Die besondere Bedeutung von Ekel bei komplextraumatisierten Patienten: eine Pilotstudie aus der ambulante Praxis = The significance of repulsion in Complex traumas and Dissociative disorders: a pilot study of clients undergoing outpatient therapy

Obwohl komplextraumatisierte/dissoziative Patienten sehr häufig unter ekelhaften Umständen traumatisiert wurden, ist gerade zum Thema Ekel – ausgenommen spezielle Studien im Bereich der Psychosomatik – bisher in der Psychotraumatologie wenig geforscht worden. Ekel scheint im Gegensatz zu Angst, Scham und Trauer (Depression) sowohl bei den Patienten als auch bei den Psychotraumatherapeuten einem unbewussten Tabu zu unterliegen.In unserer ambulanten Pilotstudie an 71 Patienten wurden mit einem Pilotekelfragebogen (PEFB) wichtige neue Hypothesen zu diesem Thema aufgeworfen.

Die Gestalttherapie in der Psychotraumatologie: Charakteristika und Wirksamkeit gestalttherapeutischer Interventionen bei Posttraumatischen Belastungsstörungen = Gestalt therapy in psychotraumatology- Characteristic and efficacy of gestalt-therapeut

Proponents of gestalt therapy see the symptoms of posttraumatic stress disorders (PTSD) as a reaction to an open gestalt-an interruption of the contact-experience cycle. Gestalt-therapeutic treatment for PTSD Is designed to close the open gestalt of traumatic experience and integrate it into the biography of the patient. Use of the empty-chair dialogue technique is frequent. In the field of psychotraumatology, gestalt therapy has received little recognition and is hardly represented at all in university institutions.

Designing resilience : preparing for extreme events

Designing Resilience presents case studies of extreme events (including Hurricane Katrina in the United States, the London bombings, and French preparedness for the Avian flu, demonstrate effective and ineffective strategies) and analyzes the ability of affected individuals, institutions, governments, and technological systems to cope with disaster. The authors analyze specific characteristics of resilient systems, the qualities they possess and how they become resilient to determine if there are ways to build a system of resilience from the ground up.

DBT-PTSD: Dialektisch Behaviorale Therapie zur Behandlung der Posttraumatischen Belastungsstörung mit schwerer Störing der Emotionsregulation nach sexualisierter Gewalt in der Kindheit und Jugend = Dialectical Behaviour Therapy for Posttraumatic Stress

The article gives an overview of the treatment rationale, the dynamic hierarchy of treatment foci and the interventions used. These points are exemplified with reference to a case study. Initial efficacy data are also provided.

Confrontations with aggression and mental health problems in police officers: The role of organizational stressors, life-events and previous mental health problems

The extent to which the frequency of facing aggression incidents is associated with mental health problems among police officers when organizational stressors, life-events, and previous mental health problems are taken into account is unclear. To elucidate this data from a longitudinal study of police officers was analyzed (N = 473). Mental health problems (MHPs) are here defined as severe anxiety, depression, hostility, burnout symptoms, and/or sleeping problems according the SCL-90–R and MBI. All MHPs were assessed at baseline and 27 months later.

Consistency of diagnostic thresholds in DSM-V

OBJECTIVE: DSM-IV diagnostic criteria define thresholds on a continuum of symptoms above which the diagnosis is said to be established. Data from the 1997 Australian Survey of Mental Health and Wellbeing were used for six internalizing disorders, and the levels of distress and disability associated with each diagnosis were investigated. METHOD: Mean distress (measured by the K-10) and disability (measured by the SF12-MCS) scores were identified for people in the Survey who reported no physical or mental disorders.

Complex Posttraumatic Stress Disorder in men with serious mental illness: a reconceptionalization

This paper proposes a reconceptualization of serious mental illness (SMI) utilizing the concept of Complex-Posttraumatic Stress Disorder (C-PTSD). While the effects of trauma in men have recently received increased attention, the impact of chronic exposure to interpersonal trauma during childhood remains under assessed and under recognized. This holds true particularly for men diagnosed with SMI.

Cognitive-affective characteristics of smokers with and without posttraumatic stress disorder and panic psychopathology

The present study evaluated differences among daily smokers with posttraumatic stress disorder (PTSD), panic disorder (PD), panic attacks (PA), and no axis I psychopathology (past 6 months) in terms of several cognitive-affective variables implicated in both the onset and maintenance of anxiety psychopathology and cigarette smoking. The sample consisted of 123 daily smokers (62% women: M(age)=29.7, SD=11.9).

Chronische Alltagsbelastungen und frühe Traumatisierung: auswirkungen auf die aktuelle PTSD Symptomatik = Chronic stress and early trauma experiences: the impact on PTSD symptoms

Eine Vielzahl von Faktoren beeinflusst die Symptomstärke einer Posttraumatischen Belastungsstörung (PTBS). Die meisten Studien untersuchten allerdings Variabeln, die in engem Zusammenhang mit der Traumatisierung stehen, wie z. B. die subjektive Reaktion auf ein Trauma und akute Symptome, aber auch prä-traumatische Risikofaktoren. Der Einfluss von akutem Stress und Alltagsbelastungen fand jedoch weit weniger Beachtung. Dementsprechend soll in dieser Studie untersucht werden, inwieweit auch aktuelle, nicht traumatische Stressbelastungen die Ausprägung von PTBS-Symptomen beeinflussen.

Characterizing aggression and its association to anger and hostility among male veterans with Post-Traumatic Stress Disorder

OBJECTIVES: The basis for the associations among anger, hostility, aggressive behavior, and post-traumatic stress disorder (PTSD) remains unclear. We suggest classifying aggressive behavior may elucidate the associations among these factors. On the basis of diagnostic and neurobiological similarities between impulsive aggression (IA) and PTSD, we proposed that IA was the predominant form of aggression in PTSD and that anger and hostility would not significantly predict PTSD when IA was also included as a predictor.

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