Guilt, shame and social withdrawal in the context of post-traumatic stress disorder

  • O. S. Chaban Bogomolets National Medical University
  • I. A. Frankova Bogomolets National Medical University, Kyiv, Ukraine
Keywords: guilt; shame; post-traumatic stress disorder; acute social withdrawal

Abstract

Background: post-traumatic stress disorder (PTSD) is a severe, chronic mental illness, with high levels of psychiatric and somatic comorbidities, suicide risk and high mortality. Moreover, PTSD predict financial problems. Patients with PTSD have difficulties with socialization; they withdraw from society, the risk of drug and alcohol addictions increased. Objective: to analyze the course of PTSD in the context of guilt, shame and social isolation. Results: endophenotypical approach to the diagnosis of PTSD, particular features of PTSD in Ukraine was presented, a detailed phenomenological analysis of shame and guilt, typical traumatic interpretation and automatic thoughts was analyzed, a new category – an acute social withdrawal in the context of PTSD was introduced. Conclusions: unusual growth of stress related disorders and the beginning of a rapid increase in the prevalence of PTSD, as well as the first experience of diagnosis and treatment of a large number of patients showed not only the successes, but also problems at all stages of treatment and rehabilitation.

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PDF Downloads: 491
Published
2019-03-26
How to Cite
Chaban, O. S., & Frankova, I. A. (2019). Guilt, shame and social withdrawal in the context of post-traumatic stress disorder. Likars’ka Sprava, (1-2), 83-92. https://doi.org/10.31640/JVD.1-2.2019(12)
Section
Original investigations