Traumatic Stress Disorder Signs Diagnosing Using a Drawing

  • Nataliya Akimova Department of Social and Behavioral Sciences Kherson State Agrarian and Economic University, Kropyvnytskyi, Ukraine https://orcid.org/0000-0001-9952-1153
Keywords: post-traumatic stress disorder, acute stress disorder, moral trauma, projective method, diagnostics using a drawing, “Man in the Rain” technique

Abstract

The aim of the study was to analyze the projective potential of pictorial methods in the diagnosis of acute and post-traumatic stress disorders caused by traumatic events. The study uses a theoretical methods system - analysis, synthesis, comparison, generalization, abstraction, concretization, systematization, classification - to determine the main concepts and approaches. Empirical processing of the material was carried out by using observation methods, interviews, documentation analysis, analysis of activity products and a modified projective test "Man in the Rain". The study was agreed with the the Commission on Ethics of Scientific Research of the Kherson State Agrarian and Economic University. As a result, more than 100 drawings were collected and analyzed. Based on their study, several features in the depiction of a man in the rain were identified. They are characteristics of the person with mental trauma symptoms. In general, it is emphasized that the diagnosis of PTSD requires a radically new approach and, accordingly, new diagnostic tools. In Ukraine, in conditions of war, the need for group diagnostics of PTSD is growing. Ukrainian need tools that can be used remotely, when it is not possible to wait for the end of the traumatic circumstances; when it is impossible to isolate all the traumatized in safe conditions to provide them with assistance; when mental traumas happen one by one.  These methods are desirable to be able to diagnose the degree of traumatic experience and memories, avoiding excessive criticism and rationalization, overcoming repression and denial. One of the options for such diagnostics can be diagnostics using the proposed modification of the “Man in the Rain” technique. The methodology we used has shown significant projective potential, as well as a positive consultative effect in working with traumatized individuals.

Downloads

Download data is not yet available.

References

Grineva, N.V. (2014). Preparing a practicing psychologist for the use of drawing in the diagnostic and correctional process (psychodynamic approach). Uman: Vizavi. [in Ukrainian].

Mykhaylov, B.V. (Ed.). (2019). Innovations in medical and psychological rehabilitation of combatants and victims of emergencies (clinical guideline), Kharkiv-Kyiv: "Ukrprofozdorovnitsya". https://emed.library.gov.ua/wp-content/uploads/tainacan-items/8476/50589/Innovatsii-u-medyko-psykholohichniy-reabilitatsii-uchasnykiv-boyovykh-diy-ta-postrazhdalykh-vnaslidok-nadzvychaynykh-sytuatsiy-klinichna-nastanova.pdf [in Ukrainian].

Turynina, O. (2017). Psychology of traumatic situations. Kyiv : Personal. https://lib.duan.edu.ua/en/resources/personal-e-resources/e-library/11-psykholohiia/2116-teaching-and-learning-in-higher-education-21 [in Ukrainian].

Unified clinical protocol "Reaction to severe stress and adaptation disorders. Post-traumatic stress disorder". Order 121. Ministry of Health of Ukraine (2016). http://mtd.dec.gov.ua/index.php/uk/reiestr-mtd. [in Ukrainian].

Unified clinical protocol for primary and specialized medical care "Acute stress reaction. Post-traumatic stress disorder. Adaptation disorders". Order 1265. Ministry of Health of Ukraine (2024). http://mtd.dec.gov.ua/index.php/uk/reiestr-mtd. [in Ukrainian].

"On the approval and implementation of medical and technological documents on the standardization of medical care for PTSD." Order 121. Ministry of Health of Ukraine (2016). http://mtd.dec.gov.ua/index.php/uk/reiestr-mtd. [in Ukrainian].

Battles, A. R., Bravo, A. J., Kelley, M. L., White, T. D., Braitman, A. L., & Hamrick, H. C. (2018). Moral injury and PTSD as mediators of the associations between morally injurious experiences and mental health and substance use. Traumatology, 24(4), 246-254 https://doi.org/10.1037/trm0000153

Braitman, A. L., Battles, A. R., Kelley, M. L., Hamrick, H. C., Cramer, R. J., Ehlke, S., & Bravo, A. J.(2018). Psychometric properties of a Modified Moral Injury Questionnaire in a military population. Traumatology, 24(4), 301 https://doi.org/10.1037/trm0000158

O’Connor, A. (2021). Moral injury. Therapy today. March. 35–37. https://doi.org/10.13140/RG.2.2.15782.04162

Fleming, W.H. (2021). Moral Injury and the Absurd: The suffering of moral paradox. Journal of Religion and Health. 2021 Oct;60(5):3012-3033. https://doi.org/10.1007/s10943-021-01227-4

Hodgson, T. J., Carey, L. B., & Koenig, H. G. (2021). Moral injury, Australian veterans and therole of chaplains: an exploratory qualitative study. Journal of Religion and Health, 60(5),3061-3089. https://doi.org/10.1007/s10943-021-01417-0

Koenig, H. G., Youssef, N. A., & Pearce, M. (2019). Assessment of moral injury in veterans and activeduty military personnel with PTSD: A review. Frontiers in Psychiatry, 10, 443 https://doi.org/10.3389/fpsyt.2019.00443

Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans:A preliminarymodel and intervention strategy. Clinical Psychology Review, 29(8), 695-706 https://doi.org/10.1016/j.cpr.2009.07.003

Papazoglou, Konstantinos, Chopko, Brian (2017). The Role of Moral Suffering (Moral Distress and Moral Injury) in Police Compassion Fatigue and PTSD: An Unexplored Topic. J. Frontiers in Psychology. 8. http://dx.doi.org/10.3389/fpsyg.2017.01999

Richardson, N. M., Lamson, A. L., Smith, M., Eagan, S. M., Zvonkovic, A. M., & Jensen, J. (2020). Defining moral injury among military populations: A systematic review. Journal ofTraumatic Stress, 33(4), 575-586. https://doi.org/10.1002/jts.22553

Terpou, B. A., Lloyd, C. S., Densmore, M., McKinnon, M. C., Théberge, J., Neufeld, R., Jetly, R., & Lanius, R. A. (2022). Moral wounds run deep: exaggerated midbrain functional network connectivity across the default mode network in posttraumatic stress disorder. Journal of Psychiatry & Neuroscience, 47(1), e56-e66 https://doi.org/10.1503/jpn.210117

Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www. ptsd. va. gov, 10(4), 206

Zasiekina, L. (2014). Psycholinguistic Representation of Individual Traumatic Memory in the Context of Social and Political Ambiguity. East European Journal of Psycholinguistics, 1(2),118-125.https://eejpl.vnu.edu.ua/index.php/eejpl/article/view/200

Zasiekina, L., Khvorost, K., & Zasiekina, D. (2018). Traumatic Narrative in Psycholinguistic Study Dimension. PSYCHOLINGUISTICS, (23(1), 47-59. https://doi.org/10.5281/zenodo.1211097

Published
2026-05-28
Cited
How to Cite
Akimova, N. (2026). Traumatic Stress Disorder Signs Diagnosing Using a Drawing. Visnyk of V.N. Karazin Kharkiv National University. Series Psychology, (80), 91-98. https://doi.org/10.26565/2225-7756-2026-80-11