Posttraumatische Belastungsstörung

There are some problems concerning the concepts of trauma-related disorders and especially the category of posttraumatic stress disorder (PTSD) with respect to classification, diagnosis and epidemiological findings, which can only be understood within the historical framework of the development. Even current diagnostic systems, such as the diagnostic and statistical manual of mental disorders version 4 (DSM-IV) and the international classification of diseases version 10 (ICD-10) differ in the classification of these disorders which led to higher prevalence rates being achieved with ICD-10. The diagnostic algorithms have been opened to included subsyndromal PTSD as well as complex PTSD including more severe psychiatric disorders.     

Val Plumwood

Miller's reply to Nelson misses the point because it does not attend to the difference between identifying the truth conditions for a proposition and explaining why those conditions are the ones in which the proposition is true.     

Distracted by Details: Narrative Influence Following Conflicting Stories

Work on narrative influence has demonstrated that stories can have a strong effect on people's thoughts and attitudes. However, existing research has not addressed how people respond to multiple stories endorsing different conclusions. The current studies examined how reading two conflicting narratives influences people's decisions about a subsequent situation, with particular emphasis on how resemblances between the narratives and the situation moderate the effects. Across two studies, participants read two testimonials that described the successful use of different treatments for a medical disorder. Participants subsequently made treatment recommendations for a patient who resembled one of the testimonials in treatment-relevant ways. The key manipulation was whether the patient also resembled the other testimonial in treatment-irrelevant ways. Both studies found that these distracting, irrelevant similarities led to less appropriate treatment recommendations. The effect on decision confidence, however, was less clear, with some suggestion of both an increase (Study 1) and a decrease (Study 2) in confidence.     

Traumatic Loss: Conceptual and Empirical Links Between Trauma and Bereavement

Abstract

This article focuses on conceptual issues and empirical studies regarding the topic of traumatic loss (i.e., loss that occurs suddenly and under violent circumstances) as a method for linking the field of trauma, and that of grief and bereavement. Several definitions of trauma are presented that include the concept of loss, and additional concepts are suggested that may be helpful in thinking about the two areas together. Also, modes of death associated with poor recovery are noted, and it is argued that these modes are those that make a bereavement more “traumatic”. Some empirical studies on the psychological outcomes associated with traumatic loss are reviewed, and preliminary findings from a new study of traumatically bereaved women are briefly presented     

Refocusing on the Data: A Reply to Hardman

Hardman in press claims that the results of Green and Larking 1995 favour a mental rules theory account of performance in the selection task over a mental model theory account. This reply rebuts his claim.     

Spiritual care in psychiatry: Professionals’ views

In this study we explored the views of Mental Health professionals and general practitioners (GPs) regarding spiritual care and the effect of personal and cultural background on their views. Data were collected through anonymous questionnaires posted to hospital nursing and medical staff at Hollins Park Hospital, Warrington, UK, and to all GPs within the hospital catchments area. Forty-five percent of GPs, 33% of psychiatrists, and 76% of nursing staff (p < 0.05) felt strongly that human beings are made up of spirit as well as body. More nurses felt that spiritual care is equally as important as other forms of care (52%) compared with psychiatrists (33%) and GPs (29%). A higher percentage of nursing than medical staff had previous training in this area and were more likely than medical staff to consider themselves appropriate to give spiritual advice. A total of 20% of GPs and 33% of psychiatric staff stated the need for training in this area and GPs especially felt they lacked time. Professionals’ views are influenced by cultural and religious backgrounds, with significantly more non-UK born respondents feeling strongly that human beings all have a spiritual component. Many doctors do not consider spiritual care has a role for them to be involved in and many feel too pressured in daily life to take this on. Nurses are more inclined to take a holistic approach to care in this respect. Some people with mental health problems have spiritual care needs and we should be aware of this as an important facet to therapy.     

A review of: “Real events revisited: Fantasy,memory and psychoanalysis”

Ann Scott (1996) Real Events Revisited: Fantasy, Memory and Psychoanalysis, London: Virago, $12.99

Caroline Malone, Linda Farthing and Lorraine Marce (eds) (1996) The Memory Bird: Survivors of Sexual Abuse, London: Virago, $8.99     

A review of: “Challenges to counselling and psychotherapy”

Alex Howard (1996) Challenges to Counselling and Psychotherapy, London: Macmillan, $11.99