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Example research essay topic: Traumatic Stress Disorder Post Traumatic Stress - 3,902 words

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In a conversation with my girlfriend about battered women, she said, Id never put up with that and then asked, Why would a woman stay in an abusive relationship? As relationships progress, there are more emotional and financial ties which makes it harder to leave. The average woman will leave her abuser seven or eight times before making the final break. Women may be afraid of strangers, but it is a husband, a lover, a boyfriend, or someone they know who is most likely to harm them.

According to a U. S. Justice Department study, someone the woman knows commits two-thirds of violent attacks against women. In the United States, the most dangerous place for a woman is in her own home, where anger may explode into violence. Even though lower-class women have more recorded statistics on being battered, middle and upper-class women are also having to fight these same battles. However, fear of social embarrassment, harming their husbands standing in the community, and, most importantly, fear of not being believed cause middle and upper-class women to keep quiet.

According to the FBI, there are approximately 1, 500 women killed by husbands or boyfriends each year and there are about 2 million men who beat their partners each year. Furthermore, the FBI also states that domestic violence is the leading cause of injury to women ages 15 - 45, more than rapes, muggings, and automobile accidents combined. Statistics on battered women are inaccurate, partially because of poor reporting techniques; women are afraid to come forth and usually there is no witness present. In order to help better define battered womens syndrome, the origins and development of the three primary theories of the syndrome and recommended treatments are outlined below. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), known in the mental health field as the clinicians bible, does not recognize battered womens syndrome as a distinct mental disorder. In fact, Dr.

Lenore Walker, the architect of the classical battered womens syndrome theory, notes the syndrome is not an illness, but rather a theory that draws upon the principles of learned helplessness to explain why some women are unable to leave their abusers. Therefore, the classical battered womens syndrome theory is best regarded as an offshoot of the theory of learned helplessness and not a mental illness that afflicts abused women. The theory of learned helplessness sought to account for the passive behavior subjects exhibited when placed in an uncontrollable environment. In the late 1960 s and early 1970 s, Martin Seligman, a famous researcher in the field of psychology, conducted a series of experiments in which dogs were placed in one of two types of cages. In the former cage, henceforth referred to as the shock cage, a bell would sound and the experimenters would electrify the entire floor seconds later, shocking the dog regardless of location. The latter cage, however, although similar in every other respect to the shock cage, contained a small area where the experimenters could administer no shock.

Seligman observed that while the dogs in the latter cage learned to run to the non-electrified area after a series of shocks, the dogs in the shock cage gave up trying to escape, even when placed in the latter cage and shown that escape was possible. Seligman theorized that the dogs initial experience in the uncontrollable shock cage led them to believe that they could not control future events and was responsible for the observed disruptions in behavior and learning. Thus, according to the theory of learned helplessness, a subject placed in an uncontrollable environment will become passive and accept painful stimuli, even though escape is possible and apparent. In the late 1970 s, Dr. Walker drew upon Seligman's research and incorporated it into her own theory, the battered womens syndrome, in an attempt to explain why battered women remain with their abusers. According to Dr.

Walker, battered womens syndrome contains two distinct elements: a cycle of violence and symptoms of learned helplessness. The cycle of violence is composed of three phases (illustrated below): the tension building phase, the violence phase, and the seduction phase. This also illustrates how three dynamics, love, hope, and fear, keep the cycle in motion and make it hard to end a violent relationship. During the tension building phase, the victim is subjected to verbal abuse and minor battering incidents, such as slaps, pinches and psychological abuse. In this phase, the woman tries to pacify her batterer by using techniques that have worked previously.

Typically, the woman showers her abuser with kindness or attempts to avoid him. However, the victims attempts to pacify her batter are often futile and only work to delay the inevitable acute battering incident. The tension building phase ends and the violence phase begins when the verbal abuse and minor battering evolve into an acute battering incident. A release of the tensions built during phase one characterizes the violence phase, which usually last for a period of two to twenty-four hours. The violence during this phase is unpredictable and inevitable, and statistics indicate that the risk of the batterer murdering his victim is at its greatest. The batterer places his victim in a constant state of fear, and she is unable to control her batterers violence by utilizing techniques that worked in the tension building phase.

The victim, realizing her lack of control, attempts to lessen the violence by becoming passive. After the violence phase comes to a close, the cycle of violence enters the seduction or honeymoon phase. During this phase, the batterer apologizes for his abusive behavior and promises that it will never happen again. The behavior exhibited by the batter in the seduction phase closely resembles the behavior he exhibited when the couple first met and fell in love. The seduction phase is the most psychologically victimizing phase because the batterer fools the victim, who is relieved that the abuse has ended, into believing that he has changed. However, inevitably, the batterer begins to verbally abuse his victim and the cycle of abuse begins anew.

According to Dr. Walker, Seligman's theory of learned helplessness explains why women stay with their abusers and occurs in a victim after the cycle of violence repeats numerous times. Dr. Walker asserts that, In the domestic abuse ambit, sporadic brutality, perceptions of powerlessness, lack of financial resources, and the superior strength of the batterer all combine to instill a feeling of helplessness in the victim. In other words, batterers condition women into believing that they are powerless to escape by subjecting them to a continuing pattern of uncontrollable violence and abuse. Dr.

Walker, in applying the learned helplessness theory to battered women, changed society's perception of battered women by dispelling the myth that battered women like abuse and offering a logical and rationale explanation for why most stay with their abuser. As the classical theory of battered womens syndrome is based upon the psychological principles of conditioning, experts believe that behavior modification strategies are best suited for treating women suffering from the syndrome. This wheel (illustrated below) depicts relationships as a whole and how each seemingly unrelated behavior is an important part in an overall effort to control someone. A simple, yet effective, behavioral strategy to this consists of two stages. In the initial stage, the battered woman removes herself from the uncontrollable or shock cage environment and isolates herself from her abuser. Generally, professionals help the victim escape by using assertiveness training, modeling, and recommending use of the court system.

After the woman terminates the abusive relationship, professionals give the victim relapse prevention training to ensure that subsequent exposure to abusive behavior will not cause maladaptive behavior. Although this strategy is effective, the model offered by Dr. Walker suggests that battered women usually do not actively seek out help. Therefore, concerned agencies and individuals must be proactive and extremely sensitive to the needs and fears of victims. In sum, the classical battered womens syndrome is a theory that has its origins in the research of Martin Seligman.

Women in a domestic abuse situation experience a cycle of violence with their abuser. The cycle is composed of three phases: the tension building phase, the violence phase, and the seduction phase. A gradual increase in verbal abuse marks the tension building phase. When this abuse culminates into an acute battering episode, the relationship enters the violence phase. Once the violence phase ends, usually within two to twenty-four hours, the parties enter the seduction phase, in which the batterer expresses remorse and promises to change.

After the cycle has played out several times, the victim begins to manifest symptoms of learned helplessness. Behavioral modification strategies offer an effective treatment for battered womens syndrome. However, Dr. Walkers model indicates that battered women may not seek the help that they need due to feelings of helplessness. Over the years, experimental data has emerged that casts doubt on the explanation of why women stay with their batterers or, in extreme cases, why they kill their abusers. Two researchers, Edward W.

Gondolf and Ellen R. Fisher, make reference to voluminous statistics that refute the classical battered womens syndrome theory, and suggest Dr. Walker erroneously attributes a victims refusal to leave her batterer to learned helplessness. For instance, the two, in discounting Dr. Walkers theory, cite a study conducted by Lee H. Bowker that indicates victims of abuse often contact other family members for help as the violence escalates over time.

The two also note that Bowker observed a steady increase in formal help-seeking behavior as the violence increased. In addition to citing empirical data, Gondolf and Fisher point out that using Dr. Walkers theory to explain the battered womans actions in extreme cases creates the ultimate oxymoron: a woman so helpless she kills her batterer. In an effort to account for the shortcomings of the classical battered womens theory, Gondolf and Fisher offered the markedly different survivor theory of battered womens syndrome, which consists of four important elements. The first element of the survivor theory surmises that a pattern of abuse prompts battered women to employ innovative coping strategies and to seek help, such as flattering the batterer and turning to their families for assistance. When these sources of help prove ineffective, the battered woman seeks out other sources and employs different strategies to lessen the abuse.

For example, the battered women may avoid her abuser all together and seek help from the court system. Thus, according to the survivor theory, battered women actively seek help and employ coping skills throughout the abusive relationship. In contrast, the classical theory of battered womens syndrome views women as becoming passive and helpless in the face of repeated abuse. The second element of Gondolf and Fishers theory posits that a lack of options, know-how and finances, not learned helplessness, instills a feeling of anxiety in the victim that prevents her from escaping the abuser. When a battered woman seeks outside help, she is typically confronted with an ineffective bureaucracy, insufficient help sources, and societal indifference.

This lack of practical options, combined with the victims lack of financial resources, make it likely that a battered women will stay and try to change her batterer, rather than leave and face the unknown. The classical battered womens syndrome theory differs in that it focuses on the victims perception that escape is impossible, not on the obstacles the victim must overcome to escape. The third element expands on the first and describes how the victim actively seeks help from a variety of formal and informal help sources. For instance, an example of an informal help source would be a close friend and a formal help source would be a shelter. Gondolf and Fisher maintain that the help obtained from these sources is inadequate in nature. Given these inadequacies, the researchers conclude that the leaving a batterer is a difficult path for a victim to embark upon.

The fourth element of the survivor theory hypothesizes that the failure of the aforementioned help sources to intervene in a comprehensive and decisive manner permits the cycle of abuse to continue unchecked. Interestingly enough, Gondolf and Fisher blame the lack of effective help on a variation of the learned helplessness theory, explaining help organizations are too overwhelmed and limited in their resources to be effective and therefore do not try as hard as they should to help victims. Whatever the case may be, the researchers argue that we can better understand the plight of the battered woman by asking did she seek help and what happened when she did, rather than why did she not leave. As long as the survivor theory of learned helplessness attributes to the battered womans plight of ineffective help sources and societal indifference, a logical solution would entail increased funding for programs in place and educating the public about the symptoms and consequences of domestic violence. There are battered womens advocacy programs in place in courts located throughout the country. However, inadequate funding limits their effectiveness.

By increasing funding, citizens can assure that all battered women will receive the assistance that will permit them to escape their batterer. Additionally, if we educate citizens about the harmful effects of domestic abuse, the public no longer will treat victims with indifference. To recap, Edward W. Gondolf and Ellen R. Fisher developed the survivor theory of battered womens syndrome to explain why statistics indicate that battered women increase their help seeking behavior as the violence escalates. The theory is composed of four important elements.

The first recognizes that battered women actively seek help throughout their relationship with the abuser. The second element posits that a lack of options, know-how, and finances creates anxiety in the victim over leaving her batterer. The third element describes the inadequate help the victim receives. Finally, the fourth element concludes that the failure of help sources, not learned helplessness, accounts for why many battered women remain with their abusers. Under the survivor theory, the best method for helping battered women is to increase funding for battered womens assistance programs and agencies and educate the public about the harmful effects of domestic abuse. Although the DSM-IV does not recognize battered womens syndrome as a distinct mental illness or disorder, some experts maintain that battered womens syndrome is just another name for post traumatic stress disorder, which the DSM-IV recognizes.

The post traumatic stress disorder theory is also applied to individuals who were never exposed to domestic abuse, and, in the domestic abuse magnitude, does not exclusively focus on the battered womans perception of helplessness or ineffective help sources to explain why she stayed with her batterer. Instead, the theory focuses on the psychological disturbance an individual suffers after exposure to a traumatic event. In 1980, the American Psychiatric Association added the post traumatic stress disorder classification to the Diagnostic and Statistical Manual of Mental Disorders III, a manual used by mental health professionals to diagnose mental illness. Although the diagnosis was controversial at the time, post traumatic stress disorder has gained wide acceptance in the mental health community and revolutionized the way professionals regard human reactions to trauma. Prior to the disorders inception, experts attributed the cause of emotional trauma to individual weakness. However, with the advent of the theory of post traumatic stress disorder, experts now attribute the etiology of emotional trauma to an external stressor, not a weakness in the psyche of the individual.

Since 1980, the American Psychiatric Association has revised the criteria for diagnosing post traumatic stress disorder several times. Currently, the diagnostic criteria for post traumatic stress disorder include a history of exposure to a traumatic event and symptoms from each of three symptom clusters: intrusive recollections, avoid ant / numbing symptoms, and hyper arousal symptoms. Recent data indicate that many individuals qualify for a post traumatic stress disorder under the current diagnostic criteria, with prevalence rates running between 5 to 10 % in our society. As noted earlier, in order for a diagnosis of post traumatic stress disorder to apply, the individual must have been exposed to a traumatic event involving actual or threatened death or injury, or a threat to the physical integrity of the person or others. The authors of the early and present theory of post traumatic stress disorder considered a traumatic event to be outside the range of human experience. Such events included rape, torture, war, the Holocaust, the atomic bombings of Hiroshima and Nagasaki, earthquakes, hurricanes, volcanoes, airplane crashes, and automobile accidents, but did not contemplate applying the diagnosis to battered women.

Presently, the traumatic event need only be markedly distressing to almost anyone. Therefore, battered women have little trouble meeting the DSM-IV traumatic event diagnostic requirement because most people would find the abuse battered women are subjected to markedly distressing. In addition to meeting the traumatic event diagnostic criteria, an individual must have symptoms from the intrusive recollection, avoid ant / numbing , and hyper arousal categories for a post traumatic stress disorder diagnosis to apply. The intrusive recollection category consists of symptoms that are distinct and easily identifiable.

In individuals suffering from post traumatic stress disorder, the traumatic event is a dominant psychological experience that seemingly would evoke panic, terror, dread, grief, and / or despair. Often, these feelings are manifested in daytime fantasies, traumatic nightmares, and flashbacks. Additionally, stimuli that the individual associates with the traumatic event can evoke mental images, emotional responses, and psychological reactions associated with the trauma. Examples of intrusive recollection symptoms a battered woman may suffer are fantasies of killing her batterer and flashbacks of battering incidents. The avoid ant / numbing cluster consists of emotional strategies individuals with post traumatic stress disorder use to reduce the likelihood that they will either expose themselves to traumatic stimuli, or if exposed, will minimize their psychological response. The DSM-IV divides the strategies into three categories: behavioral, cognitive, and emotional.

Behavioral strategies include avoiding situations where the stimuli are likely to be encountered. Cognitive strategies include amnesia by which individuals with post traumatic stress disorder cut off the conscious experience of trauma-based memories and feelings. Lastly, the individual may separate the cognitive aspects from the emotional aspects of psychological experience and perceive only the former. This type of psychic numbing serves as an emotional anesthesia that makes it extremely difficult for people with post traumatic stress disorder to participate in meaningful interpersonal relationships. Thus, a battered woman suffering from post traumatic stress disorder may avoid her batterer and repress trauma-based feelings and emotions. The hyper arousal category symptoms closely resemble those seen in panic and generalized anxiety disorders.

Although symptoms such? as insomnia and irritability are generic anxiety symptoms, hyper vigilance, and startle are unique to post traumatic stress disorder. The hyper vigilance symptom may become so intense in individuals suffering from post traumatic stress disorder that it appears as if they are paranoid. A careful reading of post traumatic stress disorder symptoms and diagnostic criteria indicates that Dr. Walkers classical theory of battered womens syndrome is contained within. For instance, both theories require that the victim be exposed to a traumatic event.

In Dr. Walkers theory, she describes the traumatic event as a cycle of violence. The post traumatic stress disorder theory, on the other hand, only requires that the event be markedly distressing to almost everyone. Thus, the cycle of violence described by Dr. Walker is considered a traumatic stressor for the purposes of diagnosing post traumatic stress disorder. Additionally, like the classical theory of battered womens syndrome, the theory of post traumatic stress disorder recognizes that an individual may become helpless after exposure to a traumatic event.

Although the post traumatic stress disorder theory seems to incorporate Dr. Walkers theory, it is more inclusive in that it recognizes that different individuals may have different reactions to traumatic events. Furthermore, it does not rely heavily on the theory of learned helplessness to explain why battered women stay with their abusers. There are several methods a professional can utilize to treat individuals suffering from post traumatic stress disorder. The most successful treatments are those that they administer immediately after the traumatic event.

An expert would commonly call this type of treatment critical incident stress debriefing. Although this type of treatment is effective in halting the development of post traumatic stress disorder, the cyclical nature and gradual escalation of violence in domestic abuse situations make critical incident stress debriefing an unlikely therapy for battered women. The second type of treatment is administered after post traumatic stress disorder has developed and is less effective than critical incident stress debriefing. This type of treatment may consist of psychodynamic psychotherapy, behavioral therapy, pharmacotherapy, and group therapy.

The most effective post-manifestation treatment for battered women is group therapy. In a group therapy session, battered women can discuss traumatic memories, post traumatic stress disorder symptoms, and functional deficits with others that have had similar experiences. By discussing their experiences and symptoms, the women form a common bond and release repressed memories, feelings, and emotions. To summarize, many experts regard battered womens syndrome as a subcategory of post traumatic stress disorder.

The diagnostic criteria for post traumatic stress disorder include a history of exposure to a traumatic event and symptoms from each of three symptom clusters: intrusive recollections, avoid ant / numbing symptoms, and hyper arousal symptoms. After exposure to a traumatic event, defined as one that is markedly distressing to almost everyone, an individual suffering from post traumatic stress disorder may suffer intrusive recollections, which consist of daytime fantasies, traumatic nightmares, and flashbacks. The individual may also try to avoid stimuli that remind them of the traumatic event and / or develop symptoms associated with generic anxiety disorders. Critical incident stress debriefing, psychodynamic psychotherapy, behavioral therapy, pharmacy therapy, and group therapy are all recognized as effective treatments for post traumatic stress disorder. Feminists have come up with theories in regards to why women do not leave their abuser: they cannot support themselves and their children, they are isolated from friends and family, and they have been terrorized into a state of helplessness by repeated beatings.

It is also important to note that battered women usually do not have any place to go. There are half as many shelters for battered women in this country as there are for stray animals, and most do not accept children. For every two women sheltered, five are turned away; for every two children sheltered, eight are turned away. This equates to half of all homeless women and children being on the streets due to violence in the home. Although there are many different theories of battered womens syndrome, most are all variations or hybrids of the three main theories outlined above. A sound understanding of Dr.

Walkers classical battered womens syndrome theory is found in Gondolf and Fishers survivor theory of battered womens syndrome and the post traumatic stress disorder theory. This permits the reader to identify the origins and essential elements of these various hybrids and provide them with a better understanding of the plight of the battered woman. Given the prevalence of domestic abuse in our society, it is important to realize that the battered woman does not like abuse or is responsible for her victimization. The three theories discussed above all offer rationale explanations for why a battered women often stays with her abuser and explore the psychological harm caused by abuse while discounting the popular perception that battered women must enjoy the abuse


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Research essay sample on Traumatic Stress Disorder Post Traumatic Stress

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