Lets Create A Ptsd Diagnosis

[Deleted member 28740]

Directly experiencing or witnessing actual or immediate threat of death, catastrophic injury, or sexual violence.

:tup:

 

[Sideways]

Sorry (sorry) but I think the 'exposure' needs to be there. Exposure to death makes more sense than experiencing death, and there may be no immediate threat to the person.

The first version is simpler, but I think it's oversimplified. 'Exposure' to the trauma is significant IMHO. I'm not illustrious though;)

 

[Deleted member 28740]

Exposure' to the trauma is significant IMHO.

Witnessing is exposure.

 

[Sideways]

@changling - yes, I get that. But how does a person "experience death" and end up with ptsd? A person who "experiences death" is...dead?

 

[Deleted member 28740]

A person who "experiences death" is...dead?

Threat of death. Example I witness a drive by shooting a few feet from me. One person is shot 5 times. Bullets are also in my direction, but miss me. Situation is both witness to threat myself and witness to an actual death.

 

[Sideways]

Yep, no, I got it. Really I do. The statement can be read so that it covers all our bases.

My only concern is that it can also be read so that ptsd includes, among other things, a person who "directly experiences actual death". That's one of the many options that this statement allows for. And to me, that's nonsensical.

So far, the exercise has been to come up with a definition that is as precise as possible. A definition that includes nonsensical options is, to me, a self-defeating exercise.

 

[Deleted member 28740]

a person who "directly experiences actual death".

Your words are in the wrong order. THREAT. Holding grandma's hand, euthanasia, … not included.

(my dog shot at or killed, for me, would be included) Off Topic.


Crit A:

Directly experiencing or witnessing actual or immediate threat of death, catastrophic injury, or sexual violence.

 

[Sideways]

Look, I'm sorry I'm obsessive. The definition works. It covers what we're trying to say. I'm just pointing out that when I read it, I see a nonsensical interpretation in there. I am v mentally unstable, but if I can see it, maybe others can, and we're writing this to help others, as well as ourselves, clearly and definitively understand what ptsd is. I think that's as far as I'd contribute on this issue.

 

[Friday]

My only concern is that it can also be read so that ptsd includes, among other things, a person who "directly experiences actual death". That's one of the many options that this statement allows for. And to me, that's nonsensical.

I died. And was revived. Several times. It's not that uncommon.

That said, I'm also a proponent of keeping both "exposure", for reasons stated in several posts; & "via" from a med background is standard "this is the vector, method, pathway, or protocol" that A by way of BCDE happens.

I like where @Simply Simon is going.

The 2nd favorite fits better with A2 ( Direct exposure v Direct, frequent, & prolonged exposure)

Although I'm going to plug for past tense. Not a hard line item. It's the "following were present" that's tickling it. Am I off there, Simon?

A. An event in which one of the following were present:
(1) Direct exposure to actual or immediate threat of death, catastrophic injury, or sexual violence via having experienced or witnessed the event(s)
(2) Direct and frequent exposure, over a prolonged period, to recordings of actual death, catastrophic injury or sexual violence against people, where that exposure is nonvoluntary or for work purposes.

 

[Friday]

ETA (got long, rethreading)... Actually. With A riding header... Do we need anything past via?

No?

A. An event in which one of the following were present:
(1) Direct exposure to actual or immediate threat of death, catastrophic injury, or sexual violence.
(2) Direct and frequent exposure, over a prolonged period, to recordings of actual death, catastrophic injury or sexual violence against people, where that exposure is nonvoluntary or for work purposes.

Yes?

((Please tell me this isn't this original?))

A. An event in which one of the following were present:
(1) Direct exposure to (via having experienced or witnessed) actual or immediate threat of death, catastrophic injury, or sexual violence.
(2) Direct and frequent exposure, over a prolonged period, to recordings of actual death, catastrophic injury or sexual violence against people, where that exposure is nonvoluntary or for work purposes.

 

[anthony]

V1 - Direct exposure to (via experiencing or witnessing) actual or immediate threat of death, catastrophic injury, or sexual violence.
V2 - Direct exposure via experiencing or witnessing actual or immediate threat of death, catastrophic injury, or sexual violence.
V3 - Directly experiencing or witnessing actual or immediate threat of death, catastrophic injury, or sexual violence.
V4 - Direct exposure to actual or immediate threat of death, catastrophic injury, or sexual violence through experiencing or witnessing the event(s).

http://www.merriam-webster.com/dictionary/exposure
Defined (exposure): the fact or condition of being affected by something or experiencing something : the condition of being exposed to something

Exposure adds to being "affected" vs "experiencing" -- yet then witnessing is also being affected without experiencing it directly.

Defined (witness): a person who sees something (such as a crime) happen : a person who is present at an event (such as a wedding) and can say that it happened

Technically, by wording used in V3 it meets all defined definition requirements, with all the noise removed.

Agree on the past tense "were" as that is the same use in DSM IV.

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Therefore, a solution may be:

A. An event in which one of the following were present:
(1) Directly experiencing or witnessing actual or immediate threat of death, catastrophic injury, or sexual violence.
(2) Direct and frequent exposure, over a prolonged period, to recordings of actual death, catastrophic injury or sexual violence against people, where that exposure is non voluntary or for work purposes.

Any holes????

 

[Kintsugi]

Direct exposure to either experiencing or witnessing death, catastrophic injury, or sexual violence.

... I appreciate the feedback, but my point was that simply restructuring the sentence could fix the parenthetic problem. I'm less interested in synatax, although I do feel avoiding Latin when possible is virtuous when writing English. ;)

My page was apparently not reloaded since awhile, so @FridayJones beat me to the punch.

@Ragdoll Circus I'm not super concerned about the risk of PTSD being diagnosed post-mortem in any case.