Applying recovery principles to the treatment of trauma.

Smith, Jasset C.; Hyman, Scott M.; Andrés-Hyman, Raquel; Ruiz, Jessica; Davidson, Larry

doi:10.1037/pro0000105

Cited by 7 publications

(3 citation statements)

References 72 publications

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“…This need for co-authored meaning reconstruction is especially salient in non-Western communities of a collectivist nature and can be fostered through adaptive within-group coping strategies that can help restore connectedness, trust, and safety in shattered communities [4,21]. As the field of trauma recovery moves toward considering the ability to make sense of the trauma as a central aspect of survivors' healing [22,23], understanding meaning-making as socially construed provides opportunities for individual and community healing [19].…”

Section: Introductionmentioning

confidence: 99%

‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective Trauma

Matos

Costa

Park

et al. 2021

IJERPH

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The centrality of the collective to Syrian identity and the ability of war to disrupt community ties have led to significant violations of Syrians’ pre-war assumptions about themselves, the world, and their place in the world. Guided by the integrated meaning-making model, this qualitative cross-sectional study assessed Syrian refugees’ meaning trajectories through their reappraisals of the war, attempts to repair community-informed shattered meanings, and those processes’ outputs (i.e., meanings-made) and outcomes (i.e., perceived psychological adjustment). We conducted semi-structured cognitive interviews with 39 Syrian war-exposed adults living in urban communities across Portugal, most of whom were beneficiaries of higher education programs for refugees. Interviews were analyzed through thematic analysis. Results suggest that the war severely disrupted Syrians’ sense of collective self, and that they repeatedly engaged in search for meaning, appraisals of the war, and reappraisals of shattered beliefs, life goals, and sense of purpose, both during wartime and in resettlement. In Portugal, despite persistent negative beliefs about the collective and ongoing and distressing searches for meaning, participants’ lived experiences concomitantly informed positive meaning reappraisals, including progressive restoration of worldviews, new opportunities for self-realization, and newly-found purpose, leading to perceived psychological benefits and growth. These findings suggest that meaning-making is both a trajectory and a dynamic process, informed by place and sociopolitical context. Clinical work to facilitate adaptive meaning-making and meaning-informed psychosocial interventions that help restore refugees’ shattered beliefs about safety, predictability, trust, and belonging, may be helpful directions to promote positive psychological adjustment and improve long-term integration prospects in refugees.

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Section: Introductionmentioning

confidence: 99%

‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective Trauma

Matos

Costa

Park

et al. 2021

IJERPH

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“…There is a compelling evidence base to demonstrate that traumatic experiences are relatively common occurrences among clinical and general populations (Smith et al, 2016) and are associated with a number of persistent mental health difficulties including posttraumatic stress disorder (PTSD), complex posttraumatic stress disorder (CPTSD), major depressive disorders, anxiety disorders and psychosis (APA, 2013;Maercker et al, 2018;van der Kolk, 2005), as well as physical illness, disease and disability (Felitti and Anda, 2010).…”

Section: Introductionmentioning

confidence: 99%

Sensory-based interventions with adult and adolescent trauma survivors

McGreevy

Boland

2020

IJOT

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Purpose An emerging evidence base, and increased awareness of the effects of trauma on the body, advocates a sensory-based approach to treatment with posttraumatic stress and complex trauma survivors. This paper aims to identify, analyse and summarise the empirical evidence for the sensory-based interventions, which occupational therapists are using in the treatment of adult and adolescent trauma survivors. Design/methodology/approach An integrative review of the literature was undertaken. Both empirical and conceptual papers were included. An inductive approach and constant comparative method were used to understand and synthesise the research. Findings The literature search yielded 18 papers describing the types of sensory-based interventions used, sensory processing (SP) patterns and the context and evidence for sensory-based occupational therapy practice with trauma survivors. Nine of the studies were empirical and nine were conceptual and review papers. Themes identified included: atypical SP patterns; type of sensory-based intervention used with trauma survivors; and transdisciplinary treatment programmes can reduce the symptoms of trauma. Practical implications Sensory-based interventions with adult and adolescent trauma survivors are emerging as promising areas of practice and research in the literature. Although empirical data is limited, the sensory needs of the body in processing trauma experiences is becoming more recognised and are supported by the atypical SP patterns identified in survivors. A sensory-based, transdisciplinary approach to treatment has the potential to be effective in treating the trauma survivor. Originality/value With a skill base in sensory integration and occupational analysis, occupational therapists have much to offer the field of trauma studies. This review begins to address the gap in the literature, recommending more rigorous controlled outcome research with larger sample sizes, person-centred studies focussing on the trauma survivor’s perspective and continuing professional development and mentorship for occupational therapists working with this population.

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“…However, there is little knowledge on how people consolidate and continue the positive processes of change that they initiated during their mental healthcare. There is also a need for knowledge that integrates trauma-informed approaches to the basic principles of personal recovery (Smith et al., 2016). In this article, we hope to expand on this knowledge by exploring 13 female trauma survivors’ lived experiences of working towards recovery one year after participation in a stabilization group.…”

Section: Introductionmentioning

confidence: 99%

The role of therapy in personal recovery – Trauma clients’ use of resources to continue positive processes following group therapy

Stige¹,

Binder

Veseth

2017

Qualitative Social Work

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Traditionally, there has been a sharp division between ‘personal’ and ‘clinical’ recovery. What role, then, might therapy play in personal recovery? To explore how female adult trauma survivors experience working towards recovery after participation in trauma-specific group therapy, we carried out semi-structured qualitative interviews with 13 clients one year after their completion of a stabilization group approach. A hermeneutic-phenomenological approach was used to analyze interview transcripts. After therapy, the participants consolidated and continued their positive processes of change. Experiences from therapy gave rise to personal recovery processes that were categorized into two main themes: “tapping into pre-therapy resources” and “using therapy-related resources.” Therapy might play an important role in personal recovery through helping clients to rediscover and utilize existing resources, as well as being a source of new resources. The participants were active agents in this recovery, putting their therapies to use in the context of their daily living.

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Applying recovery principles to the treatment of trauma.

Cited by 7 publications

References 72 publications

‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective Trauma

‘The War Made Me a Better Person’: Syrian Refugees’ Meaning-Making Trajectories in the Aftermath of Collective Trauma

Sensory-based interventions with adult and adolescent trauma survivors

The role of therapy in personal recovery – Trauma clients’ use of resources to continue positive processes following group therapy

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