Currently some confusion exists as to how health professionals should best respond to the psychological needs of those affected by disasters. Some have argued that early psychological intervention is essential and others have argued that early formal psychological interventions have no useful role in post trauma response. This study highlights the importance of considering both counselling and non-counselling factors as potentially influencing the psychosocial response of disaster victims. Although posttraumatic stress disorder (PTSD) is not the only mental disorder that can develop as a result of exposure to disasters, it is probably the most frequent and debilitating psychological disorder associated with traumatic stress. In this exploratorydescriptive study the researcher aimed to explore and describe psychologists’ perceived influences of early strategies on the psychosocial response to those affected by disaster. The researcher used non-probability snowball sampling to access participants. The sample consisted of 5 participants. Semi structured interviews were conducted. Content analysis was used to analyse the data obtained from interviews. Results that emerged from the data suggest that there are many factors that influence the psychosocial response to those affected by disasters. These factors include the screening process, needs of survivors, the method of choice for treatment, the timing of intervention, pharmacology, the South African context, training and planning. The study makes a contribution to the growing knowledge of early strategies in response to those affected by disasters.

This diploma thesis focuses on posttraumatic stress disorder and the related psychosomatic conditions looking into the diversity of somatic responses to stress factors or a traumatic event. In the opening part, trauma processing mechanism is described as well as clinical changes in the brain after an unprocessed traumatic event. The following chapters describe therapy options in case of an existing posttraumatic stress disorder, accepting the traumatic event as part of a closed personal history and creating an added value in the form of higher resistance. The closing theoretic part deals with psychosomatic medicine. The practical part inquires into knowledge of students of the teaching and medical study programmes regarding posttraumatic stress disorder and compares the individual groups. The survey results discover surprising gaps in the professional knowledge of future physicians and teachers. By comparing the related data, a recommendation is being made that students' knowledge has to be broadened in this respect. KEY WORDS psychic traumatic, posttraumatic stress disorder, psychosomatic medicine

M.A. (Psychology) / Post-traumatic Stress Disorder has been used to describe an individual's reaction to an event "outside the range of usual human experience". South African society is one fraught with violence, to the point where authors have contended that South Africans have become accustomed to a "culture of violence". Children and Adults are victims of this violence, whether they be directly or indirectly affected by it. In such an unstable society the school can provide children with a setting which offers them stability and a normative influence. In order to make the school effective in the aid it offers its students, teachers have to be assisted in developing and strengthening already existing con-structive ways of detecting and handling of children's problems. Teachers themselves also need to be provided with support in order to assist them with their own personal problems. This study examines the effects of trauma on the teacher-pupil relationship by providing Work, for teachers in order to learn from them and guide them in the assistance they give to children who have been profoundly affected by the violence in their environment being direct or indirect victims thereof. It is my hope that this exploratory study will broaden the understanding of Post-traumatic Stress Disorder and provide useful guidelines in an understanding of the impact violence has on children.

M.A. (Psychology) / Post-traumatic Stress Disorder has been used to describe an individual's reaction to an event "outside the range of usual human experience". South African society is one fraught with violence, to the point where authors have contended that South Africans have become accustomed to a "culture of violence". Children and Adults are victims of this violence, "whether they be directly or indirectly affected by it. In such an unstable society the school can provide children with a setting which offers them stability and a normative influence. In order to make the school effective in the aid it offers its students, teachers have to be assisted in developing and strengthening already existing constructive ways of detecting and handling of children's problems. The teachers themselves also need to be provided with support in order to assist them with their own personal problems. This study examines the effects of trauma on the teacher-pupil relationship by providing workshops for teachers in order to learn from them and guide them in the assistance they give to children who have been profoundly affected by the violence in their environment being direct or indirect victims thereof. It is my hope that this exploratory study will broaden the understanding of Post-traumatic Stress Disorder and provide useful guidelines in an understanding of the impact violence has on children.

M.A. (Psychology) / The aim of the research conducted was to analyze and evaluate the prevalence of Posttraumatic Stress Disorder (PTSD) in emergency workers. A literature study was formulated in which PTSD, and comorbid symptoms of Anxiety, Depression, Stress and Burnout were defined. These are seen as secondary symptoms to the overall effect of PTSD. Data was collected through the use of psychometric tests. These were administered to two main groups. The experimental group reflected the results of the emergency medical worker, while the control group reflected thescores attained by the emergency worker. Both groups were made up of a sample of 30 individuals (n= 30) making the full total of persons studied 60 (n=60). To evaluate for any level of significant difference t-tests for independent groups were administered. Scores found to be significant were trait anxiety scores and burnout scores. All other scores were found to be nonsignificant in a comparison of the two' groups.

M.Ed. (Educational Psychology) / The changing political and social situation in South Africa can be associated with the current violence and poverty in especially the more rural areas. As a result large numbers of black learners are directly or indirectly exposed to violent traumatic incidences. Research indicates that exposure to violent trauma can lead to the development of psychological and emotional disturbances and in particular the development of post traumatic stress disorder. Due to a lack of support systems and accessibility thereof, large numbers of learners exposed to violent trauma are in need of assistance. The learners have serious emotional problems and are also experiencing learning and behavioral problems. Teachers also seem to experience difficulty in handling these traumatized learners, due to a lack of appropriate skills and knowledge. The aim of the study was to identify the needs of teachers in handling learners traumatized by violent incidences and to develop guidelines for teachers in assisting the learners with the purpose of reducing the psychological and emotional effects of the violent trauma. The point of departure of the study was based on the assumption that the educational system needs to support every learner in becoming a healthy member of society through optimal education and development. Eight teachers, two principals and a community worker from two different schools in a predominantly brown area participated in the study. By means of focus group interviews and informal interviews the needs and problems in handling traumatized learners were identified and discussed. The teachers then received training in identifying the symptoms of the learner who has been traumatized by violent trauma. After that, guidelines were supplied to assist teachers in the debriefing of the learner's traumatic symptoms and emotions. These sessions took place over a period of three weeks. The results indicated that the teachers experience difficulty with identifying and handling the traumatized learners in the class. As a result of the study, a number of guidelines, based on the themes that were identified by the analysis of the data, have been developed for teachers in the handling of the traumatized learner

M.A. (Psychology) / One of the most perturbing facets of South Africa's post apartheid communal existence is the high incidence of Post Traumatic Stress Disorder (PTSD) amongst the disadvantaged communities. It is noteworthy that the incidence of PTSD amongst urbanised black youth is so high, that it can be described as an epidemic. Since therapeutic resources are limited or absent in many environments , it is essential to develop a project to cater for the needs of traumatised communities. Such programs should be cost effective and must relate to education within a psychological context. Following a diligent study of the literature, it was decided that a theoretical behavioural project be developed which utilises a psycho educational context that can be applied to black youth with PTSD.

D.Phil. / Profound psychological trauma, which may lead to Post Traumatic Stress Disorder (PTSD) can continue to negatively impact the lives of its victims for years after its occurrence. Psychological trauma is seen across cultures in people of all ages, the world over, and South Africa’s high levels of crime and violence, HIV and AIDS, and road accidents, make the topic especially pertinent. The symptom clusters of PTSD, included in the Diagnostic and Statistical Manual of Mental Disorders 4th Edition – text revised (DSM-IV-TR; American Psychiatric Association, 2000), namely Re-experiencing, Avoidance and numbing, and Increased Arousal can lead to significant distress and may interfere with all facets of life, including social functioning, career goals, romantic relationships, leisure activities, and mental wellbeing. The effects of trauma in childhood may be different than when it occurs in adulthood, due to developmental processes occurring on physical, emotional, and cognitive levels (e.g. Drell, Siegel, & Gaensbauer, 1993; Perrin, Smith, & Yule, 2000). As such it is clearly important to understand the effects of trauma specific to children. A fair amount of literature is available which discusses the emotional and psychological consequences of trauma in children. Similar studies with regard to PTSD are also available. However, a holistic picture of either psychological trauma, or PTSD in childhood should also include neuropsychological aspects, functions such as attention and concentration, planning, organisation, psychomotor speed, and memory in which dysfunction may interfere with children’s development and futures. Although the field of neuropsychology has traditionally investigated how the brain responds to physical trauma or disease processes, recent decades of technological advancement have made it possible to understand that psychological trauma may actually result in neurobiological abnormalities.

Background: Postnatal PTSD affects between 1 and 6% of women, whereas 30% are partially symptomatic. The mental health of new mothers is of public health concern as it could affect the marital relationship and the behavioural and emotional health of children. Little research has explored emotional regulation difficulties as predictors for postnatal PTSD. Treatments such as Cognitive Behavioural Therapy (CBT) have long waiting list times and may be hard to access for new mothers. Aim: The relationship between key predictors especially those associated with emotional regulation and PTSD in postnatal women was investigated. The feasibility of using internet based writing therapy for women with postnatal PTSD was assessed. Exploration of women's views about writing therapy as a therapeutic tool and their lived experience of PTSD was undertaken. Methods: Two literature reviews were conducted; firstly to identify the types of therapy previously used for women with postnatal PTSD, secondly to identify necessary conditions for effective writing therapy. The quantitative phase used measures for key predictors of PTSD and incorporated a feasibility study for a writing intervention. Regression analysis for a variety of predictors and PTSD and general and psychological health was conducted on data from 211 women. In the qualitative phase narrative analysis was used on interview transcripts from seven non-writers exploring access to writing and their experience of PTSD. An in depth case study was conducted on a woman who participated in the intervention and who was interviewed. Findings: The quantitative phase showed that planning the pregnancy; whether the baby slept or fed as expected; maternal confidence; past trauma; attachment patterns; self-efficacy; social support and partner support correlated with PTSD. However, the pain component of the birth experience mediated the effect of affects and alexithymia on general and psychological health. Most women did not access writing therapy. The qualitative phase showed that complicating factors and relationships with staff and mothers affect women's experience of PTSD and their view of themselves. Social media was used by women for support. Conclusion: Emotion regulation difficulties could impact postnatal mental health. Antenatal screening for alexithymia may be useful. Women value good relationships with staff during labour. The role of social media for postnatal mental health support should be investigated.

Magister Artium (Social Work) - MA(SW) / Emergency services personnel are potentially exposed to events involving trauma, suffering and tragedy on a daily basis, which could consequently lead to secondary trauma and post- traumatic stress symptoms. The images and feelings that are associated with continuously being exposed to traumatic situations are not limited to the emergency services personnel, who are primarily exposed to the event, but these events can also have an effect on the significant others in their environment, such as their spouses. The aim of this study was to explore and describe the experiences of secondary trauma among the spouses of emergency services personnel. The research study followed a qualitative research approach, which provided in-depth descriptions and understandings of the participants’ secondary trauma experiences. The research design was explorative and descriptive in nature. Purposive sampling was used to select eight (8) participants, who were the spouses of emergency services personnel. The data was collected by means of semi-structured individual interviews and was analysed according to Creswell. Various research findings indicated that secondary trauma was prevalent in the emergency services industry and, in this current study, most participants indicated that it impacted their marital relationships. The experiences of secondary trauma among the spouses of emergency services personnel stemmed from their partners’ repeated exposure to trauma, managing everyday job stress, safety fears, behavioural changes, dealing with their partners’ emotional reactivity and emotional withdrawal from the family, following trauma exposure. Based on some of the suggestions provided by all the participants, the researcher concluded the study with recommendations for future practice and future research, the main recommendation being that organisational support systems be made available to spouses and families of emergency services personnel.