Naslov
Classifications of Post-traumatic Stress Disorder

Autori
Frančišković, Tanja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Harvard Collaborative Training in Trauma-Related Menal Disorders for Primary Care psychiatry, Trauma and humanitarian Assistance in Croatia and Bosna and Herzegovina / Allden, KathleenM. ; Lavelle, James ; - Boston (MA) : Harvard School of Pablic Health, Harvard University, 1998, 47-48

Skup
Harvard Collaborative Training in Trauma-Related Menal Disorders for Primary Care psychiatry, Trauma and humanitarian Assistance in Croatia and Bosna and Herzegovina

Mjesto i datum
Opatija, Hrvatska, 1998

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Classifications; Post-traumatic Stress Disorder

Sažetak
The classification of PTSD, such as DSM-IV and ICD-10, while useful and important, nonetheless make thing seem simpler than they are. For instance, in Rijeka, where there is no bombing, we are still stressed by the constant proximity of war: and working with traumatized patients is stressful. We can all be diagnosed as F43.2 Difficulties with psychosocial adaption. The war situation is a psychologically simple situation; everything is celar, emotions are strong and pronounced, and a high level of aggression is normal. In the aftermath of war, however, things become much more complex. At every moment in our work, we must bear in mind the complete person, the complete social situation in which they are imbedded, and realze that we cannot treat the diagnostic categories as simple or convenient labels. There are four broad categories of reaction to trauma: Acute states, Chronic states, Continuous states and Psychotic states. These are not reflected well in the DSM-IV and ICD-10. For instance, int the ICD 10 there is a categories which is supposed to last one month: F43.1 Acute PTSD. However, in practice, we find that depending on the trauma and the person's ability to cope, it can often last far longer. To give another example, the DSM-IV does not contain the category long-term personality changes through experience, which is F62.0 in the ICD-10. These are permanent states, lasting more than two years, characterized by mistrust, withdrawal, emptiness and hopelessness. These are lasting consequences, and there is a tendency not to want to believe that the conditions are unalterable. The diagnoses in reactive states must be reconsidered by all who work with traumatized people. We find in our work many alterations in impulses, perception of self and with torturer, reltioships with others, and value system. The important thing for doctors to realize is that we have to treat the trauma, we have to process it. It is like a wound which won't heal if the trauma is not processed. Like a physical wound, it will leave a scar which will always remind of the trauma; but when it is healed it no longer prevents the limb from functioning normally.

Izvorni jezik
Engleski

Znanstvena područja
Javno zdravstvo i zdravstvena zaštita

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