A dissertation submitted to the Faculty of Arts. University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the Degree of Master of Arts (Clinical Psycholoqy). Johannesburg, August 1996 / This study aims to explore the relationship between intrusion and avoidance symptoms as described in the diagnostic category in the DSM-IV (American Psychiatric Association, 1994) and frequency and level of exposure to traumatogenic events. The effects of lay counselling after the event were taken into account in the analysis, and the sample consisted of voluntary First National Bank employees, who were exposed to more than one bank robbery between December 1989 and 1992. The hypotheses of the study were that an increasing number of exposures to potentially traumatogenic events, and increasing levels of exposure to potentially traurnatoqenic events would be related to the development of avoidant and intrusion symptoms. Further, it was hypothesised that the interaction of these two variables would also be significantly related to the development of avoidant and intrusive symptoms and the nature of this interaction was explored. The scale used to measure the symptoms was the impact of Events Scale (Horowitz, 1979). Level of exposure was measured on a four point scale, which included extreme exposure with physical injury; direct threat and coafrontatlon: indirect contact with the perpetrators, and the fourth category was indirect exposure, or secondary victimisation. The results indicated that level of exposure had a significant relationship with the development of both intrusion and avoidance symptoms. Contrary to expectations, frequency of exposure was not found to be related to symptomology and it was speculated that this might have been because of the crudeness of the measure. In this regard it is of note that level of exposure as measured in this study included frequency of exposure. The results indicated further that post trauma counselling was not significantly related to symptomology. The implications of these findings were discussed in the light of the general literature in PTSD.

Current studies in peace-building suggest that effective peace-building approaches comprise of intervention strategies that value the interconnectedness of trauma and peace-building processes. However current research reports suggest that there is limited evidence supporting this notion. In addition, there is little information as to how to effectively integrate the two themes to achieve lasting peace. The research study aims to articulate the role of an integrated approach to peace-building to inform current practice and it serves to encourage the donor community to support initiatives which recognise the link between trauma and peace building. The research took a close look at experiences of participants who attended trauma recovery workshops conducted by Sinani (an isiZulu word meaning “we are with you”), the KwaZulu-Natal Programme for Survivors of Violence, the name of the Non-Governmental Organisation (NGO) for which the researcher works. In particular, it explored how participants who had attended these workshops could serve as catalysts to peace by examining their experiences of violence in relation to trauma and peace-building. In addition it attempted to explore experiences of participants who did not attend Sinani trauma recovery workshops and the possible implication this would have for trauma and peace-building. Furthermore it analysed recent research papers and reports which addressed trauma and peace-building from a psycho-social perspective. The proposed hypothesis is that if trauma support work is ignored in post conflict peace-building processes, certain survivors of past violence are at risk of becoming perpetrators of future violence. Integrating trauma support work in peace-building interventions will yield lasting peace. The emerging findings suggest several factors contribute to violence and peace-building. Children’s exposure to violence, the extent of trauma and certain aspects of the criminal justice system have been described by participants as factors that contribute to violence. Equally participants suggested a competent leadership collective, functioning safety and security structures as valuable contributions to peace. Other valuable insights were shared by participants on the role of spirituality as well as indigenous cultural rituals valuable in the trauma and peace-building field. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.