A Philosophical Critique of Existential Psychotherapy

While existential psychotherapy is in its ascendancy, there is a lack of philosophical critiques of existential psychotherapeutic thinking. This thesis is an attempt to examine whether there is conceptual confusion embedded within this thinking and, if so, to tease out what it is. My examination has shown that contemporary existential psychotherapists are confused about what existential psychotherapy is, while on the surfac.e, they seem to be clear about what it is. While existential psychotherapy has increasingly been , integrated with other forms of therapy such as cognitive-behavioural arid multimodal, such integration could necessitate important changes to the existential psychotherapeutic fundamental basic assumptions. Meanwhile, some existential psychotherapists have tried to challenge or re-define psychoanalytic concepts. However, my examination suggests that there are in fact common features in the concepts (interpretation, transference, resistance. and repression) that existential and psychoanalytic psychotherapists share. This, in turn, questions the extent to which existential psychotherapists have truly challenged or distanced themselves from psychoanalytic concepts, as they claim to have done. Existential psychotherapists have developed their own understanding of the ! unconscious; however, my examination shows that their understanding of it is in fact incoherent. The way in which they define the unconscious implies a strong sense of selfconsciousness, Le. the unconscious is found within a wider capacity of human consciousness. But, I have argued that existential psychotherapists have not resolved difficulties which are derived from viewing the notion of self-deception as a conscious phenomenon. Also, their effort to assist their clients to enhance or widen self-consciousness could lead clients to develop fantasy. The foregoing critiques, I believe, represent only some of the conceptual confusions embedded within existential psychotherapeutic thinkingEThOS - Electronic Theses Online ServiceGBUnited Kingdo

Death Anxiety and Well-Being; Coping With Life-Threatening Events

Research was conducted among people who have experienced trauma to see the influence of coping factors on death anxiety, PTSD, and psychiatric comorbidity. The intent was to consider the role of death anxiety in relationship to PTSD and mental health among people who have experienced a life-threatening event. It examined both self-efficacy and religious coping as possible factors of death anxiety resilience in relation to trauma. This study was conducted using undergraduate university students in Lithuania. The study (N = 104) did not find evidence to support the significance of religious coping as important factor; however, self-efficacy emerged as significantly related to psychiatric comorbidity and death anxiety. However the results found that self-efficacy did not act as a mediating factor and was independently related to death anxiety and psychiatric comorbidity. Results were discussed in light of theories regarding death anxiety and the agentic model. © The Author(s) 2013

Testing the pain paradox: a longitudinal study on PTSD from past trauma, alexithymia, mindfulness, and psychological distress

Although the negative impact of posttraumatic stress disorder (PTSD) on psychological distress is broadly consistent across the literature, the psychological mechanisms underpinning this relationship need further exploration. Pain paradox theory has postulated the important role of PTSD, avoidance strategies, mindfulness, and distress following trauma. However, a more comprehensive study is needed to understand their interactive effects over time. This current longitudinal study aimed to examine the associations between these factors. 201 participants completed the questionnaire survey (i.e., the PTSD Checklist for DSM-5, Toronto Alexithymia Scale, Mindfulness Attention Awareness Scale, and the General Health Questionnaire) at two time points nine months apart. An autoregressive cross-lagged panel with structural equation modelling was used for data analysis. Initial PTSD symptoms predicted subsequent psychological distress. Initial mindfulness was significantly negatively correlated with subsequent alexithymia, PTSD, and distress outcomes. Furthermore, initial alexithymia was significantly positively associated with subsequent PTSD and distress. Following trauma exposure, individuals may develop PTSD that impairs mental health. However, individuals with higher levels of mindfulness tend to experience less alexithymia and PTSD symptoms, which in turn may lead to lower levels of psychological distress over time. Meanwhile, individuals with lower levels of difficulty identifying and describing emotions are less likely to develop PTSD symptoms and experience psychological distress over time

Chronic idiopathic urticaria, psychological co-morbidity and posttraumatic stress: The impact of alexithymia and repression

The objective of this study was to investigate the interrelationship between chronic idiopathic urticaria (CIU), psychological co-morbidity, posttraumatic stress, repression and alexithymia. 89 participants with CIU and 105 without CIU responded to an online questionnaire. Both groups completed the General Health Questionnaire-12, the Perceived Stress Scale, the Posttraumatic Stress Diagnostic Scale and the Toronto Alexithymia Scale-20 and were categorised into four defence mechanism groups (repressive, defensive, high-anxious, low-anxious). CIU participants also completed the Skindex-17 and a self-report severity measure. CIU participants reported higher levels of alexithymia than the control group and their defence mechanism was most likely to be categorised as defensive, with conscious self-image management reported alongside high manifest anxiety. Partial least squares analysis revealed significant paths between posttraumatic stress and CIU severity and psychological co-morbidity. Posttraumatic stress was associated with alexithymia and type of defence mechanism. Only being in the high-anxious group partially mediated the relationship between posttraumatic stress and CIU severity. In conclusion, there is evidence for a relationship between CIU and trauma. The severity of posttraumatic symptoms varies depending upon alexithymic traits and defence mechanisms used. Disease severity and psychological co-morbidity are differentially influenced by the relationships between trauma, alexithymic traits and defence mechanisms. © Springer Science+Business Media, LLC 2012

Posttraumatic Stress and Well-Being Following Relationship Dissolution: Coping, Posttraumatic Stress Disorder Symptoms From Past Trauma, and Traumatic Growth

© 2015, Copyright © Taylor & Francis Group, LLC. This study investigated posttraumatic stress symptoms (PTSS) and psychological comorbidity following dating relationship dissolution. The roles of coping, posttraumatic growth, and posttraumatic stress disorder (PTSD) severity from past trauma were analyzed. Participants (n = 187) were recruited through an online survey. Emotion-focused coping and PTSD severity from past trauma were positively associated with higher levels of PTSS and psychological comorbidity. Posttraumatic growth was negatively associated with psychological comorbidity; problem-focused coping was negatively associated with PTSS. Emotion-focused coping and PTSD severity from past trauma appeared to be risk factors for psychological outcomes, while posttraumatic growth and problem-focused coping were found to be protective factors

Alexithymia and posttraumatic stress disorder following asthma attack

This study examined the levels of posttraumatic stress disorder (PTSD) following asthma attack (post-asthma attack PTSD) and psychiatric co-morbidity among college students. It also investigated the association between these variables and alexithymia. One hundred and six college students participated in the study and completed an on-line survey comprising the Asthma Symptom Checklist, PTSD Checklist, General Health Questionnaire-28 and Toronto Alexithymia Scale. Ninety-one students without asthma and major illness formed the control group. 2 % met the diagnostic criteria for full-PTSD, while 42 and 56 % met the partial and no-PTSD criteria respectively. Compared with the control, the asthma group reported significantly more somatic problems, social dysfunction and depression and was five times more likely to have an elevated risk of developing a general psychiatric disorder. After adjusting age, marital status, asthma experience and symptoms, alexithymia did not predict PTSD, while difficulty identifying feelings predicted psychiatric co-morbidity. Mediational analyses showed that asthma symptoms partially mediated the link between difficulty identifying feelings and psychiatric co-morbidity. People can develop PTSD symptoms and other psychological difficulties following asthma attack. Alexithymia influenced general psychological difficulties independently of PTSD symptoms. © 2012 Springer Science+Business Media New York

The relationship between forgiveness, spirituality, traumatic guilt and posttraumatic stress disorder (PTSD) among people with addiction

Spirituality and forgiveness have been shown to be associated with psychological well-being, while guilt has been associated with poor health. Little is known, however, about the relationship between forgiveness, spirituality, guilt, posttraumatic stress (PTSD) and psychological co-morbidity among people in recovery from addiction. Eighty-one people (F = 36, M = 45) in recovery from drug and alcohol addiction were recruited from two residential units and two drop-in centres in a city in the United Kingdom. They completed the Posttraumatic Stress Diagnostic Scale (PDS), the General Health Questionnaire-28 (GHQ-28), the Spiritual Involvement and Beliefs Scale (SIBS), the Heartland Forgiveness Scale (HFS), the Traumatic Guilt Inventory (TGI), the Michigan Alcoholism Screening Test (MAST-22) and the Drug Abuse Screening Test (DAST-20). The control group comprised of 83 (F = 34, M = 49) individuals who confirmed that they did not have addiction and completed the PDS & GHQ-28. 54 % of the addiction group met the criteria for full PTSD and reported anxiety, somatic problems and depression. They described themselves as spiritual, had strong feelings of guilt associated with their addiction, and had difficulty in forgiving themselves. Controlling for demographics, number of events and medication management, regression analyses showed that spirituality predicted psychological co-morbidity, whilst feelings of guilt predicted PTSD symptoms and psychological co-morbidity. Unexpectedly, forgiveness did not predict outcomes. This study supports existing literature, which shows that people with drug and alcohol addiction tend to have experienced significant past trauma and PTSD symptoms. Their posttraumatic stress reactions and associated psychological difficulties can be better understood in the light of guilt and spirituality. Meanwhile, their ability to forgive themselves or others did not seem to influence health outcomes. © 2012 Springer Science+Business Media, LLC

The Impact of Child Abuse, Posttraumatic Cognitions, Machiavellianism and Emotional Suppression on Interpersonal Sensitivity and Psychiatric Comorbidity: A Latent Profile Analysis

Much of the detrimental effects child abuse can have on victims’ cognitions, personality traits and emotional regulation strategies have been documented; however, it is unclear whether these effects might coexist with posttraumatic cognitions, Machiavellianism, and emotional suppression to impact interpersonal sensitivity and psychiatric comorbidity. The present study aimed to address this knowledge gap. A sample of 553 Chinese university students from three universities completed the Childhood Trauma Questionnaire-short form, Posttraumatic Cognitions Inventory, Machiavellianism Personality scale, Courtauld Emotional Control Scale, Interpersonal Sensitivity Measure, and General Health Questionnaire-28. Using Latent Profile Analysis, a three-profile solution was achieved. Profile one (high maltreatment group) students reported high levels of abusive experiences, posttraumatic cognitions and Machiavellianism, but a moderate level of emotional suppression; Profile two (moderate maltreatment group) students had moderate levels of abusive experiences, posttraumatic cognitions, Machiavellianism and emotional suppression. Profile three (low maltreatment group) students had low levels of all of the preceding psychological constructs. Profile one reported significantly higher interpersonal sensitivity and psychiatric comorbidity. Students with child abuse experiences, who viewed themselves and others negatively, displayed some dark personality traits, exercised some control over their emotions, tended to be excessively sensitive to others’ behaviors and feelings and prone to psychological distress

Childhood trauma in obsessive compulsive disorder: The roles of alexithymia and attachment

Objective: The aim of this study was to investigate the interrelationships between childhood trauma, attachment, alexithymia, and the severity of obsessive compulsive disorder (OCD) in a cohort of participants with OCD. Rationale: There is a growing body of research linking traumatic experiences in childhood with the development of OCD. The mechanisms involved in this association are not yet clear. Methods: The sample was comprised of 82 people with OCD and 92 comparison participants. A cross-sectional design was used, utilizing internet-mediated administration of the Childhood Trauma Questionnaire - revised (CTQ-R); the Yale-Brown Obsessive Compulsive Scale - Self-Report (Y-BOCS-SR); the Experiences in Close Relationships Scale (ECR); and Toronto Alexithymia Scale (TAS-20). Partial least squares (PLS) analysis was used to determine significant paths between the constructs. Results: Results of PLS analysis supported all of the hypotheses made: there was a significant positive correlation between childhood trauma and attachment avoidance, which in turn was significantly positively associated with alexithymia. Alexithymia was significantly associated with the severity of OCD symptoms and the number of OCD symptoms. Mediational analysis showed that alexithymia significantly carried an influence from attachment avoidance to the severity of obsessions and the number of obsession symptoms. Conclusions: There is a relationship between childhood trauma and OCD, however this relationship is not direct in nature but is influenced by peoples\u27 past experiences with significant others and associated difficulties in emotional processing. © 2011 The British Psychological Society