Vicarious trauma: The psychological impact of working with survivors of trauma for South African psychologists

Traumatic events are highly prevalent in South African society and psychologists who work with survivors of trauma have been identified as particularly at risk of being adversely affected by their work, and experiencing vicarious trauma. This study aimed to explore the experiences of a group of South African psychologists who work predominantly with trauma survivors. Individual semi-structured interviews were conducted with six psychologists (females = 67%). The predominant type of trauma encountered by participants in clinical practice was interpersonal trauma in the form of physical and sexual abuse (83%). Data were analysed using thematic analysis. All participants reported symptoms of vicarious trauma including disruption in cognitive schemas, symptoms characteristic of post-traumatic stress disorder, and somatic symptoms. Participants also reported vicarious post-traumatic growth including an enhanced sense of interpersonal connectedness and positive changes in their philosophy of life and self-perceptions. The findings serve to sensitise psychologists to the impact of working with trauma survivors so as to enhance the efficiency of psychological service delivery to traumatised populations.     

On the Margin: Power and Women's HIV Risk Reduction Strategies

HIV risk and prevention research has failed to investigate adequately the effects of gender-related factors such as relationship power, sexual communication, abuse, and gender roles on women's abilities to engage in protective actions. We propose that women's HIV risk from heterosexual transmission is embedded in the context of gender, race/ethnicity, and class oppression. This context has central implications for interpersonal relationship factors relevant to women's HIV risk. We suggest a framework for understanding women's HIV risk within the context of oppression and the role of power in intimate sexual relationships. Three common dynamics of oppression are considered: (1) Silencing, (2) Violence and Fear of Violence, and (3) Internalized Oppression. These dynamics are based on characteristics of oppression discussed in the work of Jean Baker Miller on gender, Hussain Bulhan on race, and Paulo Freire on class. These dynamics are discussed in the context of findings reported in this journal issue and those of other authors. Finally, the discussion identifies common patterns across studies, as well as areas of disagreement and directions for future research and public health prevention efforts.     

A diathesis-stress conceptualization of expressed emotion and clinical outcome

A sizeable body of research has demonstrated that expressed emotion (EE) predicts clinical relapse in a number of distinct psychiatric disorders. These findings have provided the impetus for the development of interventions that attempt to reduce patients' relapse rates by modifying aspects of the family environment believed to be associated with high levels of EE. Despite the efficacy of these treatments, however, we know little about how EE develops in relatives of psychiatric patients or about the mechanisms through which high EE leads to relapse. Moreover, there is not a coherent theory that attempts to integrate findings concerning the impact of high EE on relapse in different disorders. The purpose of this article is to elucidate a diathesis-stress conceptualization of EE to explain both the development and manifestation of high EE in relatives of disordered patients and the impact of high EE on the course of patients' disorders. In this context, we use a diathesis-stress perspective to examine why EE predicts symptom relapse and poor clinical outcome in schizophrenia, depressive disorders, and borderline personality disorder. We conclude by discussing treatment implications of the diathesis-stress perspective and by outlining what we believe are fruitful directions for future research.     

Immigrant acculturation attitudes and host country identification

This study assessed the efficacy of a model predicting the host country identification of members of immigrant groups. The model proposed that host country identification is primarily determined by the positivity of the immigrants' acculturation attitude towards living according to the standards and values of the host country, followed by the degree of acceptance by members of the dominant cultural group, the success immigrants experience in the new country, and the extent to which they choose to live within their ethnic environment rather than the wider society. The study included 602 adult immigrants from a number of countries (Vietnam, People's Republic of China, Hong Kong, Taiwan, Sri Lanka, and New Zealand), which varied in their cultural similarity to the host country, Australia. Results from a multiple regression analysis of participants' questionnaire responses revealed good support for the model. As expected, acculturation attitude towards Australia was the strongest predictor of host country identification, followed by acceptance by Australians, while extent of ethnic involvement was a significant negative predictor. The results also revealed ethnic identification as a significant positive predictor of host country identification. The importance of the relationship between acculturation attitudes and identification is discussed, together with immigrants' identification processes towards their ethnic group and the host country. Copyright © 2000 John Wiley & Sons, Ltd.     

The Freedom of Thought: Patočka on Descartes and Husserl

Pato?ka highlights the central role of Cartesianism in our tradition of thinking. Yet, today, brain scientists often claim to have overcome Cartesian dualism. In this paper, I argue that the Cartesian conceptions of human nature and sensory perception remain presuppositions of brain science, where perception is largely equated with thinking. Equating perception and thinking means that thinking is a determined process, which leads to an erosion of critique. Critique, and the freedom of thought it entails, is essential to Descartes, Husserl and Pato?ka. I examine the differences, as well as the relationship, between Descartes method of doubt, Husserl’s phenomenological epochē and Pato?ka’s universalization of the epochē. I also show how Descartes’, Husserl’s and Pato?ka’s way into critique present different ways to understand self, things and the world. In conclusion, I suggest that Pato?ka presents a promising way to critique mechanistic understandings of thinking by rethinking both subject and object.     

Well‐being and pressures of daily life in two West Bank villages—Exploring context and history

Interest in the well‐being of people exposed to long‐term violence and conflict has tended to focus on measurable effects of acute traumatic events, while attention to the pressures of their daily living context is relatively new. Using qualitative and quantitative data from a 2005 survey of all female family caretakers in 2 neighbouring Israeli‐occupied West Bank villages (n = 820), we explored the associations of demographic, health‐related and contextual factors with reported pressures and WHO‐5 well‐being index scores. The final model explained 17.8% of the variance with negative associations between health‐related factors (“back‐aches,” “stomach aches” “psychological illness in the family”) and family‐related factors (“male head of household aggressive”, “male head of household physically violent”) and the WHO‐5 well‐being index scores. We found positive associations between socio‐economic factors (“standard of living”; “number of rooms”) and village‐related factors (“residency in village A/B”) and the WHO‐5 well‐being index score. Exploring the daily living context of villages A and B illuminated how the impact of historical and political events differed, even in villages that are geographically close. The paper lends support to calls for including politics and history in research on well‐being in contexts of long‐term violence and conflict.     

“This phone saved my life”: Older persons’ experiences and appraisals of an mHealth intervention aimed at addressing loneliness

This qualitative study aimed to explore older persons’ experiences and appraisals of the utility of an mHealth intervention for reducing their sense of loneliness. Participants (n = 13; 86.42% females; age range 65 to 87 years) received training in the use of a smartphone and a social networking application (WhatsApp). Following the intervention, they completed a focus group discussion. For data triangulation, participants shared their social media postings. Content analysis of the focus group discussion and social media data indicated that the mobile device was used to mitigate perceptions of loneliness and isolation, thus facilitating social network building, enhancing self-efficacy, and improving cognitive flexibility. Mobile phones and a social networking application appear to reduce loneliness experienced by the elderly.     

The Effect of Sexual Programme Content on the Recall of Foreign Sexual and Non‐sexual Advertisements

This study explored the effect of programme content (sexual and non‐sexual) on the recall of sexual and non‐sexual advertisements. Seventy‐eight participants were allocated randomly to four different groups and viewed either a sexual or non‐sexual programme with either sexual or non‐sexual advertisements placed within. Free recall and cued recall of the advertisements were assessed. The sexual content of programmes impaired advertisement recall, for both free recall and cued recall. Furthermore, advertisements that were of a sexual nature were remembered better than neutral advertisements. There was also an interaction between advertisement type and gender; women remembered more sexual than non‐sexual advertisements, but this was not the case for men. Finally, there was an interaction between programme type and gender, with a marked tendency for men to recall fewer advertisements embedded in the sexual programme than women. Limitations and implications of this research are discussed.Copyright © 2017 John Wiley & Sons, Ltd.