Fornits
Treatment Abuse, Behavior Modification, Thought Reform => Facility Question and Answers => Topic started by: Froderik on April 22, 2010, 10:32:11 PM
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CPTSD
Complex Post Traumatic Stress Disorder
Recommended DSM diagnostic criteria, per Trauma and Recovery by Judith Herman, ©1992 by Basic Books.
A history of subjection to totalitarian control over a prolonged period (months to years). Examples include:
* Hostages
* Prisoners of war
* Concentration-camp survivors
* Survivors of some religious cults
* Persons subjected to totalitarian systems in sexual and domestic life, including:
o survivors of domestic battering
o childhood physical or sexual abuse
o organized sexual exploitation.
* Alterations in affect regulation, including:
o persistent dysphoria
o chronic suicidal preoccupation
o self-injury
o explosive or extremely inhibited anger (may alternate)
o compulsive or extremely inhibited sexuality (may alternate)
* Alterations in consciousness, including:
o amnesia or hyperamnesia for traumatic events
o transient dissociative episodes
o depersonalization/derealization
o reliving experiences, either in the form of intrusive post-traumatic stress disorder symptoms or in the form of ruminative preoccupation
* Alterations in self-perception, including:
o sense of helplessness or paralysis of initiative
o shame, guilt, and self-blame
o sense of defilement or stigma
o sense of complete difference from others (may include sense of specialness, utter aloneness, belief no other person can understand, or nonhuman identity)
* Alterations in perception of perpetrator, including:
o preoccupation with relationship with perpetrator (includes preoccupation with revenge)
o unrealistic attribution of total power to perpetrator (caution: victim's assessment of power realities may be more realistic than clinician's)
o idealization or paradoxical gratitude
o sense of special or supernatural relationship
o acceptance of belief system or rationalizations of perpetrator
* Alterations in relations with others, including:
o isolation and withdrawal
o disruption in intimate relationships
o repeated search for rescuer (may alternate with isolation and withdrawal)
o persistent distrust
o repeated failures of self-protection
* Alterations in systems of meaning:
o loss of sustaining faith
o sense of hopelessness and despair
http://www.sasian.org/papers/cptsd.htm (http://www.sasian.org/papers/cptsd.htm)
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Judith Herman's Trauma and Recovery (quoted above by Froderik) also allows for the following consideration on page 184 :
“Piecing together the trauma story becomes a more complicated project with survivors of prolonged repeated abuse…Large group marathons or inpatient ‘package’ programs frequently attract survivors with the promise that a ‘blitz’ approach will effect a cure. Programs that promote the rapid uncovering of traumatic memories without providing adequate context for integration are therapeutically irresponsible and potentially dangerous, for they leave the patient without resources to cope with the memories being recovered”
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Here's another thread on this same subject, with the same title even :D :
Complex Post Traumatic Stress Disorder
viewtopic.php?f=7&t=26624 (http://www.fornits.com/phpbb/viewtopic.php?f=7&t=26624)[/list]
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It does come up quite a bit and for significantly more than egregore, I’m sure. It seems like a timely reappearance considering recent topics…
A whole forum dedicated to it can be found here (http://http://www.ptsdforum.org/content/366-Complex-PTSD-(CPTSD)).
Wikipedia elucidates a succinct description of the distinctions between PTSD and C-PTSD (http://http://en.wikipedia.org/wiki/Complex_post-traumatic_stress_disorder#Differentiating_PTSD_from_C-PTSD), well enough.