POST
RAPE TRAUMA
American Psychiatric Association Diagnostic Manual, 1994 definition
DSM IV in 1994
published the following guidelines for a diagnosis of Post Traumatic Stress
Disorder:
Diagnostic Criteria for Post Traumatic Stress Disorder
A. The person
has been exposed to a traumatic event in which both of the following were
present:
(1) the person experienced, witnessed, or was confronted with an event or
events that involve actual or threatened death or serious injury, or a
threat to the physical integrity of self or others
(2) the person’s response involved intense fear, helplessness, or horror.
Note: In children, this may be expressed instead by disorganized or agitated
behavior
B. The
traumatic event is persistently reexperienced in one (or more) of the
following ways:
(1) recurrent and intrusive distressing recollections of the event,
including images, thoughts, or perceptions. Note: In young children,
repetitive play may occur in which themes or aspects of the trauma are
expressed.
(2) Recurrent distressing dreams of the event. Note: In children, there may
be frightening dreams without recognizable content
(3) Acting or feeling as if the traumatic event were recurring (includes a
sense of reliving the experience, illusions, hallucinations, and
dissociative flashback episodes, including those that occur on awakening or
when intoxicated). Note: In young children, trauma-specific reenactment may
occur.
(4) Intense psychological distress at exposure to internal or external cues
that symbolize or resemble an aspect of the traumatic event.
(5) Physiologic reactivity on exposure to internal or external cues that
symbolize or resemble an aspect of the traumatic event.
C. Persistent
avoiding of stimuli associated with the trauma and numbimg of general
responsiveness (not present before the trauma), as indicated by three (or
more) of the following:
(1) efforts to avoid thoughts, feelings, or conversations associated with
the trauma
(2) efforts to avoid activities, places, or people that arouses
recollections of the trauma
(3) inability to recall an important aspects of the trauma
(4) markedly dimished interest or participation in significant activities
(5) feeling of detachment or estrangement from others
(6) restricted range of affect (e.g. unable to have loving feelings)
(7) sense of a foreshortened future (e.g. does not expect to have a career,
marriage, children, or a normal life span)
D. Persistent
symptoms of increased arousal (not present before the trauma), as indicated
by two (or more) of the following:
(1)difficulty falling or staying asleep
(2) irritability or outbursts of anger
(3) difficulty concertrating
(4) hypervigilance
(5) exaggerated startle response
E. Duration
of the disturbance (symptoms in criteria B, C and D) is more than one month.
F. The
disturbance causes clinically significant distress or impairment in social,
occupational, or other important areas of functioning.
Specify if:
Acute: if duration of symptoms is less than three months
Chronic: if duration of symptoms is three months of more
Specify if:
With delayed onset: if onset of symptoms is at least six months after the
stressor.”
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