A Realist Account of Stress, PTSD, and Resilience PDF Download

Author: Frank Tortorello
Publisher: Routledge
ISBN: 1351981366
Category : Social Science
Languages : en
Pages : 374

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Book Description
This book rejects traditional, dominant—typically reductive and anti-realist—explanations of stress, PTSD, and resilience. Frank Tortorello presents the United States Marine Corps’ doctrinal explanation of stress, PTSD, and resilience as a case in point using new realist theoretical resources from Rom Harré and Charles R. Varela. The author systematically exposes the scientific and ethical failures of traditional explanations in accounting for the actions of stressed and resilient Marines on and off the battlefield. The power of new realist explanations emerges in application to the same ethnographic data, thereby supporting the author’s call to replace traditional explanations with those grounded in new realism.

Author: Cynda Hylton Rushton
Publisher: Oxford University Press
ISBN: 0190619295
Category : Medical
Languages : en
Pages : 304

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Book Description
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.

Author: Elaine Miller-Karas
Publisher: Routledge
ISBN: 1136480889
Category : Psychology
Languages : en
Pages : 225

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Book Description
After a traumatic experience, survivors often experience a cascade of physical, emotional, cognitive, behavioral, and spiritual responses that leave them feeling unbalanced and threatened. Building Resilience to Trauma explains these common responses from a biological perspective, reframing the human experience from one of shame and pathology to one of hope and biology. It also presents alternative approaches, the Trauma Resiliency Model (TRM) and the Community Resiliency Model (CRM), which offer concrete and practical skills that resonate with what we know about the biology of trauma. In programs co-sponsored by the World Health Organization, the Unitarian Universalist Service Committee, ADRA International and the department of behavioral health of San Bernardino County, the TRM and the CRM have been used to reduce and in some cases eliminate the symptoms of trauma by helping survivors regain a sense of balance. Clinicians will find that they can use the models with almost anyone who has experienced or witnessed any event that was perceived as life threatening or posed a serious injury to themselves or to others. The models can also be used to treat symptoms of vicarious traumatization and compassion fatigue.

Author: Gerald Rosen
Publisher: John Wiley & Sons
ISBN: 0470862890
Category : Psychology
Languages : en
Pages : 268

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Book Description
Is Posttraumatic Stress Disorder (PTSD) an illness that arises after horrific and life-threatening events? Or is it a label that medicalizes human suffering, and brings with it more problems than it solves? Still a relatively new diagnosis, PTSD has changed our vocabulary and shaped our views on human coping and resilience. Yet almost every assumption upon which the diagnosis rests has come under question. In this volume, Gerald Rosen brings together leading international scholars in posttraumatic studies to consider the most contentious debates. Each chapter offers an analysis of the issues, reviews current research, and clarifies implications for the practicing clinician. Posttraumatic Stress Disorder: Issues and Controversies is essential reading for all practitioners, researchers, and students who work in the field of trauma. Professionals in related health fields and the law will also find this book useful.

Author: Gavin Davidson
Publisher: Bloomsbury Publishing
ISBN: 1137365919
Category : Psychology
Languages : en
Pages : 145

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Book Description
This key text book presents a critical overview of the main theoretical perspectives relevant to mental health practice and argues that no one theory provides a comprehensive framework for practice. By examining traditional models of mental health, as well as new, it challenges some of the accepted views in the field and illustrates the importance of recognising the contribution, strengths and limitations of the range of different ideas. Part of Palgrave's Foundations of Mental Health Practice series, this is indispensable reading for any one studying or working in mental health, whether as a nurse or social worker.

Author: Patricia Tjaden
Publisher: Createspace Independent Pub
ISBN: 9781478262398
Category : Law
Languages : en
Pages : 72

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Book Description
This report presents findings from the National Violence Against Women (NVAW) Survey on the extent, nature, and consequences of intimate partner violence in the United States. The National Institute of Justice and the Centers for Disease Control and Prevention cosponsored the survey through a grant to the Center for Policy Research. The survey consists of telephone interviews with a nationally representative sample of 8,000 U.S. women and 8,000 U.S. men about their experiences as victims of various forms of violence, including intimate partner violence. The survey compares intimate partner victimization rates among women and men, specific racial groups, Hispanics and non-Hispanics, and same-sex and opposite-sex cohabitants. It also examines risk factors associated with intimate partner violence, the rate of injury among rape and physical assault victims, injured victims' use of medical services, and victims' involvement with the justice system. Research on intimate partner violence has increased dramatically over the past 20 years. While greatly enhancing public awareness and understanding of this serious social problem, this research has also created much controversy and confusion. Findings of intimate partner victimization vary widely from study to study. Some studies conclude that women and men are equally likely to be victimized by their partners, but others conclude that women are more likely to be victimized. Some studies conclude that minorities and whites suffer equal rates of intimate partner violence, and others conclude that minorities suffer higher rates. In addition, there are many gaps in the scientific literature on intimate partner violence, such as the level of violence committed against men and women by same-sex intimates. Little empirical data exist on the relationship between different forms of intimate partner violence, such as emotional abuse and physical assault. Finally, little is known of the consequences of intimate partner violence, including rate of injury and victims' use of medical and justice system services. This Research Report addresses these and other issues related to intimate partner violence. The information presented in this report is based on findings from the National Violence Against Women (NVAW) Survey, a national telephone survey jointly sponsored by the National Institute of Justice (NIJ) and the Centers for Disease Control and Prevention (CDC). The survey, which was conducted from November 1995 to May 1996, consists of telephone interviews with a representative sample of 8,000 U.S. women and 8,000 U.S. men. Survey respondents were queried about their experiences as victims of various forms of violence, including rape, physical assault, and stalking by intimate partners. Victimized respondents were asked detailed questions about the characteristics and consequences of their victimization, including the extent and nature of any injuries they sustained, their use of medical services, and their involvement with the justice system. This Research Report also summarizes the survey's findings on victimization rates among women and men, specific racial groups, Hispanics and non-Hispanics, and opposite-sex and same-sex cohabitants. It examines risk factors associated with intimate partner violence, rates of injury among rape and physical assault victims, injured victims' use of medical services, and victims' involvement with the justice system. Although this report focuses on women's and men's experiences as victims of intimate partner violence, complete details about men's and women's experiences as victims of rape, physical assault, and stalking by all types of assailants are contained in earlier NIJ and CDC reports. Because of the sensitive nature of the survey, state-of-the-art techniques were used to protect the confidentiality of the information being sought and to minimize the potential for retraumatizing victims of violence and jeopardizing the safety of respondents.

Author: Sidney Dekker
Publisher: CRC Press
ISBN: 146658341X
Category : Medical
Languages : en
Pages : 131

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Book Description
How do people cope with having "caused" a terrible accident? How do they cope when they survive and have to live with the consequences ever after? We tend to blame and forget professionals who cause incidents and accidents, but they are victims too. They are second victims whose experiences of an incident or adverse event can be as traumatic as that of the first victims’. Yet information on second victimhood and its relationship to safety, about what is known and what organizations might need to do, is difficult to find. Thoroughly exploring an emerging topic with great relevance to safety culture, Second Victim: Error, Guilt, Trauma, and Resilience examines the lived experience of second victims. It goes through what we know about trauma, guilt, forgiveness, and injustice and how these might be felt by the second victim. The author discusses how to conduct investigations of incidents that do not alienate second victims or make them feel even worse. It explores the importance support and resilience and where the responsibilities for creating it may lie. Drawing on his unique background as psychologist, airline pilot, and safety specialist, and his own experiences with helping second victims from a variety of backgrounds, Sidney Dekker has written a powerful, moving account of the experience of the second victim. It forms compelling reading for practitioners, risk managers, human resources managers, safety experts, mental health workers, regulators, the judiciary, and many other professionals. Dekker provides a strong theoretical background to promote understanding of the situation of the second victim and solid practical advice about how to deal with trauma that continues after an event leading to preventable harm or even avoidable death of a patient, consumer, or colleague. Listen to Sidney Dekker speak about his book

Author: Bea Hollander-Goldfein
Publisher: Routledge
ISBN: 0415882869
Category : History
Languages : en
Pages : 344

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Book Description
Based on 275 comprehensive life interviews of survivors of the Nazi Holocaust, their children, and their grandchildren, Transcending Trauma illuminates universal aspects of the recovery from trauma and makes a vital contribution to our understanding of how survivors find meaning after traumatic events.

Author: Leslie Neal-Boylan
Publisher: Springer Publishing Company
ISBN: 082611010X
Category : Medical
Languages : en
Pages : 226

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Book Description
" This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "

Author: Gwynyth Overland
Publisher: Cambridge Scholars Publishing
ISBN: 1443861138
Category : Medical
Languages : en
Pages : 240

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Book Description
Some refugees who survive wars recover and thrive; others do not. This study sets out to discover what successful survivors of the Khmer Rouge regime found instrumental for both their survival and their mental health. The aim is to contribute to the understanding of resilience, here understood as the ability to recover from misfortune or change, in order to contribute to the psychosocial rehabilitation of survivors of war crimes and other traumatic events – to discover how war-refugees may be best assisted in processes of recovery and normalisation. The resilience found here was based largely on informants’ cultural and religious resources. Psychosocial guidelines for accessing clients’ backgrounds are available, but health and social workers often fail to access the cultural explanatory models used by survivors in building personal and group resilience. Proposals from the project are incorporated in a cultural resilience interview scheme for the use of health and social workers wishing to conduct resilience work with war survivors.