The roots of psychological trauma and post-traumatic stress reaction/ disorders and the intervention

2015 ◽  
pp. 351-354
Author(s):  
Jing Zeng
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.


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.


1989 ◽  
Vol 19 (4) ◽  
pp. 927-936 ◽  
Author(s):  
Zahava Solomon

SYNOPSISThis study assessed the clinical picture of two groups of Israeli veterans of the Lebanon war: (a) veterans who sustained a combat stress reaction (CSR) (N = 213), and (b) matched controls not so diagnosed (N = 116). Subjects were screened at three points – one, two, and three years after their participation in the war. The results indicated that Post-Traumatic Stress Disorder (PTSD) was correlated with a wider range of general psychiatric symptomatology, as measured by the SCL-90. Moreover, among PTSD veterans, those who suffered from an antecedent CSR reported wider and more severe symptomatology. This trend was observed at all three time points. The most salient symptoms were obsessive-compulsive tendencies and anxiety, followed by depression and hostility.


2015 ◽  
Vol 22 (04) ◽  
pp. 514-521
Author(s):  
Muhammad Sami Bilal ◽  
Mowadat Hussain Rana ◽  
Col Safi Ullah Khan ◽  
Rashid Qayyum

Objectives: To demonstrate the efficacy of EMDR in complex multiplepsychological trauma after failed drug treatment from selective serotonin reuptake inhibitor(SSRI) in a diagnosed case of post-traumatic stress disorder (PTSD). Method: Singleparticipant of this case study, a sitting session judge of judicial governmental scaffold reportedto this mental health tertiary care facility at his own accord with features of intense anxiety,depression, maladjustment issues and post- traumatic stress for a duration of several months.As a partial responder to full trial of SSRI he was enrolled for EMDR therapy to address hissymptoms of intense anxiety, panic attacks, being overwhelmingly fearful, depressed, low selfesteem,inappropriate feelings of guilt, flashbacks, avoidance, nightmares, hyper-arousal andinability to perform as a judicial head in active war stricken area of northern Pakistan. Completepsychiatric evaluation was carried out and after the discontinuation of SSRIs he was scoredon Impact of Event Scale (IES). He fulfilled the diagnostic criteria for PTSD as evaluated by theEnglish version of the PTSD module of the Structured Clinical Interview for DSM-IV administeredonce before commencement of EMDR. Safe place of the client was established and 8 stagedprotocol of EMDR was started with him. Multiple EMDR sessions were conducted. Result:The case presented in this paper had multiple psychological trauma forms and failed drugtreatment and yet it was observed that EMDR provided marked improvement in all the domainsof his deficits and this was at a prompt speed as compared to cognitive behavioural therapy(CBT) which usually takes longer duration of therapy to achieve similar results. Conclusions:EMDR provides marked improvement in all domains of complex mental trauma and traumaticmemories. Improvement attained was prompt and enduring as compared to other formsof established therapies and drug treatment indicating permanent changes happening atneurobiological levels of brain.


1987 ◽  
Vol 151 (2) ◽  
pp. 248-251 ◽  
Author(s):  
R. Garb ◽  
I. Kutz ◽  
A. Bleich ◽  
Z. Solomon

The use of an immunological metaphor allows the incorporation of established theoretical ideas about trauma and stress in an integrative way which enables delineation and illustration of several varieties of combat stress reaction, including subtle forms of that condition which do not often appear in post-traumatic stress disorder literature.


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