A Case Study of Social Cognitive Treatment of PTSD in a South African Rape Survivor: The Central Role of Case Formulation

This is a systematic case study of the psychological assessment and treatment of Zinhle (19), a Black South African student with posttraumatic stress disorder, following a rape at age 10. Treatment was based on Ehlers and Clark's (2000) cognitive therapy, a flexible formulation driven model. Th...

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Bibliographic Details
Published in:Journal of child sexual abuse 2015-02, Vol.24 (2), p.174-194
Main Authors: Padmanabhanunni, Anita, Edwards, David
Format: Article
Language:English
Subjects:
Child
Child abuse & neglect
Child Abuse, Sexual - psychology
Child Abuse, Sexual - therapy
childhood sexual abuse
Cognitive models
Cognitive therapy
Cognitive Therapy - methods
Family Therapy
Female
Humans
Interpersonal Relations
Mental health care
Narration
Personality Assessment - statistics & numerical data
Post traumatic stress disorder
posttraumatic stress disorder
Psychometrics
Rape
Rape - psychology
Social Support
South Africa
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - therapy
systematic case study
Young Adult
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Summary:This is a systematic case study of the psychological assessment and treatment of Zinhle (19), a Black South African student with posttraumatic stress disorder, following a rape at age 10. Treatment was based on Ehlers and Clark's (2000) cognitive therapy, a flexible formulation driven model. The study documented the secondary trauma experienced by families following child sexual abuse and showed how treatment not only needed to target the trauma memory but also the ruptured relationships within and outside the family. This was done within the framework of Tarrier and Humphreys's (2004) social cognitive model. At the end of treatment Zinhle no longer met criteria for PTSD, and the narrative supports Ehlers and Clark's model as well as the social cognitive model.
ISSN:1053-8712
1547-0679
DOI:10.1080/10538712.2015.997412