- Admin
- #37
anthony
Founder
Every human being is vulnerable to PTSD if they experience a traumatic event severe enough. Vulnerability has nothing to do with PTSD in essence as such. Individual traumatic experiences are assessed uniquely. PTSD is the only diagnosis in all diagnoses that contains a pre-qualifying criterion. You can endure trauma and have all the symptoms of PTSD, yet be diagnosed with anxiety, depression, mood and respective disorders, and NOT PTSD itself.you state that PTSD is reserved for the "'worst' of the worst trauma," but my understanding is that the severity of trauma has less to do with PTSD than the victim's vulnerability to PTSD.
A car accident is not the best example to use, because a car accident must be severe enough in the first instance, and not merely a slow moving fender bender or such. The event must be severe enough where injury had most likely been sustained and the severity is enough that death was a realistic outcome.How prone an individual is to developing PTSD, or the severity of trauma?
PTSD diagnosis is about the type and severity of trauma. The entire diagnosis is based on that foundation.
Complex PTSD debate isn't about severity, its about an effect of personality change due to the longevity of the trauma sustained. It is not isolated to childhood trauma. It is claimed that the personality is fixed by adulthood, however; POW's and soldiers endure significant personality change in adulthood due to longevity of trauma. This modelling of trauma throws a spanner in the works for personality being fixed. Yet PTSD cites POW's as trauma severe enough, though is based on the comorbid model.
Informational
The more I think about the proposed CPTSD modelling, the more I stand firm with the majority of physicians that it should not be, because they shift the boundaries of diagnosis across Axis types. The ICD 11 is already confusing with its proposed labelling. It has a label of CPTSD under PTSD, but it redirects to a personality disorder. This puts CPTSD diagnosis beside sociopaths, psychopaths and such personality disorders. It removes the focus from the underlying trauma and puts the focus on that their psyche is broken, with little scope of actual repair. In other words, CPTSD will have nothing to do with trauma and instead all to do with their personality, their psyche, being dysfunctional. This debate has already been ugly enough over the past decade, let alone where it's currently headed for ugliness.