scholarly journals Trauma, Social Work, and Psychodrama

2021 ◽  
pp. 127-146
Author(s):  
Scott Giacomucci
Keyword(s):  
Social Work ◽  
Group Therapy ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Relational Trauma ◽  
Core Elements ◽  
Trauma Informed ◽  
Post Traumatic ◽  
Trauma Informed Practice ◽  
Spiral Model

AbstractThe history and principles of trauma-informed practice in social work are presented while differentiating trauma-informed and trauma-focused practices. The practice of trauma-focused group therapy and trauma-focused psychodrama is outlined while acknowledging the recent calls for increased trauma content in graduate curriculums. Safety, play, and spontaneity are elevated as core elements in psychodrama’s effectiveness in working with trauma survivors. Psychodrama’s unique capacity for treating post-traumatic stress disorder (PTSD) is presented while outlining two trauma-focused psychodrama models—the Therapeutic Spiral Model and the Relational Trauma Repair Model.

Treating post-traumatic stress disorder in the ‘real world’: evaluation of a specialist trauma service and adaptations to standard treatment approaches

2008 ◽  
Vol 32 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Damon Lab ◽  
Ines Santos ◽  
Felicity de Zulueta
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Treatment ◽  
Self Report ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Trauma Service ◽  
Social Difficulties ◽  
Post Traumatic

Aims and MethodTo evaluate the effectiveness of treatment at the Traumatic Stress Service (TSS) by comparing pre- and post-treatment scores on patient self-report measures. Through a questionnaire survey, to explore therapists' views of problems presenting in addition to post-traumatic stress disorder (PTSD) and how, as a result, they adapted their approach to trauma work.ResultsTherapists reported that their patients present with a range of complex problems, and self-report measures show that patients suffer particularly high levels of psychopathology. Therapists identified a number of adaptations to trauma-focused work to deal with these additional problems. Of the 112 patients who completed therapy, 43% filled in pre- and post-treatment questionnaire measures. Analysis showed clinically and statistically significant improvements in levels of PTSD, depression and social functioning.Clinical ImplicationsThe typical presentation of trauma survivors is often not ‘simple’ PTSD, but PTSD resulting from chronic and multiple traumas and complicated by additional psychological and social difficulties. Adaptations to trauma-focused work can successfully treat such ‘complex’ PTSD.

scholarly journals Neuroanatomical Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Recent Trauma Survivors

2020 ◽  
Vol 87 (9) ◽  
pp. S422
Author(s):  
Ziv Ben-Zion ◽  
Moran Artzi ◽  
Dana Niry ◽  
Nimrod Jakob Kenyan ◽  
Yoav Zeevi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Post Traumatic

A nationwide US study of post-traumatic stress after hospitalization for physical injury

2007 ◽  
Vol 37 (10) ◽  
pp. 1469-1480 ◽  
Author(s):  
DOUGLAS F. ZATZICK ◽  
FREDERICK P. RIVARA ◽  
AVERY B. NATHENS ◽  
GREGORY J. JURKOVICH ◽  
JIN WANG ◽  
...  
Keyword(s):  
Acute Care ◽  
Traumatic Stress ◽  
Private Insurance ◽  
Trauma Survivors ◽  
Care Hospital ◽  
Post Traumatic Stress ◽  
Ptsd Diagnosis ◽  
Increased Risk ◽  
The Usa ◽  
Post Traumatic

ABSTRACTBackgroundInjured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings.MethodA total of 2931 injured trauma survivors aged 18–84 who were representative of 9983 in-patients were recruited from 69 hospitals across the USA. In-patient medical records were abstracted, and hospitalized patients were interviewed at 3 and 12 months after injury. Symptoms consistent with a DSM-IV diagnosis of PTSD were assessed with the PTSD Checklist (PCL) 12 months after injury.ResultsApproximately 23% of injury survivors had symptoms consistent with a diagnosis of PTSD 12 months after their hospitalization. Greater levels of early post-injury emotional distress and physical pain were associated with an increased risk of symptoms consistent with a PTSD diagnosis. Pre-injury, intensive care unit (ICU) admission [relative risk (RR) 1·17, 95% confidence interval (CI) 1·02–1·34], pre-injury depression (RR 1·33, 95% CI 1·15–1·54), benzodiazepine prescription (RR 1·46, 95% CI 1·17–1·84) and intentional injury (RR 1·32, 95% CI 1·04–1·67) were independently associated with an increased risk of symptoms consistent with a PTSD diagnosis. White injury survivors without insurance demonstrated approximately twice the rate of symptoms consistent with a diagnosis of PTSD when compared to white individuals with private insurance. By contrast, for Hispanic injury survivors PTSD rates were approximately equal between uninsured and privately insured individuals.ConclusionsNationwide in the USA, more than 20% of injured trauma survivors have symptoms consistent with a diagnosis of PTSD 12 months after acute care in-patient hospitalization. Coordinated investigative and policy efforts could target mandates for high-quality PTSD screening and intervention in acute care medical settings.

scholarly journals Perceptual processing advantages for trauma-related visual cues in post-traumatic stress disorder

2011 ◽  
Vol 42 (1) ◽  
pp. 173-181 ◽  
Author(s):  
B. Kleim ◽  
T. Ehring ◽  
A. Ehlers
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Visual Cues ◽  
Stress Disorder ◽  
Acute Stress ◽  
Perceptual Processing ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Post Traumatic

BackgroundIntrusive re-experiencing in post-traumatic stress disorder (PTSD) comprises distressing sensory impressions from the trauma that seem to occur ‘out of the blue’. A key question is how intrusions are triggered. One possibility is that PTSD is characterized by a processing advantage for stimuli that resemble those that accompanied the trauma, which would lead to increased detection of such cues in the environment.MethodWe used a blurred picture identification task in a cross-sectional (n=99) and a prospective study (n=221) of trauma survivors.ResultsParticipants with acute stress disorder (ASD) or PTSD, but not trauma survivors without these disorders, identified trauma-related pictures, but not general threat pictures, better than neutral pictures. There were no group differences in the rate of trauma-related answers to other picture categories. The relative processing advantage for trauma-related pictures correlated with re-experiencing and dissociation, and predicted PTSD at follow-up.ConclusionsA perceptual processing bias for trauma-related stimuli may contribute to the involuntary triggering of intrusive trauma memories in PTSD.

Trauma-Sensitive Yoga: Principles, Practice, and Research

2009 ◽  
Vol 19 (1) ◽  
pp. 123-128 ◽  
Author(s):  
David Emerson ◽  
Ritu Sharma ◽  
Serena Chaudhry ◽  
Jenn Turner
Keyword(s):  
Childhood Abuse ◽  
Trauma Center ◽  
Trauma Survivors ◽  
At Risk Youth ◽  
Post Traumatic Stress ◽  
Rape Survivors ◽  
Study Results ◽  
Abuse And Neglect ◽  
Post Traumatic ◽  
Chronic Childhood

Since 2003, the Trauma Center Yoga Program at the Justice Resource Institute in Brookline Massachusetts has been providing Yoga to a variety of trauma survivors, including war veterans, rape survivors, at-risk youth, and survivors of chronic childhood abuse and neglect. Pilot study results have demonstrated the benefits of Yoga for individuals suffering from post-traumatic stress disorder. The Trauma Center Yoga Program also trains Yoga instructors and clinicians in how to offer Yoga to trauma survivors. This paper describes best principles and practices of teaching Yoga to survivors of trauma.

scholarly journals Interdisciplinary Issues at the Intersection of Assessing and Treating Substance Use Disorders and Post Traumatic Stress Disorder: Clinical Social Work and Clinical Behavioral Analysis with Veterans

2017 ◽  
Vol 18 (1) ◽  
pp. 217-234
Author(s):  
Monica M. Matthieu ◽  
Alyssa Wilson ◽  
Robert W. Casner
Keyword(s):  
Social Work ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Clinical Social Work ◽  
Assessment Tools ◽  
Interdisciplinary Treatment ◽  
Post Traumatic Stress ◽  
Interdisciplinary Approaches ◽  
Post Traumatic

Veterans and military personnel may be at higher risk for developing addictions due to increased prevalence rates of co-occurring mental health disorders including posttraumatic stress and substance abuse disorders. However, clinicians may feel unprepared to assess and to treat these co-occurring disorders, especially when it includes a behavioral addiction such as gambling. Clinical social work and clinical behavior analysis are two fields with complementary interdisciplinary approaches that can lead to improved client-centered outcomes. Yet, limited evidence exists to guide interdisciplinary treatment teams in effective treatment of gambling addictions and Post Traumatic Stress Disorder (PTSD). The current article provides an interdisciplinary treatment model to assist clinicians in selecting appropriate evidence-based assessments and treatments. A case example focuses on the use of assessment tools and treatment approaches drawn from recommendations from best practice guidelines for veterans. Finally, resources related trauma and addictions are presented.

scholarly journals Potential Neurocognitive Biomarkers for Post Traumatic Stress Disorder (PTSD) Severity in Recent Trauma Survivors

2019 ◽  
Author(s):  
Ziv Ben-Zion ◽  
Yoav Zeevi ◽  
Nimrod Jackob Keynan ◽  
Roee Admon ◽  
Tal Kozlovski ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Trauma Survivors ◽  
Functional Domain ◽  
Structural Domain ◽  
Post Traumatic Stress ◽  
Cluster Membership ◽  
Post Traumatic ◽  
Ptsd Severity

AbstractContemporary symptom-based diagnosis of Post-traumatic Stress Disorder (PTSD) largely overlooks related neurobehavioral findings and rely entirely on subjective interpersonal reporting. Previous studies associating objective biomarkers with PTSD have mostly used the disorder’s symptom-based diagnosis as main outcome measure, overlooking the actual clustering and richness of phenotypical features associated with PTSD. Here, we aimed to computationally derive potential neurocognitive biomarkers that could efficiently differentiate PTSD subtypes, based on an observational cohort study of recent trauma survivors. A three-staged semi-unsupervised method (“3C”) was used to categorize trauma survivors based on current PTSD diagnostics, derive clusters of PTSD based on features related to symptom load, and to classify participants’ cluster membership using objective features. A total of 256 features were extracted from psychometrics, cognitive, structural and functional neuroimaging data, obtained from 101 adult civilians (age=34.80±11.95, 51 females) evaluated within a month of trauma exposure. Multi-domain features that best differentiated cluster membership were indicated by using importance analysis, classification trees, and ANOVA. Results revealed that entorhinal and rostral anterior cingulate cortices volumes (structural domain), in-task amygdala’s functional connectivity with the insula and thalamus (functional domain), executive function and cognitive flexibility (cognitive domain) best differentiated between two clusters related to PTSD severity. Cross-validation established the results’ robustness and consistency within this sample. Multi-domain biomarkers revealed by the 3C analytics offer objective classifiers of post-traumatic morbidity shortly following trauma. They also map onto previously documented neurobehavioral PTSD features, supporting the future use of standardized and objective measurements to more precisely identify psychopathology subgroups shortly after trauma.

scholarly journals Strengths-Based and Mutual Aid Approaches in Social Work and Psychodrama

2021 ◽  
pp. 165-185
Author(s):  
Scott Giacomucci
Keyword(s):  
Social Work ◽  
Positive Psychology ◽  
Social Group ◽  
Theory And Practice ◽  
Humanistic Psychology ◽  
Resilience Theory ◽  
Mutual Aid ◽  
Post Traumatic Growth ◽  
Post Traumatic ◽  
Spiral Model

AbstractSocial work and psychodrama are both inherently strengths-based approaches with person-centered philosophies that affirm the inherent goodness of individuals. The chapter outlines social work’s strengths-based perspective while connecting it to mutual aid, positive psychology, humanistic psychology, and Morenean philosophy. Social group work’s emphasis on mutual aid and group-as-a-whole processes is outlined with similarities to the theory and practice of psychodrama. The importance of a strengths-based approach in trauma work is affirmed and depicted through resilience theory and post-traumatic growth. Modern adaptations of classical psychodrama which emphasize strengths work are depicted, including positive psychodrama, the Therapeutic Spiral Model, and Souldrama.

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