Guest editorial: Deconstructing disorder: An ordered reaction to a disordered environment

Rosenthal, Marina N.; Reinhardt, Kristen M.; Birrell, Pamela J.

doi:10.1080/15299732.2016.1103103

Cited by 10 publications

(5 citation statements)

References 10 publications

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“…The coping literature uses adaptive and maladaptive coping concepts, aiming to predict outcomes of coping types and make treatment recommendations. Unfortunately, however, the use of these concepts may have the unintended consequence of pathologizing trauma recovery in a few ways [22]. GBV impacts survivors at multiple levels (mental, emotional, spiritual, and social).…”

Section: The Trauma Recovery Actions Conceptmentioning

confidence: 99%

The Trauma Recovery Actions Checklist: Applying Mixed Methods to a Holistic Gender-Based Violence Recovery Actions Measure

Šinko

Goldner

Arnault

2021

Sexes

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Gender-Based Violence (GBV) trauma recovery models have evolved in such a way that survivors are viewed as actively engaging in a multitude of strategies. In addition to seeking help and coping, survivors engage in diverse lifestyle, social, spiritual, and practical strategies to promote their health and wellbeing. This exploratory sequential mixed-methods study develops an instrument to measure the holistic recovery actions used by GBV survivors. The qualitative phase combined recovery action codes from interviews with 50 GBV survivors in three different survivor samples to create an initial six-concept 41-item Trauma Recovery Actions Checklist (TRAC). The quantitative psychometrics phase used data from 289 American GBV survivors. Results revealed a five-factor 35-item final version (sharing/connecting; building positive emotions; reflecting and creating healing spaces; establishing security; and planning the future). There were positive significant correlations between sharing/connecting and depression scores, and between sharing/connecting, reflecting, and building security with PTSD scores. No correlations were found between any recovery action type and the barriers to help-seeking subscales of Problem Management Beliefs, Discrimination, or Unavailability. However, there were significant negative correlations between Shame and Financial barriers and Sharing/Connecting, and between Feeling Frozen, Constraints, and Establishing Security. Implications for research, clinical practice and ways of understanding survivorship recovery are suggested.

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Section: The Trauma Recovery Actions Conceptmentioning

confidence: 99%

The Trauma Recovery Actions Checklist: Applying Mixed Methods to a Holistic Gender-Based Violence Recovery Actions Measure

Šinko

Goldner

Arnault

2021

Sexes

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“…In contrast to distancing themselves from cases, this finding suggests clinicians have superior abilities to engage and develop therapeutic alliance, central predictors of positive therapeutic outcome (Messer & Wampold, 2002), with controls. In a related vein, the word ‘problem’, a word prominently for cases, contrasts with the word ‘symptom’, a potentially less pathologizing term (Rosenthal et al, 2016) used prominently for controls. This finding further intimates that clinicians have a more supportive relationship, including improved countertransference and alliance patterns, with controls than cases.…”

Section: Discussionmentioning

confidence: 99%

Dynamic suicide topic modelling: Deriving population‐specific, psychosocial and time‐sensitive suicide risk variables from Electronic Health Record psychotherapy notes

Levis

Levy

Dufort

et al. 2023

Clin Psychology and Psychoth

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In the machine learning subfield of natural language processing, a topic model is a type of unsupervised method that is used to uncover abstract topics within a corpus of text. Dynamic topic modelling (DTM) is used for capturing change in these topics over time. The study deploys DTM on corpus of electronic health record psychotherapy notes. This retrospective study examines whether DTM helps distinguish closely matched patients that did and did not die by suicide. Cohort consists of United States Department of Veterans Affairs (VA) patients diagnosed with Posttraumatic Stress Disorder (PTSD) between 2004 and 2013. Each case (those who died by suicide during the year following diagnosis) was matched with five controls (those who remained alive) that shared psychotherapists and had similar suicide risk based on VA's suicide prediction algorithm. Cohort was restricted to patients who received psychotherapy for 9+ months after initial PTSD diagnoses (cases = 77; controls = 362). For cases, psychotherapy notes from diagnosis until death were examined. For controls, psychotherapy notes from diagnosis until matched case's death date were examined. A Python‐based DTM algorithm was utilized. Derived topics identified population‐specific themes, including PTSD, psychotherapy, medication, communication and relationships. Control topics changed significantly more over time than case topics. Topic differences highlighted engagement, expressivity and therapeutic alliance. This study strengthens groundwork for deriving population‐specific, psychosocial and time‐sensitive suicide risk variables.

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“…There is an emphasis on responding more appropriately to individual pathology. This is in contrast to models of trauma-informed care, and a long history of clinical work and research, that emphasize connecting personal experiences to broader social systems that give rise to trauma and oppression, victim/survivor empowerment, and relationship building (Gómez, Lewis, Noll, Smidt, & Birrell, 2016;Rosenthal, Reinhardt, & Birrell, 2016). It appears that for many a key component of trauma-informed care is providing trauma-focused evidence-based mental health treatments (i.e., treatments designed specifically to address trauma symptoms, such as trauma-focused cognitive behavior therapy) or general treatments that are believed to benefit trauma survivors as well as the rest of the population (such as regular cognitive behavior therapy).…”

mentioning

confidence: 97%

As the world becomes trauma–informed, work to do

Becker‐Blease

2017

Journal of Trauma & Dissociation

107

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The term trauma-informed is trending. Google searches for the term traumainformed care have been measurable since at least 2004, with a noticeable uptick since 2011. Google trends also show a disproportionate interest in the United States, perhaps in part because of national efforts from the National Center for Trauma-Informed Care and the National Child Traumatic Stress Network, both funded by the Substance Abuse and Mental Health Services Administration, and other national efforts (Hanson & Lang, 2016). Google also shows more people searching for trauma-informed care, particularly in a few states that include Wisconsin and Oregon, perhaps in part because of the efforts of public health agencies in these states to promote trauma-informed mental health services.This growing awareness of trauma is associated not just with mental health care but with a wide variety of systems, including child welfare services, the criminal justice system, the physical health care system, the military, schools and universities, and society generally (e.g., Trauma Informed Oregon, http://traumainformedoregon.org/). For trauma victims/survivors who for so long have had their experiences denied in so many different settings, trauma-informed systems carry incredible potential for good.However, to protect and nurture that potential, we readers of the Journal of Trauma & Dissociation must work together with our colleagues to critically engage with the devils in the details. As we Journal of Trauma & Dissociation readers know, and numerous scholars have documented so well, cultural awareness of trauma and its effects waxes and wanes (e.g.,

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Guest editorial: Deconstructing disorder: An ordered reaction to a disordered environment

Cited by 10 publications

References 10 publications

The Trauma Recovery Actions Checklist: Applying Mixed Methods to a Holistic Gender-Based Violence Recovery Actions Measure

The Trauma Recovery Actions Checklist: Applying Mixed Methods to a Holistic Gender-Based Violence Recovery Actions Measure

Dynamic suicide topic modelling: Deriving population‐specific, psychosocial and time‐sensitive suicide risk variables from Electronic Health Record psychotherapy notes

As the world becomes trauma–informed, work to do

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