scholarly journals « Clinical psychology in the case of an emergency : the position of the psychologist confronted with psychic trauma. A clinical case to illustrate the importance of the implicit demand in the development of post-traumatic stress disorder. »

Author(s):  
FRAUD Aurélie
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.


Author(s):  
Megan Cowles ◽  
Jennifer Davis

AbstractThe far-reaching impact of post-traumatic stress disorder (PTSD) on a person's life is well documented, yet PTSD often goes undetected and untreated. Previous literature suggests that there may be particular challenges in assessing PTSD in children and adolescents. There is evidence that once PTSD has been identified, a trauma-focused cognitive behavioural therapy (TF-CBT) approach is effective at treating PTSD in young people. Where PTSD in adolescents presents in response to multiple traumas it may be necessary to make some modifications to treatment protocols. This might include offering more sessions, extending the stabilization period, addressing common trauma themes, and tackling additional issues that may arise beyond a simple PTSD presentation. This single-case quasi-experimental design (n = 1) details the assessment (phase A) and treatment with individualized TF-CBT (phase B) of previously undiagnosed PTSD in response to multiple events in an adolescent girl who had been seen by several mental health professionals previously. The paper is also a clinical case report, paying particular attention to how PTSD was assessed and what other factors, for example emotion regulation, self-esteem and relationships, were found to be important. Trauma, anxiety and depression were measured with the Child PTSD Symptom Scale and the Revised Children's Anxiety and Depression Scale. Scores reduced from clinically significant to non-clinical levels by the end of treatment, with these gains being maintained at 3-month follow-up. Suggestions are made around assessing and treating trauma responses in young people, especially where PTSD exists in response to multiple traumas.


2018 ◽  
Vol 3 (2) ◽  
pp. e0302121
Author(s):  
Mykhaylo Pustovoyt

The following paper underlines the specific characteristics and the course of Post-traumatic stress disorder (PTSD) in Ukrainian warriors of ATO. It is based on interviews recorded with 163 combatants using the methods of clinical psychology and psychodynamic methods. All the records of the interviews were reflected upon in supervision groups. The data obtained support the hypothesis that the cultural and historical heritage of the people of Ukraine has a determinative pathoplastic effect on the experience of war trauma. The analysis of this data leads to the conclusion about the need to create a favorable system of rehabilitation for veterans that would allow working more successfully with the war trauma.


2020 ◽  
Vol 8 (11) ◽  
pp. 766-768
Author(s):  
Hicham Guennouni Hassani ◽  
◽  
Najib Rachid ◽  
Jallal EL Ouadoudi ◽  
Mahmoud Amine Laffinti ◽  
...  

Fibromyalgia (FM), a chronic disabling disorder causing diffuse musculoskeletal pain, presents strong comorbidity with psychopathological disorders, including post-traumatic stress disorder (PTSD). We report the case of a 35-year old Syrian Refugee, diagnosed with both Fibromyalgia and PTSD related to traumatic events (killed husband, expulsion from home, rape with death threats, difficult socio-economic situation). An antidepressant treatment combined with psychotherapeutic and psycho-educational intervention led to satisfactory improvements. Considering the clinical case and other related studies, it seems that early management of the traumatic dimension is essential, in order to prevent the chronicity of the suffering and the emergence of psychiatric comorbidities.


2017 ◽  
Vol 41 (S1) ◽  
pp. s780-s780
Author(s):  
H. Nafiaa ◽  
A. Ouanass ◽  
L. Benchikhi

EMDR therapy is a new approach to psychotherapy that uses alternating bilateral stimulation, either through the movement of the eyes or through auditory or cutaneous stimuli, to induce rapid resolution of symptoms related to past events. The protocol of EMDR therapy is based on a set of principles that are essential to a humanistic and integrative approach to medicine and health: confidence in the self-healing capacity of each individual, the importance of history personal approach, a person-centered approach, restored power, the importance of mind-body bonding, well-being and performance improvement. Several controlled studies have demonstrated the remarkable effectiveness of EMDR therapy for post-traumatic stress disorder resolution. Indeed, to date, EMDR therapy is one of the best documented methods of treating post-traumatic stress disorder in the scientific literature. We report here the clinical case of a young lady with post-traumatic stress disorder complicated by depressive disorder, on borderline personality, and as comorbidity a polyaddition to tobacco, alcohol and cannabis, and in whom EMDR therapy proved its efficacy in the management of her disease, enabling her to return to a better life.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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