The purpose of this project was to develop assessment and treatment protocols for clinical research on performance-specific Social Anxiety Disorder (SAD). The treatments used were Observed and Experiential Integration (OEI; a trauma-root-focused therapy), and Breathing, Relaxation, Autogenics, Imagery, and grouNding (BRAIN; a trauma-symptom-focused therapy). Similarities between trauma and anxiety symptoms suggest a traumatic cause of SAD. Both trauma-root-focused and trauma-symptom-focused treatments resulted in improvements in: (a) narrow-spectrum symptoms of speaker confidence and public speaking behaviour. In response to trauma-root-focused treatment: (a) broad-spectrum symptoms of general anxiety and depression improved, and (b) psychophysiological reactivity to past traumatic social experiences was reduced. Diverse types of measurements (self-report, behaviour sampling, and psychophysiological measures) will be helpful for understanding (a) broad-spectrum, (b) narrow- spectrum, and (c) psychophysiological symptoms. Results of descriptive analyses supported the existence of traumatic origins of performance-specific SAD.
By adopting a relational ontology, the present study challenges traditional approaches to psychological theory, research and practice. This complementary lens was used to explore women’s experiences of harm and healing in the context of acquaintance sexual assault. Six women participated in interviews using sandtrays, and the Listening Guide (Brown & Gilligan, 1992) was used to analyze transcripts. Voices of harm constricted participants’ experiences of being connected to themselves, others and the world, and consisted of denial, confusion, judgment, isolation and separation. Voices of healing emerged as expansive processes, identified as acknowledgment, knowing, acceptance, accompaniment and empowerment. These findings broaden current understandings of sexual assault, trauma and betrayal, and better equip counsellors, social supports, communities and cultures, to dismantle relational processes that stagnate survivors and promote those that foster growth.
In this study, the Listening Guide (Brown & Gilligan, 1992) was used to explore the therapeutic application of metaphor in the treatment of dissociative identity disorder (DID) from the perspective of both client and therapist. Through analysis of the interviews, eight voices were identified. These voices are organized into two overarching categories: 1) voices of trauma and dissociation, and 2) voices of healing and integration. Relationships were observed among the various voices of dissociation, as well as between the voices of dissociation and those of trauma and healing. These relationships reveal natural links between clients’ metaphors of trauma, dissociation, and healing. The clients’ core metaphors of dissociation – Hope’s beehive metaphor and ‘Reace’s mansion metaphor – illustrate the complex relationships that exist among these metaphorical constructs. The metaphors represented the individuals’ subjective experiences of DID and were used as the main organizers of the healing process across all three phases of treatment.
This study opened up avenues for exploring the dismembering effects of trauma and the “re-membering” process of healing. Six participants engaged in a 60- to 90-minute semi-structured interview modelled after Elliot’s Change Interview. Utilizing the Listening Guide, the research team identified voices speaking about trauma and recovery. The voices were grouped into three categories: the voices of trauma’s dismembering effects, the voices of turning towards the pain, and the voices of healing. Among the voices of trauma’s dismembering effects were disconnection, dissociation, impasse, and pain. Voices of turning towards the pain included the voices of active acceptance and of mourning. Voices of healing included the voices of personal essence, integration, astonishment, agency, and calm and peace. Examining these voices, we traced patterns of shifting from fragmentation, aloneness, and numbness to wholeness, connection, and presence. This progression highlights the fulfilled potential of personhood through the transformational process of healing in therapy.
In Canada sex trafficking is a hidden crime that impacts women of every race and socioeconomic status, though Indigenous women are disproportionately represented as victims. This study provided a platform to listen to seven female survivors’ experiences of healing, strength and resiliency after they were freed from exploitation in Canada to counteract victim’s experiences of oppression and silencing. The qualitative feminist method of the listening guide was utilized to provide victim-informed research driven by participant’s narratives. Two categories of voices emerged in participants’ narratives: voices of resistance and voices of healing. The voices of resistance (oppression, dismissal, avoidance, confusion, and disconnection), spoke about obstacles and barriers in healing, while voices of healing (connection, knowing, compassion, resilience, advocacy, agency, and purpose), captured women’s stories of healing. Survivors were found to experience healing through connection with themselves and others, mastery of new skills, regaining their autonomy, finding purpose, and sharing their stories.