The Phenomenology of Traumatic Reactions to Psychotic Illness

Katharine Shaw · ALEXANDER COWELL McFARLANE · Clara Bookless

113 citations0/0 files storedThe Journal of Nervous and Mental Disease

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Posttraumatic Stress Disorder Research Schizophrenia research and treatment Electroconvulsive Therapy Studies

Abstract

This study investigated whether a psychotic illness was associated with posttraumatic stress disorder (PTSD) symptomatology in 45 subjects recovering from hospitalization for a psychotic episode. Previous studies have suggested that the experience of psychosis and hospitalization is distressing and that PTSD may be a useful paradigm for the psychological response. Subjects were given questionnaires to evaluate PTSD symptoms, anxiety symptoms, and distress and intrusive memories associated with aspects of treatment and psychosis. Treatment, especially experiences involving a loss of control such as detention, and psychotic symptoms, particularly persecutory delusions, passivity phenomena, and visual hallucinations, were perceived as highly distressing. Twenty-two subjects (52%) met the criteria for a postpsychotic PTSD, with implications for recognition and management of secondary morbidity related to psychosis.

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References

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2002The aetiology of postpsychotic posttraumatic stress disorder following a psychotic episode 2003Trauma Within the Psychiatric Setting: A Preliminary Empirical Report 2001Posttraumatic stress disorder in a general psychiatric inpatient population 2004The Trauma of First Episode Psychosis: The Role of Cognitive Mediation 2001Causes of Posttraumatic Stress Disorder in Psychotic Patients

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