Guilt, shame and social withdrawal in the context of post-traumatic stress disorder
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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2. Nazaretyan A. Sovest' v prostranstve kul'turno-istoricheskogo bytiya (polemicheskie zametki) // Obshchestvennye nauki i sovremennost'. – 1994. – № 5. – P. 152–160.
3. Frankova I. Psihosocіal'na model' rozvitku gostroї socіal'noї samoіzolyacії v umovah socіal'no-ekonomіchnoї transformacії // Arh. psihіatrії. – 2014. – Vyp. 78, № 3. – P. 35–40.
4. Chaban O., Frankova I. Sovremennye tendencii v diagnostike i lechenii posttravmaticheskogo stressovogo rasstrojstva // NejroNews. – 2015. – Vyp. 66, № 2. – P. 8–18.
5. Yaspers K. Obshchaya psihopatologiya. – M: Praktika, 2008. – 1056 c.
6. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, fourth Edition: (DSM-IV-TR), Washington DC: American Psychiatric Publishing, 2000.
7. Chiao J., Li Z., Harada T. Cultural neuroscience of consciousness: From visual perception to self-awareness // J. of Consciousness Studies. – 2008. – Vol. 15. – P. 58–69.
8. Choi J., So H., Kim T. et al. The relationship between posttraumatic stress disorder and the quality of life among the Vietnam war veterans // Neuropsychopharmacology. – 2014. – Vol. 24. – P. 678.
9. Freud S. Civilization and Its Discontents in The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. XI, J. S. a. others. – London: Hogarth Press, 1930. – P. 57–145.
10. Hoge C. W., Rivie L. A., Wilk J. E., Herrell R. K. The prevalence of post-traumatic stress disorder in US combat soldiers: a head-to-had comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist // The Lancet Psychiatry. – 2014. – Vol. 1. – P. 269 –277.
11. Kessler R., Sonnega A., Bromet E., Hughes M. Posttraumatic stress disorder in the National Comorbidity Survey // Archives of General Psychiatry. – 1995. – Vol. 52. – P. 1048–1060.
12. Lenzen M. J., Scholte Op Reimer W. J. M., Pedersen S. S. et al. The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: A report from the Euro Heart Survey on Coronary Revascularisation // Heart. – 2007. – Vol. 93, N 3. – P. 339 –344.
13. McPherson M., Smith-Lovin L., Brashears M. Social isolation in America: Changes in Core discussion network over two decades // Am. sociological review. – 2006. – Vol. 71. – P. 353 –375.
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