Spirituality and Positive Psychology Spirituality and Trauma |
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Psychological
and
Physiological
Trauma
Research

Seize Your Journeys

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Traumatic stress is found in many competent, healthy, strong, good people.
No one can completely protect themselves from traumatic experiences.
Many people have long-lasting problems following exposure to trauma.
Up to 8% of persons will have PTSD at some time in their lives. People who
react to traumas are not going crazy. What is happening to them is
part of a set of common symptoms and problems that are connected with being
in a traumatic situation, and thus, is a normal reaction to abnormal events
and experiences. Having symptoms after a traumatic event is
NOT a sign of personal weakness. Given exposure to a trauma that is
bad enough, probably all people would develop PTSD.
By understanding trauma
symptoms better, a person can become less fearful of them and better able to
manage them. By recognizing the effects of trauma and knowing more about
symptoms, a person will be better able to decide about getting treatment.
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Spirituality

Spirituality and Trauma

Title: The effect of religious-spiritual coping on positive attitudes of adult Muslim refugees from Kosovo and Bosnia. Author(s)/Editor(s): Ai, Amy L.; Peterson, Christopher; Huang, Bu Author Affiliation: U Michigan, Dept of Psychology, MI, US U Washington, Health Sciences, WA, US Source/Citation: International Journal for the Psychology of Religion; Vol 13(1) Jan 2003, US: Lawrence Erlbaum; 2003, 29-47 Abstract/Review/Citation: Little empirical evidence is available about the use of religious-spiritual coping and its impact in the positive attitudes of predominantly Muslim war refugees from Kosovo and Bosnia. On the basis of S. J. Lepore and G. W. Evans' (1996) notion about 4 coping resources and K. I. Pargament's (1997) concept of religious-spiritual coping, this hypothesis-driven study focused on the cognitive resources and additional spiritual resources for coping. We collected information about religiosity, war-related trauma, religious-spiritual coping, optimism, and hope from 138 17-79 yr old refugees from Kosovo or Bosnia recently resettled in Michigan and Washington states. A path model demonstrated that optimism was positively related to positive religious coping, which in turn was associated with increased religiosity and higher education. Hope, in contrast, was positively associated with education, and negatively associated with negative religious coping, which in turn was predicted by more severe trauma. These findings are discussed with respect to their theoretical and clinical implications as well as the limitations of the study. ========================================
Title: The spiritual dimension of family life. Author(s)/Editor(s): Walsh, Froma; Pryce, Julia Author Affiliation: U Chicago, School of Social Service Administration, Chicago, IL, US Source/Citation: Normal family processes: Growing diversity and complexity (3rd ed.)., New York, NY, US: Guilford Press; 2003, (xvii, 678), 337-372 Source editor(s): Walsh, Froma (Ed) Abstract/Review/Citation: Spiritual beliefs and practices have anchored and nourished families and their communities throughout history. At times of crisis and adversity, spiritual beliefs and practices have fostered recovery from trauma, loss and suffering. Today, the vast majority of families adopt some form of expression for their spirituality. Yet mental health professionals and social scientists have tended to neglect this vital dimension in their understanding of family functioning and in the treatment of distress. This chapter briefly examines the growing importance and diversity of religion and spirituality for families and considers their influence in family coping and resilience. ========================================
Title: Health care & spirituality: Listening, assessing, caring. Author(s)/Editor(s): Gilbert, Richard B. Source/Citation: Amityville, NY, US: Baywood Publishing Co, Inc; 2002, (xix, 313) Death, value and meaning series. Abstract/Review/Citation: Presents an anthology of the human predicament, the health care professional's story, and the health care work place, brought together around the common theme of spirituality, the spirit of the patient, the spirit of the work place, and the spirit that transcends it all to give meaning to it. The theme of this book is listening, to the patient's whole story; assessing, or giving meaning in conversation with the patient; and caring, for the whole person and the whole story. Highlighting the important drive of spirituality and spiritual awareness, this book addresses particular professional groups (nurse, chaplain), gender and faith groupings (male, female, Roman Catholic, Jewish, Native American, non-descript spirituality and spiritual diversity), and a variety of patient types (trauma, medical, gay/lesbian/transgendered, obstetrics, HIV/AIDS, addicted, Alzheimer's, the dying adult and the dying child) bringing into these stories what spirituality is. Notes/Comments: Introduction Section 1: Health care and spirituality: Professional perspectives A nurse's perspective Cynthia Russel A chaplain's perspective: The early years Richard Stewart Achaplain's perspective: The challenge for today Richard B. Gilbert A beginning examination of the spirituality of health care professionals David W. Adams and Rick Csiernik Section 2: Health care and spirituality: Belief system perspectives Dying and grieving are journeys of the spirit John D. Morgan Spiritual care in the new pluralistic context Edgar P. Senne The Roman Catholic patient Joseph Driscoll The Jewish patient Jeffery Silberman Section 3: Health care and spirituality: Ethnic and gender perspectives The Native American patient Gerry Cox The male patient Robert Miller The female patient Karrie Oertli The gay-lesbian-bisexual-transgendered patient Sue Jelinek Section 4: Health care and spirituality: Patient perspectives The medical patient: Compassionate listening and spirit-mind-body care of medical patients Laurel Arthur Burton The chronically ill patient John Vander Zee The HIV-AIDS patient: Holier than thou Inge B. Corless The Alzheimer's patient Earl A. Grollman The obstetrics patient Cathi Lammert The trauma patient Paul Bierlein The addicted patient John A. Mac Dougall The terminally ill pediatric patient Frances Dominica The terminally ill adult patient Jon Nyberg The victim of domestic violence and sexual assault Sharon Gilbert and Richard B. Gilbert Contributors Index ========================================
Title: The trauma patient. Author(s)/Editor(s): Bierlein, Paul Source/Citation: Health care & spirituality: Listening, assessing, caring., Amityville, NY, US: Baywood Publishing Co, Inc; 2002, (xix, 313), 235-243 Death, value and meaning series. Source editor(s): Gilbert, Richard B. (Ed) Abstract/Review/Citation: The focus of this chapter is to "visit" with trauma patients--to listen with sensitivity and compassion, exploring the spiritual themes and issues which the sudden encounter with pain, injury, attack, or illness engenders within them. While these issues are examined individually, they are in reality dynamically interwoven spiritual threads of a whole person in crisis. This chapter discusses the role of the pastoral counselor in providing spiritual support and responding to the spiritual needs of the trauma patient, and how this can promote healing and recovery. ========================================
Title: Thriving after trauma: The experience of parents of murdered children. Author(s)/Editor(s): Parappully, Jose; Rosenbaum, Robert; van den Daele, Leland; Nzewi, Esther Source/Citation: Journal of Humanistic Psychology; Vol 42(1) Win 2002, US: Sage Publications; 2002, 33-70 Abstract/Review/Citation: Psychological literature on trauma usually focuses on pathology that results from trauma and pays little attention to positive outcomes. This article presents a phenomenological inquiry into the experiences of a profoundly traumatized group of people--parents whose son or daughter has been murdered--to assess if they were able to experience a positive outcome resulting from their trauma and to identify associated processes and resources. Of 65 parents who volunteered, 16 (35-75 yrs old) were selected to complete a questionnaire and were given in-depth, semistructured interviews. The interview data, analyzed qualitatively, affirm positive outcomes for these parents. Four processes--acceptance, finding meaning, personal decision making, and reaching out to others in compassion-and six resources--personal qualities, spirituality, continuing bond with the victim, social support, previous coping experience, and self-care-facilitate a positive outcome. ========================================
Title: Women, trauma and power: The embodied experience of embracing personal power. Author(s)/Editor(s): Hammes, Kathie Anne Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(10-B) May 2002, US: Univ Microfilms International; 2002, 4817 Abstract/Review/Citation: This study is a phenomenological investigation of the experience through which women uncover a sense of intrinsic strength. This study involves 12 women who were self-identified trauma survivors between the ages of 48 and 63. From the data, a sequential set of themes was derived that described the embodied experience of embracing personal power for women who are trauma survivors. These themes are: The Trauma Lens, in which personal power became known against the backdrop of knowing powerlessness; Freedom of Choice, the process of decision making played a key component in facilitating the move from victim to survivor; Bodily Experience, the physical knowing of personal power; Spirituality and Connectedness to Others and the essential need of being connected to someone or something for support; The Lenses of Personal Power, the insights gained by the knowing of personal power and strength. The women acknowledged the trauma and other misfortunes within their lives but chose to make use of those experiences. The resilience and courage possessed by these women made them survivors. The attempt to change and create meaning of the trauma transformed their tragedy into something useful, and thus improved the quality of their life. Embracing personal power is a process that involves a moment of knowing-one felt within the body, soul and mind. ========================================
Title: Religion, spirituality and coping in individuals with prior exposure to trauma. Author(s)/Editor(s): Sewell, Kenneth Bates Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(11-B) Jun 2002, US: Univ Microfilms International; 2002, 5391 Abstract/Review/Citation: The current study examined the impact of religious and spiritual coping techniques, religious attitudes, and cognitive processing deficits on measures of psychological distress and well being in individuals with prior exposure to trauma and extreme stressors. Previous research has found that the use of religious and spiritual coping techniques is often related to improved psychological functioning above and beyond that accounted for by the use of traditional coping strategies. The present study expands on prior research by examining the combined predictive utility of several different measures of spirituality and religion in a heterogeneous sample of persons with prior trauma exposure, and by evaluating the role of cognitive processing deficits in a sample with widely varying histories of prior trauma exposure. Ninety-six college students with prior exposure to a traumatic event were recruited from several undergraduate psychology classes, and asked to complete questionnaires assessing demographic variables, trauma exposure, coping, religious and spiritual attitudes and behaviors, psychological well-being, and distress. Thirty-four of the original 96 participants completed a modified Stroop task to assess cognitive interference to 'threat' words. Results of hierarchical regression analyses indicated that spiritual and intrinsic religious variables were generally the best predictors of well-being, distress, and resilience. Negative religious coping and intrinsic religiousness were also significant predictors of psychological distress. Significantly greater response latencies and processing interference were found in the threat-word condition of the Stroop task. The findings from the current study are consistent with the extant literature and clearly support the utility of spiritual and religious variables for predicting both well-being and distress. In addition, the computed resilience score appears to have promise for evaluating an individual's response to trauma. ========================================
Title: Individual differences in posttraumatic growth following bone marrow transplantation. Author(s)/Editor(s): Widows, Michelle Renee Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(11-B) Jun 2002, US: Univ Microfilms International; 2002, 5398 Abstract/Review/Citation: Prior research suggests that the diagnosis and treatment of cancer can result in the experience of positive outcomes, or positive growth. Based on Schaefer and Moos' (1992) model of adaptation of life crises, the current study examined the predictive utility of personality traits, coping, and social support in accounting for variability in posttraumatic growth and whether trauma appraisals, social constraint, and mental health were associated with the degree of posttraumatic growth in cancer patients who had undergone bone marrow transplantation. Participants were 53 females and 19 males treated with BMT an average of 24 months previously. Qualitative reports of posttraumatic growth were assessed through a structured clinical interview. Quantitative reports of posttraumatic growth and other psychosocial variables were assessed using standardized self-report measures. Results indicated that 97% of BMT recipients reported at least one positive outcome associated with their cancer and its treatment, with participants reporting an average of four positive changes. Univariate analyses confirmed predictions that increased posttraumatic growth would be associated with more negative appraisals of the hospitalization for BMT and greater use of approach-based coping strategies. Exploratory univariate analyses also indicated that increased posttraumatic growth was also associated with increased spirituality, decreased depression, a more negatively biased recollection of pre-transplant psychological distress, younger age, and less education (p's le; .05). Regression analyses indicated that appraisal of emotional distress during transplant and pre-BMT avoidant coping accounted for significant (p le; .05) variability in posttraumatic growth scores above and beyond relevant demographic and medical variables. Results of the current study provide preliminary evidence of the occurrence of posttraumatic growth among patients treated for cancer and the relationship between psychosocial variables and post-traumatic growth. These findings highlight the need for further studies in this area and possible interventions aimed at facilitating post-traumatic growth. ========================================
Title: The tie that binds: Sadomasochism in female addicted trauma survivors. Author(s)/Editor(s): Southern, Stephen Source/Citation: Sexual Addiction & Compulsivity: Special Issue: Women and sexual addiction.; Vol 9(4) 2002, United Kingdom: Taylor & Francis; 2002, 209-229 Abstract/Review/Citation: Women who develop addictive disorders to survive life trauma present a wide array of variant and perverse behaviors. This overview of sadomasochism examines the life trauma syndrome and the survival functions of addictions including self-injurious behavior, eating disorder, and sexual addiction. The etiology of sadomasochism is found in object relations damaged by neglect or abuse. Sadomasochistic dynamics function like brainwashing to oppress women in a subordinate position. Survivors turn childhood tragedy into triumph through sadomasochistic re-enactments of life trauma. An omnibus, developmentally-based psychotherapy for treating the ego states of female addicted trauma survivors included abstinence from addictive behaviors, abreaction of unresolved trauma, information reprogramming or reprocessing of trauma-related cognitive distortions, acquisition of nonaddictive affect regulation and self-management skills, prevention of relapse, and enhancement of capacity for intimacy, creativity, and spirituality. Case studies are presented to explore the types of sadomasochism and state-dependent treatment recommendations across five life domains. ========================================
Title: The psychological and spiritual effects of child sexual abuse when the perpetrator is a Catholic priest. Author(s)/Editor(s): Bland, Michael J. Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 63(4-A) Oct 2002, US: University Microfilms International; 2002, 1253 Abstract/Review/Citation: The purpose of this dissertation was to explore the negative, long-term psychological and spiritual effects of child sexual abuse when the perpetrator was a Catholic priest. A total of 73 victims of childhood clerical sexual abuse were surveyed, of which 48 responded (65.7%). In addition, 110 adults from various Catholic parishes and schools were surveyed of which 96 questionnaires were returned (87.2%). Data was collected from 144 participants and divided into three groups. Group 1 Abused By Priest (ABP) N = 48, Group 2 No Abuse (NA) N = 76, and Group 3 childhood sexual Abuse History (AH) N = 20. All participants completed a Background Data Questionnaire, Religiosity Index, Spiritual Injury Scale, and Trauma Symptom Checklist-40 (TSC-40). Additionally, Group 1 participants completed a Sexual Abuse History and Healing Questionnaire. In a two-way analysis, F (1, 122), the ABP group scored higher (p < .0005) as compared to the NA group regarding guilt over past behaviors, Dissociation, Sexual Abuse Trauma Index, and Trauma Symptom Checklist-40 (TSC-40) total score. Data approached statistical significance, F = 3.892, p = .051, indicating that there was no significant difference between the two groups in attendance at religious services. However, there was a significant difference (16.6%) between the two groups current religion. Nearly 23% of individuals abused by a priest no longer identify with the Roman Catholic religion despite having been raised Roman Catholic, as compared to a 5.2% decline in the group not abused. In a three-way analyses F (2, 141) the ABP group scored higher (P < .00244) as compared to the AH group and the NA group regarding higher symptoms of grief, anger, a sense of meaninglessness, feeling God treated them unfairly, dissociation, depression, sexual problems, sleep disturbances, Sexual Abuse Trauma Index, and the total score on Trauma Symptom Checklist-40. ========================================
Title: Transformation: Creating the visible self in the aftermath of incest. Author(s)/Editor(s): Vinson, Shoba S. Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 63(4-B) Oct 2002, US: Univ Microfilms International; 2002, 1781 Abstract/Review/Citation: The purpose of this study was to understand how women survivors of childhood incest by the fathers or father figures heal from the subsequent trauma to the self. The volunteer sample consisted of six Caucasian, predominantly middle-class women who had experienced sexual, physical, and psychological abuse. They ranged in age from 33 to 52 years. The women were invited to describe their healing, and informal probes were used to explore their responses. The initial interview lasted approximately two hours. Follow-up interviews of similar duration were held with three women. Grounded theory, a qualitative approach, was used to inductively build a theory of healing from incest. As data were collected, concepts and relationships among them were identified. These were provisionally tested through further specific data collection, so the theory that developed was grounded in the data. Findings reveal that the trauma of incest during developmental years leads to the formation of the invisible self. Healing from such trauma involves four overlapping processes of transformation from the invisible to the, visible self: (1) Awakening to incest by becoming aware of the invisible self and its symptoms; the use of symptom-focused strategies prior to awakening; and the need to acknowledge the incest and/or its impact, (2) Understanding the self impacted by incest by creating witness through self- and other-disclosure; and understanding the profound effect of incest on the self, (3) Honoring the intrapsychic self by validating and accepting self, including emotions; grieving losses and accepting life; and coping and empowerment, and (4) Healing the relational self by communicating with family members; forgiving and reconciling; and changing the legacy in the families of procreation. Conditions affecting self-transformation include abuse context, spirituality, culture, time, support, motivation, choice, effort, maturity, and inner strength. The outcome of self-transformation includes peace; renewed spirituality; capacity to integrate emotions into the self and a decrease in emotional struggles; increase in self-worth; empowerment; relational healing; and a growing sense of self. The transformation process is spiral, and occurs at different levels over time. Despite extensive self-transformation, the process is ongoing due to limitations posed by the incest trauma and ongoing awareness. ========================================
Title: How could God? Loss and the spiritual assumptive world. Author(s)/Editor(s): Doka, Kenneth Source/Citation: Loss of the assumptive world: A theory of traumatic loss., New York, NY, US: Brunner-Routledge; 2002, (xii, 246), 49-54 The series in trauma and loss. Source editor(s): Kauffman, Jeffrey (Ed) Abstract/Review/Citation: The goal of this chapter is to focus specifically on the ways that loss challenges the spiritual assumptive world. The chapter defines what it means to experience loss of the assumptive world, discusses the spiritual impact of such a loss, and describes the ways that loss can cause individuals to question prior beliefs. A second issue is also explored--how individuals can reconstruct their spirituality in the face of loss. ========================================
Title: The spiritual recovery manual: Vedic knowledge and yogic techniques to accelerate recovery. Author(s)/Editor(s): Williams, Patrick Gresham Source/Citation: Palo Alto, CA, US: Incandescent Press; 2002, (270) Abstract/Review/Citation: This book is for addicts, codependents, adult children of alcoholics--and their friends and family. It is for anyone who has experienced trauma and for anyone that counsels or wants to better understand addiction. It is for everyone who wants a better life. This manual will accelerate your recovery and deepen your understanding of addiction. You will learn how to revitalize your body, strengthen your mind, and lead a happy, harmonious life. Based on a complete theory of human development, this manual has vital information not included in other recovery books. It describes practical knowledge and techniques--advanced recovery tools--in fifteen areas: meditation; lifestyle; self-diagnosis; detoxifying; herbal healing; sense therapy; food; exercise; yoga; advanced mental techniques; life-patterns; intellect; group dynamics of consciousness; bliss; and relationships. ========================================
Title: Addiction and trauma recovery: Healing the body, mind and spirit. Author(s)/Editor(s): Miller, Dusty; Guidry, Laurie Author Affiliation: 7177, Serum osteocalcin levels in premenopausal rheumatoid arthritis patients Source/Citation: Psychotherapy: Theory, Research, Practice, Training; Vol 39(3) Fal 2002, US: Div of Psychotherapy APA; 2002, 269-270 Abstract/Review/Citation: Review of book, Dusty Miller and Laurie Guidry (Aus.) Addiction and Trauma Recovery: Healing the Body, Mind and Spirit. New York: Norton, 2001, 288 pp. ISBN 0-393-70368-1. Reviewed by Judith Sprei. ========================================
Title: Healing from the body level up. Author(s)/Editor(s): Swack, Judith A. Source/Citation: Energy psychology in psychotherapy: A comprehensive sourcebook., New York, NY, US: W. W. Norton & Co, Inc; 2002, (xxxii, 432), 59-76 The Norton energy psychology series. Source editor(s): Gallo, Fred P. (Ed) Abstract/Review/Citation: Healing from the body level up (HBLU) is a holistic psychotherapeutic system that simultaneously addresses the somatic, psychological, and spiritual aspects of an issue. It is a methodology (not a technique) in which the client uses muscle testing to formulate a goal, identify what is interfering with reaching the goal, and select the best intervention for clearing the interference. When the interference pattern clears, it does so on the client's conscious, unconscious, body, and soul levels as confirmed by muscle testing and measurable behavioral results. This chapter discusses the development of HBLU methodology, describes working with the client and discusses HBLU treatment for trauma. Additionally, the chapter provides protocol for clearing blocked access to emotion patterns and the protocol for clearing the suspicion of blocked memory of trauma pattern. HBLU provides healing practitioners with a method for treating trauma rapidly, effectively, and safely by aligning the conscious, unconscious, body, and soul levels, recognizing structural elements of the damage patterns, following specific protocols, and utilizing effective techniques. ========================================
Title: Seemorg Matrix Work-super(TM): The transpersonal energy psychotherapy. Author(s)/Editor(s): Clinton, Asha Nahoma Source/Citation: Energy psychology in psychotherapy: A comprehensive sourcebook., New York, NY, US: W. W. Norton & Co, Inc; 2002, (xxxii, 432), 93-115 The Norton energy psychology series. Source editor(s): Gallo, Fred P. (Ed) Abstract/Review/Citation: Seemorg Matrix Work (SMW)-super(TM ) utilizes the movement of energy through the major energy centers of the body to remove the negative aftereffects of trauma. In addition, it instills their positive counterparts and nourishes spiritual development. A transpersonal psychotherapy, it posits a new theory of trauma while incorporating some key aspects of traditional psychotherapy into its theory and practice. SMW consists of many protocols, matrices, meditations, processes, and practices. When these methods are used is determined by a combination of intuition and muscle testing, each verifying the other. This chapter discusses SMW methodology and theory; the unconscious human connection in SMW; treating and reuniting body, psyche, and spirit; and the therapeutic stance and goal of SMW. ========================================
Title: Dynamic Energetic Healing-super(TM): Trauma and soul work at the origins. Author(s)/Editor(s): Hammond-Newman, Mary Brockman, Howard Author Affiliation: Private Practice, Salem, OR, US Source/Citation: Energy psychology in psychotherapy: A comprehensive sourcebook., New York, NY, US: W. W. Norton & Co, Inc; 2002, (xxxii, 432), 116-131 The Norton energy psychology series. Source editor(s): Gallo, Fred P. (Ed) Abstract/Review/Citation: Dynamic Energetic Healing-super(TM ) (DEH) is an innovative, client-centered model that blends the best of energy psychology and the authors' backgrounds in process oriented theory, human development, shamanism, hypnosis, and their individual eclectic spiritual paths. DEH guides people to a place of thorough and complete emotional, mental, and spiritual healing, as well as to a place of greater clarity regarding their life purpose. DEH is as effective with couples, families, and communities as it is with individuals. We have experimented with the energy tools, accessed our intuition, listened intently to clients, and DEH has emerged from a combination of these sources. Energy balancing strategies are incorporated into strategies from the practitioners' previous therapy models to shift the traumatic energy of past issues and complete the healing in the present. This chapter discusses energetic origins, process oriented energy work, and hypnosis. Additionally areas covered include the DEH model, working with supernatural energies, and soul learnings and the gifts of a healing touch or deep unconditional love. ========================================
Title: Spirituality and the maintenance of change: A phenomenological study of women who leave abusive relationships. Author(s)/Editor(s): Senter, Karolyn Elizabeth; Caldwell, Karen Author Affiliation: Appalachian State U, Dept of Human Development & Psychological Counseling, Boone, NC, US Source/Citation: Contemporary Family Therapy: An International Journal; Vol 24(4) Dec 2002, US: Kluwer Academic/Plenum Publishers; 2002, 543-564 Abstract/Review/Citation: This phenomenological study of nine women who successfully interrupted the cycle of domestic violence focused on their spiritual experiences. Twelve integrated themes emerged to provide a composite description of the process of leaving abusive relationships and maintaining this change. The oppressive nature of the abusive relationships restricted growth as safety and survival were prioritized over self-development. The leaving process afforded opportunities for the redirection of energy and intention. A complex set of actions moved the women from false beliefs and assumptions about themselves and their circumstances to beliefs that ultimately led to healing and new perspectives of self, life, God, and others. ========================================
Title: Thinking with your soul: Spiritual intelligence and way it matters. Author(s)/Editor(s): Wolman, Richard N. Source/Citation: New York, NY, US: Harmony Books; 2001, (xii, 288) Abstract/Review/Citation: Offers insights into spiritual intelligence and how individuals can make it work for themselves. Spiritual intelligence is defined as concerning the human capacity to ask ultimate questions about the meaning of life and to experience simultaneously the seamless connection between all individuals and the world. It is the author's view that everyone has spiritual intelligence and that recognizing and working with it is important for a person's total well-being. Focus is given to what the author has identified as being the 7 factors that make up human spiritual experience and behavior. Those 7 factors are divinity, mindfulness, intellectuality, community, extrasensory perception, childhood spirituality, and trauma. Also, the author's PsychoMatrix Spirituality Inventory, a system for evaluating the levels and areas of spirituality in people's lives without reference to a specific religious ideology, is discussed and included. ========================================
Title: Eating disorders: The journey to recovery workbook. Author(s)/Editor(s): Goodman, Laura J.; Villapiano, Mona Source/Citation: Philadelphia, PA, US: Brunner-Routledge; 2001, (xvii, 220) Abstract/Review/Citation: The authors take the reader on a journey toward mental and physical health, as well as an important understanding of eating disorders. This workbook encourages self-paced learning and practice. In addition to the basic understanding of eating disorders and relationships with food, the authors guide the reader through a greater consideration of body image, compulsive exercising, and personal and societal relationships. This workbook also explores complicated issues that have a direct effect on eating disorders, including trauma, depression, abuse, and the media. ========================================
Title: A model of trauma with spirituality and religiosity: The mediating and moderating effects of personal growth initiative and openness to experience. Author(s)/Editor(s): Caldwell, Jodi Kristen Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(7-B) Feb 2001, US: Univ Microfilms International; 2001, 3833 Abstract/Review/Citation: Spirituality and religiosity remain two diversity variables that are little studied in relation to mental health. Researchers and theorists in the area of trauma have proposed conflicting effects of trauma on spirituality and religiosity. Although some studies show that spirituality and/or religiosity increase following the experience of a traumatic event, other studies show a decrease. Therefore this study proposed that there are two intervening variables in these relationships: Personal Growth Initiative (PGI) and Openness to Experience (OTE). Personal Growth Initiative is the active seeking out of self-growth experiences. Openness to Experience refers to the individual's receptiveness and valuing of diversity of ideas and experiences. This study tested whether these intervening variables mediated or moderated the relationship between trauma and spirituality or trauma and religiosity. The following measures were used: The Traumatic Experience Questionnaire (Vrana & Lauterbach, 1994), The Spiritual Experience Index (Genia, 1997), Religious Commitment Inventory (McCullogh, Worthington, Maxey & Rechal, 1997), the Personal Growth Initiative Scale (Robitschek, 1998), and the Openness to Experience Scale of the NEO-PI (Costa & Mc Crae, 1992). Participants were 249 undergraduate students in psychology courses. Results indicated that only two models of moderation were partially supported. For men, when trauma was viewed as a dichotomous variable, the interaction between the presence of trauma and Openness to Experience did appear to explain significant additional variance in Spirituality. However, further examination revealed that this was likely an artifact of the low number of men who reported having experienced no traumatic events. For women, the interaction between Total Perceived Trauma and Openness to Experience did explain significant additional variance in Spirituality. A median split analysis suggested that the interaction is happening in such a way that in order to obtain a high score on Spirituality, both Openness to Experience and Total Perceived Trauma must also be high. Significant gender differences were found in the relationships between some of the variables. ========================================
Title: Counselor reactions to clients traumatized by violence. Author(s)/Editor(s): Jones, Karyn Dayle Source/Citation: Faces of violence: Psychological correlates, concepts, and intervention strategies., Huntington, NY, US: Nova Science Publishers, Inc; 2001, (xxviii, 470), 379-388 Source editor(s): Sandhu, Daya Singh (Ed) Abstract/Review/Citation: The trauma of violence effects those who experienced the trauma and many more. Counselors are among the many caregivers who may be impacted by their work with trauma survivors. Whether identified as vicarious traumatization, secondary traumatic stress, compassion fatigue, countertransference or empathic strain, it is clear that professional counselors may experience a variety of reactions associated with counseling survivors. Counselor reactions may include symptoms similar to posttraumatic stress disorder in addition to overidentification, avoidance, and the effects of vicarious traumatization. These reactions greatly impact counselors and their ability to effectively treat survivors. Personal counseling, balancing work and leisure, spirituality, and supervision are ways counselors can become aware of, work through, and cope with a normal reactions associated with trauma work. ========================================
Title: Values, meaning and well-being: Posttraumatic growth in women with breast cancer. Author(s)/Editor(s): Austin, Avis Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(9-B) Apr 2001, US: Univ Microfilms International; 2001, 4963 Abstract/Review/Citation: Excluding skin cancers, breast cancer is the most prevalent cancer in women in the United States. While a diagnosis of breast cancer is often difficult, several people have remarked anecdotally that 'cancer is one of the best things that has happened in my life.' They report growth and improved functioning above that prior to diagnosis. This study used grounded theory analysis techniques to develop a model of growth after breast cancer from a sample of twenty women. The volunteer participants (average age: 51.2, SD 7.6) completed Rokeach values sorts both pretest and posttest and, additionally, submitted functioning ratings and journals on thoughts and feelings about cancer by anonymous email twice per week for up to eight months. For analysis, participants were divided into three groups: women diagnosed within two years prior to study start (n = 8); those who were diagnosed more than two years before the study began and were without active disease currently (n = 8); and women who have incurred a recurrence of cancer or metastasis (n = 4). Products of the analysis were two themes and a model linking eight main categories. The two themes are: (1) search for positive aspects of the cancer experience; and (2) understanding and replacing unachieved expectations and goals. The main categories in the model are: (1) Dealing with crisis; (2) Moving beyond cancer; (3) Examining trauma; (4) How to prevent recurrence and what if it happens again? (5) Cancer is forever; (6) Taking stock of outcomes; (7) Distilling insights and creating wisdom; and (8) Reorganizing self and approach to life. From zero to four subcategories which helped to define each main category. This model was compared to existing theoretical models of posttraumatic growth. Several values shifts were noted between pretest and posttest. For example, values decreasing in ranking for women with metastasis were: faithfulness, family, freedom, happiness, personal peace, health, intimacy, and loving, indicating that these values were perceived as either unachievable or less important over the time of the study. These same women increased their rankings of generosity, forgiveness, pleasure, and spirituality, indicating that they were striving to reach or maintain these values. ========================================
Title: The sun always comes out after it rains: Exploring the experience of AIDS caregivers (immune deficiency). Author(s)/Editor(s): Cadell, Susan Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 61(10-A) May 2001, US: Univ Microfilms International; 2001, 4177 Abstract/Review/Citation: This research was designed to explore the growth of people who have cared for or about someone who has died of Acquired Immune Deficiency Syndrome (AIDS)-related illnesses or complications related to Human Immunodeficiency Virus (HIV) disease. It consists of a cross-sectional study of 176 bereaved caregivers of people with HIV disease, some of whom themselves are HIV-positive. Measures were selected to assess demographics, creativity, spirituality/religiosity, social support, depression, traumatic symptomatology and postraumatic growth. A research model is tested which examines the relationship of psychosocial resources and stressors to the post-traumatic growth of the bereaved participants. In addition, seven caregivers participated in unstructured interviews in order to provide descriptive data with which to supplement the quantitative results. The results demonstrate that individuals scoring highest on measures of spirituality, reported the greatest positive changes after trauma. Support for the role of spirituality was found in all the statistical tests as well as in the structural equation model. The interview data further substantiated the importance of spirituality in the process of growth. The structural equation model and the interview data also demonstrated confirmation of the hypothesis that the carers with higher reported levels social support would demonstrate higher post-traumatic growth. The results further demonstrated that those individuals with higher levels of post-traumatic stress symptoms reported the most growth after the death of the care recipient; this result was the opposite of the hypothesized relationship. This study provides a portrait of bereaved HIV carers in Canada and the realities associated with that situation. The findings confirm the literature that suggests that, in contrast to carers of people with other diseases, HIV caregivers are younger, more often male, not necessarily a family member and are often HIV-positive themselves. This portrait and the relationship of spirituality, social support and trauma to growth have implications for social workers in all practice areas. The importance of spirituality mirrors an emerging area of interest in social work. The knowledge of factors that can play a role in post-traumatic growth can contribute to the work of social workers and others at any level of intervention. ========================================
Title: Vicarious traumatization in therapists: Contributing factors, PTSD symptomatology, and cognitive distortions. Author(s)/Editor(s): Lugris, Veronica Maria Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(10-B) May 2001, US: Univ Microfilms International; 2001, 5571 Abstract/Review/Citation: One hundred ninety-one licensed psychologists who work with traumatized clients completed a survey that examines the impact of personal and professional factors on vicarious traumatization. Quantitative results indicated that therapists' personal variables of sex, personal trauma history, and current stressfulness of personal trauma predict PTSD symptoms, while variables that include vicarious exposure to trauma and perceived social support predict hyperarousal symptoms and cognitive distortions above and beyond the effects of therapists' personal variables. Qualitative results revealed the importance of maintaining a balance between professional and personal support, a holistic attention to body and mind that includes physical exercise and self-care, spirituality and meditation, leisure activities, cognitive strategies, and personal growth activities. Implications and recommendations for future research are discussed. ========================================
Title: Psychotherapy and spirituality: A paradigm for healing. Author(s)/Editor(s): Lewis, Suzanne Lee Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(10-B) May 2001, US: Univ Microfilms International; 2001, 5570 Abstract/Review/Citation: Lewis' exploratory study incorporates data from a case study of a profoundly depressed woman suffering from dissociative identity disorder to show how she is healed through a psychotherapeutic and spiritual journey into her unconscious mind. The study vividly details the counseling experiences that uncovered repressed memories of sexual and Satanic Ritual Abuse, the core of this depression. Extensive first-person narrative is used to illustrate how the woman was able to overcome the physical and emotional revivifications of her trauma. The study explores the use of two relatively new techniques in spiritual counseling: the TheoPhostic method (Smith 1996), which enables client and therapist to work together with God to reintegrate dissociated 'parts' on a spiritual level; and Time Line Therapy (James and Woodsmall 1988), a method for the visualization of personal time and memory recall involving color, lack of color, and light. Both methods are proposed as particularly effective in knowing about repressed and dissociated trauma memories and in healing these severe traumas as caused by sexual and Satanic Ritual Abuse. Various standard counseling techniques of reframing, changing history, discovering core beliefs, changing core beliefs and discovering disowned parts of self are all demonstrated in this work. The not so standard techniques used in this work involve the therapist and the client's reports of finding external and internal spiritual guides along with a beautiful white light that provided extraordinary resources in stopping the client's profound and sometimes life threatening abreactions. The most significant and powerful technique visualizing Divine Light shining on and penetrating each newly conscious traumatized 'part' proved to be truly miraculous for the client. Using a double column format, the client's narrative is contextualized in terms of both traditional (Janet, Charcot, Freud, Jung, Adler) and contemporary (van der Kolk, Kluft, Putnam, Herman, Terr, LeDoux, James and Smith) researchers. The contextualized material puts the client's behaviors and feelings into a scholarly format that therapists and students will find enriching and educational. The study is a pioneering work in spiritual psychotherapy. ========================================
Title: The holy longing: A psychological study of the religious impulse. Author(s)/Editor(s): Zweig, Connie Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(1-B) Jul 2001, US: Univ Microfilms International; 2001, 530 Abstract/Review/Citation: This study examined attitudes toward the religious impulse in the schools of depth psychology-Freudian, object relations, Jungian, and archetypal-and in transpersonal psychology. The religious impulse is defined as an individual's innate desire to commune with something greater than the individual self; it is the longing to transcend the ego, to return to the archetypal realm, or to experience union with God, depending on one's language and frame of reference. Thus this study situated theorists with divergent attitudes, who rarely appear together in the literature, in a kind of dialogue with one another, not to reconcile them but to allow them to challenge and extend each other. It was not the aim of this work to reduce the holy longing to a psychological complex or to a singular archetype. Rather, it aimed, first of all, to acknowledge the pervasiveness and worthiness of authentic religious desire, which has been overlooked by many professionals in the psychological community and which could be of value to both individual seekers and their mental health care practitioners. Second, it aimed to point out some of the inherent psychological dangers of the holy longing, which have been overlooked by many religious believers and spiritual or transpersonal practitioners. Thus this study was an attempt to present both the light side and the dark side of the holy longing. Finally, this study suggested that there is an archetypal basis for the spiritual impulse in human beings, which can lead either to ecstatic, numinous experience, communion, and compassion or to spiritual abuse, trauma, splitting, and despair. Thus the holy longing is a two-faced archetype, with a light side and a dark side. A deeper understanding of its dual nature will assist spiritual seekers, as well as those seeking to treat them. ========================================
Title: Reading from the underside of selfhood: Bonhoeffer and spiritual formation (Dietrich Bonhoeffer). Author(s)/Editor(s): Dahill, Lisa Elaine Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 62(3-A) Sep 2001, US: University Microfilms International; 2001, 1080 Abstract/Review/Citation: For over fifty years, the legacy of Dietrich Bonhoeffer has offered fruitful resources for Christian spiritual formation. His example of self-sacrificing discipleship has inspired Christians in a variety of contexts around the world in their own resistance to evil and devotion to Jesus Christ. Yet for some readers, particularly those who suffer abuse and other forms of violence, Bonhoeffer's widely-taught insistence on self-sacrifice, on becoming a 'person for others,' may prove more harmful than liberating. For those already socialized into self-abnegation, uncritical applications of Bonhoeffer's teachings may in fact unwittingly reinforce submission rather than resistance to evil. This dissertation explores Bonhoeffer's understandings of selfhood and spiritual formation, both in his own experience and writings and in light of the role of gender in psycho-spiritual development. Following an introduction locating the project within the discipline of Christian Spirituality, I provide an overview of Bonhoeffer's experientially-shaped understanding of human selfhood and an exploration of characteristic themes and loci within which he conceives of spiritual growth, or conformation with Jesus Christ, taking place for the Christian. The two chapters on Bonhoeffer trace these themes of selfhood and spiritual formation broadly throughout his major writings. Next, I present the insights of selected contemporary feminist psychologists in regard to gendered patterns of self-formation, including the experience of women in abuse. This chapter draws on the work of the Stone Center theorists, the Harvard research team led by Carol Gilligan, psychoanalytic theorist Jessica Benjamin, and trauma psychiatrist Judith Herman. The central constructive chapter, then, creates a mediated conversation between Bonhoeffer and these feminist psychologists specifically on the subject of the healthy Christian spiritual formation of women in abuse, including not only dimensions of his thinking to be critiqued from a feminist perspective but also important resources he contributes toward a truly liberating Christian spirituality for those on the underside of selfhood. The final chapter offers a concluding summary, suggestions regarding the broader relevance of this study, and implications for ministry. The insights for spiritual formation developed here provide powerful proof of Bonhoeffer's continuing and concretely contextualized relevance for readers across the full spectrum of human selfhood. ========================================
Title: Predictors of vicarious traumatization: Female therapists for adult survivors versus female therapists for child survivors of sexual victimization. Author(s)/Editor(s): Trippany, Robyn Layton Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 62(3-A) Sep 2001, US: University Microfilms International; 2001, 926 Abstract/Review/Citation: The purpose of the present study was to explore individual and occupational variables that contribute to the experience of vicarious traumatization (VT). More specifically, this research examined the relationship of VT with personal and professional characteristics of sexual trauma therapists. Furthermore, this research investigated differences in the occurrence of VT between female therapists for adult survivors of sexual trauma and female therapists for child survivors of sexual trauma. No significant predictor relationship was found for the experience of VT with the variables of personal trauma history, career longevity, client caseload, spirituality, and participation in formal peer supervision. Additionally, no significant differences for the experience of VT were found between therapists for adult survivors versus therapists for child survivors of sexual victimization. ========================================
Title: Trauma, spirituality, and their relationship: A qualitative investigation of personal stories and process. Author(s)/Editor(s): Seagraves, Patricia Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(3-B) Sep 2001, US: Univ Microfilms International; 2001, 1597 Abstract/Review/Citation: The field of traumatology has been the subject of considerable inquiry, however, most outcome studies have focused on PTSD, which accounts for only 12% of those experiencing trauma (Bernat, Ronfeldt, Calhoun, & Arias, 1998). The emergence of spirituality in the trauma recovery process has been theorized (Brack, Brack & Hill-Carlson, 1997) and empirically validated (Tedeschi & Calhoun, 1996; Wright, 1997), but has received little attention in the trauma literature. An investigation into the experiences of trauma and spirituality was conducted with 154 graduate students at a southeastern urban university. The purposes of the study were to define the experiences and process of trauma and spirituality and to determine if a relationship existed between the two. Participants completed the Trauma and Spiritual Event Questionnaire (Brack, 1997), an open-ended survey in which participants told their stories of trauma and spirituality and identified their personal criteria for what constituted a traumatic or spiritual event. The researcher used grounded-theory methodology (Strauss & Corbin, 1990) to analyze the participants' stories. The results indicated that the experience of trauma followed a specific sequence and resulted in four outcomes: Open Wounds, Open Ended, Closure, and Conscious Growth. The spiritual experiences were diverse and fell into five domains: Spiritual Loss Experiences (transformation), Immediate Spiritual Experiences (transcendence), Religious Experiences (references to a higher power), Community Service Experiences (life impacting), and the Paranormal (unexplained phenomena). A relationship was found to exist between the experiences of trauma and spiritual loss as the precipitating events were identical in many cases and the initial processes followed the same course. However, the outcomes differed in the stories of spiritual loss because the traumatic experience was transformed by a second unexpected and life-altering event, thus changing the participants' perspective. What was once viewed as traumatic was now perceived as a spiritual experience. This process of spiritual transformation was also found to parallel the process of the trauma experience. The spiritual domains of transcendence and community service were also found to have common features with trauma. ========================================
Title: Trauma, consciousness, and spirituality: Toward a theory of trauma in its spiritual dimension. Author(s)/Editor(s): Nace, Robert Frederick Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 62(4-B) Oct 2001, US: Univ Microfilms International; 2001, 2071 Abstract/Review/Citation: This theoretical exploration of psychological trauma developes the thesis that spirituality is an essential element in a comprehensive understanding of the nature, the effects, and the process of recovery from traumatic experience. A review of the trauma literature in psychology reveals a body of work demonstrating interactions between trauma and spirituality or religion. However, definitions of spirituality and religion used in this research vary substantially, and this variance raises contentious ontological and axiological issues for research and theory in psychology. An exposition of Danial Helminiak's process theory of spirituality as a specialization within psychology serves as the basis for understanding spirituality as a dimension of psychological trauma. Spirituality, here, is radically differentiated from religion. Equating human spirit with human consciousness, Helminiak argues that human spirituality is explained by an analysis of human consciousness as bimodal and as dynamically structured by four operations: experiencing, understanding, judging, and deciding. Human spirituality is conceived as the process-intrinsic to consciousness-of generating structures of meaning and value. It is through this process that trauma and spirituality interact. The application of Helminiak's theory of spirituality to the issue of trauma allows exploration of the interactions of spirituality and trauma, provides a basis for describing characteristic alterations in spirituality as a result of trauma, and supports a three-stage model of recovery in the spiritual dimension. ========================================
Title: Elementary school counseling in the new millennium. Author(s)/Editor(s): Sandhu, Daya Singh Source/Citation: Alexandria, VA, US: American Counseling Association; 2001, (xxv, 296) Abstract/Review/Citation: Examines primary issues that affect elementary school-age children. The book addresses the social and cultural complexities that influence children's behavior and describes what can be done to help them succeed in a rapidly changing world. The authors present counseling program strategies, which are designed both to meet the special needs of K-6 students and to maximize their potential by promoting personal growth, self-determination, and self-respectibility. Topics discussed include creative problem solving, play therapy and use of the creative arts in counseling, parental collaboration, trauma counseling, resiliency and coping strategies, the concerns of multiethnic and multiracial children, sexual orientation, spirituality, and bullying. Notes/Comments: Foreword Preface Acknowledgments About the editor and contributors Section I: Proactive counseling in the 21st century Introduction: Challenges for elementary school counselors in the new millennium Daya Singh Sandhu A model of school counseling: Using a proactive and positive approach Alfiee M. Breland and Daya Singh Sandhu Navigating the quagmire of inherent ethical dilemmas present in elementary school counseling programs Susan Norris Huss Section II: Developmental needs of elementary school students Interconnections among cognitive, physical, and social development Earl Folse and Daya Singh Sandhu Play therapy in the elementary school Peterann M. Siehl Creative arts in counseling with elementary school children: A user-friendly approach J. Kelly Coker Using group rewards to influence prosocial behavior and academic success: The school counselor as consultant and coordinator Craig S. Cashwell, Tammy H. Cashwell and Amy L. Skinner Career development in the elementary school Judith Emmett and Debra Preston Section III: Crisis/intervention Creating developmental opportunity: Systemic and proactive intervention for elementary school counselors Patrick Akos Encouragement counseling for the discouraged child Robert J. McBrien Using the 4C's to provide services for children of alcoholics in elementary school settings John F. Arman, Emily Phillips and Robert McNair Counseling issues and programs for children of divorce Pedro R. Portes, Daya Singh Sandhu and Jennifer A. Vadeboncoeur A remedy for boys who bully: A gender-equal school environment Elizabeth Clarke and Mark S. Kiselica Peervention: A practical approach to preventing violence in elementary schools Andrew K. Tobias Section IV: Special needs/concerns Counseling the special needs student Jackie M. Allen Counseling children with learning disabilities Joyce Williams Bergin and James J. Bergin Valuing human diversity: Counseling multiracial and multiethnic children Eugenie Joan Looby Counseling immigrant children in school settings: What school counselors should do Mei Tang Spirituality: Its place in counseling children Mary Finn Maples Issues of difference: Gender, sexuality, and the elementary school child Kathleen M. Kirby Professional responsibility to gay, lesbian, bisexual, and transgendered (GLBT) youths and families Sue Strong and Connie J. Callahan Section V: Technology and other resources for the elementary school counselor School counselor technology competencies in the new millennium Russell A. Sabella and J. Michael Tyler The elementary school counselor's professional library Pamelia E. Brott elementary school-age children; elementary school counseling; social issues; cultural complexities; social complexities; counseling programs ========================================
Title: How to help people who dissociate. Author(s)/Editor(s): Friesen, James G. Source/Citation: Journal of Psychology & Christianity: Special Issue: Dissociative Identity Disorder; Vol 19(2) Sum 2000, US: Christian Assn. for Psychological Studies; 2000, 144-153 Abstract/Review/Citation: A comprehensive approach to treating dissociative identity disorder (DID) clients is presented, based on The Life Model (Friesen et al, 1999). 28 lessons about treating DID clients are briefly listed, in the following areas: lessons about the environment, psychological lessons, spiritual lessons, and lessons about programming. The results of 2 studies about spiritual interventions are also included, which identify spiritual interventions used by practicing DID counselors, and the reported effectiveness of the interventions. In Exp 1, 66 Christian therapists who work with trauma recovery clients completed surveys indicating which spiritual interventions they used. In Exp 2, 102 Christian therapists who work with DID clients were surveyed as to which spiritual interventions were effective. The results indicate that it is routinely a standard practice for Christian therapists to pray, and to expect God will be very active in the therapy they carry out. ========================================
Title: Loss and trauma: General and close relationship perspectives. Author(s)/Editor(s): Harvey, John H.; Miller, Eric D. Source/Citation: Philadelphia, PA, US: Brunner-Routledge; 2000, (xxv, 415) Abstract/Review/Citation: Many of the losses we experience in life are natural losses--loss of friends, health issues, death, divorce, loss of employment, prejudice, and stigmatization. These events tax us most, and the process of searching for and creating meaning is pervasive to life itself. This process is found in the chapters of this handbook-style collection by scholars of the oss and trauma phenomena. This interdisciplinary and international resource combines more subtle losses such as those of prejudice and stigmatization with traumas, death, or the loss of a close relationship. In this way, the volume reveals continua of major loss, grief, and traumatic events, while also showing the innate ability of humans to grow stronger and gain hope in pursuing the meaning behind the loss experiences. The book begins with a general analysis of loss and trauma concepts and then moves into an analysis of loss and trauma in specific populations. Treatments to address these specific populations and traumas are included. Covered next is the daunting loss and trauma associated in close, personal relationships--both romantic and familial. The book concludes with a commentary that considers both the book's content and loss and trauma research in general. Notes/Comments: Preface Contributors' list Part I: General perspectives on loss, trauma, coping, and the positive impacts of loss From vulnerability to growth: Positive and negative effects of stressful life events John A. Updegraff and Shelley E. Taylor The other side of trauma: Towards a psychology of appreciation Ronnie Janoff-Bulman and Andrea R. Berger Bereavement Beverly Raphael and Matthew Dobson Helping victims of loss and trauma: A social psychological perspective Louis A. Penner, John F. Dovidio and Terrance L. Albrecht Victim thinking Roy F. Baumeister and Ellen Bratslavsky The ranking of personal grief: Death and comparative loss Harvey Peskin Parallel selves as the end of grief work Aurora Liiceanu Rational suicide David J. Mayo Part II: Loss and trauma associated with specific populations The role of perceived control in coping with the losses associated with chronic illness Suzanne C. Thompson and Diana J. Kyle Coping as a "reality construction": On the role of attentive, comparative, and interpretive processes in coping with cancer Dieter Ferring, Sigrun-Heide Filipp Loss, adjustment, and growth after cancer: Lessons from patients' children Beth Leedham and Beth Meyerowitz The few gains and many losses for those stigmatized by psychiatric disorders Amerigo Farina The human costs of organizational downsizing: The irrational effects of the justice motive on managers, dismissed workers, and survivors Melvin J. Lerner Transcending a lifetime of losses: The importance of spirituality in old age Janet L. Ramsey and Rosemary Blieszner College student grief and loss Paul L. Toth, Rex Stockton and Fredrick Browne On being homeless and mentally ill: A multitude of losses and the possibility of recovery Gary A. Morse Part III: Loss and trauma associated with close relationships Loss, resources, and resiliency in close interpersonal relationships Stevan E. Hobfoll, Nicole Ennis and Jennifer Kay Negotiating terminal illness: Communication, collusion, and coalition in caregiving Carolyn Ellis Caregiver loss and quality of care provided: Preillness relationship makes a difference Gail M. Williamson, David R. Shaffer, and The Family Relationships in Late Life Project [University of Georgia, Department of Psychology] Adjusting to infertility Antonia Abbey Widowhood in later life Robert O. Hanson and Bert Hayslip, Jr. The loss of loved ones: The impact of relationship infidelity Brock Boekhout, Susan S. Hendrick and Clyde Hendrick Unyielding custody disputes: Tempering loss and courting disaster Jacqueline L. Karkazis and Sharon L. Lazaneo Cognitive interdependence and the experience of relationship loss Christopher R. Agnew Part IV: Conclusion What's narrative got to do with it? Construction and coherence in accounts of loss Robert A. Neimeyer and Heidi M. Levitt Index prejudice & stigmatization & death & grief & general & close relationship perspectives on loss & trauma ========================================
Title: Transcending a lifetime of losses: The importance of spirituality in old age. Author(s)/Editor(s): Ramsey, Janet L.; Blieszner, Rosemary Source/Citation: Loss and trauma: General and close relationship perspectives., Philadelphia, PA, US: Brunner-Routledge; 2000, (xxv, 415), 225-236 Source editor(s): Harvey, John H. (Ed) Abstract/Review/Citation: How does spirituality function in the lives of older adults to enable them to cope successfully and age well? The authors suggest that it is often helpful to interview strong and successful elderly survivors themselves in order to learn the answer to this question. Such men and women are models of resiliency whose lives can offer inspiration and encouragement both to younger persons and to their contemporaries. They live among us as persons who have transcended a lifetime of losses, learned to cope with incredible difficulties, and gained deep understandings of life. Topics include: an illustrative study of spirituality and resilience; relationships and spirituality in old age; and applications for clinical practice (cognitive therapy, existential therapy, narrative therapy). ========================================
Title: Early posttraumatic interventions: Facilitating possibilities for growth. Author(s)/Editor(s): Calhoun, Lawrence G.; Tedeschi, Richard G. Source/Citation: Posttraumatic stress intervention: Challenges, issues, and perspectives., Springfield, IL, US: Charles C Thomas, Publisher; 2000, (xvii, 225), 135-152 Source editor(s): Violanti, John M. (Ed) Abstract/Review/Citation: There is evidence suggesting that the struggle with highly challenging circumstances (e.g., earthquakes, fires, major transportation accidents) can produce significant positive changes for persons coping with trauma. The authors have termed these changes "posttraumatic growth" (PTG). PTG is positive change that an individual experiences as a result of the struggle with a traumatic event. Although similar to concepts such as hardiness and resilience, which describe persons who, in spite of exposure to highly stressful life circumstances, nevertheless withstand or bounce back psychologically without developing deficiencies or psychological problems, PTG refers to something different. The experience of posttraumatic growth is one in which the individual describes significant positive changes arising from the struggle. The kinds of PTG reported tend to fall into 3 general categories: (1) changes in one's sense of self, (2) changes in relationships with others, and (3) changes in one's spirituality or religion. This chapter describes these 3 general domains of growth, and then discusses how a PTG growth perspective might be applied in the context of posttraumatic interventions. ========================================
Title: Being Indian: Strengths sustaining First Nations peoples in Saskatchewan residential schools. Author(s)/Editor(s): Hanson, Isabelle; Hampton, Mary Rucklos Source/Citation: Canadian Journal of Community Mental Health; Vol 19(1) Spr 2000, Canada: Wilfrid Laurier Univ Press; 2000, 127-142 Abstract/Review/Citation: This qualitative study asked the question: what were the strengths that contributed to the survival of First Nations peoples during their stay in residential schools? Six elders who are survivors of residential schools in southern Saskatchewan were asked to respond in narrative form to this research question. Analysis of interviews revealed that, drawing on community-building skills of First Nations cultures, they created their own community with each other within the confines of this oppressive environment. The strengths they identified are consistent with sense of community identified in community psychological literature, yet are also unique to First Nation cultures. These strengths are: autonomy of will and spirit, sharing, respect, acceptance, a strong sense of spirituality, humour, compassion, and cultural pride. It is suggested that community-based mental health initiatives which identify traditional sources of strengths within First Nations communities will be most effective in promoting healing from residential school trauma. ========================================
Title: Coping with the spiritual meaning of psychosis. Author(s)/Editor(s): Murphy, Marcia A. Source/Citation: Psychiatric Rehabilitation Journal; Vol 24(2) Fal 2000, US: Psychiatric Rehabilitation Journal; 2000, 179-183 Abstract/Review/Citation: This article presents a thematic analysis of the meaning of psychosis. The analysis is based on 1st-person accounts of 8 persons suffering from serious mental illnesses. Based on these accounts the author calls for an end to the estrangement between psychiatric rehabilitation and the spiritual lives of people with mental illnesses by showing the importance of an integrated approach to psychiatric care. The need for such an approach is evident in the accounts of persons who experienced psychoses. These survivors of trauma not experienced by many outside the psychiatric community plead for careful consideration of their interpretation of psychotic phenomenon. They report having adopted attitudes and lifestyles that have given direction to their lives and strategies for survival. ========================================
Title: The path to wholeness: Effective coping strategies of African-American adult survivors of childhood violent experiences. Author(s)/Editor(s): Bryant, Thema Simone Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(8-B) Mar 2000, US: Univ Microfilms International; 2000, 4205 Abstract/Review/Citation: Far too many African-American children have been victims and witnesses of physical and sexual violence. A retrospective exploratory study of African-American adult survivors of childhood violent experiences was conducted to determine the effectiveness of various coping strategies. Seventy participants were recruited to form a community sample of African-American adults. The coping strategies focused on were community support, spirituality, creativity, and activism. While trauma history was predictive of psychological adjustment, utilization of community support as a coping strategy was predictive of lower symptoms of distress. Qualitative analyses provided insight into the use of coping strategies and contextualized their helpfulness within the theoretical framework of 'thriving'. The investigator speaks to cultural influences on the body of trauma recovery research, as well as cultural issues in methodology and interpretation. This study provides an opportunity for the voices of African-American survivors to be heard as they tell about their quest toward renewal and restoration. ========================================
Title: The impact of counseling battered women on the mental health of counselors. Author(s)/Editor(s): Bell, Holly Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 60(9-A) Apr 2000, US: Univ Microfilms International; 2000, 3525 Abstract/Review/Citation: Research to date has suggested that counselors who work with trauma survivors are susceptible to secondary trauma, a form of work-induced PTSD. This qualitative study focuses more broadly on how a specific group of trauma counselors experienced their work, both positively and negatively. Thirty counselors of battered women, with a variety of educational backgrounds, were asked about their experiences in a semi-structured format in two interviews, approximately one year apart. Interviews were transcribed verbatim and analyzed using the constant comparative method of grounded theory, whereby thematic material is compared across subjects until theory emerges which best describes the aggregate data. Only a few counselors seemed to be distressed at any given time. Five of the thirty counselors seemed very stressed at the time of the second interview. Six counselors seemed to be unfazed by stressful experiences. The majority of counselors, nineteen in all, could name stressors, but felt they had adequate personal and interpersonal resources for dealing with them. They identified both positive and negative reactions to their work. Factors in counselors' personal lives appeared to be at least as important as work stressors in determining overall counselor stress. Further, counselors' perceived stress was not static, but changed over time. Four counselors seemed less stressed at the time of the first interview compared with the second; two seemed more. Factors that seemed to make a difference in how stressed counselors described themselves to be included their motivation for their work, how they appraised stressors, how competent they felt coping with stress, how their worldview/philosophy of life/spirituality functioned to buffer them from stress, and how supported they felt. Several historical factors such as personal experience and resolution of trauma and early role models of coping also emerged. Finally, several demographic differences, such as ethnicity, marital status, and childrearing status, emerged that correlated with stress level. Particular configurations of these factors at a given period of time contributed to counselor distress. These factors suggest additional areas of research into how counselors experience their work and ways to improve screening, training, and supervising counselors of battered women. ========================================
Title: Spirituality in young adults at risk. Author(s)/Editor(s): Schmidt, Cynthia Ann Wonsowicz Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(9-B) Apr 2000, US: Univ Microfilms International; 2000, 4908 Abstract/Review/Citation: The literature largely supports the association between certain types of religiosity and low scores on measures of anxiety and depression. Specifically, intrinsic religiosity, a collaborative religious problem-solving style, and a nurturing concept of God (e.g., loving and merciful images) have been examined. This study examined the hypothesis that these types of religiosity would predict lower trauma symptoms of anxiety and depression, as well as lower disruptions in cognitive schemas, in young adults who were maltreated as children. An additional hypothesis was that endorsing a punitive concept of God (e.g., cruel and damning images) would be associated with greater trauma symptoms and greater disruptions in cognitive schemas. 370 undergraduates participated in this study. Results partially supported the hypothesis that religiosity would help to protect mental health, based on positive associations between the religiosity variables and schemas about intimacy with others and esteem for others. Participants most strongly endorsing a punitive concept of God reported the highest scores on depression, after controlling for the extent of their childhood maltreatment. Endorsing a punitive concept of God was also associated with disruptions in cognitive schemas, both regarding oneself and regarding others, about safety, trust, esteem, intimacy, and control. Results also supported Pargament's (1997) coping mobilization hypothesis, that when individuals are experiencing the greatest stress (consequently reporting higher symptomatology), they increase their levels of religiosity to cope with their stressors. implications for psychologists and religious helping professionals are discussed in terms of identifying punitive thoughts about God as a 'red flag' that signals a need for collaboration between the two professions. ========================================
Title: Getting loaded: Adolescent girls' stories of substance abuse and treatment. Author(s)/Editor(s): Pizer, Rebecca Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(9-B) Apr 2000, US: Univ Microfilms International; 2000, 4933 Abstract/Review/Citation: The goal of this study was to examine the experiences of culturally diverse adolescent girls with substance abuse and recovery. The professional literature on adult women's chemical dependency emphasizes the significance of gender in all aspects of alcohol and other drug use as well as its import in treatment. Also, the growing research on adolescent substance abuse suggests that developmental factors distinguish young people who abuse drugs from adult addicts in numerous ways. However, that literature generally fails to address the issues of gender and culture, and little is known about girls' subjective experiences of substance abuse. This exploratory study gathered information from eight adolescent girls who completed long-term treatment at Thunder Road adolescent drug treatment program. Half of the participants identified as Caucasian and the other half identified as girls of color. Semi-structured interviews were employed to elicit participants' perceptions. Qualitative analysis of the in-depth interviews produced several prominent themes as well as three case studies. Family problems such as chemical dependency and parental absence were extremely common among participants' families. Childhood physical and sexual abuse were also prevalent. In addition, most participants suffered sexual trauma and exploitation while they were seeking drugs or intoxicated. Substance use was described as numbing the pain and shame from early and ongoing sexual trauma, though it also increased the risks of exploitation and harm. Participants also reported engaging in a variety of other risky behaviors besides substance abuse such as stealing, fighting, and reckless driving. While racial differences did not appear to be prominent in the group, class did emerge as a differentiating factor with girls from poor families starting to use chemicals earlier, staying in inpatient treatment longer, and coming from more chaotic families. Participants' attempts to quit using drugs on their own were unsuccessful prior to admission to drug treatment. Increased parental limit setting was necessary to motivate participants to enter treatment and stay there. Every girl reported that family work during treatment improved her family's functioning in the long term. Angry outbursts decreased, shameful topics were brought out into the open, and communication generally improved. Due to the coed nature of treatment, certain issues were inadequately addressed such as girls' sexual behaviors, sexual identities, and shame. However, participants used the Twelve Steps and other methods such as sober friendships and spirituality to abstain from alcohol and other drugs and focus on recovery. ========================================
Title: Helping women recover: A comprehensive integrated treatment model. Author(s)/Editor(s): Covington, Stephanie S. Source/Citation: Alcoholism Treatment Quarterly; Vol 18(3) 2000, US: Haworth Press Inc; 2000, 99-111 Abstract/Review/Citation: This article offers a brief overview of the treatment history of women's addictions. It then provides a new model for treating women (the Helping Women Recover program) that incorporates three theories: theory of addiction; theory of women's psychological development; theory of trauma. The structure and content of this gender-responsive treatment program is also discussed with a focus on four areas: self, relationship, sexuality, and spirituality.Helping Women Recover is designed to be used in both community-based and criminal justice-based programs for women. ========================================
Title: An exploratory study of student perceptions concerning their spiritual formation within the Christian college experience. Author(s)/Editor(s): Ma, Stella Y. Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 60(11-A) Jun 2000, US: Univ Microfilms International; 2000, 3931 Abstract/Review/Citation: Many Christian colleges and universities state that the development of godly young adults to serve God and society is an essential part of their mission. Limited information is available on how Christian institutions impact students and accomplish this purpose. This study explored students' perceptions of how their Christian college experience has influenced their spiritual formation. Christian higher education has historically played a significant role in the development of leaders and teachers for church and society. The development of student spirituality is still a relevant focus in Christian higher education. A current concern in higher education is the development of a seamless learning environment; one that integrates academic and non-academic experiences, to impact the college student more wholistically. Literature reviewed indicated the need for more assessment on how the Christian college environment influences the student in the area of spiritual formation A total of 1,121 surveys were distributed at 18 institutions, representing 8 religious affiliations, between April and June 1999. Out of 980 surveys received, 953 were valid for analysis. The survey instrument was developed from the preliminary survey results. The survey looked at the impact of the Christian college experience on students, in terms of how students perceived academic and non-academic factors, in relation to their spiritual formation. Contact personnel at each site implemented the survey instrument through either an academic or non-academic setting. The results were analyzed using Pearson's, ANOVA, and Tukey's HSD post hoc test. A brief content analysis of the text responses was done based mainly on frequency counts. Survey results provided a descriptive profile of the average student. The Pearson's test on the survey instrument showed high correlation between the total scores and the academic and non-academic scores, and low correlation between academic and nonacademic scores. The ANOVA findings showed significant differences in the effects of individual campuses, institutional religious affiliations, gender, and residential status on the spiritual formation of students. Descriptive statistics on survey items provided some trends of student perceptions on their Christian college experience. A lower range of means was reported for academic items. The ten most influential factors were relationships with peers, working through crisis or trauma, practicing personal spiritual disciplines, praise and worship sessions, Bible or theology classes, Christian college environment, involvement in student ministry, being in an accountability or discipleship group, short-term missions, and professor's impact or interaction in the class. Non-academic factors were perceived to be more influential on spiritual formation than academic factors, in terms of the means of survey items. Some practical applications, suggested from the findings, included the investigation of the non-academic environment on individual campuses, investment in faculty development, development of new programs, and improvement of existing courses and programs. Limitations of this study were the use of a new ========================================
Title: Strategies for survival through healing among Native American women: An urban case study. Author(s)/Editor(s): Mangelson Stander, Elon Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 61(2-A) Aug 2000, US: Univ Microfilms International; 2000, 780 Abstract/Review/Citation: This study of Native American women residing in two Utah cities was conducted to examine patterns of healing and recovery from several types of personal trauma. The research was conducted using ethnographic techniques including participant observation and in-depth open-ended interviews. In addition, a preliminary comparative analysis was made with a rural population on the Northern Cheyenne reservation in Montana. Domestic abuse, sexual abuse, substance abuse, cultural oppression, grief and rejection/abandonment were issues precipitating recovery among these American Indian women. The pattern of recovery emerging from the study is a four stage model. In Stage 1, women came to recognize the need for recovery. A parental imperative to care for dependent children was an important force for women's recognition of the need to change. A central motif of the model is a personal commitment to survival through healing. Coming to this decision represents Stage 2 and is essential for the recovery process to move forward. Constituting Stage 3, strategies to direct and support the commitment to recovery are then selected from resources available. Six strategies were most salient. Spirituality and religion seemed to be the most indispensable overall. Other strategies were education, formal recovery programs or counseling, significant others or social networks, relocation, and culture/roots. In Stage 4, recovery and healing results in self discovery, improved self-esteem and improved social skills. Women also found themselves taking on new roles as a result of recovery. Frequently, women in recovery turned to community. New personal strengths and skills were used to enhance community resources as they reached out to help others through a variety of avenues including involvement in the public schools, community outreach programs and those specifically targeting adult healing. Other issues discussed are power and control, patterns of cultural revitalization and resistance to cultural erosion and loss, generational patterns and urban identity issues. The urban-rural comparison showed, among other findings, variations in the pattern of religious affiliation. Higher percentages of rural women were involved with traditional spiritual practices. Recovery centers were more central to rural women's recovery compared to urban women. (traditional religion, Native American Church, power, urban, reservation.) ========================================
Title: Women in recovery from alcohol: Their perspectives. Author(s)/Editor(s): Rankin, Carol S. Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(2-B) Aug 2000, US: Univ Microfilms International; 2000, 817 Abstract/Review/Citation: There is limited information available to rehabilitation counselors regarding women with alcohol problems. A review of the literature shows that the needs of women who experience alcohol problems have just begun to be identified. Much of what is known about alcohol problems for women has been based on research about men and treatment efforts have primarily been based on the disease/addiction/medical model. This model incorporates the 12-step philosophy of AA. Although AA has had a significant impact over the past 60 years, its relevance for women in general has been questioned. The purpose of the present study was to better understand women's experiences in recovery from alcohol. In order to study women's experiences and perceptions in-depth, a qualitative research approach was used. Since the purpose of the present study was to explore experiences of women in recovery, women who attended AA, women's AA, or Women For Sobriety made up the sample for this study. A purposive sampling procedure was used. Face-to-face tape-recorded interviews were conducted with a total of 10 women and inductive analysis procedures were used to analyze the data. Three major themes emerged as a result of this study. The predominant theme that emerged from this study was the importance of interpersonal processes/relationships for women in recovery. Another theme that emerged identified the importance of feelings related to pain, low self-esteem, and depression. The third theme that emerged identified spirituality as an important recovery experience. Other topics that were related to these women's experiences included the importance/impact of: sexual trauma, counseling styles, family involvement, and perceived gender differences. ========================================
Title: Existential/religious well-being as moderating variables in adjustment of adults sexually abused as children. Author(s)/Editor(s): Middleton, Kenneth C. Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 61(4-B) Oct 2000, US: Univ Microfilms International; 2000, 2212 Abstract/Review/Citation: Personal characteristics of existential well-being and religious well-being were examined for their relationship to severity of child sexual abuse and the long-term psychological effects of that abuse. It was hypothesized that existential well-being and religious well-being would lessen the impact of the traumagenic dynamics of stigmatization, betrayal, powerlessness, and traumatic sexualization in abuse victims. Subjects included 983 respondents (76.4% female) from 4 U.S. metropolitan areas. Five hundred seventy-five of the subjects (58.5%) reported being sexually abused as a child. No direct measures of existential or religious well-being were available in the data set. Adapted, indirect measures were developed through correlation statistics by comparing available items from several instruments in the data set with the Spiritual Well-Being Scale (Paloutzian & Ellison, 1982). The results indicated that existential well-being was significantly related to severity of abuse, and that increased existential well-being was associated with fewer distress symptoms in adults sexually abused as children across several levels of severity of abuse. These findings are congruent with
current models showing the positive impact of
increased existential well-being on victims of non-sexual trauma. The results further indicated that spiritual well-being had no clear association with severity of abuse nor distress symptoms in adults sexually abused as children. ========================================
Title: Utilizing religious resources in the treatment of dissociative trauma symptoms: Rationale, current status, and future directions. Author(s)/Editor(s): Rosik, Christopher H. Source/Citation: Journal of Trauma & Dissociation: Special Issue: ; Vol 1(1) 2000, US: Haworth Medical Press; 2000, 69-89 Abstract/Review/Citation: The religious faith and spirituality of patients suffering from dissociative disorders has a vital though often undervalued role to play in the treatment process. This article examines some reasons for this state of affairs, provides a rationale and strategy for the assessment of patient religiousness, and suggests some practical avenues for utilizing the religious and spiritual dimension in psychotherapy. Concluding recommendations derived from this analysis for the dissociative disorders field are presented. ========================================
Title: Clergy sexual abuse of women: A specialized form of trauma. Author(s)/Editor(s): Flynn, Kathryn Ann Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 61(5-A) Dec 2000, US: Univ Microfilms International; 2000, 1751 Abstract/Review/Citation: This study was designed to examine the possibility of trauma in the lives of women who were sexually abused by clergy. Interpersonal violence in religious settings is not easily understood because methodological research issues make the problem difficult to accurately assess. Anecdotal literature likens clergy sexual abuse to familial incest. Therefore, the following research question was considered: Is a trauma model a valid theoretical construct with which to study women sexually abused by clergy? In what ways is the model informed by clergy specific factors? Twenty-five women from eleven different states participated in a semi-structured interview. A five part interpretative process was used in the analysis for indication of classical and complex trauma symptoms. The study was not clinical in the sense of being diagnostic, epidemiological, or therapeutic in its design. Rather, it was a narrative research effort to allow the women's expression of personal experiences guide the analysis. Both classical and complex posttraumatic symptoms were found in the data. Participants exhibited symptoms that strongly corresponded with and met classical and complex trauma criteria used. Clergy-specific aspects were found in the antithetical nature of the relationship, an intensified captivity experience, and extreme isolation related to the lack of 'context' for expression of the problem. Lack of church institutional recognition of the problem and communal support for victims and the deprivation of religious, social and cultural 'context' intensified trauma symptoms. Shifts in participants' meaning systems, from formal systems of transcendence to complex spirituality emphasizing relational interpersonal factors, were prominent in the narratives. Recommendations include interdisciplinary educational emphasis as primary to creating a 'context' and the development of support systems. Findings suggest that educational efforts may be more productive if they target potential victims and society outside of religious institutions. Existing church measures did not appear to affect prevention and were found non-responsive to victim needs. Re-conceptualization of clergy sexual abuse as trauma producing using an interpersonal violence paradigm and expansion of current sexual abuse trauma theory to include women abused by clergy is recommended. ========================================
Title: Moral and spiritual issues following traumatization. Author(s)/Editor(s): Sparr, Landy F.; Fergueson, John F. Source/Citation: Psychiatry and religion: The convergence of mind and spirit., Washington, DC, US: American Psychiatric Press, Inc.; 2000, (xx, 196), 109-123 Issues in psychiatry. Source editor(s): Boehnlein, James K. (Ed) Abstract/Review/Citation: Highlights the importance of including religious and spiritual considerations in comprehensive psychiatric formulations. The authors specifically focus on the treatment of posttraumatic stress disorder, because the complex existential and spiritual issues associated with trauma and loss are central to both religious faith and the process of posttraumatic recovery. During and after traumatic events, individuals frequently report great cognitive dissonance between what they observe and experience in reality and what they previously believed were stable, secure, and predictable relationships, not only with other individuals but also with the supernatural or the metaphysical. The person recovering from trauma does not have to be religious in a formal sense to experience this dissonance. Including religious and spiritual perspectives in the clinical assessment of patients takes into account the effects of philosophical viewpoints, cultural values, and social attitudes on disease. In recent decades, psychotherapeutic emphasis has moved from classic psychodynamic conflicts over sexual and aggressive strivings toward a focus on self-affirmation and on existential issues that have been raised in connection with 20th-century wars and calamities. ========================================
Title: Physician-assisted suicide: A choice against meaning. Author(s)/Editor(s): Long, Jerry L. JR Source/Citation: International Forum for Logotherapy; Vol 23(1) Spr 2000, US: Viktor Frankl Inst of Logotherapy; 2000, 5-13 Abstract/Review/Citation: Discusses the author's 7-stage model of crisis intervention, applicable to persons who may be contemplating physician-assisted suicide and entitled: "Logotherapeutic Transcendental Crisis Intervention.' The stages of the model are described, from crisis onset to transcending the trauma. The author stresses his belief that every human being has positive choices even in dire adversity, and suggests that choosing life holds the potential for activating spirituality and affording the opportunity for discovering meaning in life. V. Frankl's life is briefly discussed as an example of this view. ========================================
Title: EMDR in the treatment of adults abused as children. Author(s)/Editor(s): Parnell, Laurel Source/Citation: New York, NY, US: W. W. Norton & Co, Inc; 1999, (xiv, 222) Abstract/Review/Citation: This book shows therapists how to integrate eye movement desensitization and reprocessing (EMDR) into abuse treatment so that adults who have been abused as children clear their trauma more rapidly, escape falling into the victim mentality, and proceed to lead full, productive lives. For therapists already familiar with EMDR, it covers the primary treatment issues and symptomatology of these clients and specific alterations of the standard EMDR protocol. For therapists experienced with treating abuse survivors, it introduces a safe and effective way to process trauma. The author teaches many techniques to help the therapist when an impasse is reached and also provides a selection of treatment choices. She demonstrates how EMDR can be used in the beginning phase of therapy for ego strengthening and the development and installation of resources. This prepares clients for trauma processing in the middle phase. In the end phase, clients integrate their experiences and often feel an awakening of their creativity and spirituality. Cases are used throughout to provide therapists with a deeper, more grounded understanding of different kinds of abuse cases and their treatment. Notes/Comments: Introduction Acknowledgments Part I: Treating adults abused as children with EMDR The EMDR model Primary treatment issues and symptomatology Important considerations in using EMDR with adults abused as children Adjunctive therapeutic tools Part II: The phases and organization of EMDR sessions and treatment The beginning phase: Assessment, preparation, and ego strengthening The middle phase: Processing and integration The end phase: Creativity, spirituality and integration Part III: Tools and techniques for individual EMDR processing sessions Beginning EMDR processing sessions The middle EMDR processing sessions Suggestions for closing incomplete sessions and helping clients manage between sessions Part IV: Cases Case sessions demonstrating various techniques Christina References Index treatment issues & symptomatology of eye movement desensitization and reprocessing, adults abused as children ========================================
Title: Trauma and loss in native North America: An ethnocultural perspective. Author(s)/Editor(s): Stamm, B. Hudnall; Stamm, Henry E. Source/Citation: Honoring differences: Cultural issues in the treatment of trauma and loss., Philadelphia, PA, US: Brunner/Mazel, Inc; 1999, (xxvii, 299), 49-75 Series in trauma and loss. Source editor(s): Nader, Kathleen (Ed) Abstract/Review/Citation: Draws from scientific research, traditional stories, and ethnohistory to discuss trauma and loss within the Native North American culture. Place and time, in consideration of the importance of land, community, and spirituality, are outlined. Next, the authors discuss the interrelated issues affecting health and interventions. Important beliefs and ceremonies are detailed. Finally, the problems of native life and the challenge of balancing culture and science is examined. ========================================
Title: Vicarious traumatization, spirituality, and the treatment of sexual abuse survivors: A national survey of women psychotherapists. Author(s)/Editor(s): Brady, Joan Laidig; Guy, James D.; Poelstra, Paul L.; Brokaw, Beth Fletcher Source/Citation: Professional Psychology: Research & Practice; Vol 30(4) Aug 1999, US: American Psychological Assn.; 1999, 386-393 Abstract/Review/Citation: Should psychotherapists limit their clinical work with trauma survivors to avoid being traumatized themselves? Vicarious traumatization (VT--the symptoms similar to posttraumatic stress disorder and the disruption in cognitive schemas reported in clinicians who are exposed to the trauma material of their clients--was assessed in a national survey of 1,000 women psychotherapists. Therapists with higher levels of exposure to sexual abuse material reported significantly more trauma symptoms but no significant disruption of cognitive schemas. Spiritual well-being, a key area thought to be damaged by VT, was found to be higher for those clinicians who saw more sexual abuse survivors. ========================================
Title: Indigenous models of healing and sexuality: Restoring sexual balance. Author(s)/Editor(s): DeLugach, Steven P. Source/Citation: Sexual Addiction & Compulsivity; Vol 6(2) 1999, US: Brunner/Mazel; 1999, 137-150 Abstract/Review/Citation: The traditional values, beliefs, and practices of Indigenous peoples hold ancient wisdom regarding healing and healthy sexuality. Dominant cultural values, beliefs, and practices have helped devalue and dehumanize intimacy and sexuality. Current literature on healthy sexuality has its roots in the pathologies of sexual abuse, marital conflict, and sexual dysfunction. Indigenous models of healing and healthy sexuality can complement this body of knowledge while leading the way to a reconnection of sexuality and spirituality. This article explores specific concepts and tools for recovery from sexual addiction and trauma without exploiting Indigenous people or sacrificing their identity and history. ========================================
Title: Soul pain and the therapeutic use of ritual. Author(s)/Editor(s): Fisher, Maggie; Francis, Brother OSB Source/Citation: Psychodynamic Counselling; Vol 5(1) Feb 1999, England: Routledge Journals; 1999, 53-72 Abstract/Review/Citation: This paper will explore the relationship between ritual and transformation. It will show how a therapist and a monk work together to create sacred spaces in which individuals can experience transformation of and through their personal histories, linking their past, present and future to address their soul pain through ritual. It is illustrated with case studies which will demonstrate the phases of ritual work which are collectively important as part of the psychodynamic therapeutic process. ========================================
Title: Addressing spiritual and religious issues of clients with a history of psychological trauma. Author(s)/Editor(s): Grame, Carolyn J.; Tortorici, Joseph S.; Healey, Bede J.; Dillingham, John H.; Winklebaur, Philip Source/Citation: Bulletin of the Menninger Clinic; Vol 63(2) Spr 1999, US: Menninger Foundation; 1999, 223-239 Abstract/Review/Citation: Underscores the growing necessity for psychotherapists and clergy to collaborate in the treatment of clients with psychological trauma. The authors provide a literature review and draw on their personal treatment experience to illustrate the spiritual and religious issues of clients and the necessity for spiritual and religious assessment and treatment plans for this population. The following 4 theories that highlight the body-soul connection involved in psychological trauma are briefly presented: (1) attachment theory, (2) self psychology theory, (3) Thomas Aquinas's theology of embodiment, and (4) object relations theory. The need for cross-professional training for both psychotherapists and clergy is suggested. ========================================
Title: Spiritual resources in family therapy. Author(s)/Editor(s): Walsh, Froma Source/Citation: New York, NY, US: Guilford Publications, Inc; 1999, (xvi, 301) Abstract/Review/Citation: Spirituality is a powerful dimension of human experience, with growing importance and diversity in today's changing world. Yet it has long been regarded as off-limits in clinical training and practice, leaving most therapists and counselors blind to its significance and reluctant to approach it. Many have regarded clients' spirituality as a private matter not to be intruded on and best left to clergy, pastoral counselors, or faith healers. Some have worried that therapists might impose their own convictions on vulnerable clients. Others fear the intensity of feelings and conflicts that can be aroused by delving into spiritual issues. This volume is intended as a sourcebook to inform and inspire mental health, health care, pastoral, and human service professionals of all disciplines about this dimension in clinical work with couples and families. The aim of this book is to open family therapy practice to spirituality: to explore clients' spiritual beliefs and practices, to understand those that have constrained clients' growth, and to tap resources for resilience and transformation. Notes/Comments: Part I: Overview Religion and spirituality: Wellsprings for healing and resilience Froma Walsh Opening family therapy to spirituality Froma Walsh Part II: Spiritual resources in families: Tapping into the wellsprings Spirituality, suffering, and beliefs: The soul of healing with families Lorraine M. Wright The stresses of poverty and the comfort of spirituality Harry J. Aponte Spirituality and religion: Implications for psychotherapy with African American clients and families Nancy Boyd-Franklin and Tonya Walker Lockwood Religion and spiritual folk traditions in immigrant families: Therapeutic resources with Latinos Celia Jaes Falicov Three spiritual perspectives on resilience: Buddhism, Christianity, and Judaism Steven J. Wolin, with Wayne Muller, Fred Taylor and Sybil Wolin "Honor thy father and thy mother": Intergenerational spirituality and Jewish tradition Mona DeKoven Fishbane Feet planted firmly in midair: A spirituality for family living Herbert Anderson Part III: Spirituality and family therapy: Bridging the divide Morality and spirituality in therapy William J. Doherty Healing from trauma: The quest for spirituality Mary Jo Barrett Opening therapy to conversations with a personal God Melissa Elliott Griffith Releasing the soul: Psychotherapy as a spiritual practice Richard C. Schwartz Stretching to meet what's given: Opportunities for a spiritual practice Kathy Weingarten Heart and soul: Spirituality, religion, and rituals in family therapy training Janine Roberts Spirituality expressed in community action and social justice: A therapeutic means to liberation and hope Alice de V. Perry and John S. Rolland Index spirituality in couples & family therapy ========================================
Title: Healing from trauma: The quest for spirituality. Author(s)/Editor(s): Barrett, Mary Jo Source/Citation: Spiritual resources in family therapy., New York, NY, US: Guilford Publications, Inc; 1999, (xvi, 301), 193-208 Source editor(s): Walsh, Froma (Ed) Abstract/Review/Citation: Discusses spiritual aspects in recovery from trauma in treatment. Topics include: love and knowledge; integrating spiritual meaning and value into treatment; and conscious spirituality (stage 1: creating a context for change, stage 2: challenging patterns and expanding realities, stage 3: consolidation). ========================================
Title: The roles of sense of coherence, spirituality, and religion in responses to trauma. Author(s)/Editor(s): Racklin, Joseph Michael Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 59(9-B) Mar 1999, US: Univ. Microfilms International; 1999, 5106 Abstract/Review/Citation: This study investigated the salutogenic or health-causing roles of sense of coherence, spiritual orientation, and the importance of organized religion in responses to traumatic exposure. Sense of coherence determines to what extent an individual is capable of understanding the nature of stressors, believes appropriate coping resources are available, and finds coping worthwhile. Path analysis was employed to examine the causal relationships between traumatic exposure, sense of coherence, spiritual orientation, and the importance of organized religion on the relative presence or absence of PTSD symptoms following traumatic exposure. Hypotheses were derived from theory and research pertaining to sense of coherence, spirituality and religion, and the emerging literature on trauma resiliency. An ethnically-diverse sample of 210 adults completed the Traumatic Events Questionnaire, the Orientation to Life Questionnaire, the Spiritual Orientation Inventory, the Religious Importance Scale, the PTSD Checklist, and a demographic questionnaire that inquired about religious affiliation, religious attendance, and spiritual practice. Statistical analyses found positive correlations between sense of coherence and spiritual orientation; neither was significantly associated with religious importance. Sense of coherence and religious importance were inversely related to PTSD symptoms, and spiritual orientation was positively associated with PTSD symptoms. Path analysis was conducted and a non-recursive, causal model of PTSD resiliency was proposed. Sense of coherence was found to mitigate PTSD symptoms after traumatic exposure. Increased levels of traumatic distress caused increases in spiritual orientation and decreases in religious importance. Fostering spiritual orientation decreased traumatic distress by buttressing sense of coherence. Religious importance without an intrinsic spiritual component did not strengthen sense of coherence and thus did not lower traumatic distress. Ancillary analyses found that 85.7% of the sample experienced at least one traumatic event in their lifetime. The lifetime PTSD prevalence for the sample was 22.4%. No gender or ethnicity differences were noted for traumatic exposure or PTSD symptoms. Sense of coherence did not differ by gender or ethnicity. Spiritual orientation was significantly higher among women, but no ethnicity differences were observed. Religious importance was significantly higher for non-Caucasian subjects, but no gender differences were found. These findings suggest that the adverse effects of traumatic exposure are mitigated by stronger sense of coherence levels. If distressed by traumatic symptoms, however, turning toward spirituality reduces traumatic distress by reinforcing sense of coherence levels. The study provides evidence for the inclusion of spirituality in models of health, prevention strategies, and treatment interventions. Clinical and public policy implications are addressed. Limitations are discussed and recommendations for further study are offered. ========================================
Title: Male sexual orientation among religious men: A discriminant function analysis. Author(s)/Editor(s): Born, James Lewis Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 59(12-B) Jun 1999, US: Univ. Microfilms International; 1999, 6509 Abstract/Review/Citation: The ecological changes of human society especially in Western civilization via scientific, industrial, and technological revolutions have altered the foundations of what “masculinity” means in the 1990's. This study was designed to discriminate and predict three masculine sexual orientation groups based upon father-son relations, gender, religious spirituality, psychological maltreatment/abuse, and shame. Data were obtained from 92 male volunteer participants (gay = 32, heterosexual = 32, x-gay = 28) who identify as Christians or who affiliate with a Christian organization. Instruments used were the Boyhood Gender Conformity Scale (BGCS), the Father Forgiveness Perception Scale (FFPS), the Home Environment Questionnaire (HEQ) (i.e., Child Abuse Trauma Scale), Internalized Shame Scale (ISS), the Klein Sexual Orientation Grid (KSOG), the Parental Acceptance-Rejection Questionnaire (PARQ), the Personal Information Questionnaire (PIQ), the Religious Identification and Commitment Scale (RICS), and the Sexual Trauma Scale (STS). The KSOG, PIQ, and group affiliation provided three criterion variables. Total scores on the BGCS, HEQ, ISS, PARQ, and RICS provided five predictor variables. The PIQ provided demographic nformation for descriptive analysis, group profiles, and group homogeneity. The PIQ and two experimental scales (FFPS & STS) added alternative predictors. Two discriminant functions were generated. The first function, Wilks' Lambda =.39, Chi Square (10) = 67.43,p=.001, accounted for 61% of the variance of group membership. The second function, Wilks' Lambda =.68, Chi Square (4) = 28.01, p=.001 accounted for 39% of the variance of group membership. The BGCS, ISS, and HEQ were related to the first function. The RICS and PARQ were related to the second function. The BGCS exerted the strongest influence of the first discriminant function, r =.87. The RICS exerted the strongest influence on the second discriminant function, r=.80. The first function discriminated between heterosexual subjects and the other two groups. The second function discriminated between the gay and x-gay subjects. Overall the two discriminant functions correctly classified the participants 77% of the time versus about 35% chance classification. Sixty-nine percent n = 22) of the gay participants, 84% (n = 27) of the heterosexual participants, and 79% (n = 22) of the x-gay participants were correctly classified. The findings indicate that boyhood masculine gender nonconformity is a strong indicator of adult homosexuality (gay & x-gay) and that high Christian religious commitment and identity is a strong indicator of the x-gay homosexual population. ========================================
Title: The resilient psychotherapist: An heuristic inquiry into vicarious traumatization. Author(s)/Editor(s): Bennett-Baker, Alethea Anne Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(1-B) Jul 1999, US: Univ. Microfilms International; 1999, 0357 Abstract/Review/Citation: This study evolved from a desire to understand the experience of vicarious traumatization, the transformation experienced in the self of the therapist as a result of empathic engagement with clients' trauma material. The study was conducted utilizing the heuristic design and methodology. The findings of this study were based on data analyzed from interviews with 13 psychotherapists, including licensed psychologists, social workers, and counselors, between the ages of 36 and 58. The composite depiction of psychotherapists' experience supports the data that vicarious traumatization is characterized by the following: PTSD-like symptoms, based on clients' material; feelings of self-doubt; a tendency to pull away from primary relationships; and a cathartic release after talking with colleagues who understand vicarious traumatization as a normal reaction to doing trauma therapy. The findings offered information to psychotherapists, mental health supervisors, and consultants, extending their knowledge. Finally, implications of the data included: the need for more graduate education about trauma, trauma therapy, and vicarious traumatization; the importance of effective supervision in ameliorating the adverse effects of vicarious traumatization; the most effective ways of coping with vicarious traumatization; and how some therapists transform this experience into an opportunity for personal and professional growth. Five themes permeated the experience of these psychotherapists: (1) Vicarious traumatization is a normal reaction to doing trauma therapy; (2) Vicarious traumatization will change you, as a person and as a therapist; (3) Therapists gained a new awareness of the preciousness of relationships; (4) Therapists learned to transform vicarious traumatization in the midst of the session; that is, they developed the ability to change the painful experience of listening to trauma material into an experience of healing for their clients and themselves; and (5) Spirituality is the bridge to healing. In the final chapter, a discussion, summary, implications, and recommendations for further research are provided. ========================================
Title: Ancient communion: Guidance from the ancestors. an Indian grandmother and granddaughter sharing stories on native spirituality and western science: Toward a theory of wholeness. Author(s)/Editor(s): Mitchell-Fire Moon, Tandie Vera Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(2-B) Aug 1999, US: Univ. Microfilms International; 1999, 0874 Abstract/Review/Citation: This study seeks to address the causes and potential solutions to the divisiveness and human destructiveness to humanity and the environment now reflected on a planetary scale. The research question is: How can Native American values enhance western thinking for the purpose of greater individual and planetary health? Fundamental research has been to develop the concept of status quo; Integrity; as a model to explore various western concepts and Native knowledge as inter-facing systems. The model's formula integrates three major scientific theories--;Relativity and Quantum Physics and Chaos, as a demonstration of the product of doing integrative thinking and research. Applying knowledge of Lakota Visionary Black Elk and other indigenous world views, this has evolved into a Unified Perceptual Field&mdashToward a Theory of Wholeness.” Study's goal is to utilize knowledge gained from this process to create greater positive choice in our fives, by designing systems that are highest functioning—creating greatest fulfillment, health and wholeness in the individual and the society. Methods of looking at data and wisdom in this study are the intuitive and analytical methodologies as defined in the Integrity Model. Part I, Visions and Stories from the DREAMTIME, reflects these knowledge quests. Within Part II, Native BASKETWEAVER Weaving New Realities, the thesis statement contains three major validations to emerge from this study: (1) The exploration inward reveals the deepest core of the material universe as the foundational, most subtle, powerful, infinitesimal quantum level of creation that we experience as our spiritual nature. (2) Trauma of physical impact by action, thought or word at early stages of human development disfigures the natural pattern of harmony, which is set into the biology/physiology-magnified and amplified in adult life, and mirrored out into space/time. (3) Early disturbance of one's perceptual intention (will/desire) weakens or breaks the natural underlying energy pattern, which is the root cause of all addictions later in life. Addressing and rectifying this becomes society's greatest responsibility. The heart of this dissertation is the dialogue between an Old, innocent <italic> and</italic> wise Grandmother who passes down to her granddaughter stories filled with awe and great wonderings. about the mysteries of Life. A dialogue that shares visions and stories of the past and how they are alive today in our own experiences. It is from this central Heart-Spirit place the Integrity Model has evolved and taken form, providing new views that support the Old Ways of Honoring All Our Relations. ========================================
Title: Proud skin: A woman's experience of living from the incest scar. A phenomenological investigation of incest-healed. Author(s)/Editor(s): Supan, Marita-Constance Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(2-B) Aug 1999, US: Univ. Microfilms International; 1999, 0844 Abstract/Review/Citation: A phenomenological research model guided the exploration of essential qualities and meanings which comprise a woman's experience of living from the incest scar—that is, the experience of incest-healed. A search of published literature revealed no studies in this area. Co-researchers consisted of 6 women, ages 30 to 62, who experienced early-onset (before puberty), chronic (lasting more than a year) incest, and who describe themselves as now living from the incest scar. Expressive representations and open-ended interviews provided data, which were analyzed according to phenomenological methods and processes. Findings reveal that the incest scar is so integral to participants' experience that it constitutes the existential reality out of which life is lived. The scar is described as an on-going, conscious transformation of the incest wound from an other-inflicted outrage that rends the self to a condition of wholeness constructed by intentionality and self-processes: It is experienced as the central seam where fragments of the self have been 'stitched' to consciousness through integrating the memories, feelings, and meanings connected with incest. Thus, the scar holds in creative tension the dialectics of incest trauma, and connects the self with streams of experience and energy which impel it toward wholeness. Living from the scar involves a spiraling evolution, which takes place in a relational matrix, and is expected to continue throughout life. Living from the incest scar is characterized by authenticity, self-intimacy, and agency. The locus of control is internal, and the role of intentionality is prominent: To the extent that awareness and self-responsibility are maintained, behavioral reenactments and intrusive and somatic symptoms are minimal. As incest-wound-transformed, the scar contains the wound's violence, pain, and lasting loss, and simultaneously imposes limits on its multilayered effects. Participants manage neurophysiological difficulties and state-dependent memory through consciousness and choice. Having relinquished the myths of invulnerability and of a safe society, they seek truth and advocate for the oppressed. The cost of heightened social awareness is mediated by a spirituality grounded in surrender to the Mystery of Transformation. Clinical and social implications are suggested. ========================================
Title: Religious, spiritual, and exceptional experiences in trauma treatment: A clinical training model (mental health professionals). Author(s)/Editor(s): Bennet, Michelle E. Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(6-B) Jan 1999, US: Univ. Microfilms International; 1999, 2933 Abstract/Review/Citation: Since 1992, the American Psychology Association has recognized the importance of religion, spiritual, and cultural experiences and beliefs in ethical guidelines for clinical treatment. In 1994, the intersection of religious, spiritual, exceptional experiences and dissociation was recognized in the DSM-IV. However, professional literature describing the convergence of these phenomenon in treatment is relatively unknown. In addition, there is no literature which specifically addresses training for differential decision making and interventions regarding these areas in the treatment of trauma survivors. This study reviews the empirical studies and clinical literature describing the phenomenology and context of the religious, spiritual and exceptional (R/S/E) experiences and their interaction in the treatment of trauma and dissociation. The author then presents a conceptual training model for mental health professionals. This training model will: (1) review what is known from empirical studies and clinical literature; (2) present and compare current clinical theories and conceptualizations about the overlap in these areas; (3) discuss assessment and differential diagnosis; (4) discuss decision making, specific interventions, and the evaluation of these interventions in treatment; (5) outline theoretical controversies in the field; and (6) consider the impact of the demands of trauma treatment the impact of controversies about R/S/E issues and experiences on the professional and personal life of the clinician. A model for evaluation of the training is described, and directions for further research and development are recommended. ========================================
Title: A qualitative analysis of cultural treatment components for Mexican male perpetrators of partner abuse. (men). Author(s)/Editor(s): Welland-Akong, Christauria G. Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 60(6-B) Jan 1999, US: Univ. Microfilms International; 1999, 2967 Abstract/Review/Citation: The purpose of this two-part study was to identify culturally-specific components to be integrated into domestic violence treatment for Latino men. The study focused on Mexican immigrant men who were court-ordered to domestic violence treatment, and who attended Spanish-language groups in Southern California. The first part, a survey of 159 men, provided a previously unknown demographic and risk factor profile of the population. The second part consisted of 12 in-depth qualitative interviews with men selected from the survey respondents, who had completed at least 40 weeks of treatment. The survey results demonstrated that the great majority of Mexican immigrants mandated to treatment had low income and low educational achievement. The median age of offenders was higher than expected (34 years), given the overall youthfulness of the Latino population. Most men had both experienced and witnessed violence as children. Alcohol abuse was very prominent among respondents. The 12 interviewees strongly emphasized the rigid male gender roles ( machismo) that influenced their behavior, providing support for the sociocultural theory of domestic violence. The men also described the modeling effect of a violent childhood environment, supporting social learning theory. Almost all of the men underwent psychological trauma as children, and most participants met criteria for alcohol abuse or dependence prior to treatment. The participants were very grateful for the personal transformation that treatment had initiated. They also confirmed current research on the efficacy of an empathic and respectful therapeutic approach. Therapist ethnicity was not found to be important, although participants stated that therapists should be fluent in Spanish and well-versed in Mexican culture. The culturally-specific components to be included in treatment curricula that the participants identified were: transformation of male gender roles; parenting education; ethnic and gender discrimination, relationship stress secondary to immigration; open discussion of relationship sexual abuse; and the inclusion of spirituality. Clinicians should be aware of clients' trauma issues and the need to screen for alcohol abuse, and should try to incorporate the suggested treatment components into programs. Therapists should also be screened for cultural knowledge and respectful therapeutic style. Much further research is required on Latino domestic violence offenders. ========================================
Title: Grief, loss, and bereavement: An overview. Author(s)/Editor(s): Abi-Hashem, Naji Source/Citation: Journal of Psychology & Christianity; Vol 18(4) Win 1999, US: Christian Assn. for Psychological Studies; 1999, 309-329 Abstract/Review/Citation: This article presents a general view of the topic of grief by defining the common terminology, discussing the nature and types of losses, listing the variety of grief reactions, and describing the factors that determine the severity of bereavement. The article also addresses the question of morbidity and mortality of grief, throws a light on the emerging topic of traumatic grief where elements of trauma and a devastating loss are both present, and finally reviews the steps toward healing and grief resolution. A special emphasis is given to the communal, spiritual, and cultural aspects of mourning and a few suggestions are offered to the caregivers who are involved in grief and bereavement counseling. ========================================
Title: Refugee trauma versus torture trauma: A retrospective controlled cohort study of Tibetan refugees. Author(s)/Editor(s): Holtz, Timothy H. Source/Citation: Journal of Nervous & Mental Disease; Vol 186(1) Jan 1998, US: Lippincott Williams & Wilkins; 1998, 24-34 Abstract/Review/Citation: Examined anxiety symptoms, affective disturbances, somatic complaints, and social impairment in 35 refugee Tibetan nuns and lay students (mean age 25.8 yrs) who were arrested and tortured in Tibet and 35 nontortured matched controls (mean age 25.1 yrs). The prevalence of symptom scores in the clinical range for both cohorts was 41.4% for anxiety symptoms and 14.3% for depressive symptoms. The torture survivors had a statistically significant higher proportion of elevated anxiety scores than did the nontortured cohort. This was not true for elevated depressive scores. Results suggest that torture has long-term consequences on mental health over and above the effects of being uprooted, fleeing one's country, and living in exile as a refugee, though the additional effects were small. Political commitment, social support in exile, and prior knowledge of and preparedness for confinement and torture in the imprisoned cohort served to foster resilience against psychological sequelae. The contribution of Buddhist spirituality plays an active role in the development of protective coping mechanisms among Tibetan refugees. ========================================
Title: Healing conversations: Therapy & spiritual growth. Author(s)/Editor(s): Barnes, Dorothy; Earle, Ralph Source/Citation: Downers Grove, IL, US: InterVarsity Press; 1998, (168) Abstract/Review/Citation: This book is the story of D. Barnes's journey through therapy. Anger, painful memories, destructive family patterns, and her unwillingness to trust and confide in others were all part of her voyage. Each chapter offers an inside look from the therapist's point of view. "Ralph's note" gives insights from therapist Dr. R. Earle, who helps us understand her emotional and spiritual growth from a professional's perspective. ========================================
Title: Intergenerational responses to the persecution of the Baha'is of Iran. Author(s)/Editor(s): Ghadirian, Abdu'l-Missagh Source/Citation: International handbook of multigenerational legacies of trauma., New York, NY, US: Plenum Press; 1998, (xxiii, 710), 513-532 The Plenum series on stress and coping. Source editor(s): Danieli, Yael (Ed) Abstract/Review/Citation: The purpose of this chapter is threefold: (1) to examine the nature and characteristics of persecution and suffering in the light of the current knowledge and the Baha'i teachings as well as to elaborate on tests and trials in personal development and the role of empowerment in overcoming personal adversities; (2) to explore the psychological as well as spiritual dimensions of adversity and martyrdom and to dispel myths and misconceptions about them; and (3) to elaborate on the recent persecution of the Baha'is of Iran as an example of human rights violations in the land where the religion was born. With this in mind, the author sets out a general outline of the physical and psychological aspects of persecution and suffering. He then examines the concept of suffering and martyrdom by bringing individual cases from the lives of persecuted Baha'is of Iran as tangible examples of human atrocities. A study is presented in which 19 children, 2 grandchildren and 8 wives of victims who were killed by the Islamic Revolutionary Government of Iran responded to structured questionnaires about the impact of persecution and martyrdom. ========================================
Title: Psychological trauma: Posttraumatic stress disorder and spirituality. Author(s)/Editor(s): Wilson, John P.; Moran, Thomas A. Source/Citation: Journal of Psychology & Theology; Vol 26(2) Sum 1998, US: Rosemead School of Psychology; 1998, 168-178 Abstract/Review/Citation: Traumatic life events impact the body, self-structure, and soul of the survivor. Accordingly, the authors submit that overwhelmingly traumatic events adversely affect not only the psychological dimension of the self but also the faith systems and spirituality which give meaning to one's life. This article examines the effect of severe trauma and posttraumatic stress disorder (PTSD) on human spirituality and faith. The psychological trauma caused by natural disasters, accidental disasters, disasters of human origin, and violence often leaves the spiritual domain in disarray. The article offers practical considerations for mental health practitioners and pastoral counselors from whom the victims of severe trauma seek help. Since various religions and belief systems can facilitate recovery from significant psychological trauma and PTSD, the authors encourage those who respond to victims of trauma to develop a holistic model of treatment designed to revitalize, transform, and heal their clients. ========================================
Title: Spirituality, resilience, and narrative: Coping with parental death. Author(s)/Editor(s): Angell, G. Brent; Dennis, Brent G.; Dumain, Lisa E. Source/Citation: Families in Society; Vol 79(6) Nov-Dec 1998, US: Manticore Publishers; 1998, 615-630 Abstract/Review/Citation: This article considers the therapeutic use of reminiscence and storytelling in the bereavement process of an adult-child adjusting to the death of a parent. Founded on the client's journey of adjustment, the work looks at how the individual reconfigures and incorporates the trauma of loss into a narrative of personal and spiritual resiliency wherein the goal is discovery rather than recovery. ========================================
Title: The Perceived Benefit Scales: Measuring perceived positive life changes after negative events. Author(s)/Editor(s): McMillen, J. Curtis; Fisher, Rachel H. Source/Citation: Social Work Research; Vol 22(3) Sep 1998, US: National Assn of Social Workers; 1998, 173-186 Abstract/Review/Citation: If social work researchers are to accurately describe the psychosocial functioning of clients who experience negative events, they need to consider positive as well as negative outcomes. Here, new measures of self-reported positive life changes after traumatic stressors are introduced. 416 adults (mean age 40.79 yrs) served as subjects. Factor analyses suggest that the Perceived Benefit Scales consist of eight subscales: lifestyle changes; material gain; and increases in self efficacy, family closeness, community closeness, faith in people, compassion, and spirituality. Internal consistency and test-retest coefficients range from adequate to excellent. The scales correlate with indicators of severity and differ by type of negative event experienced. ========================================
Title: Vicarious traumatization, spirituality and the treatment of adult and child survivors of sexual abuse: A national survey of women psychotherapists. Author(s)/Editor(s): Brady, Joan Laidig Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 58(9-B) Mar 1998, US: Univ. Microfilms International; 1998, 5107 Abstract/Review/Citation: This study of psychotherapists was designed to empirically measure the consequences of conducting psychotherapy with sexual abuse survivors. This entailed an examination of therapists' vicarious traumatization, including the impact of conducting child versus adult treatment, and the influence of conducting psychotherapy with sexual abuse survivors on therapists' spirituality. A national survey was conducted of 1000 women psychotherapists who were either members of the American Professional Society on the Abuse of Children or members of the American Psychological Association with a specialty in psychotherapy. The survey consisted of items related to demographic data, therapists' work-related experience, training, and exposure to sexual trauma both professionally and personally. Vicarious traumatization was assessed using the Impact of Event Scale to measure intrusion and avoidance trauma symptoms and the TSI Belief Scale to assess disturbances in cognitive schemas. Spirituality measures included in the survey were the Spiritual Well-Being Scale and the Gorsuch Adjective Checklist. An overall return rate of 50.1% was obtained. Therapists who were exposed to more sexual abuse, as determined by psychotherapy hours spent with survivors and graphic details of abuse in their sessions, reported significantly more trauma symptoms on the Impact of Event Scale. However, no such relationship was found for disruption of cognitive schemas as measured by the TSI Belief Scale. No difference was found on these measures between those who treated more child sexual abuse survivors and those who treated more adult sexual abuse survivors. Respondents who saw more sexual abuse survivors received higher spiritual well-being scores and reported experiencing God/Higher Power to be more potent and relevant. A discussion of these results is included. ========================================
Title: Connected responses: Non-dissociated responses to emotional pain. Author(s)/Editor(s): Sackett, Brian Edward Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 59(5-B) Nov 1998, US: Univ. Microfilms International; 1998, 2432 Abstract/Review/Citation: This study hypothesized and showed the existence of Connected Responses (CRs) to strong emotional pain--CRs were non-dissociated responses, with continuous awareness in at least one sensing mode (cognitive, affective, or perceptual). Characteristics included sensitivity to suffering as well as to other emotions, to body responses, to one's witnessing self, and some transcendent awareness. Connected and dissociated responses, along with predisposing factors, were contrasted. The study targeted spiritual emergence populations, because of high dissociation incidence, and the possibility that members had learned to cope with dissociation. The researcher distributed 180 questionnaires, including the Dissociative Experiences Scale (DES), and 9 questions based on CR hypotheses, and conducted in-depth interviews with 8 participants with the most frequent CR answers from 48 returned questionnaires. The methodology included reenactment interviewing, a psychodrama derivative, to obtain in-depth research material. Results showed the existence of several different connected responses. Strong cognitive responses were the one CR characteristic shared by all participants. Second most frequent (all but one participant) categories were awareness of body, feelings, and connection with observing self. Those participants most able to control being connected or dissociated were 38 years or older, had strong awareness of observing self, cognitive, affective, and body responses, and connection to God or Spirit. Going through each reenactment interview twice added depth and insight to participant's information. Reenactment interviewing was itself a positive clinical intervention, promoting connected responses. Several new models were proposed. CRs fit on the dissociation/association continuum, and extended the normal consciousness boundary in more aware, healthier directions. Staying aware of one's thoughts, emotions, body sensations, observing self, and emotional pain provided opportunity for deeper felt connection with Spirit. Reenactment interviewing and detailing of CR continuum should benefit abuse and trauma survivors. The staying-connected-with-pain path to God opens transpersonal realms to more people. ========================================
Title: Grief as a transcendent function and teacher of spiritual growth. Author(s)/Editor(s): Chen, Li-chu Source/Citation: Pastoral Psychology; Vol 46(2) Nov 1997, US: Human Sciences Press Inc/Plenum Publishing Corp; 1997, 79-84 Abstract/Review/Citation: Death is an inevitable phase of life, and so is grief. This paper attempts to pinpoint the enormous potential of grief in advancing our spiritual growth. Jung (1971) states that when encountering a crisis such as loss, the unconscious often breaks through to help us with new adjustments, whereby a transcendent function takes place. Instead of becoming an emotional trauma, grief can transcend our everyday experiences and awaken us to our spiritual essence. ========================================
Title: Psychospiritual transformation and the healing process: An assessment on well-being, critical life events, and trauma in relation to spiritual groups. Author(s)/Editor(s): Dreshman-Chiodo, Janice L. Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 57(10-A) Apr 1997, US: University Microfilms International; 1997, 4416 Abstract/Review/Citation: The present research examined the effects of psychospiritual work in relation to the healing and transformational process of an individual. The research involved administration of questionnaires to test the following hypotheses: (a) What were the effects of participation in spiritual groups on individual well-being? (b) Was there a relationship between well-being and a critical life event? (c) Was there a relationship between well-being and childhood or adolescent trauma? The Spiritual Well-Being Scale (SWB) developed by Paloutzian and Ellision (1982) and the Omega Home Environment Questionnaire (HEI) developed by Ring (1992) were used in the research study. A Demographic Information Questionnaire and Interview Questions designed by the researcher (1995) were also used in the research study. Statistical analyses of the data did not support a relationship between individual well-being and spiritual groups. However, the results did indicate statistical significance between well-being and a critical life event. A total of 52.40% of participants reported critical life events influenced their spiritual beliefs and their lives. A statistical significance was indicated between well-being and childhood and/or adolescent trauma. The significance suggested individuals with a higher sense of well-being may have been better able to withstand trauma. There was a negative correlation between age and childhood trauma and/or abuse which suggested younger participants were more likely to report childhood abuse and/or adolescent trauma. The findings of this research with this sample population indicated gender was significant in several areas. In relation to childhood and/or adolescent trauma; males reported more neglect than females. Female participants reported more positive religious, existential and spiritual well-being than male participants. Contents of major themes from interviews suggested (a) increased feelings of belonging, feeling a sense of community, (b) a sense of unity with the environment, and (c) increased connectedness with others because of participation in the groups. Interviewed participants identified themselves as more spiritual than religious. Findings of this research indicated several areas which future studies could explore; such as populations of different ages with educational and mental health applications. Further implications of this research led to developing a new paradigm for healing that could be implemented in educational settings. ========================================
Title: Interacting with trauma: Child protective service workers' responses to working with child abuse and neglect. Author(s)/Editor(s): Rogentine, Kristin Louise Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 57(10-B) Apr 1997, US: Univ. Microfilms International; 1997, 6590 Abstract/Review/Citation: Child abuse is an increasingly prevalent and serious problem in today's society. Though there has been much research conducted examining the effects of child abuse on the child victim, there has been little focus on how the professionals who intervene are impacted. Because these professionals have such a critical role in protecting children, it is important to have an understanding of the unique stressors they face and how these could impact their effectiveness. The present study, in qualitative format, sought to understand the impact continual exposure to child abuse and neglect has upon Child Protective Service (CPS) workers. Specific areas of inquiry included CPS workers' affective reactions, experience of secondary trauma, countertransference responses, interrelation of past life experience and intervention style, and characteristic coping strategies. Twelve Child Protective Service workers were recruited from Alameda and Contra Costa Counties in Northern California. They each participated in an hour long semi-structured interview designed by the researcher to probe their thoughts, feelings and coping strategies in response to working with abuse and neglect. They were also each administered the Maslach Burnout Inventory at the end of the interview. The interviews were audiotaped and transcribed verbatim, then analyzed for thematic content. Several themes were identified from the interviews. All the subjects were intensely impacted by the nature of their work; many spoke of strong feelings of sadness, grieving, guilt, anger and fear. There appeared to be two styles of responding to the stress of the job, to either become overinvolved or depersonalizing and angry at the clients. This may vary within subjects depending on the dynamics of a particular case, but can lead to overexhaustion, burnout and clinical insensitivity. Several subjects described how being of a different race and social class distanced them from the reality of their client's situation and the experience of their pain. Both primary trauma and secondary trauma were described by some of the subjects as a result of their work, with some enduring post-traumatic symptoms evident. Those who appeared to cope better had a better split between work and personal life, more outside interests, a strong network of family and friends, and a strong sense of spirituality. All subjects experienced lack of support from their departments, which has a strong exacerbating influence on experience of stress. The findings from this study show that CPS workers are indeed strongly affected by the difficult nature of their work. They have strong emotional reactions which are dealt with differently by each individual. It is important for these emotional reactions to be analyzed and understood so the workers may make objective decisions regarding their cases, unclouded by their own feelings and reactions and general burnout. The agency should be structured so that staff are encouraged to process and work through their emotional reactions. ========================================
Title: The healing of American Indian/Alaska Native men at mid-life. Author(s)/Editor(s): Small, Clayton John Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 58(1-A) Jul 1997, US: University Microfilms International; 1997, 0102 Abstract/Review/Citation: This study explored the challenges in 'wellness' for American Indian/Alaska Native (AI/AN) men at mid-life. Specifically, the questions asked were: (a) what are the factors that cause AI/AN men at mid-life to seek a 'wellness' path? (b) what are the recommendations for AI/AN men, including the development of a healing model? The following barriers for I/AN men seeking a wellness path include: multi-generational trauma, unresolved pain passed from one generation to the next in a family, community, or population, and cultural oppression, of one culture by another in a manner that restricts or prohibits the practices upon which the first culture is based. The historical context of trauma for AI/AN men emerges into a sense of hopelessness, alcohol and other drug abuse, violence, and/or cultural shame that often lead to early death. Additionally, unresolved issues with AI/AN fathers is presented as a cause which leads men to continue to live the image of 'macho man.' The research methodology used was heuristic inquiry, a qualitative approach that combines the personal experience and insight of the researcher with his interpretations of the phenomenon being studied. The findings from four in-depth interviews of 'well' AI/AN men at mid-life were connected with 80 surveys from AI/AN men attending a national wellness conference, the review of literature, and my own interpretations as an AI/AN man on a wellness path at mid-life. Five themes emerged from the investigation: (a) alcohol and other addictions, (b) multi-generational trauma and cultural oppression, (c) father-son relationships, (d) spirituality, and (e) role modeling and service to the community. Healing models from the literature review were integrated with the afore-mentioned themes. The result is a model describing the healing journey of AI/AN men entitled, 'The Good Road of Life.' The model utilizes AI/AN ledger art and Trickster stories to symbolically describe four stages of wellness for men. 'The Good Road of Life' model answers the research questions and helps fill the void in research on AI/AN men. ========================================
Title: Developing, implementing, and evaluating a program to prepare a church congregation for facility relocation. Author(s)/Editor(s): Mcquitty, Eric Andrew Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 58(3-A) Sep 1997, US: University Microfilms International; 1997, 0932 Abstract/Review/Citation: The author defined the emotional and spiritual challenges faced by a church that relocates its facilities, designed a program of preparation to minimize the trauma of change while maximizing its benefits to the congregation, and evaluated the program's effectiveness after the move took place. A literature search combined with a biblical survey revealed 3 main phases through which relocating organizations pass: the current zone, the transformation zone, and the future zone. A congregational survey and interviews with seven pastors of relocated churches were used to identify the specific emotional and spiritual issues in each phase and the tasks involved in resolving them. A program of 11 events to prepare the congregation to negotiate those issues successfully was designed, implemented, and evaluated. The hypothesis of the study that the emotional and spiritual trauma caused by relocation in a church congregation can be ameliorated successfully through a carefully crafted program of preparation was confirmed. ========================================
Title: Finding the plentifulness in the darkness: Transforming trauma into gift. Author(s)/Editor(s): Parappully, Jose Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 58(5-B) Nov 1997, US: Univ. Microfilms International; 1997, 2694 Abstract/Review/Citation: Psychological literature on trauma in general focus on the pathology that results from trauma. Too little attention is paid to the positive, regenerative power of traumatic experiences. This study is a phenomenological inquiry into the experiences of a profoundly traumatized group of people--parents whose son or daughter is murdered--, to assess if they are able to experience a positive transformation resulting from their trauma and to identify the processes and resources which facilitate this transformation. Participants are 16 parents selected from 65 who completed a questionnaire 'Human Tragedy and Parental Suffering.' Data, collected through in-depth, semi-structured interviews and analyzed qualitatively using techniques suggested by M. B. Miles & A. M. Huberman (1994), affirm a positive transformation. Four processes--acceptance, finding meaning, personal decision, and reaching out to others-- and 7 resources--spirituality, continuing bond with victim, personal qualities, previous coping experience, self-care, compassion, and social support--facilitate this transformation. A holistic process of transformation of trauma which integrates these processes and resources, directions for further research, and helpful ways of responding to victims of trauma are presented. This study is of particular use to therapists, clergy, law-enforcement personnel and others involved in the healing and rehabilitation of trauma victims, and in particular, to survivors of homicide victims. ========================================
Title: Sexual abuse in the lives of women diagnosed with serious mental illness. Author(s)/Editor(s): Harris, Maxine; Landis, Christine L. Source/Citation: Amsterdam, Netherlands: Harwood Academic Publishers; 1997, (xix, 391) New directions in therapeutic interventions, Vol. 2. Abstract/Review/Citation: Although a substantial amount of media and professional attention has been devoted to the incidence of sexual abuse in the population at large, the plight of those who have suffered abuse and are seriously mentally ill has largely been ignored. Divided into various parts, this important and distinctive work offers chapters on theory and assessment of the abused women, including the services that are available and recommendations for improvement; treatment, including inpatient treatment and cognitive-behavioral approaches; and policy and research, which deals with the prevalence and impact of physical and emotional abuse on severely mentally ill women. There is also a section devoted to case studies. The material is intended for clinicians, policymakers, and researchers, as well as the interested lay-reader. Notes/Comments: Introduction to the series Preface List of contributors I: Theory and assessment Modifications in service delivery for women diagnosed with severe mental illness who are also the survivors of sexual abuse trauma Maxine Harris The interface of homelessness, addictions and mental illness in the lives of trauma survivors Catherine M. Anderson and Katherine B. Chiocchio Assessment of trauma in women psychiatric patients Anna M. Spielvogel and Alexia K. Floyd II: Treatment A cognitive-behavioral approach Kim T. Mueser and Kathryn L. Taylor A social skills approach to trauma recovery for women diagnosed with serious mental illness Heather Stowe and Maxine Harris Inpatient treatment of psychiatric women patients with trauma Joanne Wile III: First person accounts The victimization of women with mental illness by treaters: A historical perspective Jeffrey L. Geller, Joanne Nicholson and Amy Traverso On being invisible in the mental health system Ann Jennings As told to: Sharon's story, Cheryl's story, Constance's story, Barbara's story John D. Dende, Carolyn Duca, Margaret Hobbs, and Christine L. Landis The house on Phillips Avenue Rae E. Unzicker IV: Policy and research A question of illness, injustice, or both? Mary Anne Reilly New directions for treatment research on sequelae of sexual abuse in persons with severe mental illness Stanley D. Rosenberg, Robert E. Drake and Kim T. Mueser Prevalence and impact of sexual and physical abuse in women with severe mental illness Lisa A. Goodman, Melanie Johnson, Mary Ann Dutton and Maxine Harris V: Special Issues Care of clinicians doing trauma work Ellen Arledge Blanchard and Mirta Jones Sexual trauma and African American women Bronwen L. Millet Spirituality in trauma recovery for people with severe mental disorders Roger D. Fallot Trauma and trauma recovery for dually diagnosed male survivors David W. Freeman and Roger D. Fallot Index theories & assessment & treatment & personal accounts of & policy & research & special issues in sexual abuse, females diagnosed with serious mental illness ========================================
Title: Spirituality in trauma recovery for people with severe mental disorders. Author(s)/Editor(s): Fallot, Roger D. Source/Citation: Sexual abuse in the lives of women diagnosed with serious mental illness., Amsterdam, Netherlands: Harwood Academic Publishers; 1997, (xix, 391), 337-355 New directions in therapeutic interventions, Vol. 2. Source editor(s): Harris, Maxine (Ed) Abstract/Review/Citation: This chapter examines the role of religion and spirituality in women's coping with and recovery from trauma, including trauma from various forms of abuse, mental illness, and substance addiction. ========================================
Title: The spiritual challenge of violent trauma. Author(s)/Editor(s): Garbarino, James Source/Citation: American Journal of Orthopsychiatry; Vol 66(1) Jan 1996, US: American Orthopsychiatric Assn; 1996, 162-163 Abstract/Review/Citation: Comments on the discussion by D. Kozaric-Kovacic et al regarding the psychological sequelae of rape, torture, and traumatization of Bosnian and Croatian women. The author discusses 2 principal components of trauma, overwhelming arousal and overwhelming negative cognitions, and discusses the metaphysical and spiritual nature of negative cognitions. The author argues that, although most interventions directed at trauma focus on some combination of its physiological and psychological effects, the place to begin treatment is with the metaphysical and spiritual challenges of trauma. ========================================
Title: Positive outcomes in families following traumatic brain injury (TBI). Author(s)/Editor(s): Adams, Neil Source/Citation: Australian & New Zealand Journal of Family Therapy; Vol 17(2) Jun 1996, Australia: Australian & New Zealand Journal of Family Therapy in c/o; 1996, 75-84 Abstract/Review/Citation: In an earlier paper, the relationship between spirituality, science and therapy was explored. In this paper, spirituality is discussed in a more clinical context. Family response to trauma is outlined, concentrating on the area of acquired brain injury, and several models of adaptation are reviewed. There appear to be commonalities in response to different types of trauma. However in the area of acquired brain injury, positive outcomes have been under-reported in the literature which has focused for various reasons on maladaptation. In viewing response to trauma as involving both the potential for positive transformation as well as suffering and burden, concepts of V. E. Frankl (1963) and C. W. Jung (1959), spiritual belief and 'near death experience' are discussed. Examples of how families find meaning and positively appraise their experience of acquired brain injury are given. ========================================
Title: Spiritual challenges to children facing violent trauma. Author(s)/Editor(s): Garbarino, James; Bedard, Claire Source/Citation: Childhood: A Global Journal of Child Research; Vol 3(4) Nov 1996, England: Sage Publications; 1996, 467-478 Abstract/Review/Citation: Reviews research and theory dealing with the intersection of the developmental psychology of trauma and spirituality. The authors assert that the experience of childhood traumatization functions as a kind of "reverse religious experience," a process combining overwhelming arousal and overwhelming cognitions that threatens core "meaningfulness" for the child. The role of religion in spiritual development is reviewed, and some general principles for better understanding the role of spirituality in the traumatization and healing of children are suggested. The discussion is based upon the authors' formal and informal fieldwork and research with children in war zones, violent youth and street children in several regions of the world over the last 10 yrs, in which trauma and spiritual development have been a major focus. ========================================
Title: Eye movement desensitization and reprocessing (EMDR) and spiritual unfolding. Author(s)/Editor(s): Parnell, Laurel Source/Citation: Journal of Transpersonal Psychology; Vol 28(2) 1996, US: Journal of Transpersonal Psychology; 1996, 129-153 Abstract/Review/Citation: Describes how eye movement desensitization and reprocessing (EMDR) functions therapeutically and explores some of the psychospiritual potentials that may be associated with its use. Topics include the origins and development of EMDR, theories about how EMDR works, the use of EMDR to accelerate information processing of traumatic memories, candidates for EMDR, limitations of EMDR, the EMDR therapist, and the structure of an EMDR session. Psychospiritual topics discussed include EMDR and Vipassana meditation, trauma and transformation, EMDR and the wisdom of insecurity, the development of a felt sense of truth, EMDR and psychological memory, EMDR and forgiveness, EMDR and profound experiences of love for self and others, increased creative expression and heightened sense of well-being, paranormal experiences, and self-awareness. ========================================
Title: Posttraumatic stress, mental health professionals, and the clergy: A need for collaboration, training, and research. Author(s)/Editor(s): Weaver, Andrew J.; Koenig, Harold G.; Ochberg, Frank M. Source/Citation: Journal of Traumatic Stress; Vol 9(4) Oct 1996, US: Kluwer Academic/Plenum Publishers; 1996, 847-855 Abstract/Review/Citation: Discusses the need for improved collaboration between the clergy and the mental health professionals in the assessment and treatment of posttraumatic stress disorder (PTSD). Despite limitations in training, clergy act as front-line mental health workers for millions of Americans, many of whom have suffered psychological trauma. Americans have very high rates of church, temple, and mosque involvement and there is strong empirical evidence that faith involvement has positive benefits for many of these people. Although most clergy receive some training in counseling very few mental health specialists receive training in any aspect of religion or spirituality. Contemporary mental health professionals need to appreciate diverse religious understandings of healing and spirituality when working with the traumatized and develop a creative dialogue with religious communities. ========================================
Title: Semper fidelis: The experience of healing from ritual abuse. Author(s)/Editor(s): Kay, Jeffrey Ames Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 55(7-B) Jan 1995, US: Univ. Microfilms International; 1995, 3016 Abstract/Review/Citation: This is a study of the healing experiences of people who remembered being physically and sexually abused repeatedly by a group during childhood and remembered some of this abuse being justified by the perpetrators as part of a ritual or as serving an apparently religious purpose. Nine participants were referred by their current individual psychotherapists, who attested that the metabolism of the trauma was no longer the primary focus of treatment. Participants were posed an open-ended question about their experiences of healing from ritual abuse, and then five more specific questions. Five topics emerged as having been addressed at length by at least five participants in response to the open-ended question. They are: (1) the nature and impact of the abuse; (2) the history and evaluation of structured therapy; (3) receiving witness, affirmation and connection; (4) grieving; and (5) affirming oneself. Responses to the follow-up questions concern (1) the most important healing experiences; (2) the search for meaning; (3) an important healing encounter; (4) turning points in healing and (5) additional healing resources required. The Discussion focuses on (1) grief for the tortured and murdered in the past as a foundation for the love of the living; (2) the role of spirituality in enabling survivors and their helpers to remain connected with one another and able to contain their pain; and (3) the need for healing centers for ritual abuse survivors. ========================================
Title: A phenomenological study of six Chronic Fatigue Immune Dysfunction Syndrome survivors. Author(s)/Editor(s): Aikman, Linda Poling Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 55(11-A) May 1995, US: University Microfilms International; 1995, 3412 Abstract/Review/Citation: The study examines the experience of Chronic Fatigue Immune Dysfunction Syndrome (CFIDS) survivors following the onset of the disease. The subjects are three female and three male adult volunteers from the CFIDS support group located in southeastern Ohio. All have been diagnosed with CFIDS according to the case definition of the Centers for Disease Control and all had CFIDS from four to 17 years. Following a pilot study which included five adults and one adolescent survivor, an in-depth interview was developed to elicit the lived experience of the survivors. Two interviews were conducted with each participant with each interview lasting from ninety to one hundred twenty minutes. The interviews were conducted seven to ten days apart in deference to each participant's health status. Data interpretation indicates that CFIDS survivors suffer from the effects of trauma and the loss of basic assumptions. Therefore, CFIDS survivors find the diagnostic and treatment process difficult and frequently humiliating. While they value the support of the medical community, significant others, and friends, they no longer expect to find support from anyone. In fact, survivors seldom discuss their illness with others unless they are also CFIDS survivors. Survivors feel that every aspect of their lives has been affected by their disease, resulting in a loss of trust in their own ability to respond adequately to the world. Those survivors who have adjusted more appropriately to the trauma effects of the disease and have experienced less debilitating relapses appear to be those who have learned to respond to relapse symptoms more quickly, rebuilt basic assumptions by developing a personal sense of spirituality, and discovering positive aspects of having the disease. ========================================
Title: Parental loss of a child: A comparison of sudden illness, accident, or the suicidal death of a child. Author(s)/Editor(s): Marmer, Melinda Ann Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 56(3-B) Sep 1995, US: Univ. Microfilms International; 1995, 1704 Abstract/Review/Citation: The death of a child has been considered the most difficult bereavement, with long reaching psychological devastation on the parent (Rando, 1986; Sanders, 1993). The sudden and traumatic death of a child further complicates the grief response. Furthermore, the bereavement literature has proposed that grief and mourning following the suicidal death of a child is atypical compared to other kinds of sudden death (Cain, 1972; Dunne, McIntosh, & Dunne-Maxim, 1987). This study compared 118 parents who experienced the sudden death of their child from illness (n =18), accident (n = 45) or suicide (n = 55). There were 90 females and 28 male subjects. All subjects were administered the Grief Experience Inventory (Sanders, Mauger, & Strong, 1985), and the Bereaved Parents' Questionnaire (Marmer, 1994). The primary hypothesis which predicted that the suicide group would experience greater overall grief compared to the other two groups was not supported. The second hypothesis predicting that the suicide group would experience more social isolation and stigma was not supported. However, parents in the suicide group felt blamed for their child's death more than the other two groups (p <). The third hypothesis which predicted that the suicide group would have greater guilt responses was supported by the GEI and the BPQ (p <). However, it was unexpected that parents in the illness group would score significantly higher than parents in the accident group. The last hypothesis which predicted that parents in the suicide group would have greater interference in parenting surviving children was not supported. Other related aspects of parental bereavement, such as suicidal ideation, gender differences, the experience of trauma, and spirituality were also examined. Across groups, 46.6% of all parents reported suicidal ideation following the death, regardless of cause of death. Gender differences were also identified, with mothers experiencing greater despair, rumination, and so ========================================
Title: Positive transformations after extreme trauma. Author(s)/Editor(s): Baures, Mary Margaret Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 56(3-B) Sep 1995, US: Univ. Microfilms International; 1995, 1691 Abstract/Review/Citation: Twenty individuals who were successful in the wake of an extreme adult trauma were interviewed to understand what contributed to their positive transformation. The major finding of this study is that all the survivors, in contrast to repressing the trauma, transformed themselves around its horror. A number of attitudes, behaviors, coping skills and cognitive abilities which may have contributed to their becoming wiser, more human and more compassionate than prior to the trauma were identified. The survivors in this study used creativity to create a new reality, to convert pain and waste into truth and beauty, to give the dead a posthumous life, and to create a symbolic immortality. They aligned themselves with forces larger than themselves (some called these forces spirituality, others God, others mysticism, others fate), and brought their strength to others who were suffering what they suffered. Some form of denial allowed them to pace themselves through the process of adjusting to catastrophic loss. They focused on hopeful visions of the future, not on what they could no longer do or have. They accepted what they could not change and changed what they could. They became skillful at both agency and communion or independence and intimacy. They could reflect on the limits of their basic premises and balance different points of view. These cognitive abilities included the ability to choose an attitude toward their suffering, to make a conscious decision to give up bitterness and hate, and to give up previous expectations for their lives. They accepted the dark parts of life--disease, accidents, death--without being defeated by them. Direct contact with the dark parts of life seemed to motivate them to create a world where tragedy is not the final experience. ========================================
Title: Dancing with the dark side: A qualitative study of the life reports of men who have experienced sexual abuse. Author(s)/Editor(s): Arbaugh, Thomas, Jr. Source/Citation: Dissertation Abstracts International Section A: Humanities & Social Sciences; Vol 56(3-A) Sep 1995, US: University Microfilms International; 1995, 0824 Abstract/Review/Citation: The life experiences of six men who have been involved in situations which would be considered sexually abusive are examined in this study. The men have provided rich descriptions from which themes have emerged demonstrating ways they have coped with their experiences of sexual abuse and other life trauma. The reports were then examined using the characteristics of wellness in the life tasks of spirituality, self-regulation, work, friendship, and love. The six volunteers who met the initial selection criteria shared their life reports in two taped interviews using a semi-structured approach. The interviews were transcribed and examined for themes and categories. The interviews were also examined for characteristics of wellness. A theme which emerged from the life reports of the subjects is that of coping through the ability to maintain an awareness of the experience, accept what one can, and continue personal, emotional, and spiritual growth. This directly related to the second theme of dancing with the dark side. This theme emerged as the men expressed abilities to learn and grow from the negative experiences as well as the good experiences in their lives. Some of the participants reported that they were able to function successfully while experiencing great pain and difficulties in their lives. Dancing with the dark side of their experiences was an important factor in the ability of these men to cope with their earlier sexual abuse. Suggestions for counselors include taking into account the uniqueness of the individual and his experience, exploring family relationships and examining the use of substances. Suggestions for future research include exploration of an individual's ability to draw positive aspects from negative experiences and exploration of the effects of education on a person's ability to cope with a traumatic experience. ========================================
Title: The relationship of role problems, work trauma, cynicism, social support, and spiritual support to the physical and mental health, work performance, and absenteeism of correctional officers. Author(s)/Editor(s): Seifert, Mary Kathryn Source/Citation: Dissertation Abstracts International: Section B: The Sciences & Engineering; Vol 56(5-B) Nov 1995, US: Univ. Microfilms International; 1995, 2919 Abstract/Review/Citation: This study was concerned with the effects of work role problems and stress in correctional institutions on the physical and emotional well-being and work performance of correctional officers. Using a self-report questionnaire which incorporated measures of perceived social support at home and at work, spiritual support, cynicism, role problems, and work and non-work trauma (experience and fears of physical violence), the relationship between these variables and measures of physical and emotional well-being and supervisor's ratings of work performance and reported absenteeism was examined in a sample of 153 correctional officers. Physical well-being was measured by the reported frequency of occurrence of a variety of designated symptoms (e.g., headaches, gastrointestinal problems, chest pain/heart problems, etc.) during the preceding six months. The Global Severity Index of the Brief Symptom Inventory (Derogatis, 1993) was used as the measure of emotional distress. Non-work trauma (but not work trauma), cynicism (Social Beliefs Scale, Martinkowski, 1993), role problems (Occupational Role Questionnaire, Osipow & Spokane, 1987) and the interaction between perceived social support at home and at work each accounted for significant amounts of variance in emotional distress. Those who reported low social support both at home and at work reported the highest levels of emotional distress. Also, the interaction between cynicism and perceived support at work accounted for a significant portion of the variance in physical symptomatology. Those who were low in cynicism and perceived the highest levels of social support at work reported the lowest frequency of symptoms of illness. Supervisors' ratings of work performance were not predicted by any of the predictors variables in the multiple regression analysis but did vary significantly with race, with African American officers receiving lower ratings. Also of note, African American officers scored significantly higher in cynic ========================================
Title: Healing the divided self: Clinical and Ericksonian hypnotherapy for post-traumatic and dissociative conditions. Author(s)/Editor(s): Phillips, Maggie; Frederick, Claire Source/Citation: New York, NY, US: W. W. Norton & Co, Inc; 1995, (xix, 371) Abstract/Review/Citation: [This book provides] a step-by-step guide for the use of hypnotic techniques in the treatment of the entire spectrum of dissociative [and post-traumatic] disorders. The authors synthesize traditional and Ericksonian styles of hypnosis in practical methods. Detailed instructions are given for utilizing hypnotherapeutic techniques for beginning treatment, ego strengthening, uncovering and abreaction, the reworking of uncovered material, the facilitation of the integrative process, the creation of a new identity, and the enhancement of spiritual development. Close attention is given to common pitfalls of therapy and how to avoid them, as well as how to deal with them effectively when they occur. The authors have carefully considered the integration of various hypnotherapeutic techniques and the patient's internal resources with valuable external resources. The roles of adjunctive therapies, such as medication and hospitalization, body-oriented therapies, family and group approaches, and support groups, in the implementation of the treatment plan are thoroughly explored. Notes/Comments: Foreword by Stephen Gilligan Foreword by John G. Watkins and Helen H. Watkins Acknowledgments Introduction What is the divided self? Getting started: Preparing the patient for hypnotherapy Stages of treatment and beginning work with hypnosis Working with the divided self: The use of ego-state therapy Mobilizing inner resources during stages I and II Accessing the origins of dissociative symptoms and related resources Resolving dissociated experiences Integration and new identity during later stages of treatment Dissociative symptoms in disguise Transference and countertransference issues Obstacles to treatment Reenactments of trauma Emergencies, crises, and special problems Mobilizing external resources Spirituality and the generative self References Index traditional & Ericksonian hypnotherapy techniques, patients with dissociative & posttraumatic disorders, guide ========================================
Title: Native American postcolonial psychology. Author(s)/Editor(s): Duran, Eduardo; Duran, Bonnie Source/Citation: Albany, NY, US: State University of New York Press; 1995, (xvii, 227) SUNY series in transpersonal and humanistic psychology. Abstract/Review/Citation: This book presents a theoretical discussion of problems and issues encountered in the Native American community from a perspective that accepts Native knowledge as legitimate. Native American cosmology and metaphor are used extensively in order to deal with specific problems such as alcoholism, suicide, family, and community problems. The authors discuss what it means to present material from the perspective of a people who have legitimate ways of knowing and conceptualizing reality and show that it is imperative to understand intergenerational trauma and internalized oppression in order to understand the issues facing Native Americans today. It is our hope that this discussion will be useful to therapists, counselors, paraprofessionals, academics, students, and community activists, advocates, and consultants. ========================================
Title: Memory and abuse: Remembering and healing the effects of trauma. Author(s)/Editor(s): Whitfield, Charles L. Source/Citation: Deerfield Beach, FL, US: Health Communications, Inc; 1995, (xviii, 375) Abstract/Review/Citation: Remembering what happened in any traumatic experience is basic and crucial to healing. For over 100 yrs the memory of abuse survivors has been questioned and challenged by all sorts of people, ranging from perpetrators to family members. More recently, this memory has been challenged by a combination of accused family members, their lawyers and a few academics who claim the existence of a "false memory syndrome." Charles Whitfield . . . brings his clinical experience and knowledge about traumatic memory to examine, explore and clarify this critical issue that threatens to invalidate the experience of survivors of trauma and handcuff the helping professionals who assist them as they heal. This [book] provides . . . information for anyone affected by a traumatic experience. "Memory and Abuse" is a practical reference book for therapists and counselors, providing guidelines to help fine tune their skills in assisting trauma survivors in their recovery. Notes/Comments: List of figures and tables Foreword Introduction The "false memory" debate The process of remembering: A psychology of memory Memory and experience Wounding and memory The forgotten difference: Ordinary memory versus traumatic memory A brief history of child abuse How common is traumatic forgetting? Does denial mean "false memory syndrome"? Retractors and other "false" accusers: Sorting out untrue from true memory Traumatic forgetting: Repression, dissociation and denial Dissociation Denial Verifying and corroborating a memory Admission by the abuser or co-abuser Internal verification and corroboration of traumatic memory Projecting the pain The competent helping professional and the troubled helping professional Some guidelines for assisting with memories of trauma A memory-based suit against therapists by a family member Two similar lawsuits with opposite results The baby and the bathwater Memory and traumatic stress--Part one Memory and traumatic stress--Part two Recovery Remembering what happened Naming the mistreatment and abuse Memory and validation Spirituality and memory Appendixes References Resources for information and networking Index memory & treatment of childhood trauma & abuse, survivors, guide ========================================
Title: Spirituality, science and therapy. Author(s)/Editor(s): Adams, Neil Source/Citation: Australian & New Zealand Journal of Family Therapy; Vol 16(4) Dec 1995, Australia: Australian & New Zealand Journal of Family Therapy in c/o; 1995, 201-208 Abstract/Review/Citation: Explores the shift from dichotomies of therapy/spirituality to the convergence of science and religion. Various therapists suggest that some form of religious/spiritual input during the training of psychiatrists and therapists will produce useful information during patient assessments. However, barriers to an integration between therapy and spirituality include the quest for scientific status and authenticity in new disciplines, confusion of spirituality and religion, therapist bias against organized religion, and the historical split between science and religion. Science and spirituality are no longer seen as diametrically opposed or mutually exclusive. The links between spirituality and psychological healing are apparent in psychoanalytic therapy. There is a need for a closer integration between family therapy and spirituality, which may apply to family adaptation following trauma. ========================================
Title: Self-care for trauma therapists: Ameliorating vicarious traumatization. Author(s)/Editor(s): Pearlman, Laurie Anne Source/Citation: Secondary traumatic stress: Self-care issues for clinicians, researchers, and educators., Lutherville, MD, US: The Sidran Press; 1995, (xxiii, 279), 51-64 Source editor(s): Stamm, B. Hudnall (Ed) Abstract/Review/Citation: those who voluntarily engage empathically with survivors to help them resolve the aftermath of psychological trauma open themselves to a deep personal transformation / this transformation includes personal growth, a deeper connection with both individuals and the human experience, and greater awareness of all aspects of life / the darker side of the transformation includes changes in the self that parallel those experienced by survivors themselves / conceptualize these latter changes within Constructivist Self Development Theory . . . as vicarious traumatization / vicarious traumatization is a process of change resulting from empathic engagement with trauma survivors / it can have an impact on the helper's sense of self, world view, spirituality, affect tolerance, interpersonal relationships, and imagery system of memory / outlines the areas impacted by vicarious traumatization and suggests self-care strategies that apply to each area of disruption / these self-care recommendations for therapists working with trauma survivors are based in theory, in the suggestions made by the many therapists who have attended our vicarious traumatization workshops, and in self-report data from a broad range of mental health professionals / these strategies fall within the personal, professional, and organizational realms / some address the prevention or minimization of vicarious traumatization, others relate to self-care for the vicariously traumatized therapist ========================================
Title: Defining God or a Higher Power: The spiritual center of recovery. Author(s)/Editor(s): Finnegan, Dana G.; McNally, Emily B. Source/Citation: Spirituality and chemical dependency., New York, NY, US: Harrington Park Press/Haworth Press, Inc; 1995, (xiv, 216), 39-48 Source editor(s): Kus, Robert J. (Ed) Abstract/Review/Citation: explore a process central to recovery from the spiritual trauma of alcoholism--that of defining God or a Higher Power / examine people's cultural and personal histories and contexts for this process, the steps they take to create or find this definition, and the importance of this process and this definition to their recovery / clinical implications and suggestions will be provided to assist clinicians in helping alcoholic clients on their journey to recovery ========================================
Title: Countertransference in the treatment of war veterans. Author(s)/Editor(s): Maxwell, Michael J.; Sturm, Cynthia Source/Citation: Countertransference in the treatment of PTSD., New York, NY, US: The Guilford Press; 1994, (xxv, 406), 288-307 Source editor(s): Wilson, John Preston (Ed) Abstract/Review/Citation: discusses countertransference in the treatment of war veterans with posttraumatic stress disorder (PTSD) and the impact of countertransference on technical dilemmas facing the therapist / represents an outgrowth of [the authors'] collective clinical experience with veterans of World War II, Korea, Vietnam and the Persian Gulf / countertransference blocks to triage work / countertransference blocks to establishing the therapeutic relationship / gender issues in establishing a therapeutic relationship / role of countertransference in uncovering versus containing the trauma story / countertransference and the management of role boundaries / countertransference reappraisal and reconstruction / meaning and spirituality / therapist self-care and personal transformation ========================================
Title: Integrating sex therapy and addiction recovery. Author(s)/Editor(s): Heilakka, Stephen Source/Citation: Outpatient treatment of sex and love addicts., Westport, CT, US: Praeger Publishers/Greenwood Publishing Group, Inc; 1993, (vi, 164), 101-111 Source editor(s): Griffin-Shelley, Eric (Ed) Abstract/Review/Citation: [discusses] the idea that sexuality can meet a variety of needs, including inner child needs from our past, adult needs in our present, and spiritual needs for our future / the intense power of our sexuality can also lead to feelings of terror and awe / reflects on the mpact of Victorian and Puritanical heritages on our views of sexuality and the emphasis on the act of sex rather than on sexuality / such a sex-negative approach leads to objectification, dependency, and shame / healthy sexuality has a sex-positive view that emphasizes the process and developmental issues / similarly, Twelve Step fellowships for sexual compulsives advocate a sex-positive view that focuses on relationships and spirituality, and downplays the importance of the act of sex / takes sexual addiction a bit further and looks at it as a symptom of childhood sexual trauma / explains how a Twelve Step approach allows for the necessary safety, boundaries, corrective emotional experiences, learning about intimacy and relationships, and attention to the inner child that will produce recovery and healing ========================================
Title: Posttraumatic stress disorder. Author(s)/Editor(s): Foy, David W.; Drescher, Kent D.; Fitz, Allan G.; Kennedy, Kevin R. Source/Citation: Clinical handbook of pastoral counseling, Vol. 2., Mahwah, NJ, US: Paulist Press; 1993, (viii, 741), 621-637 Studies in pastoral psychology, theology, and spirituality. Source editor(s): Wicks, Robert J. (Ed) Abstract/Review/Citation: acquaint pastors with current information about PTSD [posttraumatic stress disorder], including its primary symptoms and related traumatic experiences / provide distinctions between "normal" traumatic crisis reactions and pathological adjustment to assist clergy in making screening assessments regarding the need for professional referral / several theological implications of traumatic experiences will be presented, along with pastoral responses which may help trauma survivors to work through their experiences / an "anti-burnout survival kit" is offered for pastors who are heavily engaged in ongoing ministry to trauma survivors ========================================
Title: Posttraumatic therapy. Author(s)/Editor(s): Ochberg, Frank M. Source/Citation: International handbook of traumatic stress syndromes., New York, NY, US: Plenum Press; 1993, (xxxiii, 1011), 773-783 The Plenum series on stress and coping. Source editor(s): Wilson, John Preston (Ed) Abstract/Review/Citation: [discuss] the foundation of PTT [posttraumatic therapy] and clarify some of the clinical techniques that stand upon this foundation / education [reading the DSM (Diagnostic and Statistical Manual of Mental Disorders) together] / introducing civil and criminal law / discussing psychobiology / promoting holistic health [physical activity, nutrition, humor, spirituality, social integration, posttraumatic family therapy] / psychotherapy [presents a] set of guidelines to assist clinicians in working with the intricacies of posttraumatic stress disorder (PTSD), especially for professionals with little experience in treating victims of massive trauma ========================================
Title: The role of trauma in spiritual development. Author(s)/Editor(s): Decker, Larry R. Source/Citation: Journal of Humanistic Psychology: Special Issue: Trauma and transcendence; Vol 33(4) Fal 1993, US: Sage Publications Inc; 1993, 33-46 Abstract/Review/Citation: Argues that regardless of the presence or absence of trauma-produced personality deterioration, there will be an increase in the search for an expanded and more meaningful perspective of existence as a result of a traumatic experience. Spiritual development is seen as a necessary result of trauma regardless of the presence or absence of trauma-produced psychological difficulties. The trauma survivor's increased interest/request for purpose and meaning may not immediately result in improved psychological functioning, but that interest/request needs to be taken into account if clinical treatment is to be comprehensively effective. It is suggested that a possible framework for this increased interest and need for spiritual perspectives may be found in the understanding of alchemy. ========================================
Title: Beliefs, post-traumatic stress disorder, and mysticism. Author(s)/Editor(s): Decker, Larry R. Source/Citation: Journal of Humanistic Psychology: Special Issue: Trauma and transcendence; Vol 33(4) Fal 1993, US: Sage Publications Inc; 1993, 15-32 Abstract/Review/Citation: Discusses 3 related approaches to understanding posttraumatic stress disorder (PTSD). The idea that trauma disrupts belief systems is widely accepted. However, it may be that beliefs founded on the inner realizations are less disrupted by trauma than are beliefs formed from interaction with the environment. Some of the psychological attempts to interweave spiritual understanding with psychological thought are examined in relationship to traumatic experience. Finally, the mystical perspective is recommended not only as a way of understanding internally based beliefs but as an important process for all therapists working with the traumatized. ========================================
Title: Reclaiming women's bodies: A feminist perspective on eating disorders. Author(s)/Editor(s): Kuba, Sue A.; Hanchey, Susan Gale Source/Citation: Feminist perspectives on addictions., New York, NY, US: Springer Publishing Co, Inc; 1991, (xv, 222), 125-137 Source editor(s): Van Den Bergh, Nan (Ed) Abstract/Review/Citation: the feminist therapist confronting the reality of an eating disorder is faced with a multifaceted addiction / personal, social and family factors create a self-destructive process underlying anorexia, bulimia and compulsive eating / effective therapeutic treatment requires the recognition of eating disorders as illnesses of women that are best healed by the community of women created in group psychotherapy / new advances in developmental theories of women require that rigid treatment approaches be discarded / the feminist therapist replaces trauma with a multilayered approach to treatment encompassing family intervention and creative therapeutic techniques / body image work, grief and anger management, as well as the introduction of women's herstory, are advantageous in meeting the challenge / the individual development of self will occur as eating-disordered women, under the guidance of feminist therapists, are able to free themselves from the modern-day bondage of thinness / integration of a feminist approach [supportive-nurturing environment, group treatment as method of choice, family treatment] / sociocultural therapy [body image work, excercise, grief work, anger work, women's culture and herstory, spirituality] ========================================
Title: Post-traumatic therapy. Author(s)/Editor(s): Ochberg, Frank M. Source/Citation: Psychotherapy: Theory, Research, Practice, Training: Special Issue: Psychotherapy with victims; Vol 28(1) Spr 1991, US: Division of Psychotherapy, A.P.A.; 1991, 5-15 Abstract/Review/Citation: Discusses the normalization, collaborative and empowering, and individuality principles as fundamental to posttraumatic therapy. The author describes 4 categories of techniques used in residential and outpatient settings with victimized, traumatized clients. These include education (introducing civil and criminal law, discussing psychobiology); holistic health (physical activity, humor, nutrition, spirituality); methods that enhance social support and social integration; and therapy. Posttraumatic therapy approaches its conclusion when clients show lessened symptoms, a sense of mastery and control, and, most significantly, a shift from victim to survivor status. ========================================
Title: Outreach to ex-cult members: The question of terminology. Author(s)/Editor(s): Langone, Michael D.; Chambers, William V. Source/Citation: Cultic Studies Journal; Vol 8(2) 1991, US: American Family Foundation; 1991, 134-150 Abstract/Review/Citation: Measured ex-cultists' opinions about various terms used to describe religious cults. 108 Ss responded to a questionnaire rating how well "walk-aways" (individuals who have simply left religious cults) would relate to a list of 20 terms. The Ss did not endorse any term. Terms traditionally employed by anti-cult educational organizations were not rated as highly as innovative terms, such as "psychological abuse," 'trust abuse," and "spiritual abuse." A principal components analysis of the ratings revealed the presence of 5 components: (1) Mind Control, (2) Social Manipulation, (3) Group Intensity, (4) Trauma, and (5) Abuse. Factor analysis showed that Ss perceived Components 4 and 5 to be more acceptable than Components 1-3. Manipulation is a common theme throughout the list of terms suggested by the Ss themselves (e.g., enmeshment, dysfunctional organizations, and predatory spirituality). ========================================
Title: God is a trauma: Vicarious religion and soul-making. Author(s)/Editor(s): Mogenson, Greg Source/Citation: Dallas, TX, US: Spring Publications, Inc; 1989, (vi, 167) Abstract/Review/Citation: This book, despite its title, is not a theology book. It is not a book about God as God. In identifying the two words "God" and "trauma," I wish to focus attention on the religious dimension of the psychology of those overwhelming events we describe as traumatic. A principal theme we shall pursue through the pages of this book is the impact on the soul of monotheistic theology's noname God. What happens to the soul when it reflects upon its problems in the terms of so absolute and generic a spirit? Does it assist the soul in its soul-making? Does it help the soul to "mediate events" and to "make differences between ourselves and everything that happens"? Or does it galvanize those events with the numinous sheen of the unapproachably holy? Does invoking the name of the Lord preserve the overwhelming quality of overwhelming events, embedding the traumatic? Notes/Comments: Acknowledgments Introduction The God-trauma The wrath of God The suffering God Monotheism, trauma, and the failure of calf-making C. S. Lewis's theodicy of pain Masochism and mysticism Schizoid defenses Incarnation and the bomb Healing through heresy Gnosticism Trauma in transference Romanticism The pleasure of dis-carnation Baptism Normal unhappiness Dreams Deliver us from salvation Repeating, imagining, and making a crust The crust around the pleasure principle Nietzsche's body Death-drive and transference Homogeneity, homoeroticism, and homeopathy The trauma of incarnation and the sur-natural soul Chronicity Refusing incarnation The fallacy of susceptibility Traumatology Gnostic transference Phone home! Fatality The end? ========================================
Title: Crises and spiritual growth. Author(s)/Editor(s): Howe, Leroy T. Source/Citation: Pastoral Psychology; Vol 36(4) Sum 1988, US: Human Sciences Press Inc/Plenum Publishing Corp; 1988, 230-238 Abstract/Review/Citation: Contends (a) that every crisis can arouse a fresh awareness of the transcendent source of and goal for every human life and (b) that in the trauma that every crisis brings, the opportunity is given to reassess one's life principles in the direction of a more encompassing and adequate set of values, informed by a deeper faith. For such reassessment to occur, however, there must be willingness to call into question one's whole life, and not just those decisions contributing to the specific crisis. This conviction is elaborated on in 2 sections: the first discusses the role of the pastor in crisis intervention, and the second advances the claim that exacerbating a sense of crisis for the sake of facilitating people's growth in faith is the uniquely pastoral contribution to helping people in crisis.

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