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Post-traumatic stress disorder 'once removed': a case report

¹Psychology Department, Claybury Hospital, Woodford Bridge, Essex, UK.

The British Journal of Medical Psychology

|June 1, 1994

Summary

This study details the treatment of a unique post-traumatic stress disorder (PTSD) case in a woman who developed symptoms indirectly. Childhood traumas intertwined with a colleague's murder to trigger PTSD, which was successfully treated.

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Area of Science:

Psychiatry
Psychology
Trauma Studies

Background:

Post-traumatic stress disorder (PTSD) is typically associated with direct or witnessed trauma.
Understanding the etiology of PTSD is crucial for effective treatment.

Observation:

A 38-year-old woman presented with PTSD symptoms without direct exposure to the traumatic event.
The patient's symptoms were linked to the murder of her colleague, an event she did not experience or witness directly.
The patient had a history of unexpressed childhood traumas.

Findings:

The patient's PTSD was successfully treated in four sessions.
Treatment focused on previously asymptomatic childhood traumatic events that had become associated with the adult trauma.
This case highlights the complex interplay between past and present trauma in PTSD development.

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Implications:

This case expands the understanding of PTSD triggers and indirect trauma.
It suggests that latent childhood traumas can be activated by subsequent indirect traumatic experiences.
Therapeutic approaches may need to consider the integration of past and present traumatic memories for effective PTSD treatment.