Traumatic Hand-Me-Downs: The Holocaust, Where Does it End?

2000 ◽  
Vol 81 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Mayer Waxman

The author looks at children of Holocaust survivors as a distinct clinical group. These patients often display symptoms resembling those found in concentration-camp-survivor syndrome. Common symptoms include depression, anxiety, maladaptive behavior, and symptoms of personality disorder and even post traumatic stress disorder. The author reviews theories explaining the phenomenon and discusses treatment implications for both mental-health professionals and for clergy.

2015 ◽  
Vol 81 (9) ◽  
pp. 904-908 ◽  
Author(s):  
Aaron Bolduc ◽  
Brice Hwang ◽  
Christopher Hogan ◽  
Varun K. Bhalla ◽  
Elizabeth Nesmith ◽  
...  

Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the “Resources for Optimal Care of the Injured Trauma Patient 2014” stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peri-traumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25%) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.


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.


1997 ◽  
Vol 78 (6) ◽  
pp. 632-641 ◽  
Author(s):  
Ginny Sprang

Victims of drunk driving who die suffer an unnecessary and violent death, which intensifies the surviving family members' psychological response to the trauma. Grief models that elaborate stages of the bereavement process, although useful, are not helpful for measuring the blopsychosocial response to this type of death. Post-traumatic stress disorder (PTSD), however, is proposed as a dimension of the grief response. Victim and crime-related characteristics are compared to determine the associations between variables and the occurrence of PTSD symptomatology in victim and nonvictim groups. The results have assessment and treatment implications for mental health professionals who work with individuals and families.


Author(s):  
Michael Houlihan ◽  
Ian Fraser ◽  
Meaghan Donahue ◽  
Monica Sharma ◽  
Wendy Bourque ◽  
...  

Post-traumatic Stress Disorder (PTSD) occurs following a severely traumatic event and is characterized by: re-experiencing, avoidance, emotional blunting and reactivity. Of particular interest to this study are emotional blunting, which is the reduced responsiveness to cues unrelated to the traumatic experience, and reactivity which is an increased sensitivity to eventrelated cues. In two studies, the N170 was recorded in response to emotional faces (happy, sad, angry, surprised, neutral) and objects. In each study, high and low scorers on the PTSD checklist formed two companion groups. Angry faces are considered a generalized threat and it was expected that the clinical group would show larger N170 (hyper-reactive) to these emotional expressions, while responses to the other emotions would be reduced (emotional blunting). Preliminary analysis suggests that both of these processes are present. Results will be discussed in terms of possible deficits in processing emotional information in PTSD as well as the development of a clinical tool to aid the diagnosis of PTSD.


Author(s):  
Shai Shorer ◽  
Yael Caspi ◽  
Hadass Goldblatt ◽  
Faisal Azaiza

Abstract Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research methods, we interviewed twenty veterans dealing with PTSD (ten Bedouin and ten Jewish) and ten mental health professionals. Participants shared their experiences of symptoms, the ways they coped, and their perception of the costs and benefits of psychological treatment. Two main themes emerged: (i) ‘Veterans’ Perceptions of Their Mental Injury’. In stark contrast to their Jewish counterparts, Bedouin participants described extreme lack of understanding regarding the relationship between their exposure to combat trauma and their distress; (ii) ‘Veterans’ Perceptions of the Mental Health Services’. Bedouin veterans expressed fear of the stigma associated with PTSD and its detrimental social implications, for them and their families. Jewish veterans emphasised the beneficial and informative role of therapy. The findings underscore the impact of different cultural codes on help-seeking behaviours and on the ability to benefit from psychological treatment. It is recommended that mental health practitioners consider cultural backgrounds and individual differences when implementing trauma interventions, to fine-tune their suitability to veterans facing excessive barriers to care.


Author(s):  
Anke Ehlers

Clinicians have long noted that traumatic events can lead to severe psychological disturbance. At the end of the nineteenth and the beginning of the twentieth centuries, railway disasters, the World Wars, and the Holocaust prompted systematic descriptions of the symptoms associated with traumatic stress reactions. These include the spontaneous re-experiencing of aspects of the traumatic events, startle responses, irritability, impairment in concentration and memory, disturbed sleep, distressing dreams, depression, phobias, guilt, psychic numbing, and multiple somatic symptoms. A variety of labels were used to describe these reactions including ‘fright neurosis’, ‘combat/war neurosis’, ‘shell shock’, ‘survivor syndrome’, and ‘nuclearism’. This chapter covers clinical features of post-traumatic stress disorder, classification, diagnosis and differential diagnosis, epidemiology, prevalence, comorbidity of PTSD with other disorders, aetiology, course and prognosis, treatment, and finally advice on management.


2013 ◽  
Vol 25 (3) ◽  
pp. 295-299 ◽  
Author(s):  
Yuriy Dobry ◽  
María Dolores Braquehais ◽  
Leo Sher

Abstract Bullying is a highly prevalent behavior which carries a significant social, medical and financial cost for its victims and perpetrators, with powerful and long-lasting psychological and social impact. Bullying has been defined as a specific form of intentional, repeated aggression, that involves a disparity of power between the victim(s) and perpetrator(s). The aggression can take physical, verbal or gestural forms. The behavior of bullying crosses sociodemographic categories of age, gender, ethnicity, level of academic achievement and professional environment. It has been abundantly observed by teachers and parents in elementary schools, but has also shown its negative presence in corporate boardrooms. The direst outcome of bullying, for both victims and perpetrators, is an increased risk of psychiatric disorders including depression, post-traumatic stress disorder, anxiety disorders, substance abuse and suicidal behavior. Cruelty (and bullying, as one of its manifestations) breaks the basis of morality. Mental health professionals usually treat the victims of those actions unfortunately long after they have been exposed to the harm. The evidence does not support the idea that the majority of cruel actions are intrinsically “pathological”, in the sense of being motivated by “mental disorders”. Therefore, only moral rules and legal actions – but not psychiatric or psychological interventions – may dissuade humans from this form of cruelty.


2010 ◽  
Author(s):  
Stephen M. Stahl ◽  
Meghan M. Grady ◽  
Nancy Muntner

The Stahl's Illustrated books are a series of pocket-sized, mid-priced, themed volumes. They distil theoretical information from the Stahl's Essential Psychopharmacology volume and combine this with practical data from The Prescriber's Guide. They are illustration heavy and designed to encourage speedy learning of both concepts and applications. The visual learner will find that these books make the concepts easier to master, and the non-visual learner will appreciate the clear, shortened text on complex psychopharmacological concepts. This volume covers the latest developments in our understanding of post-traumatic stress disorder and anxiety. As well as covering the full range of management options, there is a specific focus on the implications for military populations. The Stahl's Illustrated series appeals to the widest possible audience of mental health professionals, and not just those with expertise in psychopharmacology.


2017 ◽  
Vol 14 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Sukran Altun ◽  
Melanie Abas ◽  
Cathy Zimmerman ◽  
Louise M. Howard ◽  
Sian Oram

Mental health professionals have opportunities to intervene and provide care for trafficked people. Research shows that mental health problems – including depression, anxiety and post-traumatic stress disorder – are prevalent among trafficked people, and that at least some trafficked people come into contact with secondary mental health services in England.


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