Utilizing Narrative Methodology in Trauma Treatment with Haitian Earthquake Survivors

An earthquake devastated Haiti in January 2010, killing than over 230,000 and displacing millions. Following this disaster, a culturally specific narrative model was developed for leaders (i.e., teachers, clergy, etc.) to treat trauma symptomatology among Haitians. The Haitian local leaders (n=85) were treated with the narrative model. Data were collected and analyzed, and the results were significant. The leaders’ trauma symptoms decreased following treatment. Following the narrative treatment, they were trained to utilize the model. Recommendations for future research and limitations of the study are discussed.     

Posttraumatic Growth in Trauma Recollections of 9/11 Survivors: A Narrative Approach

The relationship between posttraumatic growth (PTG) and adaptation is unclear. This study is the first to examine PTG in trauma narratives of survivors of the World Trade Center (WTC) attacks. Participants recalled their experiences 7 and 18 months post 9/11, and content analysis was conducted to detect PTG. Posttraumatic stress was also measured. PTG was commonly reported. Relating to others and positivity were frequent in the PTSD and non-PTSD group, although less frequent over time in the PTSD. Greater appreciation for life was reported by the non-PTSD group but relatively absent in the PTSD group. Women but not men reported relating to others across time. It appears that there are distinct profiles of growth implicated in distress and adaptation.     

Using Narrative Therapy in the Treatment of Adult Survivors of Childhood Sexual Abuse in the Context of Couple Therapy

Abstract

Childhood Sexual Abuse (CSA) is a prevalent social issue. Many theoretical approaches have been applied to the treatment of CSA, these approaches predominately focus on the treatment of children and adolescents, failing to address adulthood and couples’ relations. This limited focus fails to address long-lasting relational implications CSA survivors face. This paper proposes the application of a systemic therapeutic modality, Narrative therapy when treating adult survivors of CSA in couple therapy. The treatment of CSA in the context of couple therapy will be discussed. Clinical vignettes will be used. Implications for clinical practice and future research will be discussed.     

Encompassing experience: Meanings and methods in health psychology

Abstract

Health psychology is limited by its almost exclusive use of a positivist quantitative research paradigm, and the adoption and use of qualitative methods by health psychologists will provide increased understandings of health and illness. Qualitative methods provide a means to incorporate the social world into our research, and furnish ways to investigate the meanings of health and illness experience. We present a brief consideration of the qualitative paradigm and some important underlying issues related to its use. We describe three qualitative approaches - grounded theory, narrative analysis, and discourse analysis - chosen for their relevance and diversity. We provide illustrations of the use of each in health research, and suggest how these approaches could be utilised by health psychologists to enrich understanding in the health field. We conclude that health psychologists have a great deal to gain from joining other social science health researchers in adopting qualitative approaches in their research.     

Resilience in Holocaust Survivors: A Study of Defense Mechanisms in Holocaust Narratives

There is extensive literature examining the psychological adaptation of survivors after the Holocaust, including studies of Holocaust narratives (HN). As a measure of psychological adaptation, defense mechanisms (DM) have been studied in various clinical samples, however, to date, not in Holocaust narratives. Using a standardized observer-rated measure, we assessed DM in Holocaust versus pre/post Holocaust narratives (other narratives [ON]) in 20 in-depth survivor interviews. Regarding individual DM, isolation of affect and self-assertion were statistically more frequent in the HN than the ON. High adaptive (mature) level defenses were more frequent in the HNs than the ON. Furthermore, the overall defensive functioning (ODF) was higher in the HN than the ON, contradicting previous findings showing lower defensive functioning in life-threatening situations. Possible explanations include differences in the nature of trauma, the time elapsed between the trauma and the interview, and the specificity of the sample. A qualitative overview with several examples from the narratives are also presented.     

Cultural values and attitudes towards guidance and counselling services in one secondary school in Malaysia: the role of a school cultural system

This narrative ethnographic study aims to explore students' attitudes towards guidance and counselling services in one secondary school in Malaysia. Semi-structured individual interviews, group interviews and observations were conducted with school students of different racial backgrounds. They were identified as referred clients, self-referred clients, and those not deemed to be involved in counselling. The data were analysed using the constant comparative analysis grounded theory approach. The findings indicate that there were different attitudes among the three groups of participants concerning counselling services. The study highlights the role of a school system in elucidating attitudes towards guidance and counselling services. It poses implications for understanding counselling services within the school system.     

Trauma in the Lives of Older Men: Findings from the Normative Aging Study

Research on the prevalence of traumatic exposure has tended to focus on younger populations, limiting our knowledge about trauma and its effects in older adults. In this study, lifetime trauma exposure was assessed in a sample of 436 male military veterans of World War II and the Korean Conflict (age 59–92). A clinician-administered screening measure, the Brief Trauma Interview, was developed to assess lifetime exposure to 10 categories of trauma using DSM-IV criteria. PTSD was assessed in interview and questionnaires. Despite a high prevalence of trauma exposure, symptom levels were relatively low. Few men met criteria for current or lifetime PTSD. Secondary analyses found that lifetime symptom severity was higher in men who met the DSM-IV A.2 criterion, in contrast with men who did not meet A.2. Findings indicate that trauma is highly prevalent among older men, although many may be asymptomatic.     

Applying Psychoanalysis to Couple Therapy: The Treatment of a Couple with Sexualized Persecutory Internal Objects Resulting from Trauma

The application of psychoanalytic theory and technique to the treatment of couples has been relatively overlooked despite the long history of concern by psychoanalysts with the role of marriage in individual development and suffering. This paper uses an example of marital and sex therapy to illustrate the application of psychoanalytic object relations theory to couple therapy, and describes the way that in-depth treatment of the couple's persecutory object relations that follow severe trauma can be effectively conducted. The paper concludes with a brief discussion of issues of shame and guilt in psychoanalytic theory and their relevance to this couple.     

Qualitative Cancer Genetic Counseling Research, Part II: Findings from a Exploratory Ethnographic Study in a Cancer Clinic

This is a report of the preliminary findings of a brief exploratory ethnographic study in a cancer diagnosis and treatment clinic. The main research purpose was to explore the meaning of cancer and cancer treatment to patients themselves and to their relatives and close friends. The methods are described in detail in a paper focusing on the experiences of being a novice ethnographer (Peters et al. (2001) J Genet Counsel 10(2):133–150.). The preliminary results of this exploratory fieldwork indicate that the experience of attending a cancer treatment clinic for evaluation and/or treatment is a complex social, emotional as well as medical process for patients and families. Themes with relevance to genetic counselors that emerged from this early observation period included ideas about causes of cancer, the complex nature of families and kinship, coping and support, use of food, and healing. These initial findings have implications for genetic counseling practice and hopefully will stimulate more qualitative social and behavioral research in cancer genetic counseling.     

Longitudinal Associations Between Trauma Exposure and Executive Functions in Children: Findings from a Dutch Birth Cohort Study

Research on Child and Adolescent Psychopathology - This study is the first to distinguish two possible predictive directions between trauma exposure and executive functioning in children in a...     

Fact and the Narratives of War: Produced Undecidability in Accounts of Armed Conflict

This paper explores how providing the inferential basis to argue for a range of equally plausible interpretations features as a way of managing issues of accountability in talk about armed confrontation. We examine conversation produced in open-ended interviews with diplomatic representatives of the United States and Great Britain in discussion about those countries' involvement in the Persian Gulf conflict of 1990–91. By providing the inferential basis upon which to argue for a range of equally plausible interpretative scenarios, speakers attend to the potential for any one account to be privileged over another. Further, in speculating upon the relationship between interpretative particulars and the inferential outcome to be drawn for some specific version of events in question, speakers work to establish the parameters of an admissible narrative trajectory with which to account for those events. In so doing, they manage the implications that excluded versions would otherwise make relevant.     

Story Coalitions: Applying Narrative Theory to the Study of Coalition Formation

This article explores the potential of incorporating narrative theory into the study of coalition formation. Following a discussion of the role of narratives in group‐formation processes in a coalition‐driven dynamic, we offer a theoretical framework to examine the ways political stories espoused by people are mirrored by the partisan system. We integrate theoretical assumptions of narrative studies with coalition‐formation theories in an attempt to frame coalition‐formation models in terms of voters' political stories. We test our theoretical framework by simulating various possible coalitions in the Israeli 2009 elections and assess the results based upon data from an exit poll survey.     

Honoring and Privileging Personal Experience and Knowledge: Ideas for a Narrative Therapy Approach to the Training and Supervision of New Therapists

This article discusses an approach for the training and supervision of new therapists built around social constructionist and poststructuralist ideas from a narrative therapy perspective. We briefly discuss some of the pitfalls of current training/supervision in marriage and family therapy (MFT) that are deficit based and/or that disproportionately grant privilege to expert knowledge. We articulate this emerging training approach which utilizes the rite of passage metaphor, centers relationalism, and incorporates the honoring and privileging of new therapists' lived experience, knowledges, skills, talents, ideas, morals, personal ethics, values, beliefs. Concrete practices of experience privileging, re-membering, and creating communities of concern are detailed, and illustrative examples from our supervision work are given.     

Narratives of therapeutic art-making in the context of marital breakdown: older women reflect on a significant mid-life experience

This paper explores the narratives of three women aged 65–72 years. They reflected on an episode of therapeutic art-making in midlife, which addressed depression associated with marital crisis and breakdown. The narrative analysis focused upon on the ways in which participants narrated the events leading up to their participation in therapeutic art-making; the aspects of therapeutic art-making that continued to be given significance; the characters given primacy in the stories they told about their journey through therapy and marital breakdown; meanings, symbolic and otherwise, that participants ascribed to their artwork made during this turning point in their lives; and aspects of the narratives that conveyed present-day identities and artistic endeavors. The narratives revealed the complexity of the journey through marital breakdown and depression into health, and showed that therapeutic art-making could best be understood, not as a stand-alone experience, but as given meaning within the context of wider personal and social resources. Participants looked back on therapeutic art-making that occurred two decades earlier and still described this as a significant turning point in their personal development. Art as an adjunct to counselling/therapy was not only symbolically self-expressive but provided opportunity for decision-making, agency and a reformulated self-image.     

Spiritual,Religious, Nonspiritual,and Nonreligious Narratives in Marginalized Older Adults: A Typology of Coping Styles

SUMMARY

Narrative therapy is an important tool in the phenomenological framing of life events with older clients. Seventy-nine older adults who lived independently in four subsidized high-rise housing facilities in Chicago were interviewed in a research project about managing life challenges. Cases represent four types in a spiritual-religious typology: religious and spiritual, religious only, spiritual only, and neither religious nor spiritual (Zinnbauer, 1997). This article explores how older adults managed adversity and maintained a sense of self-efficacy. Findings indicate that older adults use many references to religion and spirituality in their narratives, either embracing these domains or defining themselves in contrast to them. Narrative therapy suggests that the implications of religious and spiritual resources addressed in client stories may reinforce coping capacity and promote aging well.     

Narrative Therapy Using a Reflecting Team: An Ethnographic Study of Therapists' Experiences

Narrative therapy in the last 15 years has been utilized by many clinicians and yet there is a lack of research on therapists' experience of this approach. This ethnographic research explores the views and perceptions of eight narrative therapists who belonged to a narrative team in an outpatient clinic. These therapists were observed and interviewed. Five themes emerge from the data. The themes include a sense of success in reducing the clients' problems as well as some limitations of narrative therapy. Two recommendations for research and practice involve the use of narrative therapy without a team and the use of narrative therapy in addressing issues of family violence.     

Psychological and overall well-being of Italian young adults in transition to adulthood: Evidence from a sequential explanatory mixed-methods study

Transitioning to adulthood is a fundamental yet challenging phase in human development. Despite its relevance, the literature has paid little attention to the impact that transitioning to adulthood has on multiple aspects of individual well-being. This is one of the few attempts that has employed a sequential explanatory mixed-methods study to explore how the path to adulthood impacted on the psychological and overall well-being of Italian young adults. In the quantitative phase, we employed two-step cluster analysis to assign 45 young adults, who had completed the Italian I COPPE scale of multidimensional well-being, to three clusters based on their level of change in psychological and overall well-being. Results from mixed design ANCOVA revealed that participants belonging to the high change cluster showed the highest significant positive change over time with respect to well-being. In the qualitative phase, 17 individuals took part in focalized narrative interviews, which aimed at exploring significant events, barriers, and facilitators, which had impacted on their well-being during the transition to adulthood. The textual material was analysed through the Grounded Theory Methodology. It emerged that the state of transition was associated with some triggering events and a temporary negative impact on the interviewees' well-being. However, findings also revealed that people assigned to different clusters had put in place or learned several resources, skills, and copying strategies, which led to different transitional and well-being outcomes.     

远离“城嚣”:自然对人的积极作用、理论及其应用

人类大部分进化时间都是在自然环境中发生的,自然在人的身心健康、认知功能等方面都有积极作用。3个主要的理论揭示了自然对人的积极作用:亲生命性假设认为亲近自然是人类的天性,并且会使人变得更健康和快乐;注意恢复理论认为人处于自然中使用的无意注意能对有意注意疲劳起到恢复作用;压力恢复理论认为接触自然能够激活人类的积极情绪,从而对压力有缓解作用。目前自然对人的积极作用已经在园艺疗法和自然环境疗法得到广泛应用。未来还可以从其他的心理学视角解释自然对人的积极作用,实证研究可以关注真实自然环境和虚拟自然环境的作用差别,还可以考察视觉以外的其他感觉通道接触自然的作用,并结合认知神经科学考察自然积极作用的神经机制。