Forcible sleep deprivation alone is, like, pretty maliciously awful and could easily lead to a whole host of both physiological as well as psychological issues. How a clinician could consider forced sleep deprivation to be “not traumatic”, or somehow not likely to have a major impact on a person’s function, distress, behaviour, thoughts, emotions? would be beyond me.
Forcible sleep deprivation
is threat of serious injury or death. I think there are enough studies to back that.
And
@mumstheword - of your list, I can easily see how many of those elements of psychological abuse actually contain PTSD criterion, as they now stand.
Often, examination of the events being described will reveal
exactly how they are big-T-trauma, and therefore, "fit" within the current understanding of PTSD. And they can do that without needing to be understood as a different, distinct element.
Threat of serious injury/death can be holding someone under water.
It can also be taking someone who can't swim out on the ocean in a kayak (without safety gear), then abandoning them by swimming away to shore.
In either case, the fear - the terror - is of drowning. In either case, it's plausible. In the kayak example, the abuser didn't lay a hand on the individual. And the threat of injury/death isn't as obvious a match as holding a gun to someone's head, holding them under water, etc...but it not being obvious, doesn't mean it's not there.
Telling someone what can't swim that you're going to take them ocean kayaking? I would say, not enough proximity to the threat.
Telling that same someone you will take them kayaking
again, the morning after they finally got dragged in by coast rescue? After spending hours on an open ocean with no-one around, shore no longer in sight, and no flotation gear? That message, "I'm taking you kayaking",
now has meaning. Telling them might well have enough proximity to the threat because their mind has been conditioned to the threat.
Something like that, isn't "just mental", "just emotional", "just psychological. The word "just" doesn't have anything to do with it. It's changing the brain, and the brain is an organ. In many ways, PTSD is a kind of very specific brain damage, and in order for it to be there, something needs to have
already affected the brain. Ultimately, why does dangling someone off a cliff have the ability to cause PTSD? Because the scale of the fear/terror, the intensity of the event,
altered the landscape of the mind. The experience was recorded in a way that doesn't allow it to recede properly into memory, through the passage of time. That's the mind. Threat of death is damage to the mind, rape is damage to the mind...it's all the mind.
I think this is just another reason why I believe separating out 'psychological' abuse, when talking about PTSD, isn't even necessary. I know that's a very academic way of looking at it, but that's what we are talking about, when we talk about the nitty-gritty of diagnosis.
Personally, I find the theoretical side really useful in my own recovery. That's just part of how my own mind works. I totally get that for others, it can be frustrating as all hell. And for people who, like
@Justmehere said, are suffering and don't have access to a word for that suffering, because yeah, it was really bad, but it's not PTSD...most of the time, those people don't know that there are so many more ways to psychiatrically describe what they are going through. If they would just be willing to keep an open mind and look at the whole of their lived experience, not simply the thing that looks like it is the reason for the problem, they'd get a more useful explanation.
Just thinking out loud.