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Home > Society and Social Sciences > Social services and welfare, criminology > Social welfare and social services > Social work > Write to Heal: How Cognitive-Change-Promoting Expressive Writing May Relieve the Adverse Effects of Stressful Life Events
Write to Heal: How Cognitive-Change-Promoting Expressive Writing May Relieve the Adverse Effects of Stressful Life Events

Write to Heal: How Cognitive-Change-Promoting Expressive Writing May Relieve the Adverse Effects of Stressful Life Events


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About the Book

This dissertation, "Write to Heal: How Cognitive-change-promoting Expressive Writing May Relieve the Adverse Effects of Stressful Life Events" by Kai-ming, Eric, Lau, 劉繼明, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract Abstract of thesis entitled "Write to Heal ― How Cognitive-change-promoting Expressive Writing may relieve the adverse effects of Stressful Life Events" Submitted by Eric LAU, Kai Ming for the degree of Doctor of Philosophy at the University of Hong Kong October, 2006 (First Submission) February, 2007 (Final Submission) Stressful Life Event (SLE) is a common cause of psychological distress, with a lifetime prevalence of over 90% in any population. However, its significance is often overlooked. Posttraumatic stress symptoms (PTSS) (mainly Intrusion and Avoidance) and a decline in Life Satisfaction are two characteristic adverse effects of SLE. Left untreated, they may persist for decades. Worse, the occurrence of any new SLE may interact with existing PTSS to trigger a full-blown Posttraumatic Stress Disorder. The prevalence of SLE rules out the possibility that it can be dealt with on the global level by conventional therapist-dependent approach, especially in the Third World. A solution that is therapist-independent and affordable is urgently needed. Expressive Writing (EW) is such a potential solution. Cognitive Processing is most widely believed to be the mechanism responsible for the beneficial effects of EW, yet to date no proof has been A1 Abstract established. The main reason for this is the lack of a way to manipulate, and the right tool to measure, Cognitive Processing. On the other hand, examination of past EW experiments revealed a curious pattern of outcome: when EW is prescribed for Stressful Life Event (SLE) using posttraumatic stress symptoms (PTSS) as the outcome measure, the result consistently fell into one of the three categories: no improvement; a blanket reduction in PTSS; or, the original relationship between PTSS and another symptom got moderated by EW. However, no theory has been available to make sense of such a pattern. With this thesis, all the above are going to change. First, this thesis is going to define the notions of Dose and efficacy of an EW treatment. With Dose and efficacy defined, the above-mentioned pattern becomes but a function of balance between the relative strength of EW (determined by its Dose and efficacy) and the relative strength of an SLE (determined by its distressfulness). When the relative strength of EW is much smaller than that of an SLE, no improvement will occur (Phase 0 Relief); when the reverse is true, there will be a blanket reduction in PTSS (Phase 2 Relief). Otherwise, the positive relationship between PTSS and another symptom will be moderated (Phase 1 Relief). This is the Biphasic Model of Relief by EW that this thesis postulates. Informed by the Biphasic Model, a new EW protocol, Cognitive-change-promoting Expressive Writing (CcpEW) is engineered to boost the relative strength of EW by manipulating and taking advantages of Cognitive Processing. Moreover, the Cognitive Change Checklist (CCC) is developed to measure Cognitive Processing in terms of the amount of cognitive changes occurred. The results of a randomised controlled trial show that CcpEW indeed is able to manipulate Cognitive Processing and the CCC is able to measure it reliably. CcpEW is found to be much more efficacious than conventional EW in reducing PTSS and the reduction it achieved is statistically as well as cl


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Product Details
  • ISBN-13: 9781374671287
  • Publisher: Open Dissertation Press
  • Publisher Imprint: Open Dissertation Press
  • Height: 279 mm
  • No of Pages: 402
  • Sub Title: How Cognitive-Change-Promoting Expressive Writing May Relieve the Adverse Effects of Stressful Life Events
  • Width: 216 mm
  • ISBN-10: 1374671282
  • Publisher Date: 27 Jan 2017
  • Binding: Paperback
  • Language: English
  • Spine Width: 21 mm
  • Weight: 925 gr


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