A systematic review of operationalizations of culture in post traumatic stress
- Ramasodi, Precious, Cronje, Johan
- Authors: Ramasodi, Precious , Cronje, Johan
- Date: 2019
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/43037 , vital:36729
- Description: Research which looks at the influence of culture on posttraumatic experience has explored the culture construct through many differing lenses. This is because of the complex nature of culture. Since investigators may delineate culture in any number of ways there are a host of ways in which culture can be operationalised. The presence of differing operationalisations of culture in the literature is not necessarily a hindrance to the furtherance of knowledge. However, researchers may find it beneficial to employ similar operational terms in order for studies to be compared and amalgamated. The present study reviewed literature studies published between 1980 and 2018 that explored Post Traumatic Stress Disorder(PTSD) in different cultural cohorts. Thirty qualitative and quantitative research reports were assessed and six different operational terms were found. These were namely: geographic location, nationality, race, language, religion and ethnicity. Many articles in the pooled articles employed more than one operational to delineate the target population. The key themes which emerged from the pooled articles were the impact of differences between researcher and study participants, the differences in symptom expression and the stigma of the posttraumatic disorder.
- Full Text:
- Date Issued: 2019
- Authors: Ramasodi, Precious , Cronje, Johan
- Date: 2019
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/43037 , vital:36729
- Description: Research which looks at the influence of culture on posttraumatic experience has explored the culture construct through many differing lenses. This is because of the complex nature of culture. Since investigators may delineate culture in any number of ways there are a host of ways in which culture can be operationalised. The presence of differing operationalisations of culture in the literature is not necessarily a hindrance to the furtherance of knowledge. However, researchers may find it beneficial to employ similar operational terms in order for studies to be compared and amalgamated. The present study reviewed literature studies published between 1980 and 2018 that explored Post Traumatic Stress Disorder(PTSD) in different cultural cohorts. Thirty qualitative and quantitative research reports were assessed and six different operational terms were found. These were namely: geographic location, nationality, race, language, religion and ethnicity. Many articles in the pooled articles employed more than one operational to delineate the target population. The key themes which emerged from the pooled articles were the impact of differences between researcher and study participants, the differences in symptom expression and the stigma of the posttraumatic disorder.
- Full Text:
- Date Issued: 2019
Bullying victimisation and traumatic stress severity among high school learners
- Authors: Meyer, Courtney Clarissa
- Date: 2019
- Subjects: Bullying in schools , Bullying Victimisation Developmental psychology Social psychology , Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/41864 , vital:36604
- Description: Bullying victimisation is experienced extensively in international and South African schools and results in numerous serious consequences for the victim, traumatic stress being one of these, which has received limited attention in South African literature. This led to the study which had the overall aim to explore and describe the relationship between bullying victimisation and traumatic stress severity among high school learners in the Nelson Mandela Metropole. Seven hundred and thirty-five learners from grades eight through to twelve, from the two selected public high schools were sampled using stratified random sampling. A quantitative research design, which is exploratory, descriptive and correlational was followed. Four self-reported written administered questionnaires, namely a biographical questionnaire, the revised Olweus Bully/Victim questionnaire, the PTSD checklist for DSM-5 (PCL-5) questionnaire and an adapted version of part 1 of the Harvard Trauma questionnaire, were used as data collection measures in this study. The data was analysed and interpreted using descriptive statistics and multiple linear regression analysis. The findings portrayed that 20.95% of the learners from the two selected public high schools in the Nelson Mandela Metropole experienced bullying victimisation. It was also found that just under one third (31.21%) of the high school learners may be suffering from severe traumatic stress. When applying multiple linear regression analysis to the data, being exposed to bullying victimisation specifically in the form of verbal bullying, social exclusion/isolation bullying, emotional/psychological bullying and/or sexual bullying was seen to significantly contribute to the traumatic stress severity reported by the learners. Traumatic stress severity was however seen to depend on the frequency of bullying victimisation.
- Full Text:
- Date Issued: 2019
- Authors: Meyer, Courtney Clarissa
- Date: 2019
- Subjects: Bullying in schools , Bullying Victimisation Developmental psychology Social psychology , Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/41864 , vital:36604
- Description: Bullying victimisation is experienced extensively in international and South African schools and results in numerous serious consequences for the victim, traumatic stress being one of these, which has received limited attention in South African literature. This led to the study which had the overall aim to explore and describe the relationship between bullying victimisation and traumatic stress severity among high school learners in the Nelson Mandela Metropole. Seven hundred and thirty-five learners from grades eight through to twelve, from the two selected public high schools were sampled using stratified random sampling. A quantitative research design, which is exploratory, descriptive and correlational was followed. Four self-reported written administered questionnaires, namely a biographical questionnaire, the revised Olweus Bully/Victim questionnaire, the PTSD checklist for DSM-5 (PCL-5) questionnaire and an adapted version of part 1 of the Harvard Trauma questionnaire, were used as data collection measures in this study. The data was analysed and interpreted using descriptive statistics and multiple linear regression analysis. The findings portrayed that 20.95% of the learners from the two selected public high schools in the Nelson Mandela Metropole experienced bullying victimisation. It was also found that just under one third (31.21%) of the high school learners may be suffering from severe traumatic stress. When applying multiple linear regression analysis to the data, being exposed to bullying victimisation specifically in the form of verbal bullying, social exclusion/isolation bullying, emotional/psychological bullying and/or sexual bullying was seen to significantly contribute to the traumatic stress severity reported by the learners. Traumatic stress severity was however seen to depend on the frequency of bullying victimisation.
- Full Text:
- Date Issued: 2019
Compensating employees who suffer work-related psychiatric harm in the course and scope of their employment
- Authors: Du Plessis, Meryl Candice
- Date: 2008
- Subjects: Workers' compensation -- Law and legislation , Liability for emotional distress , Post-traumatic stress disorder , Occupational diseases
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: vital:3671 , http://hdl.handle.net/10962/d1003186 , Workers' compensation -- Law and legislation , Liability for emotional distress , Post-traumatic stress disorder , Occupational diseases
- Description: This study aims to ascertain the legal redress available to employees who suffer psychological harm as a result of workplace stress. On a general level, it identifies and assesses some of the available policy options, particularly as they relate to the interaction of statutory workers’ compensation schemes and the common law. On a more specific level, it examines and analyses various issues: the nature and extent of compensable psychiatric harm; the legal duty on employers to protect employees’ health and well being; the role of negligence; requirements specific to the Compensation for Occupational Injuries and Diseases Act 130 of 1993 (COIDA); and the causal nexus necessary to sustain a claim. The conclusion is reached that employees should utilise the workers’ compensation system as the primary vehicle to obtain redress if they suffer from occupational psychiatric harm. However, due to the law’s generally conservative approach to psychiatric harm and intimations that the Department of Labour intends setting strict requirements for claims for psychiatric harm in terms of COIDA, the common law of delict might continue to play an important role in claims for occupational psychiatric harm. The writer recommends that a hybrid system for compensation for stress-related psychiatric harm suffered in the course and scope of employment be adopted, with the statutory compensation scheme providing relatively limited benefits and the common law providing general damages if the claimant can prove negligence on the part of the employer; that the requirement of a recognised psychiatric illness be maintained for both statutory compensation and compensation in terms of the common law; that all parties’ interests are carefully balanced in delineating the employer’s legal duty to employers and that undue weight not be accorded to the terms of the contract of employment; that more attention be paid to factual causation and the development of lternatives/complements to the traditional conditio sine qua non test; that the validity of the circular instruction on post-traumatic stress disorder (PTSD) be tested on administrative-law grounds; and that the stringent prescription requirements set by the circular instruction on PTSD be reviewed.
- Full Text:
- Date Issued: 2008
- Authors: Du Plessis, Meryl Candice
- Date: 2008
- Subjects: Workers' compensation -- Law and legislation , Liability for emotional distress , Post-traumatic stress disorder , Occupational diseases
- Language: English
- Type: Thesis , Masters , LLM
- Identifier: vital:3671 , http://hdl.handle.net/10962/d1003186 , Workers' compensation -- Law and legislation , Liability for emotional distress , Post-traumatic stress disorder , Occupational diseases
- Description: This study aims to ascertain the legal redress available to employees who suffer psychological harm as a result of workplace stress. On a general level, it identifies and assesses some of the available policy options, particularly as they relate to the interaction of statutory workers’ compensation schemes and the common law. On a more specific level, it examines and analyses various issues: the nature and extent of compensable psychiatric harm; the legal duty on employers to protect employees’ health and well being; the role of negligence; requirements specific to the Compensation for Occupational Injuries and Diseases Act 130 of 1993 (COIDA); and the causal nexus necessary to sustain a claim. The conclusion is reached that employees should utilise the workers’ compensation system as the primary vehicle to obtain redress if they suffer from occupational psychiatric harm. However, due to the law’s generally conservative approach to psychiatric harm and intimations that the Department of Labour intends setting strict requirements for claims for psychiatric harm in terms of COIDA, the common law of delict might continue to play an important role in claims for occupational psychiatric harm. The writer recommends that a hybrid system for compensation for stress-related psychiatric harm suffered in the course and scope of employment be adopted, with the statutory compensation scheme providing relatively limited benefits and the common law providing general damages if the claimant can prove negligence on the part of the employer; that the requirement of a recognised psychiatric illness be maintained for both statutory compensation and compensation in terms of the common law; that all parties’ interests are carefully balanced in delineating the employer’s legal duty to employers and that undue weight not be accorded to the terms of the contract of employment; that more attention be paid to factual causation and the development of lternatives/complements to the traditional conditio sine qua non test; that the validity of the circular instruction on post-traumatic stress disorder (PTSD) be tested on administrative-law grounds; and that the stringent prescription requirements set by the circular instruction on PTSD be reviewed.
- Full Text:
- Date Issued: 2008
Cultural interpretations of traumatic events and post traumatic stress disorder (PTSD) symptoms of IsiXhosa-speaking adults
- Authors: De Villiers, Derika
- Date: 2012
- Subjects: Post-traumatic stress disorder , Emotions and cognition , Psychic trauma
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9878 , http://hdl.handle.net/10948/d1008379 , Post-traumatic stress disorder , Emotions and cognition , Psychic trauma
- Description: South Africa as a country is known for its high crime rate which produces an ongoing traumatising environment for its multicultural nation. Posttraumatic stress disorder in the general South African population is thought to be more prevalent than most international norms which make this topic both relevant and important. Cultural diversity is seen to play a role in the experience of PTSD which means that it has become important to gain an understanding of the potential effect of the individual’s cultural background on the processing of a traumatic experience and the symptoms related to the experience. The proposed research focused on appraisals of the traumatic event and symptoms (in schematic and cultural terms). An interpretive (with current cognitive conceptions of the disorder as guiding theory) phenomenological approach was used. The sample consisted of eight isiXhosa-speaking adults that qualified for a diagnosis of PTSD with no prior psychiatric diagnosis. Data was gathered using a semi-structured interview and analysed using the Interpretive Phenomenological Analysis. Results indicated that participants understood their PTSD symptoms in a functional manner but struggled to make sense of their traumatic event. Not understanding their traumatic event was the variable that maintained their PTSD diagnosis. Most of the interpretations made by these participants were fairly universal and there were very few links to content that can directly be attributed to a traditional African worldview. Practitioners may not need to completely reinvent the wheel as far as treatment strategies for PTSD for isiXhosa-speaking individuals in an urban setting go.
- Full Text:
- Date Issued: 2012
- Authors: De Villiers, Derika
- Date: 2012
- Subjects: Post-traumatic stress disorder , Emotions and cognition , Psychic trauma
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9878 , http://hdl.handle.net/10948/d1008379 , Post-traumatic stress disorder , Emotions and cognition , Psychic trauma
- Description: South Africa as a country is known for its high crime rate which produces an ongoing traumatising environment for its multicultural nation. Posttraumatic stress disorder in the general South African population is thought to be more prevalent than most international norms which make this topic both relevant and important. Cultural diversity is seen to play a role in the experience of PTSD which means that it has become important to gain an understanding of the potential effect of the individual’s cultural background on the processing of a traumatic experience and the symptoms related to the experience. The proposed research focused on appraisals of the traumatic event and symptoms (in schematic and cultural terms). An interpretive (with current cognitive conceptions of the disorder as guiding theory) phenomenological approach was used. The sample consisted of eight isiXhosa-speaking adults that qualified for a diagnosis of PTSD with no prior psychiatric diagnosis. Data was gathered using a semi-structured interview and analysed using the Interpretive Phenomenological Analysis. Results indicated that participants understood their PTSD symptoms in a functional manner but struggled to make sense of their traumatic event. Not understanding their traumatic event was the variable that maintained their PTSD diagnosis. Most of the interpretations made by these participants were fairly universal and there were very few links to content that can directly be attributed to a traditional African worldview. Practitioners may not need to completely reinvent the wheel as far as treatment strategies for PTSD for isiXhosa-speaking individuals in an urban setting go.
- Full Text:
- Date Issued: 2012
Cultural position and the development of posttraumatic stress disorder
- Authors: Dorfling, Inge-Louise
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46371 , vital:39564
- Description: Trauma exposure and PTSD are widespread health concerns in South Africa. This country is also extremely culturally diverse. The effects of cultural position on PTSD development are unknown. The objective was to explore these possibilities in detail. Individuals eighteen years or older with a stable pre-existing PTSD diagnosis participated in semi-structured voice recorded interviews. Both participants displayed clear conscious changes in cultural position following trauma exposure, some of which are believed to be due to a failure of support and acknowledgement from their collective. This would have contributed to PTSD development. Main themes identified were reactions of others and a paradigm shift. Further, more detailed research is required in this field.
- Full Text:
- Date Issued: 2020
- Authors: Dorfling, Inge-Louise
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/46371 , vital:39564
- Description: Trauma exposure and PTSD are widespread health concerns in South Africa. This country is also extremely culturally diverse. The effects of cultural position on PTSD development are unknown. The objective was to explore these possibilities in detail. Individuals eighteen years or older with a stable pre-existing PTSD diagnosis participated in semi-structured voice recorded interviews. Both participants displayed clear conscious changes in cultural position following trauma exposure, some of which are believed to be due to a failure of support and acknowledgement from their collective. This would have contributed to PTSD development. Main themes identified were reactions of others and a paradigm shift. Further, more detailed research is required in this field.
- Full Text:
- Date Issued: 2020
Ecotherapy in post-conflict healing: a study of the experiences of ex-combatants in the Eastern Cape township of Mdantsane
- Authors: Mbona, Sifingo
- Date: 2011
- Subjects: Post-traumatic stress disorder , Veterans -- Services for , Human services -- South Africa -- Eastern Cape , Environmental psychology
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11758 , http://hdl.handle.net/10353/331 , Post-traumatic stress disorder , Veterans -- Services for , Human services -- South Africa -- Eastern Cape , Environmental psychology
- Description: During this research project, an attempt was made to understand the role of ecotherapy as a therapeutic model in post conflict healing. The aim was to evaluate the application and significance of ecotherapy as an intervention strategy for post conflict healing for individuals who were exposed to violent encounters during the liberation struggle. Eight respondents (involved in the arms struggle) from Mdanstane Township in the Eastern Cape, were taken through a series of workshops as part of an ecotherapy healing process. The research concluded that all the participants had suffered from some form of traumatic stress because of their exposure to violence and violent experiences. Moreover, on closer examination the situation of ex-combatants proved to be more complex and often volatile, due to the absence of social support, loss of social status, absence of economic, employment opportunities, and the dislocation from their families and communities. Subsequent to the ecotherapy intervention, a positive outlook amongst the participants was recorded. Furthermore, there was an indication of a significant increase in their sense of self-worth and personal development, which influenced the manner in which the participants viewed the world, related to their families or communities and responded to life in general. Essentially, the research findings, conclusions, and recommendations contributed towards a better understanding of ex-combatants and the value that could be derived from ecotherapy as a post conflict healing method for individuals and groups exposed to violence and trauma.
- Full Text:
- Date Issued: 2011
- Authors: Mbona, Sifingo
- Date: 2011
- Subjects: Post-traumatic stress disorder , Veterans -- Services for , Human services -- South Africa -- Eastern Cape , Environmental psychology
- Language: English
- Type: Thesis , Masters , M SW
- Identifier: vital:11758 , http://hdl.handle.net/10353/331 , Post-traumatic stress disorder , Veterans -- Services for , Human services -- South Africa -- Eastern Cape , Environmental psychology
- Description: During this research project, an attempt was made to understand the role of ecotherapy as a therapeutic model in post conflict healing. The aim was to evaluate the application and significance of ecotherapy as an intervention strategy for post conflict healing for individuals who were exposed to violent encounters during the liberation struggle. Eight respondents (involved in the arms struggle) from Mdanstane Township in the Eastern Cape, were taken through a series of workshops as part of an ecotherapy healing process. The research concluded that all the participants had suffered from some form of traumatic stress because of their exposure to violence and violent experiences. Moreover, on closer examination the situation of ex-combatants proved to be more complex and often volatile, due to the absence of social support, loss of social status, absence of economic, employment opportunities, and the dislocation from their families and communities. Subsequent to the ecotherapy intervention, a positive outlook amongst the participants was recorded. Furthermore, there was an indication of a significant increase in their sense of self-worth and personal development, which influenced the manner in which the participants viewed the world, related to their families or communities and responded to life in general. Essentially, the research findings, conclusions, and recommendations contributed towards a better understanding of ex-combatants and the value that could be derived from ecotherapy as a post conflict healing method for individuals and groups exposed to violence and trauma.
- Full Text:
- Date Issued: 2011
Psychological and emotional effects of repeated exposure to violent crimes on victims residing in a high crime community in Nelson Mandela Metropolitan in the Eastern Cape
- Authors: De Klerk, Ulricha
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46413 , vital:39582
- Description: Traumatic Stress Disorder (PTSD). While the literature provides detailed and comprehensive approaches and counselling modalities to working with clients who experience traumatic events, there is not much evidence on the experiences of individuals who reside in high crime communities. It follows, that the psychological and emotional experiences, as well as needs of such individuals may present with specific requirements from the therapeutic alliance. This study aimed to explore the psychological and emotional effects of repeated exposure to high crime and violence and the implications this posed to traumatic experiences. The study further aimed to develop a set of guidelines that can be drawn upon when working therapeutically with clients who reside in high crime communities. The study draws on a qualitative methodology and 17 participants were interviewed. The transcripts were analysed using thematic analysis and five themes were identified, relevant to the aims and objectives that were set. The findings suggest that the psychological and emotional experiences of individuals who reside in high crime communities, is experienced at a more heightened and prolonged period, thus making the psychotherapeutic intervention employed, more specific. To this effect, the guidelines developed provide specific strategies and approaches thatwere developed based on the themes identified and verified by a panel of psychological experts. The study contributes to the field of trauma, counselling and violence, in that it focuses on an area of trauma that has not been adequately focused on withinthe South African context, as well as in global contexts.
- Full Text:
- Date Issued: 2020
- Authors: De Klerk, Ulricha
- Date: 2020
- Subjects: Post-traumatic stress disorder
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/46413 , vital:39582
- Description: Traumatic Stress Disorder (PTSD). While the literature provides detailed and comprehensive approaches and counselling modalities to working with clients who experience traumatic events, there is not much evidence on the experiences of individuals who reside in high crime communities. It follows, that the psychological and emotional experiences, as well as needs of such individuals may present with specific requirements from the therapeutic alliance. This study aimed to explore the psychological and emotional effects of repeated exposure to high crime and violence and the implications this posed to traumatic experiences. The study further aimed to develop a set of guidelines that can be drawn upon when working therapeutically with clients who reside in high crime communities. The study draws on a qualitative methodology and 17 participants were interviewed. The transcripts were analysed using thematic analysis and five themes were identified, relevant to the aims and objectives that were set. The findings suggest that the psychological and emotional experiences of individuals who reside in high crime communities, is experienced at a more heightened and prolonged period, thus making the psychotherapeutic intervention employed, more specific. To this effect, the guidelines developed provide specific strategies and approaches thatwere developed based on the themes identified and verified by a panel of psychological experts. The study contributes to the field of trauma, counselling and violence, in that it focuses on an area of trauma that has not been adequately focused on withinthe South African context, as well as in global contexts.
- Full Text:
- Date Issued: 2020
Psychologists' perceived influences of early strategies on the psychosocial response to those affected by disasters
- Authors: Blackburn, Nerina June
- Date: 2010
- Subjects: Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9872 , http://hdl.handle.net/10948/1416 , Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Description: Currently some confusion exists as to how health professionals should best respond to the psychological needs of those affected by disasters. Some have argued that early psychological intervention is essential and others have argued that early formal psychological interventions have no useful role in post trauma response. This study highlights the importance of considering both counselling and non-counselling factors as potentially influencing the psychosocial response of disaster victims. Although posttraumatic stress disorder (PTSD) is not the only mental disorder that can develop as a result of exposure to disasters, it is probably the most frequent and debilitating psychological disorder associated with traumatic stress. In this exploratorydescriptive study the researcher aimed to explore and describe psychologists’ perceived influences of early strategies on the psychosocial response to those affected by disaster. The researcher used non-probability snowball sampling to access participants. The sample consisted of 5 participants. Semi structured interviews were conducted. Content analysis was used to analyse the data obtained from interviews. Results that emerged from the data suggest that there are many factors that influence the psychosocial response to those affected by disasters. These factors include the screening process, needs of survivors, the method of choice for treatment, the timing of intervention, pharmacology, the South African context, training and planning. The study makes a contribution to the growing knowledge of early strategies in response to those affected by disasters.
- Full Text:
- Date Issued: 2010
- Authors: Blackburn, Nerina June
- Date: 2010
- Subjects: Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:9872 , http://hdl.handle.net/10948/1416 , Disasters -- Psychological aspects , Post-traumatic stress disorder , Disaster victims -- Mental health , Disasters
- Description: Currently some confusion exists as to how health professionals should best respond to the psychological needs of those affected by disasters. Some have argued that early psychological intervention is essential and others have argued that early formal psychological interventions have no useful role in post trauma response. This study highlights the importance of considering both counselling and non-counselling factors as potentially influencing the psychosocial response of disaster victims. Although posttraumatic stress disorder (PTSD) is not the only mental disorder that can develop as a result of exposure to disasters, it is probably the most frequent and debilitating psychological disorder associated with traumatic stress. In this exploratorydescriptive study the researcher aimed to explore and describe psychologists’ perceived influences of early strategies on the psychosocial response to those affected by disaster. The researcher used non-probability snowball sampling to access participants. The sample consisted of 5 participants. Semi structured interviews were conducted. Content analysis was used to analyse the data obtained from interviews. Results that emerged from the data suggest that there are many factors that influence the psychosocial response to those affected by disasters. These factors include the screening process, needs of survivors, the method of choice for treatment, the timing of intervention, pharmacology, the South African context, training and planning. The study makes a contribution to the growing knowledge of early strategies in response to those affected by disasters.
- Full Text:
- Date Issued: 2010
Self-esteem and traumatic stress severity in individuals from individualists and collectivists’ perspectives
- Authors: Singh, Romisha
- Date: 2018
- Subjects: Post-traumatic stress disorder , Self-esteem Self-esteem -- Cross-cultural studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/23186 , vital:30451
- Description: It is evident that traumatic stress influences cultures differently but how this happens is still unclear. It may be assumed that the differences in PTSD severity between independent and interdependent cultures may exist due to the differential influence of individual self-esteem. Although some international research is prevalent, none address the issue of self-esteem and the cultural element of independent vs interdependent specifically and to the knowledge of the researcher no similar South African research exists. To investigate whether independent or interdependent classification mediates the influence of individual self-esteem on traumatic stress severity, a quantitative correlational design is used. Based on a sample size of N=197, an independent sample t-test – with unequal group sizes - suggested that individuals from independent and interdependent cultures reportedly expressed post-traumatic symptomology similarly. Results from the ANCOVA have indicated that individual self-esteem does not influence traumatic stress severity and that independently classified White English speaking participants between the ages of 21-30 are more likely to experience higher levels of traumatic stress severity as opposed to interdependently classified Coloured Afrikaans speaking participants between the ages of 21-30. Finally, chi-square analysis indicated that ethnicity cannot be deemed as a variable that can predict culture classification. However, the varying home language preferences in cultures suggest a possibility of varying ethnic identities within each of the ethnic groups.
- Full Text:
- Date Issued: 2018
- Authors: Singh, Romisha
- Date: 2018
- Subjects: Post-traumatic stress disorder , Self-esteem Self-esteem -- Cross-cultural studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10948/23186 , vital:30451
- Description: It is evident that traumatic stress influences cultures differently but how this happens is still unclear. It may be assumed that the differences in PTSD severity between independent and interdependent cultures may exist due to the differential influence of individual self-esteem. Although some international research is prevalent, none address the issue of self-esteem and the cultural element of independent vs interdependent specifically and to the knowledge of the researcher no similar South African research exists. To investigate whether independent or interdependent classification mediates the influence of individual self-esteem on traumatic stress severity, a quantitative correlational design is used. Based on a sample size of N=197, an independent sample t-test – with unequal group sizes - suggested that individuals from independent and interdependent cultures reportedly expressed post-traumatic symptomology similarly. Results from the ANCOVA have indicated that individual self-esteem does not influence traumatic stress severity and that independently classified White English speaking participants between the ages of 21-30 are more likely to experience higher levels of traumatic stress severity as opposed to interdependently classified Coloured Afrikaans speaking participants between the ages of 21-30. Finally, chi-square analysis indicated that ethnicity cannot be deemed as a variable that can predict culture classification. However, the varying home language preferences in cultures suggest a possibility of varying ethnic identities within each of the ethnic groups.
- Full Text:
- Date Issued: 2018
The effectiveness and feasibility of online prolonged exposure therapy for post-traumatic stress among university students
- Authors: Slabbert, Maryna
- Date: 2023-03-30
- Subjects: Exposure therapy , Post-traumatic stress disorder , College students South Africa , Prolonged exposure therapy , Online therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408885 , vital:70534
- Description: Research has found that 70.6% of university students reported exposure to several traumatic events (Hoffman, 2002). Considering the high prevalence of trauma exposure among South African university students, many are at risk of developing post-traumatic stress disorder (PTSD) (Iribarren, Prolo, Naegos & Chiappelli, 2005). Prolonged Exposure Therapy (PE) is regarded as a first-line trauma therapy for PTSD (Foa, Hembree, Rothbaum, & Rauch, 2019). During the Covid-19 pandemic, public health guidelines for physical distancing reduced access to face-to-face mental health care. In response to this, many health care providers adapted to pandemic constraints by meeting their clients online, through Zoom, for example (Wells et al., 2020). Considering the prevalence of trauma exposure among university students, as well as the increased necessity of teletherapy, the study aimed to investigate the effectiveness and feasibility of online PE for PTSD among university students in a South African setting. The study employed Single-Case Experimental Design (SCED) as basis for its research design. Participants included a sample of Rhodes University students (n = 3) who were recruited through purposive sampling. Prior to the intervention, all three participants met the criteria for PTSD, and comorbid depression. Based on the measures used, two of the three participants did not meet the criteria for PTSD post-intervention. In terms of depression symptoms, one participant did not meet the criteria for depression post-intervention, and another participant showed a decrease in depression symptoms. Regarding the feasibility of online PE, all three participants reported the intervention to be feasible, acceptable, and appropriate. Overall, the study provides preliminary results to support the effectiveness and feasibility of online PE. It also gives insight into the value of intervention research and how it can ameliorate PTSD in a South African setting, as well as other low- and middle-income countries (LMICs). , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
- Authors: Slabbert, Maryna
- Date: 2023-03-30
- Subjects: Exposure therapy , Post-traumatic stress disorder , College students South Africa , Prolonged exposure therapy , Online therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408885 , vital:70534
- Description: Research has found that 70.6% of university students reported exposure to several traumatic events (Hoffman, 2002). Considering the high prevalence of trauma exposure among South African university students, many are at risk of developing post-traumatic stress disorder (PTSD) (Iribarren, Prolo, Naegos & Chiappelli, 2005). Prolonged Exposure Therapy (PE) is regarded as a first-line trauma therapy for PTSD (Foa, Hembree, Rothbaum, & Rauch, 2019). During the Covid-19 pandemic, public health guidelines for physical distancing reduced access to face-to-face mental health care. In response to this, many health care providers adapted to pandemic constraints by meeting their clients online, through Zoom, for example (Wells et al., 2020). Considering the prevalence of trauma exposure among university students, as well as the increased necessity of teletherapy, the study aimed to investigate the effectiveness and feasibility of online PE for PTSD among university students in a South African setting. The study employed Single-Case Experimental Design (SCED) as basis for its research design. Participants included a sample of Rhodes University students (n = 3) who were recruited through purposive sampling. Prior to the intervention, all three participants met the criteria for PTSD, and comorbid depression. Based on the measures used, two of the three participants did not meet the criteria for PTSD post-intervention. In terms of depression symptoms, one participant did not meet the criteria for depression post-intervention, and another participant showed a decrease in depression symptoms. Regarding the feasibility of online PE, all three participants reported the intervention to be feasible, acceptable, and appropriate. Overall, the study provides preliminary results to support the effectiveness and feasibility of online PE. It also gives insight into the value of intervention research and how it can ameliorate PTSD in a South African setting, as well as other low- and middle-income countries (LMICs). , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
The psychological sequelae of involvement in combat: a preliminary investigation
- Authors: Hodgson, Shane Ralph Colin
- Date: 1992
- Subjects: War -- Psychological aspects , War victims -- Mental health , Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:2993 , http://hdl.handle.net/10962/d1002502 , War -- Psychological aspects , War victims -- Mental health , Post-traumatic stress disorder
- Description: The psychological sequelae of being involved in combat are only recently coming to be understood. Most of the available data are from research conducted on help-seeking Vietnam veterans in the United States, and very little work has been done in South Africa. There does not as yet appear to be any instrument designed specifically to detect combat-related psychopathologies amongst soldiers who are still in active service, either in the USA or in South Africa. Combat involvement has been shown to lead to a high incidence of combat stress reaction. This in turn has shown that it can predispose sufferers to the development of a Post-traumatic Stress Disorder. It is thus expected that there would be significantly higher incidences of reported symptoms of stress disorders amongst soldiers exposed to high levels of combat as compared with a similar group of soldiers who had no combat involvement. This study used a self-reporting questionnaire, developed in the USA but adapted for use in South Africa, to allow the soldiers in the study to rate the severity of various symptoms derived from the DSM-III criteria for Post-traumatic Stress Disorder. A Beck Depression Inventory was also administered to eliminate any persons who nay have been exhibiting symptoms of depression, as this would have confounded the results. Both questionnaires were administered to serving members of the Permanent Force of the South African Defence Force, with one group being members of various high-combat units based in what was then South West Africa, and the other group being non-combat or Headquarters elements. As a precondition of the study, absolute confidentiality of the respondents and their units was maintained. The study found the expected higher scores in the high-combat group, and also showed that the Keane questionnaire has a good coefficient alpha in South Africa. The study closes with several recommendations for further research, especially in the light of the new PTSD criteria in the DSM-IIIR.
- Full Text:
- Date Issued: 1992
- Authors: Hodgson, Shane Ralph Colin
- Date: 1992
- Subjects: War -- Psychological aspects , War victims -- Mental health , Post-traumatic stress disorder
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:2993 , http://hdl.handle.net/10962/d1002502 , War -- Psychological aspects , War victims -- Mental health , Post-traumatic stress disorder
- Description: The psychological sequelae of being involved in combat are only recently coming to be understood. Most of the available data are from research conducted on help-seeking Vietnam veterans in the United States, and very little work has been done in South Africa. There does not as yet appear to be any instrument designed specifically to detect combat-related psychopathologies amongst soldiers who are still in active service, either in the USA or in South Africa. Combat involvement has been shown to lead to a high incidence of combat stress reaction. This in turn has shown that it can predispose sufferers to the development of a Post-traumatic Stress Disorder. It is thus expected that there would be significantly higher incidences of reported symptoms of stress disorders amongst soldiers exposed to high levels of combat as compared with a similar group of soldiers who had no combat involvement. This study used a self-reporting questionnaire, developed in the USA but adapted for use in South Africa, to allow the soldiers in the study to rate the severity of various symptoms derived from the DSM-III criteria for Post-traumatic Stress Disorder. A Beck Depression Inventory was also administered to eliminate any persons who nay have been exhibiting symptoms of depression, as this would have confounded the results. Both questionnaires were administered to serving members of the Permanent Force of the South African Defence Force, with one group being members of various high-combat units based in what was then South West Africa, and the other group being non-combat or Headquarters elements. As a precondition of the study, absolute confidentiality of the respondents and their units was maintained. The study found the expected higher scores in the high-combat group, and also showed that the Keane questionnaire has a good coefficient alpha in South Africa. The study closes with several recommendations for further research, especially in the light of the new PTSD criteria in the DSM-IIIR.
- Full Text:
- Date Issued: 1992
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