Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

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This thesis inquiries into trauma, its historical developments, experience, and symptoms. The theoretical part lays stress on post-traumatic stress disorder and its classification and diagnosis for the readers to have an extensive knowledge of trauma. The readers are also presented with the quintessential aftermath of trauma. The practical part adverts to childhood trauma of the main protagonists of The Gathering and The Hiding Place by the authors Anne Enright and Trezza Azzopardi. The intention is to query what happened to these characters, rather than focusing on what is wrong with them. The objective is to see the person behind his or her behaviour. Many studies refer to increasing problems in terms of mental health by children and adolescents associated with early childhood trauma. The aim in what follows is to consider whether the harm to childhood trauma can be remedied or whether childhood trauma persists until old age. KEY WORDS: Childhood trauma; post-traumatic stress disorder; trauma fiction; Enright; Azzopardi; The Gathering; The Hiding Place

Background. Evidence suggests that in affective, non-psychotic disorders: (i) environmental exposures increase risk of subthreshold psychotic experiences (PEs) and strengthen connectivity between domains of affective and subthreshold psychotic psychopathology; and (ii) PEs are a marker of illness severity. Method. In 3021 adolescents from the Early Developmental Stages of Psychopathology cohort, we tested whether the association between PEs and presence of DSM-IV mood disorder (MD)/obsessive–compulsive disorder (OCD) would be moderated by risk factors for psychosis (cannabis use, childhood trauma and urbanicity), using the interaction contrast ratio (ICR) method. Furthermore, we analysed whether the interaction between environment and PEs was mediated by non-psychotic psychopathology. Results. The association between PEs and MD/OCD was moderated by urbanicity (ICR = 2.46, p = 0.005), cannabis use (ICR = 3.76, p = 0.010) and, suggestively, trauma (ICR = 1.91, p = 0.063). Exposure to more than one environmental risk factor increased the likelihood of co-expression of PEs in a dose–response fashion. Moderating effects of environmental exposures were largely mediated by the severity of general non-psychotic psychopathology (percentage explained 56–68%, all p < 0.001). Within individuals with MD/OCD, the association between PEs and help-seeking behaviour, as an index of severity, was moderated by trauma (ICR = 1.87, p = 0.009) and urbanicity (ICR = 1.48, p = 0.005), but not by cannabis use. Conclusions. In non-psychotic disorder, environmental factors increase the likelihood of psychosis admixture and helpseeking behaviour through an increase in general psychopathology. The findings are compatible with a relational model of psychopathology in which more severe clinical states are the result of environment-induced disturbances spreading through a psychopathology network.

Survivors of complex childhood trauma (CCT) tend to develop distinctive mental health challenges later on in adulthood, which may be exacerbated by the ongoing coronavirus pandemic. CCT survivors often struggle with self-regulation, making it difficult to tolerate the distress associated with “gold-standard” trauma-processing therapies for survivors of single-incident and adult-onset trauma. Yoga can enhance self-regulation, through physical movements, breathing techniques, meditative focus, and ethical guidelines of behaviour. This dissertation encompasses the creation of a new approach for teaching yoga to trauma survivors, called TIME yoga. This approach is based on a neuropsychological understanding of the bio-psycho-social alterations that CCT survivors undergo. Chapter 1 details the methods employed in this series of dissertation studies. A randomized controlled trial (RCT) was conducted with 26 adult survivors of CCT. Mental health, emotional functioning, resilience, and cognitive functioning were assessed via subjective and objective measures at two time points (i.e., pre- and post- participation in the online yoga program or waitlist). Chapter 2 is a retrospective and cross-sectional study describing survivors’ pre-intervention psychological and cognitive functioning during the pandemic, and evaluating the impact of trauma at particular developmental stages. Regression analyses revealed particular implications of adolescent and young-childhood trauma. Chapter 3 presents a manual of TIME yoga and feasibility data from the initial RCT, supporting both feasibility and safety of the program. Chapter 4 underscores yoga-related improvements in depressive symptoms, interoceptive awareness, and executive functioning. Using both repeated-measures ANOVAs and clinically meaningful indicators of change, this study illustrates how TIME yoga effectively improved survivors’ self-regulation during the global health crisis. Future directions for program development and evaluation are discussed. / Graduate / 2023-04-11

This study explored the predictors of community supervision failures amongst female offenders in the United States criminal justice system. Female offenders have, in comparison with male offenders, particular challenges for community reintegration. This study used the relational theory and Maslow's hierarchy of needs theory to investigate the effects of childhood trauma on adult female offenders' behaviors, including substance use disorder and mental health issues. Secondary archival data were obtained from the Court Services and Offender Supervision Agency's AUTO Screener and Supervision and Management Automated Record Tracking System; this data pool included information on 1,085 female offenders who had served at least one year on probation, supervised released, and/or parole. Hierarchical logistic regression was used to examine childhood trauma, adult substance use, and substance use and mental health treatments received for the study population. Additional demographic variables were also tested as predictors of community supervision failures. Age, marital status, and caregiving for dependent children were identified as significant predictors of community supervision failures. Results indicated that community supervision failures among female offenders are predicted by relational activities. Positive social change is implicated through programmatic changes offered to female offenders. It is recommended that criminal justice agencies equip female offenders with effective strategies that address relational needs such as childcare, parenting, and life skills assistance. Through these changes, female offenders are able to promote healthier lifestyles for themselves, families, and become productive members of their communities.

The number of females arrested for violent crimes has increased. The juvenile justice system continues to be challenged with developing gender-based treatment strategies to accommodate female delinquents. The purpose of this study was to examine probation officers' perceptions of the treatment provided for female delinquents and its ability to rehabilitate, reduce recidivism, and promote successful transition among female delinquents. The framework of this study encompassed the feminist theory from a criminology perspective. Data collection included interviews with 5 probation officers in El Paso County's Juvenile Justice Detention Center. Interviews were reviewed to generate a summary of relevancy. Themes and codes pertaining to the research were identified for analysis. The participants provided several recommendations for treating the female delinquent; they also identified that a lack of resources and funding for gender-responsive treatment contributed to the systems' inability to provide gender-specific treatment for female delinquents. Implementation by the Juvenile Justice Department of gender-responsive programs would respond to the varied needs of female delinquents; thereby increasing rehabilitation, reducing recidivism, and promoting successful transition among female delinquents. This implementation would benefit society as a whole, producing productive members who are able to affect social change.

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This essay is a literary analysis of the childhood sexual abuse trauma in The Perks of Being a Wallflower and its possible usefulness in the EFL classroom. Previous scholarly work has lacked in discussing how abuser closeness and a female perpetrator have affected the main character Charlie’s trauma. Therefore, theories regarding female perpetrated sexual assault and betrayal trauma have been applied and it has been concluded that many of the harmful effects of these theories correspond with Charlie’s behaviours. By reading and working with the novel through critical pedagogy, which according to Antero Garcia concerns exploring what is beneath surface level, students are offered multiple ways in which they can deal with their emotions whilst improving their language skills (96). In addition, trauma-informed teaching can be used for students to understand trauma consequences, implied trauma and to prevent students being retraumatized. The epistolary format also shows students that reading and writing about one’s emotions, through bibliotherapy and scriptotherapy, can improve one’s mental health and help one feel less alone in experiencing difficult situations or emotions.

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