Quiz Trauma

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191513 Aqsa Rehman

1. How did the events in the world between 1952 to 1968, shape the understanding
of Trauma and its inclusion in the DSM? Also highlight the events. (5)
Accounts of psychological symptoms following military trauma date back to ancient
times.
Events in 1952-1968: Gross Stress Reaction was given as a synonym fpr PTSD. It
was acute diagosis for symptomatology observed foowing world war II. It was speceific to
combat trauma and fatigue. In 1980, APA added PTSD to DSM-III, which stemmed from
research involving returning Vietnam War Veterans, Holocaust survivors, sexual trauma
victims, and others. Links between the trauma of war and post-military civilian life were
established.
2. Define Gross Stress Reaction. Why was it replaced in the DSM? (5)
In 1952, the American Psychiatric Association (APA) produced the first Diagnostic
and Statistical Manual of Mental Disorders (DSM-I), which included "gross stress reaction."
A transient personality disorder in which, under conditions of great or unusual stress, a normal
person utilizes neurotic mechanisms to deal with danger. A transient personality disorder in
which, under conditions of great or unusual stress, a normal person utilizes neurotic
mechanisms to deal with danger.
This diagnosis was proposed for people who were relatively normal, but had
symptoms from traumatic events such as disaster or combat. A problem was that this
diagnosis assumed that reactions to trauma would resolve relatively quickly. If symptoms
were still present after six months, another diagnosis had to be made. Dr. Joseph Wolpe,
proposed the concept of learned helplessness as reciprocal inhibition.
However, movements by feminists highlighted other trauma causing agents such as
domestic violence and criminal violence. Despite growing evidence that trauma exposure was
associated with psychiatric problems, this diagnosis was eliminated in the second edition of
DSM (1968).
3. Discuss the differences in symptomatology of trauma in DSM 3 and 4.
DSM III DSM IV
PTSD was given official recognisation. PTSD was revived and expanded.
Trauma was explained as beyond ordinary The definition of trauma was expanded to
human experience that would adversely include subjective components of the event.
affect human kind. Traumatic reactions like intense, fear,
helplessness or horror define traumatic
experiences.

The concept of survivor syndrome emerged Survivor guilt was listed as an associated
and survivor guilt as a symptom of PTSD feature of PTSD.
was introduced.

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