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Dissertation/Thesis Abstract

What Kind of Intrusion Symptoms Do Iraq-Afghanistan Veterans with PTSD Experience? a Narrative Exploration
by Kiley-Smith, Leslie, Psy.D., California Institute of Integral Studies, 2020, 242; 28086671
Abstract (Summary)

This narrative study investigated post-traumatic stress disorder (PTSD) intrusion symptom experiences of Iraq–Afghanistan war veterans after exposure to a combat-related trauma experience. The study’s 4 element design included an introductory statement and 4 related research questions: Are there different kinds of intrusion symptom experiences? What are the different themes Iraq and Afghan war veterans express in experience of intrusion symptoms? How do they differ in thematic content? What are the implications of veteran-specific experiences of PTSD for psychotherapy in Iraq–Afghanistan veteran populations? The other 3 design elements included an extensive literature review, methodology, and a discussion of findings with related implications. The eight participant men were army, navy, and marine veterans. Prior to an interview, a PTSD-symptom 17-item Likert-scaled checklist, the military version of the PCL-5M, was administered and measured 3 symptom clusters: avoidance, re-experiencing, and cognition and mood changes. A private semi-structured interview was conducted with each veteran, Veterans described perceived sensations, feelings, thoughts, and behavior related to commencement of symptoms, the kind of PTSD intrusion symptom experienced, the context in which PTSD symptoms arose, coping with PTSD, and daily life experience of PTSD symptoms. The interview data was analyzed in accordance with values, concepts, and procedures inherent in narrative reduction. Analysis revealed 4 typological core themes: sensate, affective, and cognitive states; loss of someone or something; adaptive self; and facing daily life influences of PTSD intrusions. There is also discussion related to atypical narrative data and relationship to the core themes. Regarding sensory perception and memory, discussion of the themes is related to past and present research, implications for clinicians, implications for clinicians-in-training, implications for future research, and personal and professional implications for the researcher.

Indexing (document details)
Advisor: Wilkinson, Tanya
Commitee: Bach, Lee
School: California Institute of Integral Studies
Department: Clinical Psychology
School Location: United States -- California
Source: DAI-A 82/3(E), Dissertation Abstracts International
Subjects: Clinical psychology, Psychology, Military studies, Mental health
Keywords: Intrusion Experiences, Iraq-Afghanistan veterans, Narrative Study, Post traumatic stress disorder, Trauma
Publication Number: 28086671
ISBN: 9798672150543
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