Core Psychodynamic Factors in PTSD

2021 ◽  
pp. 17-36
Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer
Keyword(s):  
Attachment Style ◽  
Traumatic Experience ◽  
Mental Life ◽  
Narrative Coherence ◽  
Specific Nature ◽  
The Unconscious ◽  
Negative Affects ◽  
Associated Symptoms ◽  
Intrapsychic Conflicts ◽  
The Impact

After briefly reviewing the psychoanalytic view of mental life, including the influence of the unconscious on mental life and symptoms, this chapter describes the impact of trauma from the psychodynamic viewpoint. Disruptions in narrative coherence, repetition and re-experiencing, intrapsychic conflicts, dissociation, defenses, intense negative affects, and disruptions in trust that result from trauma are described. Clinical examples are presented to illuminate these factors. In addition, the relevance of the patient’s pretrauma history, their attachment style and mentalization skills, and the specific nature of traumatic experience on the impact of trauma and associated symptoms is elaborated.

Childbirth and Posttraumatic Stress Responses

2006 ◽  
Vol 22 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Eelco Olde ◽  
Rolf J. Kleber ◽  
Onno van der Hart ◽  
Victor J.M. Pop
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Responses ◽  
Rating Scales ◽  
Rating Scale ◽  
Stress Disorder ◽  
Traumatic Experience ◽  
Event Scale ◽  
Self Rating ◽  
The Impact

Childbirth has been identified as a possible traumatic experience, leading to traumatic stress responses and even to the development of posttraumatic stress disorder (PTSD). The current study investigated the psychometric properties of the Dutch version of the Impact of Event Scale-Revised (IES-R) in a group of women who recently gave birth (N = 435). In addition, a comparison was made between the original IES and the IES-R. The scale showed high internal consistency (α = 0.88). Using confirmatory factor analysis no support was found for a three-factor structure of an intrusion, an avoidance, and a hyperarousal factor. Goodness of fit was only reasonable, even after fitting one intrusion item on the hyperarousal scale. The IES-R correlated significantly with scores on depression and anxiety self-rating scales, as well as with scores on a self-rating scale of posttraumatic stress disorder. Although the IES-R can be used for studying posttraumatic stress reactions in women who recently gave birth, the original IES proved to be a better instrument compared to the IES-R. It is concluded that adding the hyperarousal scale to the IES-R did not make the scale stronger.

scholarly journals Stress, Burnout, and Resilience among Healthcare Workers during the COVID-19 Emergency: The Role of Defense Mechanisms

2021 ◽  
Vol 18 (10) ◽  
pp. 5258
Author(s):  
Mariagrazia Di Giuseppe ◽  
Gianni Nepa ◽  
Tracy A. Prout ◽  
Fabrizio Albertini ◽  
Stefano Marcelli ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Defense Mechanisms ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Well Being ◽  
Personal Accomplishment ◽  
Traumatic Experience ◽  
Psychological Resources ◽  
Defensive Functioning ◽  
The Impact

The experience of working on the frontlines of the COVID-19 healthcare crisis has presented a cumulative traumatic experience that affects healthcare professionals’ well-being. Psychological resources such as resilience and adaptive defense mechanisms are essential in protecting individuals from severe stress and burnout. During September 2020, 233 healthcare workers responded to an online survey to test the impact of demographic variables, COVID-19 exposure, and psychological resources in determining stress and burnout during the COVID-19 emergency. Frontline workers reported higher scores for stress, emotional exhaustion, and depersonalization (p < 0.001) as compared to colleagues working in units not directly serving patients with COVID-19. Mature defensive functioning was associated with resilience and personal accomplishment (r = 0.320; p < 0.001), while neurotic and immature defenses were related to perceived stress and burnout. Stress and burnout were predicted by lower age, female gender, greater exposure to COVID-19, lower resilience, and immature defensive functioning among healthcare professionals (R2 = 463; p < 0.001). Working on the frontlines of the COVID-19 pandemic appears to provoke greater stress and burnout. On the other hand, resilience and adaptive defense mechanisms predicted better adjustment. Future reaction plans should promote effective programs offering support for healthcare workers who provide direct care to patients with COVID-19.

Engaging Westermann and the Assumptive World

2021 ◽  
pp. 030908922110322
Author(s):  
Elizabeth Boase
Keyword(s):  
Hebrew Bible ◽  
Second World War ◽  
Traumatic Experience ◽  
World War ◽  
Contemporary Theory ◽  
Assumptive World ◽  
The Impact ◽  
Second World

The work of Claus Westermann was foundational for the modern study of lament literature in the Hebrew Bible. Westermann’s work on the Psalms arose from his experiences in the Second World War, where he learned to value both the praise and the lament elements of the Psalms. This article reconsiders Westermann’s contribution to the theology of lament in light of contemporary theory on the impact of trauma on individuals, focussing on the understanding of the impact of traumatic experience on the assumptive world of those who suffer. There are significant points of correspondence between the two, demonstrating anew the insights of Westermann’s work.

‘Untying the Knot’: Achieving Integrative and Collaborative Care within Trauma and Fear Saturated Systems – A Practice-Focused Discussion Paper

2017 ◽  
Vol 42 (2) ◽  
pp. 104-107 ◽  
Author(s):  
Dilip Balu
Keyword(s):  
Child Protection ◽  
Health Care Systems ◽  
Traumatic Experience ◽  
Ripple Effect ◽  
Discussion Paper ◽  
Care Systems ◽  
Trauma Informed ◽  
The Impact ◽  
The Brain ◽  
Mental Health Care Systems

The author's clinical experience with the Child Protection and Mental Health Care systems informs this brief practice-focused paper. The author posits that Secondary Traumatic Stress and Vicarious Trauma are central to understanding the impact of relationally traumatic material and the experience of individuals, families, team and the wider ecology of care systems. In particular, the author hypothesises that the tendency of systems to become fragmented in operation, with silos of sub-parts working parallel to each other, may be a natural adaptation to the ways in which traumatic experience ripples across system boundaries. This ‘ripple effect’ may lead to increasing emotional and relational reactivity, and survival-oriented inward focus of energies and efforts. The metaphor of the brain and nervous system is used to explore ideas of connection and integration in care systems. Trauma-informed leadership by individuals and teams is also touched upon in relation to reducing fear-driven clinical practice.

Effects of State Dissociation on Objectively and Subjectively assessed Memory Disturbances

2006 ◽  
Vol 34 (3) ◽  
pp. 319-331 ◽  
Author(s):  
Nicole Buck ◽  
Merel Kindt ◽  
Marcel van den Hout
Keyword(s):  
Information Processing ◽  
Traumatic Experience ◽  
Spider Phobia ◽  
New Approach ◽  
Perceptual Memory ◽  
Aversive Events ◽  
Memory Representations ◽  
State Dissociation ◽  
The Impact ◽  
Experimentally Induced

Dissociation often occurs after a traumatic experience and has detrimental effects on memory. If these supposed detrimental effects are the result of disturbances in information processing, not only subjectively assessed but also objectively assessed memory disturbances should be observed. Most studies assessing dissociation and memory in the context of trauma have studied trauma victims. However, this study takes a new approach in that the impact of experimentally induced state dissociation on memory is investigated in people with spider phobia. Note that the aim of the present study was not to test the effect of trauma on memory disturbances. We found indeed significant relations between state dissociation and subjectively assessed memory disturbances: intrusions and self-rated memory fragmentation. Moreover, although no relation was found between state dissociation and experimenter-rated memory fragmentation, we observed a relation between state dissociation and experimenter-rated perceptual memory representations. These results show that state dissociation indeed has detrimental effects on the processing of aversive events.

scholarly journals The Impact of Corporate Sustainability Index on BIST Sustainability Index

2020 ◽  
Vol 9 (2) ◽  
pp. 375-390
Author(s):  
Luan VARDARI ◽  
Rrezarta GASHI ◽  
Hana GASHI AHMETI
Keyword(s):  
Stock Returns ◽  
Industrial Revolution ◽  
Corporate Sustainability ◽  
Negative Effects ◽  
The Unconscious ◽  
Sustainability Index ◽  
Important Benefit ◽  
The Social ◽  
Context Data ◽  
The Impact

Mass production, which started with the industrial revolution, caused both the unconscious consumption of the resources and the damages to the ecological system after the production. In this respect, the concept of sustainability, which is one of the most important conception of responsibility, is gradually gaining value in terms of protecting resources and transferring them to future generations. (Mori and Christodoulou, 2012: 94-106). Sustainability In the first place, it has started to be used mostly in the management of natural resources; later, it was used in different fields such as sectoral practices and energy tourism (Diaz - Baltciro, Voces, Romero, 2011: 761-773). Today, the expectations of the society from the enterprises have changed compared to the past. These changing expectations lead businesses to new searches. The most important concept that guides these quests is to be sustainable. The concept of sustainability for enterprises gains a new dimension in the form of corporate sustainability”. For corporate sustainability, it is possible for organizations to achieve individual results only to a certain extent. Because companies are affected to a great extent by all kinds of economic, social and even cultural formations occurring in their environment (Kuşat, 2012: 238). The most important benefit of sustainability indices is that it leads to improvements in transparency without the need for regulations, better understanding of the social and environmental impacts of companies and guiding them to reduce the negative effects of company activities. The BIST Index serves as a guide for companies on what to measure, what needs to be developed and what can be explained. Thus, it creates opportunities for companies to see social and environmental risks and opportunities and to manage their sustainability performances correctly. The index, on the other hand, provides information to investors and the community about the sustainability performance of companies. The aim of this study is whether the BIST Sustainable Index makes a difference for companies compared to BIST 100. "Does the BIST Sustainability Index really make a difference?" will be examined. In this context, data between 2014-2018 of BIST Sustainability and BIST 100 index will be examined. Based on the results obtained in the study, it shows that there is no strong evidence of the impact of inclusion in the BIST Sustainability Index on the stock returns of companies. At the same time, the BIST Sustainability Index has been shown to have similar returns to the BIST 100 Index. Key Words: Sustainability Index, BIST, Corporate.

scholarly journals IS HAVING A HELICOPTER MOTHER A TRAUMATIC EXPERIENCE? THE RELATIONSHIP BETWEEN HELICOPTER MOTHER ATTITUDE AND TRAUMATIC EXPERIENCES AND LEARNED HELPLESSNESS

2021 ◽  
Vol 10 (3) ◽  
Author(s):  
Hasan Yılmaz ◽  
Coşkun Arslan ◽  
Emel Arslan
Keyword(s):  
Young Children ◽  
Learned Helplessness ◽  
Scientific Explanation ◽  
Traumatic Experience ◽  
Traumatic Experiences ◽  
Scientific Fact ◽  
Scientific Facts ◽  
The Impact ◽  
The Relationship

The purpose of this study is to examine the impact of mothers’ and teachers’ testimonies that conflict with scientific facts and scientific explanations on kindergartners’ judgments. The participants consisted of 104 young children in Şanlıurfa province in Turkey. Their ages ranged from 48 to 79 months, with a mean age of 61.48 months (SD = 5.58). The participants were randomly assigned to the following four groups: 1) Scientific explanation followed by teacher’s testimony, 2) teacher’s testimony; 3) scientific explanation followed by mother’s testimony, 4) mother’s testimony. The children responded to a question about a scientific fact. After the response, they watched their mothers’ or teachers’ testimonies which contradict the scientific fact. Findings revealed that when a scientific explanation was not provided, the children tended to show deference to their teachers’ and especially mothers’ testimony. A week later, a follow-up measurement revealed that this impact did not last a week.

scholarly journals The Archetype of the Trickster in the Writings of C.G. Jung

2020 ◽  
Vol 53 (3) ◽  
pp. 227-238
Author(s):  
Ilona Błocian
Keyword(s):  
Human Development ◽  
Development Process ◽  
The Unconscious ◽  
General Terms ◽  
The Impact ◽  
Individual Human

Jung dealt with the concept of the trickster archetype in many of his works. References to his interpretations of the impact of this archetype and the myths associated with this figure are also scattered in many places of his works devoted to various issues. The notion of the archetype is extremely complex in his grasp, and the ways of understanding it are evolving, similarly to the concept of the unconscious. These evolutions are related to the transition from the plan of patterns of individual human development, to the development of the species, to the recognition of the very patterns of the development of reality, so they contain references to the psychological, anthropological, and philosophical levels. According to Jung, the trickster archetype expresses –in the most general terms –the conflict of these patterns, which introduces a certain factor to the development process that is both disharmonizing and dynamizing at the same time.

scholarly journals Effect of Terrorist Attack of December 16, 2014 on Academic Performance of School Children of Peshawar

2018 ◽  
Vol 3 (2) ◽  
pp. 223-233
Author(s):  
Fatima Syed ◽  
Madiha Asghar ◽  
Gulshan Tara
Keyword(s):  
Academic Performance ◽  
Public School ◽  
Terrorist Attack ◽  
Study Participant ◽  
Sampling Technique ◽  
Traumatic Experience ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
The Impact ◽  
Model School

The purpose of study was to determine the effect of traumatic events of December 16, 2014 on level of trauma of the children of Peshawar and the effect of traumatic experience their academics performance. Total sample consisted of two hundred (N=200) students with age range of 14-16 years (M=14.59, SD=1.128). Data was collected from the students of Army Public School and College System. Warsak road Peshawar and other three Schools on Warsak road included, Peshawar Public School, Peshawar Model School for Girls and Warsak Model School. Random sampling technique was used to recruit the study participant. Demographic information sheet, the Impact of Event Scale- Revised, Self-constructed questionnaire for measuring the Academic Performance of the students before and after traumatic experience of the students. Result showed that the terrorist attack effect the mental health of the students, students reported significant effect on their academic performance.

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