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Implicit Communication : The Body's Role In Clinical Work With Trauma Survivors, Julia A. Jakubowski

Theses, Dissertations, and Projects

This exploratory-descriptive study examined therapists' use of their physiological responses in work with trauma survivors. Broadly, the study sought to understand how a therapist's physiological responses play a role in how they construct meaning about a client. The study sample consisted of eight Relationally oriented therapists who worked with trauma survivors. Data were collected through hour-long, semi-structured interviews with each participant at a single point in time, utilizing the Physiological Response to Trauma Questionnaire. Findings revealed that participants used their physiological countertransference to inform clinical functions, specifically: ability to attune, choice of interventions, assessment, and ability to maintain boundaries and …

'Means Of Survival' As Moderator Of The Relationship Between Cumulative Torture Experiences And Posttraumatic Stress Disorder Among Refugees, Lydia Odenat

Counseling and Psychological Services Dissertations

Refugee torture survivors often present with a myriad of psychological challenges, such as posttraumatic stress and depression, stemming from their exposure to torture and other pre- and post-settlement experiences (Gong-Guy and colleagues, 1991). The present study examined the moderating effect of four coping processes (i.e., family support, religious beliefs, political beliefs, and will to survive) on the relationship between cumulative torture and posttraumatic stress disorder (PTSD) among a sample of 204 (N=204) adult refugee torture survivors. Subjects completed a demographic questionnaire, the Torture Severity Scale (TSS; Kira, Lewandowski, Templin, Ramaswamy, Ozkan, Hammad, & Mohanesh, 2006), the Clinician Administered PTSD Scale …

Homelessness As Trauma : A Theoretical Analysis Exploring Treatment Of Symptoms Of Grief And Loss In Single African-American Homeless Women, Jesse J. Dice

Theses, Dissertations, and Projects

The purpose of this theoretical study was to explore and describe the trauma that single homeless African-American women are at risk for before and during homelessness. Grief and loss theory and attachment theory were used to bring attention to the need of addressing traumas during homelessness. Literature was reviewed relating to exploring the areas of cross-sectional identities of race, gender and socioeconomic status within this population, historical contexts of homelessness in the U.S., and homelessness as trauma, to analyze the language used to describe the barriers in receiving treatment as a single homeless African-American woman. Through exploring these topics and …

Talking Through The Body : A Comparative Study Of Cognitive-Behavioral And Attachment Based Treatments For Childhood Trauma, Eric A. Eichler

Theses, Dissertations, and Projects

Childhood abuse and neglect have been shown to have a devastating impact on an individual's social, emotional, and physical development. This study was undertaken in order to determine the best treatment approach for survivors of childhood trauma. The author investigated the impact of traumatic stress on the brain, and reviewed the psychoanalytic, child development, and neurobiological literature on the importance of the attachment relationship for healthy development. Various perspectives on the diagnosis of childhood trauma were explored, including models that centralize childhood trauma as the cause of much of the spectrum of mental illness we see today. The author researched …

Are We Reaching The Body? : A Study Of Social Workers' Attitudes On The Mind-Body Connection In Trauma Treatment, Samuel R. Douglas

Theses, Dissertations, and Projects

A national sample of 39 social workers currently treating traumatized clients in therapy in the United States responded to an anonymous, online survey designed to gauge their attitudes toward the role of the mind-body connection in trauma treatment and recovery. The study sought to ascertain whether the most recent research in the neurobiology of trauma, and the resulting developments in the theory of trauma treatment, had significantly influenced the approach taken by social workers in clinical settings. The findings suggest that social workers have largely embraced the idea of a mind-body connection in trauma, and are inclined—in theory, if less …

Social Work As A Healing Vocation : The Exploration Of Clinicians' Trauma Histories And Implications For Practice, Mira L. Elwell

Theses, Dissertations, and Projects

This qualitative exploratory study examines the experiences of social workers who believe they came to the vocation in some part due to a personal history with trauma. Thirteen licensed clinical social workers (LCSWs) with histories of trauma were interviewed about their clinical practice focusing on career choice, countertransference, and disclosure. Clinicians discussed how personal experiences with trauma influenced and impacted their decisions to enter social work as a profession. Clinicians also discussed working with clients who were survivors of trauma, decisions surrounding self-disclosure, and the impact and importance of therapy and supervision of one's own. Study results indicated that positive …

Multicultural Personality, Hardiness, Morale, Distress And Cultural Stress In U.S. Service Members, Catherine Joan Herrera

Doctoral Dissertations

Modern military missions place numerous demands on service members, pushing them to negotiate technical, tactical, personal as well as cultural challenges. Although research in other fields has explored the issue of intercultural stress and resilience, to the author’s knowledge, none of these efforts have empirically examined these concepts in U.S. military samples, despite the frequent expatriation associated with a military career. The purpose of this study was to explore how factors of multicultural personality (Cultural Empathy, Open-Mindedness, Social Initiative, Emotional Stability, and Flexibility) as measured by the Multicultural Personality Questionnaire, relate to hardiness, morale, cultural stress as well as PTSD …

Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood sexual abuse (CSA) is a significant trauma that affects a person's self-concept and the ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experience childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Besides individual disturbances, CSA survivors struggle with many relational difficulties. These difficulties are usually most pronounced among their intimate partners (Reid, et al., 1995). According to attachment theory, attachment injuries are best healed in the context of a healthy, intimate relationship (Kochka & Carolan, 2002) (MacIntosh & Johnson, 2008). Conversely, the couple relationship may be …

Carmen Moreno-Nuño. Las Huellas De La Guerra Civil. Mito Y Trauma En La Narrativa De La España Democrática, Francisca López

Dissidences

No abstract provided.

Torture And The Sublime. The Ethics Of Physical Pain In Garaje Olimpo, Patricia Vieira

Dissidences

No abstract provided.

Dissociation Mediates The Relationship Between Childhood Trauma And Hallucination-Proneness., F Varese, E Barkus, R P. Bentall

Emma Barkus

BACKGROUND: It has been proposed that the relationship between childhood trauma and hallucinations can be explained by dissociative processes. The present study examined whether the effect of childhood trauma on hallucination-proneness is mediated by dissociative tendencies. In addition, the influence of dissociative symptoms on a cognitive process believed to underlie hallucinatory experiences (i.e. reality discrimination; the capacity to discriminate between internal and external cognitive events) was also investigated.MethodPatients with schizophrenia spectrum disorders (n=45) and healthy controls (with no history of hallucinations; n=20) completed questionnaire measures of hallucination-proneness, dissociative tendencies and childhood trauma, as well as performing an auditory signal detection …

Research Brief: "The Effects Of Negative Emotion And Expressive Writing On Post-Traumatic Stress Symptoms", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief summarizes a scholarly article of the same name. It reviews research which evaluates the impact of expressive writing on individuals experiencing negative emotions and PTSD, and how there might be a link between lessening these symptoms and expressive writing.

Cervical Facet Dislocations. Outcome Of Reduction & Anterior Plating In A Series Of 21 Patients, Ahmed Salah, Hossam Taha

Advanced Spine Journal

Background Data: treatment of cervical facet dislocations has varied from closed reduction and external immobilization to combined anterior and posterior instrumentation and fusion. Purpose: to evaluate single level anterior fixation for the management of cervical facet dislocations following closed or open reduction. Study Design: retrospective analysis of a case series. Patients and Methods: twenty-one patients (12 unilateral and 9 bilateral) with cervical facet dislocation were treated by reduction and anterior plate fixation. Results: the male to female ratio was 3.2:1. The mean age was 44 years. The commonest affected level was C5-6 (48.2%). Closed reduction by traction and open reduction …

Anterior Column Reconstruction Using Titanium Mesh Cages After Thoracolumbar Corpectomy: Clinical And Radiological Outcome, Khaled Abdeen, Mohammed Alghazaly

Advanced Spine Journal

Background Data: The optimal treatment of unstable thoracolumbar spine due to trauma, tumors, and tuberculous spondylitis remains controversial. Treatment goals of thoracolumbar corpectomy are: to prevent neurological deterioration; enhance neurological recovery; stabilization, and to prevent late pain and deformity.Purpose: This retrospective study was conducted to determine the safety and efficacy of stabilization using titanium mesh cage reconstruction filled with autogenous bone graft and anterior plating after thoracolumbar corpectomy due to trauma, tumors or tuberculous spondylitis. Study Design: A retrospective clinical case study. Patients and Methods: A series of patients underwent reconstruction of the anterior column after thoracolumbar corpectomy between June …

Percutaneous Stabilization Of Thoracic And Lumbar Spine Fractures. Clinical And Radiological Outcome., Hossam Taha

Advanced Spine Journal

Background Data: Management of thoracolumbar fractures remains controversial. Little has been published in the literature about the use of percutaneous pedicle screws in the management of thoracic and lumbar spine fractures.Purpose: To assess the efficacy and safety of percutaneous pedicle screw fixation in the management of thoracic and lumbar spine fractures and to report the clinical and radiological results. Study Design: A prospective cohort of thoracic and lumbar spine fractures treated by percutaneous fixation. Patients and Methods: Seventy eight patients with thoracic and lumbar spine fractures, 60% males and 40% females, with mean age of 31.5 years, without neurologic deficit,were …

An Examination Of Exposure To Traumatic Events And Symptoms And Strengths For Children Served In A Behavioral Health System Of Care, Melissa L. Whitson, Christian M. Connell, Stanley N. Bernard, Joy S. Kaufman

Psychology Faculty Publications

The present study examined how exposure to traumatic events impacts children with severe emotional disturbance who are being served in a school-based system of care. Multilevel growth curve models were used to examine the relationships between a child’s history of traumatic events (physical abuse, sexual abuse, or domestic violence) and behavioral and emotional strengths, internalizing problem behaviors, or externalizing problem behaviors over 18 months. Results indicate that children receiving services (N = 134) exhibited increased emotional and behavioral strengths and decreased internalizing and externalizing problem behaviors from enrollment to 18 months follow-up. Children with a history of traumatic events improved …

Hemorrhage Detection And Analysis In Traumatic Pelvic Injuries, Pavani Davuluri

Theses and Dissertations

Traumatic pelvic injuries associated with high-energy pelvic fractures are life-threatening injuries. Extensive bleeding is relatively common with pelvic fractures. However, bleeding is especially prevalent with high-energy fractures. Hemorrhage remains the major cause of death that occur within the first 24 hours after a traumatic pelvic injury. Emergent-life saving treatment is required for high-energy pelvic fractures associated with hemorrhage. A thorough understanding of potential sources of bleeding within a short period is essential for diagnosis and treatment planning. Computed Tomography (CT) images have been widely in use in identifying the potential sources of bleeding. A pelvic CT scan contains a large …

Relational Viewing: Affect, Trauma And The Viewer In Contemporary Autobiographical Art, Matthew Ryan Smith

Electronic Thesis and Dissertation Repository

This dissertation examines the communicative relationship between contemporary autobiographical art and the viewer. By analyzing the work of six artists, Richard Billingham, Jaret Belliveau, Larry Clark, Nan Goldin, Lisa Steele and Bas Jan Ader, I maintain that lived experience and personal history condition the way viewers respond to autobiographical art. I turn to literary theory as a critical methodology to argue that autobiographical art operates as a catalyst for identification, memory and self-discovery. I use affect and trauma theory to demonstrate how artwork produces meaning and discourse through the viewer’s feelings, emotions and bodily sensations. Consequently, I survey the importance …

The Elderly And September 11, 2001, Joseph A. Liberman Iii

Marquette Elder's Advisor

No abstract provided.

The Severity Of Stages Estimation During Hemorrhage Using Error Correcting Output Codes Method, Yurong Luo

Theses and Dissertations

As a beneficial component with critical impact, computer-aided decision making systems have infiltrated many fields, such as economics, medicine, architecture and agriculture. The latent capabilities for facilitating human work propel high-speed development of such systems. Effective decisions provided by such systems greatly reduce the expense of labor, energy, budget, etc. The computer-aided decision making system for traumatic injuries is one type of such systems that supplies suggestive opinions when dealing with the injuries resulted from accidents, battle, or illness. The functions may involve judging the type of illness, allocating the wounded according to battle injuries, deciding the severity of symptoms …

The Relationships Among Self-Regulation, Executive Functioning, Coping Resources, And Symptomatology Following A Traumatic Event, Rebecca A.C. Blood

Counseling and Psychological Services Dissertations

Traumatic events have the capability to alter people’s psychological, biological, and social functioning to a significant degree (van der Kolk & McFarlane, 1996). As a result, there has been a growing need to develop increasingly more sophisticated models to understand the complexities of people’s responses to trauma (Luxenberg & Levin, 2004). Undergraduate students (N = 391) completed surveys designed to measure past trauma, trauma-related symptoms, self-regulation, executive functioning, and coping abilities. Participants completed a demographic questionnaire, a modified version of the Early Trauma Inventory Self-Report – Short Form (ETISR-SF; Bremner, Vermetten, & Masure, 2000), the Trauma Symptom Inventory – Alternate …

The Trauma Of Chattel Slavery: A Womanist Perspective Women On Georgia In Early American Times, Dionne Blasingame

English Theses

This thesis explores the psycho-socio-cultural dynamics that surrounded black womanhood in antebellumGeorgia. The goal is twofold: first, to examine how slave narratives, testimonies, and interviews depicted the plight of enslaved black women through a womanist lens and second, to discover what political and socio-cultural constructions enabled the severe slave institution that was endemic toGeorgia. Womanist theory, psychoanalytic theory, and trauma theory are addressed in this study to focus on antebellum or pre-Civil WarGeorgia.

A Study Of Social Injustice And Forgiveness In The Case Of North Korean Refugees, Jin Uk Park

Doctoral Dissertations and Projects

The current study evaluated the psychometric utility of Decisional Forgiveness Scale and Emotional Forgiveness Scale for the North Korean refugee population and explored the relationship among social adaptation, religious commitment, unforgiveness, forgiveness style and mental health variables (trauma symptoms and depression) among North Korean refugees. Confirmatory Factor Analyses were conducted to investigate the North Korean version of DFS and EFS with collected data from 269 North Korean refugees. The forgiveness instruments, when modified with appropriate item deletions, could be considered as useful for North Korean refugees. In the Multiple Regression Analysis, four of five predictors (social adaptation, hurt characteristics, forgiveness …

Group Treatment For Adult Survivors Of Childhood Sexual Abuse: The Relationship Between Social Bonds And Symptom Severity, Robin E. Lange

Electronic Theses and Dissertations

This study examined the session-to-session change in symptom severity and social bonding ability in the participants of groups for survivors of sexual trauma. The concept of social bonding ability was addressed by examining the participants’ beliefs about the availability of social support, their beliefs about themselves, and their beliefs about their relationships with their group leaders. Group leader ratings of the level of process focus of their group were also measured. Twenty women between the ages of 19 and 55 receiving group treatment at three community agencies in Colorado were included in the study. Groups included in the study were …

What Psychotherapists Have To Teach Us About Childhood Developmental Trauma: The Roles Of Attachment Orientation And Coping Strategy, Rebecca Klott

Dissertations

Psychotherapists have been found to have higher rates of childhood developmental trauma when compared to non-clinicians, yet they do not report more distress. The current study added to the literature regarding the experiences of psychotherapists and explored a theoretical model integrating attachment and coping as mediators for the relationship between childhood developmental trauma and psychological distress among psychotherapists.

A total of 130 masters' level psychologists participated in this study. These participants were asked to complete the following measures: The Child Abuse and Trauma Scale (Sanders& Becker-Lausen, 1995), the Ways of Coping-Revised (Folkman & Lazarus, 1985; Folkman, Lazarus, Denkel-Schetter, DeLongis, & …

The Use Of Lateral Mass C1 And Pedicle C2 Screw For Fixation Of Post Traumatic Upper Cervical Instability: Surgical Technique And Operative Outcome, Ahmed Yehya

Advanced Spine Journal

Background Data: The atlantoaxial segment of the cervical spine is a complex anatomic and functional structure. There are many diseases that can affect this segment and lead to instability as trauma, degenerative, inflammatory,neoplastic, or congenital diseases. It requires fusion for adequate immobilization and stabilization. Many surgical methods used for treatment of C1-C2 instability as posterior wiring techniques, C1–2 transarticular screws and lastly, C-1 lateralmass and C-2 pedicle screws fixation which has more advantages than other methods of C1–2 fixation.Study Design: Retrospective clinical case review. Purpose: The aim of this work is to evaluate the surgical technique and early outcome of …

Safety And Efficacy Of Anterior Odontoid Screw For The Management Of Odontoid Fractures. A Series Of 22 Patients., Hossam Taha, Hesham Facharzt

Advanced Spine Journal

Background Data: Several methods of treatment of odontoid fractures have been used. These have ranged from rigid immobilization to atlantoaxial fusion. Odontoid screw osteosynthesis is gaining popularity. Purpose: To define the efficacy and safety of odontoid screw fixation in the management of odontoid fractures and to report the clinical and radiological results. Study Design: A prospective cohort study of odontoid fractures treated with odontoid screw osteosynthesis. The study was conducted in Cairo university hospital, Egypt and AOA Neuro-spinal Centre, Libya in the period from January 2007 to October 2010. Patients and Methods: Over the period from January 2007 to October …

Atlantoaxial Rotatory Fixation In Children. A Clinical Case Study And Review Of The Literature., Ali Abou-Madawi, Esam Elkhatib, Mohamed El-Qazaz

Advanced Spine Journal

Background Data: Atlantoaxial rotatory fixation is a relatively uncommon condition. It remains a poorly understood entity despite many reports in the literature. There is no consensus about the best imaging modality for the diagnosis and the best therapeutic modality the patients benefit from. Purpose: This study was conducted to determine the efficacy of imaging modality and treatment measures and to determine risk factors for recurrence in consideration of the cause, management, and outcome. Study Design: This is a retrospective clinical case study and a literature review.Patients and Methods: Our hospital records were reviewed between January 1995 and December 2011. We …

Combat Related Post Traumatic Stress Disorder In Veterans Of Operation Enduring Freedom And Operation Iraqi Freedom: A Review Of The Literature, Dakota J. Kaiser

Graduate Journal of Counseling Psychology

The conflict Afghanistan and Iraq have now taken their places amongst the longest running wars in American history. As many Americans return from military service, the prevalence of combat related post traumatic stress syndrome is estimated to be as high as 30% or returning veterans. This debilitating condition impacts the individual, their family, and their community in significant ways. A variety of treatments including Cognitive Behavioral Therapy, Prolonged Exposure Therapy, and Virtual Reality Therapy have all been cited as effective interventions for this population. As our nation continues military conflict in the middle east, clinicians need to be prepared to …

Hispanic Ethnicity, Male Gender And Age Predict Restraint Use And Hospital Resource Utilization In Pediatric Trauma, Deborah A. Kuhls, Lynne Fullerton-Gleason, Virginia A. Landry, Julie A. Rabeau, Elizabeth Snavely, John J. Fildes

Journal of Health Disparities Research and Practice

Child restraint reduces the severity of injuries in motor vehicle crashes. Racial/ethnic groups appear to have differing restraint use rates. The objective of this study was to identify restraint use differences between ethnic and other demographic subgroups of pediatric trauma patients. Prospective data were analyzed for 1072 consecutive pediatric patients aged 19 or less who were involved in motor vehicle crashes and brought to our Trauma Center over a 42 month period. The demographic breakdown of this study cohort was 55.3% male, 21.4% Hispanic, 9.7% African American, 64.5% Caucasian, 2.2% Asian and 2.2% other. The highest rates of restraint use …