications of the present finding, particularly the benefits of self-consistency in the treatment of clients from British and Soviet cultures, are discussed.

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Bourne, Corin. "Trauma and the peri-traumatic cognitive mechanisms involved in flashback formation". Thesis, University of Oxford, 2010. http://ora.ox.ac.uk/objects/uuid:1d42715a-7eef-4b16-9f5b-14aca89f11ed.

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Post-traumatic stress disorder (PTSD) is classified as an anxiety disorder in the Diagnostic and Statistical Manual IV of the American Psychiatric Association. It is characterised by three main symptom clusters: re-experiencing (of which flashbacks are the hallmark symptom); hyperarousal; and avoidance. Diagnosis requires not only the occurrence of a traumatic event but also an intense emotional (fear, horror, or helplessness) reaction to it. Epidemiological data suggest that 80% of people will experience at least one qualifying event in their lifetime. However, prevalence rates of PTSD are much lower. Additionally, individuals with PTSD tend to experience flashbacks of only two or three particular ‘hot-spots’ of the entire trauma. Therefore, the question arises: why do some moments of trauma flash back and not others? Clinical-cognitive theories of PTSD suggest that shifts in information processing at the time of the trauma (i.e. peri-traumatically) are the mechanism whereby flashbacks are created. However, for ethical and practical reasons peri-traumatic processes in real trauma are seldom studied. An analogue traumatic event has been developed to help study peri-traumatic processes – the trauma film paradigm. This paradigm is used through-out this thesis with the goal of investigating peri-traumatic cognitive mechanisms in flashback formation. Studies 1 and 2 extend previous work using dual tasks to manipulate intrusions in-line with clinical-cognitive theories. Studies 3 and 4 use neuroimaging techniques to investigate brain regions involved in real-time peri-traumatic encoding of analogue flashbacks. Chapter 9 presents heart rate data relating to peri-traumatic physiological response to flashback encoding. All of these studies support the notion that peri-traumatic shifts in processing are involved in flashback formation. In particular, Study 3 suggests that there may be a particular neural signature associated with the formation of flashbacks. Investigation of these brain areas may help solve the questions of why some individuals are more vulnerable to PTSD and why only a few specific moments of a trauma subsequently flashback. Furthermore, an improved understanding of the cognitive mechanisms involved in flashback formation may allow theory and evidence led improvements in PTSD treatments.

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Woodward, Clare Louise. "Processing trauma : studies into post-traumatic stress disorder, eye movement desensitisation and reprocessing and post-traumatic growth". Thesis, University of Warwick, 2001. http://wrap.warwick.ac.uk/2901/.

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While PTSD results in various symptomatology, key characteristics concern a sense of being "stuck" on the trauma which keeps the person reliving it through thoughts, feelings and images and a need to avoid anything which reminds them of the trauma. Such avoidance is suggested to prevent the opportunity for processing and integrating the distressing material. One key clinical question is how to help the person work through their trauma without them becoming overwhelmed by trauma symptoms? Eye Movement Desensitisation and Reprocessing (EMDR) is a relatively new technique that has been reported to help PTSD sufferers reduce the intensity and intrusiveness of traumatic thoughts and images. Despite the growing clinical evidence of the effectiveness of EMDR, a strong debate exists within the research literature regarding its empirical and theoretical validity. One aspect of this dissertation is an experimental study looking at the role of eye movements in Eye Movement Desensitisation and Reprocessing and testing a working memory model of "distress reduction". Of course not everyone who experiences a traumatic event will go on to develop PTSD. An often neglected area of trauma investigation is how some individuals experience positive change and personal growth as a result of their traumatic experiences. This is an area that is now beginning to receive some attention and has been termed Posttraumatic Growth (PTG). The move away from looking exclusively at the impact of trauma to consider how people who have experienced trauma might construct a more positive understanding of themselves in the light of the trauma forms the main section of this dissertation. This exploratory study uses personal experience narratives of posttraumatic growth.

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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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18

Mpamira, Tabitha M. "Effects of multiple concurrent interpersonal traumas on post traumatic stress disorder symptomology". Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/664.

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19

Taylor, Jennifer. "Personalised, trauma-informed yoga for burnout and traumatic stress in junior doctors". Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/22890.

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Background Doctors, particularly early in their careers, are exposed to occupational and traumatic stressors, many of which are inherent to the occupation and may be difficult to mitigate. The mental health sequelae of such chronic exposure can be burnout and suicidality. In addition to systemic and regulatory changes, healthcare organisations are implementing multi-level wellness programs and interventions targeting organisation- and individual-level risk factors. Mindfulness-based interventions (MBIs) and group fitness are two individuallevel interventions often used. However, there is no research comparing these interventions in junior doctors or from a trauma-informed perspective. Methods In this thesis, I undertook three studies and a review to research MBIs for junior doctors. Firstly, I took a wider epidemiological perspective and undertook the first systematic survey of the prevalence of post-traumatic stress disorder (PTSD) in those indirectly as well as directly exposed to a rare, one-off stressor, a shark bite. Secondly, I performed a systematic review and meta-analysis of MBIs for symptoms of psychological trauma and assessed moderators of effect to inform design of an intervention for junior doctors. Thirdly, seeking to promote intervention engagement but concerned about trauma-related effects, I evaluated the acceptability of breath biofeedback devices in a purposive complex trauma-exposed sample. Finally, I ran a pilot randomised, controlled trial (RCT) comparing personalised, trauma-informed yoga, with group fitness, for burnout and traumatic stress in a sample of junior doctors in the Sydney Local Health District, Australia. Results The shark study showed that those indirectly exposed to a bite event, such as witnesses and first-responders, were as likely to develop symptoms of PTSD as direct survivors. In addition, most reported media exposure as negative to their recovery and these respondents were 12 times more likely to develop symptoms of PTSD. Subsequently, the review and meta-analysis found that MBIs, including yoga, reduced symptoms of stress and trauma with small to moderate effects and that intervention duration was a key factor with those eight weeks or longer more effective. Diagnosis and trauma type did not moderate effects which suggests MBIs may have transdiagnostic targets. The review also identified research opportunities for studies of individual-format (one-on-one) and personalised interventions, and that there was moderate-high attrition. The subsequent engagement study evaluating breath biofeedback devices indicated that, while acceptable overall, the choice of device was individualised, and could lead to negative experiences. Finally, the RCT pilot of personalised yoga and group fitness in junior doctors demonstrated that both interventions reduced burnout. However, yoga improved compassion satisfaction within-group and reduced the burnout symptom of depersonalisation more than fitness. Qualitative data suggested that participants found both interventions beneficial as active coping strategies, but for different reasons: yoga reduced anxiety/rumination and guided selfreflection; and fitness improved energy and social connection. Moreover, for these mostly female participants, personalised yoga provided a unique therapeutic alliance. Conclusion This thesis triangulates data derived from different methodological and epistemological approaches, including epidemiology, MBIs, affective computing, and thematic analysis to address the what, why, and how of a potential intervention to improve mental health and wellbeing in junior doctors. The shark study raises secondary traumatic exposure as a risk factor for mental ill-health with effects reported after a single, novel event. This finding, and the increased risk of the subsequent media/social stressor, is relevant to junior doctors who are directly, indirectly, and repeatedly exposed to multiple occupational and traumatic stressors. Contributing to the design of an intervention for junior doctors, the review suggested that a minimum eight-week yoga intervention may have transdiagnostic effects on the sequelae of trauma exposure, and that studies of individual-format and personalised interventions were needed. The biofeedback devices pilot showed potential to further increase engagement. However, some devices had potential for negative effects and personalised choice of device was key. This further supported the personalisation of the junior doctor yoga intervention and biofeedback was used to augment the intervention insession, but not assigned as homework. Finally, in the RCT pilot, junior doctors reported that the individual-level interventions, yoga and group exercise, were helpful as active coping strategies, even in acute circumstances. Both interventions were acceptable and effective in reducing burnout, although individual-format yoga reduced depersonalization and achieved greater adherence, despite being resource intensive. Nonetheless, group-format exercise provided important social connection. The trauma-informed approach was well-received, establishing a strong therapeutic alliance with the yoga facilitator for the, mostly female, junior doctors. There were challenges for engagement, but these were supported by eHealth, biofeedback and biomeasurement. Overall, these interventions had a low stigma, positive effect on the mental health of junior doctors.

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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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Nygren, de Boussard Catharina. "Studies on head trauma complications : with special reference to mild traumatic brain injury /". Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-836-X/.

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22

Frame, Lucy. "Post-traumatic stress disorder symptoms following hospitalisation for acute psychosis : sources of trauma". Thesis, Bangor University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263185.

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23

Bracken, Pat. "Trauma and the age of postmodernity : a hermemeutic approach to post traumatic anxiety". Thesis, University of Warwick, 1998. http://wrap.warwick.ac.uk/3101/.

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Phillis, Marcie J. "Resilient Resistors: Women Trauma Survivors Narrate Resistance and Resilience Following Traumatic Life Experiences". OpenSIUC, 2018. https://opensiuc.lib.siu.edu/dissertations/1644.

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Previous studies of resistance in the field of sociology have focused on many types of resistance but have not examined poor women’s resistance in the aftermath of trauma. Psychologists have examined trauma recovery and resilience, but have not examined these topics from an integrated, sociological perspective. In this work, I synthesize current scholarship on resistance from sociology with resilience in psychology and address these existing gaps. Through open-ended, semi-structured interviews with twenty-three women who suffered traumatic life events, I answer the following questions: How do women narrate their rebound from trauma and how do they define those experiences? What are the commonalities in women's narratives of overcoming? How do race, class, sexuality, and poverty intersect to affect resistance and resilience for these women? What themes emerge in women’s discussions of overcoming trauma? What aspects of their trauma recovery involve resistance and resilience? My findings show that women trauma survivors are resilient and resistant in a number of ways: through understood therapeutic means including self-help, support groups, therapy, reading about and watching programs regarding the subject, discussing trauma and recovery with family and friends, using mentors, engaging in positive spirituality, and through creative expression. I found women were resistant in less traditionally understood ways. These include choosing to get help with coping from therapy or support groups against the wishes of loved ones or others due to stigma. Other methods included renaming themselves “survivor”, “thriver”, or reject labels entirely, and creating new, resilient selves. Finally, I found that survivors of traumatic life events often rejected community norms regarding how gender is “done,” by rejecting femininity, eschewing marriage, living as out lesbians, or choosing not to have children. Two unique findings emerged through the data collection. The first was that women from lower socioeconomic backgrounds frequently rejected the idea of victimhood, identified as survivors, or chose no label at all. They narrated their transition from victim to survivor as a sudden choice as opposed to, as the literature suggests, a process. Second, I find that there is a very particular script for coping in women from lower classes which frames traumatic life experiences as, “just part of being a woman.” I find that these frequently women employed a “tough guise” identity to reclaim respect in their low-income communities. I further find that women recreate new, socially valorized identities free from stigma by engaging in prosocial coping.

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25

Clements, Andrea D. "Mild Traumatic Brain Injury in Multiple Trauma Patients: the Problem of Delayed Diagnosis". Digital Commons @ East Tennessee State University, 1997. https://dc.etsu.edu/etsu-works/7217.

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Excerpt: With all that is currently known about symptoms that indicate mild traumatic brain injury (MTBI), it is unfortunate that many individuals go undiagnosed for long periods of time after sustaining such an injury.

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Leibovitz, Amanda Patricia. "Coaching Athletes with Post-Traumatic Stress: Exploring Trauma-Related Competencies and Coaching Efficacy". Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1707363/.

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The purpose of this study was twofold: (a) assess cycling coaches' trauma-related competencies, as measured by trauma knowledge (i.e., trauma-specific education, familiarity with post-traumatic stress [PTS]), stigma of persons with PTS (i.e., fear/dangerousness, help/interact, forcing treatment, negative emotions), and interpersonal skills (i.e., self-reported emotional intelligence, perceived quality of coach-athlete relationships); and (b) examine the influence that trauma knowledge and stigma of persons with PTS has on coaching efficacy specific to coaching trauma-impacted athletes (i.e., trauma-informed coaching efficacy), after controlling for general coaching experience. Descriptive statistics indicated the majority of coaches had no trauma-specific education, a high degree of familiarity with PTS, and a low level of stigma via four attribution variables. Moreover, participants highly appraised their own emotional intelligence, the quality of their coach-athlete relationships, and their trauma-informed coaching efficacy. A hierarchical regression analyses indicated that familiarity with PTS helped to explain additional variance in trauma-informed coaching efficacy over and above demographic and general coach experience variables. The study establishes trauma-informed coaching as a distinct area of research and highlights the need for improved continuing education opportunities for coaches related to psychological trauma and PTS.

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27

Rabold, Christopher. "A study of post-traumatic stress disorder and depression in poly-trauma patients". Thesis, Boston University, 2013. https://hdl.handle.net/2144/12197.

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Thesis (M.A.)--Boston University
Introduction: A paucity of research has been performed to understand the prevalence and predictors of post-traumatic stress disorder and depression in patients who have experienced multiple blunt forced traumas. These two disorders are very debilitating for the patients who are affected, thus it is important to understand who may be at greatest risk and what factors predict poor outcomes in order to design interventions aimed at decreasing the negative psychological consequence of traumatic injury. Aims and Hypotheses: Our goals are to examine if there is a relationship between gender and the prevalence of depression, if an open fracture leads to an increased prevalence of depression, and if there is a link between a patient’s length of stay in the hospital and depression. In regards to PTSD we wanted to investigate if there was a significant relationship between gender and PTSD, and if there was a strong relationship between a patient’s past trauma and an increased risk of developing PTSD after subsequent trauma.. We believed that women would have a higher prevalence of depression and PTSD. We also expected that patients with open fractures, and patients with longer stays in the hospital, would all have a higher prevalence of depression. We also hypothesized that patients with past traumas would have a higher prevalence of PTSD. [TRUNCATED]

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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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Santos, Leonardo Soriano de Mello 1976. "Mechanical evaluation of trauma in human edentulous mandible = Avaliação mecânica de traumas em mandíbula humana desdentada". [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/290288.

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Orientador: Felippe Bevilacqua Prado
Texto em português e inglês
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-24T15:39:41Z (GMT). No. of bitstreams: 1 Santos_LeonardoSorianodeMello_D.pdf: 5429203 bytes, checksum: 6594ad07ccd4971bea96d755aacbb2a3 (MD5) Previous issue date: 2014
Resumo: O objetivo deste estudo foi analisar a distribuição de tensões de cargas aplicadas em sínfise de mandíbula desdentada humana de idoso por meios de análise fotoelástica e de elementos finitos. Foram analisadas correlações entre as cargas aplicadas e as tensões registradas. Os testes de carga em resina fotoelástica foram realizados em uma máquina acoplada a um polariscópio e uma câmera digital. Cargas perpendiculares foram aplicadas em sínfise. Cargas variaram de 50 a 723 Newtons. Uma tomografia computadorizada foi realizada para gerar um modelo digital da mandíbula macerada. Os modelos computadorizados para a análise de elementos finitos (AEF) foram caracterizados de acordo com as propriedades mecânicas da resina epóxi e do osso. As áreas 1, 2, 3 e 4 exibiram franjas isocromáticas de ordem 2 em cargas 150 a 300N, e franjas de ordem 3 em cargas de 350 a 700N. Os stresses de vonMises se distribuíram similarmente em ambos os modelos caracterizados como resina epóxi e osso.Houve uma excelente (rP> 0.9) e significante (p < 0.05) correlação entre as cargas aplicadas e as respostas obtidas em todas as áreas apesar de algumas delas como as 9 e 10 no corpo mandibular que demonstraram correlações muito boa (rP> 0.7) e significante (p <0.05) respectivamente
Abstract: The aim of this study was to analyze the distribution of stresses from loads applied on symphysis in human elderly edentulous mandible by photoelastic analysis and FEA. Correlations between the applied load and stress tension at each evaluated area were evaluated. Load tests on the photoelastic resin model of edentulous macerated hemimandible were performed in a testing machine equipped with polariscope and a digital camera. Perpendicular loads were applied on symphysis area.Loads ranged from 50 to 723 N. CT was performed on the same mandible used to generate the photoelastic resin model. Computational models to the FEA were characterized according to the mechanical properties of epoxy resin and bone. 1, 2, 3 and 4 areas showed fringes order 2 in loads of 150 to 300N, and fringes order 3 in loads of 350 to 700N. von Mises stress were distributed similarly in both characterized models, epoxy resin and bone. There was an excellent (rP> 0.9) and significant (p < 0.05) correlation between the loads applied and the responses obtained in all areas, regardless of the area considered but areas 9 and 10 for the mandibular body, which showed very good (rP> 0.7) and significant (p <0.05)correlation
Doutorado
Anatomia
Doutor em Biologia Buco-Dental

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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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31

Minkevičiūtė, Ilona. "Nudegimų traumas patyrusių ligonių slaugos problemos bei jų kaita atskirais nudegimų traumų laikotarpiais". Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.110239-84526.

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Tyrimo tikslas - ištirti pacientų, patyrusių nudegimo traumas, slaugos problemas ir jų kaitą. Tyrimo uždaviniai: 1. Ištirti pacientų, patyrusių lengvas, vidutinio sunkumo ir sunkias nudegimo traumas, slaugos problemas ir jų kaitą. 2. Ištirti pacientų, patyrusių nudegimo traumas, slaugos problemų priklausomybę nuo traumos sunkumo. 3. Parengti praktines rekomendacijas. Tyrimo metodika. Tyrimas vyko 2006 birželio - 2007 vasario mėn. KMUK Plastinės rekonstrukcijos ir chirurgijos klinikoje. Buvo tiriamos trys respondentų grupės: lengvas, vidutines bei sunkias nudegimo traumas patyrę pacientai (n=107). Atsako dažnis - 85,7 proc. Tyrimui taikyta dviejų etapų anoniminė anketinė apklausa: respondentai buvo apklausiami po patirtos traumos praėjus 10 dienų ir 17 dienų. Išvados. Lengvas nudegimo traumas patyrę pacientai I ir II vertinimo metu pacientai labiausiai skundėsi skausmu ir nerimu prieš miegą, mitybos trūkumu ir skausmingu vaikščiojimu. Vertinant problemų kaitą nustatyta, kad I vertinimo metu šios grupės respondentai dažniau skund��si padažnėjusiu šlapinimusi, o II vertinimo - vidurių užkietėjimu. Pacientai, patyrę vidutinio sunkumo nudegimo traumas, I ir II vertinimo metu dažniausiai skundėsi skausmu bei nerimu prieš miegą, karščiavimu bei papildomo maisto trūkumu. I vertinimo metu šios grupės respondentai dažniau skundėsi karščiavimu, ribotomis galimybėmis pasikeisti baltinius ir judėti. Niežuliu didesnė respondentų dalis skundėsi antrojo vertinimo metu. Pacientai, patyrę... [toliau žr. visą tekstą]
Object of the research - to investigate the nursing problems and their alternation in patients with burns. Goals of the research: 1. To investigate the nursing problems and their alternation of patients with minor, moderate and major burns. 2. To investigate the dependency upon the degree of burn trauma and the nursing problems. 3. To prepare practical recommendations. Methods of the research. The research was carried on from July, 2006 to February, 2007 in the Clinic of Plastic Reconstruction and Surgery in Kaunas Medical University Hospital. 3 groups of patients with minor, moderate and major traumas participated in the research. There were 107 respondents. The research was carried on in two stages: the questioning after 10 and 17 days of burn trauma. The interview was anonymous with the response rate of 85,7 per. Conclusions. During the first and the second interviews the patients with minor burn trauma complained about pain and uneasiness before bedtime, lack of feeding, painful walking. Evaluating the alternation in nursing problems it was found out that the patients more often complained about rapid urination in the first part of questioning and about constipation in the second part. During the first and the second interviews the patients with moderate burn traumas complained about pain and uneasiness before bedtime, fever and lack of extra feeding. Evaluating a change of problems, it was found out that in the first part of questioning the patients more often complained... [to full text]

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Hallett, Claudia Margaret Elaine. "An experimental trauma film study to investigate the role of peri-traumatic cognitive processing on post-event PTSD symptoms and trauma memory". Thesis, King's College London (University of London), 2015. https://kclpure.kcl.ac.uk/portal/en/theses/an-experimental-trauma-film-study-to-investigate-to-investigate-the-role-of-peritraumatic-cognitive-processing-on-postevent-ptsd-symptoms-and-trauma-memory(b01bbfce-1db2-4a24-b847-aa833df4b226).html.

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BACKGROUND: In recent years there has been emerging empirical support for the hypothesis that the mode of processing adopted in relation to trauma can impact upon outcomes in trauma-exposed individuals. Specifically “abstract” and “concrete” cognitive processing styles have been found to exert negative and positive outcomes respectively. However, at present the mechanisms by which these processing modes exert their effects on outcomes remains unclear. OBJECTIVES: By means of a systematic narrative review, we investigated the effects of “abstract” and “concrete” cognitive processing styles on outcomes in trauma-exposed individuals, and looked for evidence of the possible mechanisms by which these processing modes may be operating. METHODS: A systematic search was conducted using MEDLINE, EMBASE and PsycINFO databases. Studies were eligible for inclusion if they were published in a peer-reviewed journal, conducted on an adult population, included exposure to a trauma or an analogue trauma/stressor, as well as containing a manipulation or measurement of either “abstract” or “concrete” processing. RESULTS: 12 articles were included in the review, providing data from 14 studies. Eight studies were experimental in design, four were cross-sectional and two were longitudinal. Abstract processing was shown to lower mood, increase intrusions and levels of arousal. CONCLUSIONS: Abstract processing may be a cognitive avoidance strategy, which hinders the emotional processing of trauma, and thus perpetuates traumatic symptoms. Future studies should examine the effects of processing mode on appraisals of and memory for the trauma in order to shed further light on this cognitive processing mechanism.

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Carter, Benjamin Hammond Weathers Frank W. "Reliability and concurrent validity of three self-report measures of trauma exposure". Auburn, Ala, 2009. http://hdl.handle.net/10415/1842.

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Ruggiero, Kenneth J. "Trauma, criterion A, and posttraumatic stress disorder scientific utility and definitional validity /". Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2057.

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Thesis (Ph. D.)--West Virginia University, 2001.
Title from document title page. Document formatted into pages; contains ix, 107, 10 p. Vita. Includes abstract. Includes bibliographical references (p. 56-65).

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Pedersen, Cassie. "The immanence of traumatic rupture : From the extra/ordinary to the originary". Thesis, Federation University Australia, 2017. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/162581.

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This thesis critically intervenes into the interdisciplinary space of trauma theory by both identifying and circumventing the tendency of theorists to posit trauma in a relation of either transcendence or immanence to the contexts in which it occurs. In the classical trauma theories of Shoshana Felman, Dori Laub, and Cathy Caruth, trauma is broadly defined as a disruptive and aporetic event that shatters the cognitive, experiential, and representational frameworks necessary for making sense of the occurrence. These theorists conceptualise trauma as transcendent, seeing trauma as existing “outside” or “beyond” the frameworks in which it comes into being. However, more recent critics enter a polemic with classical trauma theorists by reconceptualising trauma as immanent to the all too human frameworks that facilitate its occurrence in the first place. I contend that the mutual exclusive insistence that trauma need either be conceived as immanent to, or transcendent of, the frameworks in which it occurs has led to a conceptual impasse in trauma theory that is rooted in a false dichotomy between these extremes. Tracing this oppositional tendency across a broad disciplinary spectrum, engaging contributions to trauma theory from philosophy, literary theory, and history, the major aim of this thesis to move beyond the false dichotomy between the immanent and the transcendent by revealing that these terms are inextricably bound. Drawing on the works of Hannah Arendt, Giorgio Agamben, Sigmund Freud, Jacques Lacan, Jean Laplanche, and Jean-François Lyotard (to name only a few), this thesis revitalises the space of trauma theory by offering a series of interlocking arguments that conceptualise the alterity of trauma as being immanent to the frameworks it transcends. This paradoxical logic is at the crux of what I refer to as the immanence of traumatic rupture.
Doctor of Philosophy

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Kloep, Megan. "Vicarious Perceptions of Post-Traumatic Growth". OpenSIUC, 2012. https://opensiuc.lib.siu.edu/theses/1056.

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Research related to positive psychological reactions following exposure to traumatic events, also known as post-traumatic growth (PTG), has suggested that support from others can facilitate such outcomes. The current study focused on whether people's perceptions of PTG differed based on the gender of a hypothetical survivor and nature of the trauma. Characterological differences amongst those who perceive growth as being more, or less, likely was also of interest. Perceptions of growth were measured in relation to three possible traumatic scenarios (vignettes) that were randomly assigned to participants. Following the vignette, participants completed a variety of self-report measures. Contrary to previous PTG literature, there were no consistent characterological differences among participants who did, and who did not, perceive growth as a possible outcome following trauma exposure. PTG was not related to nature of the trauma or gender of the survivor. Implications for clinical practice and future directions for research are discussed.

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Smith, Lindsay E. "The role of memory for trauma in the development of post-traumatic stress disorder following traumatic brain injury and research portfolio". Thesis, University of Glasgow, 2007. http://theses.gla.ac.uk/12/.

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Posttraumatic stress disorder (PTSD) has been reported following traumatic brain injury (TBI), even when TBI leads to amnesia for the traumatic event. This study aimed to investigate the relationship between memory for the event (as assessed by the Traumatic Memory Inventory) and reporting of PTSD symptoms in a sample of adults with mild-severe TBI (n=21). Physiological reactivity (heart rate and activity level) was recorded in order to investigate the possible role of sub-conscious processes (such as implicit memory or fear conditioning) in the development of PTSD after TBI. PTSD symptoms were assessed by a self-report questionnaire (Post-traumatic Diagnostic Scale; PDS) and the Clinician Administered PTSD Scale so as to compare previously reported diagnostic rates established with these measures (Sumpter and McMillan, 2005). Higher PTSD severity scores were not, as predicted, associated with recall of the event. Amnesia for the traumatic event may not protect against PTSD development and other factors associated with recall (such as emotional response and confidence in accurateness) may be relevant. Predicted increases in heart rate and activity level during trauma recall were not found and results do not support the role of sub-conscious processing as a causal mechanism for PTSD development after TBI. Rates of diagnosis established using self-report and interview measures support previous evidence that the assessment of PTSD after TBI is confused by overlapping symptoms and that valid diagnosis can only be established with clinician judgement.

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Nelson, Briana S. "Systemic effects of trauma a quantitative study of individual and relational post-traumatic stress /". Full text available online (restricted access) Full text available online (restricted access), 1998. http://images.lib.monash.edu.au/ts/theses/nelson.pdf.

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39

Alberici, Alice. "Trauma exposure, post-traumatic stress disorder and safety-seeking behaviours in children and adolescents". Thesis, University of East Anglia, 2017. https://ueaeprints.uea.ac.uk/66567/.

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Background: a significant portion of young people exposed to traumatic events (TEs) such as road traffic accidents or violence, develop post-traumatic stress disorder (PTSD). Most research focuses on trauma-exposed populations such as child victims of natural disasters. There has also been a trend to look at cognitive aspects of models of PTSD rather than behavioural. Although safety-seeking behaviours have been highlighted in PTSD models as an important mechanism in PTSD, no current child measure of safety-seeking behaviours exists. Aims: the first aim was to provide a synthesis of population-based school-related studies and calculate pooled prevalence rates for TEs and PTSD. A further aim was to develop and explore the psychometric properties of a novel Child Safety Behaviour Scale (CSBS) in both school pupils and existing data from a sample of trauma-exposed young persons with or without a clinical diagnosis of PTSD. Method: a systematic review conducted between 1980 and 2016 produced 687 studies, 14 of which met the inclusion criteria. In the empirical study a battery of questionnaires was administered to 391 school pupils (aged 12-15 years). This was combined with existing data of 68 (8-17 years) children who completed the CSBS previously. Results: rates of cross-cultural TE exposure were 50.0% and 7.8% for PTSD. All studies were high quality but mostly US-based. The CSBS demonstrated good psychometric properties and a weak, possible two-factor structure. Safety-seeking behaviours, negative appraisals, number of trauma types, cognitive avoidance and rumination were significant predictors of post-traumatic stress symptoms. Conclusions: the high rates of TE and PTSD observed in this review calls for more cross-cultural research within population-based school samples and necessitates the integration of mental health and education services. Further, the CSBS may be a useful tool both for clinical monitoring and within research to further examine the role of safety-seeking behaviours in PTSD.

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Smart, Melanie J. "The role of emotional approach coping in facilitating post-traumatic growth after medical trauma". Thesis, University of Leicester, 2006. http://hdl.handle.net/2381/31230.

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Individuals who suffer a traumatic medical event, such as diagnosis of life-threatening illness or invasive treatment, are now recognised as at significant risk of posttraumatic stress disorder (PTSD) and PTSD symptomology (DSM-IV, (American Psychiatric Association, 1994)). Yet, these individuals also have the opportunity to transform their negative experience into a positive, life-changing experience; a process known as posttraumatic growth (PTG) (Tedeschi & Calhoun, 1996). Given this apparent dichotomy, this review attempts to integrate the literature on these phenomena, to identify the common variables involved in producing these outcomes. Published studies were included if they focused on adult medical populations (of 18 years and above) and assessed predictor variables of either PTSD or PTG. Exclusion criteria applied to studies were; articles where samples included family and carers, studies that implemented interventions, qualitative studies and studies without objective, standardised psychometric measures. A total of 27 studies were included in this review (18 PTSD; 9 PTG). Similarities and dichotomies in the literature were found, indicating that both phenomena may be inextricably linked. In general, sociodemographic and medical variables showed inconclusive patterns of prediction. Instead psychological and interpersonal factors, namely personality and coping styles, were found to have a consistent influence on outcomes. Methodological limitations and recommended future directions in the research are discussed, as are the implications for clinical practice.

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Levey, Elizabeth J., Bizu Gelaye, Karestan Koenen, Qiu-Yue Zhong, Archana Basu, Sixto E. Sanchez, David C. Henderson, Michelle A. Williams e Marta B. Rondón. "Trauma exposure and post-traumatic stress disorder in a cohort of pregnant Peruvian women". Springer-Verlag Wien, 2017. http://hdl.handle.net/10757/622313.

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El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Women have a higher prevalence of post-traumatic stress disorder (PTSD) than men, with a peak during the reproductive years. PTSD during pregnancy adversely impacts maternal and infant health outcomes. The objectives of this study were to estimate the prevalence of antepartum PTSD symptoms in a population of pregnant Peruvian women and to examine the impact of number of traumatic events and type of trauma experienced. The Traumatic Events Questionnaire was used to collect data about traumatic exposures. The Post-traumatic Stress Disorder Checklist-Civilian Version (PCL-C) was used to assess PTSD. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (95% CI). Three thousand three hundred seventy-two pregnant women were interviewed. Of the 2920 who reported experiencing one or more traumatic events, 41.8% met criteria for PTSD (PCL-C score ≥ 26). A quarter of participants had experienced four or more traumas, and 60.5% of those women had PTSD. Interpersonal trauma was most strongly associated with PTSD (aOR, 3.20; 95% CI, 2.74-3.74), followed by unspeakable trauma (aOR, 2.87; 95% CI, 2.35-3.50), and structural trauma (aOR, 1.39; 95% CI, 1.15-1.67). These findings indicate the high prevalence of PTSD during pregnancy in the Peruvian population, which is relevant to other countries suffering from terrorism, war, or high rates of violence. This underscores the importance of screening for PTSD in pregnancy.
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42

Rojas, Saffie Juan Pablo. "Terapia EMDR : un análisis a la luz de la obra de Santo Tomás". Doctoral thesis, Universitat Abat Oliba CEU, 2017. http://hdl.handle.net/10803/456901.

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El present treball s'ha proposat investigar la Teràpia EMDR a la llum de l'obra de Sant Tomàs d'Aquino, seguint una triple aproximació: antropològica, teòrica i pràctica. La limitada concepció de l'ésser humà subjacent al model EMDR contrasta amb una teoria que conté importants encerts, però sobretot, amb una proposta psicoterapèutica que demostra un profund coneixement de la naturalesa humana. La psicologia tomista ofereix una nova manera de comprendre la Estimulació Bilateral, el Model SPIA i el Protocol Estàndard. Això permet fonamentar la pràctica EMDR en un sòlid cos de coneixement tradicional. A més, posa aquesta meravellosa eina en mans dels que volen basar la seva tasca terapèutica en l'antropologia del Aquinat. L'anàlisi de la Teràpia EMDR il·lumina una manera concreta d'aterrar la doctrina de Sant Tomàs en el context de la pràctica psicològica, el que suggereix que és possible idear un model de psicoteràpia basat íntegrament en l'obra del Doctor Humanitas.
El presente trabajo se ha propuesto investigar la Terapia EMDR a la luz de la obra de Santo Tomás de Aquino, siguiendo una triple aproximación: antropológica, teórica y práctica. La limitada concepción del ser humano que subyace al modelo EMDR contrasta con una teoría que contiene importantes aciertos, pero sobre todo, con una propuesta psicoterapéutica que demuestra un profundo conocimiento de la naturaleza humana. La psicología tomista ofrece una nueva manera de comprender la Estimulación Bilateral, el Modelo SPIA y el Protocolo Estándar. Esto permite fundamentar la práctica EMDR en un sólido cuerpo de conocimiento tradicional. Además, pone esta maravillosa herramienta en manos de quienes desean basar su labor terapéutica en la antropología del Aquinate. El análisis de la Terapia EMDR ilumina un modo concreto de aterrizar la doctrina de Santo Tomás en el contexto de la práctica psicológica, lo que sugiere que es posible idear un modelo de psicoterapia basado íntegramente en la obra del Doctor Humanitas.
The present work has been proposed to investigate the EMDR therapy in the light of the work of Saint Thomas Aquinas, following a triple approach: anthropological, theoretical and practical. The limited conception of the human being that underlies the EMDR model contrasts with a theory that contains important successes, but above all, with a psychotherapeutic proposal that demonstrates a deep knowledge of human nature. Thomist psychology offers a new way of understanding Bilateral Stimulation, the SPIA Model and the Standard Protocol. This allows EMDR practice to be based on a solid body of traditional knowledge. In addition, it puts this wonderful tool in the hands of those who wish to base their therapeutic work on the anthropology of Aquinas. The analysis of EMDR Therapy illuminates a concrete way of landing the doctrine of St. Thomas in the context of psychological practice, suggesting that it is possible to develop a model of psychotherapy based entirely on the work of Doctor Humanitas.

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Wheater, Kerry Lee. "Spouses’ experience of secondary trauma among emergency services personnel". University of the Western Cape, 2016. http://hdl.handle.net/11394/5004.

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Magister Artium (Social Work) - MA(SW)
Emergency services personnel are potentially exposed to events involving trauma, suffering and tragedy on a daily basis, which could consequently lead to secondary trauma and post- traumatic stress symptoms. The images and feelings that are associated with continuously being exposed to traumatic situations are not limited to the emergency services personnel, who are primarily exposed to the event, but these events can also have an effect on the significant others in their environment, such as their spouses. The aim of this study was to explore and describe the experiences of secondary trauma among the spouses of emergency services personnel. The research study followed a qualitative research approach, which provided in-depth descriptions and understandings of the participants’ secondary trauma experiences. The research design was explorative and descriptive in nature. Purposive sampling was used to select eight (8) participants, who were the spouses of emergency services personnel. The data was collected by means of semi-structured individual interviews and was analysed according to Creswell. Various research findings indicated that secondary trauma was prevalent in the emergency services industry and, in this current study, most participants indicated that it impacted their marital relationships. The experiences of secondary trauma among the spouses of emergency services personnel stemmed from their partners’ repeated exposure to trauma, managing everyday job stress, safety fears, behavioural changes, dealing with their partners’ emotional reactivity and emotional withdrawal from the family, following trauma exposure. Based on some of the suggestions provided by all the participants, the researcher concluded the study with recommendations for future practice and future research, the main recommendation being that organisational support systems be made available to spouses and families of emergency services personnel.

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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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Cachapuz, Daniela Rosa. "Todo mundo se quebra de vez em quando : um estudo sobre os processos de subjetivação em idosas hospitalizadas por fratura de fêmur". reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2010. http://hdl.handle.net/10183/29681.

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Este estudo teve como objetivo estudar o processo de subjetivação em mulheres com sessenta anos ou mais hospitalizadas na Linha de Cuidado do Trauma do Idoso no Hospital Cristo Redentor na cidade de Porto Alegre/RS. O campo conceitual abordou os temas envelhecimento, trauma físico e hospitalização, buscando problematizá-los a partir da noção de subjetivação em Foucault e do conceito de dobra em Deleuze: fios condutores para pensar os processos de subjetivação ao longo do estudo. Para compreender o impacto do trauma físico na subjetivação dessas mulheres e entender a produção de efeitos da hospitalização na subjetivação, foi realizada uma pesquisa qualitativa, de caráter exploratório que contou com a participação de quatro mulheres com idade igual ou superior a 60 anos, hospitalizadas por fratura de fêmur na Linha Cuidado do Trauma do Idoso. Como estratégia metodológica, foi construído um diário de campo e realizadas entrevistas com as participantes durante o período de internação hospitalar e entrevistas domiciliares após a saída do hospital. O material produzido foi organizado a partir dos diferentes momentos vividos pelas participantes ao longo da pesquisa, analisado em função das questões e dos objetivos da pesquisa. Os resultados foram apresentados em dois momentos: a) um breve apanhado sobre as histórias de vida de cada participante e b) o conteúdo trazido pelas mesmas analisado a partir dos conceitos de subjetivação, dobra e acontecimento e relacionados à questão do envelhecimento e hospitalização. Pôde-se inferir que os discursos prévios quanto à velhice, doença e hospitalização já produziam efeitos na subjetivação das participantes antes do acidente. O trauma físico, a hospitalização e o rompimento com o cotidiano anterior serviram como dispositivo para problematizar uma série de questões. A submissão à disciplina hospitalar, a dor e o cansaço questionaram a potência de resistência das participantes, mas também abriram portas para a criação diante de situações de sofrimento. O trauma físico trouxe consigo a falência de normas antigas e a necessidade de invenção de novas normas. Mesmo diante das alternativas singulares criadas, as participantes enfatizaram o desejo do retorno à condição anterior e a retomada de suas atividades.
This paper aimed to study the process of subjectification in 60 year-old women or more, hospitalized in the section of trauma care program for the elderly inside Cristo Redentor hospital in Porto Alegre/RS. The conceptual field approached the topics aging, physical trauma and hospitalization, trying to problematize them from the subjectification notion in Foucault and from the concept of folding in Deleuze: wires to think the process during the study. To understand the impact of the physical trauma in the subjectification of these women and to understand the production of effects in the hospitalization it was performed a qualitative research with the participation of 4 women that were around 60 years old or more, hospitalized by femur fracture. As a methodological strategy, it was created a field diary, and interviews were conducted with the participants during the hospitalization period and home interviews were conducted after they left the hospital. The material was organized from the different moments lived by the participants during the research, and analyzed depending on the issues and objectives of the research. The results were presented in two moments: a) a brief overview about the life story of each participant and b) the content of the stories analyzed from the concepts of subjectification, folding and event related to the aging and hospitalization issue. It could be inferred that the previous speeches about aging, illness and hospitalization already produced effects in the subjectification of the patients before the accident. The physical trauma, the hospitalization and the break with the previous daily routine acted as a device to problematize several issues. The submission to the hospital discipline, the pain and the fatigue questioned the power of resistance of the participants, but they also gave the opportunity to the creation under situations of suffering. The physical trauma brought the ruin of old rules and the necessity to create new rules. Even before the created alternatives the participants emphasized the desire to return to the previous condition and to start to do their normal activities again.

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Herbert, Claudia. "Efficacy of a trauma information booklet in reducing post-traumatic symptoms after road traffic accidents". Thesis, Open University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273352.

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47

Galazyn, David F. "A training workshop on veterans and complex trauma post traumatic stress disorder| A grant proposal". Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1583222.

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The purpose of this project was to write a grant to create a workshop for service providers who work with veterans who suffer from complex trauma post-traumatic stress disorder (CT-PTSD) and locate a funding source. Since 2001, there has been an expansion as veterans have left the military. An issue facing veterans is how complex trauma interacts with PTSD. The agency chosen for the workshop is Veterans First in Santa Ana. The funding source is the Wounded Warrior Project. The project was designed to measure the skills and knowledge of service providers working with CT-PTSD. The workshop utilized pre and post surveys to monitor workshop effectiveness, provider understanding, and knowledge implementation. Currently, CT-PTSD is an under developed diagnosis that it is not recognized in the latest version of the DSM-5. With the help of workshops such as this, it is hoped that this will become a recognized veteran issue. Keywords: Veteran, Complex, PTSD, Grant Actual submission of and/or funding of the grant proposal was not required for successful completion of this project.

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48

Furnes, Desire. "Childhood trauma, dissociation, post-traumatic stress disorder and cognitions in clinical and non-clinical populations". Thesis, University of East Anglia, 2018. https://ueaeprints.uea.ac.uk/68930/.

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Background: Childhood Trauma has been linked to a wide range of psychopathologies. However, although individuals diagnosed with psychosis and individuals diagnosed with BPD have been found to overlap in terms of their trauma histories, and similar trauma-related mechanisms have been explored in both groups, these two clinical groups are often studied in isolation. The main aim of this thesis was to explore how trauma and trauma-related mechanisms are related to the development of psychotic and borderline symptomatology from both a diagnostic and transdiagnostic perspective. Method: First, theoretical accounts of critical concepts and of BPD and psychosis were reviewed. Second, a systematic review approached psychotic symptomatology from a transdiagnostic perspective, in which the relationship between childhood trauma, cognitive appraisals and psychotic-like experiences were examined in samples drawn from different psychosis populations. Third, an empirical study examined the relationship between childhood traumas, trauma-related mechanisms and psychotic and borderline symptomatology from both a diagnostic and transdiagnostic perspective. Finally, an attempt was made to integrate theoretical accounts with the thesis findings, and research and clinical implications were discussed. Results: Findings from the systematic review supported previous evidence suggesting that there is a dose-response relationship between trauma severity and symptom severity, and that specific trauma types may be linked to specific symptoms. These findings were confirmed in the empirical paper (and outlined in an additional results chapter). The findings also suggested an important role of trauma-related mechanisms and supported transdiagnostic predictions. Specifically, dissociation and post-traumatic symptomatology may partially explain development of psychosis and borderline symptomatology, respectively. Conclusion: The relationship between childhood trauma and psychosis and borderline symptomatology is becoming well established. This thesis portfolio emphasised the benefits of approaching symptomatology from a transdiagnostic perspective, as well as the advantages of using more complex statistical approaches when exploring these relationships.

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Susman, Melissa S. "Mapping The Neural Integration of Traumatic Memory: Art Psychotherapy in the Treatment of Complex Trauma". Digital Commons at Loyola Marymount University and Loyola Law School, 2011. https://digitalcommons.lmu.edu/etd/82.

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This study documents an integrated mind/body approach to art therapy in the treatment of complex trauma and proposes a conceptualization of the process of neural integration of traumatic memory through art therapy. The researcher used a phenomenologically informed approach in a single case study design, culling data from 18 art therapy sessions with a child suffering from complex trauma. Using a data matrix, the researcher correlated verbalizations regarding somatic states and emotions with four categories of visual symbolizations. Emergent themes included seeking attachment repair; exposing attachment ruptures; experiencing traumatic memory as kinesthetic motoric process; dissociative coping mechanisms; behavioral control problems; and affect dysregulation. The researcher proposes a conceptualization of the neural integration of traumatic memory, mapping 12 associated neural and art processes. Outcomes subjectively documented include: better behavioral control; reduced somatic numbing; and improved affect regulation. Implications for the fields of art therapy and traumatology are discussed.

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50

Baldwin, Carol L. (Carol Louise). "Dissociation and Post-Traumatic Stress Disorder in Women Who Have Experienced Trauma and Sexual Assault". Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc332592/.

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The relation between dissociative symptoms and posttraumatic stress disorder (PTSD) was investigated in women who had experienced trauma or sexual assault. Subjects were administered the Dissociative Experiences Scale (DES), the Sexual Experiences Scale (SES), and the PTSD Interview (PTSD-I). Subjects were grouped according to their scores on the SES and the PTSD-I. Analysis of variance revealed a relation between DES scores and PTSD symptom severity scores. Correlational analyses showed a relation between dissociative symptoms and PTSD symptom severity but not recency of trauma. Three factors from a previously published factor analysis of the DES were found to contribute to the DES scores of PTSD subjects.

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Tesi sul tema "Traumat"

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