2015
DOI: 10.1080/10538712.2015.997412
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A Case Study of Social Cognitive Treatment of PTSD in a South African Rape Survivor: The Central Role of Case Formulation

Abstract: This is a systematic case study of the psychological assessment and treatment of Zinhle (19), a Black South African student with posttraumatic stress disorder, following a rape at age 10. Treatment was based on Ehlers and Clark's (2000) cognitive therapy, a flexible formulation driven model. The study documented the secondary trauma experienced by families following child sexual abuse and showed how treatment not only needed to target the trauma memory but also the ruptured relationships within and outside the… Show more

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Cited by 5 publications
(3 citation statements)
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References 38 publications
(61 reference statements)
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“…There are, however, a number of limitations in applying the existing evidence base to the South African context. Local PTSD treatment outcome research to date 12 South African Journal of Psychology largely constitutes case study evidence (e.g., Padmanabhanunni & Edwards, 2015;Payne & Edwards, 2010) which, while valuable, needs to be supplemented with RCTs that include both outcome evaluations of treatment effectiveness and implementation evaluations that examine the contextual and cultural 'fit' of the intervention. Without this, it is difficult to evaluate the transferability or exportability of evidence-based PTSD and C-PTSD treatments that have been developed outside the South African context.…”
Section: Resultsmentioning
confidence: 99%
“…There are, however, a number of limitations in applying the existing evidence base to the South African context. Local PTSD treatment outcome research to date 12 South African Journal of Psychology largely constitutes case study evidence (e.g., Padmanabhanunni & Edwards, 2015;Payne & Edwards, 2010) which, while valuable, needs to be supplemented with RCTs that include both outcome evaluations of treatment effectiveness and implementation evaluations that examine the contextual and cultural 'fit' of the intervention. Without this, it is difficult to evaluate the transferability or exportability of evidence-based PTSD and C-PTSD treatments that have been developed outside the South African context.…”
Section: Resultsmentioning
confidence: 99%
“…This means writing 'thick descriptions that include the detail, complexity, context, subjectivity, and multifaceted nature' (Fishman, 2013, p. 406) of the experiences being presented; that can engage readers in a manner that is 'compelling'; and that 'discloses, transforms and inspires' (Finlay, 2011, p. 26). For examples, see Edwards (2013), Padmanabhanunni and Edwards (2015), Payne and Edwards (2009) and Van der Linde and Edwards (2013).…”
Section: Data Condensationmentioning
confidence: 99%
“…On the other hand, evidence on how to decrease the negative impact of sexual violence has accumulated in other countries, suggesting that developing tailored programs can help young female sexual violence survivors in healing. Programs that integrate reflective writing and mindfulness meditation have been shown to be effective insofar as narrative therapy facilitates the healing process (Johnson, Holyoak, & Cravens Pickens, 2019), compassion‐focused therapy decreases shame and self‐blaming (McLean, Steindl, & Bambling, 2018), and cognitive therapy decreases post‐traumatic stress symptoms (Padmanabhanunni & Edwards, 2015).…”
Section: Introductionmentioning
confidence: 99%