Roques Marjorie, Laimou Dimitra, Camps François-David, Mazoyer Anne-Valérie, El Husseini Mayssa'
LPCN laboratory of psychology of Caen Normandy - EA7452 - MRSH, University of Caen Normandy, Caen, France.
Service de psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier Universitaire de Caen, Caen, France.
Front Psychiatry. 2020 Jan 10;10:890. doi: 10.3389/fpsyt.2019.00890. eCollection 2019.
A number of studies have analyzed the bullying phenomenon among adolescent victims. Relatively few studies, however, have specifically addressed the associated post-traumatic stress disorder (PTSD). Our clinical practice and therapeutic encounters with adolescents reveal that the majority of bullied adolescents suffer from high levels of PTSD. The objective of this study is to further explore bullied adolescents' traumatic experiences. In an attempt to analyze these experiences, this article presents a mixed-methods approach. Such an approach will allow to analyze the PTSD that results from bullying as well as subjects' psychic and family-relevant vulnerabilities. First, bullying will be defined in the context of adolescence. Then the main studies on bullying will be presented. The objectives, tools and methods of analysis will be presented. The interviews will be analyzed according to the Interpretative Phenomenological Analysis (IPA) method. Projective tools, family drawings, Rorschach and Thematic Apperception Test (TAT), will be analyzed using a psychoanalytic interpretation method. Each qualitative tool will be used alongside a validated quantitative tool. The Clinical Administered PTSD Scale (CAPS-CA-5 questionnaire) and the interviews conducted will thus allow to analyze PTSD and traumatic experiences. The Family Assessment Device (FAD) and the family drawing test will enable to assess family functioning; lastly, the Symptom Check List (SCL-90) that will be used alongside Rorschach and TAT tests will allow to analyze individual psychological vulnerabilities. This approach will increase data validity. The originality of this research study is based on a mixed-methods approach, our methodology which is based on clinical psychology, and the choice of certain research tools which have received little attention to date. Ultimately, this study may help improve how bullying is identified and could contribute toward the reinforcement or revision of the criteria that characterize bullying. Lastly, it may help us explore various unexamined dimensions of bullying. A possible limitation is the complexity associated with such a protocol.
许多研究分析了青少年受害者中的欺凌现象。然而,相对较少的研究专门探讨了与之相关的创伤后应激障碍(PTSD)。我们在临床实践中与青少年的治疗接触表明,大多数受欺凌的青少年患有高水平的PTSD。本研究的目的是进一步探索受欺凌青少年的创伤经历。为了分析这些经历,本文提出了一种混合方法。这种方法将有助于分析欺凌导致的PTSD以及受试者的心理和与家庭相关的脆弱性。首先,将在青少年背景下定义欺凌。然后介绍关于欺凌的主要研究。将介绍分析的目标、工具和方法。访谈将根据解释性现象学分析(IPA)方法进行分析。投射工具、家庭绘画、罗夏墨迹测验和主题统觉测验(TAT)将使用精神分析解释方法进行分析。每个定性工具将与经过验证的定量工具一起使用。临床管理的PTSD量表(CAPS-CA-5问卷)和进行的访谈将因此有助于分析PTSD和创伤经历。家庭评估工具(FAD)和家庭绘画测试将能够评估家庭功能;最后,与罗夏墨迹测验和TAT测试一起使用的症状自评量表(SCL-90)将有助于分析个体的心理脆弱性。这种方法将提高数据的有效性。本研究的创新性基于混合方法、我们基于临床心理学的方法以及某些迄今为止很少受到关注的研究工具的选择。最终,本研究可能有助于改进欺凌的识别方式,并可能有助于加强或修订表征欺凌的标准。最后,它可能有助于我们探索欺凌的各种未被审视的维度。一个可能的限制是与这样一个方案相关的复杂性。