scholarly journals An Integrated Model for Understanding and Developing Resilience in the Face of Adverse Events

2009 ◽  
Vol 3 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Ian de Terte ◽  
Julia Becker ◽  
Christine Stephens

AbstractTheFive Part ModelorFive Areas Modelhas been a pivotal component of cognitive behavioural therapy and the treatment of various psychological disorders. The Five Part Model consists of five components that represent the interaction of an individual's environment, thoughts, feelings, behaviours, and physical reactions. To date the Five Part Model has primarily been used to understand what has already happened to an individual; for example, when an individual is suffering from posttraumatic stress disorder or is being treated for other psychological difficulties. However, there has been limited application of the Five Part Model to the concept of resilience. Given the effectiveness of the model as an assessment and treatment tool, then it is possible that this model would also be effective in understanding how an individual deals with the aftermath of traumatic events such as disasters. Individual psychological variables are an essential part of whether an individual is resilient to adverse circumstances. However, this model should include as part of the individual's environment wider family, community and societal attributes. It is suggested that the Five Part Model be expanded to include such family, community and societal attributes to account for the influence these have on an individual's psychological resilience. A multidimensional model of resilience is proposed that will need to be scientifically tested; however, it is proposed that this model has application to the variety of disciplines that are involved in the domain of resilience. In addition, this model attempts to address any interdisciplinary barriers that exist, by ensuring that individual, family, community, and societal attributes are considered holistically as part of resilience building.

2021 ◽  
Author(s):  
Ketevan Inasaridze

In the new reality of the pandemic caused by the new coronavirus disease COVID-19 psychotherapists provide clients therapy sessions remotely by different computer programmes. It is important to provide guidelines for the remotely provided cognitive-behavioural therapy for different mental disorders. In this article were adapted guidelines for remotely conducted memory work for the post-traumatic stress disorder elaborated by the Oxford Centre for Anxiety Disorders and Trauma. Special concepts were determined and explained for Georgian therapists.


2016 ◽  
Vol 208 (3) ◽  
pp. 252-259 ◽  
Author(s):  
Caecilie Böck Buhmann ◽  
Merete Nordentoft ◽  
Morten Ekstroem ◽  
Jessica Carlsson ◽  
Erik Lykke Mortensen

BackgroundLittle evidence exists on the treatment of traumatised refugees.AimsTo estimate treatment effects of flexible cognitive–behavioural therapy (CBT) and antidepressants (sertraline and mianserin) in traumatised refugees.MethodRandomised controlled clinical trial with 2×2 factorial design (registered with Clinicaltrials.gov, NCT00917397, EUDRACT no. 2008-006714-15). Participants were refugees with war-related traumatic experiences, post-traumatic stress disorder (PTSD) and without psychotic disorder. Treatment was weekly sessions with a physician and/or psychologist over 6 months.ResultsA total of 217 of 280 patients completed treatment (78%). There was no effect on PTSD symptoms, no effect of psychotherapy and no interaction between psychotherapy and medicine. A small but significant effect of treatment with antidepressants was found on depression.ConclusionsIn a pragmatic clinical setting, there was no effect of flexible CBT and antidepressants on PTSD, and there was a small-to-moderate effect of antidepressants and psychoeducation on depression in traumatised refugees.


2008 ◽  
Vol 193 (3) ◽  
pp. 254-255 ◽  
Author(s):  
Jennifer Wild ◽  
Ruben C. Gur

SummaryPost-traumatic stress disorder (PTSD) is often associated with verbal memory deficits, which could influence treatment outcome. We assessed neuropsychological functioning in individuals with PTSD and their response to cognitive– behavioural therapy (CBT). Treatment non-responders had significantly poorer performance on measures of verbal memory compared with responders and demonstrated narrative encoding deficits. Differences were not explained by IQ, performance on tasks of attention, initial PTSD severity, depression, time since trauma, or alcohol/substance misuse. Verbal memory deficits seem to diminish the effectiveness of CBT and should be considered in its implementation.


2019 ◽  
pp. 50-60
Author(s):  
Helena M van Oers

Parkinson’s disease is the second most commonly diagnosed neurodegenerative disorder worldwide and the physical manifestations of the disease are well documented in the literature. However, in excess of 60% of patients with the disease report having one or more psychiatric symptoms which worsen as the disease progresses. These symptoms arise differentially from the same pathology which underlies the disease or from the treatment with dopaminergic drugs. Psychiatric and psychological difficulties tend to be under-recognised and undertreated yet cause great disability, significantly impact the quality of life of patients and add to greater burden on their caregivers. These symptoms can be relieved through adjusting the doses of anti-Parkinson’s drug therapy and success in improving psychological distress has been found using adjuvant psychotherapeutic intervention, most notably with Cognitive Behavioural Therapy.


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