Desensitisasi Bersistem (CBT-SD) Terhadap Simptomatologi PTSD Mangsa Buli: Satu Kajian Kes
DOI:
https://doi.org/10.33102/abqari.vol25no2.457Keywords:
Counseling intervention, PTSD, bullyingAbstract
Bullying not only has a significant influence on victims' physical and emotional well-being, but they are also reported to experience symptoms of post-traumatic stress disorder (PTSD) such as nightmares, intrusive thoughts and emotions of hopelessness and powerlessness. The symptomatology of untreated PTSD exposes victims to other psychological issues such as substance abuse, depersonalization and suicide. This case study was conducted to identify the effectiveness of Cognitive Behavioral Therapy-Systematic Desensitization (CBT-SD), a counseling intervention for reducing symptomatology of PTSD. He was diagnosed with clinically severe symptomatology of PTSD (T> 65) by using the Detailed Assessment of Posttraumatic Stress (DAPS) (Briere, 2001). The treatment planning using CBT-SD technique was constructed aimed at answering the research questions. The results indicate a decrease in the symptomatology of PTSD and other psychological issues, particularly on the scales of dissociation and suicide. Reducing PTSD symptoms has a favourable impact on the client’s cognitive, emotional and behavioural functioning, as seen by his improved personal functioning in his daily life. Hence, prevention and early rehabilitation through counseling interventions are crucial in aiding victims of bullying achieve psychological balance. The implications of this intervention are also discussed.
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References
Alvarado, G. E. (2013). Gallows humor as a resiliency factor among urban firefighters with specific implications on prevalence rates of PTSD (Publication No. 3552414) [Doctoral dissertation, Azusa Pacific University]. ProQuest Dissertations Publishing.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). doi:10.1176/appi.books.9780890423349
Amir Awang (1987). Teori dan amalan psikoterapi. Nilai: Penerbit Universiti Sains Malaysia.
Andreou, E., Tsermentseli, S., Anastasiou, O., & Kouklari, E. C. (2021). Retrospective accounts of bullying victimization at school: Associations with post-traumatic stress disorder symptoms and post-traumatic growth among university students. Journal of Child & Adolescent Trauma, 14(1), 9-18.
Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., ... & Morgenthaler, T. I. (2010). Best practice guide for the treatment of nightmare disorder in adults. Journal of clinical sleep medicine, 6(4), 389- 401.
Azizi Yahaya (2006). Punca dan rawatan kecelaruan tingkah laku. Selangor: PTS Professional Publisher Sdn. Bhd.
Biagini, E. (2020). Islamist women’s feminist subjectivities in (r) evolution: The Egyptian Muslim sisterhood in the aftermath of the Arab uprisings. International Feminist. Journal of Politics, 22(3), 382-402.
Brake, C. A., Rojas, S. M., Badour, C. L., Dutton, C. E., & Feldner, M. T. (2017). Self-disgust as a potential mechanism underlying the association between PTSD and suicide risk. Journal of Anxiety Disorders, 47, 1-9.
Bremner, J. D., & Campanella, C. (2016). Effects of psychotherapy for psychological trauma on PTSD symptoms and the brain. Posttraumatic Stress Disorder: From Neurobiology to Treatment. Canada: Wiley-Blackwell, 413-20.
Briere, J. (2001). Detailed assessment of posttraumatic stress. Psychological Assessment Resources, Inc.
Brunstein Klomek, A., Barzilay, S., Apter, A., Carli, V., Hoven, C. W., Sarchiapone, M., ... & Wasserman, D. (2019). Bi‐directional longitudinal associations between different types of bullying victimization, suicide ideation/attempts, and depression among a large sample of European adolescents. Journal of child psychology and psychiatry, 60(2), 209-215.
Buttle. G. (2001). Overcoming social anxiety and shyness: A self help guide using Cognitive Behavioral Therapy techniques. London: New York University Press.
Cusack, K., Jonas, D. E., Forneris, C. A., Wines, C., Sonis, J., Middleton, J. C., ... & Gaynes, B. N. (2016). Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clinical psychology review, 43, 128-141.
Frueh, B. C., De Arellano, M. A., & Turner, S. M. (1997). Systematic desensitization as an alternative exposure strategy for PTSD. American Journal of Psychiatry,154 (2), 287b–288. doi:10.1176/ajp.154.2.287b.
Garrick, J., & Williams, M. B. (2014). Trauma treatment techniques: Innovative trends (Vol. 12, No. 1-2). England: Routledge.
Gelkopf, M. (2011). The use of humor in serious mental illness: a review. Evidence-Based Complementary and Alternative Medicine. PubMed, DOI: 10.1093/ecam/nep106
Gušić, S., Malešević, A., Cardeña, E., Bengtsson, H., & Søndergaard, H. P. (2018). “I feel like I do not exist:” A study of dissociative experiences among war-traumatized refugee youth. Psychological Trauma: Theory, Research, Practice, and Policy, 10 (5), 542.
Jochman, J. C., Cheadle, J. E., & Goosby, B. J. (2017). Do adolescent risk behaviors mediate health and school bullying? Testing the stress process and general strain frameworks. Social science research, 65, 195-209.
Khasan, M. (2017). Perspektif Islam dan psikologi tentang pemaafan. Jurnal At-Taqaddum, 9(1), 1-26.
Levine, P. A., & Kline, M. (2006). Trauma through a child's eyes: Awakening the ordinary miracle of healing. United States: North Atlantic Books.
Ma, X., Stewin, L. L., & Mah, D. L. (2001). Bullying in school: nature, effects and remedies. Research papers in education, 16(3), 247-270.
Manrique, M., Allwood, M. A., Pugach, C. P., Amoh, N., & Cerbone, A. (2020). Time and support do not heal all wounds: Mental health correlates of past bullying among college students. Journal of American college health, 68(3), 227-235.
McLeod, S. (2021). Systematic Desensitization-simply psychology. Retrieved 17th August 2021 from http://www.simplypsychology.org/Systematic-Desensitization.html
Mishna, F. (2012). Bullying: A guide to research, intervention, and prevention. United Kingdom: Oxford University Press.
Morgenthaler, T. I., Auerbach, S., Casey, K. R., Kristo, D., Maganti, R., Ramar, K., & Kartje, R. (2018). Position paper for the treatment of nightmare disorder in adults: an American Academy of Sleep Medicine position paper. Journal of Clinical Sleep Medicine, 14(6), 1041-1055.
Noraskin, P. (2020). Depression, posttraumatic stress disorder symptoms and resilience in relation to school-aged bullying history among university students in Sarawak [Unpublished master dissertation]. Universiti Malaysia Sarawak.
Nielson, M., Tangen, T., Idsoe, T., Matthiesen, S., & Mageroy, N. (2015). Post-traumatic stress disorder as a consequence of bullying at work and school. A literature review and meta-analysis. Aggression and Violent Behavior. Science Direct, 2 (17–24).
Park, A., Park, S. J., Son, A. H., & Hur, H. S. (2018). A Comparative Study between the Korean medical and the Western-medical Psychotherapy on PTSD. Journal of OrientalNeuropsychiatry, 29(1), 1-8.
Sabariah, S. (2005). Teori Kaunseling & Psikoterapi. Kuala Lumpur: Pearson Malaysia.
See, C., M. (2009). Pendekatan kaunseling. Putrajaya: Penerbit Lembaga Kaunselor.
Toussaint, L. L., Worthington, E. L. J., & Williams, D. R. (2015). Forgiveness and health. Netherlands: Springer Netherlands.
Ventis, W. L., Higbee, G., & Murdock, S. A. (2001). Using humor in systematic desensitization to reduce fear. The Journal of general psychology, 128(2), 241-253.
Vergara, G. A., Stewart, J. Wan Salwina, W.I, Tan, Susan M.K., Nik Ruzyanei, N.J,, Tuti Iryani, M.D., Syamsul, S., Aniza, A & Zasmani, S. (2009). School bullying amongst standard six students attending primary national schools in the federal territory of Kuala Lumpur: The prevalence and associated socio demographic factors. Malaysian Journal of Psychiatry, 18(1).
Weaver, A. (2000). Can post-traumatic stress disorder be diagnosed in adolescence without a catastrophic stressor? A case report. Clinical Child Psychology & Psychiatry, 5(1), 77-83.
Werner, J. A. (1972). Group systematic desensitization of test anxiety in relation to measured changes in scholastic probation students. Texas A&M University. ProQuest Dissertations and Theses, 145-145.
Wolpe, J. (1958) Psychotherapy by reciprocal inhibition. United Stated: Stanford University Press.
Worthington Jr, E. L., & Sandage, S. J. (2016). Forgiveness and spirituality in psychotherapy: A relational approach. American Psychological Association. https://psycnet.apa.org/doi/10.1037/14712-000
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