Survivors of natural disaster may suffer from Post Traumatic Stress Disorder (PTSD). In developing nations, such as the Honduras, poverty and limited resources mean that disaster relief from outside the country is needed. Researchers (Crigger, Holcomb, and Weiss, 1999) interviewed survivors of Hurricane Mitch. They reported overwhelming feelings of helplessness/powerlessness among disaster survivors. They also raised the question of whether this was evidence of the presence of PTSD. The purpose of this retrospective analysis of symptoms reported by urban Hondurans in the aftermath of Hurricane Mitch was to examine the possibility that these symptoms were related to PTSD. A sample of 345 clinic health forms was analyzed. The research questions were: 1) What were the chief complaints of urban Hondurans seen in the mission clinics over a 5-day period in March of 1999? 2) Do the urban Hondurans attribute their illness to the effects of Hurricane Mitch? 3) Are reported symptoms consistent with a diagnosis of Post Traumatic Stress Disorder? 4) What are the nursing implications for future post-disaster interventions in developing nations? While the findings of this study are not statistically significant, the clinical significance cannot be ignored. Several symptoms which have been well documented to be associated with PTSD were reported with nearly twice the expected frequency by subjects who also reported being sick as a consequence of Hurricane Mitch. In PTSD, early identification and intervention, is directly related to the reduced rate of comorbidity and chronicity of the disorder.

This dissertation delves into the intricate examination of factors associated with secondary trauma as experienced by K-12 urban school leaders and the subsequent influence on their leadership practices. A primary objective of this research is to comprehend the contributing factors leading to post-traumatic growth among school leaders while also investigating their perceptions of the school district's role in fostering this growth. Set within an urban school district, this study focuses explicitly on Title 1 schools, where the impact is expected to be pronounced. Existing literature highlights a dearth of knowledge regarding the nuanced effects of secondary trauma on school leaders, thereby underscoring the significance of this research. To address this gap, a qualitative phenomenological study was conducted. This study aims to gain a comprehensive understanding of the lived experiences of practicing Title 1 school principals and assistant principals. By exploring the depth and nuances of their encounters with secondary trauma, this research seeks to contribute valuable insights into the intricate interplay between these experiences and subsequent leadership practices.

Sexual violence (SV) affects millions of people, with an estimated 24.8 – 43.6% of people in the United States reporting at least one form of SV in their lifetime. SV has been associated with the development of negative outcomes such as Post-Traumatic Stress Disorder (PTSD). There is a robust body of evidence which demonstrates the impact that social reactions to SV and coping can have on higher post-traumatic stress (PTS) symptoms. Furthermore, studies have shown that individuals from marginalized communities (e.g., racial/ethnic, gender, sexual orientation) may be disproportionately impacted, with greater exposure to SV, negative social reactions, and PTS. Studies have also supported that PTS can be further exacerbated by minority stress and that being a member of multiple marginalized groups, where identities intersect, may confer additional stress relative to each identity. The current study examined the relation between number of intersecting marginalized identities (MID) and exposure to SV across the lifetime, receipt of negative social reactions, and PTS symptoms after SV; additionally, moderated regression models were conducted to test whether coping styles and types of social reactions to disclosure moderated the relation between number of MID and PTS symptoms. Results of moderated regression models were non-significant for moderation effects between MID and coping styles and MID and social reactions to disclosure, however PTS symptoms were significantly predicted by several of the study variables. Additionally, results of analyses conducted to identify if significant differences existed for rates of SV exposure, receipt of negative social reactions to disclosure, and PTS symptoms between identity groups were mixed, and were further complicated by timing of data collection (i.e., pre- or post-COVID-19) Findings, limitations and future directions are discussed.

The Supporting Transformation and Resilience (STAR) program is a groundbreaking doctoral project in the field of occupational therapy designed to enhance the resilience, quality of life, and overall well-being of adult survivors of childhood trauma who are raising a child with a disability. Childhood trauma can profoundly impact an individual's life, and caring for a child with a disability can introduce additional challenges, making it essential to develop a comprehensive support program tailored to this specific population. STAR uses a mixed-method experimental design with a waitlist control group. The STAR program leverages a hybrid approach, combining psychoeducational and experiential components underpinned by a peer mentor model. The in-person sessions are proposed to be held at the YMCA, spanning a 12-week period with weekly in-person gatherings. Furthermore, participants will engage in a once-weekly asynchronous email support group and have access to online modules available around the clock. The waitlist control group will be granted access to the online modules, offering a basis for comparison with the participants actively engaging in the in-person and online aspects of the program. The aim of the STAR program is not only to gather critical data but also to offer support and resources for survivors of childhood trauma, creating a holistic approach that addresses their unique needs and circumstances. The STAR program holds the potential to shed light on the impact of a novel occupational therapy health promotion initiative on the resilience, quality of life, and overall well-being of its participants. This project anticipates significantly contributing to the occupational therapy and trauma fields. It has the potential to enhance the lives of those who face the challenges of both childhood trauma and caring for a child with a disability.

The present investigation evaluated whether dispositional use of emotional approach coping partially accounts for the association between parental response to emotional expression and posttraumatic stress symptoms (PTSS) in a sample of 252 trauma-exposed individuals drawn from a pool of college students and college-age members of the community at-large. An online survey assessed parental reactions to participants' negative emotions during childhood (i.e., offspring retrospective report), as well as participant trauma history, PTSS, and use of emotional approach coping. Findings complement literature illustrating the long-lasting implications of the parent-child relationship, such that both supportive and unsupportive parenting were related to PTSS. Supportive parental reactions also were related to emotional expression, but not emotional processing, and unsupportive reactions did not significantly relate to either aspect of emotional approach coping. Notably, emotional approach coping strategies were unrelated to PTSS in the full sample, and thus the indirect effects models were not supported. Post hoc analyses indicated preliminary support for the indirect effect of emotional expression on the relation between supportive parenting and PTSS in the local college student sample (n = 117). Limitations and implications for future research are discussed.

Text in Afrikaans / During her theoretical training as an educational psychologist, the researcher became acquainted with the relations theory. The researcher became aware of the fact that persons who have experienced psychological trauma, commonly practice irrational inner dialogue/self talk. From her own experience, it also became clear that traumatized persons deal with their trauma more effectively when they have good relations with others. Due to the fact that these aspects are significant aspects of the relations theory, the researcher began to wonder whether this theory could possibly be of value in therapy with traumatized persons. On the basis of a qualitative study of limited scope, it was found that, with certain reservations, the educational psychological relations theory could be a workable theory in therapy and that relations therapy could make a valuable contribution to the success of therapy with traumatized persons. / In die loop van haar teoretiese opleiding as opvoedkundige sielkundige het die navorser kennis gemaak met die relasieteorie. Die navorser het bewus geword van die feit dat mense wat 'n sielkundige trauma in hulle lewens beleef het, oor die algemeen irrasionele selfspraak beoefen. Na aanleiding van haar eie ervaring, het dit ook duidelik geword dat getraumatiseerde persone meer effekttef deur hulle trauma kan werk indien hulle relasies toereikend is. Omdat hierdie aspekte juis baie gewig dra in die relasieteorie, het die navorser begin wonder of die relasieteorie nie moontlik van waarde kan wees in terapie met getraumatiseerdes nie. Op grond van 'n kwaiitatiewe studie van beperkte omvang is daar bevind dat, met sekere voorbehoude, die opvoedkundig-sielkundige relasieteorie wel 'n werkbare teorie in terapie kan wees en dat relasieterapie 'n waardevolle bydrae tot die sukses van terapie met getraumatiseerdes kan iewer. / Educational Studies / M.Ed. (Guidance and Counselling)

Critical care nurses experience stressful situations in their daily working environments. The question arises for nurses: are there adequate support systems in the critical care environment and what are critical care nurses doing to mantain their own health and well-being. Facilitating conscious awareness among critical care nurses could enhance their resiliency and their hardiness, strengthening their coping capacities in stressful working situations. The contextual framework adopted for this research was the Neuman Systems Model. A qualitative research approach (exploratory, descriptive and contextual) was used to explore and describe the stress experienced by critical care nurses. Focus group interviews were conducted with critical care nurses and individual interviews with nurse managers. The results revealed their perceptions and experiences about the effects of stress in the critical care environment, as well as some of their coping strategies. Raising critical care nurses' levels of conscious awareness about their coping strategies with stressful events in their daily working lives, could enhance their resiliency and hardiness, enabling them to continue working effectively in stressful environments. This could enhance the general well-being of individual critical care nurses, the nursing care rendered to critically ill patients, and save money for the health care services by reducing turnover rates among critical care nurses. / Health Studies / D.Litt. et Phil. (Health Studies)

In this article post-shooting trauma is utilized as an arbitrary punctuation to indicate how police officers communicate their distress during this period of rapid transition in South Africa. It is argued that the medical model (with its attendant lineal causal explanations and descriptions) is inhibitively limited in describing what police officers are presently experiencing. The author motivates the advantages of perceiving and describing events from an ecosystemic perspective (which provides a contextual understanding and emphasizes relationships} . "Stress" is described as an aspect of the system as a whole and not singularly attributable to individuals alone. Among others new policing rules and roles, the turnover in personnel, and the rate of's'ocio-political changes are shown to contribute. It is argued that the Police, as society's guardians of "power" have become the "symptom bearers" for a society in the painful process of adapting to change. Recommendations regarding possible interventions are made. / Psychology / M.A. (Clinical Psychology)

Text in Afrikaans / Die studie fokus op die effek van krisiswerk op die helper in terme van stres, die uitbrandingsindroom en posttraumatiese stresversteuring (PTSV). Salutogeniese konstrukte as moderatorveranderlikes in die stres-siekte-verhouding word ook ondersoek. 'n Beskikbaarheidsteekproef van 52 ambulansmanne en 52 kontrolegroepwerkers is verkry. Biografiese, koherensie-, uitbrandings-, PTSV- en stresvraelyste is ingevul en statisties verwerk. Resultate dui daarop dat ambulansmanne hul werk as buitengewoon stresvol beleef en dat meer ambulansmanne diagnoseerbare PTSV vertoon. Daar blyk geen verskil tussen die twee groepe te wees nie met betrekking tot die voorkoms van uitbranding en streservaring. 'n Negatiewe verband tussen koherensiebelewing en die voorkoms van stressimptome en uitbranding is verkry. Ambulansmanne het 'n buitengewoon stresvolle werk en vertoon meer simptome van stresversteurings as mense in ander beroepe. Aanbevelings word gedoen oor hoe om die negatiewe konsekwensies van stres te verminder. / The study focuses on the effect of crisis work on the assistant in terms of stress, the burnout syndrome and post-traumatic stress disorder (PTSD). Salutogenic constructs as moderator variables in the stress-illness relationship are also investigated. An availability sample of 52 ambulancemen and 52 control group workers was obtained. Biographic, coherence, burnout, PTSD and stress questionnaires were completed and statistically processed. Results indicate that ambulancemen experience their work as exceptionally stressful and that more Ambulancemen display diagnosable PTSD. There appears to be no difference between the two groups in respect of the incidence of burnout and experience of stress. A negative connection between the experience of coherence and the incidence of stress symptoms and burnout was obtained. Ambulancemen have an exceptionally stressful job and display more symptoms of stress disorders. Recommendations are made on how to reduce the negative consequences of stress. / Industrial and Organisational Psychology / M. Com. (Bedryfsielkunde)

Text in English / Police workers have to contend with a variety of traumatic incidents in their daily work. This includes work, personal and socio-economic stressors. These, if not managed, may lead to Post Traumatic Stress Disorder (PTSD). The aim of this study was to develop guidelines to assist the South African Police Service (SAPS) organisation to provide appropriate interventions for workers diagnosed with work and non-work-related PTSD in the Mahikeng area of the North West Province in South Africa. The study further sought to assist the workers’ immediate family members to cope with living with a member diagnosed with PTSD. A qualitative research method was used. Data was collected using self-administered in-depth interviews. The study sample comprised of 19 SAPS workers and 23 family members. Data was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. The Excel computer program was used to identify and analyse common themes. A lower PTSD prevalence rate of 0.76% was yielded by the results. Work-related traumatic incidents were linked to possible PTSD development for most SAPS workers. Exposure to traumatic incidents might have had a substantial effect on participants’ health and social lives as most developed varying health conditions post to the PTSD diagnosis. Living with a member diagnosed with PTSD brought trauma, financial problems and constant worry among families. Families coped by supporting each other. The provision of counseling services and active participation in PTSD support groups and sport activities were identified by most participants as fundamental in coping with the effects of PTSD. The provision of sufficient integrated family counseling and life skills programmes by the SAPS organisation was identified as crucial by most families in coping with the effects of living with a member diagnosed with PTSD. / Health Studies / D. Litt. et Phil. (Health Studies)