For children, sexually traumatic events may include developmentally inappropriate sexual experiences without threatened violence or assault. Traumatic events that are experienced directly include, but are not limited to, military combat, violent personal assault (sexual assault, physical attack, robbery, mugging), being kidnapped, being taken hostage, terrorist attack, torture, incarceration as a prisoner of war or in a concentration camp, natural or manmade disasters, severe automobile accidents, or being diagnosed with a life-threatening illness. The full symptom picture must be present for more than 1 month (Criterion E), and the disturbance must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. The characteristic symptoms resulting from the exposure to the extreme trauma include persistent reexperiencing of the traumatic event (Criterion B), persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (Criterion C), and persistent symptoms of increased arousal (Criterion D). The person's response to the event must involve intense fear, helplessness, or horror (or in children, the response must involve disorganized or agitated behavior) (Criterion A2). The essential features of Posttraumatic Stress Disorder is the development of characteristic symptoms following exposure to an extreme traumatic stressor involving direct personal experience of an event that involves actual or threatened death or serious injury, or other threat to one's physical integrity or witnessing an event that involves death, injury, or a threat to another person or learning about unexpected or violent death, serious harm, or threat of death or injury experienced by a family member or other close associate (Criterion A1). Anthropology and sociology of circumcisionģ09.81 Posttraumatic Stress Disorder (PTSD)ĭIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FOURTH EDITION (DSM-IV)ģ09.81 Posttraumatic Stress Disorder Diagnostic Features.Conservative treatment of penile problems.Declaration of the First International Symposium on circumcision.Specify if: Chronic: if duration of symptoms is 3 months or more. Specify if: Acute: if duration of symptoms is less than 3 months. The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month.į. Duration of the disturbance (symptoms in criteria B, C and D) is more than 1 month.į. Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidence by two (or more) of the following: 6. Persistent symptoms of increased arousal (not present before the trauma), as indicated by two or more of the following:Į.
Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others.ĭ. Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., “I am bad ” “No one can be trusted ” “The world is completely dangerous ” “My whole nervous system is permanently ruined”). Persistent negative emotion state (e.g., fear, horror, anger, guilt, or shame). Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings). 6.įeelings of detachment or estrangement from others. Markedly diminished interest or participation in significant activities.
Inability to remember an important aspect of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs). Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two or more of the following: 1. Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).ĭ.