The Penn Inventory vs. Posttraumatic Diagnostic Scale
Trauma is something that can affect anyone at any time depending on the circumstance, no matther whether young or old (Briere, 1997). Trauma has been called “irritable heart” and “shell schock” but after a large amount of soldiers coming home from wars were all experiencing similar symptoms, the American Psychological Association started to identify it as a specific disorder many could potentially have; Post Traumatic Stress Disorder (PTSD). There were many causes that were said to have caused PTSD, some that were identified in Psychological Assessment of Adult Posttraumatic States were: disasters, war, rape, sexual assault,large-scale, transportation accidents, emergency worker exposure to trauma, spouse or partner battery, torture, child abuse (1997). Like stated above, PTSD is not only for war victimes, it turns out that it started having different levels that was associated to children as well. This then caused for a creation of various assessments that could be administered depending on the age as well as the form of trauma. Sticking to adult testing, one specific test that is being used for adults with PTSD is the Penn Inventory for Posttraumatic Stress Disorder (Penn Inventory) (Hammarberg, 2014) created in 1992 by Melvyn Hammarberg (Norris & Hamblen). The Penn Inventory was first made to test veterans but the questions had a barnum effect, meaning that they were applicable to a varity of people. To get the
PTSD is one mental health issue that can result from a great deal of distress that a person may experience after a devastating event involving any type of physical trauma or threat of physical harm (American Psychiatric Association, 2013). A child who develops PTSD either “directly experienced the traumatic event(s), witnessed, in person, the event(s) as it occurred to others, learned that the traumatic event(s) occurred to a close family member or friend or experiencing repeated or extreme exposure to aversive details of the traumatic event(s)” (American Psychiatric Association, 2013). Traumatic events are normally unavoidable and uncontrollable. It may overwhelm a child and affect his or her sense of control and safety. Single, brief, and unanticipated events are classified as
At least 50% of all adults and children are exposed to a psychologically traumatic event (such as a life-threatening assault or accident, humanmade or natural disaster, or war). As many as 67% of trauma survivors experience lasting psychosocial impairment, including post-traumatic stress disorder (PTSD); panic, phobic, or generalized anxiety disorders; depression; or substance abuse.(Van der Kolk, et al, 1994) Symptoms of PTSD include persistent involuntary re-experiencing of traumatic distress, emotional numbing and detachment from other people, and hyperarousal (irritability, insomnia, fearfulness, nervous agitation). PTSD is linked to structural neurochemical changes in the central nervous system which may have a direct
PTSD is listed among a group called Trauma-and-stressor-Related Disorders. For a person to be diagnosed with PTSD, they must have been exposed to, witness, or experience the details of a traumatic experience (e.g., a first responder), one that involves “actual or threatened death, serious injury, or sexual violence” (APA, 2013, p. 271). (PRU, 2016, p. 66). The aforementioned definition of PTSD relates to soldiers; the manifestations and causes experienced with traditional PTSD can look somewhat different. Obvious causes of PTSD in soldiers stem from exposure to stressful circumstances within combat, exposure to the suffering and death of others, destruction, personal danger, and injury. A study on Vietnam soldiers provides insight on less obvious causes of PTSD. The study suggests
It is normal, following a traumatic experience, for a person to feel disconnected, anxious, sad and frightened. However, if the distress does not fade and the individual feels stuck with a continuous sense of danger as well as hurting memories, then that person might in fact be suffering from Post-Traumatic Stress Disorder (PTSD). PSTD could develop after a traumatic incident which threatens one’s safety or makes one to feel helpless (Dalgleish, 2010). Coping with traumatic events could be very difficult, but confronting one’s feelings and seeking professional assistance is usually the only way to properly treat PSTD. Many kids and adolescents worldwide experience events that are traumatizing. If exposure to trauma is not treated, it could lead to various mental health problems. Researchers have reported a connection between traumatization and increases in mood and anxiety disorders, but the most frequently reported symptoms of psychological distress are post-traumatic stress symptoms (Cohen, Mannarino & Iyengar, 2011).
Post-Traumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event such as war combat, a natural disaster, a car accident, or sexual assault. According to the United States Department of Veterans Affairs, about 20 out of 100 Veterans of the Iraq and Afghanistan wars were diagnosed with Posttraumatic Stress Disorder and 30 in 100 Veterans of the Vietnam War. PTSD was first named in 1980 a few years after the Vietnam War. It was not a coincidence that the disorder was discovered just after the Vietnam War due to the fact that most soldiers had to face many traumatic events on the battlefield. Moreover, the horrifying memories kept coming back and have intruded the
When living with PTSD, there are outbreaks of panic and intense thoughts that relate to the event. (Parekh) These come from flashbacks and nightmares that lead to sadness, fear, anger, and a feeling of detachment. “But at night some of us would wake up from nightmares, sweating, screaming, and punching our own heads to drive out the images that continued to torment us even when we were no longer asleep.” (Beah 148) A diagnosis comes from exposure to an event that causes the victim enough trauma to have these types of episodes. These children soldiers are exposed to a large amount of violence within common massacres and village raids, desensitizing them to the act, and not be aware of the acts. Everything these kids go through in war leaves them with many traumatic memories that lead to PTSD, causing harsh flashbacks and nightmares that lead to hurting themselves and
As Americans came home with the loss of friends or family they started to show symptoms of PTSD. PTSD is a serious matter most PTSD cases comes from a traumatic event that is terrible and can be scary to see or hear about. Some soldiers that experience PTSD wake up to a night mare, or they have a negative feeling about something, some combat soldiers with have fear when they go over a man hole. Not only did soldiers experience PTSD children can to. A lot of children from the age of birth to six years old can experience this if they are not close with a parent. As you get older it could be something else that trigger
The authors of this literature review evaluated studies completed on adults who were 50 years or older and also experienced trauma as a child. They reviewed the impact childhood trauma has on their mental and physical health as older adults. They collected findings from 23 studies that were published between 1996 through 2011 and concluded that childhood trauma did in fact have negative effects on older adults mental and physical health. Although it is well known that trauma at a young age can have serious effects, especially on development, it is interesting to see how it also transitions into late adulthood.
Sixty percent of adults report experiencing abuse or other difficult family circumstances during childhood. (Mental Health Connection, N.D.). This shocking statistic exemplifies the high prevalence of childhood trauma. Furthermore, twenty-six percent of children in the United States will witness or experience a traumatic event before the age of four. (Mental Health Connection, N.D.) Trauma is an extremely common and complex phenomenon. But what is trauma? According to Merriam Webster, trauma is defined as, “a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury.” (Merriam Webster, 2017). Dr. Lenore C. Terr from the Child and Adolescent Psychiatric Clinics of America further describes trauma as unique to each individual. It can be caused by a series of events or one severe incident. Unfortunately, childhood trauma is usually experienced repeatedly. For example, many children endure sexual abuse, bullying, and severe family problems over and over again. Children may experience a variety of traumas that have lasting consequences on their mental health. Those who experience childhood trauma are more likely to develop psychological disorders. This occurs because their brains lack neuroplasticity, which inhibits their ability to adapt to various stressful circumstances.
The trauma history screen (THS) is a self-report measure used to provide a brief and easy way to report individuals experience with events of high levels of stress. It assesses exposure of high magnitude stressors (HMS) and persisting posttraumatic distress (PPD) events. It also helps to identify events with significant and persisting posttraumatic stress disorder. When compared to other long and complex testing measures, the THS allows for a brief and easy measure to a stressful situation (Carlson et al., 2011). It provides 14 events that the individual may have experienced and asks them to click “yes” or “no.” If the participant reports that they have experienced an event, they are asked to report the number of times it has happened to them.
Post-traumatic stress disorder (PTSD) is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event (National Institute of Mental Health [NIH], 2016). It is said that the psychic trauma that an individual suffers after the shocking experience causes the inner agency of the mind to lose its ability to control the disorganizing effects of the experience, and disequilibrium occurs. Many traumatic events can cause PTSD, like combat exposure, child sexual abuse or physical abuse, terrorist attacks, sexual or physical assault, serious accidents, or natural disasters. However, not everyone that suffers a traumatic event may develop PTSD. According to the U.S. Department of Veterans Affairs (2016), it is not yet clear why some people develop PTSD and others do not. Many factors influence on whether or not an individual will develop the disorder, such as: how intense the trauma was or how long it lasted. Whether or not the individual was injured or lost someone important to them. How close the individual was to the event. How strong their reaction was. How much the person felt in control of the events, or how much help and support the person received after the event (U.S. Department of Veterans Affairs, 2016). PTSD is not exclusive to adults only, children can also have the disorder.
Traumatic Stress Disorder (PTSD) was seen as a condition where people are shocked into fear of facing situations. Over the years, it was labeled as “Soldier’s Heart” in the post Civil war era and “Shell Shock” in the World War I. In a situation of ‘fight-or-flight’ an individual is triggered to escape from danger, however in PTSD this reaction is reversed in which case the individual feels a constant threat of danger even when there is no danger present.The person diagnosed with PTSD can be anyone from a child to an adult. Many causes of this disorder include traumatic events, knowing someone who is in danger, genetic factors, and more. Symptoms include
The TSI, a 100 item self-report measure of posttraumatic stress and other psych sequelae of traumatic events, takes on a cognitive behavioral therapy and psychodynamic orientation. It is composed at a 5th grade reading level to ensure fairness and clarity to most, and it is fairly quick to take, and to score afterwards. Respondents are asked to rate how often each symptom has happened to them in the past 6 months. They rate the symptoms on a 4 point Likert scale ranging from 0 “never” to 3 “often.” It is composed of 10 clinical scales used to assess the variety of symptom domains related to trauma. The clinical scales are: Anxious Arousal (AA), Depression (D), Anger/Irritability (AI), Intrusive Experience (IE), Defensive Avoidances (DA), Dissociation
Trauma occurs when a child has experienced an event that threatens or causes harm to her emotional and physical well-being. Events can include war, terrorism, natural disasters, but the most common and harmful to a child’s psychosocial well-being are those such as domestic violence, neglect, physical and sexual abuse, maltreatment, and witnessing a traumatic event. While some children may experience a traumatic event and go on to develop normally, many children have long lasting implications into adulthood.
“American Psychiatric Association defines trauma as an event that represents a threat to life or personal integrity. Trauma can also be experienced when children are faced with a caregiver who acts erratically, emotional and /or physical neglect, and exploitation” (Maltby, L., & Hall, T. 2012. p. 304). Trauma comes in many different forms including: war, rape, kidnapping, abuse, sudden injury, and