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In einer längsschnittlichen Untersuchung wurden 64 Patienten der unfallchirurgischen Abteilung einer Universitätsklinik 10 Tage und 3 Monate nach einem Verkehrsunfall untersucht. Erhoben wurden die posttraumatische Belastungssymptomatik und Gedankenkontrollstrategien. Zum ersten Untersuchungszeitpunkt (10 Tage) zeigt sich eine der Posttraumatischen Belastungsstörung (PTB) äquivalente Belastungssymptomatik bei 14,1% und nach 3 Monaten eine PTB-Prävalenz von 39,1%. Es zeigen sich Zusammenhänge zwischen einigen Gedankenkontrollstrategien und PTB-Symptomatik nach 10 Tagen und, in schwächerer Ausprägung auch nach 3 Monaten. Im Ergebnis einer explorativen Auswertung zeigt sich, daß insbesondere die Strategien «Ablenkung» und «Sorgen» eine relevante Rolle im Zusammenhang mit der PTB-Symptomatik spielen. / In a longitudinal survey 64 inpatients of an emergency clinic were examined 1 week as well as 3 months after a motor vehicle accident. Posttraumatic stress symptoms and strategies of thought control were assessed. Ten days after the accident, a posttraumatic stress symptomatology is observable in 14.1% of patients, 3 months after the accident the prevalence of posttraumatic stress disorder (PTSD) is 39.1%. Strategies of thought control are correlated with posttraumatic symptomatology 10 days after the accident and after 3 months. The result of an explorative data analysis shows an important role of the control strategies ’distraction’ and ’worry’ in correlation with posttraumatic stress symptoms. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

La phénoménologie se consacre à l’apparaître de ce qui n’apparaît pas, enjeu de son application à la psychopathologie, préalable de toute thérapie, dans la perspective du Comprendre de ses précurseurs. La psychotraumatologie, domaine de la présente recherche, ne peut se contenter des explications et des représentations a priori, et pose la question de la rencontre, en raison de l’identité de situation de la possibilité victimaire. Cette rencontre ne peut se saisir, sans perdre de vue sa dimension d’énigme, qui est la garantie de son renouvellement nécessaire à la relation thérapeutique. Cette énigme, l’autre y participe, avec ce qu’il vit, sa chair, son style, son langage, et ne saurait être substituée par une dynamique de la pulsion, une recognition pure d’un corps-machine à information, un assemblage d’objets tout faits, avant d’en replacer la signification dans le courant de l’existence. Les victimes présentent en commun, cette paralysie de la vie, cette sècheresse des terres arides où se produit un commerce exclusif avec soi-même ; ce travail en évoque les parcours, dans la clinique quotidienne et ses rapports à la créativité. C’est là, la pertinence de la phénoménologie qui est philosophie, pour promouvoir le retour à l’être plus qu’au sujet, et se détacher des pensées dualistes, en peine dans leurs prolongements théoriques et pédagogiques. La victime, par le possible surgissement de sa chair, de son altérité, de son récit, au sens de Merleau-Ponty, Levinas et Ricoeur, recèle une phénoménalité en attente, contre les apparences, loin de toute complétude d’explications qui n’en sont pas. / Phenomenology studies the process of appearing of what does not appear, stake in applying to psychopathology, precondition to any therapy, according to the methods of understanding, elaborated by the figures of phenomenological thinking. Psychotraumatology, here the proper field of research, cannot manage only with a priorical representations and explanations, and must settle the issue of encounter, because falling as a victim remains everybody’s identical possibility, and refers to everyone’s situation in front of this possibility. This encounter cannot be apprehended as a mere matter of fact, without loosing sight of its essentially enigmatical dimension, in order to renew and forward the relation with the therapist. Part of this enigma are the other living experiences, flesh, style, linguistic expressions, and creativity, and they could be replaced neither by pulsionary dynamics, nor by a cognitive theorization based on the conception of body as a mere information-machine : i.e., by a system of ready-made objects and objective events – instead of setting back their meaning within the stream of the person’s lived-through existence. There is the point of appealing to phenomenology : to come back to being rather than to subjectivity ; and so, to leave aside all the dualistic schemes of thought, that cannot manage properly on theoretical and pedagogical ground. The suffering person, through the eventual coming forth of its flesh, of its alterity, and of its told story – as these concepts occur in the context of Merleau-Ponty’s, Levinas’ and Ricoeur’s phenomenological analyses – is full of a phenomenality, waiting for its manifestation, against every expectation, and very far from being sufficiently clarified by the so-called causal « explanations ».

In einer längsschnittlichen Untersuchung wurden 64 Patienten der unfallchirurgischen Abteilung einer Universitätsklinik 10 Tage und 3 Monate nach einem Verkehrsunfall untersucht. Erhoben wurden die posttraumatische Belastungssymptomatik und Gedankenkontrollstrategien. Zum ersten Untersuchungszeitpunkt (10 Tage) zeigt sich eine der Posttraumatischen Belastungsstörung (PTB) äquivalente Belastungssymptomatik bei 14,1% und nach 3 Monaten eine PTB-Prävalenz von 39,1%. Es zeigen sich Zusammenhänge zwischen einigen Gedankenkontrollstrategien und PTB-Symptomatik nach 10 Tagen und, in schwächerer Ausprägung auch nach 3 Monaten. Im Ergebnis einer explorativen Auswertung zeigt sich, daß insbesondere die Strategien «Ablenkung» und «Sorgen» eine relevante Rolle im Zusammenhang mit der PTB-Symptomatik spielen. / In a longitudinal survey 64 inpatients of an emergency clinic were examined 1 week as well as 3 months after a motor vehicle accident. Posttraumatic stress symptoms and strategies of thought control were assessed. Ten days after the accident, a posttraumatic stress symptomatology is observable in 14.1% of patients, 3 months after the accident the prevalence of posttraumatic stress disorder (PTSD) is 39.1%. Strategies of thought control are correlated with posttraumatic symptomatology 10 days after the accident and after 3 months. The result of an explorative data analysis shows an important role of the control strategies ’distraction’ and ’worry’ in correlation with posttraumatic stress symptoms. / Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.

A manualised trauma-focused cognitive behavioural therapy (TF-CBT) programme was developed for multiply-abused children diagnosed with posttraumatic stress disorder (PTSD; Feather & Ronan, 2004) referred to the specialist clinic of the statutory child protection agency in New Zealand. The TF-CBT protocol was based on: (1) a review of the history of child abuse (CA) and child protection in New Zealand and internationally, with particular reference to professional developments and the role of psychologists in ameliorating CA; (2) a conceptualisation of the clinical presentation of CA in children; (3) a review of the field of psychotraumatology and theoretical models, including locally developed, relevant to the development of a treatment programme for traumatised abused children in a child protection setting in New Zealand; and (4) a review of evidence-based practice, treatment outcome models, and current empirical research related to developing an effective treatment model in this area. The locally developed TF-CBT programme built on efficacious treatments for child anxiety and PTSD as a result of sexual abuse. It encompasses psychosocial strengthening, coping skills training, gradual exposure using expressive modalities, and special issues relevant to trauma and abuse. A “scientist-practitioner” approach to local clinical research was used to evaluate the programme. A single-case multiple-baseline design demonstrated the controlling effects of the treatment across four studies; each comprising four typically-referred multiply-abused children aged 9-15 years who met diagnostic criteria for PTSD. Parent/caregivers were involved in treatment sessions. Study 1 was a pilot with four Pakeha/New Zealand European children; Study 2 trialled the protocol with two Maori and two Samoan children; Study 3 was an evaluation of the developed protocol with a multicultural group of typically-referred children; and Study 4 was an evaluation with other therapists delivering the manualised programme. Despite some methodological difficulties related to conducting research in a setting of this nature, the overall results indicate a good deal of promise. Across the four studies, for the majority of children treated, PTSD symptoms decreased and child coping increased. Where follow-up data was available, gains generally maintained or improved over 3-, 6-, and 12-month intervals. Recommendations are made about further applications of this TF-CBT programme, including the interweaving of cultural models with TF-CBT, and development and evaluation of the protocol in other settings. Implications of the current research are discussed in terms of recognition of the crucial importance of evidence-based practice in CA/child protection settings, and the contribution psychologists and therapists can make to ensure quality outcomes for this most vulnerable population of children and families.

A sermon after a crisis or traumatic event requires great pastoral care. How do we put what happened into words? When things are so devastating that words are not enough? How do we speak about hope and despair in the midst of a crisis? This thesis aims to analyze sermons in the Church of Sweden after the attack on Drottninggatan, Stockholm, Sweden in 2017. Nine sermons held in the weeks following the attack have been analyzed. The theoretical background and theme of the analysis has been psychotraumatology and trauma-informed theology. The thesis’ process has been an inductive approach, as it begins in the material and then compares these against the selected aspects. The questions asked in the thesis are: “What qualities can be found in these sermons after the terrorist attack at Drottninggatan?“ As well as two sub-questions about the respective perspectives: “Which psychotraumatological perspectives were found in the sermons?” and “What perspectives of trauma-informed theology were found in the sermons?” The analysis of sermons and the answer to the first question resulted in five common themes: Responsibility and humanity, The terrorist attack and evil, The Bible and God, Despair and Hope. Based on this, both theoretical aspects have been used to analyze the results.