Implementing prolonged exposure therapy for PTSD in a context of ongoing adversity: a clinical case study
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
- Full Text:
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
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Life after training: Professional experiences of early career clinical and counselling psychologists in South Africa
- Haine, Phillipa, Booysen, Duane D
- Authors: Haine, Phillipa , Booysen, Duane D
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/450703 , vital:74975 , xlink:href="https://doi.org/10.1080/14330237.2020.1821317"
- Description: We aimed to gain an in-depth understanding of the lived professional experiences of early career clinical and counselling psychologists in South Africa. Our informants were four early career psychologists (females = 2, males = 2; clinical = 2, counselling = 2; period in service = 1 to 7 years). They completed semi-structured interviews on their critical early career professional experiences, as well as the meanings they attributed to these experiences. Interpretative phenomenological analysis of the data yielded four super-ordinate themes: (i) training as a ‘rite of passage’; (ii) expectations for a professional future; (iii) entering the professional psychology workspace; and (iv) future career directions. Findings suggest employment opportunities in the healthcare system to influence the professional socialisation of early career psychologists in addition to their personal choices. Systemic factors appear to explain why South African psychologists would opt to practice privately, and why debates on the profession’s relevance, accessibility, and credibility may continue unabated.
- Full Text:
- Authors: Haine, Phillipa , Booysen, Duane D
- Date: 2020
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/450703 , vital:74975 , xlink:href="https://doi.org/10.1080/14330237.2020.1821317"
- Description: We aimed to gain an in-depth understanding of the lived professional experiences of early career clinical and counselling psychologists in South Africa. Our informants were four early career psychologists (females = 2, males = 2; clinical = 2, counselling = 2; period in service = 1 to 7 years). They completed semi-structured interviews on their critical early career professional experiences, as well as the meanings they attributed to these experiences. Interpretative phenomenological analysis of the data yielded four super-ordinate themes: (i) training as a ‘rite of passage’; (ii) expectations for a professional future; (iii) entering the professional psychology workspace; and (iv) future career directions. Findings suggest employment opportunities in the healthcare system to influence the professional socialisation of early career psychologists in addition to their personal choices. Systemic factors appear to explain why South African psychologists would opt to practice privately, and why debates on the profession’s relevance, accessibility, and credibility may continue unabated.
- Full Text:
The feasibility of prolonged exposure therapy for PTSD in low-and middle-income countries: a review
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
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