308 Federbush & Genberg - Understanding PTSD.pdf

1、Allison Genberg,LCSW,CCHPDirector of Behavioral Health ServicesDr.Joel S.Federbush,MD,MSDirector of PsychiatryCorizon Health at Passaic County JailUnderstanding PTSD:Variances in Response to TraumaDisclosure and DisclaimerWe do not have any relevant financial relationships with any commercial intere

2、sts.Define concepts related to PTSDEvaluate effects of trauma on various individuals and variability in resilienceDebate whether PTSD can be diagnosed in the perpetrator of a violent or traumatic eventThe DSM-5 definition of trauma requires“actual or threatened death,serious injury,or sexual violenc

3、e”10(p.271).Stressful events not involving an immediate threat to life or physical injury such as psychosocial stressors 4(e.g.,divorce or job loss)are not considered trauma in this definition.Common Experiences of Trauma in Incarcerated IndividualsHistory of Childhood Physical AbuseHistory of Sexua

4、l Abuse or victimizationHistory of or witness to Domestic ViolenceWitness to or participant in community violenceWitness to or participant in gang related activity/violenceEngagement in dangerous Criminal BehaviorWitness to or history of substance related overdose or deathBeing Incarcerated Contribu

5、tes to re-experience of traumaPainful and devastating childhood memories may often be awakened when offenders experience prison life,with its dehumanizing,harsh and unloving environment and lifestyle.Violence between offenders,between offenders and staff membersDemands of obedience to a rigid and im

6、personal discipline and schedule Cruel or domineering cell mates/peersActive avoidance of being the victim of rape or violence oneselfPosttraumatic Stress DisorderCriterion A:Exposure to actual or threatened death,serious injury,or sexual violence in one(or more)of the following ways:1.Directly expe