Post Traumatic Stress
People respond to traumatic events in their own way and according to their individual coping skills and available support systems. Research on the impact of trauma on various populations indicates that the great majority of those not immediately and personally affected by a terrible tragedy sustain no lasting damage. Most of those involved in witnessing or being a part of devastating events are able, in the long term, to find ways of going on with their lives with little change in their capacity to love, trust, and have hope for their future.
People can develop PTSD when, out of necessity, they react to and survive traumatic events by emotionally blocking them during and after the trauma. This allows the experience to dominate how they organize their lives and causes them to perceive most subsequent stressful life events in the light of their prior trauma. Focusing on the past in this way gradually robs their lives of meaning and pleasure.
The severity of the impact of trauma depends on the age and development of the person and the source of the trauma i.e. whether the trauma was relational and/or involved a close other, a natural disaster, war, or by a person outside of the family.
It is important to note that people can be affected by trauma and not be diagnosed with PTSD. A diagnosis does not necessarily legitimize a traumatic experience. People can experience a traumatic event and have it significantly disrupt their lives and never officially receive a diagnosis of PTSD.
The diagnosis of PTSD usually focuses on three elements:
Pattern of Increased Arousal
Avoidance of Reminders
Repeated Reliving of Memories
Negative Cognitions & Mood:
This could include various feelings such as:
- persistent and distorted sense of blame toward self and others
- estrangement from others
- diminished activities
- an inability to remember key aspects of the event.
The core issue of PTSD is that certain sensations or emotions related to traumatic experiences are dissociated, keep returning, and do not fade with time. People with PTSD seem unable to put an event behind them and minimize its impact. They may not realize that their present intense feelings are related to the past, so they may blame their present surroundings for the way they feel.
PTSD can be placed on a continuum from minimal traumatic impact to moderate effects, to high or complex PTSD that includes additional symptoms associated with severe long-term childhood trauma, i.e., sexual and physical abuse, residential school experience.
The more prolonged the trauma and the more interpersonal in nature, the more severe the impact will be.
8 Keys to Safe Trauma Recovery, Babette Rothschild
Waking the Tiger, Peter Levine
Trauma Essentials, Babette Rothschild
Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach, Christine A. Courtois and Julian D. Ford
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, Lisa M. Najavits
Trauma and Recovery, Judith Herman
Principles of Trauma Therapy: A Guide to Symptoms, Evaluation and Treatment, John N. Briere and Catherine Scott
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