Impact of Terrorist Attacks on the Profile of Consultants at the Outpatient Department of Razi Hospital

2017 ◽  
Vol 41 (S1) ◽  
pp. S727-S727
Author(s):  
R. Trabelsi ◽  
A. Bouasker ◽  
H. Zalila

IntroductionA trauma is an uncommon experience of violence in which the physical and psychological integrity of an individual or group has been threatened. Intentional violence in general and terrorist attacks in particular are a perfect example of this. It turns out that during the year 2015 Tunisia was shaken by a series of terrorist attacks as sudden as violent. What impact would these actions have on the profile of consultants at the Razi hospital?MethodsA retrospective and descriptive study of the consultants between January 1, 2015 and December 31, 2015, while determining the socio-demographic, clinical and therapeutic profile of the consultants for the first time at the outpatient clinic of the Razi psychiatric hospital, and indicating the different changes during the month following each attack; Bardo 18 March, Sousse 26 June and Mohamed V 24 November.ResultsOur study pointed to an increase in the number of consultants at the hospital (31%) and outpatient (128%) levels during the year 2015, without increasing the number of consultants New consultants. The new consultants are younger with a strengthening of the female predominance (56.8). In the months following the attacks from the same period of the previous year, we found that diagnoses of acute and post-traumatic stress disorders (151%) and (93%) increased in percentage.ConclusionThe impact of terrorist attacks is harmful to people directly exposed but also to vulnerable people. It imposes the necessity of a preventive activity involving multidisciplinary interventions in order to develop the concept of resilience.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2017 ◽  
Vol 1 (2) ◽  
pp. 123
Author(s):  
S. Godwin Raj ◽  
V Rajasekaran

<p><em>Almost all people experience trauma in their life. Surviving in the era that has witnessed a lot of trauma, a millennium composed of two world wars and cold wars, has made every human being experience chains of trauma. Traumatic problems affect a person mentally and physically. There is a long history of human associating himself through a way or therapy to find himself out of the Post Traumatic Stress Disorders (PTSD). This paper projects the importance of writing that serves as a therapy, with the backdrop of the Tibetan writer Tensin Tsundue. Tibet at present undergoes the tough situations due to the Chinese invasion and Tibetans are mostly away from their homeland and staying as refugees in other countries. Tensin Tsundue is a Tibetan activist and writer, and his works bring out the reality of the Tibetan struggle, where his poems stand as a placard for the readers to identify the lost identity of Tibetans. This paper brings out the importance of writing as a therapy to overcome the traumatic stress, and it analyses how an individual writing brings the impact of collective healing into action.</em></p>


Millennium ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 163-202
Author(s):  
Patrick Reinard ◽  
Christian Rollinger

AbstractA contribution to a scholarly controversy that has been on-going for a quarter century now, this article provides a critical review of previous studies on the existence of post-traumatic stress disorders (PTSD) as a consequence of extreme violence in the ancient world. It highlights methodological difficulties in attempting to ‘diagnose’ psychological illnesses across a distance of more than two millennia by means of highly stylized literary texts. Simultaneously, it introduces crucial new evidence in the form of a late antique papyrus originally published in 1924 (P.Oxy. 16/1873), which has hitherto been almost completely ignored by scholarship. The papyrus, a letter written by a man called Martyrios in sixth century Lycopolis and addressed to his father, recounts psychological war trauma as a result of an attack on his hometown. He does so in a first-person perspective, using a highly select and unusual vocabulary to describe his emotional impairment. Because of its syntactical and vocabulary extravagance, this letter is sometimes seen as a fictional literary reflex. The authors argue, on the contrary, that this letter is the only reliable documentary evidence for psychological war trauma from the ancient world known so far.


Author(s):  
C. Bouarab ◽  
V. Roullot-Lacarrière ◽  
M. Vallée ◽  
A. Le Roux ◽  
C. Guette ◽  
...  

AbstractModerate stress increases memory and facilitates adaptation. In contrast, intense stress can induce pathological memories as observed in post-traumatic stress disorders (PTSD). A shift in the balance between the expression of tPA and PAI-1 proteins is responsible for this transition. In conditions of moderate stress, glucocorticoid hormones increase the expression of the tPA protein in the hippocampal brain region which by triggering the Erk1/2MAPK signaling cascade strengthens memory. When stress is particularly intense, very high levels of glucocorticoid hormones then increase the production of PAI-1 protein, which by blocking the activity of tPA induces PTSD-like memories. PAI-1 levels after trauma could be a predictive biomarker of the subsequent appearance of PTSD and pharmacological inhibition of PAI-1 activity a new therapeutic approach to this debilitating condition.


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