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Welcome to this publication into the experience of overwhelming injustice in emergency first responder roles, armed forces and healthcare services and the hypothesis of Posttraumatic Blame, which is introduced for the first time. Posttraumatic Embitterment Disorder (PTED) and moral injury (MI) are explored. The primary aim of this book is to provide people and groups with information and support. The research seeks to ascertain if PTED and Moral Injury are fundamentally the same, though presented as two different constructs and whether it would be beneficial to have one or both conditions classified in medical diagnostic manuals, for the purpose of diagnosis and treatment.The secondary aim is to identify if these conditions are comorbid with PTSD and therefore requiring specific treatment to assist with PTSD recovery. Symptoms of embitterment, moral injury and PTSD seem to be a common experience for many frontline workers, their partners and survivors of abuse; including revenge fantasy, feelings of humiliation and shame, anger, perceived injustice and betrayal. Some individuals appear unable to 'move-on' from feeling victimized and wronged, which in turn may inhibit their post traumatic growth and PTSD recovery. Embitterment may lead to immutable loss of trust in individuals, groups, organisations or societies and symptoms may become debilitating. The experience may create disaffection, disillusionment and underperformance. Chronic embitterment can lead to a marked preoccupation with the pursuit of justice, holding those responsible to account, seeking vindication and rumination on revenge.The main features of PTED and MI, such as feelings of betrayal, difficulty with forgiveness, embittered attitude, experience of loss, blame and desire for revenge are discussed. The way values, morals and beliefs in a just world interact with psychological and emotional regulation, are of great importance throughout the research. The research explores predisposing factors to PTED and MI, as well as possible measures of prevention, treatment and therapeutic options. Case studies are used, to demonstrate real life examples of perceived moral injury or injustice; and the impact these experiences can have on individuals and others through vicariousness. This research is expected to be of use and interest to serving and retired frontline professionals, complaint handlers, human resources personnel, legal professionals, healthcare providers and researchers. Caution: Contains some details of trauma and explicit language."This research is reliable and valid, in fact, it is extremely robust. There are significant observations and findings. This book is refreshing, honest and adds real value to the body of knowledge in this field. Claire is a selfless and caring individual. She is an inspiration to us all. I applaud her valiant efforts." - Dr Brian W. Seggie
As a concept, 'trauma' has attracted a great deal of interest in literary studies. A key term in psychoanalytic approaches to literary study, trauma theory represents a critical approach that enables new modes of reading and of listening. It is a leading concept of our time, applicable to individuals, cultures, and nations. This book traces how trauma theory has come to constitute a discrete but influential approach within literary criticism in recent decades. It offers an overview of the genesis and growth of literary trauma theory, recording the evolution of the concept of trauma in relation to literary studies. In twenty-one essays, covering the origins, development, and applications of trauma in literary studies, Trauma and Literature addresses the relevance and impact this concept has in the field.
In this groundbreaking book, a leading clinical psychiatrist redefines how we think about and treat victims of trauma. A "stunning achievement" that remains a "classic for our generation." (Bessel van der Kolk, M.D., author of The Body Keeps the Score). Trauma and Recovery is revered as the seminal text on understanding trauma survivors. By placing individual experience in a broader political frame, Harvard psychiatrist Judith Herman argues that psychological trauma is inseparable from its social and political context. Drawing on her own research on incest, as well as a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. Hailed by the New York Times as "one of the most important psychiatry works to be published since Freud," Trauma and Recovery is essential reading for anyone who seeks to understand how we heal and are healed.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
From acclaimed author and researcher Dr. Joy DeGruy comes this fascinating book that explores the psychological and emotional impact on African Americans after enduring the horrific Middle Passage, over 300 years of slavery, followed by continued discrimination. From the beginning of American chattel slavery in the 1500’s, until the ratification of the Thirteenth Amendment in 1865, Africans were hunted like animals, captured, sold, tortured, and raped. They experienced the worst kind of physical, emotional, psychological, and spiritual abuse. Given such history, Dr. Joy DeGruy asked the question, “Isn’t it likely those enslaved were severely traumatized? Furthermore, did the trauma and the effects of such horrific abuse end with the abolition of slavery?” Emancipation was followed by another hundred years of institutionalized subjugation through the enactment of Black Codes and Jim Crow laws, peonage and convict leasing, and domestic terrorism and lynching. Today the violations continue, and when combined with the crimes of the past, they result in further unmeasured injury. What do repeated traumas visited upon generation after generation of a people produce? What are the impacts of the ordeals associated with chattel slavery, and with the institutions that followed, on African Americans today? Dr. DeGruy answers these questions and more as she encourages African Americans to view their attitudes, assumptions, and emotions through the lens of history. By doing so, she argues they will gain a greater understanding of the impact centuries of slavery and oppression has had on African Americans. Post Traumatic Slave Syndrome is an important read for all Americans, as the institution of slavery has had an impact on every race and culture. “A masterwork. [DeGruy’s] deep understanding, critical analysis, and determination to illuminate core truths are essential to addressing the long-lived devastation of slavery. Her book is the balm we need to heal ourselves and our relationships. It is a gift of wholeness.”—Susan Taylor, former Editorial Director of Essence magazine
From a leading voice on recovering from toxic relationships, a deeply insightful guide to getting back to your "old self" again--in order to truly heal and move on. Jackson MacKenzie has helped millions of people in their struggle to understand the experience of toxic relationships. His first book, Psychopath Free, explained how to identify and survive the immediate situation. In this highly anticipated new book, he guides readers on what to do next--how to fully heal from abuse in order to find love and acceptance for the self and others. Through his close work with--and deep connection to--thousands of survivors of abusive relationships Jackson discovered that most survivors have symptoms of trauma long after the relationship is over. These range from feelings of numbness and emptiness to depression, perfectionism, substance abuse, and many more. But he’s also found that it is possible to work through these symptoms and find love on the other side, and this book shows how. Through a practice of mindfulness, introspection, and exercises using specific tools, readers learn to identify the protective self they've developed - and uncover the core self, so that they can finally move on to live a full and authentic life--to once again feel light, free, and whole, and ready to love again. This book addresses and provides crucial guidance on topics and conditions like: complex PTSD, Narcissistic abuse, Avoidant Personality Disorder, Codependency, Core wounding, toxic shame, Borderline Personality Disorder, and so many more. Whole Again offers hope and multiple strategies to anyone who has survived a toxic relationship, as well as anyone suffering the effects of a breakup involving lying, cheating and other forms of abuse--to release old wounds and safely let the love back inside where it belongs.
Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.
A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
An expanded and revised edition of the first social work text to focus specifically on the theoretical and clinical issues associated with trauma, this comprehensive anthology incorporates the latest research in trauma theory and clinical applications. It presents key developments in the conceptualization of trauma and covers a wide range of clinical treatments. Trauma features coverage of emerging therapeutic modalities and clinical themes, focusing on the experiences of historically disenfranchised, marginalized, oppressed, and vulnerable groups. Clinical chapters discuss populations and themes including cultural and historical trauma among Native Americans, the impact of bullying on children and adolescents, the use of art therapy with traumatically bereaved children, historical and present-day trauma experiences of incarcerated African American women, and the effects of trauma treatment on the therapist. Other chapters examine trauma-related interventions derived from diverse theoretical frameworks, such as cognitive-behavioral theory, attachment theory, mindfulness theory, and psychoanalytic theory.