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Gurpal

Online Essay Club No. 24: PTSD

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(a) Describe the psychological consequences of traumatic events and (B) discuss the usefulness and validity of post-traumatic stress disorder as a psychiatric category.

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ptsd (a result of vietnam war.see paper by derek summerfield.)

briefly- icd 10 criteria state catastrophic events , but now commonplace events being linked with it( police managing a rta, paramedics at scene of accident, even hearing news of a tragedy second hand! )so threshold of diagnosis falling .

any stress likely to produce a psychological reaction -normal .so who decides on the boundary between a normal psychological rxn & ptsd. role & responsibility of dr - ie sick role to pt.also role of society & law.

am.journal of pychiatry states :one of most sought after diagnosis.

who benefits from this diagnosis : pt ( feels understood & that it is not just his constitutional weakness), drs ( can justify treatment following diagnosis ) ,reletives ( shifts responsibility from them to the professionals ) ,society ( again, responsibilty shifted to medical arena , but at the expense of creating a safer society), lawyers etc etc.

can mention doh guidelines on psychological therapies : role of cbt(strong evidence base) , debreifing not found to be useful in preventing subsequent ptsd. mention emdr.

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