Treating complex post-traumatic stress disorder following childhood neglect, sexual abuse and revictimisation : interpretative reflections on the case of Khuselwa
- Padmanabhanunni, Anita, Edwards, David J A
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6233 , http://hdl.handle.net/10962/d1007783
- Description: This paper describes the psychological assessment and treatment process with Khuselwa, a South African adolescent survivor of multiple sexual traumas presenting with complex post-traumatic stress disorder (PTSD). The paper identifies some of the common barriers encountered by practitioners in delivering treatments in local contexts and highlights the role of external safety and stability and social support in providing a vehicle for change and a basis for overcoming the psychological handicaps reinforced by repeated and multiple traumas and chronic neglect.
- Full Text:
- Date Issued: 2012
- Authors: Padmanabhanunni, Anita , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6233 , http://hdl.handle.net/10962/d1007783
- Description: This paper describes the psychological assessment and treatment process with Khuselwa, a South African adolescent survivor of multiple sexual traumas presenting with complex post-traumatic stress disorder (PTSD). The paper identifies some of the common barriers encountered by practitioners in delivering treatments in local contexts and highlights the role of external safety and stability and social support in providing a vehicle for change and a basis for overcoming the psychological handicaps reinforced by repeated and multiple traumas and chronic neglect.
- Full Text:
- Date Issued: 2012
Treatment of post traumatic stress disorder following an armed robbery : a case study testing the transportability of trauma-focused cognitive-behavioural therapy to urban Africans
- Drake, B, Edwards, David J A
- Authors: Drake, B , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6225 , http://hdl.handle.net/10962/d1007775
- Description: John, an urban African male who developed post traumatic stress disorder (PTSD) following an armed robbery at the petrol station where he worked, was treated with 12 sessions of Trauma-focused cognitive behaviour therapy. Intervention involved a combination of psycho-education, prolonged imaginal exposure, cognitive restructuring and behavioural assignments. This article is a systematic case study of his treatment which included a comprehensive narrative and tracking of progress by means of the Post traumatic Diagnostic Scale. John responded well to the treatment, finding it acceptable and credible and remained free of PTSD symptoms at 15 months follow up. It is argued, based on the principles of Elliott’s Hermeneutic Single Case Efficacy Design, that there is evidence from within the narrative that it was the treatment that led to remission of symptoms. This case study demonstrates the cognitive, emotional and behavioural processes underlying John’s PTSD, which fits with those extensively described in the research literature, and that this evidence-based treatment developed in a westernised context is transportable to work with urban Africans.
- Full Text:
- Date Issued: 2012
- Authors: Drake, B , Edwards, David J A
- Date: 2012
- Language: English
- Type: Article
- Identifier: vital:6225 , http://hdl.handle.net/10962/d1007775
- Description: John, an urban African male who developed post traumatic stress disorder (PTSD) following an armed robbery at the petrol station where he worked, was treated with 12 sessions of Trauma-focused cognitive behaviour therapy. Intervention involved a combination of psycho-education, prolonged imaginal exposure, cognitive restructuring and behavioural assignments. This article is a systematic case study of his treatment which included a comprehensive narrative and tracking of progress by means of the Post traumatic Diagnostic Scale. John responded well to the treatment, finding it acceptable and credible and remained free of PTSD symptoms at 15 months follow up. It is argued, based on the principles of Elliott’s Hermeneutic Single Case Efficacy Design, that there is evidence from within the narrative that it was the treatment that led to remission of symptoms. This case study demonstrates the cognitive, emotional and behavioural processes underlying John’s PTSD, which fits with those extensively described in the research literature, and that this evidence-based treatment developed in a westernised context is transportable to work with urban Africans.
- Full Text:
- Date Issued: 2012
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