Posts Tagged ‘combat’

Questions and Answers Regarding Dissociative Amnesia

” Scientific evidence shows that it is not rare for traumatized people to experience amnesia or delayed recall for the trauma.

Amnesia has been reported in combat, for crimes, and for concentration camp experiences and torture. The more severe the trauma, the more likely it is to be forgotten.

Overall, a recovered memory is just as likely to be accurate as a continuously remembered one.”

The sociocognitive model of dissociative identity disorder: a reexamination of the evidence.
” No reason exists to doubt the connection between DID and childhood trauma.”

Questions and Answers Regarding Dissociative Amnesia
by Stephanie Dallam RN, MS, FNP

….there is near-universal scientific acceptance of the fact that the mind is capable of avoiding conscious recall of traumatic experiences.

….Is dissociation a rare phenomenon?
No. Scientific evidence shows that it is not rare for traumatized people to experience amnesia or delayed recall for the trauma. Amnesia has been reported in combat, for crimes, and for concentration camp experiences and torture. Evidence of this process can be found in the early literature on World War I and World War II.

….Carlson, E., & Rosser-Hogan, R. (April, 1993). Mental health status of Cambodian refugees ten years after leaving their homes. American Journal of Orthopsychiatry, 63 (2), 223-231.

Dissociation is also a frequent finding in survivors extreme terror. Between 1975 and 1979, an estimated one to three million of a population of seven million Cambodians were killed or died of starvation. Carlson, E., & Rosser-Hogan selected 50 subjects at random from a list of all refugees (~500) resettled by nonprofit organization between 1983 and 1985. None had any formal education and had lived in the US for a mean of 5 years. 86% met the criteria for PTSD. The mean number of traumatic experiences the refugees endorsed was 14 and “90% reported amnesia for upsetting events.”

….Krell, R. (1993). Child survivors of the Holocaust: Strategies of adaptation. Canadian Journal of Psychiatry, 38 , 384-389.

Krell reported on 22 Holocaust survivors who, as children, hid from the Nazis.
“As children they were encouraged not to tell, but to lead normal lives and forget the past . . .”
“The most pervasive preoccupation of child survivors is the continuing struggle with memory, whether there is too much or too little . . .”
“For a child survivor today, an even more vexing problem is the intrusion of fragments of memory – most are emotionally powerful and painful but make no sense. They seem to become more frequent with time and are triggered by thousands of subtle or not so subtle events . . .”

Marks, J. (1995). The hidden children: The secret survivors of the Holocaust. Toronto : Bantam Books.

One holocaust survivor, Ava Landy, describes her amnesia:
“So much of my childhood between the ages of four and nine is blank….It’s almost as if my life was smashed into little pieces . . .
The trouble is, when I try to remember, I come up with so little. This ability to forget was probably my way of surviving emotionally as a child. Even now, whenever anything unpleasant happens to me, I have a mental garbage can in which I can put all the bad stuff and forget it . . . .
I’m still afraid of being hungry. . . . I never leave my house without some food….Again, I don’t remember being hungry. I asked my sister and she said that we were hungry. So I must have been! I just don’t remember.” (p. 188).

What types of traumas result in dissociative amnesia?
A review of 50 studies revealed that amnesia rates tend to increase with severity of trauma and is particularly high in victims of sex crimes….

What is the relation of memory recovery to psychotherapy?
Albach et al. studied 97 adult victims of extreme sexual abuse and a control group of 65 women, matched for age and education who reported on their memories of “ordinary unpleasant childhood experiences.”  The abuse survivors were broken into two groups.  One group had participated in psychotherapy while the other group had not. There was no significant differences in amnesia, memory recovery, or other memory phenomena between the survivors who participated in psychotherapy and those who did not.

…How accurate are recovered memories?
Dalenberg, C. J. (1996). Accuracy, timing and circumstances of disclosure in therapy of recovered and continuous memories of abuse. Journal of Psychiatry & Law,24 (2), 229-75.

Accuracy for Continuous Versus Recovered Memories
Percent with evidence supporting memory
Continuous  75%
Recovered   75%

Conclusion
Scientific evidence shows that it is not rare for traumatized people to experience amnesia or delayed recall for the trauma. Amnesia has been reported in combat, for crimes, and for concentration camp experiences and torture.
The more severe the trauma, the more likely it is to be forgotten.
Overall, a recovered memory is just as likely to be accurate as a continuously remembered one. However, recovered memories have a prominence of emotional and sensory-perceptual elements vs. declarative (verbal) elements. They are often fragmentary and incomplete and thus hard to make into coherent story.
http://www.leadershipcouncil.org/1/tm/amnesia.html

The sociocognitive model of dissociative identity disorder: a reexamination of the evidence.
Gleaves DH.

According to the sociocognitive model of dissociative identity disorder (DID; formerly, multiple personality disorder), DID is not a valid psychiatric disorder of posttraumatic origin; rather, it is a creation of psychotherapy and the media. Support for the model was recently presented by N.P. Spanos (1994).

In this article, the author reexamines the evidence for the model and concludes that it is based on numerous false assumptions about the psychopathology, assessment, and treatment of DID. Most recent research on the dissociative disorders does not support (and in fact disconfirms) the sociocognitive model, and many inferences drawn from previous research appear unwarranted.

No reason exists to doubt the connection between DID and childhood trauma. Treatment recommendations that follow from the sociocognitive model may be harmful because they involve ignoring the posttraumatic symptomatology of persons with DID.

Psychol Bull. 1994 Jul;116(1):143-65.
http://www.ncbi.nlm.nih.gov/pubmed/8711016

Charges initiated against Pope for crimes against humanity, PTSD-trauma link

also: Twin study may quiet doubts over PTSD-trauma link

Charges initiated against Pope for crimes against humanity
TWO GERMAN lawyers have initiated charges against Pope Benedict XVI at the International Criminal Court, alleging crimes against humanity. PATSY McGARRY, Religious Affairs Correspondent The Irish Times – February 23, 2011

TWO GERMAN lawyers have initiated charges against Pope Benedict XVI at the International Criminal Court, alleging crimes against humanity. Christian Sailer and Gert-Joachim Hetzel, based at Marktheidenfeld in the Pope’s home state of Bavaria, last week submitted a 16,500-word document to the prosecutor of the International Criminal Court at the Hague, Dr Luis Moreno Ocampo.

Their charges concern “three worldwide crimes which until now have not been denounced . . . (as) the traditional reverence toward ‘ecclesiastical authority’ has clouded the sense of right and wrong”.

They claim the Pope “is responsible for the preservation and leadership of a worldwide totalitarian regime of coercion which subjugates its members with terrifying and health-endangering threats”. They allege he is also responsible for “the adherence to a fatal forbiddance of the use of condoms, even when the danger of HIV-Aids infection exists” and for “the establishment and maintenance of a worldwide system of cover-up of the sexual crimes committed by Catholic priests and their preferential treatment, which aids and abets ever new crimes”. http://www.irishtimes.com/newspaper/world/2011/0223/1224290630240.html

Criminal Charges against Dr. Joseph Ratzinger, Pope of the Roman Catholic Church on grounds of Crimes against Humanity According to Art. 7 ICC Statute
http://www.kanzlei-sailer.de/pope-lawsuit-2011.pdf

Twin study may quiet doubts over PTSD-trauma link
By Lynne Peeples NEW YORK  Sep 30, 2010 NEW YORK (Reuters Health) – Trauma really is the trigger of post-traumatic stress disorder, or PTSD, suggests a new study that could help settle an ongoing debate.
“It’s been argued by some that PTSD is not a bona fide disorder, that these people are just maladjusted and the trauma doesn’t have anything to with it,” senior researcher Dr. Roger Pitman of Boston’s Harvard University told Reuters Health….

Pitman and colleagues from Harvard and the U.S. Department of Veterans Affairs looked to 103 pairs of identical male twins from the Vietnam Era Twin Registry to test whether trauma truly causes PTSD, or if its sufferers would have developed symptoms of the disorder regardless. One brother from each pair had been exposed to combat in the Vietnam War; the other had not. Fifty of the combat-exposed men had PTSD.

The researchers found a substantial difference in mental disorders between the twins: Men exposed to combat and diagnosed with PTSD had three-fold more symptoms than their brothers, as well as compared to the combat veterans without PTSD and their co-twins. Similar patterns appeared when considering only PTSD-related psychiatric symptoms, report the researchers in the Journal of Clinical Psychiatry. According to Pitman, “If you assume that the identical twin is a representation of what the veteran would have been like had he not been exposed to combat, with the same genes and same family upbringing, then the conclusion is that psychiatric trauma causes substantial psychiatric symptoms in a portion of the population.”

Given the similarities in symptoms between co-twins of combat-exposed brothers that did and did not develop PTSD, the findings also refute the presence of any predisposing genetic or environmental traits that increase vulnerability to trauma-induced PTSD, the authors say.
http://www.reuters.com/article/2010/09/30/us-twin-ptsd-idUSTRE68T47B20100930

Is Trauma a Causal Agent of Psychopathologic Symptoms in Posttraumatic Stress Disorder? Findings From Identical Twins Discordant for Combat Exposure

Mark W. Gilbertson, PhD; Alexander C. McFarlane, MD; Frank W. Weathers, PhD; Terence M. Keane, PhD; Rachel Yehuda, PhD; Arieh Y. Shalev, MD; Natasha B. Lasko, PhD; Jared M. Goetz, BA; and Roger K. Pitman, MD, for the Harvard/VA PTSD Twin Study Investigators
J Clin Psychiatry 2010;71(10):1324–1330
10.4088/JCP.10m06121blu

….Method: A case-control twin study conducted between 1996–2001 examined psychopathologic symptoms in a national convenience sample of 104 identical twin pairs discordant for combat exposure in Vietnam, with (n = 50) or without (n = 54) combat-related PTSD (DSM-IV–diagnosed) in the exposed twin….

Results: Combat veterans with PTSD demonstrated significantly higher scores (P < .0001) on the Symptom Checklist-90-Revised and other psychometric measures of psychopathology than their own combat-unexposed cotwins (and than combat veterans without PTSD and their cotwins).
Conclusions: These results support the conclusion that the majority of psychiatric symptoms reported by combat veterans with PTSD would not have been present were it not for their exposure to traumatic events.
http://article.psychiatrist.com/dao_1-login.asp?ID=10007050&RSID=75635130271135

Study on twins may quiet doubts on PTSD-trauma link
Researchers found major difference in mental disorders in twins if one had seen combat
http://www.msnbc.msn.com/id/39441551/ns/health-mental_health/

Follow

Get every new post delivered to your Inbox.

Join 63 other followers