Complex PTSD in relatives of people with ID: an illustrative clinical case study from South Africa.

The debilitating impact of trauma on people with learning disabilities is increasingly recognised in research. Sinason's influential psychoanalytic writing has drawn direct links between the presence of an opportunistic secondary handicap and pervasive exposure to trauma. Traumatic events often occu...

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Publicado en:Psychoanalytic Psychotherapy Vol. 33; no. 3; pp. 175 - 192
Autor principal: Coetzee, Ockert
Formato: Artículo
Publicado: Taylor & Francis Ltd Sep2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        140857131
        10.1080/02668734.2019.1650815
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        atl: Complex PTSD in relatives of people with ID: an illustrative clinical case study from South Africa.
      aug:
        au: Coetzee, Ockert
        affil: Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, South Africa
      su:
        South Africa
        Prevention of post-traumatic stress disorder
        Post-traumatic stress disorder
        Attention
        Behavior disorders in children
        People with intellectual disabilities
        Psychology of mothers
        Parents of children with disabilities
        Emotional trauma
        Psychotherapy
        Psychosocial factors
        Social support
        Children
        Severity of illness index
        Disease complications
      sug:
        subj:
          Prevention of post-traumatic stress disorder
          Post-traumatic stress disorder
          Attention
          Behavior disorders in children
          People with intellectual disabilities
          Psychology of mothers
          Parents of children with disabilities
          Emotional trauma
          Psychotherapy
          Psychosocial factors
          Social support
          Children
          South Africa
          Other Individual and Family Services
          Severity of illness index
          Disease complications
      keyword:
        complex post-traumatic stress disorder
        families
        learning disability
        psychotherapy
        trauma
        complex post-traumatic stress disorder
        families
        learning disability
        psychotherapy
        trauma
      ab: The debilitating impact of trauma on people with learning disabilities is increasingly recognised in research. Sinason's influential psychoanalytic writing has drawn direct links between the presence of an opportunistic secondary handicap and pervasive exposure to trauma. Traumatic events often occur within families, implying that more than one family member may be exposed to the same traumatic stressor(s). Because adults with learning disabilities require additional support from caregivers to live socially valorised lives with optimal degrees of self-direction, in the context of home living, a parent's experience of severe trauma could have a deleterious impact on her caregiving capacity to meet her child with learning disabilities' support needs in an equitable manner. This paper contains a case study that describes how a mother's experience of earlier trauma, which resulted in complex post-traumatic stress, had a profound influence on her object-relations and object-relatedness with both of her children, including her daughter who had mild learning disabilities and severe behavioural difficulties. While the mother's own experience of trauma deserves attention in its own right, her defences against traumatic recollection also affected her responsiveness to her daughter's high behavioural support needs.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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