The TRC hearings is the most important form of assessment in the South African social system yet, because it was used as an evaluation of social life and trauma under apartheid. Both victims and perpetrators therefore, took the TRC seriously. The Khulumani support group observes that the TRC achievement in reconciliation and reparation needs further consideration to make proper reparation. The purpose of this study is to understand why political victims are still hurting in post apartheid South Africa. The empirical research comprises of a survey of 10 victims of political trauma. The survey questionnaire solicits information on kinds of trauma, the impact of trauma on individual and community, and the shattering of mental schemas amongst others. The survey revealed that most victims of political trauma are probably females, middle aged and illiterate. These people need to find themselves forms of guidance from older and more experienced victims. In addition, the survey revealed that although the value of psychological help was recognized, most victims did not attend such programs. Victims also said that, "the Government had not recognized their hurts". It can therefore be concluded that the government is still accountable for the state victims are in. The pilot research studies also revealed that the victims' high expectations are measured or based on the material things that they see political leaders having. However, achievement should be consistent with availability of resources, education, and psychological help for the victims themselves. Furthermore, the case stories showed that there are valid problems that these victims continue to experience. There is an urgency for more focused research into parameters that define effectiveness and efficiency in helping political victims in South Africa. Furthermore, it is imperative that the country deliberately increases psychological help. In addition there is a need to increase financial assistance. Finally, it is important to localize support groups, and to develop alternative ways to educate the existing traumatized victims. On this respect Christian Counselling groups may be of assistance. / Thesis (M.A)-University of Durban-Westville, 2005.

Peace and conflict studies arose as a response to the human experience of violence, with an intention towards finding possibilities for nonviolent ways of relating. These possibilities, however, tend to be preoccupied with social conflict, reconciliation, and recovery as taking place solely within the realm of human beings, thereby creating an ontology that renders nature silent. This thesis asks why it is so difficult to attend to natural contexts and the more-than-human world in peace and conflict studies. This research suggests that the shift in experience that comes through connection with nature opens possibilities for peacebuilding and recovery from conflict. Thus, while it explores responses to experiences of violence, this thesis also works to articulate an understanding of how conflict and peacebuilding take place within a shared, interconnected and interdependent global ecosystem. The core of this inquiry is experience-centred narrative research within the phenomenological interpretive framework provided by Maurice Merleau-Ponty. This research explores the personal experience stories of veterans suffering from stress and post-traumatic distress from their military training and combat exposure. All of the veterans regard their personal recovery from stress and traumatic experiences as intimately tied to their nature experiences. These experiences are further illuminated by supporting interviews, personal narrative interludes, other stories from the edges of violence, and theories and praxis in ecology, ecopsychology, cognitive science, and neuroscience. Through exploring themes of sensory experience, safety, sense of purpose, relationships, basic needs, and regained humanity, this research culminates in the remembrance that as human beings, we are nature, and the insight that it is our (human) nature that impels and enables us to reach out and relate with others and with the more-than-human world. This central insight holds profound implications for peace and conflict studies, which focuses on peacebuilding through recognition of common humanity and conflict transformation through changed relationships. The thesis concludes by exploring possibilities and implications for bringing nature to consciousness in peace and conflict studies and for revising theoretical and practical frameworks to re-embed peace and conflict studies in the everyday world—the world beyond the boardroom or negotiating table, and the world that sustains all life on earth.

The experience of living through an unexpected, life-threatening cardiovascular surgery can be a profound. This study examined the experience of 4 men who had survived ruptured aortic aneurysm using a phenomenological research design.Audio-taped interviews were analyzed for common themes and patterns. Two strong, opposing constitutive patterns were found. The patterns the data conveyed were: 1) fear as a response to overwhelming pain and clouded perceptions, and 2) gratitude for recovery in an atmosphere of caring support.This study was significant in beginning to bring to understanding the phenomenon of surviving major, unexpected cardiovascular surgical trauma. It is recommended that health care providers be more attentive to similar patients' experiences and listen to how their lives have changed as a result of their experiences. / School of Nursing

Peace and conflict studies arose as a response to the human experience of violence, with an intention towards finding possibilities for nonviolent ways of relating. These possibilities, however, tend to be preoccupied with social conflict, reconciliation, and recovery as taking place solely within the realm of human beings, thereby creating an ontology that renders nature silent. This thesis asks why it is so difficult to attend to natural contexts and the more-than-human world in peace and conflict studies. This research suggests that the shift in experience that comes through connection with nature opens possibilities for peacebuilding and recovery from conflict. Thus, while it explores responses to experiences of violence, this thesis also works to articulate an understanding of how conflict and peacebuilding take place within a shared, interconnected and interdependent global ecosystem. The core of this inquiry is experience-centred narrative research within the phenomenological interpretive framework provided by Maurice Merleau-Ponty. This research explores the personal experience stories of veterans suffering from stress and post-traumatic distress from their military training and combat exposure. All of the veterans regard their personal recovery from stress and traumatic experiences as intimately tied to their nature experiences. These experiences are further illuminated by supporting interviews, personal narrative interludes, other stories from the edges of violence, and theories and praxis in ecology, ecopsychology, cognitive science, and neuroscience. Through exploring themes of sensory experience, safety, sense of purpose, relationships, basic needs, and regained humanity, this research culminates in the remembrance that as human beings, we are nature, and the insight that it is our (human) nature that impels and enables us to reach out and relate with others and with the more-than-human world. This central insight holds profound implications for peace and conflict studies, which focuses on peacebuilding through recognition of common humanity and conflict transformation through changed relationships. The thesis concludes by exploring possibilities and implications for bringing nature to consciousness in peace and conflict studies and for revising theoretical and practical frameworks to re-embed peace and conflict studies in the everyday world—the world beyond the boardroom or negotiating table, and the world that sustains all life on earth.

This study investigated links between sexual assault experiences, posttraumatic stress symptoms (PTSS), and adverse physical health outcomes among adult women. Existing models in which posttraumatic stress disorder (PTSD) mediate the relationship between trauma exposure and physical health outcomes have been established within a variety of trauma populations, but had yet to be specifically tested with the trauma of sexual assault. Through the use of structural equation modelling (SENT), support was found for a model in which posttraumatic stress symptom (PTSS) severity partially mediates the association between sexual assault exposure and physical health problems. While PTSS severity served as a partial mediator, it was revealed that depression symptoms did not A multivariate multiple regression was conducted to test whether the three PTSD symptom clusters (i.e., reexperiencing, avoidance, and hyperarousal symptoms) were differentially related to physical health outcomes, but it was found that no single symptom cluster explained the association between PTSD and adverse physical health outcomes. It was revealed, however. that reexperiencing symptoms and avoidance symptoms had unique associations with health care utilization and health perceptions, respectively. Finally. A unique relationship between sexual assault exposure and reproductive and sexual health problems was revealed, suggesting that this is a particularly important area of health concern among sexual assault survivors.

Transition to parenthood can be a stressful time for a couple, especially for couples at risk for substance misuse and intimate partner violence. Relationship satisfaction tends to decline in the first year of parenthood as the partners are adjusting to the demands of their new roles as parents. History of trauma and current symptoms of Post-traumatic Stress (PTS) have been associated with decreased intimacy, communication, and relationship adjustment, yet there is a lack of research on how PTS symptoms and trauma history affect parents and families. The current study investigated how PTS symptoms and trauma history affect new parents’ relationship satisfaction in the presence of substance misuse and intimate partner violence. Ninety eight heterosexual couples filled out questionnaires one year after the birth of their first child. Hierarchical multiple regression results indicated that PTS symptoms predicted relationship satisfaction over and above IPV victimization and substance misuse for men. However, for women, psychological IPV victimization was the only significant multivariate predictor for women. Additionally, for men, PTS symptoms interacted with harmful drinking to predict relationship satisfaction. The results suggest that women’s relationship functioning is particularly affected by psychological aggression while men’s relationship functioning is particularly susceptible to effects of harmful drinking and their own PTS symptoms. Implications are discussed. / Graduate

This study investigated the resourcing experiences of children and youth attending office-based, tri-phasic trauma treatment. Ten participants were recruited from both private and agency based clinical psychology or counselling practices. During semi-structured, in-depth interviews participants described their resourcing experiences. The data were analyzed using the descriptive, phenomenological, and psychological method of Amedeo Giorgi. The results revealed a basic structure in the resourcing experiences of the child participants which was comprised of 12 constituents: (a) perceived attitude of the therapist, (b) personal and contextual relevance, (c) currency, (d) choice and control, (e) calming, (f) unsticking, (g) experiential, (h) triumph, (i) internal ease, (j) needing a guide, (k) naming the resource, and (l) betterment. The findings contribute to an understanding of the resourcing experience of youth in trauma therapy by adding the client’s voice to the therapeutic process. Implications for clinical practice and further research are presented. / Graduate

Background: Spinal cord injury (SCI) is heterogeneous in nature and can be complicated by inflammation and scarring in the subarachnoid space (arachnoiditis). The constellation of traumatic injury and arachnoiditis can lead to extensive intraparenchymal cysts or post-traumatic syringomyelia (PTS), due to alterations in fluid flow and pressure dynamics in the subarachnoid space. Hypothesis: Intrathecal injection of a bioengineered hydrogel containing hyaluronan (HA) will improve functional recovery following severe spinal cord injury associated with arachnoiditis. Methods: Acute to subacute pathophysiological events were characterized in non-injured sham rats, rats receiving a clip compression/contusion injury (SCI), rats receiving an intrathecal kaolin injection (Arachnoiditis) and in rats receiving SCI plus kaolin injection (PTS). Next, a HA containing hydrogel (HAMC) or artificial cerbralspinal fluid (aCSF) control was injected into the subarachnoid space 24 hours following PTS injury. To assess treatment efficacy, subacute pathophysiology was assessed as was long-term neurobehavioural and neuroanatomical recovery. Finally, in vitro studies examined the effect of HA on TLR4 activation using lipopolysaccharide in primary rat microglial cultures. Results: PTS animals exhibited a greater parenchymal injury response as compared to the sum of SCI alone or arachnoiditis alone. Injection of HAMC reduced the extent of scarring and inflammation in the subarachnoid space and improved neurobehavioural and neuroanatomical recovery relative to aCSF controls. These improvements were associated with reduced chondroitin sulfate proteoglycan and IL-1α expression and a trend towards and axonal preservation. In vitro studies demonstrated that HA is capable of reducing TLR4 mediated inflammation in microglia. Conclusions: Acute arachnoiditis potentiates the intensity of intraparenchymal inflammatory and scarring events following SCI. When HAMC was injected intrathecally following PTS injury, it mitigated some of the pernicious effects of arachnoiditis. Part of the therapeutic action of HAMC can be attributed to the ability of HA to reduce TLR4 mediated inflammation in microglia, possibly through an extracellular mechanism.

Past research on adult memory for childhood sexual abuse (CSA) has provided support for the phenomenon of forgetting and subsequent recovery of the memories, after a period of time. This phenomenon, however, remains a source of debate and is still not fully understood by researchers and psychological and legal practitioners. The research has provided conflicting evidence about the factors which are thought to lead to CSA forgetting for extensive periods of time, in addition to the processes involved in forgetting, triggering and later remembering of the abuse memories by adult survivors. This study utilised a mixed method to investigate and explore the factors and processes associated with CSA forgetting, triggering and later remembering, in a sample of Australian adult CSA survivors (N = 77). Participants were asked to complete a test booklet, containing the Traumatic Events Questionnaire (TEQ), Symptom Checklist-90-Revised (SCL-90-R), Dissociative Experiences Scale II (DES II), Impact of Events Scale - Revised (IES-R), a scale designed to measure persistence of memory (Loftus), and a scale designed to measure emotional intensity at the time of the abuse and now (Williams). Participants were then asked to participate in a semi-structured interview. Seventy-one participants completed the interview process. Five separate analyses were conducted on the data. Methodological issues, such as the use of retrospective data and corroboration of the abuse were outlined. All participants were asked to provide details about any corroboration they had received that the abuse had occurred. The participants were streamed into one of three categories of forgetting (Always Remembered, n = 28; Partial Forgetting, n = 16; and Extensive Forgetting, n = 33). The first analysis (Stage One Analysis One) examined the factors thought to be associated with CSA forgetting, such as abuse parameters (TEQ), current psychological functioning (SCL-90-R), persistence of memory (Loftus), emotional intensity at the time of the abuse and now (Williams), the trauma response experienced at the time of the abuse (IES-R), and current dissociation (DES II), to determine the significant differences between the three groups. A significant difference was found regarding the age at which the abuse commenced, with the Extensive Forgetting group reporting an earlier age at which the abuse commenced. Significant differences were found on the variable that related to being abused by an aunt or uncle, and on the current experience of hostility (SCL-90-R sub-scale), and on the current levels of anger (Williams Emotional Intensity) experienced by the participants. Significant differences between the groups were also found on two of the Persistence of Memory items, namely clarity of memory and participants' memory of the tastes related to the abuse. Finally, a significant difference was found on the participants' current dissociation levels, with the Extensive Forgetting group reporting higher levels of current dissociation than the other two groups. Statistical profiles for each of the three groups were constructed, based on the mean scores of the SCL-90-R, IES-R and DES II, for use in the Stage Two, Analysis Two, profile comparison. Stage Two, Analysis One, provided a qualitative analysis relating to the experience of always remembering the abuse. The aim of this analysis was to provide a deeper understanding of why some participants (n = 23) did not forget about their abuse, when other participants reported being able to forget for a period of time. The results indicated that participants' responses formed clusters, such as older age at abuse onset, failed dissociative mechanisms, constant reminders, and others. Stage Two, Analysis Two, presented and compared each participant's profile against the statistical profiles constructed in Stage One. The participant's profiles included a summary of their TEQ responses and interview responses, in addition to their Stage One test booklet scores. The comparison was made, firstly, on a specific basis against the mean scores obtained by each category of forgetting, and secondly, on a broader basis, against the score range for each measure of the statistical profile. This was done to determine if there was a "typical" member of each category of forgetting and to investigate the within-group differences. The specific profile comparison demonstrated that there was no "typical" member of any of the three groups, with participants varying widely in their scores and patterns of scores. However, when the profile comparison was broadened to include score ranges, 61% of participants, who always remembered the abuse, 44% of participants who partially forgot the abuse, and 47% of participants who extensively forgot their abuse, matched the profile of a "typical" member of their relevant category of forgetting. Stage Two, Analysis Three, provided an in-depth qualitative exploration on the process involved in CSA forgetting, triggering and later remembering, for a selection of participants who reported partially forgetting the abuse (n = 6), and extensively forgetting the abuse (n = 10). Participants' interview responses were transcribed verbatim and analysed, using Interview Analysis. This analysis explored the differences between participants, from the two categories of forgetting, on their experiences of CSA forgetting, triggering and later remembering, in addition to exploring how these participants were able to forget about the abuse; what events triggered their abuse memories; and how the initial memories returned. Issues of memory recovery, while in therapy or under hypnosis, were also explored. Stage Two, Analysis Four, presented the case study of a participant, who had been identified as an "outlier", due to her high score on the DES II, claims of being able to remember abuse incidents that occurred prior to the age of two years, diagnosis of DID, and the substantiated conviction and sentencing of her abuser, based on her recovered memories of the abuse and corroboration from her sister and mother. Her case was examined against some of the criticisms often made by false memory supporters. This thesis found that some CSA survivors forgot about their abuse, either partially or extensively. The thesis also found support for some, but not all, of the factors that previous researchers have identified as being associated with CSA forgetting by adult survivors, specifically the individual's age at the time the abuse commenced and the individual's ability to dissociate from the abuse. The research then explored, in-depth, the issues of: CSA remembering, CSA survivor profiling, and the "how" of CSA forgetting, triggering and later remembering, by adult survivors.

"The first report describes a case of Major Depressive Disorder (MDD) in a pregnant women living in regional Australia. It begins with a discussion of issues of relevance to the treatment of a pregnant woman with MDD. It also describes the evidence based treatment provided and the results achieved for this client. The second report follows the same format to describe a case of PTSD in a married mother living in regional Australia following a suicide attempt. The third report describes a case of Bipolar I disorder in a separated mother living in regional Australia. Finally, fourth report explores the professional and ethical issues associated with the practice of clinical psychology [...]. This report explores professional issues which include self-care requirements and strategies, initial client contact, communication with colleagues and professional development and client records. Ethical issues covered include professional competency, termination of relationships and confidentiality." / Doctor of Psychology (Clinical)