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Narrative Therapy for Posttraumatic ...

Matthes-Loy, Cynthia.

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Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction./
Author:	Matthes-Loy, Cynthia.
Description:	260 p.
Notes:	Source: Dissertation Abstracts International, Volume: 73-01, Section: B, page: .
Contained By:	Dissertation Abstracts International73-01B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3480849
ISBN:	9781124979625

Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction.
Matthes-Loy, Cynthia.

Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction. - 260 p.

Source: Dissertation Abstracts International, Volume: 73-01, Section: B, page: .

Thesis (Ph.D.)--Northcentral University, 2011.

When individuals diagnosed with posttraumatic stress disorder (PTSD) express their views about themselves and their situations, research supports the supposition that recovery is promoted. The purpose of this mixed-methods research was to study changes in the symptoms and narratives of trauma victims over a 5-week narrative therapy intervention. Twenty-five participants recruited from a private psychotherapy practice in Lee County, Florida completed the Beck Depression Inventory II (BDI-II) and Sentence Completion for Depression (SCD). Analyses with Wilcoxon signed-rank test revealed depression scores significantly declined from pretest to posttest as measured by the BDI-II (Z= -4.16, p < .001) and the SCD ( Z = -3.81, p < .001). Written therapy logs were tested for 5 emotional constructs taken after the first and fifth treatments. Narratives were analyzed with the Linguistic Interpretation and Word Count to track the use of key word categories (anxiety, anger, sadness, positive emotions, and negative emotions) over the 5-week intervention. In self-descriptions, chi-square analysis revealed positive emotion words significantly increased chi 2 (2, N = 25) = 10.34, p < .01. In trauma descriptions, significant decreases were found for sadness words chi 2 (2, N = 25) = 10.40, p < .01 and negative emotion words chi2 (2, N = 25) = 10.56, p < .01. Chi-square analysis of open coding of narratives revealed a significant increase in positivity for self-descriptions chi 2 (2, N = 25) = 30.77, p < .001 and trauma descriptions chi2 (2, N = 25) = 24.72, p < .001. Ten qualitative themes were identified cross-sectionally and longitudinally in narratives. Themes in self-views and trauma views were transition, metaperspectives, direct references to therapy, and metaphors. Ambivalence and feeling misunderstood were thematic to self-views. Themes containing pre-existing or developing beliefs/credos and feelings of helplessness were found in trauma views. Findings about thematic views and symptom changes of individuals with PTSD treated with integrated narrative therapy have not been studied previously. This research used the PTSD dysphoria model, an alternative to traditional ways of studying PTSD. Implications for further research included the formation of socially collaborated narratives using integrated narrative methods and encouraged more studies using the PTSD dysphoria model.

ISBN: 9781124979625Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction.
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245 1 0 $a Narrative Therapy for Posttraumatic Stress Disorder: Narrative Change and Symptom Reduction.
300 $a 260 p.
500 $a Source: Dissertation Abstracts International, Volume: 73-01, Section: B, page: .
500 $a Adviser: William Shriner.
502 $a Thesis (Ph.D.)--Northcentral University, 2011.
520 $a When individuals diagnosed with posttraumatic stress disorder (PTSD) express their views about themselves and their situations, research supports the supposition that recovery is promoted. The purpose of this mixed-methods research was to study changes in the symptoms and narratives of trauma victims over a 5-week narrative therapy intervention. Twenty-five participants recruited from a private psychotherapy practice in Lee County, Florida completed the Beck Depression Inventory II (BDI-II) and Sentence Completion for Depression (SCD). Analyses with Wilcoxon signed-rank test revealed depression scores significantly declined from pretest to posttest as measured by the BDI-II (Z= -4.16, p < .001) and the SCD ( Z = -3.81, p < .001). Written therapy logs were tested for 5 emotional constructs taken after the first and fifth treatments. Narratives were analyzed with the Linguistic Interpretation and Word Count to track the use of key word categories (anxiety, anger, sadness, positive emotions, and negative emotions) over the 5-week intervention. In self-descriptions, chi-square analysis revealed positive emotion words significantly increased chi 2 (2, N = 25) = 10.34, p < .01. In trauma descriptions, significant decreases were found for sadness words chi 2 (2, N = 25) = 10.40, p < .01 and negative emotion words chi2 (2, N = 25) = 10.56, p < .01. Chi-square analysis of open coding of narratives revealed a significant increase in positivity for self-descriptions chi 2 (2, N = 25) = 30.77, p < .001 and trauma descriptions chi2 (2, N = 25) = 24.72, p < .001. Ten qualitative themes were identified cross-sectionally and longitudinally in narratives. Themes in self-views and trauma views were transition, metaperspectives, direct references to therapy, and metaphors. Ambivalence and feeling misunderstood were thematic to self-views. Themes containing pre-existing or developing beliefs/credos and feelings of helplessness were found in trauma views. Findings about thematic views and symptom changes of individuals with PTSD treated with integrated narrative therapy have not been studied previously. This research used the PTSD dysphoria model, an alternative to traditional ways of studying PTSD. Implications for further research included the formation of socially collaborated narratives using integrated narrative methods and encouraged more studies using the PTSD dysphoria model.
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856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3480849