Thesis (Psy. D.)--Wheaton College, 2007. / Abstract. Includes bibliographical references (leaves 40-47).

Thesis (Ph. D.)--University of Missouri-Columbia, 2000. / Typescript. Vita. Includes bibliographical references (leaves 133-143). Also available on the Internet.

Thesis (Ph. D.)--University of California, San Diego, 2002. / Vita. Includes bibliographical references.

Thesis (M.A.)--Denver Seminary, 2008. / Abstract. Includes bibliographical references (leaves 78-84).

Thesis (M.A.)--York University, 1999. Graduate Programme in Psychology. / Typescript. Includes bibliographical references (leaves 81-91). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pMQ56171

Thesis (Ph. D.)--West Virginia University, 2003. / Title from document title page. Document formatted into pages; contains viii, 132 p. Vita. Includes abstract. Includes bibliographical references (p. 97-107).

Past research has highlighted the importance of better understanding the high rate of smoking among individuals exposed to trauma. However, few studies have investigated the cognitive mechanisms that may contribute to the smoking-trauma relationship. The primary goal of the present study was to examine the associative relationship between smoking and trauma at a cognitive level, by examining the extent to which trauma-relevant pictures primed attentional biases to smoking-related words on a modified Stroop task. Eighty trauma-exposed smokers (classified as having low, medium, or high levels of post trauma symptomatology) ink-named smoking-related and neutral words after being primed with trauma-related, positive, or neutral picture cues. Although participants did not display an overall significant difference in reaction time between smoking words and neutral words, we found a significant prime x word type interaction, with slower reaction time to smoking words after being primed by trauma-related pictures. In addition, we found a significant 3-way interaction between symptom severity level, prime category, and target type. Further analyses revealed that the prime x word type interaction was significant only among individuals with the lowest and highest levels of PTSD symptomatology. A secondary aim of the study was to evaluate the relationship between smoking-related variables and posttraumatic stress disorder symptoms on a dimensional range. We found that participants who were more severely impaired at the time of the study were more likely to report strong cravings to smoke. Overall, findings suggest that smokers who have experienced trauma exhibit an attentional bias to smoking words when primed with trauma-related picture, and that post-trauma symptoms are related to smoking motivation. Implications for treatment are discussed.

Background: The development of posttraumatic stress symptoms (PTS) following a traumatic event is related to significant functional impairment, diminished quality of life, and physical health issues. Yet it is not entirely clear why some traumatized individuals experience negative outcomes while others do not. The purpose of this study is to determine the role of several influential factors related to PTS severity and negative outcomes, such as diminished quality of life and physical health issues, following traumatic events. Method: One hundred and twenty-two trauma-exposed adults were recruited through the University of South Florida’s SONA system and through flyers on campus. Subjects were administered the following self-report measures in a counter-balanced manner: the PTSD Checklist-Civilian, the Trauma History Questionnaire-Short, The Anxiety Sensitivity Index-3, Depression and Anxiety Stress Scale 21, Sheehan Disability Scale, WHOQOL-BREF, and the Economic Impact Questionnaire-Revised. Results: Posttraumatic stress symptom severity was positively correlated with depressive symptom severity, chronicity of the most distressing trauma and number of traumas. Posttraumatic stress symptom severity and anxiety sensitivity were significantly related to all of the outcomes examined including three domains of disability, four domains of quality of life, burden and physical health issues. Main effects were found for PTS severity, anxiety sensitivity, and depressive symptom severity on quality of life domains. Posttraumatic stress symptom severity mediated the relationship between anxiety sensitivity and physical health issues such that the relationship between AS and physical health issues is dependent on PTS severity. Implications: This study helps clarify the role of various factors in the relationship between trauma and negative outcomes. Clinical and research implications are discussed, including early detection of PTS and an increased awareness of the relationship between PTS, anxiety sensitivity and physical health issues.

published_or_final_version / Mental Health / Master / Master of Social Sciences

This is a study of three contemporary Colombian novels using combat trauma theory as an interpretive model. Following the method of psychological literary criticism that psychiatrist Jonathan Shay used in his books Achilles in Vietnam: Combat Trauma and the Undoing of Character (1994) and Odysseus in America: Combat Trauma and the Trials of Homecoming (2002) to analyze the characters Achilles and Odysseus, I propose to analyze characters in Fernando Vallejo’s La virgen de los sicarios ‘Our Lady of the Assassins’ (1994), Darío Jaramillo Agudelo’s Cartas cruzadas ‘Crossed Letters’ (1995), and Juan Gabriel Vásquez El ruido de las cosas al caer ‘The Sound of Things Falling’ (2011) to extend Shay's theories of combat trauma to a broad cultural context. While Colombia has not been engaged in a conventional, state-to-state war, it has been at a constant level of large-scale internal violence for over fifty years, perpetrated by a complex mix of paramilitaries, guerillas, narcotraffickers, and state-sponsored organizations: Colombia has consistently ranked among the top countries in the world for rates of homicide and displaced peoples. Shay’s model allows me to argue this kind of radically epistemologically and phenomenologically destabilizing environment in which non-combatants as well as combatants live under the constant threat of violence as producing severe psychological trauma. These texts have an additional cultural-psychological function. Shay identifies as an effective coping strategy the victims' act of integrating the traumatic memory into a coherent narrative, in order to both regain authority over their consciousness and to give social testimony to the injustice of the traumatic event. I will show how the characters in the texts I analyze make themselves psychologically whole in direct relation to the success with which they can narrate the story of their own trauma: those who fail do so in large part because the discourses available to them are inadequate to articulate the profundity of the trauma; those who succeed do so because they have found a form and structure that allows them to construct a coherent narrative of Self that incorporates the traumatic memory of the nation's failure.