This study explored posttraumatic growth (PTG) in people with aphasia and is the qualitative arm of a larger mixed-methods study. After an initial experimental session, 23 people with aphasia (PWA; 12 females and 11 males) completed a 60-minute semi-structured interview during which participants expanded on previously-given questionnaire responses and then answered five additional open-ended questions about communication in their daily life. Interviews were transcribed orthographically and coded using reflexive codebook analysis. A stakeholder with aphasia was consulted to gain insight from an insider's perspective about whether codes and themes captured the experiences of aphasia. Reflexive codebook analysis revealed two themes. Within the first theme, "Recovery is a Journey," there were two categories: "Moving Toward Growth" and "Engagement." The second theme, "Having Aphasia is Challenging, but I've Grown," included four categories: "Challenges and Reactions," "Perception of Self," "General Philosophy of Life," and "Relatedness." Findings suggest that PWA experience PTG across all three primary domains: (1) changed perception of self, (2) changed relationship with others, and (3) changed general philosophy of life and that the challenging circumstances associated with aphasia were integral to the development of PTG. Findings also highlight that PTG does not necessarily develop in a linear trajectory for PWA, but that processes such as acceptance and slowing down may contribute to the development of PTG in this population. Future research should quantitatively investigate the trajectory of PTG for PWA, assess interventions that may facilitate PTG, and examine how PTG contributes to overall recovery.

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<p>Sammanfattning:</p><p>Denna studie syftar till att fånga upplevelser av hur livet kan förändras i positiv riktning efter bearbetandet av en nära anhörigs suicid, med fokus på posttraumatic growth och positiva förändringar. Studien utgör ett bidrag till forskningsområdet där trauma ses som en möjlig grogrund för gynnsam utveckling hos den drabbade individen. Kvalitativa intervjuer genomfördes med sex personer som alla mist en nära anhörig i suicid. Deltagarna uttryckte PTG inom temana självperception, interpersonella relationer och livsfilosofi. Följande positiva förändringar framkom: förändringar i personligheten, ändrade prioriteringar, möten med människor på ett djupare plan, ny syn på döden, värdesätter tid med familjen mer, djupare glädje och tacksamhet, samt nya möjligheter. Resultatet tyder på att detta svåra trauma kan föra något gott med sig.</p> / <p>Abstract:</p><p>The purpose of this study is to capture experiencies of how life can change for the better after the struggle with the suicide of a close relative, focusing on posttraumatic growth and positive changes. The study contributes to the research area where trauma is considered a possible opportunity for growth within the traumatized individual. Qualitative interviews were conducted with six individuals all of whom have lost a close relative to suicide. The participants expressed PTG in the themes selfperception, interpersonal relationships, and philosophy of life. Positive changes that emerged were: changes in personality, changed priorities, the ability to interact with people on a deeper level, renewed perspectives on death, values time spent with family more, deeper sense of happiness and gratitude, and new possibilities. The result shows that something good can come out of a trauma as severe as this one.</p>

Sammanfattning: Denna studie syftar till att fånga upplevelser av hur livet kan förändras i positiv riktning efter bearbetandet av en nära anhörigs suicid, med fokus på posttraumatic growth och positiva förändringar. Studien utgör ett bidrag till forskningsområdet där trauma ses som en möjlig grogrund för gynnsam utveckling hos den drabbade individen. Kvalitativa intervjuer genomfördes med sex personer som alla mist en nära anhörig i suicid. Deltagarna uttryckte PTG inom temana självperception, interpersonella relationer och livsfilosofi. Följande positiva förändringar framkom: förändringar i personligheten, ändrade prioriteringar, möten med människor på ett djupare plan, ny syn på döden, värdesätter tid med familjen mer, djupare glädje och tacksamhet, samt nya möjligheter. Resultatet tyder på att detta svåra trauma kan föra något gott med sig. / Abstract: The purpose of this study is to capture experiencies of how life can change for the better after the struggle with the suicide of a close relative, focusing on posttraumatic growth and positive changes. The study contributes to the research area where trauma is considered a possible opportunity for growth within the traumatized individual. Qualitative interviews were conducted with six individuals all of whom have lost a close relative to suicide. The participants expressed PTG in the themes selfperception, interpersonal relationships, and philosophy of life. Positive changes that emerged were: changes in personality, changed priorities, the ability to interact with people on a deeper level, renewed perspectives on death, values time spent with family more, deeper sense of happiness and gratitude, and new possibilities. The result shows that something good can come out of a trauma as severe as this one.

This study evaluated a revised version of the Stress-Related Growth Scale (SRGS-R). The SRGS-R has two major differences from the Stress-Related Growth Scale (SRGS). It uses neutral wording of items instead of the original positively worded items, and it uses positive and negative scaling choices. This study included participants (N = 764) recruited through Amazon MTurk. There were three versions of the SRGS-R tested - the SRGS with neutral wording of items only (SRGS-R-N), the SRGS with positive and negative scaling only (SRGS-R-S), and the SRGS-R, with both changes. We randomly assigned participants to complete one of four PTG measures - the SRGS-R-N, SRGS-R-S, SRGS-R, or the Posttraumatic Growth Inventory (PTGI). The PTGI elicited the largest levels of reported PTG, while the SRGS-R elicited the smallest levels. The two modified versions displayed scores between the SRGS-R and the PTGI in the small and moderate growth groups. In the current study the SRGS-R was negatively related to PTSD symptoms, depression, anxiety (negative, but not statistically significant), global distress (negative, but not statistically significant), and avoidance-focused coping (negative, but not statistically significant), and positively related to positive well-being, quality of life, problem-focused coping, and emotion-focused coping. In comparison, the PTGI was unrelated to depression, anxiety, and global distress, and positively related to PTSD symptoms, positive well-being, quality of life, and all three coping styles. These findings provide further evidence that the SRGS-R is an improvement over the PTGI in measuring actual growth, while limiting illusory growth. We found the combination of these changes yields the greatest improvements in measurement. By improving the measurement of PTG, we can reduce the variation in reported PTG following traumatic events found throughout the literature. This will allow researchers and clinicians to better identify which factors contribute to growth following traumatic events, and aid them in designing treatments to encourage actual growth following traumas.

There are substantial data exploring the link between religiosity and health, yet there is no consensus regarding the appropriate measurement tool for assessing religiosity in health psychology settings. The purpose of this study was to identify a set of items that could serve as a reliable and valid proxy measure of religiosity. Participants included 251 (M=19.02; range = 17-25) young adults who completed self-report measures of religiosity (Intrinsic-Extrinsic/Revised, Quest Scale, Faith Maturity Scale), psychological distress (SCL-90-R), and personality (NEOPI-R). Individual item pools for religiosity were developed by identifying significant correlations between each of the religiosity measures and the SCL-90-R items. Exploratory factor analyses and item-level analyses were conducted and convergent and discriminant validity were examined for each proposed measure. A group of items were identified that were associated with previously validated measures of religiosity. These religiosity measures were also associated with the personality domains of Openness to Experience and Agreeableness but were not associated with Neuroticism. There was insufficient evidence, however, to conclude that the proposed measures could serve as true proxy measures of religiosity as they were more strongly associated with Neuroticism than the religiosity measures from which they were derived. The results of this study underscore the importance of the religiosity construct to health-related outcomes, yet much work remains to delineate the optimal means of measuring the construct and the specific pathways by which religiosity may exert its influence on both mental and physical health.

Recent concerns have arisen about the effects on counselors of working with trauma survivors. Vicarious traumatization may be a normal developmental process of adapting to client trauma material and may ultimately result in vicarious posttraumatic growth, or positive changes arising from vicarious trauma. Most studies have focused on individual variables or clinician coping strategies that predict vicarious traumatization. Taking a feminist approach to vicarious traumatization, this study examined the role of workplace context variables, such as sense of belonging in the workplace and support for vicarious trauma at work, on counselor vicarious traumatization and vicarious posttraumatic growth. Stratified random sampling was used to recruit counselors from domestic violence and rape crisis centers, and recruitment messages were sent to all psychology internship and postdoctoral sites in the United States which were accredited by the American Psychological Association. Surveys were completed by 234 counselors. Counselors reported sub-clinical levels of vicarious trauma symptoms (intrusions, avoidance, and hyperarousal resulting from work with trauma survivors). Results of hierarchical regression analyses indicated that amount and intensity of exposure to client trauma material positively predicted vicarious trauma symptoms, and sense of belonging in the workplace negatively predicted vicarious trauma symptoms. Intensity of exposure, work setting, and support for vicarious trauma at work predicted vicarious posttraumatic growth, so that counselors exposed to more graphic details of client trauma, those working in domestic violence or rape crisis centers, and counselors with more support for vicarious trauma at work reported more vicarious posttraumatic growth. The relation between amount of exposure and vicarious posttraumatic growth was moderated by intensity of exposure and by sense of belonging in the workplace. Counselors with low sense of belonging at work reported less vicarious posttraumatic growth when amount of exposure was high, whereas counselors with high sense of belonging reported more vicarious posttraumatic growth with high exposure. Results suggest that counselors’ reactions to client trauma material are normal rather than pathological, are largely due to exposure to client trauma, and can be affected by workplace context factors, especially sense of belonging in the workplace and support for vicarious trauma at work.

M.A., Faculty of Humanities, University of the Witwatwersrand, 2011 / Posttraumatic growth has been an ongoing area of interest in the field of positive psychology. In recent years posttraumatic growth has been linked with the presence of posttraumatic stress symptomatology. The existence of posttraumatic growth has been validated in a number of cultures. There are certain domains that have been implicated in the construction of the phenomenon which taps into different aspects of people’s lives like relating to others, personal strength, new possibilities and appreciation of life. Particular interest has risen with regard to whether this phenomenon develops as a function of ethnic and cultural influences. This study aimed to investigate whether there are differences in posttraumatic growth and posttraumatic stress symptoms as a function of ethnocultural identity. This was investigated by the use of self-report measures of MEIM (Phinney, 1992), Traumatic Stress Schedule (Norris, 1990), Posttraumatic Growth Inventory (Tedeschi & Calhoun, 1996) and the Impact of Events Scale Revised (Weiss & Marmar, 1997). The sample consisted of 80 students from the Faculty of Humanities and the Faculty of Commerce, Law and Management, at the University of Witwatersrand. Results of the multivariate analysis showed that ethnocultural identity interacts with ethnicity to moderate posttraumatic stress symptoms. Specifically, findings suggested that Black South African and Indian students who identified with their ethnocultural heritage, reported fewer PTSD symptoms. Whereas the converse was true for White South Africans and Black Africans from other countries. The more they adopted ethnoculturally informed beliefs, the more likely they were to report symptoms of PTSD. There were no significant findings regarding ethnocultural identity in relation to posttraumatic growth. Implications for further research and clinical intervention are discussed.

This thesis addresses four research questions: 1. Are counsellors changed by their clients? 2. If so, how do they make meaning of any change? 3. How does the academic literature explain these changes? 4. How do counsellors ensure change is positive?Previous research has largely focused on the negative effects of clients' stories on counsellors. The potentially positive impact is relatively unexplored - despite the fact that research suggests that it is possible for people who directly experience a wide range of traumatic experiences to grow as a result (Tedeschi & Calhoun, 1996). Moreover, a handful of research studies has suggested that it is possible to experience these changes vicariously (Manning-Jones, deTerte & Stephens, 2015). This thesis describes a qualitative research study carried out with eight counsellors who worked either in a hospice (counselling clients experiencing bereavement or illness) or in private practice (counselling clients who had experienced sexual violence). Narrative inquiry and autoethnography were used to collect and analyse counsellors' stories of being changed by their clients and re-presented as poetic representation, visual art and polyvocal texts. The results show that counsellors do indeed share stories of being changed: sometimes for the worse but often for the better. These changes are in the areas of self-perception, interpersonal relationships and life philosophy and are largely consistent with conceptualisations of vicarious posttraumatic growth. However, what drives change is different. In hospice counsellors, mortality awareness is the driver for change; whereas human cruelty and brutality is the driver in counsellors who work with clients who have experienced sexual violence. Counsellors draw on a number of alternative discourses to make meaning of their experience and this reflects different counselling modalities. The counsellors' stories of change may represent personal growth or reflect western metanarratives linked to a quest for identity. These findings are discussed in relation to the training and supervision of practitioners.