Certainty of uncertainty in evacuation for threat driven response : principles of adaptive evacuation management for flood risk planning in the Netherlands

Evacuation is a measure taken to potentially reduce the loss of life and damage to movable goods. This thesis focuses on the Netherlands as a representative urbanized delta and flood risk management. The central element of this thesis is uncertainty. Evacuation has benefits but can be costly. Therefore, the decision to call for an evacuation due to the threat of flooding results in a crisis, by...

Implementing EMDR Early Mental Health Interventions for Man-Made and Natural Disasters : Models, Scripted Protocols and Summary Sheets

''In this latest insightful volume gathered and edited by Marilyn Luber, the authors have combined the lessons learned with personal accounts of how they proceeded. There is still much to be done to integrate mental health care effectively into disaster response worldwide, but this volume will help to point the way to best practices.''. - Robert Gelbach , PhD. Past Executive Director at EMDR...

Short-term psychotherapy for depression : broadening the field of efficacy research

Since early 1960, there has been research into the effectiveness of psychotherapy for depression. The aim of this thesis is to broaden the effectiveness research on short-term psychotherapy for depression by adding research findings on five aspects of this area, which can all play an important role in improving the care of patients with depression. Three of these aspects are related to short-term...

Vulnerability to posttraumatic stress disorder

Most individuals will experience a traumatic event during their lives and some will develop subsequent posttraumatic stress disorder (PTSD). PTSD is characterized by symptoms of re-experiencing the traumatic event, avoidance of reminders of the event, and hyperarousal symptoms. The thesis of Miriam Lommen describes six studies related to three different aims. First, two studies aimed to identify...

Programming effects of adversity on adolescent adaptive capacity

This thesis aimed to test the effects of stressful life events (adversity) on changes in adolescent adaptive capacity, that is, the ability of an individual to deal with his or her environment. Adaptive capacity was measured both in terms of temperament and in terms of physiological responses to a laboratory stress task. The main findings point out that adolescents who are exposed to stressful...

Treating complex traumatic stress disorders in children and adolescents : scientific foundations and therapeutic models

With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young...

Work engagement among employees facing emotional demands: The role of personal resources

This two-wave study examined work engagement as a function of personal resources and emotionally demanding conditions at work. We hypothesized that personal resources (self-efficacy and optimism) buffer the effect of emotional demands and emotion-rule dissonance on work engagement. Furthermore, we expected that emotional demands/dissonance boost the effect of personal resources on work engagement. One-hundred sixty-three employees, who provide service to customers, participated at both measurement times.

Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study

BackgroundIn the empirical and clinical literature, complex posttraumatic stress disorder (PTSD) and personality disorders (PDs) are suggested to be predictive of drop-out or reduced treatment effectiveness in trauma-focused PTSD treatment.ObjectiveIn this study, we aimed to investigate if personality characteristics would predict treatment compliance and effectiveness in stabilizing complex PTSD treatment.MethodIn a randomized controlled trial on a 20-week stabilizing group cognitive behavioral treatment (CBT) for child-abuse-related complex PTSD, we included 71 patients of whom 38 were ra

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