scholarly journals Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

2021 ◽  
Vol 10 (5) ◽  
pp. 954
Author(s):  
Katrina L. Boterhoven de Haan ◽  
Christopher W. Lee ◽  
Helen Correia ◽  
Simone Menninga ◽  
Eva Fassbinder ◽  
...  
Keyword(s):  
Childhood Trauma ◽  
Thematic Analysis ◽  
Treatment Process ◽  
Stress Disorder ◽  
Sense Of Self ◽  
Randomised Clinical Trial ◽  
Structured Interviews ◽  
Treatment Protocols ◽  
Imagery Rescripting ◽  
Therapist Perspectives

This study aimed to explore patients’ and therapists’ experiences with trauma-focused treatments in patients with posttraumatic stress disorder from childhood trauma (Ch-PTSD). Semi-structured interviews were conducted with patients (n = 44) and therapists (n = 16) from an international multicentre randomised clinical trial comparing two trauma-focused treatments (IREM), imagery rescripting and eye movement and desensitisation (EMDR). Thematic analysis was used to identify key themes within the data. Patients and therapists commented about the process of therapy. The themes that emerged from these comments included the importance of the patients’ willingness to engage and commit to the treatment process; the importance and difficulty of the trauma work, observations of how the trauma focused therapy produced changes in insight, and sense of self and empowerment for the future. In addition, therapists made suggestions for optimising the therapist role in the trauma-focused treatment. This included the importance of having confidence in their own ability, confronting their own and their client’s avoidance and the necessity and difficulties of adhering to the treatment protocols. These reported experiences add further support to the idea that trauma-focused treatments, without a stabilisation phase, can be tolerated and deepens our understanding of how to make this palatable for individuals with Ch-PTSD.

scholarly journals Imagery rescripting and eye movement desensitisation and reprocessing as treatment for adults with post-traumatic stress disorder from childhood trauma: randomised clinical trial

2020 ◽  
Vol 217 (5) ◽  
pp. 609-615
Author(s):  
Katrina L. Boterhoven de Haan ◽  
Christopher W. Lee ◽  
Eva Fassbinder ◽  
Saskia M. van Es ◽  
Simone Menninga ◽  
...  
Keyword(s):  
Childhood Trauma ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Randomised Clinical Trial ◽  
Drop Out ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Imagery Rescripting

BackgroundInvestigation of treatments that effectively treat adults with post-traumatic stress disorder from childhood experiences (Ch-PTSD) and are well tolerated by patients is needed to improve outcomes for this population.AimsThe purpose of this study was to compare the effectiveness of two trauma-focused treatments, imagery rescripting (ImRs) and eye movement desensitisation and reprocessing (EMDR), for treating Ch-PTSD.MethodWe conducted an international, multicentre, randomised clinical trial, recruiting adults with Ch-PTSD from childhood trauma before 16 years of age. Participants were randomised to treatment condition and assessed by blind raters at multiple time points. Participants received up to 12 90-min sessions of either ImRs or EMDR, biweekly.ResultsA total of 155 participants were included in the final intent-to-treat analysis. Drop-out rates were low, at 7.7%. A generalised linear mixed model of repeated measures showed that observer-rated post-traumatic stress disorder (PTSD) symptoms significantly decreased for both ImRs (d = 1.72) and EMDR (d = 1.73) at the 8-week post-treatment assessment. Similar results were seen with secondary outcome measures and self-reported PTSD symptoms. There were no significant differences between the two treatments on any standardised measure at post-treatment and follow-up.ConclusionsImRs and EMDR treatments were found to be effective in treating PTSD symptoms arising from childhood trauma, and in reducing other symptoms such as depression, dissociation and trauma-related cognitions. The low drop-out rates suggest that the treatments were well tolerated by participants. The results from this study provide evidence for the use of trauma-focused treatments for Ch-PTSD.

scholarly journals On the Question of Integrating Spirituality with Counselling in India

2016 ◽  
Vol 15 (1) ◽  
pp. 35
Author(s):  
Thomas Joseph Parayil ◽  
Tony Sam George
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Qualitative Data ◽  
Treatment Process ◽  
Years Of Experience ◽  
Structured Interviews

This paper explores the therapists’ views and experience on spiritual components in counselling. Qualitative data were collected through semi-structured interviews, and thematic analysis used. The participants were nine mental health professionals from different backgrounds with 15 to 30 years of experience in the field. The four main themes that emerged are faith in God, the power of prayer, forgiveness and wholesome treatment process  

scholarly journals “For Me, the Anorexia is Just a Symptom, and the Cause is the Autism”: Investigating Restrictive Eating Disorders in Autistic Women

2020 ◽  
Vol 50 (12) ◽  
pp. 4280-4296 ◽  
Author(s):  
Janina Brede ◽  
Charli Babb ◽  
Catherine Jones ◽  
Mair Elliott ◽  
Cathy Zanker ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Theoretical Model ◽  
Thematic Analysis ◽  
Healthcare Professionals ◽  
Sense Of Self ◽  
Thinking Styles ◽  
Empirical Testing ◽  
Structured Interviews ◽  
Sensory Sensitivities ◽  
Restrictive Eating

AbstractAutistic women are overrepresented among people in treatment for Anorexia Nervosa (AN). The current study aimed to: (1) better understand how AN develops and persists in autistic individuals from the perspective of autistic women, parents and healthcare professionals; (2) derive a theoretical model of restrictive eating difficulties in autism. We conducted 44 semi-structured interviews and used Thematic Analysis to identify patterns of meaning across the data. Themes related to sensory sensitivities, social interaction and relationships, sense of self and identity, difficulties with emotions, thinking styles, and a need for control and predictability. We developed a model of potential autism-specific mechanisms underlying restrictive eating difficulties. This study generated novel insights, which have the potential to inform treatment adaptations following empirical testing.

scholarly journals A conceptual framework for improving well-being in people with a diagnosis of psychosis

2013 ◽  
Vol 23 (4) ◽  
pp. 377-387 ◽  
Author(s):  
B. Schrank ◽  
S. Riches ◽  
V. Bird ◽  
J. Murray ◽  
A. Tylee ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Sense Of Self ◽  
Well Being ◽  
Service Users ◽  
Narrative Synthesis ◽  
Structured Interviews ◽  
Recent Systematic Review ◽  
Client Group ◽  
Factors Influencing ◽  
Group A

Background.Well-being is important for people with severe mental illness, such as psychosis. So far, no clear concept of well-being exists for this client group. A recent systematic review and narrative synthesis developed a static framework of well-being components. The present study aims to validate the static framework and to illuminate the processes by which well-being is experienced by people with psychosis.Methods.Semi-structured interviews were conducted with 23 service users with psychosis exploring their experience of well-being. Thematic analysis was used to analyse the data employing techniques taken from grounded theory to enhance the rigour of the analysis. Respondent validation was undertaken with 13 of the 23 participants.Results.Three superordinate categories of well-being were identified: current sense of self; transition to enhanced sense of self and enhanced sense of self. In the dynamic process of improving well-being the current sense of self undergoes a transition to an enhanced sense of self. The four factors influencing the transition are consistent with the static framework of well-being, hence validating the static framework. In addition, we identified three determinants of current sense of self and seven indicators of enhanced sense of self, which represent the achievement of improved well-being.Conclusions.This study provides an empirically defensible framework for understanding well-being in terms of determinants, influences and indicators. The influences are targets for interventions to improve well-being, and the indicators are outcome domains to assess the effectiveness of services in supporting well-being.

Worry and time: the unseen costs of informal care

2016 ◽  
Vol 12 (4) ◽  
pp. 249-260 ◽  
Author(s):  
Tanisha Jowsey ◽  
Lyndall Strazdins ◽  
Laurann Yen
Keyword(s):  
Chronic Illness ◽  
Social Status ◽  
Informal Care ◽  
Thematic Analysis ◽  
Sense Of Self ◽  
Care Recipient ◽  
Care Practice ◽  
Structured Interviews ◽  
Loved One ◽  
Informal Carers

Objectives The objective of this study is to examine the experiences of informal carers in terms of how their time spent caring is related to worry. Is worry about a care recipient a care practice, and if so, to what extent it can be understood temporally? Methods Classical phenomenology underpinned this study. Three qualitative studies of people living with chronic illness in Australia were conducted between 2009 and 2013. Semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Phenomenological thematic analysis of the data was undertaken. Results Twenty-five informal carers participated. The findings pivot around three interconnected themes: time, worry and cost. Worry was identified as a temporally bound unseen cost to carers that informs carer identity irrespective of culture, ethnicity, or social status. Discussion Worry is a practice that most carers report engaging in and it is one that comes with a temporal cost—it keeps people busy looking after the needs of others during the day and it keeps some people awake when they would rather be sleeping. Worry takes time and effort, it informs people’s construction of their own sense of self, motivates acts of care, and informs carers’ imaginings of what their future and that of their loved one(s) may entail.

A thematic analysis of how prisoners overcome suicidality

2014 ◽  
Vol 10 (4) ◽  
pp. 212-227 ◽  
Author(s):  
Lucy Reading ◽  
Erica Bowen
Keyword(s):  
Suicide Prevention ◽  
Adult Male ◽  
Thematic Analysis ◽  
Prison Population ◽  
Sense Of Self ◽  
Prevention Strategies ◽  
Structured Interviews ◽  
Content Type ◽  
Prison Populations ◽  
Male Prisoners

Purpose – The purpose of this paper is to explore the perceptions, beliefs and abilities that support adult male prisoners in overcoming suicidality. Design/methodology/approach – Semi-structured interviews were conducted with eight male life sentenced prisoners in a Category B prison. Thematic analysis was used to analyse the data and interpret how prisoners have overcome suicidality. Findings – Five overarching themes were identified; sense of self, presence of meaning, connectedness, shift of perspective and re-establishing control. The themes were closely interconnected and revealed novel insights into the variables that supported prisoners to overcome suicidality. Research limitations/implications – The themes were drawn from a specific prisoner population, which may not be representative of the wider prison population. Additionally, the sole focus on suicidality may be an oversimplification of self-destructive behaviours and could have affected the factors identified. Practical implications – The results highlight the need to refine suicide prevention strategies in prisons; in the assessment of suicide risk, the improvement of supportive regimes and the development of psychological interventions. Originality/value – This research is the first to qualitatively examine the factors involved in overcoming suicide in adult male prisoners. The research is of value to researchers and practitioners alike, as it extends previous research in prison populations and suggests avenues for the development of suicide prevention strategies.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

Acceptance of the HPV Vaccine in a Multiethnic Sample of Latinx Mothers

2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Thematic Analysis ◽  
Hpv Vaccine ◽  
Female Adolescents ◽  
Future Research ◽  
Care Providers ◽  
Foreign Born ◽  
Structured Interviews ◽  
Direct Benefits ◽  
Multiethnic Sample

This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.

scholarly journals Staying Home, Staying Alive: Campus Food Pantry Student Clients’ Experiences During the COVID-19 Pandemic

2021 ◽  
pp. 193672442110356
Author(s):  
Elmira Jangjou
Keyword(s):  
Coping Strategies ◽  
Thematic Analysis ◽  
Future Research ◽  
Postsecondary Students ◽  
Structured Interviews ◽  
Short Term ◽  
Income Loss ◽  
Food Pantry ◽  
Global Pandemic ◽  
Seeking Help

In response to students’ food insecurity, a number of colleges and universities have taken action and established campus food pantries as part of their intervention plans. However, many of these pantries ceased operation due to COVID-19 campus shutdowns. The purpose of this study is to illustrate the short-term impacts of the COVID-19 pandemic on postsecondary students, who use a university-provided food pantry. Drawing from semi-structured interviews with 12 participants, the thematic analysis explored the initial coping strategies these students used to endure the pandemic. Findings revealed that many students experienced the immediate effects of the pandemic in the form of income loss, self-isolation, anxiety, and appetite change. Although the pandemic interrupted these students’ journeys to continue their studies and become independent in various ways, the affected students implemented various coping strategies, including seeking help from family or friends, using available resources, cooking at home, and even trying to save money. However, considering that the targeted population in this study was already at risk because of their basic needs insecurity, these postsecondary students require extra attention from their higher education institutions in the case of emergencies, such as a global pandemic. In addition to its timely and relevant findings, this study provides important avenues for future research and intervention efforts.

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