Samuel Pepys and Post-Traumatic Stress Disorder

1983 ◽  
Vol 143 (1) ◽  
pp. 64-68 ◽  
Author(s):  
R. J. Daly

SummarySamuel Pepys's diary allows us an opportunity to see how a man of acknowledged ability and stability coped with the severe psychological trauma of being involved in the Great Fire of London in 1666. His self-monitoring provides an excellent record of the development of post-traumatic stress disorder and an account of his coping behaviour. Despite being one of the newest categories of mental disorder in the official nomenclature, posttraumatic stress disorder has obviously had a long existence.

Author(s):  
Tiffany A. Beks ◽  
Sharon L. Cairns ◽  
Anusha Kassan ◽  
Kelly D. Schwartz

This article considers three perspectives that have figured prominently in the conceptualization of psychological trauma related to military service in the Canadian context—that of military institutions, that of military members, and that of counselling psychologists. A closer examination of these views reveals points of contention regarding the origins, terminology, and cultural relevance of conceptualizations of service-related trauma, such as post-traumatic stress disorder By drawing from theoretical, empirical, critical, and anecdotal literature, this article highlights the need for counselling psychologists to continually evolve their understanding of the broader contexts in which service-related trauma occurs and to honour military members’ knowledge of diverse sources of traumatic suffering.


2013 ◽  
Vol 2 (7) ◽  
pp. 195-201
Author(s):  
Allen Ayala ◽  
Melanie Geer

Multiple studies have associated post traumatic stress disorder (PTSD) with variable and high rates of smoking documented in different populations. This article will cover the neurobiology behind tobacco use, and its implications in those with PTSD. Discussion on cessation programs (e.g., effectiveness, drug interactions), and controversy over the use of varenicline will also be discussed.


Author(s):  
O. Tokhtamysh

This topic is particularly relevant in the context of combat operations in eastern Ukraine against the occupation of the country, where members of the combined forces operation in each day are in a situation threatening the life and risk of getting a military psychological trauma. The article considers the elements and conditions of post-traumatic growth in the context of the rehabilitation process and the social promotion of human development after a traumatic event. The phenomenon of post-traumatic growth can transform the concept of rehabilitation into a term that can be labeled as "proabilitation". The forms of social and rehabilitation support in terms of creating conditions for post-traumatic growth and their effectiveness are explored. The theoretical and applied models with resource elements of the rehabilitation process and post-traumatic growth process are analyzed. It is noted that the traditional model of posttraumatic growth pay attention to the process of rumination and getting control over it and ignores one of the basic symptom of posttraumatic stress disorder, such as uncontrolled visual images (flash backs). The two-component concept of post-traumatic growth, which may be «illusory» or «adaptive», can also be presented as a «compensatory» or «healing» type with regard to the presence or absence of post-traumatic stress disorder symptoms after reaching post-traumatic growth. Posttraumatic growth occurs in several domains and can be depending on the type of traumatic event experienced, the individual reactions and the psychological qualities of the person. This process is not such that it automatically eliminates the symptoms of post-traumatic stress disorder, the same, rejecting the need for psychotherapeutic and psychosocial care and focusing only on post-traumatic growth can be a false strategy for those who have experienced a traumatic event. Consequently, the phenomenon of post-traumatic growth can be regarded as a powerful resource factor for the rehabilitation process, in particular, as a motivational component of psychosocial assistance.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Tatay Manteiga ◽  
L. Laguna Sopena ◽  
M. Lloret Diez-Canseco ◽  
T. Merino Magán ◽  
S. Cepeda Díez ◽  
...  

Aims:Since the end of 19th century, mental health professionals have noticed that individuals who have experienced traumatic situations often present dissociative symptoms, such as amnesia or fugue states. Dissociation is a defensive mechanism that allows an individual to separate from conscience the psychological distress produced by the trauma. Our aim was to remark the association between Post-traumatic Stress Disorder (PTSD) and long-term dissociative disorders through the study of a clinical case.Method:A clinical case was followed and reviewed to illustrate this relationship.Results:Ten years ago, a 49-year-old man was diagnosed of PTSD after having witnessed several colleagues burnt in a tragic accident at work and having helped the emergency fire brigade to rescue other victims. His symptoms required treatment with antidepressants and psychotherapy, and fully remitted after one year. Nevertheless, during the last year, he has presented two dissociative amnesia episodes lasting for three days each, which were examined by a neurology service. More recently, he has suffered a ten-day episode of dissociative fugue, which required psychiatric hospitalization. Although the patient has been asymptomatic during a decade, it is remarkable that he has presented three dissociative episodes in a short period of time. One of them, the fugue state, is interesting because of its long duration and its relatively low prevalence in the general population.Conclusions:This clinical case allows us to appreciate the long-term relationships between psychological trauma and dissociation, in addition to the well-known short-term effects.


Author(s):  
Zahra Foroghi ◽  
Fatemeh Rezaei ◽  
Fazlolah Mirderikvand

Introduction: Posttraumatic stress disorder is a set of clinical symptoms that occurs following exposure to life-threatening events, and affects a variety of psychological variables. The aim of the present study was to evaluate the effectiveness of prolonged exposure therapy on social support and the severity of symptoms in patients with post-traumatic stress disorder. Methods: This was a quasi-experimental study with pretest, post-test and a two-month follow-up design and a control group. Using stratified sampling method, 30 patients (15 subjects in each group) with post-traumatic stress disorder referred to Farabi Psychiatric Clinic in Kermanshah City selected and they were randomly assigned. The Mean age of the sample group was 31.9.The study inclusion criteria was having PTSD based on clinical interview. The study exclusion criteria included having psychosis symptoms, drug addiction. The data were collected by structured clinical interview (SCID-I), social support scale (MOS), and the fifth edition of the post-traumatic stress disorder index (PCL-5). Data were analyzed by repeated measures ANOVA test. Results: The results showed that prolonged exposure therapy was significantly effective in increasing social support (F=2/66, P<0/01) and reducing the severity of symptoms (F=42/19, P<0/01) among the patients with post-traumatic stress disorder. Conclusion: These results indicate that prolonged exposure therapy can alleviate the symptoms of the patients with post-traumatic stress disorder.


1999 ◽  
Vol 33 (1) ◽  
pp. 102-104 ◽  
Author(s):  
A. D. Macleod

Objective: The aim of this paper is to report an aspect of the management of a case of dissociative fugue. Clinical picture: A Vietnam veteran was suffering post-traumatic stress disorder. Treatment: Treatment involved the provision of a locator beacon worn in a neck chain. Outcome: This treatment resulted in the curtailment of the dissociative fugue episodes. Conclusion: The locator device proved a useful component of a multimodal treatment regime.


Author(s):  
Syed Roshaan Ahmed ◽  
Syed Uzair Mahmood ◽  
Haema Waheed

The Syria Civil War, which started in 2011, has killed 400,000 people. It has forced more than 11 million people to suffer and has caused not only the people to migrate but also to be displaced within their own country. The war has brought only misery in the lives of Syrians as the damage has only focused on residents of the region in combat. The children have faced the worst, losing their parents, siblings or even friends to violence, suffering physical and psychological trauma. Out of the 11 million and more people who have suffered, 4.9 million Syrians are refugees and 6.1 million have displaced within Syria, out of which half of those affected are children.The end result of the continued Syria Civil War is that those who have managed to survive have been severely damaged both physically and psychologically, disturbing their interpersonal, psychosocial, physical and mental health. The incidence of post traumatic stress disorder (PTSD) increases in such a situation, which tends to affect the lives of the Syrian people permanently.


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