Psychotherapy for post-traumatic stress disorder in a young rape survivor: a case study
- Authors: Labe, Dana
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6271 , http://hdl.handle.net/10962/d1008271
- Description: This paper describes the psychodynamic psychotherapy of a 20-year-old African woman with post-traumatic stress disorder (PTSD). ‘Mphumi’ entered therapy a year after her father’s friend had repeatedly raped her. The paper documents the process of therapy and uses the case material to examine theoretical issues relevant to the treatment of PTSD. First, Horowitz’s (2001) theory is used as a basis for arguing that a histrionic personality style predisposed her to an extreme degree of denial and dissociation, which prevented her from processing the trauma at a cognitive or emotional level and contributed to the entrenched PTSD. It was only after she had suffered a breakdown, which necessitated hospitalisation, that her resistance to processing the trauma was overcome. Second, the case material is used to show how other significantly disturbing events earlier in her life shaped her response to the rape and to examine the extent to which effective processing of the current trauma calls for the acknowledgement and working through of earlier traumas and losses. Finally, the case narrative shows how the treatment of PTSD is of necessity a slow, complex process which takes into account the individual’s unique history, idiosyncratic vulnerabilities and socio-cultural context
- Full Text:
- Date Issued: 2005
- Authors: Labe, Dana
- Date: 2005
- Language: English
- Type: Article
- Identifier: vital:6271 , http://hdl.handle.net/10962/d1008271
- Description: This paper describes the psychodynamic psychotherapy of a 20-year-old African woman with post-traumatic stress disorder (PTSD). ‘Mphumi’ entered therapy a year after her father’s friend had repeatedly raped her. The paper documents the process of therapy and uses the case material to examine theoretical issues relevant to the treatment of PTSD. First, Horowitz’s (2001) theory is used as a basis for arguing that a histrionic personality style predisposed her to an extreme degree of denial and dissociation, which prevented her from processing the trauma at a cognitive or emotional level and contributed to the entrenched PTSD. It was only after she had suffered a breakdown, which necessitated hospitalisation, that her resistance to processing the trauma was overcome. Second, the case material is used to show how other significantly disturbing events earlier in her life shaped her response to the rape and to examine the extent to which effective processing of the current trauma calls for the acknowledgement and working through of earlier traumas and losses. Finally, the case narrative shows how the treatment of PTSD is of necessity a slow, complex process which takes into account the individual’s unique history, idiosyncratic vulnerabilities and socio-cultural context
- Full Text:
- Date Issued: 2005
Ambivalence and paradox : the battered woman's interactions with the law and other helping resources
- Authors: Labe, Dana
- Date: 2001
- Subjects: Family violence -- Law and legislation , Abused women , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:699 , http://hdl.handle.net/10962/d1006424 , Family violence -- Law and legislation , Abused women , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Description: This thesis explores how the battered woman attachment to her abusive partner impacts on her interactions with the legal system and non-legal resources. This qualitative research project is based on in-depth interviews conducted with seven abused women who procured interdicts in terms of the Prevention of Family Violence Act 133 of 1993 to restrain their husbands from assaulting them. The research reviews the nature of abuse suffered by the participants, their psychological attachments to their husbands, and their patterns of help-seeking in relation to the law and non-legal resources. Two main theoretical frameworks, psychoanalysis and feminism inform this study. The study found that the participants retained unrealistic hopes that their husbands would reform and become loving, caring partners, and that they treated their husbands with care and sympathy despite their husbands’ often brutal behaviour towards them. The findings suggest that the women’s behaviour towards their husbands was the product of two reality distorting psychological defences, splitting and the moral defence which they used to preserve their attachments to their abusive partners. These defences intersected with rigid patriarchal prescriptions of femininity which dictate that women should be stoically caring towards their husbands, and should hold relationships together no matter what the cost to themselves. The participants interactions with the legal system and with non-legal sources of help were structured by their reliance on splitting and the moral defence, and by the dictates of patriarchal ideology. Whilst it is undoubtedly true that at one level the participants sought help to get protection from abuse, the study shows that their help-seeking was motivated by their conflicting desires to punish and reform their husbands. The participants sought help in ways which enabled them to strike a compromise between expressing their anger at their husbands, whilst simultaneously preserving their psychological attachments to them. The study concludes that the women’s interactions with the law and with other helping resource reflect their attempts to preserve their paradoxical attachments to their husbands, and to stabilise their own fragile sense of self and gender identity
- Full Text:
- Date Issued: 2001
Ambivalence and paradox : the battered woman's interactions with the law and other helping resources
- Authors: Labe, Dana
- Date: 2001
- Subjects: Family violence -- Law and legislation , Abused women , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:699 , http://hdl.handle.net/10962/d1006424 , Family violence -- Law and legislation , Abused women , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Description: This thesis explores how the battered woman attachment to her abusive partner impacts on her interactions with the legal system and non-legal resources. This qualitative research project is based on in-depth interviews conducted with seven abused women who procured interdicts in terms of the Prevention of Family Violence Act 133 of 1993 to restrain their husbands from assaulting them. The research reviews the nature of abuse suffered by the participants, their psychological attachments to their husbands, and their patterns of help-seeking in relation to the law and non-legal resources. Two main theoretical frameworks, psychoanalysis and feminism inform this study. The study found that the participants retained unrealistic hopes that their husbands would reform and become loving, caring partners, and that they treated their husbands with care and sympathy despite their husbands’ often brutal behaviour towards them. The findings suggest that the women’s behaviour towards their husbands was the product of two reality distorting psychological defences, splitting and the moral defence which they used to preserve their attachments to their abusive partners. These defences intersected with rigid patriarchal prescriptions of femininity which dictate that women should be stoically caring towards their husbands, and should hold relationships together no matter what the cost to themselves. The participants interactions with the legal system and with non-legal sources of help were structured by their reliance on splitting and the moral defence, and by the dictates of patriarchal ideology. Whilst it is undoubtedly true that at one level the participants sought help to get protection from abuse, the study shows that their help-seeking was motivated by their conflicting desires to punish and reform their husbands. The participants sought help in ways which enabled them to strike a compromise between expressing their anger at their husbands, whilst simultaneously preserving their psychological attachments to them. The study concludes that the women’s interactions with the law and with other helping resource reflect their attempts to preserve their paradoxical attachments to their husbands, and to stabilise their own fragile sense of self and gender identity
- Full Text:
- Date Issued: 2001
Ambivalence and paradox: the battered woman's interactions with the law and other helping resources
- Authors: Labe, Dana
- Date: 2001
- Subjects: Family violence -- Law and legislation , Abused women , Family violence , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3333 , http://hdl.handle.net/10962/d1003127 , Family violence -- Law and legislation , Abused women , Family violence , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Description: This thesis explores how the battered woman attachment to her abusive partner impacts on her interactions with the legal system and non-legal resources. This qualitative research project is based on in-depth interviews conducted with seven abused women who procured interdicts in terms of the Prevention of Family Violence Act 133 of 1993 to restrain their husbands from assaulting them. The research reviews the nature of abuse suffered by the participants, their psychological attachments to their husbands, and their patterns of help-seeking in relation to the law and non-legal resources. Two main theoretical frameworks, psychoanalysis and feminism inform this study. The study found that the participants retained unrealistic hopes that their husbands would reform and become loving, caring partners, and that they treated their husbands with care and sympathy despite their husbands’ often brutal behaviour towards them. The findings suggest that the women’s behaviour towards their husbands was the product of two reality distorting psychological defences, splitting and the moral defence which they used to preserve their attachments to their abusive partners. These defences intersected with rigid patriarchal prescriptions of femininity which dictate that women should be stoically caring towards their husbands, and should hold relationships together no matter what the cost to themselves. The participants interactions with the legal system and with non-legal sources of help were structured by their reliance on splitting and the moral defence, and by the dictates of patriarchal ideology. Whilst it is undoubtedly true that at one level the participants sought help to get protection from abuse, the study shows that their help-seeking was motivated by their conflicting desires to punish and reform their husbands. The participants sought help in ways which enabled them to strike a compromise between expressing their anger at their husbands, whilst simultaneously preserving their psychological attachments to them. The study concludes that the women’s interactions with the law and with other helping resource reflect their attempts to preserve their paradoxical attachments to their husbands, and to stabilise their own fragile sense of self and gender identity.
- Full Text:
- Date Issued: 2001
- Authors: Labe, Dana
- Date: 2001
- Subjects: Family violence -- Law and legislation , Abused women , Family violence , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3333 , http://hdl.handle.net/10962/d1003127 , Family violence -- Law and legislation , Abused women , Family violence , Wife abuse , Women -- Crimes against , Women -- Counseling of , Family violence -- Prevention
- Description: This thesis explores how the battered woman attachment to her abusive partner impacts on her interactions with the legal system and non-legal resources. This qualitative research project is based on in-depth interviews conducted with seven abused women who procured interdicts in terms of the Prevention of Family Violence Act 133 of 1993 to restrain their husbands from assaulting them. The research reviews the nature of abuse suffered by the participants, their psychological attachments to their husbands, and their patterns of help-seeking in relation to the law and non-legal resources. Two main theoretical frameworks, psychoanalysis and feminism inform this study. The study found that the participants retained unrealistic hopes that their husbands would reform and become loving, caring partners, and that they treated their husbands with care and sympathy despite their husbands’ often brutal behaviour towards them. The findings suggest that the women’s behaviour towards their husbands was the product of two reality distorting psychological defences, splitting and the moral defence which they used to preserve their attachments to their abusive partners. These defences intersected with rigid patriarchal prescriptions of femininity which dictate that women should be stoically caring towards their husbands, and should hold relationships together no matter what the cost to themselves. The participants interactions with the legal system and with non-legal sources of help were structured by their reliance on splitting and the moral defence, and by the dictates of patriarchal ideology. Whilst it is undoubtedly true that at one level the participants sought help to get protection from abuse, the study shows that their help-seeking was motivated by their conflicting desires to punish and reform their husbands. The participants sought help in ways which enabled them to strike a compromise between expressing their anger at their husbands, whilst simultaneously preserving their psychological attachments to them. The study concludes that the women’s interactions with the law and with other helping resource reflect their attempts to preserve their paradoxical attachments to their husbands, and to stabilise their own fragile sense of self and gender identity.
- Full Text:
- Date Issued: 2001
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