Conducting research in clinical practice : Challenges in the assessment and treatment of childhood internalizing disorders

Dissertation: Radboud Universiteit Nijmegen

Vanuit de Academische Werkplaats Inside-Out onderzocht Marleen van Doorn de diagnostiek en behandeling van kinderen met angst of depressieve klachten in de klinische praktijk. Bij het stellen van een diagnose is het essentieel dat therapeuten niet alleen de visie van ouders op zulke klachten meewegen, maar ook die van het kind zelf, is een belangrijke conclusie uit het promotieonderzoek.

Onopgemerkte stoornissen 

Complex Posttraumatic Stress Disorder in Patients Exposed to Emotional Neglect and Traumatic Events : Latent Class Analysis

The inclusion of a complex posttraumatic stress disorder (CPTSD) diagnosis in the 11th revision of the International Classification of Diseases reflects growing evidence that a subgroup of individuals with PTSD also suffer from disturbances in emotion regulation, interpersonal skills, and self-concept, which together are termed “disturbances in self-organization” (DSO). Although CPTSD is assumed to result from exposure to complex traumatic events, emotional neglect may be an important contributor.

Creative arts therapy for traumatized children in South Africa : an evaluation study

 

Aim

To evaluate the feasibility and effect of a 10-session creative arts in psychotherapy group programme on posttraumatic stress symptoms, behavioural problems, and posttraumatic growth, in children who experienced a traumatic event.

 

Design

A multicentre non-randomized controlled trial with a treatment and a control condition conducted in South Africa (4 sites).

 

Methods

Stop the War on Children : Protecting Children in 21st Century Conflict

The nature of conflict has changed, putting children in the frontline in new and terrible ways. Wars are lasting longer. They are more likely to be fought in urban areas amongst civilian populations leading to deaths and life-changing injuries, and laying waste to the infrastructure needed to guarantee access to food and water. Attacks on schools and hospitals are up. The denial of humanitarian aid is used as yet another weapon of war. The international rules and basic standards of conduct that exist to protect civilians in conflict are being flouted with impunity.

 

Empowering young people who experienced domestic violence and abuse : The development of a group therapy intervention

This article describes the development of a group-based therapeutic intervention for young people (YP) who have lived with domestic violence and abuse. The intervention was informed by interviews with 107 YP, focused on their experiences of coping, resilience and agency. The intervention draws on resources from systemic, creative and narrative approaches to group work, and aims to facilitate YP’s expression of distress in a way that recognizes that it is embodied, contextual and relational.

Mental and sexual health outcomes following sexual assault in adolescents : a prospective cohort study

Background Young  people  are  disproportionately  affected  by  sexual  assault,  yet  longitudinal  data  are  sparse.  This  paper examines the characteristics of adolescents presenting to sexual assault services and mental and sexual health outcomes after an assault.

 

How do men with severe sexual and physical childhood traumatization experience traumastabilizing group treatment? A qualitative study

Background: Exposure to potentially traumatizing events, defined as events involving actual or threatened death or serious injury, is associated with an elevated risk of developing enduring physical, psychological and social problems. Complex post-traumatic stress disorder (PTSD) is a disorder that can occur after prolonged and repeated trauma. At least 30% of the sexually abused population is male, but in spite of this fact, treatment research focusing on male victims is virtually non-existent in comparison to research on female victims.

Reflecting the potential role of family counselling in addressing emotional issues in Afghan youth

Working with family conflicts can be a challenging task for counsellors. In a collectivist society, such as Afghanistan, where interactions between people of the opposite sex are highly regulated, counselling sessions with an individual involved in a family conflict may not be very effective unless conducted in a culturally sensitive manner. As asking for help from professionals may be considered to be ‘lunatic’, as well as a potential threat to the honour of the family, family counselling is not often easy to carry out and may actually pose risks to the client and to the counsellor.

The impact of addiction on Afghan youths

Drug addiction is a problem in many countries, affecting many lives, damaging the addicted individual and affecting their families and communities. In underdeveloped countries, such as Afghanistan, there are often no appropriate systems for rehabilitating drug addicted people. Most hospitals tend to use detoxification as the main treatment programme, and there remains a large gap between demand and treatment services. In this case study, the author discusses the possibilities for dealing with the various causes of substance abuse and recommends solutions.

Active coping with trauma and domestic violence : How Afghan women survive

This personal reflection examines the author’s experience while conducting qualitative research on the traumatic life events and coping among the female workers in Kabul University’s dormitory for female students. It also describes the experiences of one of the study’s participants, a woman who suffered from severe domestic violence and enacted various ways of active coping.

Pages