PENERAPAN TERAPI KOGNITIF UNTUK MENGATASI GANGGUAN STRES PASCA TRAUMATIK PADA PEKERJA SEKS KOMERSIAL

Author(s):  
Laila Uthomah

 This study aims to determine whether the application of cognitive therapy can overcome post-traumatic stress disorder in commercial sex workers in social institutions Bina Karya Wanita Harapan Mulya Kedoya. This study uses a qualitative approach, with a single research subject. The results of the study are based on pattern matching data on CSW who have post traumatic stress disorder, all behaviors in theory are owned by the case. It shows that the case has a post traumatic stress disorder with behavior: it has a series of events that traumatize the individual, immediately accepts every man who pays little attention then is ignored, lives in a CSW environment and has a daughter who is his dependent. Based on the results of the intervention analysis, the informant feels that the current condition is more confident, feels excited about the next life, and can be grateful by accepting his current situation.   Keywords: Comersil Sex Workers, Post Traumatic Stress Disorder, Cognitive Therapy    Penelitian ini bertujuan untuk mengetahui apakah penerapan terapi kognitif dapat mengatasi gangguan stres pasca traumatik pada pekerja seks komersial di panti sosial Bina Karya Wanita Harapan Mulya Kedoya. Penelitian ini menggunakan pendekatan kualitatif, dengan subjek penelitian tunggal. Hasil penelitian berdasarkan data pattern matching pada PSK yang memiliki gangguan stres pasca traumatik, semua perilaku yang ada pada teori dimiliki oleh kasus. Hal itu menunjukkan bahwa kasus memiliki kondisi gangguan stres pasca traumatik dengan perilaku: memiliki sederetan kejadian-kejadian yang membuat individu trauma, langsung menerima setiap laki-laki yang memberikan perhatian sedikit kemudian diabaikan, tinggal di lingkungan PSK dan memiliki anak perempuan yang menjadi tanggungannya. Berdasarkan hasil analisa intervensi adalah informan merasa kondisi saat ini lebih percaya diri, merasa semangat dengan kehidupan selanjutnya, dan dapat bersyukur dengan menerima keadaannya dirinya saat ini.                                                                                                                          Kata Kunci: Pekerja Seks Komersial, Gangguan Stres Pasca Traumatik, Terapi Kognitif.

Author(s):  
Juan Manuel Millan-Alanis ◽  
Farid Carranza-Navarro ◽  
Humberto de León-Gutiérrez ◽  
Paloma C. Leyva-Camacho ◽  
Andrea Fernanda Guerrero-Medrano ◽  
...  

CNS Spectrums ◽  
2020 ◽  
pp. 1-8
Author(s):  
Érica Panzani Duran ◽  
Felipe Corchs ◽  
Andrea Vianna ◽  
Álvaro Cabral Araújo ◽  
Natália Del Real ◽  
...  

Abstract Background. Post-traumatic stress disorder (PTSD) is a prevalent mental health condition that is often associated with psychiatric comorbidities and changes in quality of life. Prolonged exposure therapy (PE) is considered the gold standard psychological treatment for PTSD, but treatment resistance and relapse rates are high. Trial-based cognitive therapy (TBCT) is an effective treatment for depression and social anxiety disorder, and its structure seems particularly promising for PTSD. Therefore, we evaluated the efficacy of TBCT compared to PE in patients with PTSD. Methods. Ninety-five patients (77.6% females) who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for PTSD were randomly assigned to receive either TBCT (n = 44) or PE (n = 51). Patients were evaluated before and after treatment, and at follow-up 3 months after treatment. The primary outcome was improvement in PTSD symptoms as assessed by the Davidson Trauma Scale (DTS). Secondary outcomes were depression, anxiety, and dysfunctional attitudes assessed by the Beck Depression/Anxiety Inventories and Dysfunctional Attitudes Scale, as well as the dropout rate. Results. A significant reduction in DTS scores was observed in both arms, but no significant difference between treatments. Regarding the secondary outcomes, we found significant differences in depressive symptoms in favor of TBCT, and the dropout rate was lower in the TBCT group than the PE group. Conclusion. Our preliminary results suggest that TBCT may be an effective alternative for treating PTSD. Further research is needed to better understand its role and the mechanisms of change in the treatment of this disorder.


Author(s):  
Hannah Murray ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
Alice Kerr ◽  
...  

Abstract Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU. Key learning aims (1) To recognise PTSD following admissions to intensive care units (ICUs). (2) To understand how the ICU experience can lead to PTSD development. (3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD. (4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.


2002 ◽  
Vol 32 (4) ◽  
pp. 661-670 ◽  
Author(s):  
J. R. T. DAVIDSON ◽  
L. R. LANDERMAN ◽  
G. M. FARFEL ◽  
C. M. CLARY

Background. Sertraline has a proved efficacy in post-traumatic stress disorder (PTSD), but it is unknown which symptoms respond or in what sequence this occurs. Such information might be useful clinically and heuristically.Method. The study examined the effects of sertraline on the individual symptoms of PTSD. It also examined whether early changes in anger explained drug-induced change in other symptoms over time. Mixed models analysis was applied to datasets from two 12-week placebo-controlled trials of sertraline. A validated self-rating scale (DTS) was used to assess treatment efficacy.Results. Sertraline was superior to placebo on 15 of 17 symptoms, especially in the numbing and hyperarousal clusters. A strong effect was found on anger from week 1, which partly explained the subsequent effects of sertraline on other symptoms, some of which began to show significantly greater response to drug than to placebo at week 6 (emotional upset at reminders, anhedonia, detachment, numbness, hypervigilance) and week 10 (avoidance of activities, foreshortened future).Conclusions. Sertraline exercises a broad spectrum effect in PTSD. Effects are more apparent on the psychological rather than somatic symptoms of PTSD, with an early modulation of anger and, perhaps, other affects, preceding improvement in other symptoms.


2018 ◽  
Vol 17 (1) ◽  
pp. 9
Author(s):  
Deborah A. Tysor, MS, TRS, CTRS

Disproportionately high rates of suicide among veterans with post-traumatic stress disorder (PTSD) accentuate the need for greater understanding of self-injurious behaviors and diagnostic comorbidities that increase suicide risk factors. This paper outlines PTSD diagnostic criteria, discusses comorbidities that increase an individual’s risk of suicide, and introduces practical information recreational therapists can use to improve interventions. Emphasis is placed on the facilitation of interventions that address self-injury and promote positive coping mechanisms. Recreational therapists have a unique opportunity to introduce constructive behaviors that serve the same function as self-injury without causing harm to the individual.


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