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Trauma and dissociation

C Classen1, C Koopman, D Spiegel

  • 1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA 94305.

Bulletin of the Menninger Clinic
|January 1, 1993
PubMed
Summary
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Trauma can cause significant mental state changes and dissociative symptoms, leading to acute stress disorder. Severe symptoms may predict future posttraumatic stress disorder, with treatment focusing on support and trauma integration.

Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • Experiencing or witnessing physical trauma can induce acute mental state alterations.
  • These alterations include anxiety and transient dissociative symptoms.
  • A new diagnostic category, acute stress disorder, is proposed for intense trauma responses.

Purpose of the Study:

  • To describe acute stress disorder as a response to trauma.
  • To explore the link between severe dissociative symptoms and posttraumatic stress disorder.
  • To outline treatment strategies for trauma-related dissociative symptoms.

Main Methods:

  • Review of clinical observations and diagnostic criteria.
  • Analysis of the relationship between acute stress disorder and posttraumatic stress disorder.

Related Experiment Videos

  • Description of therapeutic interventions for dissociative states.
  • Main Results:

    • Acute stress disorder encompasses anxiety and transient dissociative symptoms following trauma.
    • Severe dissociative symptoms may indicate a higher risk for developing posttraumatic stress disorder.
    • Individuals with repeated trauma exposure are more susceptible to various dissociative states.

    Conclusions:

    • Acute stress disorder is a significant response to trauma with potential links to posttraumatic stress disorder.
    • Treatment involves enhancing social support and integrating trauma for psychological healing.
    • Understanding dissociative states is crucial for effective trauma intervention.