Thesis (Ph. D.)--West Virginia University, 2008. / Title from document title page. Document formatted into pages; contains iv, 44 p. : ill. Includes abstract. Includes bibliographical references (p. 32-37).

Thesis (S.T.M.)--Yale Divinity School, 2008. / Description based on Microfiche version record. Includes bibliographical references.

Thesis (S.T.M.)--Yale Divinity School, 2008. / Includes bibliographical references.

D.Cur. / It was established during research that I have done for my master’s degree that therapists experience secondary traumatisation in a specific private psychiatric clinic when they listen to the trauma filled stories of their clients. This often led to the therapist’s personal and professional disintegration. The main purpose of this research was to describe, operationalise and evaluate a model for the advanced psychiatric nurse practitioner to facilitate the mental health of therapists who experience secondary traumatisation in a specific private psychiatric clinic in South Africa. I used a qualitative, descriptive, contextual and theory-generating research design to achieve the above purpose. The development of the model consisted of four steps. Step one consisted of concept analysis that included the identification, classification and defining of the central, essential and relational concepts in the model. During concept analysis, facilitation of wholeness was identified as the most relevant concept for the model instead of mental health. It was evident that personal disintegration became the specified concept and focussed aspect in terms of secondary traumatisation in this research project. Step two consisted of a description of how the identified and defined central concepts interrelate with each other as part of the model. During step three, the model to facilitate wholeness in therapists with personal disintegration due to secondary traumatisation in a specific private psychiatric clinic was described. The structure of the model was described in terms of its purpose, assumptions and context. Definitions of the central concepts, as well as the relationship statements between the central and essential concepts, were described. The structure of the model was also described in terms of a visual representation that included the dynamic and interactive narrative process of deconstruction, choosing of alternatives and celebration.

Ce travail de thèse s’intéresse au lien possible entre le sentiment de vide psychique et les transmissions transgénérationnelles chez des sujets adultes consommant, de façon pathologique, des substances toxiques. L'analyse critique de la littérature explore les caractéristiques liées aux substances appelées « drogues » ou « toxiques » et au phénomène de dépendance. Au regard des spécificités du caractère de la dépendance, nous abordons les phénomènes de transmission dans la filiation et plus spécifiquement les éléments qui, se transmettant de façon inconsciente, sont dits transgénérationnels. La notion de « vide psychique » est alors explorée à travers la pensée d’André Green dans un lien avec les processus psychiques défaillants chez les sujets consommateurs. Nous proposons quatre études de cas cliniques - d'hommes adultes consommateurs -pour illustrer nos propos théoriques. Ces dernières se sont constituées à travers l’exploration du génosociogramme de chacun des sujets, ainsi que de l’analyse des tests projectifs. Il apparaît que l’histoire des sujets contient des éléments méconnus ou des formes de secrets à garder. De plus, la place du père et sa fonction semblent peu investies par le sujet, à l'opposé d’une figure maternelle très présente. Cette dualité relationnelle mère-enfant protège ainsi de toute séparation familiale et au-delà de toute élaboration psychique d’événements familiaux/ancestraux scellés sous le poids du silence. La substance consommée permet au sujet de venir faire rupture ou de tenter de faire rupture avec l’histoire transmise de façon négative – car non élaborée – et de créer une histoire à soi. / This thesis focuses on the possible link between the feeling of psychic emptiness and transgenerational transmissions amongst pathologically adult users of toxic substances. The critical analysis of the literature explores the characteristics related to substances named "drugs" or "toxic", as well as the phenomenon of dependency. Given the specific nature of dependency, we approach transmission phenomena in regards to filiation and more specifically to the elements which, unconsciously transmitted, are called transgenerational.The notion of "psychic void" is then explored through André Green's thought, in connection with deficient psychic processes in drug users.We propose four clinical case studies - of male adult users - to illustrate our theory.These were formed through the exploration of each subjects genosociogram and the analysis of projective tests. It is revealed that each subject's history contains unknown elements or forms of secrets to be kept. In addition, the father's place and function seem poorly invested by the subject, opposed to a very present maternal figure. This relational duality mother-child protects thus from any family related separation and, even further, from all psychic formulation of family or ancestral related events sealed by the weight of silence. The used substance allows the subject to breach or attempt to break with the negatively transmitted history - as it is not elaborated - and to create a history for himself.

The poems in this collection are in search of. They are digging through the debris of memory, of memory blurred by trauma or degraded by time or worn thin from retrieval, from repeated examination—an ongoing attempt to apprehend. They are poems of internalized violence, addiction, domestic upheaval, sexual abuse, assault, abandonment, separation. They are also poems of adoption, of the overlap between stories, of roots and more roots, of tangled histories, of the point of rupture being the point of origination. As such, they are unsure of how to proceed, how to present themselves: they are self-conscious poems, anxious to communicate yet at times unable to break free of their own spiraling repetitions: the ritualized performance of pain as both an attempt to speak back to suffering as well as unintended proliferation of such. Compulsion. Depression. Suicidal ideation. Of course what we are talking about is the longevity of grief, its many mutations. How we learn to recognize it for what it is. What we can do with it.

Dissertation (PhD)--University of Stellenbosch, 2006. / Bibliography. Also available via the Internet.

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2010. / Typescript. Includes bibliographical references (p. 64-67).

Thesis (Ph. D.)--West Virginia University, 2001. / Title from document title page. Document formatted into pages; contains ix, 107, 10 p. Vita. Includes abstract. Includes bibliographical references (p. 56-65).

The experience of trauma has been the focus of much attention in the media and in academic literature. Many of these studies have explored the experiences of rescue and emergency personnel, including the interventions used to help them deal with these experiences. Critical Incident Stress Debriefing (CISD) is one of many preventative interventions that are used with these traumatized personnel. However, there are many inconsistencies relating to the efficacy of this intervention tool. Research that has investigated this issue has focused mostly on the experiences of the traumatized person/so The current study adopts a different perspective in that it explores the perceptions of practitioners who this method of intervention. The importance of professionals evaluating their tools cannot be overemphasized. These professionals would be in a better position to make suggestions regarding the use of their tool. A qualitative study was conducted that investigated the perceptions of six psychologists employed by South African Police Services (SAPS) the within the Durban and Pietermaritzburg areas (KwaZulu-Natal). These psychologists were trained by the SAPS to conduct trauma-debriefing sessions using the method ofCISD. The results suggested that this method of CISD has value when used as a group intervention with traumatized police officers but due to the continuous exposure to trauma, this method needs to be adapted or changed for police officers. Furthermore, due to continuous use of this method and the fact that it is the only method that is in use by the SAPS to intervene with trauma, many police officers become too familiar with this method and it tends to have less of an impact. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.