Gender Dissimilarities PTSD
Mark A. Shaffer, MSW, LCSW
Social Work Views on Psychopathology
June 29, 2013
Ptsd: the interpersonal worker perspective
Post-traumatic stress disorder (PTSD) is a psychiatric disorder that happens following a distressing event and is characterized by re-experiencing the event, avoidance of crucial details and features of the big event as well as a express of hyper-vigilance and excitement levels (Zlotnick ou al., 2001). The condition is comparatively common, with almost 8% of adults experiencing PTSD at a single point in their life (Bisson & Andrew, 2007). PTSD is more prevalent in populations likely to be encountered with traumatic occasions, including associates of the armed forces or police; combat experience increases the life span prevalence of PTSD to 49% in men (Bisson & Toby, 2007). Women may also knowledge PTSD, a connection that is observed with sexual assault, where lifetime frequency of PTSD is 29% (Zlotnick ou al., 2001). The aetiology of the state is uncertain and may relate with susceptibility as a result of specific genes or neurodevelopmental characteristics of the individual (Cloitre et al., 2010).
Accurate diagnosis and intervention in PTSD is crucial as symptoms have a severe influence on the life of the patient, turning into socially disabling (Stein, 2003). Furthermore, patients may show signs of major depression or drug abuse, which could lead to poor final results and more severe psychological discomfort (Lukaschek et al., 2012). The aim of this kind of paper is usually to provide an review of the diagnostic criteria pertaining to PTSD, as detailed in the Diagnostic and Statistical Manual (DSM) of mental disorders, including recent changes to the diagnosis of the disorder. These improvements will be evaluated from a social worker perspective, in order to evaluate just how practice, values and values should be applied to these patients. Comparison of DSM-5 and -IV
The associated with PTSD have been controversial for several years, with writers suggesting that DSM-IV requirements relies as well heavily on an association with ill-defined shock, leading to an inaccurate pathologizing of typical distress (APA, 2000). A newly released update of such criteria has thus recently been formulated in DSM-5 to be able to improve on analysis clarity and guide evidence-based treatment based on patient business presentation and instances (Pitman, 2013). These alterations will be deemed in the framework of interpersonal work practice for sufferers with PTSD.
The updated analysis criteria to get PTSD include favored the organization of four significant symptom groupings, compared with three noted in the DSM-IV. The four groupings are: 1) re-experiencing the case, including flashbacks, recurrent dreams or prolonged psychological relax 2) increased arousal, such as sleep disturbances or hyper-vigilance 3) elimination and, 4) negative c?ur and feeling (APA, 2013). Furthermore, the traumatic event that can lead to PTSD is usually defined in more explicit terms, including sexual assault and repeated experience of trauma in police officers or first responders (APA, 2013). It is also really worth noting that an individual's respond to the event is actually considered much less important (e. g. strong fear or helplessness) as a result reactions in many cases are poor predictors of PTSD development (APA, 2013).
The new criteria have also identified a kindergarten subtype of PTSD, exactly where symptoms can be found in kids under the age of six years, indicating that a developmental component of PTSD is actually appreciated (APA, 2013). In addition , PTSD symptoms in association with dissociative symptoms, which include feeling detached from their mind or perhaps body, can be classified as PTSD dissociative subtype. Consequently, there is an elevated appreciation that PTSD, although a scientific entity itself, often gives with complex mood and psychological disorders that may benefit from further treatment (Brewin et al., 2009). Implications to get...
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