Point of View: Should There be a Clinical Typology of Posttraumatic Stress Disorder?
| Autor: | Renato D. Alarcón, Catherine G. Deering, Susan G. Glover, David J. Ready, H. Clay Eddleman |
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| Rok vydání: | 1997 |
| Předmět: |
Nosology
Typology 050103 clinical psychology Psychotherapist Point (typography) media_common.quotation_subject 05 social sciences Psychodiagnostic Typologies General Medicine medicine.disease 030227 psychiatry Substance abuse 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine medicine Anxiety Personality 0501 psychology and cognitive sciences medicine.symptom Psychology Anxiety disorder Clinical psychology media_common |
| Zdroj: | Australian & New Zealand Journal of Psychiatry. 31:159-167 |
| ISSN: | 1440-1614 0004-8674 |
| DOI: | 10.3109/00048679709073815 |
| Popis: | Objective: The current classification of posttraumatic stress disorder in acute, chronic and delayed-onset types is incomplete and of limited usefulness. The present paper explores the possibilities of a clinically-based typology that would reflect both the patients' syndromic presentation and modern research findings. Method: Review of current clinical and research literature, with a critical examination of proposed typologies, parameters utilised, applicability and relevance; elaboration of theoretical and practical bases of a clinical typology of posttraumatic stress disorder. Results: None of the existing posttraumatic stress disorder typologies presents a clinically comprehensive scope. A typology supported by literature findings and clinical observations is proposed. The six clinical types are depressive, dissociative, somatomorphic, psychotomorphic, organomorphic and ‘neurotic-like’. Substance abuse and personality disorder-like variants remain as areas of investigation. Conclusions: The proposed typology, while accepting the nuclear manifestations of posttraumatic stress disorder, highlights prominent coexisting symptoms that define the clinical appearance of different patients. The typological approach in posttraumatic stress disorder does not carry the ambiguities of comorbidity, and facilitates a more specific and appropriate management of the cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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