POSTTRAUMATIC GROWTH IN A PROCESS OF REHABILITATAION

Author(s):  
O. Tokhtamysh

This topic is particularly relevant in the context of combat operations in eastern Ukraine against the occupation of the country, where members of the combined forces operation in each day are in a situation threatening the life and risk of getting a military psychological trauma. The article considers the elements and conditions of post-traumatic growth in the context of the rehabilitation process and the social promotion of human development after a traumatic event. The phenomenon of post-traumatic growth can transform the concept of rehabilitation into a term that can be labeled as "proabilitation". The forms of social and rehabilitation support in terms of creating conditions for post-traumatic growth and their effectiveness are explored. The theoretical and applied models with resource elements of the rehabilitation process and post-traumatic growth process are analyzed. It is noted that the traditional model of posttraumatic growth pay attention to the process of rumination and getting control over it and ignores one of the basic symptom of posttraumatic stress disorder, such as uncontrolled visual images (flash backs). The two-component concept of post-traumatic growth, which may be «illusory» or «adaptive», can also be presented as a «compensatory» or «healing» type with regard to the presence or absence of post-traumatic stress disorder symptoms after reaching post-traumatic growth. Posttraumatic growth occurs in several domains and can be depending on the type of traumatic event experienced, the individual reactions and the psychological qualities of the person. This process is not such that it automatically eliminates the symptoms of post-traumatic stress disorder, the same, rejecting the need for psychotherapeutic and psychosocial care and focusing only on post-traumatic growth can be a false strategy for those who have experienced a traumatic event. Consequently, the phenomenon of post-traumatic growth can be regarded as a powerful resource factor for the rehabilitation process, in particular, as a motivational component of psychosocial assistance.

Author(s):  
Tiffany A. Beks ◽  
Sharon L. Cairns ◽  
Anusha Kassan ◽  
Kelly D. Schwartz

This article considers three perspectives that have figured prominently in the conceptualization of psychological trauma related to military service in the Canadian context—that of military institutions, that of military members, and that of counselling psychologists. A closer examination of these views reveals points of contention regarding the origins, terminology, and cultural relevance of conceptualizations of service-related trauma, such as post-traumatic stress disorder By drawing from theoretical, empirical, critical, and anecdotal literature, this article highlights the need for counselling psychologists to continually evolve their understanding of the broader contexts in which service-related trauma occurs and to honour military members’ knowledge of diverse sources of traumatic suffering.


2009 ◽  
Vol 40 (7) ◽  
pp. 1215-1223 ◽  
Author(s):  
A. Liedl ◽  
M. O'Donnell ◽  
M. Creamer ◽  
D. Silove ◽  
A. McFarlane ◽  
...  

BackgroundPain and post-traumatic stress disorder (PTSD) are frequently co-morbid in the aftermath of a traumatic event. Although several models attempt to explain the relationship between these two disorders, the mechanisms underlying the relationship remain unclear. The aim of this study was to investigate the relationship between each PTSD symptom cluster and pain over the course of post-traumatic adjustment.MethodIn a longitudinal study, injury patients (n=824) were assessed within 1 week post-injury, and then at 3 and 12 months. Pain was measured using a 100-mm Visual Analogue Scale (VAS). PTSD symptoms were assessed using the Clinician-Administered PTSD Scale (CAPS). Structural equation modelling (SEM) was used to identify causal relationships between pain and PTSD.ResultsIn a saturated model we found that the relationship between acute pain and 12-month pain was mediated by arousal symptoms at 3 months. We also found that the relationship between baseline arousal and re-experiencing symptoms, and later 12-month arousal and re-experiencing symptoms, was mediated by 3-month pain levels. The final model showed a good fit [χ2=16.97, df=12, p>0.05, Comparative Fit Index (CFI)=0.999, root mean square error of approximation (RMSEA)=0.022].ConclusionsThese findings provide evidence of mutual maintenance between pain and PTSD.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Sadaf Anjum Masoodi ◽  
Prof. Shahina Maqbool

There has been a worrying trend in Kashmir i.e. the growth of posttraumatic stress disorder, a mental condition which is affecting people for more than two decades. The continuous political uncertainty, insecurity from armed forces; natural calamities are the contributory factors.  And it is found that Post Traumatic Stress Disorder (PTSD) is on the rise in Kashmir Valley after the worst ever floods hit the state few months back. Psychiatrists in Srinagar opine that there has been a remarkable increase in the number of patients who were suffering from “early symptoms” of PTSD.  Post Traumatic Stress Disorder is a condition that develops after an individual expose through a terrifying ordeal that involves physical harm or the threat of a physical harm. The condition develops amongst the people who may have gone through some physical harm or might have witnessed their loved ones or the people around them being harmed. The trauma affects people in three ways: negative, neutral and positive. Under the positive category, the affected person somehow gets encouraged and takes up challenges. Their condition does not make any difference to them. Highly stressful events or major life traumas (such as serious illness, road traffic accident, death of a relative or loved one, unemployment, divorce, etc.) can lead to a variety of  behavioral, psychological and emotional negative outcomes to the disruptive and aversive conditions (Taku, Cann, Tedeschi, & Calhoun, 2009). The positive side of the trauma is that it also leads to growth. This phenomenon has been recognized as a distinct construct – posttraumatic growth (Tedeschi & Calhoun, 1996), implying ‘‘positive psychological change experienced as a result of the struggle with highly challenging life circumstances’’ (Tedeschi & Calhoun, 2004, p. 1). Positive change has been noted in the literature by various authors and referred to in diverse terms – among others, benefit-finding (Affleck & Tennen, 1996), stress-related growth (Park, Cohen, & Murch, 1996), adversarial growth (Linley & Joseph, 2004), flourishing (Ryff & Singer, 1998), and thriving (O’Leary & Ickovics, 1995).  The main objective of the paper is to discuss the role of Islam with special reference to Qur’an and Sunna in posttraumatic Growth among violence victims in Kashmir valley India. Islamic practices such as prayer and listening Qur’an plays important role in coping with traumatic disorders. Islamic values and beliefs can be beneficial in overcoming traumatic life events and seeking posttraumatic Growth. The Holy Qur’an teaches us “The truly righteous — are those who endure with fortitude misfortune, hardship and peril. That is, who are patient in poverty and affliction, and in time of war” (2:178).


Author(s):  
Khalid Astitene ◽  
Hassan Aguenaou ◽  
Laila Lahlou ◽  
Amina Barkat

Aim: After a traumatic event, the person can develop post-traumatic stress disorder (PTSD), the purpose of the study is to assess the prevalence of PTSD in adolescents in public middle schools of the prefecture of Salé in Morocco and study anxiety and depression which are the comorbid disorders of the PTSD. The survey was carried out from March to June 2017. Methods: 523 students were selected by the cross-sectional method from fifteen schools that were randomly selected, the age of the students vary between 12 and 17 years. For the survey, standardized questionnaires (the socio-demographic data, the Life Events Checklist, the CPTS-RI (Children's Post Traumatic Stress Reaction Index), the STAIY (State Trait Inventory Anxiety Form Y) and the CDI (Children Depression Inventory) were used which were filled in by the students. Results: The prevalence of PTSD was 70.4% in the students who have PTSD. We found that the prevalence in boys was 46.74%, while in girls it was 53.26%. In addition to that, 81% of students found to be anxious and 51.8% of students have depression. Conclusion: There is a high prevalence of post traumatic stress disorder among adolescents, there are practical implications for the support and care of these adolescents.


Author(s):  
Onja T. Grad

Emotional turmoil, disruption, shock, post-traumatic stress disorder (PTSD), doubts in own competences as a professional: these are only few of many feelings and reactions that clinicians might experience when faced with the fact that patients they had treated took their lives. The range of reactions can span from none, which is rare, to severe disorders, and can sometimes result in more precautious treatment of future patients, or even in leaving the field of working with suicidal patients. How clinicians respond depends on many factors, such as the length and intensity of the treatment, the understanding of patients’ suicide, the knowledge and past experiences the clinicians have as well as the response of the patients’ family, and the response and support of the colleagues and the institution in which the treatment took place. Some of these factors can help—while others can hinder—the process of overcoming the traumatic event of patients’ suicide.


Literator ◽  
2018 ◽  
Vol 39 (1) ◽  
Author(s):  
Marisa Botha

This article analyses well-known anti-apartheid activist Winnie Madikizela-Mandela’s prison memoir 491 Days: Prisoner Number 1323/69 (2013) for depictions of suffering. This memoir reveals aspects of politically inflicted trauma, particularly the suffering sustained in prolonged solitary confinement and the resulting psychological sequelae for the prisoner. To move beyond a vague understanding of her traumatic experiences, this article draws on the field of psychiatry, specifically the diagnostic criteria for post-traumatic stress disorder (PTSD) to gain greater insight as this tool may also be regarded as a type of narrative that could aid in the comprehension of traumatic events. References will be made to the three main cluster symptoms of PTSD: involuntary re-experiencing of the traumatic event, avoidance of reminders and an ongoing sense of threat. An interdisciplinary literary-psychological approach will probably lead to a deeper understanding of the mental consequences of political imprisonment, as PTSD was not an acknowledged disorder during Madikizela-Mandela’s detainment.


2011 ◽  
Vol 16 (5) ◽  
pp. 612-629 ◽  
Author(s):  
Lorraine Sherr ◽  
Navneet Nagra ◽  
Grace Kulubya ◽  
Jose Catalan ◽  
Claudine Clucas ◽  
...  

Author(s):  
Carolina Rodriguez-Paras ◽  
Farzan Sasangohar

Post-traumatic stress disorder (PTSD) is a common mental health disorder that can affect those who have experienced a traumatic event. Despite the availability of different treatment options for PTSD, there are several barriers that prevent some patients from receiving treatment. To overcome these barriers, mobile health (mHealth) apps have been developed to allow access to therapeutic and self-assessment tools outside the clinic. Our review of literature shows that the three mostly used apps (PTSD Coach, PE Coach, and CPT Coach) are not empirically evaluated and very little information is available for the process used in design and development of these tools. This paper documents a usability study of the most popular PTSD mHealth app; PTSD Coach. Findings indicate that the learning component of the app provides useful information, the assessment is effective in keeping track of the symptoms, and that some of the tools provided can help mitigate some of the symptoms. However, the color scheme, lack of personalization options, and lack of clarity on the mitigation techniques was deemed to affect usability.


Sign in / Sign up

Export Citation Format

Share Document