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[创伤后应激障碍概念的历史演变]

[Historical evolution of the concept of posttraumatic stress disorder].

作者信息

Schestatsky Sidnei, Shansis Flávio, Ceitlin Lúcia Helena, Abreu Paulo B S, Hauck Simone

机构信息

Departamento de Psiquiatria e Medicina Legal da Universidade Federal do Rio Grande do Sul, RS, Brasil.

出版信息

Braz J Psychiatry. 2003 Jun;25 Suppl 1:8-11. doi: 10.1590/s1516-44462003000500003.

Abstract

The authors elaborate on the historical evolution of the concept of Posttraumatic Stress Disorder (PTSD). The authors quote the French scholars, mainly Charcot and Janet, as the first to connect traumatic events and symptoms of hysteria. The contributions of Freud are described with enphasis on his effort into integrating the intra-psychic and environmental dimensions. Kardiner is referred as the author who coined the concept of 'war neurosis', which was deemed as an important one during the Second World War and Vietnam War. In conclusion, the authors highlight that the concept of PTSD used in the Diagnostic and Statistical Manual of Mental Disorders (DSM) by the American Psychiatric Association assess, at the same time, how treatening was the traumatic event and the list of symptoms presented by the patients.

摘要

作者详细阐述了创伤后应激障碍(PTSD)概念的历史演变。作者引用了法国学者,主要是夏科和让内,作为最早将创伤事件与癔症症状联系起来的人。文中描述了弗洛伊德的贡献,重点强调了他将心理内部和环境维度整合的努力。卡丁纳被认为是创造了“战争神经症”这一概念的作者,该概念在第二次世界大战和越南战争期间被视为重要概念。总之,作者强调,美国精神病学协会《精神疾病诊断与统计手册》(DSM)中使用的PTSD概念,同时评估了创伤事件的威胁程度以及患者出现的症状清单。

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