Post-traumatic stress disorder in obstetrics : a literature review
This thesis is submitted in partial fulfilment of the requirements for the Doctor of
Clinical Psychology (Clin. Psy. D. ) at the University of Birmingham. It comprises
clinical placement reports and a research project.
Volume I contains the research component in two papers. The first is a review of the
literature relating to Post-Traumatic Stress Disorder (PTSD) in Obstetrics. This paper
is prepared for submission to the British Journal of Health Psychology. It examines
how the DSM-IV diagnostic system for PTSD has been applied to traumatic stress
reactions to childbirth. Post-partum PTSD is then compared and contrasted with
PTSD in other fields, such as combat, civilian and health-related settings.
The second paper is an empirical study of the psychological adjustment to the
Implantable Cardioverter Defibrillator (ICD). It investigates the role of coping style
and negative and positive affect in physical and psychological recovery. There is also
an examination of whether ICD shock discharge is associated with poorer
psychological and physical outcome and posttraumatic stress symptoms. This paper
has been prepared for submission to the journal of Pacing and Clinical
Instructions for submitting authors to the journals are included in the appendices to
Volume I. The thesis follows APA required writing guidelines unless journal
submission specifications are required. To facilitate ease of reading, tables and figures
are included in the text, but will be included as appendices for journal submission.
The appendices to Volume I also contain an executive summary of the empirical paper
that is intended for submission to the public domain.
Volume II comprises five reports of clinical practice that were submitted over the
course of clinical training. These describe a range of issues pertinent to the clinical
specialties of adult mental health, child and family, older adult and clinical health
psychology. The reports are: a case of a woman with bulimia formulated from
cognitive, psychodynamic and systemic perspectives; a short case study of a cognitive behavioural
intervention with a woman experiencing phobic anxiety of public urinary
incontinence; an evaluation of the quality of communication of a child and family
mental health team to GP referrers; an extended single case study of the assessment
and intervention with an older adult experiencing chronic grief and sleep disturbance,
and; a written presentation describing the role of the clinical psychologist in the
assessment of a patient requesting breast augmentation surgery. Relevant appendices
are inserted after Clinical Practice Report Three.