[The psychodynamic understanding and therapy of complex PTSD]

Area of Science:

• Psychiatry
• Psychology
• Mental Health

Background:

• The diagnosis of Post-Traumatic Stress Disorder (PTSD) has evolved.
• The International Classification of Diseases, 11th Revision (ICD-11) introduced Complex PTSD (C-PTSD).
• C-PTSD diagnosis requires core PTSD symptoms plus disturbances in self-organization, emotional regulation, and interpersonal functioning.

Purpose of the Study:

• To review the psychodynamic understanding of C-PTSD.
• To outline treatment guidelines for C-PTSD.
• To present evidence supporting the psychodynamic approach to C-PTSD.

Main Methods:

• Literature review.
• Analysis of diagnostic criteria for C-PTSD in ICD-11.
• Examination of psychodynamic theories related to trauma and development.
• Synthesis of current treatment guidelines and empirical evidence.

Main Results:

• C-PTSD diagnosis expands beyond core PTSD symptoms.
• Psychodynamic principles offer a framework for understanding C-PTSD's etiology and symptom presentation.
• Evidence supports the integration of psychodynamic approaches in C-PTSD treatment.

Conclusions:

• C-PTSD represents a significant advancement in trauma diagnosis.
• A psychodynamic perspective is crucial for comprehending and treating C-PTSD.
• Further research and clinical application of psychodynamic interventions for C-PTSD are warranted.