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What about under DSM-IV?
All things depend on context. If a teacher got a booboo breaking up a fight between two 5 year olds I'd be hard-pressed to say yes. If someone got decked during a spontaneous biker brawl involving weapons than quite possibly.
Are you using that VA symptom checklist?Not even close to the latter scenario. And...every symptom (using DSM-IV) was endorsed...on a checklist.
Are you using that VA symptom checklist?
I hate checklists. I've seen a few local VAs use this single checklist and it has an average of about 85% endorsement for all symptoms/issues. Highly valid for screening I'm sure. Seems like this might be a poor diagnosis. Like hearing people wanting a CTE diagnosis because they heard their guy fell down at head at age 6.Not me. And not a VA clinical case.
Not even close to the latter scenario. And...every symptom (using DSM-IV) was endorsed...on a checklist.
This.If it meets all criteria, I guess so. If there was any primary/secondary gain in the picture though, I'd want to examine that.
If you force a binary decision right now I'm going to go with "no," but this cries out for other assessment (behavioral observations, collateral reports, etc.).
This is a frustrating part of this field. I think this is preposterous (especially given max sx endorsement), but the diagnosis in the lynch pin here, and if the event technically qualifies, then it opens the door. Now I have to spin a lengthy weave describing how this is just clinically "highly unlikely."
Any more empirical ground to stand on or assert here? Anyone know base rate for endorsement of things like flashbacks and the traumatic amnesia criteria in clinical samples?
That is the most ridiculous thing I've heard.Breaking up a fight, and being incidentally hit (no LOC) in the midst/as a result. There was only one, maybe two blows. Meets Criteria A for PTSD?
That is the most ridiculous thing I've heard.
And you were able to keep the laughter in?You need more clinical work. This is far from the most ridiculous thing that I have heard.
All part of being a psychologist.And you were able to keep the laughter in?
Whenever something more ridiculous than normal happens I imagine myself writing the event/comment down on a chalkboard with the note to myself of "come back and laugh about this later"And you were able to keep the laughter in?
But sorry, I'd have little understanding for this. My dad, and I know many other men, who were in concentration camps for months, and got tortured, and dealt with their issues mostly by themselves..and now you have people like this suggesting that they have PTSD from accidentally being hit in a fight they were breaking up. It not only annoys me, it angers me.
Sure, you have to be understanding..and I am open minded..but as you said this is suspect, and it is suspect in prob 90% of cases.You have to remember though, everyone is bringing a different life experience, and different set of risk factors (environmental and neurobiological) into traumatic situations. While this particular situation is suspect, you always have to keep an open mind. Shaming and invalidating individuals exposed to trauma is not helpful. In short, assume it's legitimate until a preponderance of evidence shows otherwise.
But sorry, I'd have little understanding for this. My dad, and I know many other men, who were in concentration camps for months, and got tortured, and dealt with their issues mostly by themselves..and now you have people like this suggesting that they have PTSD from accidentally being hit in a fight they were breaking up. It not only annoys me, it angers me.
Sure, you have to be understanding..and I am open minded..but as you said this is suspect, and it is suspect in prob 90% of cases.
I meant this situation in particular, not in general.90% would be high, even in the VA, where secondary gain is expected. 40-60% would be the high estimate even in the VA setting based on npsych studies. That base rate varies wildly on setting.
I would think that this would be highly dependent on further details about the severity of the fight. Criterion A states that it must be actual or threatened death or serious injury. Also, trying to tie the other symptoms to beginning or being exacerbated by that specific experience. Many symptoms such as the cluster of negative cognitions/mood may be endorsed, but have always been there versus emerging or worsening after the purported "trauma."
Thanks for the feedback SDN. We never stop learning, thinking, and researching in this field.
Do I detect some positive sincerity? New Year's Resolution?
I also quit heroin
Switch to cocaine, helps with report writing.