Gender and Changes in Trauma Narrative Following CBT for PTSD

Our study explored whether the characteristics of pretreatment trauma narratives could be used as indicators of posttraumatic stress disorder (PTSD) symptom severity before treatment. We also studied whether pretreatment characteristics could predict treatment efficacy. Although several studies suggest that fragmentation, proportion of internal events, and length in trauma narratives are associated with PTSD symptomatology, there are contradictions in the findings. Given the differences in trauma response between men and women, we considered the potential influence of gender. Before beginning a cognitive-behavioral therapy treatment, 66 participants verbally recounted their traumatic event during a diagnostic interview. After treatment, 48 participants once again provided a trauma narrative. PTSD symptom severity was assessed using the Clinician-Administered PTSD Scale. Linear regression analyses revealed that none of the pretreatment characteristics predicted treatment efficacy. Furthermore, the length of the trauma narrative was the only pretreatment characteristic that correlated with pretreatment PTSD symptomatology. This suggests that more severe symptomatology is associated with shorter narratives. We only found a significant gender difference in narrative length, which was longer in women than in men. Our findings not only highlight the need for additional research on the link between trauma narratives and PTSD symptomatology, but also stress the necessity of considering gender in this field of research. This could allow for enhanced treatments to target gender-specific needs, thus leading to more individualized care for PTSD patients.     

Challenge and threat emotions as antecedents of recovery experiences: findings from a diary study with blue-collar workers

The aim of this study was (1) to investigate whether threat (e.g., anxiety, fear) and challenge (e.g., confidence, excitement) emotions that employees experience before work while thinking about the upcoming workday predict their recovery experiences (i.e., psychological detachment, relaxation, mastery, and control) after work and (2) to explore the moderating role of job control on the effect of threat and challenge emotions on recovery experiences. For two to four weeks, 57 blue-collar workers at an airport’s hub station completed a diary. Multilevel analyses (N = 1104) reveal that threat emotions in the morning decrease psychological detachment and relaxation after work. Job control buffers this negative effect. Furthermore, challenge emotions in the morning boost mastery after work. Next, when employees have low job control, challenge emotions also boost the recovery experience control. Practical implications and the need for future studies to examine more fine-grained mechanisms for better understanding how threat and challenge emotions experienced before starting work affect recovery experiences after work are discussed.     

Views of a good life and allostatic load: Physiological correlates of theories of a good life depend on the socioeconomic context

This research examines the relationship between one’s theory of a good life and allostatic load, a marker of cumulative biological risk, and how this relationship differs by socioeconomic status. Among adults with a bachelor’s degree or higher, those who saw individual characteristics (e.g. personal happiness, effort) as part of a good life had lower levels of allostatic load than those who did not. In contrast, among adults with less than a bachelor’s degree, those who saw supportive relationships as part of a good life had lower levels of allostatic load than those who did not. These findings extend past research on socioeconomic differences in the emphasis on individual or relational factors and suggest that one’s theory of a good life has health implications.     

The case of Sophie

The analysis of a girl from ages 3 to 5 years old offers a clinical illustration of an alternative theory of change. In this theory the process of change is organized around nodal points of exchange between patient and analyst, designated as “now moments” and “moments of meeting.” In the case presented, these moments were preceded by an intensification of affect and were accompanied by a sense of openness and ambiguity. As often as not they were nonverbal and sometimes did not even involve symbolic representation. The process resulted in a progressively expanded repertoire of ways of being together and ways of doing things together. In a parallel and mutually influencing track, the child was telling me a story that gave meaning to her world, and increased the coherence of her sense of self. © 1998 Michigan Association for Infant Mental Health     

Identifying thriving Workplaces in Hospitals: Work Characteristics and the Applicability of Character Strengths at Work

In most of their work settings, the health and well-being of hospital physicians are at risk. Trends of work intensification and changing laws in the European Union and beyond have heightened the call for taking a closer look at the workplace and training conditions of hospital physicians. This study aims to identify specific work characteristics (such as autonomy, social support, cognitive demands, and skill adequacy), in order to determine conditions for the applicability of individual character strengths at work and in turn for increased work engagement and well-being. We examined our hypotheses based on cross-sectional (N = 173) and longitudinal self-report data (N = 72) of hospital physicians in Austria. The results identified significant indirect effects of skill adequacy, cognitive demands, autonomy, and social support at work – via the applicability of individual character strengths at work – on work engagement and general well-being. Longitudinal analyses additionally confirmed autonomy as a thriving work characteristic for promoting the applicability of individual character strengths over time (time lag: 6 months). This study revealed the value of enabling and preserving the applicability of character strengths in a hospital work setting and focused – for the first time – on its predicting work characteristics. Furthermore, it emphasizes the importance of securing skill adequacy early in the training of young physicians and encouraging, as well as, sustaining autonomy in their daily work life.

     

Abstract Thinking Increases Support for Affirmative Action

Sex Roles - Affirmative action is the proactive process of using resources to ensure that people are not discriminated against based on their group membership, such as gender or ethnicity. It is an...     

Enabling Action: Reflections upon Inclusive Participatory Research on Health with Women with Disabilities in the Philippines

People with disabilities experience health disparities arising from social, environmental, and system-level factors. Evidence from a range of settings suggests women with disabilities have reduced access to health information and experience barriers to screening, prevention, and care services. This results in greater unmet health needs, particularly in relation to sexual and reproductive health. Women with disabilities are also more likely to experience physical and sexual violence than women without disabilities, further undermining their health. Community-based participatory research (CBPR) can generate knowledge and underpin action to address such health disparities and promote health equity. However, the potential and challenges of disability inclusion in CBPR, particularly in contexts of poverty and structural inequality such as those found in low- and middle-income countries, are not well documented. In this paper, we reflect on our experience of implementing and evaluating W-DARE, a three-year program of disability-inclusive CBPR aiming to increase access to sexual and reproductive health and violence-response services for women with disabilities in the Philippines. We discuss strategies for increasing disability inclusion in research and use a framework of reflexive solidarity to consider the uneven distribution of the benefits, costs, and responsibilities for action arising from the W-DARE program.