Social and Behavioral Sciences Commons^™

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 …

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 …

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 …

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 …

Can Volunteer Counsellors Help Prevent Psychological Trauma? A Preliminary Communication On Volunteers Skills Using The 'Orienting Approach' To Trauma, Mitchell Byrne, Frank Deane, Andrew Phipps

Mitchell K Byrne

The capacity of 73 volunteer telephone counsellors to administer a brief and early intervention for secondary trauma was assessed. The counsellors participated in a 1-day training programme in the ‘Orienting Approach’ to Trauma Counselling (Phipps & Byrne, 2003). Volunteer counsellors showed significant improvements in both knowledge and skills from pre- to post-training. The potential benefits of this intervention to the community and professional health services are discussed.

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.

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 …

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 …

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 …

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, & …

Aftershocks: Sense And Nonsense Making In A Disorganized Narrative, Donna Henson

Donna Henson

A disorganized narrative in both form and content, this article presents the storying and restorying of distant witness experience in the wake of recent natural disaster. A layered, fractured text; the writing blurs the lines between sense and nonsense making, self and other. Presenting the notion of verbal rumination as a theoretical method: This repetitive, ruminative narrative plays with the warm fuzzy and sometimes cold and prickly consequences of interpersonal storying. The resultant piece reflects a psychography of sorts, and seeks to make sense of the nonsensical, to organize the disorganized, to reconcile the irreconcilable. As with all natural disasters, …

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 …

Efficacy Of Self-Care And Traditional Mental Health Counseling In Treating Vicarious Traumatization Among Counselors Of Hurricane Katrina Survivors, Mary Alice Many

University of New Orleans Theses and Dissertations

The population consisted of 9,000 Gulf Coast Licensed Professional Counselors. Surveys were returned by 609 participants. In the researcher-developed demographic survey, 586 individuals responded to the questions regarding age, gender, ethnicity, and years of counseling experience; 585 individuals responded to questions about exposure to prior trauma, and personal Katrina-related losses; 578 individuals responded to the question about the percentage of their work week that was spent counseling victims, and 579 individuals responded to questions regarding the type of mental health care strategy they participated in. There were 439 usable surveys for the PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & …

Brains, Beads And Boulders: Trauma-Informed Sensory Interventions For Adolescents, Gini Christine Trotter

Educational Specialist, 2009-2019

For beginning counselors there was minimal training in academic programs to address client experiences with trauma and the value of sensory interventions in treatment. The purpose of this literature review and compilation of adventure-based and creative arts interventions was to provide an understanding of trauma for adolescents from a neurobiological perspective, to provide assessment tools, a selection of sensory-based interventions for use within counseling sessions, and resources relevant to the beginning counselor. Steele and Kuban (2011) describe the experience of trauma as feeling completely unsafe and powerless. Interventions, then, should focus on repairing a sense of safety and power. To …

A Multimodal Approach For The Assessment Of Alexithymia: An Evaluation Of Physiological, Behavioral, And Self-Reported Reactivity To A Traumatic Event-Relevant Video, Sarah Jo Bujarski

Graduate Theses and Dissertations

Evidence suggests alexithymia is often relatively elevated among people suffering from posttraumatic stress symptoms (PTSS). Despite a growing body of research supporting this relation between alexithymia and PTSS, it is unclear whether alexithymia is a unique predictor of emotional reactivity relative to posttraumatic stress symptoms. Furthermore, existing literature is largely limited to retrospective, self-reported symptoms. Therefore, the current study employed a multimodal assessment strategy for measuring emotional reactivity in the context of posttraumatic stress. More specifically, self-report, behavioral, and physiological measures were used to measure emotional responding to a traumatic event-related stimulus among motor vehicle accident victims. It was hypothesized …

Perception Of Communication Training Need Among Pediatric Trauma Team Members, Monica M. Mercado

Theses and Dissertations - UTB/UTPA

The purpose of this study is to use the APRC (Assessment of Pediatric Resuscitation Communication) as a guide to determine if trauma nurses and surgeons believe communication training is necessary. Many trauma team members have not received team communication effectiveness training in pediatric trauma settings. As a result, miscommunication between team members leads to medical errors during pediatric trauma activations. Thus, it is important to discover whether or not trauma team members believe communication training will help trauma teams improve the overall effectiveness of pediatric trauma activations. The present study provides a descriptive analysis that illustrates nurses’ and trauma surgeons’ …

Decision-Making Following Sexual Assault: Reporting Decisions And Exposure To The Criminal Justice System, Ryan Michael Walsh

Dissertations

Violent crimes represent significant costs to society and survivors; costs which include mental health conditions which may emerge afterward. Victims of sexual assault are at particularly heightened risk for developing posttraumatic stress disorder (PTSD) (Breslau, Davis, Andreski, & Peterson, 1991). Although Crime Victims’ Compensation (CVC) is available to assist with healthcare costs for some individuals who report the event to police (NACVCB, 2009), many crimes are not reported. Theories of crime-reporting behavior suggest that victims decide whether to report crimes to police through the use of a “cost-benefit analysis” (Gottfredson & Gottfredson, 1988, p. 25). Little research, however, has been …

Diagnosing The Demonic, David W. Appleby

Faculty Publications and Presentations

One of the most difficult tasks for a therapist is to determine whether a client’s difficulty is psychologically based or spiritually based. Scripture shows us that virtually any physical, psychological, or social symptoms might be attributed to demonic spirits. The enemy attacks on all possible fronts, which complicates the whole process of diagnosis. The most accurate diagnoses come not from looking only at symptoms, but at predictive life experiences. If the individual has opened certain doors there is an increased probability that demonic involvement is present. These include (1) generational curses, oaths, and soul ties, (2) occult involvement, (3) trauma …

American Indian Women And Sexual Assault: Challenges And New Opportunities, Angela R. Gebhardt, Jane D. Woody

Center on Children, Families, and the Law: Faculty Publications

This article informs social workers about sexual violence against American Indian and Alaskan Native (AI/AN) women and the policy reforms in the 2010 Tribal Law and Order Act (TLOA). It describes the unmet needs of AI/AN survivors, reviews the TLOA reforms on sexual assault in relation to social work and public health principles, discusses the complementary roles for social workers and public health practitioners in reform efforts, and offers guidance for professional participation that emphasizes tribal sovereignty, indigenous capacity, and cultural competence.

Barriers To Care: What Stops Psychologists From Seeking Mental Health Services , Jennifer Lynn Bearse

Doctor of Psychology (PsyD)

No abstract provided.

Adverse Childhood Experiences (Aces), Service Use, And Service Helpfulness Among People Experiencing Homelessness, Heather Larkin Holloway, Jihyun Park

Social Welfare Faculty Scholarship

This study examines categories of adverse childhood experiences (ACEs) and service use backgrounds among a convenience sample of people experiencing homelessness (N = 224), using logistic regression analysis (n = 174) and descriptive and comparative analyses. Eighty-seven percent reported at least 1 of 10 ACEs prior to age 18. Over half (53.2%) reported 4 or more ACEs. Approximately half reported parental loss, emotional neglect, living with a substance abuser, and emotional abuse. ACEs were significantly correlated with one another. Among those who used prior services, ACEs predicted interpersonal prevention, clinical, and criminal justice services for emotional or substance …

Ptsd And High-Risk Behaviors In Trauma Survivors, Richard Jason Lawrence

ETD Archive

Many previous studies have shown that trauma survivors, with and without Posttraumatic Stress Disorder (PTSD), engage in more high-risk behaviors (e.g., Smith, Davis, & Fricker-Elhai, 2004). It is unclear whether the trauma exposure itself, or PTSD, is actually associated with the high-risk behaviors. The current study will be one of the first to examine differences in risk-taking between trauma survivors with and without PTSD, and will utilize the Balloon Analogue Risk Task (BART) to test risk-taking propensity in trauma survivors. We expect that trauma survivors with PTSD will engage in more high-risk behaviors, report greater perceived benefits, and demonstrate greater …

Differences In Risk-Taking In A Trauma Exposed Population, Ruth Anna Viehoff

ETD Archive

Previous studies have shown that depression and posttraumatic stress disorder (PTSD) are associated with a variety of risk-taking behaviors. However fewer studies have examined how comorbidity between the two disorders can differentially affect risk-taking. This study examined the relationship between depression, PTSD, past risk-taking, and perceived benefits of risk to further determine how comorbidity affects risk behaviors. It was expected that individuals who displayed symptoms of depression and PTSD would report more past risk-taking and associate greater benefits with taking risks. Depression symptoms were found to significantly predict past drug use. This suggests that comorbid individuals who report more depressive …

Predictors Of Vicarious Trauma And Secondary Traumatic Stress Among Correctional Officers, Bertee Thomas Jr

PCOM Psychology Dissertations

The correctional setting is often dangerous and unpredictable. Correctional officers have the unique and often dangerous charge of overseeing a very volatile population. The job of a correctional officer can be very stressful and often contributes to emotional, physiological, and psychological distress. Correctional officers may be exposed to violence either directly or indirectly. One of the psychological reactions most commonly associated with violence is the development of trauma. This type of traumatic response may be triggered by direct or indirect exposure to traumatic stimuli. The focus of this study was to identify variables associated with secondary traumatic responses among correctional …

The Rhetorical Criteria Of Kennedy's Camelot, Stacy Fawn Wilder

Online Theses and Dissertations

John F. Kennedy's presidential rhetoric reflects key criteria necessary for creating and sustaining the American Camelot myth. That myth was successfully ingrained within the American psyche through the use of visual rhetoric, campaign speech rhetoric, and crisis time rhetoric. Moreover, the collective memory of cultural trauma following Kennedy's assassination suggests a promising continuation of the Camelot myth. Because the four rhetorical categories (visual, campaign, crisis, and collective memory) worked in tandem, all were essential for creating Kennedy's legacy.

Trauma In Transportation: Factors Contributing To Positive And Negative Outcomes Of Involvement In Trauma For Railroad Workers, Jill Veronica Pinarowicz

Electronic Theses and Dissertations

This study explored several predictors of Post Traumatic Stress Disorder (PTSD) and Post Traumatic Growth (PTG) in a sample of 136 train employees. The first objective was to examine the influence of number of work related traumas, number of life traumas, age, personality characteristic extroversion, personality characteristic openness, social support, positive cognitive coping, and negative cognitive coping in the prediction of PTSD. The second objective was to assess the influence of number of work related traumas, number of life traumas, age, personality characteristic extroversion, personality characteristic openness, social support, positive cognitive coping, and negative cognitive coping prediction of PTG.

Freight …