Psychology Commons^™

Overcoming The War Within: Exploring The Relationship Between Exposure To Complex Trauma And Post Traumatic Growth, Diego T. Thompson

College of Science and Health Theses and Dissertations

Exposure to complex trauma can be understood as exposure to multiple and varied types of traumatic events, often chronic in nature. Exposure to complex trauma is prevalent among youth in the United States, especially youth living in urban environments and marginalized populations. Black youth who live in urban environments are of particular concern due to their increases susceptibility of exposure to community violence, entrenched poverty, and other sources of trauma at multiple levels, making them an appropriate population in which to examine PTG. the effect that these exposures have on these youth should be acknowledged, it is necessary to also …

Historical Trauma In Context: Perceived Effects Among Second Generation Cambodian Americans On A Personal, Family, And Community Level, Linda Toch

College of Science and Health Theses and Dissertations

Although there is significant literature regarding Cambodian refugees and trauma, less is known about their U.S.-born children, many of whom are now adults. Literature suggests that second-generation youth are more susceptible to traumatic exposure and community violence compared to their White counterparts. However, there is little understanding of how second-generation Cambodian Americans contextualize the impacts of the Khmer Rouge genocide, and whether they perceive connections between historical trauma and their personal, family, and community experiences. This study utilized critical-constructivist grounded theory to explore perceived effects of historical trauma across domains of personal, family, and community. The recruitment process included e-mail …

Tsunami Exposure And Mental Health Consequences: Protective Role Of Cultural Coping Strategies, Thulitha Wickrama, Michael J. Merten, K. A.S. Wickrama, Amanda Terrell

Department of Child, Youth, and Family Studies: Faculty Publications

There is a knowledge gap regarding the link between disaster exposure and adolescent mental health problems in developing countries. This study examines the case of Sri Lanka to investigate (a) the immediate and long-term mental health impact of the 2004 tsunami disaster on adolescents and (b) the potential moderating effects of unique cultural and family practices that prevail in Sri Lanka. This study used a random sample of 160 adolescents (ages 12–19) and their mothers who were exposed to the tsunami disaster while living in a southern Sri Lankan village and provided prospective data immediately after the disaster (2005) and …

Brief Treatment For Ptsd: Promoting Trauma Recovery With A Five-Session Cognitive Processing Therapy Protocol, Sanela Kalakovic

Dissertations

Cognitive Processing Therapy (CPT) is a first-line treatment for trauma. CPT is traditionally administered over 12 sessions. This open clinical trial examined the feasibility and efficacy of a 5-session CPT protocol. The abbreviated protocol moves more quickly to the proposed therapeutic mechanism of action, cognitive restructuring, to alter unhelpful traumarelated thoughts and beliefs. The goal is to maintain efficacy while making therapy more efficient and thereby reducing barriers to trauma treatment. Using a repeated measures open clinical trial design (with embedded multiple baselines), 67 adults (M age = 43 years, 90% female, 79% White) with clinically significant post-traumatic stress disorder …

Systematic Review And Dosage Analysis: Hyperbaric Oxygen Therapy Efficacy In The Treatment Of Posttraumatic Stress Disorder, Susan R. Andrews, Paul G. Harch

School of Medicine Faculty Publications

Background: Studies of hyperbaric oxygen therapy (HBOT) treatment of mild traumatic brain injury persistent postconcussion syndrome in military and civilian subjects have shown simultaneous improvement in posttraumatic stress disorder (PTSD) or PTSD symptoms, suggesting that HBOT may be an effective treatment for PTSD. This is a systematic review and dosage analysis of HBOT treatment of patients with PTSD symptoms. Methods: PubMed, CINAHL, and the Cochrane Systematic Review Database were searched from September 18 to November 23, 2023, for all adult clinical studies published in English on HBOT and PTSD. Randomized trials and studies with symptomatic outcomes were selected for final …

Regulation Through Rhythm: A Literature Review On Dance/Movement Therapy Approaches To Facilitating Nervous System Regulation, Elizabeth Barbera

Expressive Therapies Capstone Theses

Abstract

The mental health field has started to pay attention to how trauma plays into a person’s overall mental and physical well-being. Because of this more research has shown the connection between mind and body. Yet the clinical implications and literature on theories of how to treat trauma and trauma related disorders do not always connect. This review of literature seeks to analyze the literature on Porges’, Polyvagal Theory and Amighi’s, Kestenberg Movement Profiles. An investigation of the current literature makes a connection between the phylogenetic order of both the nervous system and developmental movement. Considerations of how trauma, in …

Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail

Expressive Therapies Capstone Theses

This expressive arts-based autoethnography research explores the effectiveness of using flow arts movement as a tool of expressive arts therapy to treat symptoms of trauma for individuals who experienced a traumatic event in their lifetime. While research on the use of flow arts movement to treat mental illness is in its early stage, much can be drawn from the literature on expressive arts therapy and dance/movement therapy research with a range of populations addressing trauma. Through exploration of trauma through neuroscience, mind, body, and integrated mindfulness through flow, this work aims to bring an understanding of using intermodal expressive arts …

Online Criticism Of Parents After Child Accidents: A Reflexive Thematic Analysis, Kelsi Toews, Jorden A. Cummings, Michelle Mclean, Laura Knowles

The Qualitative Report

When a child is harmed, parents frequently experience condemnation and blame from others. This blame is amplified online. Our online worlds reflect our offline ones, and this negative atmosphere toward parents can influence both parents themselves and societal expectations for parents. Previous research on parental blame has either directly asked people about their blame attributions or utilized hypothetical vignettes. Our thematic analysis expands on this research by analyzing unsolicited online comments left on news stories about two, real-world incidents of child harm: A child who fell into a gorilla enclosure at the Cincinnati Zoo, and a child who was killed …

The Use Of Music Therapy To Mitigate Trauma-Related Music Associations And Restore Personal Relationships With Music, Courtney Pitzer

Expressive Therapies Capstone Theses

For many people, music is positively associated with nostalgic memories, emotions, and experiences. But for some, it can be a painful reminder of the past. This literature review examines how music serves as a cue for reexperiencing trauma and demonstrates ways in which music therapy may be beneficial in reframing and reassociating those connections. Drawing from existing trauma treatment models such as CBT and exposure therapy, this review highlights the unique potential of music therapy in allowing clients to expose themselves to the activating stimulus while maintaining elements of safety within the music. This thesis prompts further exploration of desensitization …

Effectiveness Of A Peer-Supported Digital Brief Intervention: Reducing Alcohol Use & Related Harms In Young Adults With Histories Of Interpersonal Trauma, Caitlin Mcgettrick

Masters Theses & Specialist Projects

Alcohol is the most frequently used substance in the United States, and young adults ages 18-25 have the highest rates of heavy alcohol use. Heavy and persistent alcohol use is associated with a host of negative outcomes in young adults, including poor mental health, lower life satisfaction, cognitive impairments, poor academic performance, increased risk for motor vehicle accidents, and substance use disorders. Brief interventions (BI) are low-resource, short-term interventions designed to reduce problematic substance use and mitigate the substantial harms posed by heavy and persistent use of substances such as alcohol. BIs have limited effectiveness in trauma survivors despite trauma …

Homelessness, Trauma, And Drug Use As Contributing Factors To Increased Sentencing, Elise N. Whitlock

LSU New Orleans Theses and Dissertations

Mass incarceration has been a pervasive issue in American society with longstanding effects on individuals and their communities. Several factors have been shown to intensify these effects and contribute to the cycle of recidivism, such as homelessness, trauma, and drug use. The current study investigated the association between these and several other factors and the number of sentences an individual had received in their lifetime. A cross-sectional sample (N= 24,808, 25% female) of adult inmates from the periodic Survey of Prison Inmates was used to test these hypotheses. Exploratory factor analysis and subsequent regressions indicated a significant association between higher …

Reframing Addiction As A Coping Response: A Needed Shift In Modern Public Health Paradigms, Anthony King

UNLV Theses, Dissertations, Professional Papers, and Capstones

What are the primary risk factors that compel one person towards addiction and not another? After decades of research, there is still no clear consensus. Some experts say addiction is a brain disease; others say it is a willful act, or even an outright crime. Nevertheless, the three research studies contained within this dissertation suggest an alternative, more parsimonious public-health-centered framework for viewing addictive behavioral patterns: as a biopsychosocial coping strategy for past and present stressors. In Study 1, this idea was examined by evaluating how symptoms of posttraumatic stress disorder (PTSD) were associated with problem gambling severity, different gambling …

Discerning Moral Injury, Alexandra A. Merletti

UNLV Theses, Dissertations, Professional Papers, and Capstones

Moral injury is a recently developed psychological construct used to explain trauma that cannot be adequately explained by post-traumatic stress disorder (PTSD). It arises from experiences in which sufferers feel that they have violated deeply held moral beliefs and has multiple negative long term health and professional consequences for individuals affected. In order to better understand moral injury, this study seeks to understand how it is identified in individuals by others and utilizes Christie’s (2018) Ideal Victim Theory and Gray and Wegner’s (2009) Moral Typecasting Theory as a theoretical framework. Participants for this study were 374 undergraduate students at the …

What Is Trauma?: From Science To Social Justice, Judith Fleetwood Carlisle

Arts & Sciences Graduate Student Theses and Dissertations

In recent years, the term “trauma” has become increasingly controversial. Many of these controversies revolve around the definition of trauma, and the way that this definition varies across contexts. What kinds of experience can plausibly be considered “traumatic”? In some contexts, the standards are incredibly permissive, while others are much more restrictive. These different ways of understanding “trauma” prompts an important question: Who has the authority to define trauma? In other words, who decides which conception of trauma is the most “legitimate” – who decides when an experience is or is not traumatic? My project attempts to answer these questions …

Moderating Effect Of Secondary Victimization On The Relationship Between Resilience And Sexual Assault Coping Self-Efficacy, Jamie Layton

Clinical Psychology Dissertations

Sexual assault is a prevalent public health concern that effects thousands of people every year. How each of these individuals responds is different. There are multiple factors that can impact someone’s response to sexual assault, one of which is resilience, and another is secondary victimization. Legal advocacy programs can be used to help reduce secondary victimization and increase sexual assault coping self-efficacy, while controlling for age and race. This dissertation examines the way that secondary victimization moderates the relationship between resilience and sexual assault coping self-efficacy. Participants were at least 18 years old, a cisgender woman, English speaking, and a …

A Phenomenological Study Of Adoptive Parents’ Distress, Erica Rhoads

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the lived experiences of distress in parents who have adopted internationally. The aim was also to discover what this lived experience is like through the perception of both objective and subjective reality, providing understanding and meaning from the perception and experience of adopting and then parenting children who have experienced significant trauma. An additional goal of this study was to evaluate the experience of sharing their adoption story within a narrative therapy support group as a way to alleviate some of their distress. A focus on the background of adoption …

A Phenomenological Examination Of The Experiences Of College Theater Majors In Regard To The Covid-19 Pandemic And Lockdowns In The United States, Ronda Celeste Jones

Doctoral Dissertations and Projects

The COVID-19 pandemic and resulting lockdowns were phenomena experienced by the majority of the modern world, but not everyone experienced it in the same way. Each person brings their own past, their own interests, and their own needs to the lived experience. Pre-pandemic research on art therapy suggests that creative expression could be helpful to adolescents experiencing such trauma. Theater majors are a particular set of people for whom creative expression through theater is a huge part of their life. Theater majors are also participating in a creative activity that requires social contact, and that social contact was limited or …

Pentecostal Hope In The Age Of Covid-19, Peter Althouse, Audrey E. Mccormick

Salubritas: International Journal of Spirit-Empowered Counseling

This research sought to identify how Pentecostals and charismatics responded to the Coronavirus pandemic. Specifically, what role did eschatology play in provoking hope, and how did theologies on healing influence responses? Data revealed that Pentecostals were generally not casting their responses to the pandemic as a millennial expectation of a better future but were grieving their losses and seeking to provoke hope amidst suffering. While minimal miraculous healings were reported, healing was cast primarily as the ongoing presence of defiant hope amidst trauma, grief and suffering. We propose that grief and grieving is an eschatological response to loss and death.

Combating Trauma And The Immigrant Paradox In Schools, Emma Bergman

Honors Projects

Over time, research on immigrant populations has revealed a trend known as the immigrant paradox in which, the further generations get from the generation of immigration, the poorer their outcomes are in areas such as mental health, delinquency, substance abuse, and education. Though a definitive explanation for this trend has yet to be identified, prevailing theories include several social, familial, and community-based factors such as the impacts of bilingualism, parental expectations, biculturalism, co-ethnic peers, quality of schools, and community support. Little attention has been paid to individual factors such as mental health and trauma. The present study proposes the transgenerational …

Trauma Is A Wound: Demonstrating The Use Of Character Analysis To Practice Clinical Analysis, Madisyn Beare

Honors Projects

Evidence-based treatments of trauma require clinicians to base their treatments on the client’s specific and individual needs, experiences, cognitions, and place in recovery. Essentially, each new client is a new and unique case, and the practice of understanding how trauma may affect an individual only comes from clinical exposure.Literature provides the public with somewhat of an aid in these circumstances: fictional characters are not real people, and therefore can undergo limitless character analyses. Analyzing a fictional character allows clinicians the ability to practice their exploration of various behavioral indicators of mental health concerns while honoring the ethical code of non-maleficence, …

Project Attain: Advancing Trauma-Informed Care For Youth With Intellectual And Developmental Disabilities And/Or Gender Diverse Youth, Kady F. Sternberg, Charlotte E. Bausha, Charlotte Jones, Erin Knight, Crystal N. Steltenpohl, Rebecca R. Parton, Jennifer L. Mclaren, Erin R. Barnett

Developmental Disabilities Network Journal

Children with Intellectual and Developmental Disabilities (IDD) and/or gender diversity are at higher risk of experiencing trauma. Provider knowledge is lacking; trauma, disability, and LGBTQ+ resources are often siloed; and few providers screen for trauma in this population. This paper describes the design, delivery, and initial evaluation of Project ATTAIN (Access to Trauma-informed Treatment and Assessment for Neurodivergent and/or Gender-expansive Youth).

ATTAIN is an ongoing 5-year state-wide initiative aiming to assess readiness to engage in new roles and practices over time; provide state-wide training and consultation in trauma, disability, and LGBTQ+-informed practices; install screening and assessment of trauma exposure and …

Trauma And Juvenile Offending, Cynthia Vasquez, April Terry

SACAD: Scholarly Activities

Over the past few decades, studies have shown a relationship between childhood abuse and neglect and juvenile justice system involvement. Additionally, the United States supervises and incarcerates more youth than other established country. This process—from abuse to incarceration—has become known as the abuse-to-prison pipeline or victimization-to-imprisonment. Many traumatized youth find themselves responding to their trauma with behaviors deemed delinquent (e.g., skipping school and running away) which then begins their path into the juvenile justice system. For a sub-set of youth, they are dual-involved, meaning, they are supervised in both the child welfare and juvenile justice systems. For some youth, their …

Paul Celan And The Processes Of Survival In Post-Shoah Jewish Writing, Ari Savage

Theses

The following is a study of the poetry of Paul Celan as a representation of psychological and social processes present in the written works of Shoah survivors. It begins with an analysis of the place of writing in Jewish culture, then identifies three primary processes which operate in sequence: alienation, individuation, and integration. By examining Paul Celan’s highly personal and autobiographical texts in the context of his life experience as a Shoah survivor it is possible to discern the social and psychological forces at work which compel survivors to express their traumas in written form, and to gain a better …

Examining The Effects Of Social Group Persecution And Traumatic Humiliation In Survivors Of Torture, Tilda Cvrkel

Clinical Psychology Dissertations

Refugees and asylum seekers account for 34.4 million people worldwide (UNHCR, 2021), and up to 40% of this population are survivors of torture (UNHCR, 2017). The Istanbul Protocol (United Nations, 2022) describes one of the explicit ends of torture as the severing of a person from their community, a breaking of their dignity and humanity. This may be done explicitly, through acts of traumatic humiliation. Traumatic humiliation includes acts such as forcing victims to eat religiously forbidden food, forced posing or touching others in culturally taboo sexual ways, forced nudity or clothing that reflects misgendering (such as “emasculating” clothing), widespread …

A Phenomenological Study On Preschool Educator Experience In Re-Imagining Play And Play-Based Learning During The Covid-19 Pandemic, Ronabeth Keh So

College of Education Theses and Dissertations

This phenomenological study explores how play-based preschool educators experienced and re-imagined play and play-based learning throughout the Covid-19 pandemic. Semistructured interviews were conducted with six teachers and three administrators from three private Midwest play-based institutions. This study uncovers preschool educators’ experiences of engaging in play-based learning throughout the different phases of the pandemic and delves into the issues and challenges of online learning and the subsequent return to the classroom. Results show that despite pedagogical adjustments and limitations brought about by online learning modalities and pandemic related restrictions, the nature of play remains unchanged and continues to be vital to …

Teaching Students About Trauma, Stress And Brain Regulation, Kathy J. Van Horn

National Youth Advocacy & Resilience Conference

All students are impacted by stress and can benefit by understanding their brains, their stress response, and strategies for regulation. This presentation will provide practical principles and ideas for teaching students strategies and skills for physical, emotional, and cortical regulation.

Growing Through Adversity: The Relation Of Early Childhood Educator Post-Traumatic Growth To Young Children’S Executive Function, Caron A. C. Clark, Holly Hatton-Bowers, Kimia Akhavein, Sarah Rasby, Gilbert R. Parra

Department of Educational Psychology: Faculty Publications

Introduction: Early childhood educators (ECEs) play a critical role in supporting the development of young children’s executive functions (EF). EF, in turn, underpins lifelong resilience and well-being. Unfortunately, many ECEs report adverse childhood experiences (ACEs) that may compound high stress levels associated with an emotionally and physically demanding profession. ACEs have well-established negative implications for adult well-being and may dampen ECEs’ capacities to engage in emotionally responsive interactions with children. However, many individuals who experience ACEs also report post-traumatic growth experiences that foster empathy, self-determination, and resilience. Such post-traumatic growth may equip teachers with skills to engage in responsive …

Animal Assisted Play Therapy® For Childhood Animal Abuse Following Exposure To Family Violence: A Case Example, Katharine Wenocur, Rise Vanfleet

People and Animals: The International Journal of Research and Practice

Intentional harm to nonhuman animals in childhood often correlates with histories of witnessing, experiencing, or perpetrating violence. Without appropriate intervention, children and adolescents who abuse animals following exposure to family violence risk long-term behavioral health challenges. While some treatment models have been specifically designed to reduce the risk of future violence among children displaying this behavior, interventions involving nonhuman animals represent a novel approach and show promise in addressing behavioral challenges associated with this behavior. Framed through the lens of a clinical case study, this article presents the potential benefits of implementing Animal Assisted Play Therapy® to treat symptoms of …

Experiences Of Racial Discrimination And Adverse Gene Expression Among Black Individuals In A Level 1 Trauma Center Sample, Claire M. Bird, E. Kate Webb, Steven W. Cole, Carissa W. Tomas, Jennifer M. Knight, Sydney C. Timmer-Murillo, Christine L. Larson, Terri A. Deroon-Cassini, Lucas Torres

Psychology Faculty Research and Publications

Up to 40% of individuals who sustain traumatic injuries are at risk for posttraumatic stress disorder (PTSD) and the conditional risk for developing PTSD is even higher for Black individuals. Exposure to racial discrimination, including at both interpersonal and structural levels, helps explain this health inequity. Yet, the relationship between racial discrimination and biological processes in the context of traumatic injury has yet to be fully explored. The current study examined whether racial discrimination is associated with a cumulative measure of biological stress, the gene expression profile conserved transcriptional response to adversity (CTRA), in Black trauma survivors. Two-weeks (T1) and …

The Dichotomy Of Threat And Deprivation As Subtypes Of Childhood Maltreatment: Differential Functional Connectivity Patterns Of Threat And Reward Circuits In An Adult Trauma Sample, Michael T. Liuzzi, Farah Harb, Kevin Petranu, Ashley A. Huggins, E. Kate Webb, Jacklynn M. Fitzgerald, Jessica L. Krukowski, Tara A. Miskovich, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Childhood maltreatment is associated with reduced activation of the nucleus accumbens, , a central region in the reward network, and overactivity in the amygdala, a key region in threat processing. However, the long-lasting impact of these associations in the context of later-life stress is not well understood. The current study explored the association between childhood threat and deprivation and functional connectivity of threat and reward regions in an adult trauma sample.

Methods

Trauma survivors (N = 169; mean age [SD] = 32.2 [10.3] years; female = 55.6%) were recruited from a level I trauma center. Two weeks after …