Soul Injury; How Stressful Experiences from the Past and Post-traumatic Stress Disorder (PTSD) Can Become Exacerbated at the End of Life and Complicating Peaceful Dying

Author(s):  
Sandra Ulrich
2015 ◽  
Vol 206 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Ben Sessa ◽  
David Nutt

SummaryFrom its first use 3,4,-methylenedioxymethamphetamine (MDMA) has been recognised as a drug with therapeutic potential. Research on its clinical utility stopped when it entered the recreational drug scene but has slowly resurrected in the past decade. Currently there is enough evidence for MDMA to be removed from its Schedule 1 status of ‘no medical use’ and moved into Schedule 2 (alongside other misused but useful medicines such as heroin and amphetamine). Such a regulatory move would liberate its use as a medicine for patients experiencing severe mental illnesses such as treatment-resistant post-traumatic stress disorder.


Author(s):  
Rosana Ruas Machado Gomes

Abstract The 2010 remake of the horror film A Nightmare on Elm Street focuses on the earthly abuses committed by the now confirmed pedophile Freddy Krueger. The fact that the victims of Krueger’s sexual assaults start getting murdered in their sleep is relevant to the trauma studies, as nightmares are one of the most common symptoms observed in people diagnosed with Post Traumatic Stress Disorder. Therefore, one of the goals of this paper is to analyze the ways in which trauma is portrayed in the movie. Considering that the teenagers can only overcome Krueger — and therefore, their trauma — once they are able to witness the terrible events of their past, this work also aims at observing and discussing the trajectory that allows the protagonists to survive. In order to meet these goals, some central concepts to trauma theory are presented and discussed in relation to their portrayal in the film. The analysis shows that the main character Nancy can only defeat Krueger once she knows everything that has happened in the past and is able to have agency in the story.


2020 ◽  
Vol 2 (1) ◽  
pp. 52-62
Author(s):  
Zainab Kammad ◽  
Aqeel Alsabbagh

Background: Violence and aggression rates have been high in Iraq, where people have been subjected to many traumatic events for the past decades [acts of terrorism, explosions, kidnapping, systematized violence, and aggression], and for the past three years (with the advent of ISIS), all that has made them susceptible to posttraumatic stress disorder (PTSD), especially in case of people experiencing trauma at the frontlines (soldiers and civilian volunteers). Objective: To determine the prevalence of PTSD among civilian volunteers (CV) and military soldiers (MS) participating in the war against ISIS. Patients and Methods: a cross sectional study done in two major hospital in Basra city, with a sample of 200 subject, 100 from military soldiers and 100 from civilian volunteers. The candidates subjected first to GHQ, then to a special questionnaire for PTSD. P value < 0.05 considered statistically significant. Results: The prevalence of PTSD was found to be 21% and 47% among CV and MS respectively. Conclusion: PTSD prevalence is higher among military soldiers than among civilian volunteers. Keywords: PTSD, civilian volunteers, military soldiers, religious belief.


2015 ◽  
Vol 23 (1) ◽  
pp. 101-121
Author(s):  
T. M. Lemos

Recent psychological research on post-traumatic stress disorder (PTSD) has demonstrated that one of the most common symptoms of the disorder is heightened or even uncontrollable anger. In the past decade, various works in biblical studies have assessed the effects of trauma on the ancient Israelites and on the texts of the Hebrew Bible, but these have not fully explored either the connection between anger and PTSD or that between anger in the Hebrew Bible and Israelite trauma. This article seeks to demonstrate the close relationship between trauma and rage, and argues that biblical authors often locate their own traumatized rage in the figure of Yahweh. The emotional response of Yahweh toward the Israelites is frequently presented as one of rage, blame, and contempt – a trio of socially distancing emotions. This depiction of Yahweh results in a “theology of distance” wherein Yahweh’s furious emotionality negates the sympathy of audiences toward the traumatized Israelites.



2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 246-246
Author(s):  
Joan Carpenter ◽  
Dawn Smith ◽  
Hilary Griffin ◽  
Daniel Kinder ◽  
Joshua Thorpe ◽  
...  

Abstract In federal response to the aging population of Vietnam-era Veterans, Congress directed the Department of Veterans Affairs (VA) to create a pilot program to identify and develop best practices for improving hospice care for this population. A first step in VA’s response was to identify whether the end-of-life (EOL) care needs and outcomes of Vietnam-era Veterans differed from previous generations. Using medical records and bereaved family surveys, we examined clinical characteristics, healthcare utilization, and EOL quality indicators for Vietnam-era Veterans who died in VA inpatient settings between 2013-17. Contemporaneous comparisons were made with World War II/Korean War-era Veterans. Compared to prior generations, higher percentages of Vietnam-era Veterans had mental health/substance use diagnoses and disability. Similar percentages of family members in both groups reported that overall EOL care was excellent; however, post-traumatic stress disorder management ratings by families of Vietnam-era Veterans were significantly lower. Although current VA EOL practices are largely meeting the needs of Vietnam-era Veterans, greater focus on mental health comorbidity, including post-traumatic stress disorder, Agent Orange-related conditions, and ensuring access to quality EOL care in the community is warranted. Policymakers and healthcare professionals should anticipate more physical and mental health comorbidities among Veterans at EOL as Vietnam-era Veterans continue to age. Findings are being used to inform the development of standardized EOL care protocols and training programs for non-VA healthcare providers that are tailored to the needs of this population.


2018 ◽  
Vol 35 (8) ◽  
pp. 1133-1139 ◽  
Author(s):  
Debra M. Glick ◽  
Joan M. Cook ◽  
Jennifer Moye ◽  
Anica Pless Kaiser

Post traumatic stress disorder (PTSD) may first emerge, reemerge, or worsen as individuals approach end of life and may complicate the dying process. Unfortunately, lack of awareness of the occurrence and/or manifestation of PTSD at end of life can lead to PTSD going unaddressed. Even if PTSD is properly diagnosed, traditional evidence-based trauma-focused treatments may not be feasible or advisable with this group as many patients at end of life often lack the physical and mental stamina to participate in traditional psychotherapy. This article reviews the clinical and empirical literature on PTSD at end of life, as well as discusses assessment and psychotherapy treatment issues with this neglected population. In addition, it expands on the current reviews of this literature1–3 by extrapolating results from nontraditional treatment approaches with other patient populations. Elements of these approaches with patients sharing similar characteristics and/or comorbidities with patients with PTSD at end of life may provide additional benefits for the latter population. Clinical implications and suggestions for interdisciplinary care providers are provided.


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