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Çözümler-İstisnalar ya da Travmanın Detayları: Travma Bağlantılı Müdahalelerin Odağı Ne Olmalı?

Year 2024, Volume: 6 Issue: 2, 183 - 190, 27.06.2024
https://doi.org/10.35365/ctjpp.24.2.09

Abstract

Yaygınlığının yanısıra ilişkili olumsuz çıktıları dolayısıyla travmatik deneyimler önemli bir halk sağlığı sorunu olarak kabul edilmektedir. Bu makalede, travma müdahalesinde çözüm odaklı yaklaşımın doğrudan travma deneyimine odaklanan geleneksel yaklaşımlar ile kimi farklılıklarının ilgili literatür yoluyla incelenmesi hedeflenmiştir. Konunun hem klinik pratikler açısından hem de gelecek araştırmalara yol açma potansiyeli ile incelenmeye değer olduğu düşünülmüştür. Geleneksel yaklaşımlarda travmanın ayrıntılarının konuşulmasının önemi savunulsa da, travma sonrasındaki başa çıkmakla ilgili istisna zamanlara ve danışanın travma sonrası başarılarına odaklanan çözüm odaklı yaklaşımın etkililiğine işaret eden literatür dikkat çekmektedir. Yanısıra literatürde geleneksel travma odaklı müdahalelerin olası olumsuz çıktılarının altı çizilmektedir. Travmaya maaruz kalmanın ezici çaresizlik ve/veya umutsuzluk gibi duygular içeren olumsuz bir ruh hali yaratma potansiyeli göz önüne alındığında, travmanın detaylarına odaklanmayan, danışanı güçlendirmeye ve umudun inşasına odaklanan çözüm odaklı yaklaşımın çoğu vakada daha başarılı sonuçlar getireceği açıkça anlaşılmaktadır. Aynı zamanda bağlantılı literatürdeki çözüm odaklı yaklaşımla travma müdahalelerine dair etkililik çalışmalarının da bu sonuç ile parallel olduğu söylenebilir.

Supporting Institution

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Project Number

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Thanks

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  • Froerer, A. S., Von Cziffra-Bergs, J., Kim, J. K., & Connie, E. E. (2018). Solution-Focused Brief Therapy with clients managing trauma. Oxford University Press
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Solutions-Exceptions or Details of Trauma: What should be the Focus of the Trauma Related Interventions?

Year 2024, Volume: 6 Issue: 2, 183 - 190, 27.06.2024
https://doi.org/10.35365/ctjpp.24.2.09

Abstract

Because of the extensiveness beside associated negative outcomes, traumatic experiences are accepted as serious public health issues. In this article, examination of certain differences of the solution-focused approach in trauma intervention with traditional approach that directly focuses trauma experience via related literature is targeted. It is thought that the topic worth to examine regarding clinical practice and the potential to lead future researches. Even though traditional approaches argues the importance of talking about details of trauma, the literature which points out the effectiveness of solution focused approaches that focus exceptional times and accomplishments of client after trauma attracts attention. Besides, in the literature the possible adverse negative outcomes of traditional trauma focused interventions have been highlighted. When the potential of trauma exposure to create adverse mood condition with overwhelming feelings of helplessness and/or hopelessness is considered, it became obvious that the solution focused approach, -which focus on the construction of hope, and empowering the client- will bring more outcomes that are successful for most of the cases. Besides, it can be said that the effectiveness studies in related literature regarding trauma interventions via solution focused approaches are parallel with this conclusion.

Project Number

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References

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  • Al Jowf, G.I., Ahmed, Z.T., An, N., Reijnders, R.A., Ambrosino, E., Rutten, B.P.F., de Nijs, L., & Eijssen, L.M.T. (2022). A public health perspective of Post-Traumatic Stres Disorder. Int. J. Environ. Res. Public Health, 19, 6474.
  • American Psychiatric Association [APA]. (2013). Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5). Washington, American Psychiatric Association.
  • American Psychiatric Association [APA]. (2022). Diagnostic and Statistical Manual of Mental Disorders 5th edition Text Revision (DSM-5-TR). American Psychiatric Association.
  • Bannink, F. P. (2008). Posttraumatic success: Solution-Focused brief therapy. Brief Treatment and Crisis Intervention, 8(3), 215-225. https://doi.org/10.1093/brieftreatment/mhn013
  • Beck, J.S. (2020). Cognitive Behavior Therapy: Basics and Beyond. Guilford Publications. Belsher, B., Beech, E., Evatt, D., Rosen, C. S., Liu, X., Otto, J., & Schnurr, P. P. (2017). Present Centered Therapy (PCT) for post-traumatic stres disorder (PTSD) in adults (protocol). Cochrane Database of Systematic Reviews, 2017(12), 1-13. https://doi.org/doi.org/10.1002/14651858.CD01 2898
  • Bisson, J. I., Roberts, N. P., Andrew, M., Cooper, R., & Lewis, C. (2013). Psychological therapies for chronic post-traumatic stres disorder (PTSD) in adults (review). Cochrane Database of Systematic Reviews, (12), 1-242. https://doi.org/10.1002/14651858.CD003388. pub4. www.cochranelibrary.com
  • Bohus, M., Dyer, A.S., Priebe, K., Krüger, A., Kleindienst, N., Schmahl, C., Niedtfeld, I., & Steil, R. (2013). Dialectical behaviour therapy for post-traumatic stres disorder after childhood sexual abuse in patients with and without borderline personality disorder: a randomized controlled trial. Psychotherapy & Psychosomatics, 82, 221-233. https://doi:10.1159/000348451.
  • Cepukiene, V., Pakrosnis, R., & Ulinskaite, G. (2018). Outcome of the solution-focused self-efficacy enhancement group intervention for adolescents in foster care setting. Children and Youth Services Review, Elsevier, vol. 88(C), pages 81-87. https://doi.org/10.1016/j.childyouth.2018.03.004
  • Cepukiene, V., & Pakrosnis, R. (2011). The outcome of Solution-Focused Brief Therapy among foster care adolescents: The changes of behavior and perceived somatic and cognitive difficulties. Children and Youth Services Review, 33(6), 791-797. https://doi.org/10.1016/j.childyouth.2010.11.027
  • Cloitre, M. (2015). The “one size fits all” approach to trauma treatment: should we be satisfied? European J. of Psychotraumatology, 6, 1, https://doi.org/10.3402/ejpt.v6.273 44
  • Coulter, S. (2014). The applicability of two strengths-based systemic psychotherapy models for young people following type I trauma. Child Care in Practice, 20(1), 48-63, https://doi.org/10.1080/13575279.2013.847057
  • De Jong, P., & Berg, I. K. (2013). Interviewing for solutions (4th. ed.). Brooks/Cole. De Shazer, S., Berg, I. K., Lipchik, E., Nunnally, E., Molnar, A., Gingerich, W., & Weiner-Davis, M. (1986). Brief therapy: focused solution development. Family Process, 25(2), 207-221. https://doi.org/10.1111/j.1545-5300.1986.00207.x Eads, R. & Lee, M. Y. (2019). Solution Focused Therapy for trauma survivors: a review of the outcome literature. Journal of Solution Focused Practices, 3(1), Article 9. https://digital scholarship.unlv.edu/journalsfp/vol3/iss1/9
  • Ehring T., Welboren R., Morina N, Wicherts J. M., Freitag J., & Emmelkamp P. M. G. (2014). Meta-analysis of psychological treatments for posttraumatic stres disorder in adult survivors of childhood abuse. Clinical Psychology Review, 34, 645–657.
  • Forman-Hoffman, V., Middleton, J.C., Feltner, C., Gaynes, B.N., Weber, R.P., Bann, C., Viswanathan, M., Lohr, K.N., Baker, C., & Green, J. (2018). Psychological and pharmacological treatments for adults with posttraumatic stress disorder: a systematic review update. Agency for Healthcare Research and Quality (US): Rockville, MD, USA. https://doi.org/10.23970/AHRQEPCCER207
  • Franklin, C., Zhang, A., Froerer, A., & Johnson, S. (2017). Solution Focused Brief Therapy: a systematic review and meta-summary of process research. J Marital Fam Ther., 43(1), 16-30. https://doi.org/10.1111/jmft.12193. Epub 2016 Oct 19. PMID: 27757976. Fredrickson, B. L. (2000). Cultivating positive emotions to optimize health and well-being. Prevention & Treatment, 3(1). https://doi.org/10.1037/1522-3736.3.1.31a
  • Frewen, P., Schmahl, C., & Olff, M. (2017). Interdisciplinary approaches to understand traumatic stress as a public health problem. Eur. J. Psychotraumatol., 8, 1441582.
  • Froerer, A. S., Von Cziffra-Bergs, J., Kim, J. K., & Connie, E. E. (2018). Solution-Focused Brief Therapy with clients managing trauma. Oxford University Press
  • Frost N. D., Laska K. M., & Wampold B. E. (2014). The evidence for present-centered therapy as a treatment for posttraumatic stress disorder. Journal of Trauma Stress, 27, 1-8. https://doi.org/10.1002/jts.2188.
  • Gilman, R., Schumm, J. A., & Chard, K. M. (2012). Hope as a change mechanism in the treatment of post-traumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 270-277. https://doi.org/10.1037/a0024252
  • Kaminer, D., & Eagle, G. T. (2017). Interventions for posttraumatic stress disorder: a review of the evidence base. South African Journal of Psychology, 47(1), 7-22. https://doi.org/10.1177/0081246316646950
  • Kessler, R. C., Aguilar-Gaxiola, S., Alonso, J., Benjet, C., Bromet, E. J., Cardoso, G., & Koenen, K. C. (2017). Trauma and PTSD in the WHO World Mental Health Surveys. European Journal of Psychotraumatology, 8(sup5), 1353383. https://doi.org/10.1080/ 20008198.2017.1353383
  • Kim, J. S., Brook, J., & Akin, B. A. (2018). Solution-focused brief therapy with substance using individuals: a randomized controlled trial study. Research on Social Work Practice, 28, 452-462. https://doi.org/10.1177/1049731516650517
  • Magruder, K. M., McLaughlin, K. A., & Elmore Borbon, D. L. (2017). Trauma is a public health issue. European Journal of Psychotraumatology, 8(1), 1375338. https://doi.org/10.1080/20008198.2017.1375338
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology
Journal Section Review
Authors

Sultan Okumusoglu 0000-0001-6155-2325

Project Number Yok
Publication Date June 27, 2024
Acceptance Date April 2, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Okumusoglu, S. (2024). Çözümler-İstisnalar ya da Travmanın Detayları: Travma Bağlantılı Müdahalelerin Odağı Ne Olmalı?. Kıbrıs Türk Psikiyatri Ve Psikoloji Dergisi, 6(2), 183-190. https://doi.org/10.35365/ctjpp.24.2.09