scholarly journals When and for whom do psychodynamic therapists use guided imagery? Explicating practitioners’ tacit knowledge

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Jule Bauckhage ◽  
Christian Sell
Keyword(s):  
Guided Imagery ◽  
Consensual Qualitative Research ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Emotional Instability ◽  
Therapeutic Goals ◽  
Reality Testing ◽  
Post Traumatic ◽  
Guided Affective Imagery ◽  
Psychodynamic Therapies

Guided imagery psychotherapy (GIP) is an established therapeutic method using creative mental imagery within a psychodynamic frame of reference. Although there is evidence for the method’s general effectiveness, it is yet unclear under which conditions and for which patients it should be used. The aim of this study was therefore to empirically identify indication criteria for the use of guided affective imagery (GAI) as part of psychodynamic therapies. We conducted semi-structured interviews with N=15 psychodynamic therapists also qualified as GAI training therapists. We asked them to recollect cases in which they had decided either for or against the use of imagery. The therapists described a complex interplay of different factors. Using grounded theory coding supplemented by elements of Consensual Qualitative Research we reconstructed from their accounts a sequential model of their indicative decisions. First, there is a consideration of clear contraindications related to reality testing and destructiveness. Second, there are aspects requiring a modified application of GAI such as emotional instability and post-traumatic stress disorder symptoms. In a final step, there are a number of characteristics of the patient, the therapist, the therapeutic relationship, the patients’ initial imagery and different therapeutic goals and foci which are weighed relatively to each other in order for therapists to reach an indication decision. We end by discussing ways in which the indicative decision model may be used to improve GAI training as well as the method’s differential efficacy and effectiveness.

scholarly journals You don’t see the world through the same eyes any more: The impact of sexual offending work on police staff

2018 ◽  
Vol 92 (4) ◽  
pp. 316-338 ◽  
Author(s):  
Ruth Parkes ◽  
Nicola Graham-Kevan ◽  
Jo Bryce
Keyword(s):  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Sexual Offending ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Workplace Trauma ◽  
Clinical Models ◽  
Post Traumatic ◽  
Two Stages ◽  
The Impact

This paper examines the experiences of police staff in England who work with sexual offence material (SOM). Eleven officers completed a questionnaire then took part in semi-structured interviews. The data were analysed in two stages: Interpretative Phenomenological Analysis was used to illuminate the ‘lived experience’ of participants, and establish a theme structure. Clinical models of workplace trauma were then employed to explore the theme ‘Impact of working with sexual offending’. Impact includes cognitive intrusions and increased suspiciousness. The authors identify where officers’ accounts intersect with nascent symptoms of both Vicarious Traumatisation (McCann and Pearlman, 1990) and post-traumatic stress disorder (PTSD).

scholarly journals Exploring the Preparedness of Student Paramedics for the Mental Health Challenges of the Paramedic Profession

2019 ◽  
Vol 34 (s1) ◽  
pp. s83-s83 ◽  
Author(s):  
Lisa Holmes
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Undergraduate Curriculum ◽  
Degree Programs ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Personal Experiences ◽  
High Incidence ◽  
Post Traumatic ◽  
Mental Health Challenges

Introduction:The mental health challenges encountered by paramedics have received much attention in recent years. This attention has particularly focused on high rates of stress, depression, anxiety, and post-traumatic stress disorder. This heightened awareness of the high incidence of mental illness, which has at times tragically resulted in the suicide of serving and former paramedics, is stimulating the address of mental health within the paramedic profession. It is now time to call on paramedic educators to prepare student paramedics for the mental health challenges associated with a career in the emergency medical services.Aim:To explore the preparedness of student paramedics for the mental health challenges of the paramedic profession and identify the coping strategies used by veteran paramedics to successfully meet these challenges.Methods:Twenty semi-structured interviews with veteran paramedics from Australia and New Zealand were conducted.Results:Advice from veteran paramedics was comprised of three key themes: support, health, and the profession.Discussion:The findings of the study indicate that the preparation of student paramedics for the mental health challenges of the paramedic profession throughout the undergraduate curriculum could be advantageous. The advice offered by veteran paramedics can be included within undergraduate paramedic curricula and delivered by sharing the personal experiences of the veteran paramedics. These experiences are highly credible and sharing them offers an opportunity for veterans to contribute positively to the future of paramedicine. Guidelines for their inclusion in the undergraduate paramedic curriculum should be prepared to facilitate knowledge translation and to encourage the development of conscious coping strategies by student paramedics during their learning phase. Further research is needed to raise awareness in this area, with a specific focus on preparing paramedic students to cope with mental health challenges related to undergraduate degree programs, and how they feel about commencing their career as a paramedic.

scholarly journals Veterans’ experiences of successfully managing post-traumatic stress disorder

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gemma Parry ◽  
Suzanne Margaret Hodge ◽  
Alan Barrett
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Civilian Life ◽  
Content Type ◽  
Post Traumatic ◽  
The Military

Purpose Prevalence of post-traumatic stress disorder (PTSD) among UK veterans is higher than in the general population. However, prevalence figures do not reflect the complexity of this phenomenon and ways in which it may be bound up with veterans’ experiences of adjusting to civilian life. The purpose of this study is to explore veterans’ experiences of successfully managing PTSD. Design/methodology/approach Semi-structured interviews were conducted with six veterans who had served in the UK armed forces and analysed using interpretative phenomenological analysis. Findings Three themes were developed: accepting the problem, taking responsibility and gaining control; talking to the right people; and strategies, antidotes and circling back around. Managing PTSD appeared to be bound up with veterans’ experience of renegotiating their identity, where positive aspects of identity lost on leaving the military were rebuilt and problematic aspects were challenged. Participants sought to speak about their difficulties with others who understood the military context. They felt that their experiences made them a valuable resource to others, and they connected this with a positive sense of identity and value. Practical implications The findings suggest the importance of wider provision of peer support and education for civilian health services on veterans’ needs. Originality/value This study adds to the understanding of what meaningful recovery from PTSD may involve for veterans, in particular its potential interconnectedness with the process of adjusting to civilian life.

Long-Lasting Effects of the 2013 Yolanda Typhoon on Overall Health of Mothers and Children

2020 ◽  
pp. 1-8
Author(s):  
Hanna Horiguchi ◽  
Minato Nakazawa
Keyword(s):  
Disaster Preparedness ◽  
Missing Values ◽  
Disaster Mitigation ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Future Potential ◽  
Post Traumatic ◽  
Caregiving Responsibility ◽  
Ptsd Prevalence

ABSTRACT Objectives: Three years after the 2013 Yolanda Typhoon, this study sought to determine the factors associated with the stress of the affected mothers and the health of the children on Leyte island, and the preparedness of the community to mitigate future potential disasters. Methods: Three hundred mothers with children from 0 to 7 years old were selected through convenience sampling, structured interviews conducted using the Hurricane-Related Traumatic Experiences questionnaire and the PTSD (post-traumatic stress disorder) Checklist 5 (PCL5), and the children’s weights and heights were measured. Results: The provisional PTSD prevalence was found to be 53.3% 3 y after Yolanda. The multiple regression analysis with multiple imputation for the missing values found that housing and childcare attitudes were significantly associated with preparedness. Conclusions: This study concluded that living in multistoried houses was useful for disaster mitigation and that the caregiving responsibility for their children could be a disaster preparedness motivation for mothers.

Post-traumatic stress disorder in women who were victims of childhood sexual abuse

1991 ◽  
Vol 8 (2) ◽  
pp. 124-127 ◽  
Author(s):  
Kevin O'Neill ◽  
Kamal Gupta
Keyword(s):  
Sexual Abuse ◽  
Psychiatric Disorder ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Sexually Abused ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Post Traumatic ◽  
Ptsd Symptomatology

AbstractTwenty-six women who had been sexually abused in childhood were assessed by means of structured interviews as to the nature of the abusive experience and subsequent psychiatric disorder. Nineteen (73.1%) fulfilled the criteria of Post Traumatic Stress Disorder and a comparison was made between PTSD and non-PTSD groups with regard to quantitative abuse variables. The phenomenon of latency or delay in onset in PTSD symptomatology was investigated. The possible implications of those findings were discussed.

scholarly journals MP40: Psychological distress in patients following pulmonary embolism diagnosis

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S56-S57
Author(s):  
A. Tran ◽  
M. Redley ◽  
K. de Wit
Keyword(s):  
Pulmonary Embolism ◽  
Psychological Distress ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Number Of Patients ◽  
Life Threatening ◽  
Pulmonary Embolism Diagnosis ◽  
Post Traumatic ◽  
Treatable Condition

Introduction: Pulmonary embolism (PE) is a treatable condition, with a low mortality rate (of around 1% in those who are diagnosed with the condition). The risk of recurrent PE is well managed with long term anticoagulation. Past literature suggests that patients who are diagnosed with PE can go on to experience existential anxiety and symptoms suggestive of post-traumatic stress disorder (PTSD). This study aimed to evaluate the mental and emotional experiences of PE patients through the lens of PTSD, and the factors involved in psychological distress following a PE diagnosis. Methods: Semi-structured interviews were conducted with PE patients at the Juravinski Hospital thrombosis clinic in Hamilton, Ontario. Interview questions were based on DSM-5 criteria of PTSD and relevant existing literature. The transcripts were analyzed by two researchers based on an approach that considers both the content of patients’ accounts as well as the way that patients choose to interpret and deliver those accounts, to develop major themes associated with psychological distress. Results: A total of 37 patients, ranging from 28 to 85 years of age, were interviewed. The patients’ accounts suggested that the manner in which a PE diagnosis was delivered by an emergency physician was a significant factor in the degree to which they experienced psychological distress. For example, patients reported focusing on words suggesting that they were ‘a ticking time-bomb’ or that ‘a lot of people don't get through this,’ which introduced a degree of panic. A number of patients continued to focus on these words, months or years after their diagnosis. Some feared that they could have recurrent PE which could lead to death. Diagnoses that were delivered calmly with thorough explanations of why a patient experienced PE-related symptoms and how they will be treated, helped to minimize any subsequent anxiety. Patients initially misdiagnosed with an alternative condition in the ED also expressed feelings of anxiety and distress. The presence of physically and mentally distressing symptoms was also a factor which contributed to mental distress and anxiety regarding a PE recurrence. Conclusion: Caution should be taken in the delivery of PE diagnosis in the emergency department. Over-emphasis on the severity and life-threatening nature of PE should be avoided to reduce psychological distress.

scholarly journals Perceived support and psychological outcome following the 2004 tsunami: a mixed-methods study

2011 ◽  
Vol 35 (8) ◽  
pp. 283-288
Author(s):  
Jonathan I. Bisson ◽  
Catrin Lewis ◽  
Michael Howlett ◽  
Daniela Corallo ◽  
Ellen Davies ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Mixed Methods Study ◽  
Perceived Support ◽  
Indian Ocean Tsunami ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Psychological Outcome ◽  
Post Traumatic ◽  
2004 Tsunami

Aims and methodThe effectiveness of official support provided following a disaster has not been fully evaluated. This study aimed to ascertain whether there was an association between perceived support shortly after the 2004 Indian Ocean tsunami and later mental health symptoms in those affected, and to explore the factors associated with this. A survey, semi-structured interviews and focus group were used to explore the experiences and perceptions of 116 individuals severely affected by the tsunami.ResultsAgency or official support was perceived as poor overall. Perceived ineffectiveness of support available within a few days after the tsunami was associated with increased symptoms of post-traumatic stress disorder 15–19 months later. The strongest themes that emerged from our study were that support provided in a humane manner was perceived as effective and that uncoordinated support, poor communication and limited accessibility to support and information were perceived as ineffective.Clinical implicationsImproved planning of coordinated, flexible, multi-agency responses to traumatic events before they occur is required.

scholarly journals Internalizing and Externalizing Problems in Children of War Veterans in Kosovo

2015 ◽  
Vol 5 (1) ◽  
pp. 365 ◽  
Author(s):  
MA. Eglantina Kraja ◽  
Dr.Sc. Adelina Ahmeti
Keyword(s):  
Internalizing Problems ◽  
Externalizing Problems ◽  
Emotional Problems ◽  
Post Traumatic Stress ◽  
Emotional Instability ◽  
War Veterans ◽  
Internalizing And Externalizing Problems ◽  
Post Traumatic ◽  
Children Of War ◽  
Internalizing And Externalizing

The aim of this study was to explore internalizing and externalizing problems in adolescent children of veterans of the war in Kosovo (1998-1999). The results of this study are quite interesting from the perspective of the dilemma for the state of the children of veterans even 15 years after the war ended. Parents’ emotional problems affect the functioning of the family in general and children in particular. Children can react to symptoms of parents by developing different symptoms as trouble sleeping, appetite loss, emotional instability or even problems in development, according to research done on children's reactions to the problems of parents explained by interactions between environment, brain and behaviour driven by trauma.The results of this study have shown that the internalizing problems have not shown gender differences, meantime externalizing problems were found higher in male participants. An interesting finding of this study was the highest scores of emotional problems in children born before and during the war, compare to those born after the war ended. We also found that anxiety problems in children [R2= .83, p < .001] were a significant predictor of internalizing problems. The assessment of the scale of positive qualities [R2= .19, p < .001] was also found to be a significant predictor for externalizing problems.Only 0.8% of the variance of internalizing problems was explained by the income.Considering that the subject of this study were adolescent children of war veterans of the 1999 conflict in Kosovo, we must take into account that the post-traumatic stress disorder is a very frequent problem among war veterans and that its impact on their personal and family life cannot be overlooked.

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