Art therapy and narrative therapy techniques are both used separately in treating sexual abuse, however they are not often used together. This heuristic study explores the experience of a wounded healer when using art within a narrative therapy process, specifically storytelling, to support healing from multigenerational incestuous abuse. This researcher used a science fiction story she is currently writing, to stimulate 8 reflections on the parallels in that story and in her personal trauma narrative, and then made adjoining art pieces about the reflections. The data was analyzed to find themes, such as protection, anger and fear. The art helped support the story by documenting the journey of wound healing. Both the art and text informed the creative synthesis, which exemplified this researcher’s process of forming her identity as a wounded healer. The parallels found in the science fiction story helped reveal and enlighten this researcher’s own trauma narrative and encourage self actualization. This study supports the use of art and storytelling with survivors of multi-generational incestuous abuse.

Quels sont les effets de la Grande Guerre sur le champ médical et comment les agents et les institutions qui le peuplent ont-ils traversé ce « moment critique » ? La thèse présentée ici explore cette rencontre entre un temps d’exception (la séquence 14-18) et un espace social (la médecine) et elle entend montrer comment la mise en guerre du champ médical, en suspendant les logiques ordinaires de son fonctionnement social, a contribué à rendre possible une réforme de la prise en charge des blessés et malades militaires. L’enquête met en lumière le rôle des civils mobilisés, notamment des professionnels de santé – jeunes patrons de la médecine universitaire, agrégés et internes, hospitaliers, chercheurs (fondamentalistes) - qui vivent avec leur mise en guerre une expérience malheureuse de désajustement et de désœuvrement. Placés en position de subalternes dans un corps de santé ou prime une logique bureaucratique, une partie de ces élites médicales mobilise dès l’automne ses réseaux politiques et appelle à une « réforme globale » de l’organisation sanitaire, envisagée comme une « remise en ordre » de la médecine de guerre en ce qu’elle est censée remettre tout le monde à sa place, selon ses compétences, en restaurant les normes et hiérarchies du champ médical. L’accès au pouvoir des réformateurs en juillet 1915, incarné par la création d’un sous-secrétariat au service de santé dirigé par Justin Godart, s’explique alors moins par la « prise de conscience » de la situation objective des blessés et malades ou par les mobilisations des premières associations de blessés que par l’entrée dans le jeu des élites hospitalo-universitaires à partir de janvier 1915. / What were the consequences of World War I on the medical field and how did its social agents and institutions navigate this critical moment? This PhD intends to explore the encounter between an exceptional moment – the years 1914-1918 – and a social space – that of medicine. The thesis also aims to show how the particular way the medical field went into war made a reform of the care system possible for wounded and sick soldiers by suspending the ordinary logic of its social functioning. This inquiry sheds light on the role of mobilized civilians, specifically health professionals – young university hospital professors, hospital physicians, laboratory researchers – whose descent into war was an unhappy experience of idleness and maladjustment. As a part of these medical elites were treated as subalterns in a medical community where the bureaucratic logic came first, from the autumn of 1914 onwards they mobilised their political networks and called for a “global reform” of the sanitary organization. This reform aimed to reorder wartime medicine by putting everyone back where they belonged according to their skills and by restoring the norms and hierarchies of the medical field. As exemplified by the creation of an under-secretary for the health service supervised by Justin Godart, this group of reformers’ access to power in July 1915 was due less to the “awareness” of the objective situation of the wounded and sick soldiers or to the mobilisation of the first war wounded associations, than to this new involvement of university hospital elite from January 1915 onwards.

Substance abuse counseling has many counselors and supervisors who are in recovery from a personal history of substance abuse. Approximately 37% of supervisors in the substance abuse field reported being in personal recovery (Eby, Burke, & Birkelbach, 2009). Little is known about how a clinical supervisor’s personal recovery influences his or her clinical supervision. The purpose of this phenomenological research study was to investigate the perceived lived experiences of clinical supervisors’ in recovery during the clinical supervision of substance abuse counselors working towards a license or credential in Louisiana. A qualitative phenomenological methodology, Interpretative Phenomenological Analysis (IPA) was used to analyze data from six clinical supervisors in recovery using semi-structured interviews. Themes emerged from the data, which resulted in 13 categories: 1) functions of supervision; 2) factors influencing the supervision relationship; 3) insight into addiction; 4) factors pertaining to self-disclosure; 5) managing dual relationships; 6) recovery isn’t enough; 7) relapse potential and management; 8) stigma of addiction; 9) structure of supervision; 10) countertransference; 11) feelings about self-disclosure; 12) importance of self-care; and 13) supervisors need supervision and consultation The categories provide increased understanding and insight into how recovery influences and were used in supervision by supervisors in recovery. Implications for supervisors in recovery, supervisees of supervisors in recovery, and clinical supervisor educators are also addressed.

The topic of my research is the lived experiences of eight psychotherapists and counsellors who consciously work with unusual phenomena as it arises in the therapeutic encounter. Unusual phenomena in this thesis refers to felt experiences which are considered to be beyond the everyday in the Cartesian paradigm and are often referred to as spiritual and/or mystical phenomena. Exploring these phenomena brings to light the potentialities in the vastness of consciousness which is considered to be an integral aspect of human existence in the thesis. I chose Heidegger’s hermeneutic phenomenological methodology for the research because it gives credence to the many and varied possibilities and potentialities both in particular lived experiences and in human existence as a whole. Van Manen’s lived existential provides the framework in which the participants’ experiences are explored. What emerged from the research is that unusual phenomena are not unusual for the participants. Although such phenomena are less visible and therefore less familiar in the everyday world, they are recognizable through their consistent presentation. This includes the participants having a powerful sense of ‘knowing’ which is all-encompassing and is beyond familiar landmarks such as the linear models of time and space. The participants bring their ‘knowing’ into the everyday world through embodiment and through their acknowledgment of the interconnectedness of existence. The expression of interconnectedness is experienced by the participants as lovingness, from which the ability for immediate healing in their therapeutic work becomes apparent. The participants’ accounts show a capacity for accessing the subtleties of human existence which emerge in the phenomenological process as the forgotten feminine of consciousness. The feminine of consciousness is a term used to describe a fundamental state of ‘being’ in contrast to the everyday masculine principle of ‘doing’. The research has implications for psychotherapy and counselling as it illuminates the need for a holistic approach which acknowledges the multidimensionality of human existence.

The topic of my research is the lived experiences of eight psychotherapists and counsellors who consciously work with unusual phenomena as it arises in the therapeutic encounter. Unusual phenomena in this thesis refers to felt experiences which are considered to be beyond the everyday in the Cartesian paradigm and are often referred to as spiritual and/or mystical phenomena. Exploring these phenomena brings to light the potentialities in the vastness of consciousness which is considered to be an integral aspect of human existence in the thesis. I chose Heidegger’s hermeneutic phenomenological methodology for the research because it gives credence to the many and varied possibilities and potentialities both in particular lived experiences and in human existence as a whole. Van Manen’s lived existential provides the framework in which the participants’ experiences are explored. What emerged from the research is that unusual phenomena are not unusual for the participants. Although such phenomena are less visible and therefore less familiar in the everyday world, they are recognizable through their consistent presentation. This includes the participants having a powerful sense of ‘knowing’ which is all-encompassing and is beyond familiar landmarks such as the linear models of time and space. The participants bring their ‘knowing’ into the everyday world through embodiment and through their acknowledgment of the interconnectedness of existence. The expression of interconnectedness is experienced by the participants as lovingness, from which the ability for immediate healing in their therapeutic work becomes apparent. The participants’ accounts show a capacity for accessing the subtleties of human existence which emerge in the phenomenological process as the forgotten feminine of consciousness. The feminine of consciousness is a term used to describe a fundamental state of ‘being’ in contrast to the everyday masculine principle of ‘doing’. The research has implications for psychotherapy and counselling as it illuminates the need for a holistic approach which acknowledges the multidimensionality of human existence.

Thesis (M.Sc.)--Edith Cowan University, 2007. / Submitted to the Faculty of Computing, Health and Science. Includes bibliographical references.

Thesis (M.S.)--University of Michigan, 1994. / eContent provider-neutral record in process. Description based on print version record.

Thesis (M.S.)--University of Michigan, 1994.

Helikoptern som sjuktransport är ett väl beprövat system. Dess förmåga att landa och starta på nästintill vilka platser som helts gör den mycket lämplig för denna typ av arbete. Även om förmågan funnits i nästan 50 år är teoribildningen kring MEDEVAC bristande. I arbetet kommer helikopterns användande som MEDEVAC-­‐resurs under Vietnamkriget och Afghanistankriget att analyseras. I båda dessa fall analyseras även de doktriner som styr användandet av MEDEVAC. Brister i teoribildning kring MEDEVAC är centralt för detta arbete, då syftet är att belysa de brister i utveckling som det kan ha inneburit. De slutsatser som dras av dessa analyser är att den taktiska och doktrinära utvecklingen inte utvecklats i någon större utsträckning under denna period. De framsteg som har gjorts har framför allt varit teknisk utveckling samt att resursen värderas mer och används på ett försiktigare sätt. / The helicopter is regularly used for performing evacuation of sick and wounded. Its ability to take off and land almost anywhere makes it especially useful for these kinds of missions. Even though the ability to do this has been around for nearly 50 years, theories concerning MEDEVAC are lacking. This essay will examine the helicopters role as a MEDEVAC resource during the Vietnam war and the war in Afghanistan. The respective doctrines and Field Manuals that guide the usage of MEDEVAC helicopters will also be examined. The lack of theories in this field will be central in this essay, since the goal is to point out if any shortcomings in the evolution of the MEDEVAC helicopter could be a result of this.

Emergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Critical incident debriefing has been shown to benefit health care professionals and patient clinical outcomes. The purpose of this quantitative correlational study was to examine the relationship between the use of formal post-resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors impacted perceptions of teamwork. The nurse as wounded healer theory served as the theoretical framework. Data from the Nursing Teamwork Survey were collected from 68 emergency department nurses from across the United States. Data were analyzed using a statistical correlation coefficient. Results showed that when debriefings were done more frequently, were conducted using a formal debriefing method, and were held immediately after a situation, there was a positive correlation with higher levels of trust, team orientation, backup, shared mental model, and leadership. Findings may be used to increase utilization of debriefings and improve perceptions of teamwork among emergency department nurses, which may improve patient outcomes.