“AFFECT WITHOUT RECOLLECTION” IN POST-TRAUMATIC STRESS DISORDER WHERE HEAD INJURY CAUSES ORGANIC AMNESIA FOR THE EVENT

2001 ◽  
Vol 29 (4) ◽  
pp. 501-504 ◽  
Author(s):  
Nigel S. King
Keyword(s):  
Head Injury ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Post Traumatic ◽  
Conditioned Responses ◽  
Injury Causes

Ehlers and Clark (2000) recently published a rigorous cognitive behavioural model of PTSD. Part of the model explains how the phenomenon of “affect without recollection” can emerge in PTSD. This happens when the re-experiencing phenomena occur without explicit or conscious recall of the parts of the traumatic event from whence the phenomena originated. The following paper presents a case study of a man with PTSD and head injury in which there was complete organic amnesia for the trauma but where re-experiencing of the event occurred via implicit conditioned responses to reminders of the event. It provides elegant supportive evidence for the phenomenon of “affect without recollection” where both PTSD and severe head injury are present.

Treatment of Delayed Post-Traumatic Stress Disorder Following Sexual Abuse: A Case Example

1994 ◽  
Vol 22 (3) ◽  
pp. 233-242 ◽  
Author(s):  
Louise Sharpe ◽  
Nicholas Tarrier ◽  
Nicolina Rotundo
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Significant Proportion ◽  
Treatment Modalities ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Post Traumatic ◽  
Therapeutic Context

Recent advances have been made in the treatment of post-traumatic stress disorder (PTSD). Cognitive behavioural techniques have been reported in controlled trials to be very effective in reducing arousal symptoms associated with post-traumatic stress disorder, such as sleep disturbance, hypervigilance, intrusive thoughts and flashbacks. It remains unclear from the literature, however, how well these treatment modalities can alleviate post-traumatic stress disorder where the predominant clinical features are associated with depersonalization and dissociative states. Depersonalization is evident in a significant proportion of individuals presenting with PTSD and yet does not appear to be amenable to exposure based therapies. A case study presented suggests methods through which depersonalization may be addressed within the therapeutic context.

scholarly journals Interventions Used in the Psychotherapeutic Treatment of Post-Traumatic Stress Disorder (PTSD)

2021 ◽  
Vol 8 (9) ◽  
pp. 370-405
Author(s):  
Juliana Margarida Carneiro ◽  
Rosangela Bertelli
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Post Traumatic Stress ◽  
Psychotherapeutic Treatment ◽  
Psychotherapeutic Interventions ◽  
Cognitive Behavioural ◽  
Post Traumatic ◽  
Online Library

Post-traumatic stress disorder (PTSD), a highly prevalent psychopathological condition, results from exposure to a traumatic event that evokes fear, helplessness and horror. However, effective psychotherapeutic interventions have been developed that allow for the relief of symptoms and improvements associated with the functioning of patients diagnosed with this condition. The purpose of this review of clinical reports, published between 2014 and 2019 in journals indexed in the Online Library of Knowledge (B-on), was to provide an overview of the interventions that were used, by psychologists or other health professionals, in the psychotherapeutic treatment of the aforementioned disorder. Fifty one publications that met the inclusion criteria were identified and there was a predominance of the cognitive-behavioural approach, with strategies and procedures derived from the Cognitive-Behavioural Model of Learning. The results were later discussed.

scholarly journals The impact of spousal violence on the children: A pastoral care approach

2014 ◽  
Vol 70 (2) ◽  
Author(s):  
Luvuyo G. Sifo ◽  
Maake J. Masango
Keyword(s):  
Pastoral Care ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Spousal Violence ◽  
Post Traumatic Stress ◽  
Case Scenario ◽  
Care Approach ◽  
Post Traumatic ◽  
The Impact

This article investigates the impact of spousal violence on children. Spousal violence in the home affects children negatively and its impact goes beyond their childhood years into adulthood. Some children become dysfunctional in life as a result of their exposure to violence between their parents. These children may exhibit symptoms associated with post-traumatic stress disorder (PTSD) later on in life. A case study of a family exposed to violence was undertaken. Findings from this case scenario were measured against existing literature. A pastoral care method of responding to the victims is proposed in order for them to be healed.

scholarly journals The effect of flexible cognitive–behavioural therapy and medical treatment, including antidepressants on post-traumatic stress disorder and depression in traumatised refugees: pragmatic randomised controlled clinical trial

2016 ◽  
Vol 208 (3) ◽  
pp. 252-259 ◽  
Author(s):  
Caecilie Böck Buhmann ◽  
Merete Nordentoft ◽  
Morten Ekstroem ◽  
Jessica Carlsson ◽  
Erik Lykke Mortensen
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Behavioural Therapy ◽  
Controlled Clinical Trial ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Randomised Controlled Clinical Trial ◽  
Post Traumatic ◽  
Randomised Controlled

BackgroundLittle evidence exists on the treatment of traumatised refugees.AimsTo estimate treatment effects of flexible cognitive–behavioural therapy (CBT) and antidepressants (sertraline and mianserin) in traumatised refugees.MethodRandomised controlled clinical trial with 2×2 factorial design (registered with Clinicaltrials.gov, NCT00917397, EUDRACT no. 2008-006714-15). Participants were refugees with war-related traumatic experiences, post-traumatic stress disorder (PTSD) and without psychotic disorder. Treatment was weekly sessions with a physician and/or psychologist over 6 months.ResultsA total of 217 of 280 patients completed treatment (78%). There was no effect on PTSD symptoms, no effect of psychotherapy and no interaction between psychotherapy and medicine. A small but significant effect of treatment with antidepressants was found on depression.ConclusionsIn a pragmatic clinical setting, there was no effect of flexible CBT and antidepressants on PTSD, and there was a small-to-moderate effect of antidepressants and psychoeducation on depression in traumatised refugees.

Support for the mutual maintenance of pain and post-traumatic stress disorder symptoms

2009 ◽  
Vol 40 (7) ◽  
pp. 1215-1223 ◽  
Author(s):  
A. Liedl ◽  
M. O'Donnell ◽  
M. Creamer ◽  
D. Silove ◽  
A. McFarlane ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Structural Equation ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Saturated Model ◽  
Post Traumatic Stress ◽  
Post Injury ◽  
Post Traumatic ◽  
The Relationship

BackgroundPain and post-traumatic stress disorder (PTSD) are frequently co-morbid in the aftermath of a traumatic event. Although several models attempt to explain the relationship between these two disorders, the mechanisms underlying the relationship remain unclear. The aim of this study was to investigate the relationship between each PTSD symptom cluster and pain over the course of post-traumatic adjustment.MethodIn a longitudinal study, injury patients (n=824) were assessed within 1 week post-injury, and then at 3 and 12 months. Pain was measured using a 100-mm Visual Analogue Scale (VAS). PTSD symptoms were assessed using the Clinician-Administered PTSD Scale (CAPS). Structural equation modelling (SEM) was used to identify causal relationships between pain and PTSD.ResultsIn a saturated model we found that the relationship between acute pain and 12-month pain was mediated by arousal symptoms at 3 months. We also found that the relationship between baseline arousal and re-experiencing symptoms, and later 12-month arousal and re-experiencing symptoms, was mediated by 3-month pain levels. The final model showed a good fit [χ2=16.97, df=12, p>0.05, Comparative Fit Index (CFI)=0.999, root mean square error of approximation (RMSEA)=0.022].ConclusionsThese findings provide evidence of mutual maintenance between pain and PTSD.

scholarly journals Prevalence of Post Traumatic Stress Disorder among School-age Adolescent

2020 ◽  
pp. 40-49
Author(s):  
Khalid Astitene ◽  
Hassan Aguenaou ◽  
Laila Lahlou ◽  
Amina Barkat
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Event ◽  
Demographic Data ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Reaction Index ◽  
High Prevalence ◽  
Post Traumatic

Aim: After a traumatic event, the person can develop post-traumatic stress disorder (PTSD), the purpose of the study is to assess the prevalence of PTSD in adolescents in public middle schools of the prefecture of Salé in Morocco and study anxiety and depression which are the comorbid disorders of the PTSD. The survey was carried out from March to June 2017. Methods: 523 students were selected by the cross-sectional method from fifteen schools that were randomly selected, the age of the students vary between 12 and 17 years. For the survey, standardized questionnaires (the socio-demographic data, the Life Events Checklist, the CPTS-RI (Children's Post Traumatic Stress Reaction Index), the STAIY (State Trait Inventory Anxiety Form Y) and the CDI (Children Depression Inventory) were used which were filled in by the students. Results: The prevalence of PTSD was 70.4% in the students who have PTSD. We found that the prevalence in boys was 46.74%, while in girls it was 53.26%. In addition to that, 81% of students found to be anxious and 51.8% of students have depression. Conclusion: There is a high prevalence of post traumatic stress disorder among adolescents, there are practical implications for the support and care of these adolescents.

scholarly journals A Case Study of Meditation to Reduce Alcohol Use Disorder Symptomology in Veteran PTSD Comorbidity

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Craig Cameron Hicks
Keyword(s):  
Alcohol Consumption ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Alternative Form ◽  
Post Traumatic Stress ◽  
Drinking Problem ◽  
Post Traumatic ◽  
Military Veteran ◽  
The Military

Background: Post traumatic stress disorder (PTSD) and alcohol comorbidity is becoming a rising issue within the military veteran community highlighted by research indicating individuals diagnosed with PTSD are more likely to have a drinking problem [1]. The implementation of meditation as an alternative form of stress release was aimed at reducing PTSD symptomology and therefor reducing factors that lead to drinking.Methods: A single veteran was recruited to complete a two-week intervention. The participant completed a behavioural diary noting alcohol consumption and mood respectively. During the middle of the study, an interview was undertaken to determine reasons of alcohol consumption and potential reasons and motivations for the cessation of drinking.Results: A moderate correlation between using meditation as a tool to reduce alcohol consumption in veterans with PTSD however this was not significant. Conversely, meditation was able to reduce PTSD symptomology.Conclusions: These results indicate that an alternative to drinking can be implemented as a successful form of treatment. However, these findings are specific to this study and need to be amplified and reproduced to determine if it can be applied to the general population.

Parent–Child Interaction Therapy for a 3-Year-Old Girl With Post-Traumatic Stress Disorder: Restoration to Her Father’s Care Following a Period in Out-of-Home Care

2021 ◽  
pp. 153465012110474
Author(s):  
Jessica M. Warren ◽  
Tanya Hanstock ◽  
Sally Hunt ◽  
Sean Halpin
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Parent Child Interaction Therapy ◽  
Out Of Home Care ◽  
Very Young Children ◽  
Child Interaction ◽  
Post Traumatic

Child abuse and neglect in very young children can lead to trauma-related stress symptoms that can be challenging to treat. Children exposed to multiple traumas occurring in the context of a caregiving relationship are sometimes more severely affected, evidenced by diverse negative behavioral, physical, social, and emotional consequences. Some of these children go on to develop post-traumatic stress disorder (PTSD). Parent–child interaction therapy (PCIT) is a dyadic play-based treatment for children with behavior problems and their parents or caregivers. There is limited research relating to the application of PCIT with very young children with PTSD with some studies actively excluding families where PTSD was present (Herschell et al., 2017). Additionally, there are no articles relating to treatment of a child restored to the care of a parent following out-of-home care (OOHC) and fewer still relating to a child restored to the care of her father. This case study illustrates the use of PCIT with a 3-year-old girl with PTSD, recently restored to her father’s care. It highlights how the use of PCIT in this case not only improved behavioral indicators of traumatic stress, but also afforded this child permanency and stability. The case study provides a summary of the progression of this intervention and the results obtained throughout treatment and 4 years post-intervention. The results indicated that PCIT, with trauma-informed tailoring, was an effective treatment in this case and contributed to safe and permanent care for this child.

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