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111.
This paper is based upon an interpretative phenomenological analysis (IPA) which investigated the experiences of twelve people who had been sexually abused by Roman Catholic priests or religious. The premise of the research was based upon a perceived assumption that distinct forms of sexual traumatology generate unique trauma characteristics not accounted for within the existing Post-Traumatic Stress Disorder (PTSD) conceptual frameworks (International Statistical Classification of Diseases and Related Health Problems ((DSM-IVTR 2000;) ICD-10 R, 2007). Recent developments in psychodiagnostics to support the relevance of religious concerns where incorporated into the Diagnostic and Statistical Manual of Mental Disorders DSM-IV edition (1994) which allowed a range of “religious” and “spiritual” problems to be explicitly identified as a focus for specific clinical attention. However, these appear quite vague in accounting for the range of trauma experiences experienced by this participant group. Evidence arose which indicated the majority of the research participants considered “God” to have been integral within the abuse, manipulated by design or default by the cleric or religious perpetrator. These idiosyncratic trauma characteristic created significant anxiety and distress in areas such as theological belief, crisis of faith, and fears surrounding the participant's own mortality. The IPA research identified six distinct, themed differences of which four will be discussed in more detail for the purpose of this paper. It will consider the attributes of these themes in relation to Roman Catholicism, celibacy and Canon law, and further question the sufficiency of the DSM-IV “V” Codes in accounting for the myriad of symptoms survivors of sexual abuse perpetrated by Roman Catholic Priests and Religious actually describe.  相似文献   
112.
113.
This study is an attempt to understand the role of cultural resources in promoting coping among Tibetan refugees. Tibetan refugee communities have adapted well and managed to preserve their cultural identity in exile and have been cited as models of successful coping with refugee life. Tibet is renowned for its rich culture and traditions. The unique feature of this culture is the devotion towards Buddhism which has exerted a strong influence in almost every aspect of their life and culture. This study is a qualitative investigation of 12 Tibetan refugees coming from diverse background (students, businessmen, activists, and ex-prisoners). Interpretive phenomenological analysis was used to analyse the narratives of case studies in order to explore various cultural factors promoting healthy coping. Major themes related to the cultural resources promoting healthy coping included – protective hand of Dalai Lama and other Lamas, Buddhist philosophy and practices, community bonding and support, and historical exemplars of strength and resiliency.  相似文献   
114.
Burnout represents a potential risk for counsellors and psychotherapists in their work with distressed clients. In the research reported here, the relationship between spiritual well-being and burnout was explored, with attention paid to clinicians’ perceptions of trauma. Eighty-nine Australian counsellors and psychotherapists (71 females and 18 males) completed a demographic survey, the Maslach Burnout Inventory, and Spiritual Well-Being Scale. It was found that existential well-being accounted for some of the variance in MBI subscale scores, and buffered the effect of trauma on emotional exhaustion. In addition, clinicians who reported high levels of existential well-being reported being better able to avoid emotional exhaustion when working with severely traumatised clients.  相似文献   
115.
This study explored the impact of the disclosure of sexual abuse of the daughter by the father or father figure on the mother. Data were collected from seven mothers aged between 31 and 48 years whose daughters had a history of sexual abuse by the biological father, stepfather or live-in boyfriend. The children's ages ranged between 5 and 11 years with disclosure having taken place in the last two years before data collection. Data were collected using an interview schedule. The results obtained from the thematic content analysis indicate that the mothers were traumatized by the disclosure of the sexual abuse. The most prevalent symptoms were anger, anxiety, guilty, depression, insomnia, headache and fatigue. It is recommended that mothers be provided with psychological intervention in order to assist them deal with the trauma associated with the disclosure of the father-daughter incest.  相似文献   
116.
This article addresses the relation between defensive dissociation and faith. Defensive dissociation is understood as a response to severe trauma. In this response there is no interpreting subject to process the event linguistically and the result is fragments of unformulated memory that continue to be painfully present long after the original trauma. The victim of severe trauma alternates between the need to be here in the presence of other human beings and the dissociative isolation of not being here. There are two related claims in this article. First, defensive dissociation stands for an event where faith is annihilated. As a defense it protects a person's remnant sense of faith, subjectivity, agency, and personhood by creating a space of non-experience. Fragments of annihilated faith continue to be present in the person's present formulations of faith and concomitant behaviors, relationships, and use of objects. The second claim is that the core of severe trauma remains outside the victim and community's capacities to represent it symbolically. This incommunicable core of annihilated faith can be contained by a community of faithful persons who are willing to face the horror of non-being and being nowhere without succumbing to despair.  相似文献   
117.
Interpersonal violence impacts the lives of many women in society. However, despite the proliferation of research in this area, there is limited information about the frequency and impact of interpersonal trauma experiences in late life. This study investigated the relationship between a history of interpersonal trauma and subsequent adjustment difficulties, including psychological distress and physical health, in women over the age of 60. Findings demonstrate that interpersonal trauma has a significant impact on later-life functioning. Additionally, the presence of multiple traumatization experiences was a critical factor in determining which individuals manifested long-term trauma symptoms.  相似文献   
118.
In this paper, destructiveness is approached as a multi-dimensional phenomenon where the mental health perspective addresses only one of these dimensions. An attempt is made to locate this phenomenon in the context of epistemological and societal considerations. Critical of mono-dimensional explanations based on causal-reductive epistemology, the paper instead proposes the idea of an 'ecology of destructiveness', according to which mental health professionals cannot possibly continue to assume the role of detached observers. The ordinariness and archetypal fascination of destructiveness are discussed as preventing the psychologizing and pathologizing of it. In addition, it is suggested that 'destructiveness may be a tragic facet of the human condition', without this implying any justification of it. Based on my work with a group of Bosnian ex-camp prisoners, some basic principles of how one can work with survivors of atrocities are derived and discussed. A central feature of this work is the attempt to create an appropriate therapeutic context within which a 'therapeutic presence' and 'therapeutic witnessing' can be developed. Finally, the relevance of Jungian insights to this kind of work is reviewed and the emergence of new types of defences of the self is identified.  相似文献   
119.
This paper seeks to advance some considerations on trauma, historical reality, its symbolization and the psychic pain generated by the investigation of unconscious processes in psychoanalytic treatment. These themes will be explored by demonstrating the differences arising between traumatic experiences and their expression in phantasy, as they occurred in a case of neurosis and another of psychosis. In each case, the differences in the features of the symbolization and the processes of working through shall also be taken into consideration. Particular attention shall be paid to the specific difficulties encountered by the analyst in the interpretative treatment of the trauma resulting from the amount of psychic pain induced in the patient, which at times proves to be an insurmountable barrier and a destructive distortion of the process.  相似文献   
120.
This paper outlines a view of early relational trauma as underlying borderline states of mind, and argues that Knox's 1999 paper on internal working models and the complex provides a basis for understanding such states of mind. The author argues that in addition to internal working models, the complex also embodies and contains primitive defences of the core self. He outlines how these apply on the objective, subjective, transference and archetypal levels, and in direct and reversed forms and applies this to the account of Fordham's analysis of his patient ‘K’, which ended in impasse. The paper explores the dynamic that emerged in that analysis and suggests that it could be helpfully accounted for in terms of the co‐construction and re‐construction of early relational trauma in the analytic relationship.  相似文献   
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