Posttrauamtic stress disorder can be devastating to those affected by it. Many times it can limit the affected person in his/her daily routins. Equine asssited therapy is an up rising treatment but still there are not enough evidence based research or studies that can confirm its efficacy. There are a lot of different programs with Equine therapy for people with PTSD in the US but it is also used as treatment for other forms of mental illness. The purpose of this litterature study was to obtain knowledge about how efficient Equine therapy as a treatment is for people with PTSD and PTSD related symptoms as a treatment and anxiety. The method to this study is a litterature study that I based on 9 articles. The result showed that Equine therapy may be efficient for peopple with PTSD although some studies were not able to connect scientifically the evidence that the equine therapy in itself was the reason for deacrasing symptoms in PTSD. The conclusion is that after looking in to the studys is that we need more research in the area.

Traumatic experiences are relatively common for individuals, particularly Military members, and can have long-term negative impacts such as posttraumatic stress, comorbid mental health symptoms, and functional impairment. However, a growing body of research suggests that some civilians and service members who experience traumas also report beneficial personal growth from the experience; this phenomenon has been termed Posttraumatic Growth (PTG). Understanding PTG and how it occurs has important implications for civilian and Military individuals who have experienced trauma as well as the helping professionals who serve them. This literature review provides an overview of trauma, definitions and conceptual frameworks of PTG mechanisms, static and dynamic factors related to PTG, and examples of interventions used to promote growth. Relevant and application-focused implications for helping professionals are provided.

Crime scene examiners (CSEs) spend long hours at traumatic crime scenes, and interact closely with various elements of crime scenes. The topic has only recently attracted international research interest, and in the South African context the offering is meagre. The study set out to determine the profile of Southern Gauteng CSEs; to establish the scope of their tasks and responsibilities; to ascertain their trauma levels in relation to traumatic crime scenes and autopsies; to identify the specific coping strategies they use; to determine their context-specific experiences of job-related stress and trauma; and to ascertain the measure to which they experience contentedness within their workplace and their views on both briefing and debriefing. In pursuit of the objectives of the study, the research paradigm was rooted in positivism. Consequently, a quantitative approach was adopted and a cross-sectional design was employed. Through convenience sampling, 103 respondents were recruited from all eight Local Criminal Record Centres (LCRCs) in Southern Gauteng. The data gathering instrument was a paper-based, self-administered structured questionnaire, which included two standardised measuring instruments for trauma levels and coping strategies respectively. The Kolmogorov-Smirnov and Shapiro-Wilk tests indicated that non-parametric statistical procedures were required. Using the Mann Whitney U test, bivariate analysis allowed for testing the relationships between variables. The findings demonstrate that male CSEs outnumber female CSEs by approximately 3:1. CSEs attend violent crime scenes with striking regularity, but autopsies less frequently. Significant proportions of CSEs are routinely required to both take photographs of crime scenes and compile photo albums. A sizeable number of CSEs present with concerning levels of Post-traumatic Stress Disorder (PTSD) symptomology. The coping strategy adopted by majority of respondents is acceptance. Although attended less frequently, crime scenes involving deceased children are experienced as very distressing. A large proportion of CSEs are hesitant to access debriefing services, for numerous reasons, despite feeling the need to talk to someone about their work. The trauma experienced by CSEs is unique compared with other policing units. Therefore, it is recommended that trauma interventions should be responsive to their needs. Lastly, the CSEs who have been diagnosed with mental health conditions seem to be at significant risk, and thus they should receive special attention in future interventions. Keywords: crime scene examiner, Local Criminal Record Centres, trauma, traumatic event, crime scene, traumatic crime scene, emotional stress, coping strategy, autopsy, Post-traumatic Stress Disorder, Southern Gauteng. / Dissertation (MA (Criminology))--University of Pretoria, 2020. / Social Work and Criminology / MA (Criminology) / Restricted

Background: Most of the neurocognitive research in Posttraumatic Stress Disorder (PTSD) thus far focused on impairment in learning and memory, neglecting the impact of PTSD on executive functioning processes. Therefore, this study specifically aims to investigate the impact of PTSD on frontal lobe executive functioning. Given the high prevalence rate for traumatic event exposure in South Africa, this study provides important findings on the role intact executive functioning plays in all areas of daily functioning, including the maintenance of good mental and physical health. Methods: Executive functions were assessed using an Executive Functioning Battery consisting of the three subtests of the Delis Kaplan Executive Functioning System (e.g., Trail Making Test, Colour-Word Interference Test, and Tower Test), as well as the Executive Functioning Index. The study sample consisted of 88 adult South African citizens who were divided into two groups (PTSD+; n = 44; PTSD–; n = 44) with different levels of trauma exposure. Results: PTSD was linked with impairment in executive functioning domains such as attention, cognitive flexibility, inhibition, working memory, and planning. Important gender differences were also reported in terms of empathy and organisation. In addition, education also appeared to affect frontal lobe executive functioning differently. Conclusions: The data suggest that overall, PTSD impaired executive functioning processes. It is therefore critical that assessment of executive functioning form part of a comprehensive treatment plan for individuals diagnosed with PTSD. / Mini Dissertation (MA)--University of Pretoria, 2019. / Psychology / MA / Unrestricted

Alcohol-related motor vehicle crashes are a major preventable cause of death in the United States. One potential factor that may modulate the influence of alcohol intoxication on driving-related decision-making is posttraumatic stress. The current study evaluated the influence of induction of acute trauma-related stress (via script-driven imagery) during alcohol intoxication (.06% BrAC) on driving-related risky decision-making – willingness to drive, driving-related decision-making (i.e., attempted red light runs), and driving-related reaction time (i.e., braking latency) – among 56 trauma-exposed (currently symptomatic) adult drinkers from the community (M = 25.32; 46.4% female). Results indicated that trauma-related stress may exacerbate willingness to drive during a state of acute alcohol intoxication, but, alternatively, may have only a minimal-to-moderate effect on performance-based, driving-related decision-making (i.e., red light runs), and a potentially mitigating impact on driving-related reaction time (i.e., braking latency) under the influence of alcohol. Generally, results suggest that trauma-related stress may differentially impact varying aspects of driving-related risky decision-making, above and beyond the influence of alcohol. Implications for theoretical modeling for driving-related decision-making during acute intoxication and for the advancement of education and intervention efforts, as well as suggestions for future directions, including methodological and procedural improvements, are discussed.

Magister Artium (Psychology) - MA(Psych) / Western Cape has the highest prevalence rates of Substance Use Disorder (SUD) with prevalence rates of 18.5%, versus the national average of 13.3%. Existing studies have emphasised that SUD is associated with exposure to trauma and Post-traumatic Stress Disorder (PTSD). In addition, demographic factors such as gender, race and socio-economic status have been correlated with SUD. However, limited research exists on the correlates of SUD among inpatients at substance abuse rehabilitation facilities in the Western Cape Province. The study aimed to address this gap in the literature by investigating the correlates of SUD among inpatients at SUD rehabilitation treatment facilities.

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This research explores the beliefs and behaviour of individuals who have suffered a traumatic experience, specifically the violent crimes of assault, motor vehicle hijackings and armed robbery. The researcher focuses on the occurrence of residual, subclinical symptoms of PTSD that individuals experience subsequent to the specified violent crimes. By identifying and describing trends in commonalities that exist between research participants’ accounts of such residual, subclinical symptoms the research aims to explore and describe these trends, enabling a common understanding and awareness of the longstanding effects that these experiences have on individuals. The qualitative research design allowed for an exploration aimed at understanding the meaning that individuals ascribe to specific events. Three case studies were examined. The researcher ensured the exclusion of individuals who met the criteria for PTSD by making use of the PCL-S. From this approach a thematic analysis was done using the transcriptions of audiotaped interviews with the participants. The three participants chosen for the study were aged twenty-nine (29), thirty (30) and thirty-one (31) independently. Two of the participants experienced an armed robbery, which were, independently, followed by non-violent crime of housebreaking and theft. A third participant experienced an armed robbery during her early childhood, and an additional crime of aggravated robbery in adulthood. The studied violent crimes had taken place between one year eleven months and six years prior to this study. None of the participants have received therapy following their traumatic experience. Five important findings were identified and discussed. Firstly, some individuals still meet the requirements for a diagnosis of PTSD, even years following their experiences with traumatic events. Secondly, following the experience of a violent crime some individual’s core cognitive schemas regarding themselves, their world and their relationships undergo various changes. Thirdly, some individuals experience numerous posttraumatic symptoms, which are not extensive enough to validate the diagnosis of PTSD, but that affect the individual’s life on a regular basis. Nine symptoms were identified in this study. Fourthly, some individuals may experience additional effects following exposure to violent crimes, e.g. physical illness, that is not classified as posttraumatic symptoms. Fifthly, a few individuals who have been the victim of more than one crime may experience cumulative or diminished effects when one explores the overall effects of revictimisation. Results also indicated that individuals may experiences similar posttraumatic symptoms, but that the presentation of these symptoms are unique and are influenced by an individual’s history, cognitive schemas and the characteristics of the crimes that they have experienced. Finally, these findings explored and described the phenomenon of partial posttraumatic stress disorder in order to expand the understanding of this occurrence. / Dissertation (MA)--University of Pretoria, 2014. / tm2015 / Psychology / MA / Unrestricted

In the U.S., Black mothers experience fetal and infant mortality at alarming rates when compared to White and Latina mothers (Gregory, Drake, & Martin, 2018). The intent of this study was to examine perinatal loss among Black American women and to expand understanding of how the Strong Black Woman (SBW) ideology influences bereavement. Data were gathered from (N=109) Black American bereaved mothers. It was predicted that endorsement of differing aspects of the SBW would moderate the relationship between perinatal grief and psychosocial outcomes (i.e., depression and post-traumatic growth). Regression analyses, alongside a bootstrapping procedure via PROCESS (Hayes, 2017), were used to evaluate the moderation models. Results yielded a model of perinatal bereavement among Black American mothers. In particular, reliance on spirituality moderated the relationship between perinatal grief and depression, while the obligation to manifest strength moderated the relation between perinatal grief and posttraumatic growth (PTG). Neither moderated moderation model was significant. The model provided significant implications for clinical practice and intervention.

In many conflict regions, women and girls continue to be at high risk of becoming victims of rape by armed combatants, whether local or foreign militaries, rebel groups or peace keeping forces. The physical and psychological repercussions of CRSV against women and their families can be long-lasting and far-reaching (Bosmans, 2007); and it is by no accident that sexual violence is now widely referred to as a ‘weapon of war’ (Clifford, 2008) or an ‘act of terrorism’ (United Nations, 2017). Very often, social taboos dictate that victims of sexual violence be seen as unclean, spoiled or unfaithful, which can lead to social isolation and stigmatisation (Albutt, Kelly, Kabanga, & VanRooyen, 2016). Injuries and trauma from sexual violence may also raise the concern that women are not be able to work, perform household chores or care for children; effectively diminishing their perceived ‘worth’ (Glass, Ramazani, Tosha, Mpanano, & Cinyabuguma, 2012). Depression and other mental illnesses may create further barriers with family and friends and diminish participation in wider community life (Betancourt, Agnew-Blais, Gilman, Williams, & Eliis, 2010). Raising a child born from CRSV can add to this burden, and these dyads may face further barriers to secure attachments. This may arise as a result of a mother’s own emotion dysregulation following the trauma of sexual violence or indeed ambivalence towards their child as a result of his/her conception. Such dyadic victimhood may also be compounded by migration and assimilation into a new culture. And yet, women do not (always) see themselves as victims, many women seem themselves as brave and courageous (Medica Zenica & medica mondiale, 2014). Many are able to achieve growth in spite of their experiences. The overarching aim of this dissertation is to contribute to the discourse on the myriad psychosocial outcomes of conflict-related sexual violence for survivors, by systematically exploring areas of difficulty and areas of perceived strength and combining mixed methodologies. It is built on the foundation of multiple intertwining areas of global mental health and explored several of these within two different contexts: being a mother, being a survivor. Using the evidence generated through this dissertation, recommendations for addressing their needs have been provided.:Foreword 4 Introduction 5 Background & Context 6 Outcomes of CRSV Against Women: Being a Mother, Being a Survivor 8 Aims & Objectives 12 Research Questions 12 Core Publications of this Dissertation 13 Chapter I: Being a Mother 14 Methodology 15 Publication I 21 Publication II 36 Chapter II: Being a Survivor 57 Methodology 58 Publication III 63 A Dual Model of Posttraumatic Stress and Posttraumatic Growth in Survivors of Sexual Violence 76 Publication IV 77 Discussion 103 Summary of Findings 104 Strengths and Limitations 107 Conclusion 108 Future directions 111 Recommendations 113 Thesis References 134 Appendices 141 1. Abbreviations 142 2. Zusammenfassung 143 3. This dissertation is based on the following publications 145 4. Presentation of own contribution 146 6. Curriculum Vitae 148 7. Publication List 149 8. Certificate of Good Scientific Practice 151 9. Acknowledgements 152