Spirit Possession and Exorcism in the Treatment of a Bedouin Psychiatric Patient

A male Bedouin psychiatric patient was initially misdiagnosed and treated as a paranoid schizophrenic. The modern mental health care system correctly understood the form of the patient's symptoms, auditory and visual hallucinations. It did not however at first appreciate their content, or cultural significance. The patient had unresolved anger toward his family which was manifested in an angry exchange with his mother. This exchange created guilt and the belief that the patient had sinned against God and was possessed by demons. A psychiatric social worker was able to reconcile the patient with his mother and to incorporate a traditional Bedouin healer, the Dervish, to exorcise the patient. The patient was cured by the Dervish, re-diagnosed as a neurotic by the modern system, and continued successfully with both systems for several months in follow-up treatment before being discharged.     

Adolescents' Willingness to Vote for a Woman for President:

During the past two decades there has been an increase in the number of women who campaign for and attain political office. This clearly has the potential to influence attitudes toward women in politics. In particular, it has the potential to influence the attitudes of adolescents, who, according to socialization theory, are especially affected by role models. In this study we used a quasiexperimental design to examine adolescents' attitudes toward female political candidates. We found that the junior and senior high school students we surveyed did not, as a group, use candidate sex as a voting cue. However, females were more willing than males and blacks were more willing than whites to vote for the female candidate.     

“我以我身换儿生”(英文)

她是一位非常普通的女性.她的生活也并无特殊之处,但她是一位非常伟大的母亲。看完她的故事之后.相信你会动容……     

Marital Therapy,EMDR, Herman's Model of Recovery from Trauma The Journey of One Woman and Her Family

Judith Herman (1992, page 183) delineates a three stage model of recovery from trauma: 1) Safety, 2) Remembrance and Mourning, 3) Reconnection. She criticises current treatment methods for their failure to make a difference in the “constrictive symptoms of numbing and social withdrawal … and marital, social and work problems do not necessarily improve”. Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counselling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for “family therapy” are raised.     

The State of Indian Exorcism: Violence and Racial Formation in Eastern Brazil

As in various parts of the Western Hemisphere, the indigenous population of eastern Brazil has increased rapidly in recent decades. Based on over fifty in-depth interviews that I conducted with eastern Indians and the twelve months I spent living in their households and communities between 1994 and 1997, I discovered that much of this demographic phenomenon has been fueled by increasing numbers of individuals self-identifying as Indian who had not always identified as such or their parents had not identified as Indian. A number of lay people and scholars have argued that this shift in the direction of racial formation has been driven by state induced material incentives. Yet my ethnographic data, which I detail in great depth in this article, suggests that in terms of the material factors responsible for Indian resurgence that the state's sticks have been a much more significant variable than the state's racializing carrots. In other words, I found that the fundamental change in state practices in eastern Brazil has been in the drastic reduction of the costs of being Indian. Thus I posit and demonstrate how one of the primary variables behind this demographic shift has been the reduction of state led and sanctioned anti-Indian violence in eastern Brazil.     

Haunting and the Aesthetics of Trauma in A Woman in Berlin and For Those Who Can Tell No Tales: Redefining Cultural Memory

ABSTRACT

This paper offers a comparative analysis of the aesthetics of trauma in the German film A Woman in Berlin and the Bosnian film For Those Who Can Tell No Tales, both of which address wartime rapes that happened in mid-to late twentieth century Europe. We use trauma studies as well as Avery Gordon's sociological theory of haunting to examine how two historical episodes of war-time rape (post-WWII Germany and late twentieth century Bosnia) have created ghostly effects that can be seen in the periodic return to these histories through artistic productions. Gordon argues that a traumatic past continues to co-exist with the present in the form of ghosts; thus, we need to produce case studies of haunting that attend to the social and political effects/affects of the ghostly and how they complicate our accounts of social trauma and oppression. We focus on: (1) the national and transnational reception of the two narratives; (2) the films’ similarities and differences regarding the cinematography of trauma, narrative styles used and female agency; and (3) masculinity and the male voices’ ‘right’ to tell a story. We conclude by addressing the limits of representation in both films and their role in challenging the dominant cultural memory.     

Experiences of Stress in a Trauma Treatment Course

This study explores the reactions of social work students in a course on trauma treatment and how those reactions changed over time. Consensual qualitative research methods were used to analyze 17 participant journals submitted at 4 times during the course. Findings indicate that students experienced a range of responses to traumatic material, including both positive and negative emotional, cognitive, behavioral, physical, and relational reactions. Student survivors of trauma reported reactions related to their own trauma. Although student reactions became less acute over time during the course, recommendations for the pedagogy of trauma are offered, including curriculum related to the management of vicarious and secondary trauma reactions as well as the development of evidence-based practices for self-care.     

Developing Self-Care Practices in a Trauma Treatment Course

This article describes the development of self-care practices of social work students who were part of a larger study of students’ experiences in a graduate course on the treatment of trauma. Consensual qualitative research methods were used to analyze 17 participant journals submitted at 4 times during the course. Findings indicated that students benefited from being introduced to evidence-based practices for mediating the stress of trauma education, including journaling and mindfulness-based stress reduction. Although students reported struggling with developing effective self-care practices, they demonstrated an ability to integrate self-care into their professional practice behaviors. The authors review recommendations for research and pedagogy of self-care practices in courses on trauma treatment.     

Trauma Screening in Students Attending a Medical University

Abstract

Clinicians seldom assess trauma history in patients who seek treatment for psychological problems, yet trauma exposure is often related to psychological distress. Assessing trauma history can provide valuable information for treatment conceptualization and provision, although patients may not spontaneously share their histories because of embarrassment, avoidance, or other concerns. The authors compared 73 students at a southeastern US medical university who sought counseling and psychological services and completed intake paperwork without a trauma screen with 130 students whose intake procedures included trauma screening. They found that (a) patients who were specifically asked about trauma history were more likely to report such events, (b) previous physical assaults with a weapon were related to current psychological distress, and (c) physical assaults with or without a weapon were related to clinically significant psychological distress. These findings suggest that screening for lifetime trauma history should be a standard part of mental health screenings in similar medical university counseling centers.     

Trauma screening in students attending a medical university

Clinicians seldom assess trauma history in patients who seek treatment for psychological problems, yet trauma exposure is often related to psychological distress. Assessing trauma history can provide valuable information for treatment conceptualization and provision, although patients may not spontaneously share their histories because of embarrassment, avoidance, or other concerns. The authors compared 73 students at a southeastern US medical university who sought counseling and psychological services and completed intake paperwork without a trauma screen with 130 students whose intake procedures included trauma screening. They found that (a) patients who were specifically asked about trauma history were more likely to report such events, (b) previous physical assaults with a weapon were related to current psychological distress, and (c) physical assaults with or without a weapon were related to clinically significant psychological distress. These findings suggest that screening for lifetime trauma history should be a standard part of mental health screenings in similar medical university counseling centers.     

Dyadic Traumatic Reenactment: An Integration of Psychoanalytic Approaches to Working with Negative Interaction Cycles in Couple Therapy with Childhood Sexual Abuse Survivors

Childhood sexual abuse (CSA) survivors often face difficulties in their intimate relationships and struggle to engage in the process of couple therapy. Recent research has demonstrated that the negative interaction cycles of CSA survivors are more complex and entrenched than those of couples who do not present with a history of trauma (MacIntosh in J Couple Fam Psychoanal 3(2):188–207, 2013). This paper integrates the psychoanalytic concepts of repetition and enactment into the concept of the negative interaction cycle as articulated by Emotionally Focused Therapy (EFT), to provide an expanded understanding of these deeply entrenched dynamics in which the traumas of the past are embedded. The complex repetitions of early traumas in the negative interaction cycle of the couple are referred to as Dyadic Traumatic Reenactments (DTR). Two contrasting case studies are used to illustrate these concepts.     

Complex Responses to Trauma: Challenges in Bearing Witness

This paper explores variability in family and individual response to trauma. The discussion draws on results from a study that investigated family adaptation to traumatic brain injury (TBI) and also refers to literature on the Holocaust. Outcomes to trauma are complex and it is argued here that hope can coexist with despair (within families and within particular individuals). The challenge for therapists in bearing witness to testimony following significantly traumatic events is also explored.     

Education and Change in American Opinions on a Woman for President

Abstract During the early 1970s, the increase in willingnessof Americans to vote for a woman for president was directlyrelated to education and contrasts with the inverse relationshipbetween education and increasesin willingness to vote for ablackforpresident.The contrast indicates that on some issues, the relationshipbetween education and "enlightened" opinions is variable andcharacterizes mainly the middle stages of such issues' lifehistories.     

Fifty Shades Flipped: Effects of Reading Erotica Depicting a Sexually Dominant Woman Compared to a Sexually Dominant Man

The present study examined the effects of reading submission- and dominance-themed erotica on attitudes toward women and rape, ideal partner preferences, and subjective sexual arousal. Heterosexual male (n = 241) and female (n = 240) participants read one of three erotic stories depicting male dominance, female dominance, or no dominance, or a fourth nonerotic control story. First, we found that after reading about a sexually dominant man, women reported increased benevolent sexism compared to men, and men reported increased rape myth acceptance compared to women. Second, men and women showed a similar level of preference for partner dominance after reading about a sexually dominant woman. This was in contrast to the typical pattern revealed in all other conditions, whereby women were more likely to favor dominant partners relative to men. Finally, we found no evidence to support the hypothesis that the story describing male dominance would be the most arousing. Rather, all three erotic stories were equally sexually arousing compared to the control condition, and men and women did not differ in the extent to which the erotic stories aroused them. Theoretical and practical implications are discussed.     

Implementing a Trauma Recovery Framework for Youths in Residential Treatment

This paper describes an intervention designed to address the special needs of youths with histories of maltreatment and exposure to family and community violence. The primary components of the model include an enhanced therapeutic community environment and a psychoeducation program that is aimed at changing non-adaptive cognitive and behavioral patterns which developed as means of coping with traumatic experiences. The implementation of the model and proximal effects on the therapeutic communities and youths are being examined in comparison to standard residential services. Initial perceptions of staff illustrate the challenges in applying an intervention that calls for changing the organizational culture.     

Supervisors’ Perception of Vicarious Trauma and Growth in Australian Refugee Trauma Counsellors

ABSTRACT

Vicarious trauma is a well-accepted phenomenon supported by more than 20 years of research, yet the body of research on the positive impact, known as vicarious post-traumatic growth, is relatively small. Based on a metasynthesis of qualitative peer-reviewed vicarious trauma studies, Cohen and Collens propose a model of the co-occurrence of vicarious trauma and vicarious post-traumatic growth. This model was examined through a qualitative study involving 11 interviews with supervisors of refugee trauma counsellors working in Forum of Australian Services for Survivors of Torture and Trauma (FASSTT) member agencies. This research project both reviewed the model from the perspective of experienced supervisors and illuminated what occurred within the supervision process to manage vicarious trauma and encourage vicarious post-traumatic growth. While the research project affirmed aspects of the model, the failure of the model to consider socio-political factors limited its applicability to FASSTT agencies.

IMPLICATIONS

• FASSTT clinical supervisors engage in supervision in a manner that may assist counsellors to process how their clients’ trauma disclosures impact on their levels of stress and change their perception of self, their role, and their worldview.

• Including recognition of the influence of the socio-political context of refugee trauma and trauma recovery may be an important additional component of supervision practice.

     

Factors Related to the Delivery of Trauma Services in Outpatient Treatment Programs

In recent years there has been growing recognition of the role of trauma in substance abuse treatment; however, only 20% of outpatient treatment programs report offering trauma services. We conducted a secondary analysis of the 2012 National Survey of Substance Abuse Treatment Services (N-SSATS) and explore how demographic, population served, and organization variables distinguish those programs that offer trauma services from those that do not. In this article, we present the findings, which revealed that organizational structure, process, and population served variables were the most important predictors of trauma services. Implications for social work practice in the addictions are discussed.     

(Muslim) Woman in Need of Empowerment

Why, in the current geo-political and strategic context seemingly in stark contrast to the “War on Terror,” does the emphasis on women in US foreign policy persist? Why the repeated references to the vulnerability of women who “need” US help to become “empowered” in the countries of the Arab Spring? An examination of US policymakers’ discourses indicates a neo-orientalist biopolitical construction of the (Muslim) female population as one in perpetual need of “empowerment,” presumably by American or western benefactors. Public statements by US foreign policy officials, discussions of government programs and Congressional testimony add to the repertoire of a western-constructed archaeology of neo-orientalist knowledge of Islam. Further, these gendered discursive “imperial encounters” create open-ended possibilities for US interventionist policies in the region for years to come. The Arab (Muslim) woman may have participated in sparking and sustaining revolutions and even bringing down dictators, but she must still be trained and taught – by Americans or westerners. The sometimes didactic, often foreboding “concern” for her empowerment is more nuanced, but no less significant, than the professed commitment to “saving” her as justification for military operations in the heyday of the War on Terror.     

Trauma reactions of bystanders and victims to repetitive abuse experiences

This study investigated psychological distress as measured by the Impact of Events Scale-Revised and physiological reactivity as measured by skin conductance and heart rate in bystanders as compared to direct victims of prevalent forms of repetitive abuse (e.g., bullying). Participants (N = 77) were interviewed twice: once to recall witnessing another person be abused repeatedly over time, and again to recall similar experiences as a victim. Present levels for bystander and victim distress were not significantly different, but distress levels were significantly greater for victim experiences at the time the repetitive abuse occurred. Scores for both groups were comparable to or exceeded scores associated with natural disasters and other life threatening experiences reported in the literature. Findings suggest repetitive abuse may affect bystanders and victims in similarly serious ways at the time the events occur and later in life.