Rivard J Michael, Dietz Park, Martell Daniel, Widawski Mel
UCLA School of Medicine, USA.
J Forensic Sci. 2002 Sep;47(5):1093-100.
The authors examine the prevalence of acute traumatic dissociative responses in a group of 115 law enforcement officers involved in critical incidents. Law enforcement officers were retrospectively surveyed for the presence of dissociative symptoms at the time of the critical incident, as well as for the presence of acute stress symptoms and posttraumatic stress symptoms. Results show that 90% of the officers reported experiencing a dissociative response during the critical incident. Thirty percent meet the Dissociative Criterion B of acute stress disorder under the DSM-IV. The mean number of dissociative symptoms in this group was two and one-half. In addition, 19% of the law enforcement officers reported varying forms of memory impairment for details of the incident. There were no reports of amnesia for the entire event. The clinical, forensic, and legal implications of these preliminary findings are discussed in this paper.
作者们调查了115名参与重大事件的执法人员中急性创伤性分离反应的发生率。对执法人员进行了回顾性调查，以了解他们在重大事件发生时是否存在分离症状，以及是否存在急性应激症状和创伤后应激症状。结果显示，90%的警察报告在重大事件中经历了分离反应。30%的人符合《精神疾病诊断与统计手册》第四版中急性应激障碍的分离标准B。该组中分离症状的平均数量为2.5个。此外，19%的执法人员报告对事件细节存在不同形式的记忆损害。没有关于整个事件失忆的报告。本文讨论了这些初步发现的临床、法医和法律意义。
