Zvi Lothane MD 《International Forum of Psychoanalysis》2013,22(4):232-239

Abstract

The first part of the paper focused on the dynamics of wit in life, literature, and psychoanalysis; the second part of this paper is devoted to the use of humor in therapy. The central concept is Freud's psychoanalytic method, as distinguished from Freud's various theories of disorder, or neurosis, with a further elaboration of Freud's inherently interpersonal conception of the analytic process, already present in the cathartic phase of the therapeutic technique. The cathartic, or discharge, function of humor is connected to reciprocal free association (a term coined by the author) to define the mutual and reciprocal free association in analysand and analyst, playing an essential role in the genesis of insight and interpretation. Humor has its role in loosening repression, facilitating the emergence of unconscious emotions and ideas, bringing to light character defenses, and thus driving the process of analysis.  相似文献   

    

Elizabeth Ford  Susan Ayers 《Psychology & health》2013,28(12):1553-1570

Background: Many women experience childbirth as traumatic and 2% develop post-traumatic stress disorder. This study examined the role of health practitioner support and personal control during birth as predictors of post-traumatic stress (PTS) symptoms, adjusting for vulnerability factors of prior trauma, depression, control beliefs and birth intervention. It also investigated interactions between support, prior trauma and birth intervention and their association with PTS symptoms.

Methods: A prospective longitudinal survey of 138 women recruited from UK NHS maternity clinics. Measures were taken in pregnancy, 3 weeks and 3 months after the birth.

Results: Support and control during birth were not predictive of postnatal PTS symptoms. However, support was predictive of PTS symptoms in a subset of women with prior trauma (β?=??0.41, R ²?=?16%) at both 3-weeks and 3-months postpartum. The interaction of birth intervention and support was associated with PTS symptoms 3 months after birth, the relationship between support and PTS symptoms was stronger in women experiencing more intervention.

Conclusions: Low support from health practitioners is predictive of postnatal PTS symptoms in women who have a history of trauma. Longer term effects of low support on postnatal PTS symptoms are also found in women who had more intervention during birth.  相似文献   

    

Ricky Greenwald  Scott D. McClintock  Tyson D. Bailey 《Journal of aggression, maltreatment & trauma》2013,22(9):981-996

Ten therapists who were already trained and experienced in eye movement desensitization and reprocessing (EMDR) received training in progressive counting (PC), a newer trauma resolution method. Nineteen volunteers with single-incident trauma or loss were assigned to a therapist and then randomized to treatment condition; 15 completed treatment to termination criteria or until the 4th session. Participants in both conditions experienced significant reductions in post-traumatic stress disorder (PTSD) symptoms, memory-related distress, and presenting problems at one week posttreatment, and maintained at 12-week follow-up, with no significant differences in outcomes, treatment efficiency, or dropout rate. The preliminary findings of this pilot study suggest that PC is an efficient, well-tolerated, and effective trauma treatment that is relatively easy for therapists to master.  相似文献   

    

Annelies L. Daalder  Stefan Bogaerts  Catrien C. J. H. Bijleveld 《Journal of aggression, maltreatment & trauma》2013,22(9):935-949

In this article, the relationship between childhood abuse and neglect and post-traumatic stress disorder (PTSD) in adulthood is examined in a sample of 123 female indoor sex workers in the Netherlands. It was hypothesized that the severity of childhood abuse and neglect is associated with the severity of PTSD. In this study, a substantial number of sex workers had experienced abuse, neglect, or both during childhood. Furthermore, a substantial number suffered from PTSD. Results show significant differences between sex workers suffering from PTSD and sex workers not suffering from PTSD, in the extent to which they have experienced abuse or neglect. Logistic regression analysis shows emotional abuse contributes significantly to the prediction of PTSD. Our findings suggest that the high rate of PTSD among sex workers might be partially related to childhood experiences, indicating that a number of sex workers might be traumatized before entering sex work.  相似文献   

    

Sally A. Theran  Sohyun C. Han 《Journal of aggression, maltreatment & trauma》2013,22(10):1096-1116

The goal of this cross-sectional study was to determine if authenticity in relationships mediated the relation between early childhood maltreatment and negative outcomes (depression, low self-esteem, and traumatic symptoms). An ethnically diverse sample of female college students (N = 257, M age = 19.74) completed self-report questionnaires related to early childhood maltreatment, negative outcomes, and authenticity in relationships. Approximately 30% of participants experienced childhood maltreatment including physical maltreatment, emotional maltreatment, or both. Results from multiple mediation analyses indicated that, when controlling for physical maltreatment, authenticity in close relationships significantly partially mediated the relation between emotional maltreatment and depression, self-esteem, and traumatic symptoms (p < .05). However, when controlling for emotional maltreatment, physical maltreatment did not significantly predict any of the outcome variables, so physical maltreatment was not significantly mediated by authenticity in relationships. These results have important clinical implications for women who experience negative mental health outcomes as a result of childhood maltreatment.  相似文献   

    

Kjerstin Gurda 《Journal of aggression, maltreatment & trauma》2013,22(7):773-793

Trauma-related disorders and treatment have gained increasing attention in the last 3 decades, spurring the development of novel treatment approaches. Many of these are incorporated into clinical practice despite lacking a solid evidence base or unbiased analyses to facilitate interpretation of existing information. Although treatments might draw on elements from validated therapies, questions regarding the incremental efficacy of new approaches persist. Three novel therapies that might warrant further examination include energy psychology, yoga, and brainspotting. The emergence of novel, trauma-related therapies is examined, and the history, theory, practice, and evidence base of these 3 specific therapies are outlined. Directions for future work are discussed. Expositions such as this might serve as a helpful resource for clinicians seeking discernment regarding treatment for posttraumatic stress disorder.  相似文献   

    

Judith A. Howard 《Journal of aggression, maltreatment & trauma》2013,22(5):545-565

In most classrooms in most schools, there are students who have suffered complex trauma who would benefit from a system-wide, trauma-informed approach to schooling. Despite growth in Australian schools adopting trauma-informed practice, education systems are yet to embrace a whole-of-organization approach, unlike other systems supporting children and adolescents. This is likely due to multifarious complexities inherent in, and specific to, the schooling system. This article reviews early findings from current research in Queensland, Australia that is exploring requirements for a system-wide approach to trauma-informed schooling. Findings highlight that achieving systemic, trauma-informed schooling is complex but necessary and has potential to improve outcomes for students and those aiming to educate them. Findings have implications for schooling and education systems worldwide.  相似文献   

    

Heather R. Welfare  Clive R. Hollin 《Journal of aggression, maltreatment & trauma》2013,22(8):955-969

This study describes the prevalence of traumatic childhood experiences and the extent of trauma-related symptomatology in a group of incarcerated young men within the Young People’s prison estate in England. Semistructured interviews using the Trauma History Interview, the Intrusions and Ruminations Interview, and the Impact of Events Scale–Revised were conducted with 34 young men aged 15 to 17 years who had either murdered or committed serious violence and were serving indeterminate or long-term sentences. Many of the young men had experienced high levels of childhood trauma, and some were still experiencing trauma related to the committal of their offenses approximately 18 months after their offenses had been committed. This is an important finding in relation to the prevalence of unrecognized and untreated traumatized young prisoners.  相似文献   

    

Abigail K. Mansfield  Michael E. Addis  James V. Cordova  Lynn Dowd 《Journal of aggression, maltreatment & trauma》2013,22(3):221-247

Psychological research has documented several predictors of aggression, including adherence to hegemonic masculinity, trauma symptoms, and insecure attachment. However, at present, little is known about why these variables predict aggression. This study used acceptance theory to introduce the concept of emotional skillfulness as a counterpoint to emotion dysregulation. In an effort to better understand the pathways through which these variables predict aggression, this study used a clinical sample to test three mediational models which hold that emotional skillfulness functions as a common link between the aforementioned predictors and aggression in both men and women. Results indicated that emotional skillfulness is a mediator of aggression for both men and women, but that the predictors of aggression differed by gender.  相似文献   

    

Nicole M. L. Buck  Maaike Cima  Marike Lancel  Hjalmar J. C. Van Marle 《Journal of aggression, maltreatment & trauma》2013,22(2):223-236

Aggressive individuals often exhibit a hostile attributional bias (HAB). To examine why some people exhibit the HAB to a higher degree than others, we tested the hypothesis put forth by Dodge (2006). Dodge hypothesized HAB results from traumatic experiences and this relation is mediated by schemas. This hypothesis was tested among 135 Dutch and migrant participants. Among Dutch participants, traumatic experiences were not related to the HAB but were related to schemas. However, among migrants, traumatic experiences were related both to the HAB and schemas, but schemas were not related to the HAB. Therefore, traumatic experiences are related to a HAB only in migrants. Furthermore, in both groups, schemas do not mediate the relation between traumatic experiences and the HAB.  相似文献