Psychology Commons^™

Primer On Perspectives And Practices Of Trauma, Trevor P. Haase

Educational Specialist, 2009-2019

A large majority of the general population has endured at least one traumatic event in their lifetime and many will seek counseling services to process and resolve the impact from the traumatic experience. Counselors and mental health providers will likely encounter trauma survivors in a high frequency in the majority of therapeutic settings. Practicum and internship level counselors are often not prepared for navigating the complexities that arise working with trauma survivors. This paper outlines the various perspectives and practices of the works of Dr. Bessel van der Kolk, Narrative Therapy, and Trauma Focused-Cognitive Behavioral Therapy. These orientations were designed …

Unemployment In Iraqi Refugees: The Interaction Of Pre And Post-Displacement Trauma, A. Michelle Wright, Abir Dhalimi, Mark A. Lumley, Hikmet Jamil, Nnamdi Pole, Judith E. Arnetz, Bengt B. Arnetz

Psychology: Faculty Publications

Previous refugee research has been unable to link pre-displacement trauma with unemployment in the host country. The current study assessed the role of pre-displacement trauma, post-displacement trauma, and the interaction of both trauma types to prospectively examine unemployment in a random sample of newly-arrived Iraqi refugees. Participants (N = 286) were interviewed three times over the first two years post-arrival. Refugees were assessed for pre-displacement trauma exposure, post-displacement trauma exposure, a history of unemployment in the country of origin and host country, and symptoms of posttraumatic stress disorder (PTSD) and depression. Analyses found that neither pre-displacement nor post-displacement trauma independently …

Ashamed And Afraid: A Scoping Review Of The Role Of Shame In Post-Traumatic Stress Disorder (Ptsd), Tanya Saraiya, Teresa Lopez-Castro

Publications and Research

Background: Despite considerable progress in the treatment of post-traumatic stress disorder (PTSD), a large percentage of individuals remain symptomatic following gold-standard therapies. One route to improving care is examining affective disturbances that involve other emotions beyond fear and threat. A growing body of research has implicated shame in PTSD’s development and course, although to date no review of this specific literature exists. This scoping review investigated the link between shame and PTSD and sought to identify research gaps. Methods: A systematic database search of PubMed, PsycInfo, Embase, Cochrane, and CINAHL was conducted to find original quantitative research related to shame …

From Victim To Healer: How Surviving Sex Trafficking Informs Therapeutic Practice, Emily M. Waters

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Fish, Christine Stark

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Association Between Combat, Morally Injurious Experiences, Spiritual Injury, And Alcohol Use Among Active Duty Military Personnel And Veterans, Allison T. Robbins

Psychology Theses & Dissertations

Literature has supported that, along with physical and psychological injuries, combat profoundly impacts veterans’ moral and spiritual belief systems and may contribute to negative health behaviors. Moral injury is a developing construct related to negative consequences associated with war-zone stressors that transgress military veterans’ deeply held values and belief systems. Additionally, spiritual injury addresses negative responses to an event that damages their relationship with God, self, and others, and alienates an individual from that which gives meaning to their lives. The purpose of the present study was to examine the relationship between combat exposure, morally injurious experiences (MIEs), spiritual injury, …

Traumatic Stress, World Assumptions, And Law Enforcement Officers, Douglas William Green

Dissertations, Theses, and Capstone Projects

The present study examined the presence of traumatic stress reaction symptoms among active law enforcement officers, and the relationship between potentially traumatic work related experiences, officers’ cognitive views of the world, and the expression of those symptoms. The range of police roles and responsibilities arguably subjects officers to a greater variety of potentially traumatizing experiences than any other population, and the literature reflects that police officers express traumatic stress related symptoms at a greater rate than the general population. This study differs from previous work in that it utilizes snowball sampling to anonymously identify officers willing to participate without involving …

Investigating The Construct Of Psychopathy In Lebanese And American Adults, Marie-Anne Issa

Dissertations, Theses, and Capstone Projects

Psychopathy has been primarily investigated in forensic and psychiatric populations in North America. Cross-cultural studies, mainly conducted in Europe, have shown disparities in psychopathy scores and the measures’ psychometric properties, which raise the issue of cultural factors, such as individualism-collectivism, values, and different ways of emotional expression, and the impact of these cultural factors on the construct and its manifestation. Psychopathy has been rarely explored in Arab populations. This dissertation examines the construct of psychopathy among Lebanese adults, to assess its meaning, relevance, and utility among this population and compares the responses of Lebanese to American adults. The design of …

Ptsd From Childhood Trauma As A Precursor To Attachment Issues, Christy Owen

Fidei et Veritatis: The Liberty University Journal of Graduate Research

The past 20 years have been turbulent regarding Reactive Attachment Disorder (RAD), with conflicting research about its causes, effects, treatment, and prognosis. The current diagnostic criteria in the DSM-5 fails to adequately address this disorder. A number of deviant and maladaptive behaviors common amongst children with RAD are not even mentioned in the diagnostic criteria. As such, the diagnostic definition is almost unidentifiable or incompatible with real-life conduct manifestations of the disorder. Rather, this author contends that RAD is foundationally a unique and extreme form of Posttraumatic Stress Disorder (PTSD) from Early Childhood Trauma. The child endured unspeakable neglect and/or …

Cross Validation Of The Caregiving Helplessness Questionnaire: Associations With Maternal History Of Maltreatment And Intimate Partner Violence, Maegan Calvert

Graduate Theses and Dissertations

Disorganized caregiving has been associated with both maternal childhood history and current experiences of trauma. However, the methods by which disorganized caregiving has been studied have been time intensive and costly. The current study aimed to extend previous research with the Caregiving Helplessness Questionnaire (CHQ; George & Solomon, 2011), which is a self-report measure designed to assess aspects of disorganized caregiving such as caregiving helplessness, role reversal, and frightened/frightening caregiving experiences. Participants (N = 156) were a community sample of mothers of children ages 5 to 10 who were primarily white and who reported a range of traumatic experiences. It …

Found Object/Readymade Art In The Treatment Of Trauma And Loss, Michal Bat Or, Orna Megides

Journal of Clinical Art Therapy

Found object/readymade art is a familiar expressive medium in art therapy that has been insufficiently explored. The present article theoretically and clinically examines Found object/readymade art as a progressive therapeutic intervention in the treatment of trauma and loss. It aims to show how creating found object/readymade art enables the client to encounter and contain damaged/disconnected memories and provides a space for integrating and meaning-making in the face of rupture and loss. This is discussed through a review of found object/readymade art medium in the history of art and in art therapy and by phenomenological observation of its creating process. Specific …

A Naturalistic Study Of Narrative: Exploring The Choice And Impact Of Adversity Versus Other Narrative Topics, Sherry L. Hamby, Elizabeth Taylor, John H. Grych, Victoria Banyard

Psychology Faculty Research and Publications

Objective: Many narrative interventions require participants to write about trauma and adverse experiences, but some research suggests that open-ended topic prompts can also be effective. In this study, we investigated the topics participants chose to write about in a values-narrative program that offered wide discretion in topic and theme, and explored how that was associated with perceptions of investment and impact. Method: Participants were 717 individuals (68% women) from the rural South, United States who had participated in a values-narrative program. Results: Almost half of the narratives (44%) focused on an adverse experience as part of the development of their …

Development Of The Early Childhood Traumatic Stress Screen, Sara Elisabeth Harris

Dissertations (1934 -)

The study aimed to develop a brief screening instrument to assess symptoms associated with potentially traumatic experiences (PTE) in very young children (under 6). Potential items for the Early Childhood Traumatic Stress Screen (ECTSS) were sampled from each of the major content areas implicated in trauma. The items underwent a principle component analysis, which produced a 34-item screening measure with four reliable factors and one sub-scale assessing response style. All subscales and the overall trauma composite score significantly correlated with pre-established measures of traumatic stress in very young children, and a receiver operating characteristics curve analysis identified a cut-score with …

The Relationship Between Trauma-Related Shame, Disordered Behaviors, And Contextual Factors Of Sexual Trauma Beyond Trait-Shame And Sex-Guilt, Michele Laaksonen

Psychology Theses & Dissertations

Relatively little is known about the effect of contextual factors of sexual trauma (age at trauma, type of trauma, perpetrator gender, tactics, and relationship) and trauma-related shame and risk-taking motivations. Therefore, the current study aimed to examine this relationship among a sample of 360 undergraduate women with histories of sexual trauma, hypothesizing that trauma-related shame and motivations for participation in extreme sports, drinking games, and sex would differ based on the contextual factors of sexual trauma and the past experience of non-sexual trauma. Age was related to the linear combination of trauma-related shame and risk-taking motivations. Furthermore, contact, relationship, and …

Lung Cancer-Related Emotional Growth : The Role Of Coping Styles And Prior Trauma., Moriah Horn

College of Arts & Sciences Senior Honors Theses

The objective of this study was to explore the relationship of prior traumatic history, coping styles, and post-traumatic emotional growth in participants diagnosed with lung cancer. Participants (n = 40) completed baseline questionnaire packets as part of their initial entry into the ongoing study “Understanding the Prognostic Significance of Circadian Disruption in Lung Cancer.” Linear hierarchal regressions adjusted age at diagnosis, stage, and household income. Analyses revealed no relationship between traumatic history and post-traumatic emotional growth. However, lung cancer patients who endorsed active coping styles were significantly more likely to report post-traumatic emotional growth. Secondary analyses revealed this relationship appeared …

Vocational Implications Of Cult Involvement, Melissa Dawn Jones Wilkins

Graduate Theses and Dissertations

Currently, the majority of studies published on cult membership have been quantitative and have focused primarily on theories and trends about cult membership. These studies have been insufficient in shedding light on the individual’s experience. Qualitative studies are necessary to explore the individual’s accounts of their experiences with past cult involvement and the impact these experiences have on employment. Because of the potential vocational impacts of cult involvement, it is valuable to explore the psychoSocial aspects of work. A qualitative methodology informed by phenomenology was utilized to investigate the unique experience of individuals obtaining employment after leaving a cult. Seven …

Walking On Eggshells: The Lived Experience Of Partners Of Veterans With Ptsd, Tiffany A. Beks

The Qualitative Report

This phenomenological study examined the descriptions of lived experience among female partners of veteran men with combat-related posttraumatic stress disorder (PTSD) via internet discussion forums. Personal, self-initiated written accounts of 30 partners were analyzed with respect to meaning, challenges, coping responses, and role in veterans’ healing and rehabilitation. Following data analysis, five descriptive themes emerged: all-consuming effect of the illness, walking on eggshells, ambiguous loss, alone, and facing PTSD as a unit. The central meaning of these themes describes the widespread priority of the veterans’ illness, and the resulting isolation, grief, and apprehension experienced by intimate partners as they assume …

Symptom Patterns Of Posttraumatic Stress Disorder Among Deaf Trauma Survivors, Melissa Anderson, Amanda Sortwell, Kelly Wolf Craig, Douglas Ziedonis

Melissa L. Anderson

Details about Deaf people’s pattern of posttraumatic stress disorder (PTSD) symptoms remain relatively unknown due to inaccessible methods used in most epidemiological research. We conducted semi-structured American Sign Language interviews with 16 trauma-exposed Deaf individuals to explore their PTSD symptom patterns. Half met criteria for current PTSD, a rate higher than the general population. Underlying this disparity may be heightened rates of dissociation and psychogenic amnesia reported by many Deaf trauma survivors. Future research with large samples of Deaf survivors is needed to clarify this hypothesis, and to inform interventions that more accurately target Deaf people’s pattern of trauma symptoms.

Symptom Patterns Of Posttraumatic Stress Disorder Among Deaf Trauma Survivors, Melissa L. Anderson, Amanda Sortwell, Kelly S. Wolf Craig, Douglas M. Ziedonis

JADARA

Details about Deaf people’s pattern of posttraumatic stress disorder (PTSD) symptoms remain relatively unknown due to inaccessible methods used in most epidemiological research. We conducted semi-structured American Sign Language interviews with 16 trauma-exposed Deaf individuals to explore their PTSD symptom patterns. Half met criteria for current PTSD, a rate higher than the general population. Underlying this disparity may be heightened rates of dissociation and psychogenic amnesia reported by many Deaf trauma survivors. Future research with large samples of Deaf survivors is needed to clarify this hypothesis, and to inform interventions that more accurately target Deaf people’s pattern of trauma symptoms.

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.

The Relationship Between Childhood Trauma And Paranoid Personality Disorder Symptoms, Ayse Arikan

Dissertations and Theses

Background: Recent literature consistently shows a relationship between childhood trauma (CT) and personality pathology. History of childhood abuse leads to severe loss of trust. This loss of trust in early years is a strong predictor of the majority of personality disorders and is related to several problems in adulthood such as insecure attachment and distrust in interpersonal relationships. Although distrust is the key diagnostic component of Paranoid PD (PPD), empirical research mostly focused on borderline personality disorder (BPD) yielding limited information about PPD regarding its development and potential risk factors. This study has two aims. First is to examine the …

Influence Of Self-Stigma, Distress Disclosure, And Self-Compassion On Post-Traumatic Stress Reactions In Deployment Veterans, June Marie Ashley

Electronic Theses and Dissertations

Military deployments can contribute to significant changes among the service members who experience them. Particularly regarding traumatic or highly stressful deployment experiences, the potential exists for posttraumatic stress reactions with both detrimental outcomes and beneficial influence. The present study explored this spectrum of reactions through the lenses of posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). Given the well-researched presence of stigma within military culture toward psychological distress, consideration was given to how stigma may influence severity of PTSD and degree of PTG. Rather than focusing on public stigma, the present study explored the possible influence of internalized stigma, known …

Scrupulosity, Trauma And Disgust, Oh My! Assessing The Potential Relation Between Religiosity, Trauma Symptoms And Disgust, Brooklee Lightsey Tynes

Electronic Theses and Dissertations

Lifetime prevalence rates for Posttraumatic Stress Disorder (PTSD) are estimated to be 6% in the general population. In the United States alone, an estimated 5.2 million adults will experience PTSD within the year (National Comorbidity Survey, 2005). However, a much larger number of the population will experience some form of trauma over the course of their lifetime. Research has demonstrated that the development of PTSD may be attributed to some factors (e.g., temperamental vulnerabilities, social ecological factors), which may predispose individuals to the development of the disorder. The purpose of this study was to test the association of moral disgust …

Testing A Brief Directive Intervention To Reduce Symptoms Associated With Trauma, Fernando Trivelli Alessandri

Electronic Theses and Dissertations

A randomized controlled trial was conducted to test the relative efficacy of a brief directive protocol (DP) aimed at reducing posttraumatic stress disorder (PTSD) symptoms and an expressive writing protocol (EW), which has more than a 30-year history (Pennebaker & Chung, 2011) of research showing mostly positive effects. The DP included components with research support from studies of expressive writing, prolonged exposure, cognitive processing therapy, and mindfulness-based therapies. Participants were primarily undergraduate students at a large public university in the southern United States who endorsed at least one traumatic experience and who manifested a minimal level of PTSD symptoms. The …

Direct And Indirect Forms Of Childhood Maltreatment And Nonsuicidal-Self-Injury Among Clinically-Referred Children And Youth, Jenna Armiento, Cloe Hamza, Shannon Stewart, Alan Leschied

Education Publications

Importance: Although exposure to direct forms of childhood maltreatment is among the most widely studied risk factors for nonsuicidal self-injury (NSSI), research on NSSI has largely neglected the role of exposure to indirect forms of child maltreatment (i.e., exposure to intimate partner violence).

Objective: To address this gap in the literature, the present study examined associations among both direct and indirect forms of maltreatment and NSSI among clinically referred children and youth. It was expected that exposure to both forms of maltreatment would be associated with increased risk for NSSI engagement.

Design: Data was collected from September 2014 – August …

Compassion Fatigue And Crisis Workers' Attitude To Work, Maria Adneza Loolo

Walden Dissertations and Doctoral Studies

Past research has revealed that mental health practitioners experience challenging reactions in the course of their professional interactions with traumatized clients in the clinical work setting. The demands of caring, without commensurate replenishment, deplete the practitioners' empathy and produces forms of apathy and indifference towards the suffering of others, known as compassion fatigue. This quantitative, exploratory, cross sectional study examined the predictive relationships between compassion fatigue and work attitudes in primary care physicians located in West Africa. The etiological model of compassion fatigue and constructivist self-development theory (CSDT) formed the conceptual framework for examining clinician responses to trauma-related experiences in …

Identifying The Trauma Recovery Needs Of Maltreated Children: An Examination Of Child Welfare Workers' Effectiveness In Screening For Traumatic Stress, Adrienne Whitt-Woosley

Theses and Dissertations--Social Work

Children in the child welfare system comprise a group characterized by their exposure to trauma via experiences of maltreatment, under circumstances presenting multiple risk factors for traumatic stress. High rates of posttraumatic stress have been observed in this population. However, there is currently no standard for the universal screening of children in child welfare for trauma exposure and traumatic stress. The purpose of this study was to analyze the trauma experiences of a sample of maltreated children and examine whether child welfare workers are effective screeners of traumatic stress symptoms with children from their caseloads. Method: A sample of children …

From Entrenched To Empowered : The Factors Promoting Resiliency And Healing For Lgbtqia Identified Adult Survivors Of Childhood Sexual Assault, Hal Brown

Theses, Dissertations, and Projects

The objective of this study was to examine the experiences of adults, who as a result of their incidents of childhood sexual abuse were predisposed to present with a variety of negative outcomes, in pursuit of identifiable interventions, practices, and supportive factors effective in mitigating the negative outcomes and promoting survivor resiliency. The bulk of the previous studies of the critical elements for survivor resiliency had been conducted in religious communities. Ensuring a sample composed of individuals with access to an identity-based community, noting that community and connectedness had frequently been considered significant, this study was limited to LGBTQIA identified …

16pf® Traits As Predictors Of Emergency Medical Service Worker Tenure, Beverly J. Paschal

Walden Dissertations and Doctoral Studies

The United States is experiencing a severe shortage of Emergency Medical Service (EMS) paramedics. The job outlook for paramedics (EMT-P) for the years 2012-2022 is predicted to increase by 23%-33%, which is much faster than the 4% average increase of other first-response professions. The average tenure of paramedics is less than 4 years. There is a significant gap in the literature concerning paramedic personality traits and tenure. The primary objective of the current study is to provide empirical data on the personality traits possessed by long-term paramedics (5+ years), and compare them to those with shorter tenure (< 5 years). Using Allport's Trait Theory, I predicted that personality would affect paramedic longevity. The 6 personality traits tested were warmth, reasoning, emotional stability, liveliness, social boldness and openness to change. A socio-demographic questionnaire, determined the length of their EMS career, while the 16PF® Assessment, tested their personality traits. Using t tests, Mann-Whitney U tests, and a set of regression analyses, data were examined to determine if length of career and personality traits predicted paramedic tenure. The research sample consisted of long term paramedics and former paramedics. The results showed that of the 6 personality traits, only warmth was a significant predictor of paramedic tenure. A logistic regression showed for every additional point in warmth, the odds of leaving EMS prior to 5 years increased by a factor of 2.77. This study provides support for positive social change by helping EMS to learn how to increase recruitment and tenure. It also helps by advising EMS agencies to attend to the mental and emotional health of their paramedics by being aware of the level of their warmth personality trait.

The Lived Experience Of The Adolescent Sex Offender: A Phenomenological Case Study, Beth Gerhard-Burnham, Lee A. Underwood, Kathryn Speck, Cyrus R. Williams Iii, Carrie Merino, Yolanda Crump

University of Nebraska Public Policy Center: Publications

Treatment for adolescents with sexually maladaptive behaviors is a continuing intervention that is changing and developing as greater understanding about this population of adolescents is obtained. The majority of treatment programs for adolescent sexually maladaptive behavior contain programming components that include cognitive distortions/thinking errors. Interviews including a conceptual mapping exercise were conducted with four adolescents adjudicated to a secure care program for sexual behaviors. All four boys completed an interview and a conceptual map of their perceived experiences as an adolescent with sexual maladaptive behaviors. All interviews were audio recorded. Analysis of the interviews and conceptual mappings yielded five themes …