Search results for ‘Subject term:"traumas"’ Sort:
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Housing 'unhoused minds': inter-personality disorder in the organisation?
- Authors:
- SCANLON Christopher, ADLAM John
- Journal article citation:
- Housing Care and Support, 9(3), December 2006, pp.9-14.
- Publisher:
- Emerald
The authors begin with a discussion of the psychosocial concepts of 'personality disorder' and 'homelessness', and then seek to re-define and re-locate both from the internal world of the patient/client to the psychosocial 'dis-memberment' associated with what they called the 'unhoused mind'. The authors then explore the complex reciprocal relationship between the 'ordered' and the 'dis-ordered', the housed and the unhoused, and consider some of the possible implications for individual workers, staff teams and organisations tasked with attempting to house and/or care for and support such people.
Its a mindfield
- Author:
- STRONG Susannah
- Journal article citation:
- Care and Health Magazine, 32, 26.3.03, 2003, pp.26-27.
- Publisher:
- Care and Health
Looks at the diagnosis of dissociative disorder.
Meeting the needs of clients with dissociative identity disorder: considerations for psychotherapy
- Author:
- RINGROSE Jo L.
- Journal article citation:
- British Journal of Guidance and Counselling, 39(4), August 2011, pp.293-305.
- Publisher:
- Taylor and Francis
Working with clients with Dissociative Identity Disorder (DID) poses major challenges to psychotherapists’ and counsellors’ ways of practice. Practitioners usually refer to clients with DID as multiple, because they consist of one or more host personalities, and one or more alter personalities. This article discusses the components that need to be addressed in order that clients can live successfully either as a multiple or as an integrated person. Psychotherapy with clients with DID means that the practitioner is effectively working with different people, who initially, typically, will not know of each other’s existence and are unlikely to want to work together. Therapy should include increasing awareness and understanding between the host and the alters and encouraging communication and collaboration between the identities through psycho-education. The host may not remember trauma events, and a key component of therapy requires processing and working through these. The BASK (Behaviour, Affect, Sensation, and Knowledge) model is introduced as a method to facilitate this process. Finally, considerations for integration are evaluated and discussed.
Art and dissociative identity disorder
- Author:
- TURNER Julian
- Journal article citation:
- Openmind, 167, July 2011, pp.10-11.
- Publisher:
- MIND
People who receive the diagnosis of dissociative identity disorder (DID) tend to have survived early, and often extreme traumatic events. The author discusses how creativity can help in rediscovering a self and identity threatened by this trauma and abuse. The case girl who was diagnosed with DID is used to illustrate the benefits of art therapy.
Personality disorder, temperament, and childhood adversity: findings from a cohort of prisoners in England and Wales
- Authors:
- ROBERTS Amanda, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 19(4), December 2008, pp.460-483.
- Publisher:
- Taylor and Francis
This study examines associations between personality disorder, childhood temperament, adverse childhood experiences, and victimisation. The Prisoner Cohort Study was carried out as part of the dangerous and severe personality disorder (DSPD) service development programme commissioned by the Home Office. The study comprised 1396 male offenders interviewed with the Structured Clinical Interview (SCID II) to diagnose personality disorders in addition to reveal self-reported experiences of childhood victimisation and disadvantage. Independent and joint relationships were examined between reported temperament and adverse childhood experiences and Axis II disorders measured at interview. Prisoners with personality disorder reported adverse childhood experiences and victimisation more frequently than those with no personality disorder. Different childhood experiences were interrelated with specific personality disorder categories. Associations between temperamental features and specific personality disorders were increased by the addition of adverse childhood experiences (joint effects). A difficult temperament and childhood adversity increase the likelihood of personality disorder in prisoners and may be risk factors to target for future early intervention.
Child sexual abuse: a critical review of intervention and treatment modalities
- Author:
- LEV-WIESEL Rachel
- Journal article citation:
- Children and Youth Services Review, 30(6), June 2008, pp.665-673.
- Publisher:
- Elsevier
Recent years have ushered in a growing understanding and a broadening knowledge base of the complexities of child sexual abuse. These complexities are acerbated by the need to account for the specific problem of child sexual abuse (CSA) in the larger context of multi-problem intervention, requiring coordinated multi-disciplinary team efforts as well as sensitive and focused attention to CSA itself. The aim of this paper is to critically examine the literature on several treatment modalities that are utilised by professionals from a range of disciplines treating victims of childhood sexual abuse. Acknowledging recent findings that dissociative disorders among CSA survivors are high compared to survivors of other forms of trauma and that about 80% of adult CSA survivors who were diagnosed with posttraumatic stress disorder actually suffer from dissociative disorders, the author discusses the phenomena of dissociative identity disorder among survivors who were sexually abused. The implications for the development of a therapeutic model are described, including a delineation of the model components.
Histories of trauma in client members of therapeutic communities
- Authors:
- FREESTONE Mark, et al
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 27(3), Autumn 2006, pp.387-409.
- Publisher:
- Emerald
This article presents data from the ATC/NLCB Therapeutic Communities Research Project, based on findings from the 306 social histories collected as part of this project. The project looked at 21 therapeutic communities in England and Scotland. The study focused on people with personality disorders in therapeutic communities, and this article explores some of the traumatic experiences of this therapeutic community. It looks particularly at early separations from main carers and family of origin; at losses and disability; and at experiences of physical and sexual abuse in childhood and adulthood, and looks at whether these have any relationship with personality disorders for this study sample. The study also explores whether the different clients in the different types of therapeutic communities have different traumatic experiences, as evidenced by these social histories. The article discusses the implications of these findings.
Cygnus: a psychoeducational group for carers of people with a personality disorder
- Authors:
- SUTHERLAND Ruth, HOLLAND Alice, PRINCE Sharon
- Journal article citation:
- International Journal of Care and Caring, 4(2), 2020, pp.261-266.
- Publisher:
- Policy Press
National Institute for Health and Care Excellence guidance suggests that carers of individuals with a diagnosis of borderline personality disorder experience high levels of psychological distress, yet few services in the UK offer specific support to this group of carers. This article will describe the development of a psychoeducational carers’ group based on schema theory (Young et al, 2003), including the development of the role of carer experts-by-experience as group co-facilitators. Initial outcome data from the pilot suggest that carers are highly satisfied with the group and that it improves their knowledge, understanding and personal well-being. (Publisher abstract)
Complex dissociative disorders in social work: discovering the knowledge gaps
- Authors:
- FUNG Hong Wang, ROSS Colin A., LING Henry Wai-Hang
- Journal article citation:
- Social Work in Mental Health, 17(6), 2019, pp.682-702.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Social workers are major mental health service providers in many countries and regions. This paper presents five reasons to explain why complex dissociative disorders (complex DD) should receive more attention from social workers. The authors conducted a preliminary review of complex DD in the social work literature. In June 2019, the authors searched all articles related to complex DD in academic journals classified under the “Social Work” research area in two Web of Science databases. Twenty-four articles were identified and reviewed. Most articles did not even have insights/implications for working with trauma and dissociation survivors regarding the social aspects of their care. None of the articles discussed the potential role of social workers in the assessment or management of complex DD. The body of knowledge regarding complex DD remains seriously limited in the social work field. Several knowledge gaps are discussed. The article highlights some issues that social workers should consider when working with individuals with complex DD. (Edited publisher abstract)
Child maltreatment and adult psychopathology in an Irish context
- Author:
- FITZHENRY Mark
- Journal article citation:
- Child Abuse and Neglect, 45, 2015, pp.101-107.
- Publisher:
- Elsevier
One-hundred-ninety-nine adult mental health service users were interviewed with a protocol that included the Childhood Trauma Questionnaire, the Structured Clinical Interviews for Axis I and II DSM-IV disorders, the Global Assessment of Functioning scale, the SCORE family assessment measure, the Camberwell Assessment of Need Short Appraisal Schedule, and the Readiness for Psychotherapy Index. Compared to a U.S. normative sample, Irish clinical cases had higher levels of maltreatment. Cases with comorbid axis I and II disorders reported more child maltreatment than those with axis I disorders only. There was no association between types of CM and types of psychopathology. Current family adjustment and service needs (but not global functioning and motivation for psychotherapy) were correlated with a CM history. It was concluded that child maltreatment may contribute to the development of adult psychopathology, and higher levels of trauma are associated with co-morbid personality disorder, greater service needs and poorer family adjustment. A history of child maltreatment should routinely be determined when assessing adult mental health service users, especially those with personality disorders and where appropriate evidence-based psychotherapy which addresses childhood trauma should be offered (Publisher abstract)