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Narrative therapy strengths and limitations
Narrative therapy strengths and limitations
Narrative therapy strengths and limitations
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examining whether or not individual counseling could be useful in promoting community reintegration through psychosocial adjustment. In an RCT in Uganda, Ertl and colleagues (2011) found that groups exposed to short-term, narrative-based trauma therapy experienced a greater reduction in PTSD symptoms than groups in academic catch-up programs, or on the waitlist, in as few as eight sessions. These results are corroborated by findings from an RTC in the Democratic Republic of Congo, in which a similar narrative-based treatment was used specifically for ex-combatants (Hermenau, Hecker, Schaal, Maedl, & Elbert, 2013). Hermenau and colleagues (2013) found that those who participated in the therapy showed reduced PTSD symptoms, as well as reduced contact with current combatants, which may promote community reintegration by reducing the likelihood that the child will return to the armed forces. Overall, these two studies suggest that individual …show more content…
For example, research on western-based individual interventions is expanding despite results that indicate that culturally situated interventions, like cleansing rituals, are just as effective (Schultz, 2015) and feedback from people native to the areas who state that the communities would rather focus on group or community-based interventions (Betancourt et al., 2012). This paper does not escape this criticism, as the guidelines used to examine community reintegration practices were developed by a USAID, which is an agency within the United States government (Williamson, 2006). The creation of guidelines informed by the countries carrying out these practices would be an important step in ensuring that the needs and values of these countries are being met, without the prescription of western
PBS’ Frontline film “The Wounded Platoon” reviews the effects the Iraq war has had on soldiers as they return home and transition back into civilian life, focusing particularly on the rise in post-traumatic stress disorder (PTSD) among American military members from Fort Carson Army base (Edge, 2010). Incidents of PTSD have risen dramatically in the military since the beginning of the Iraq war and military mental health policies and treatment procedures have adapted to manage this increase (Edge, 2010). In “The Wounded Platoon,” many military personnel discuss how PTSD, and other mental health struggles, have been inadequately treated (if at all) by military mental health services. Reasons and Perdue’s definition of a social problem allows us to see inadequate treatment of PTSD among returning United States military members as a social problem because it is a condition affecting a significant number of people in undesirable ways that can be remedied through collective action (Reasons & Perdue, 1981).
Rothe, Eugenio M. "A Psychotherapy Model For Treating Refugee Children Caught In The Midst Of Catastrophic Situations." Journal Of The American Academy Of Psychoanalysis & Dynamic Psychiatry 36.4 (2008): 625-642. Academic Search Premier. Web. 2 May 2014.
Morley, Christopher, and Brandon Kohrt. "Impact of Peer Support on PTSD, Hope, and Functional Impairment: A Mixed-Methods Study of Child Soldiers in Nepal." Journal of Aggression, Maltreatment & Trauma. 22.7 (2013): 714-734. Web. 14 Apr. 2014. . Journal of Aggression, Maltreatment & Trauma&rft.issn=10926771>.
In this essay I shall make a critical comparison of different theories and approaches of community organising. By focusing on main aspects of Paulo Freire and Saul Alinsky’s models of community organising I shall discuss how applicable these models are in the UK. By drawing examples from experiences of applying Root Solution Listening Matters (RSLM) and Participatory Action Research (PAR) frameworks in my practice. I shall demonstrate relationships and differences between the two. By addressing key elements of theories of power and conflict I shall highlight the main characteristics of both and use these theories as lenses to view some problems in the communities. By comparing models of community enterprise I shall reflect on future opportunities of a budding community enterprise. Finally by outlining the methods of evaluation I shall reflect on my chosen framework for evaluation of my work.
...manifest developmental, behavioral, and emotional problems. This implies the interpersonal nature of trauma and may explain the influence of veteran Posttraumatic Stress Disorder on the child’s development and eventual, long-term and long-lasting consequences for the child’s personality. (ncbi.nlm.nih.gov/2525831).
Hundreds of thousands of United States veterans are not able to leave the horrors of war on the battlefield (“Forever at War: Veterans Everyday Battles with PTSD” 1). Post-traumatic stress disorder (PTSD) is the reason why these courageous military service members cannot live a normal life when they are discharged. One out of every five military service members on combat tours—about 300,000 so far—return home with symptoms of PTSD or major depression. According to the Rand Study, almost half of these cases go untreated because of the disgrace that the military and civil society attach to mental disorders (McGirk 1). The general population of the world has to admit that they have had a nightmare before. Imagine not being able to sleep one wink because every time you close your eyes you are forced to relive memories from the past that you are trying to bury deep. This is what happens to the unfortunate men and women who are struggling with PTSD. Veterans that are struggling with post-traumatic stress disorder deserve the help they need.
I believe that every citizen deserves good healthcare services regardless of his or her geographical area, income, or race. An underserved community is a community in which people are unable to obtain health care or have limited access to the health care system for different of reasons. These reasons include ethnic background, socioeconomic variables, lower salary in some areas, extreme weather, or other life circumstances that produces an uneven distribution of healthcare resources, including nurses. The individuals in underserved communities lack affordable comprehensive health insurance, have gaps in insurance, or are living in remote areas and unable to access care. Additionally, the lack of basic necessities such as money for food, medications,
Rosen’s study, focused on the root cause of PTSD, showed that stress (major anxiety or nightmares) shown by soldiers before sent into deployment lessened or deliquesced in 13% of soldiers (Herbert 2). Additionally, those that did develop severe PTSD had suffered emotional problems prior to deploy-ment—especially child-hood abuse or exposure to violence.
Bracken, Patrick and Celia Petty (editors). Rethinking the Trauma of War. New York, NY: Save the Children Fund, Free Association Books, Ltd, 1998.
These are the words of a 15-year-old girl in Uganda. Like her, there are an estimated 300,000 children under the age of eighteen who are serving as child soldiers in about thirty-six conflict zones (Shaikh). Life on the front lines often brings children face to face with the horrors of war. Too many children have personally experienced or witnessed physical violence, including executions, death squad killings, disappearances, torture, arrest, sexual abuse, bombings, forced displacement, destruction of home, and massacres. Over the past ten years, more than two million children have been killed, five million disabled, twelve million left homeless, one million orphaned or separated from their parents, and ten million psychologically traumatized (Unicef, “Children in War”). They have been robbed of their childhood and forced to become part of unwanted conflicts. In African countries, such as Chad, this problem is increasingly becoming a global issue that needs to be solved immediately. However, there are other countries, such as Sierra Leone, where the problem has been effectively resolved. Although the use of child soldiers will never completely diminish, it has been proven in Sierra Leone that Unicef's disarmament, demobilization, and reintegration program will lessen the amount of child soldiers in Chad and prevent their use in the future.
If nothing else is gleaned from this article, when we look at the “Nacirema”, American spelled backwards, we learn to have a more forgiving attitude when viewing other cultures we are unfamiliar with. Rituals that appear barbaric, or even silly can and most probably have a logical purpose within that particular people group. This change in the prevailing American attitude will go far to mend the fences that have been broken and heal the bonds of cooperation all without the need of a “latipso” (hospital).
Perkins, R. Repper, J. (1998) Dilemmas in Community Mental Health. Oxon: Radcliff Medical Press Ltd.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
Community Selection The government proposition is that locations are selected based on significant support shown from within the communities themselves. This willingness for support combined with high levels of welfare dependency, co-existing with drug and alcohol abuse, creates an environment in which the government feels obligated to intervene. This is the government’s position anyway.
Commitment to community is a requirement for contemporary Americans and vital to its survival. “Love thy neighbor as thyself” is the unselfish act of sharing: from a cup of sugar to a wealth of information to the guardianship of all children involved and the protection of every individual in that said community. Whether that community consists of the “Classic Neighborhood, those with a common set of goals, or those who share a common identity” the thread that holds this matrix together is always woven into the shared identity as well as responsibility of all involved. (Redmond, 2010). A community cannot continue to exist through the will of withdrawn individuals who arms only embrace themselves and have no involvement whatsoever with neighbors one door away.