Social and Behavioral Sciences Commons^™

An Evaluation Of The Validity Of A Script-Driven Imagery Procedure Among Traumatic Event Exposed Adolescents, Emily Renae Mischel

Graduate Theses and Dissertations

Extensive research suggests script-driven imagery procedures employed with traumatic event-exposed adults produce reliable reactions that map onto contemporary models of posttraumatic stress, including increased physiological (Carson et al., 2000; Orr et al., 1998; Ramón et al., 2006) and negative affective (Pitman et al., 1987) responses to trauma scripts. Therefore, such procedures can be utilized in a controlled, laboratory-based setting, supporting mechanism-oriented research designed to better understand the nature, correlates, and consequences of traumatization and posttraumatic stress symptoms (PTSS). Unfortunately, only one study has begun to evaluate the validity of script-driven imagery procedures for use with youth, making further investigation of …

Examining Resilience In Relation To Ptsd Symptomatology In Maltreated Youth, Timothy Day

UNLV Theses, Dissertations, Professional Papers, and Capstones

Resilience following exposure to adverse life situations is an ongoing process that reduces the impact of traumatic experiences and opens potential for posttraumatic growth (Fincham, Altes, Stein, & Seedat, 2009; Luthar, Cicchetti, & Becker, 2000). The relationship between resilience and risk for PTSD in maltreated youth, however, remains unclear. This study sought to explore this relationship by examining a sense of mastery, a sense of relation to others, and emotional reactivity in youth endorsing a history of maltreatment related trauma. Participants were recruited from a Las Vegas Department of Family Services affiliated clinic and were administered the Children’s PTSD Inventory …

Cultural Conceptualizations Of The Trauma Response: The Role Of Locus Of Control, Religiosity, And Religious Coping, Yu-Feng Emily Hu

Dissertations

Posttraumatic stress disorder (PTSD) is a relatively recent diagnosis that results in significant personal and societal costs. Given the diversity of American mental health consumers, a more thorough understanding of PTSD and its relation to cultural factors may have important implications for treatment implementation and refinement. Cultural factors such as locus of control, religiosity, and religious coping have been frequently overlooked in trauma research, yet show a clear link to PTSD risk and symptomatology. This study examined these cultural factors in more detail with relation to race and trauma type and their combined influence on PTSD symptomatology. A national sample …

Superman Needs You, Kirby Farrell

kirby farrell

A powerful leader in politics, business, or closer to home has “magnetism.” But leaders depend on followers, who follow because it’s rewarding. Consider the attention commanded by Donald Trump or even Adolf Hitler. Lives depend on it. Both figures use scripts centered on elimination of scapegoats as a technique of converting flight to fight emergency physiology in followers. Close attention can demytify euphemized homicidal ideation.

Who Do You Think You Are?: Recovering The Self In The Working Class Escape Narrative, Christine M. Maksimowicz

Doctoral Dissertations

This project considers how socioeconomic impoverishment and society's failure to recognize working class women as valued subjects impinge upon a mother's ability to afford recognition to her daughter's selfhood. Situated within the larger North American literary tradition of fiction animated by flight in search of freedom, the texts here explored constitutes a subgenre that I term the “working class escape narrative.” Combining close readings of fiction by Toni Morrison, Alice Munro, and Sigrid Nunez with sociological research and psychoanalytic theory, I explore a relationship between mother and daughter characterized not by mirroring and bonding but rather the absence of intimacy …

Finding A Happier Ending: The Role Of Narrative In Post Traumatic Meaning-Making, Donna Henson

Donna Henson

This chapter explores the intersections of meaning-making, the narrative construction of identity, and story-telling as implicated in the experience of post traumatic recovery. Based on the view of human-beings as storytellers, the intent here is to explicate the idea that victim recovery, that living post-victimhood, may be best achieved through the recognition that recovery is both outcome and process. Toward this end, the chapter presents a critical review of literature drawn primarily from the fields of psychology and communication, centering on contributions across the domains of post traumatic growth and narrative. Despite the unavoidable conclusion that there is no neat …

Treating Trauma: The Efficacy Of Emdr As A Treatment For Ptsd, Grace S. Crawford

Honors Projects

This literature review examines the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) relative to other evidence-based treatments for Posttraumatic Stress Disorder (PTSD), such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). The paper explores the problem of PTSD; outlines the history, theory, and initial trials of EMDR; and examines five randomized controlled trials which compare EMDR to PE or CPT. Results suggest that neither treatment model produces significantly greater reductions in PTSD symptoms, though there is some evidence that EMDR may be better tolerated and produce desired results faster than other treatments.

Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In order to gain better understanding of how therapeutic communities instigate change, this interpretative phenomenological study explores the recognized agents of change as reported by current and recent community members of a particular therapeutic community. Four superordinate themes were discovered: the structure of the program, engagement in the community, intentionality/mindfulness, and applied knowledge. While the results from this study are similar in several ways to the current literature, they also expand the literature about therapeutic communities in one important way. The change agents reported as leading to healing strongly resemble current best practice for the treatment of trauma. Limitations and …

Traumatic Experiences And Cognition: How Do Static And Dynamic Variables Contribute To Current Functioning?, Cathryn Richmond

Masters Theses, 2010-2019

Approximately 25% of children in the United States will witness or experience a traumatic event before age 4, and individuals with a history of trauma, particularly traumatic events in childhood, have a much higher likelihood of developing psychopathology in adulthood. Prior research indicates that the vast majority of individuals with a serious mental illness, particularly those in community mental health centers and psychiatric inpatient settings, have experienced at least one traumatic event in their lifetime. These individuals require special consideration in treatment planning, and a large range of neurodevelopmental and environmental factors must be taken into account when interpreting results …

The Impact Of Childhood Trauma As Moderated By Ptsd, Relationship With Caregiver, And Rumination, Aislyn M. Allen

USC Aiken Psychology Theses

The current study explored the relationship between childhood trauma and deliberate rumination, as well as PTSD symptomology, psychological and physiological functioning. Participants consisted of 55 undergraduate students, ages 18-23; who completed measures about a specific traumatic event, psychological functioning, parental attachment, PTSD symptoms, deliberate rumination, childhood maltreatment, and a demographics questionnaire. Reported childhood trauma was a specifically identified traumatic life event, child maltreatment, or having a parent with a substance abuse or mental disorder. Following completion of measures, participants were asked to answer questions while heart rate, heart rate variability, and electrodermal activity were monitored. Results indicated there was relation …

An Examination Of Psychoeducation And Its Potential Modifying Influence On Alcohol Use Patterns Among Adults Reporting Co-Occurring Posttraumatic Stress Symptoms And Hazardous Alcohol Consumption, Sarah Jo Bujarski

Graduate Theses and Dissertations

Research has suggested that consumption of alcohol in the presence of elevated posttraumatic stress symptom (PTSS) may serve an avoidant function to cope with negative emotions. These coping-related motives for use are theorized to both maintain PTSS and relate to poorer prognoses in treatment for alcohol use disorders (AUDs). Treatments utilizing coping skills training, which typically also involves educating clients about the negative consequences of drinking alcohol to cope, suggest the utility of targeting coping behaviors to reduce alcohol use. These studies, however, have not attempted to isolate the effects of psychoeducation on alcohol-related factors. The current study investigated the …

Predicting Postraumatic Stress Disorder In Single-Incident Trauma Survivors With An Acute Injury, Joshua C. Hunt

Theses and Dissertations

The objective of this study was to create a brief and easily administered screen that can be used by hospital staff to identify those at risk for the later development of PTSD. Utilizing previous research examining pretrauma, peritrauma, and posttrauma risk factors for the development of PTSD among single-incident trauma survivors with an acute injury, an item pool was created and reviewed by experts in the field. This item pool along with a previously created screen were given to patients admitted to two level 1 trauma centers in the U.S. A follow-up was conducted at one month in which participants …

The Effect Of Education On Compassion Fatigue As Experienced By Staff Nurses, Kathryn L. Zehr

Evidence-Based Practice Project Reports

Historically, nursing has been perceived as a highly rewarding profession. Yet, due to the increasing complexity of today’s healthcare, nurses are faced with greater challenges in their work environments. Registered nurses who work in tertiary care settings are exposed to disturbing patient situations including trauma, death, abuse, or chronic disease. Joinson (1992) described this experience as compassion fatigue and symptoms include headaches, short attention span, or fatigue. A review of literature has identified that nurses should be educated about risk factors and coping strategies to combat compassion fatigue. Guided by the Model for Evidence-Based Practice Change and Jean Watson’s Theory …

Childhood Sexual Abuse And Identity Development: The Role Of Attachment And Self-Esteeem, Joel David Dukett

Theses and Dissertations

The purpose of the study was to examine how childhood sexual abuse (CSA) influences identity development along with attachment and self-esteem. The participants included 208 first-year female undergraduate students from Illinois State University. Students were afforded the opportunity to receive extra credit for their participation and could enter into a random prize drawing. Participants completed a demographics questionnaire, Rosenberg Self-Esteem Scale, The Experiences in Close Relationships Questionnaire, Dimensions of Identity Development Scale, and the Hot Topics Questionnaire which assesses history of CSA. Of the participants, 145 (69.7%) were in the non-abuse group and 63 (30.3%) were in the abuse group. …

Trauma Sequelae In The Forensic Female Population: Working With Numbing Behaviors, Tara S. Jungersen, Shannon Karl, Joseph Franco

Faculty Proceedings, Presentations, Speeches and Lectures

Women in the forensic system have extensive trauma histories that present as harmful behaviors, both during confinement and post-release. Incarcerated women who have experienced sexual and intimate partner violence engage in a variety of numbing behaviors, including substance use, child neglect, self-injurious behavior, and sexual acting-out. This session will review the limitations of in-house trauma work, and help counselors tailor strategies to mitigate numbing with forensic populations

The Mechanisms Of Transmission: Examining The Effects Of Childhood Interpersonal Violence Across Generations, Amber Nemeth

Dissertations, Theses, and Capstone Projects

This study examined the direct relationship between maternal exposure to childhood interpersonal violence (sexual and/or physical abuse) and behavioral problems in her pre- to early-adolescent children. It also examined whether maternal aggression (psychological and physical aggression) and emotion dysregulation (lifetime PTSD diagnosis and alexithymia) exerted a significant indirect effect on this relationship. This study was a secondary analysis of data collected from a cross-sectional and cross-generational study designed to examine associations among maternal impairments (substance abuse, general psychopathology, neuropychological functioning), child-rearing deficits (parenting deficits, child neglect, child physical/ sexual abuse), and adverse child outcomes (self-regulation deficits, aggressive behavior, and substance …

Event Centrality After Trauma: Stability, Trauma Type, And Posttraumatic Stress Disorder, Anna Michelle Wright

Wayne State University Dissertations

In order to better understand posttraumatic stress disorder (PTSD) symptoms and PTSD’s etiology, researchers have begun examining whether PTSD symptoms are related to the centrality of the traumatic event (i.e., whether the trauma is central to the individual’s life story and changes the way he or she views the world). The current study examines the following questions: (1) Is event centrality stable over time? (2) What is the effect of cumulative trauma on event centrality? Additionally, do different types of trauma have different associations with event centrality? and (3) Given its relationship with PTSD, should event centrality be considered a …

Clergy Sexual Abuse, Robert P. Allred

Theses and Dissertations

Sexual abuse perpetrated by trusted members of the clergy presents unique challenges to clinicians and yet the current literature on the effects of clergy sexual abuse is sparse. The vast majority of current research on clergy sexual abuse is based on the perspective of the perpetrators and not the survivors. Some literature suggests that clergy sexual abuse is equivalent to incest due to the level of betrayal trauma associated with each form of abuse. The current study seeks to examine the effects of clergy perpetrated sexual abuse on survivors and examine those effects in the context of the general literature …

Quality Of Life In Youth With Bipolar Disorder And Trauma, Irma De Santiago, Andrew J. Freeman

McNair Poster Presentations

Background:Epidemiological work suggests that youth with histories of trauma or bipolar disorder have lower quality of life (QoL) than generally healthy youth without a history of bipolar disorder or trauma.

Aim: To evaluate whether trauma and bipolar disorder have a negative effect in youth seeking services for emotional and behavioral difficulties.

Method & Sample: Participants were 596 youths and caregiver dyads from an urban community mental health center and an academic medical center in Cleveland, OH. Diagnoses were based on semi-structured interviews of the parent and youth. The KINDL-R measured Total, Emotional, Self-esteem, Family, Friend, School, and Physical QoL. …

Post Traumatic Stress Disorder Symptoms And Intimate Relationships Of Female Survivors Of Sexual Assault: The Effects Of Treatment With Prolonged Exposure, Group, And Supportive Counseling Therapy, Gabrielle Rhoads

PCOM Psychology Dissertations

Theory and research suggest that post traumatic stress disorder (PTSD) symptoms may disrupt intimate relationships of survivors of trauma. Nevertheless, little empirical research has examined the role of PTSD and how it affects intimate relationships of survivors of sexual assault. This study utilized selected measures to examine the degree to which symptoms and treatment(s) for PTSD contribute to relationship satisfaction in female survivors of sexual assault. Overall, the severity of PTSD predicted relationship maladjustment at baseline, which is consistent with past research findings. More specifically, avoidance and arousal were found to be the most robust predictors of relationship maladjustment. This …

A Prospective Investigation Of Emotion Dysregulation As A Moderator Of The Relation Between Posttraumatic Stress Symptoms And Substance Use Severity, Matthew T. Tull, Joseph R. Bardeen, David Dilillo, Terri Messman-Moore

Department of Psychology: Faculty Publications

Despite strong evidence for an association between the experience of posttraumatic stress (PTS) symptoms and substance use, little is known about the particular individuals most at risk for prob-lematic substance use in response to PTS symptoms. Consequently, the goal of this study was to conduct a prospective investigation of the moderating role of emotion dysregulation (assessed through self-report and behavioral measures) in the relation between PTS symptoms and substance use 8 months later within a sample of 106 young adult women. No main effect of PTS symptoms on substance use was found. Instead, PTS symptoms were associated only with later …

Organizational Identification: A Context-Specific Mitigating Resource Of Work–Family Conflict, Joseph A. Allen, John Crowe, Benjamin A. Baran, Cliff Scott

Psychology Faculty Publications

The tension between work and non-work life remains a critical issue in contemporary careers. This study explores the role of organizational identification (OI) in reducing work–family conflict (WFC) within demanding and high-stakes jobs in dynamic, uncertain and potentially dangerous contexts (e.g., firefighting). Survey data from 341 firefighters suggest that, congruent with conservation of resources theory and scarcity theory, OI may serve as a resource that mitigates WFC in these contexts. Additionally, the data suggest that the negative relationship between OI and WFC is stronger when trauma is low. For practice, this study provides important implications for employees in similar contexts …

Narratives Of Illness, Difference, And Personhood, John P. Mctighe

School of Social Work Faculty Publications

Using narrative theory, the chapter examines how ideas and attitudes about mental disorder are shaped by cultural values and stereotypes, and how the experience of trauma can shatter the narrative of self and world. Placing the question of illness, differentness, and personhood within a social justice perspective, it challenges clinicians to consider how the vocabulary of illness is used to frame experience and, in many cases, to minimize, marginalize, or discount the individual's own lived experience.

Haitian Children's House-Tree-Person Drawings: Global Similarities And Cultural Differences, Abimbola Afolayan

Antioch University Full-Text Dissertations & Theses

The issues of rising terrorism, violence, and scarcity of basic needs will increase in the coming decades, and children that need psychological services in disaster areas around the world will also increase (Alim, 2008). The study utilized the House-Tree-Person (HTP) projective test to examine the adaptation and maladaptation of Haitian children who lived in extreme urban poverty, broken infrastructure, and relocation camps in the aftermath of the 2010 earthquake. The 43 participants of the original archived data set provided 129 protocols of house, tree, and person drawings (Roysircar & Colvin, 2015). Out of that dataset, the present study used 39 …

Evaluation Of Cognitive Processing Therapy's Five Cognitive Distortion Themes, Jared P. Grigg

Electronic Theses and Dissertations

No abstract provided.

Exploring Soul Loss Through Arts-Based Research, Jacqueline Linder

International Journal of Transpersonal Studies

Arts-based approaches to scholarly inquiry are becoming increasingly common in qualitative research. The research presented here examines the psychospiritual impact of childhood sexual abuse (CSA), and a spectrum of soul loss was identified including soul wounding, soul withering, soul shattering, soul flight, soul theft, and soul murder. Part of the data set consisted of 24 mandalas by participants and the researcher, as well as one integrative drawing based on the use of imaginal resonance. The art data permitted a depth of insight into the psychospiritual impact of sexual abuse that went beyond what had been provided by other data streams. …

The Relationship Between The Effects Of Rape, Posttraumatic Stress Disorder, Complex Trauma, And Post-Attack Victim-Perpetrator Interaction In Female College Students, Stephanie Christine Bell

Electronic Theses and Dissertations

The purpose of this study was to assess for effects of rape that are specific to women attending college and for relationships between the effects of rape, Posttraumatic Stress Disorder, previous trauma, complex trauma, and post-attack victim-perpetrator interaction to fill gaps in the literature around these issues. The survey was distributed to all female undergraduates at the main campus of a large, public university in the south (N ≈ 8,400). The sample consisted of 463 women (response rate = 5.5%). The majority of participants were between the ages of 18-22, Caucasian, lived off-campus, and with roommates. Participants received an e-mail …

Hiroshima And Mass Trauma Today: Treating Post-Traumatic Stress Disorder In Individuals And Communities, Ashley Martinez

International ResearchScape Journal

At 8:15 am on August 6^th, 1945, the world and the way in which we fight wars changed forever. Immediately following the drop of the Little Boy atomic bomb, the city of Hiroshima was decimated, leaving the surviving citizens to deal with poverty, starvation, loss of loved ones, and utter destruction of their lives. After the bombing, survivors were left with burns, radiation poisoning, and physical scars. Unknown to the survivors of the atomic bombings, or Hibakusha, were the ensuing psychological and emotional damages. In 2014, we know more about traumatic experiences than in 1945. Studies from …