Psychopathology Exam #2.docx

Psychopathology Exam #2.docx - Section 2 Trauma and...

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Section 2: Trauma and Psychosis | Stress | Trauma | Mechanisms | Dissociation | Delusions | Schizophrenia | Psychosis | Chapter 7: Post-Traumatic Stress (pg. 174-186) 2.02 Post-traumatic Stress (PTSD) CASE STUDY - Stephanie Cason - (27 year old) - Stranger went in her apartment and struck her with a tire iron and she bled alot - She saved herself from being raped, but she could not protect herself from the emptional fallout of er secual asssault. - She was still having distress after the 2nd and 3rd anniversary of the event. Some History Trauma and War Civil War “Irritable Heart” World War I “Shell Shock” World War II “War Neuroses” “Combat Fatigue” Korean War (and Vietnam War) “Operational Fatigue” Vietnam and PTSD The Veterans Project (mid-70’s) PTSD accepted into the DSM-II in 1980 Feminist Theories and Research Rape Trauma Syndrome Burgess and Holstrom (1974) Listening to Atrocities Haley (1974) Battered Women’s Syndrome Walker (1984) Complex PTSD Herman (1992) DSM-5.0 PTSD (SPLITTERS) Pre-DSM-5.0, these were classified as anxiety disorders Post-traumatic Stress Disorder Trauma- and Stressor-Related Disorders Obsessive Compulsive Disorder Obsessive Compulsive and Related Disorders What are the trauma disorders?
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Traumatic Stress- is defined in DSM-5 as an event that involves actual or threatened death, serious injury, or sexual violence to self, or witnessing others experience trauma, learning that loved ones have been traumatized, or repeatedly being exposed to details of trauma. Adult Ages Post-traumatic Stress Disorder (PTSD) Lasts longer than one month and sometimes has a delayed onset. Acute Stress Disorder (ASD) Occurs within a month after exposure to traumatic stress. Adjustment Disorders Other (Specified and Unspecified) In Children Adapted Criteria For PTSD For 6 Or Younger Reactive Attachment Disorder Disinhibited Social Engagement Disorder Trauma-Related Disorders Complex PTSD NOT in the DSM, but in the forthcoming (ICD-11) (ICD = International Classification of Disease) DSM Diagnoses: ASD and PTSD PTSD Develops 30 days or later ASD Develops within 30 days PTSD and ASD: “Criterion A” Exposure to actual or threatened death, serious injury, or sexual violence Directly Experienced Witnessed, in person Learning that the traumatic event occurred to a close friend of family member Experienced repeated or extreme exposure to aversive details of the traumatic event (e.g., first responders collecting human remains) Clinical Features of PTSD Intrusions Memories, Dreams, Flashbacks Avoidance Of memories, thoughts, feelings; of reminders, e.g., people,
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places, things Negative Alterations In Cognition And Mood Dissociative Amnesia, Exaggerated Negative Beliefs, Distorted Cognitions, Negative Emotion, Loss of Interest, Detachment, Lack of Positive Emotions Alterations in Arousal or Reactivity
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