This research journey examines the process of co-creating, along with my co-travellers (research participants), a more holistic approach to trauma debriefing. Whilst incorporating elements of Mitchell's (1983) Critical Incidence Stress Debriefing model (C.I.S.D.), our point of difference has been to adopt a narrative pastoral approach. This was achieved by introducing spirituality and narrative therapy practices. Our research pathway has been further shaped by adopting a qualitative research approach within a postmodern, social construction discourse. My research curiosity was invited by both the mind, body and soul divide expressed in psychology; and the healing possibilities of spirituality I have witnessed in both my own and in the lives of others. While my co-travellers predominantly preferred to express their spirituality in terms of Christianity, our narrative pastoral approach to trauma debriefing is offered to people of all religious persuasions. / Philosophy, Practical and Systematic Theology / M.Th. (with specialisation in Pastoral therapy)

This research was aimed at giving a voice to three women, who are constructed as having had a traumatic event recalled from their autobiographical memory. To achieve this objective an epistemological framework of social constructionism was used to investigate autobiographical memory recall of trauma. Three in-depth interviews were conducted with participants who constructed themselves as having had a traumatic event. A case study approach was used to gain access to the information and to compare themes. The research explored the way in which dissociation, voluntary thought suppression, minimisation and outright denial enabled the three participants to alter unbearable memories through the use of recurring themes. To interpret these stories the content of the themes was analysed using thematic content analysis. The participants represented different cultures, languages and religions. In sharing their symptoms this did not necessarily mean they attached the same meaning to a specific theme, as individual meaning-making corresponded to the individual‟s background and history and their perception of the trauma. The stories related by the three participants revealed a shattered worldview that brought them into opposition with community norms and standards, which the narrators experienced as silencing and judgemental. In this regard the researcher‟s aim was to generate information from the participants themselves. This inquiry into the personal trauma stories and meanings suited a qualitative research approach, a form of methodology that allowed personal insight into the meanings the three participants attributed to their trauma and the autobiographical recall of trauma. At the same time it allowed a co-constructed reality to take shape between the researcher‟s reality and the participant‟s reality, always acknowledging the importance of their being the expert of their own individual trauma memory. This is in contrast to a quantitative approach which focuses on numbers to quantify the results; a qualitative approach on the other hand is a personal, rich information-gathering tool that takes into account the emotions and meaning-making of each individual story without any intention to generalise the information gathered to a larger population It is hoped that through this research there is a realisation that although trauma victims share symptoms, the meaning-making of the individual attached to this trauma is influenced by their society and history within their respective environments. / Psychology / M.A. (Psychology)

The purpose of this study was to provide a clear conceptualization of how Vietnam veterans who have previously been diagnosed with PTSD (Post Traumatic Stress Disorder) respond and cope with the emotional and psychological effects presented by the present war in Iraq.

This study examined the validity of the South African Police Service (SAPS) multiple stressor intervention. The multiple stressor was developed for members of their specialised units to address Post Traumatic Stress Disorder (PTSD). Unfortunately, the SAPS multiple stressor intervention lacks scientific evidence to support its possible effectiveness in addressing PTSD. In the current study a deployment and intervention group was compared which employed a pre- test post-test design. The Davidson Trauma Scale and the Revised Impact of Event Scale measured PTSD globally, but also the PTSD dimensions of Intrusion, Avoidance/Numbing, and Hyperarousal. The Wilcoxon signed rank test results indicated that the intervention and deployment was both effective in addressing PTSD although the intervention group revealed the greatest improvement in their overall PTSD scores. The intervention group made significant progress in dealing with all three PTSD symptoms while the deployment group made less progress with their Intrusion and Avoidance/Numbing symptoms, but made significant progress with their Hyperarousal symptoms. The Mann-Whitney u test revealed no significant differences between the post intervention test scores of the two groups, either globally or on the three PTSD dimensions. It appears that deployment was just as effective as the multiple stressor intervention in addressing PTSD. / Psychology / M.A. (Psychology)

This study examined the validity of the South African Police Service (SAPS) multiple stressor intervention. The multiple stressor was developed for members of their specialised units to address Post Traumatic Stress Disorder (PTSD). Unfortunately, the SAPS multiple stressor intervention lacks scientific evidence to support its possible effectiveness in addressing PTSD. In the current study a deployment and intervention group was compared which employed a pre- test post-test design. The Davidson Trauma Scale and the Revised Impact of Event Scale measured PTSD globally, but also the PTSD dimensions of Intrusion, Avoidance/Numbing, and Hyperarousal. The Wilcoxon signed rank test results indicated that the intervention and deployment was both effective in addressing PTSD although the intervention group revealed the greatest improvement in their overall PTSD scores. The intervention group made significant progress in dealing with all three PTSD symptoms while the deployment group made less progress with their Intrusion and Avoidance/Numbing symptoms, but made significant progress with their Hyperarousal symptoms. The Mann-Whitney u test revealed no significant differences between the post intervention test scores of the two groups, either globally or on the three PTSD dimensions. It appears that deployment was just as effective as the multiple stressor intervention in addressing PTSD. / Psychology / M.A. (Psychology)

Doctor of Philosophy / School of Family Studies and Human Services / Charlotte Shoup Olsen / Farrell J. Webb / Homelessness has become an enduring fixture of contemporary United States society. Female veterans face a host of unique challenges; females often carry the burden of serving in the armed forces, while balancing marriages, motherhood, and care giving responsibilities in their home lives. As the veterans return to their lives as civilians, the females who served in the military must deal with the possibility of sexual harassment, sexual assault, and rape while in the armed services. Female service members are twice as likely to have Post Traumatic Stress Disorder (PSTD) than their male service members and are three to four times more likely to become homeless. Understanding this view of homelessness from the female veteran’s perspective is limited due to small sample sizes in previous research efforts. However, with the increasing numbers of homeless female veterans it is imperative to understand the risk factors. A qualitative descriptive study was conducted using a modified framework for studying vulnerable populations. The study was designed to explore the meaning of homelessness from the female homeless veteran’s perspective. Second, risk factors were examined for homelessness and the services necessary for the female veteran to exit the homeless cycle. Third, the data were coded and analyzed to identify patterns and commonalities of multiple psycho social factors such as unstable family support, domestic violence, job loss, affordable housing options, substance abuse, mental and physical health issues. These factors were cited as the leading risk factors contributing to the homeless state of this sample of female veterans. The data collection consisted of ten homeless female veterans participating in a private, audio taped interview using a semi-structure interview tool. Resources listed as a necessity to end homelessness consisted of affordable housing, job security, earning a living wage income, transportation, remaining drug free, and being awarded disability. The pathway to homelessness varied for each participant, but they all demonstrated a tremendous amount of resiliency.

Increasing violence in the work environment created a need for an effective intervention to debrief traumatised workers. The aim of this study is to compile a profile of an effective trauma debriefer that can be used as a criterion for the selection of trauma debriefers. The task description of the trauma debriefer is based on the literature studied. The profile of the trauma debriefer was compiled using the characteristics of a self-actualised person, as described by the Humanism, as well as the skills based on Ivey's Microskills Hierarchy Model. Structured, non-directive interviews were conducted with five experts on the training of trauma debriefers. A qualitative analysis was made of the interviews, based on the personality characteristics and skills identified in the literature. A profile of an effective trauma debriefer that can be used as criterion during the selection of trauma debriefers, was compiled. Conclusions and recommendations were made and limitations were identified. / Toenemende geweld in die werksomgewing het gelei tot 'n behoefte aan 'n koste- effektiewe intervensie vir die ontlonting van getraumatiseerde vverkers. Die doei van die navorsing is die samestelling van 'n profiel van 'n effektiewe traumaontlonter, ten einde die profiel as kriterium vir die keuring van traumaontlonters te gebruik. Die taakbeskrywing van 'n traumaontlonter, gebaseer op relevante literatuur, is opgestel. Die profiel van 'n effektiewe traumaontlonter is aan die hand van die persoonlikheidskenmerke van die selfaktualiserende persoon, soos vervat in die Humanism©, en die vaardighede, gebaseer op Ivey se Mikrovaardighede Hierargiese Model, saamgestel. Gerigte, nie-direktiewe onderhoude is met vyf kundiges op die gebied van opleiding van traumaontlonters, gevoer. Die onderhoude is kwalitatief ontleed aan die hand van die persoonlikheidskenmerke en vaardighede vanuit die literatuur. 'n Profiel, wat as kriterium vir die keuring van effektiewe traumaontlonters gebruik kan word, is saamgestel. Gevolgtrekkings en aanbevelings is gemaak en beperkinge is geidentifiseer. / Summaries in English and Afrikaans / Industrial & Organisational Psychology / M.A. (Industrial Psychology)

The purpose of this study is to tell the story of lay trauma counsellors - how the work they do affects them, what helps them to cope and what hinders their coping. The epistemological framework of this study is constructivism. This study involved in-depth interviews with three lay trauma counsellors from different cultural backgrounds who counselled for a minimum of one year. Hermeneutics was the method used to analyse the data. The stories of participants were recounted through the researcher’s lens in the form of specific themes that emerged for individual participants. Recurring themes evident in the stories of all three participants were discussed and compared with the literature. The information gleaned could be valuable to organisations considering setting up lay trauma programmes, to those with established programmes, as well as to prospective and experienced lay counsellors. / Psychology / M.A. (Psychology)

Text in Afrikaans / The death of a parent is one of the most meaningful experiences in life. When the child in mourning is not given a proper chance to grieve, there could be complications later in life. In this study scrapbooking, as a tool in Gestalt group work, was utilised to assist three pre-adolescents after the death of a parent. The goal of this research was to determine whether scrapbooking could be successfully used with in the grieving stages after the death of a parent. The social caracter of scrapbooking makes this relevant to the pre-adolescent stage as the need to socialize is of great importance. From the results of this study, scrapbooking can be recommended to therapists to be used as a tool in assisting children during the grieving process. / Die dood van cn ouer blyk een van die mees betekenisvolle gebeure in die mens se lewe te wees. Wanneer die kind in ruil nie die geleentheid gegun word om op haar eie tyd en manier te rou nie, kan latere komplikasies na vore tree. In hierdie studie is scrapbooking as hulpmiddel in Gestalt-groepwerk met drie vroee adolessente benut om van hulp te wees na die afsterwe van 'n ouer. Die doel van die navorsing was om te bepaal of scrapbooking wel suksesvol op die wyse in die rou-proses gebruik kan word. Die sosiale komponent van scrapbooking behels die saamwees en saamwerk aan 'n scrapboek met 'n gemeenskaplike tema. Aangesien vroee adolessensie 'n ontwikkelingstadium is waar die sosiale komponent belangrik is, is die navorser van mening dat scrapbooking juis om die rede sal kan werk om verligting te bied na die afsterwe van 'n ouer. Scrapbooking word aanbeveel om tot hulp te wees om die rouproses te vergemaklik. / Social Work / MDIAC (Play Therapy)

This qualitative study illustrates that a narrative approach to pastoral therapy can guide collaborative co-authoring of alternative ways of living after trauma. The research emanates from postmodern epistemology and related discourses of social construction and post-structuralism, as well as a contextual approach to practical theology. The narrative practices of enrolling people in their own knowledges, of creating communities of concern, of honouring people, of celebration and joy, and of co-authoring alternative histories are illustrated through descriptions of how narrative maps guided one-to-one pastoral therapy as well as group work with people who have experienced trauma. The concept "resilience" is deconstructed so as to be understood as those personal actions which do not conform to pathologising predictions of the effects of trauma. / Hierdie kwalitatiewe studie illustreer dat 'n narratiewe benadering tot pastorale terapie die ko-konstruksie van alternatiewe leefwyses na trauma kan fasiliteer. Die navorsing spruit voort uit 'n postmoderne epistemologie en die verwante diskoerse van sosiale konstruksie en post-strukturalisme, asook 'n kontekstuele benadering tot praktiese teologie. Die narratiewe praktyke van ontginning van mense se kennis en vaardighede, van die skepping van gemeenskappe van sorg, van vreugde en waardering, en van die mede-skryf aan alternatiewe stories word geillustreer. Dit word gedoen deur beskrywings van die wyse waarop narratiewe kaarte individuele sowel as groepsterapie met getraumatiseerde persone kan begelei. Die konsep "weerstandsvermoee" ("resilience') word gedekonstrueer sodat dit verstaan word as daardie persoonlike ervarings wat patologiserende voorspellings oor getraumatiseerde persone weerspreek. / Philosophy, Practical & Systematic Theology / M.Th. (Practical Theology, with specialisation in Pastoral Therapy)