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Post-Traumatic Stress Disorder By: Mary Patterson Section: Black

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Chapter Seven: Posttraumatic Stress Disorder Background of PTSD Psychic trauma is the result of experiencing an acute overwhelming threat in which disequilibrium occurs. Most people are extremely resilient and will quickly return to a state of mental and physical homeostasis. Acute stress disorder is when symptoms continue for a period of 2 days to 1 month and have an onset within 1 month of the traumatic event. Background Cont. If acute stress disorder symptoms develop, they will typically diminish in 1 to 3 months. Delayed PTSD is when symptoms disappear for a period of time and then reemerge in a variety of symptomatic forms months or years after the event. Benchmarks Railway train accidents “Railway spine” Freud’s research on trauma cases of young Victorian women “Hysterical neurosis” Traumatized combat veterans (especially veterans of the Vietnam Conflict) “Shell shock” “Combat fatigue” Benchmarks Cont. Recognition of domestic violence and rape via the women’s movement “Battered women’s syndrome” All came together to be defined as posttraumatic stress disorder in the third edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (1980). Diagnostic Criteria Exposure to a trauma that involves: Actual or perceived threat of serious injury or death to self or others Response to the trauma was intense fear, helplessness, or horror Symptoms arise that were not evident before the event Persistent re-experiencing of the trauma in at least ONE of the following ways: Recurrent and distressing recollections Recurrent nightmares Flashback episodes Distress related to internal or external cues that symbolize the event Physiological reactions to events that symbolize the trauma Diagnostic Criteria Cont. Behaviors consistent with at least THREE of the following: Persistently avoiding related thoughts, dialogues, or feelings Persistently avoiding related activities, people, or situations Inability to recall important details of the trauma Markedly diminished interest in significant activities Emotionally detached from others Restricted range of affect Sense of foreshortened future Diagnostic Criteria Cont. Persistent symptoms of increased nervous system arousal that were not present prior to the trauma, as indicated by at least TWO of the following: Difficulty falling or staying asleep Irritability or outbursts of anger Difficulty concentrating Hyper-vigilance Exaggerated startle reactions to minimal stimuli The disturbance causes clinically significant impairment in social, occupational, or other critical areas of living. PTSD in Children Bus kidnapping in Chowchilla, CA 30-50% of children will experience at least one traumatic event by the age of 18. 3-16% of boys and 1-6% of girls will develop PTSD. The type of trauma will impact the likelihood of developing PTSD. Nearly 100% if they see a parent killed or sexually assaulted. Approximately 90% if the child ...

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Crime victim are at risk for developing PTSD. Rape trauma syndrome is also known as PTSD. PTSD is not only a veterans condition. PTSD develop after experiencing a traumatic event. Traumatic events may include child abuse, child sex abuse, sexual assault, natural disasters, accidents, or combat trauma. PTSD awareness, education, and early intervention can help survivors of crime from developing PTSD, or chronic long term effects of crime victimization.

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