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[Therapists' psychological problems when treating posttraumatic stress disorder].

Slobodanka Kezić1, Mate Mihanović, Sven Molnar

  • 1Psihijatrijska bolnica Sveti Ivan Zagreb, Hrvatska.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|October 20, 2006
PubMed
Summary

War trauma can lead to Post-Traumatic Stress Disorder (PTSD), affecting individuals psychologically and socially. Therapists treating PTSD patients may experience emotional distress, impacting their therapeutic effectiveness.

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Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • War experiences can interact with personality structures, leading to psychopathological responses and disorders.
  • Post-Traumatic Stress Disorder (PTSD) is a significant psychological response to war trauma, presenting complex clinical challenges.
  • The heterogeneity of PTSD, comorbidity, and social dysfunction complicate treatment and impact patients' overall well-being.

Purpose of the Study:

  • To explore the psychopathological effects of war trauma, focusing on Post-Traumatic Stress Disorder (PTSD).
  • To examine the challenges faced by psychiatrists in managing PTSD patients due to clinical heterogeneity and comorbidity.
  • To investigate the emotional and psychological impact on therapists during the psychotherapeutic treatment of PTSD patients.

Main Methods:

Related Experiment Videos

  • Literature review on war trauma and its psychological consequences.
  • Analysis of clinical presentations and treatment difficulties associated with PTSD.
  • Exploration of counter-transference reactions and therapist distress in PTSD psychotherapy.

Main Results:

  • War trauma can precipitate PTSD, causing somatic, psychological, social, and occupational alterations.
  • Therapists treating PTSD patients often experience a range of counter-transference emotions, including fear, anger, guilt, and frustration.
  • Therapist empathy can be depleted, leading to secondary traumatic stress and vicarious trauma, potentially reducing therapeutic effectiveness.

Conclusions:

  • PTSD resulting from war trauma necessitates a complex, multifaceted treatment approach.
  • The emotional toll on therapists treating PTSD patients is substantial and requires careful management.
  • Understanding and addressing therapist counter-transference is crucial for effective PTSD treatment and preventing therapist burnout.