The document discusses post-traumatic stress disorder (PTSD) and the role of environmental factors in its onset and treatment. It notes that research has heavily focused on environmental perspectives due to PTSD being triggered by extreme environmental stimuli. However, to fully understand PTSD, future research needs to incorporate other psychological perspectives beyond just external environmental factors. The document also examines specific environmental factors like deployment tempo, occupational roles, and cultural contexts that impact PTSD.
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M7 A2 Review Paper Ppt Miller C
1. A New
Environment for PTSD
Christopher A. Miller
Advanced General Psychology
Instructor: Dr. Darcel Harris
October 15, 2011
2. Table of Contents
•Abstract
1 •The Current Environment
•Deployment Tempo and Recuperation
2
•Military Studies and Cultural Context
3
•Occupationally linked Trauma
4
•Preparedness and Occupational Familiarity
5
•Combating Stigmas and Coping
6
•Concerns
7 •Conclusion
3. Abstract
The scientific approach towards PTSD today appears to be based
around the environmental factors that make someone susceptible to
the traumatic events, or environmental conditions that cause the
systems of PTSD to exhibit in an individual. To better understand
the disorder there is a need to incorporate and expand research into
the disorder using other psychological perspectives beyond
environmental factors.
The Current Environment
Research into the prevention and treatment of
the disorder drastically favors an environmental
approach.
The environmental perspective is often favored
due to the fact that the onset of the symptoms is
triggered by extreme and sudden stimulus from
the environment.
4. Deployment Tempo and
Recuperation
Environmental deployment schedules are claimed as predictive
Factors
environmental conditions
environmental conditions cause
cognitive, behavioral and physiological
Conditions responses that can be a catalyst for psychiatric
and Stimuli
disorders, including PTSD
Reaction
and
Processing PTSD
of Trauma
5. Military Studies and Cultural
Context
cumulative stressors and the rates of
recuperations are calculated as factors
corresponding to a Poisson dose-response
function and threshold distribution
lag time between the onset of symptoms and
when the individuals self-report the symptoms of
PTSD
lag time was independent of the amount of
combat time limits the models analysis to two
factors of analysis: combat stress and
deployment tempo,
6. Occupationally linked
Trauma
organizational structural differences may impact
resilience and stress factors, combat related
traumas are found to be more significant
high-risk groups
7. Preparedness and
Occupational Familiarity
the familiarity of an individual’s role
during a trauma
personal perceptions of threat to life
during trauma
coping advice was found to reduce
prevalence
8. Combating Stigmas and
Coping
lower IQ
lower education levels
marital status
lower ranks
“conservative critics of psychotherapy have called
ptsd [sic], in part , a political artifact of the antiwar
movement, a way to portray Vietnam veterans as
psychiatric victims of an unjust war” Dworkin, R.
(2010).
9. Concerns
“Osuch and colleagues mention many of the
places where we need to look including:
crytoarchitectonics, neurotransmitters, and
receptors, neuropeptides, enzyme
synthesis, neurotropic factors, synaptic
proteins, signal transduction pathways, markers of
inflammation or infections as well as neuronal
regeneration and apoptosis” Friedman, M., &
Harris, W (2004).
Conclusion
To better understand this disorder future investigators
need to incorporate and expand research perspectives
using other psychological perspectives beyond external
environmental factors.
10. Concerns
“Osuch and colleagues mention many of the
places where we need to look including:
crytoarchitectonics, neurotransmitters, and
receptors, neuropeptides, enzyme
synthesis, neurotropic factors, synaptic
proteins, signal transduction pathways, markers of
inflammation or infections as well as neuronal
regeneration and apoptosis” Friedman, M., &
Harris, W (2004).
Conclusion
To better understand this disorder future investigators
need to incorporate and expand research perspectives
using other psychological perspectives beyond external
environmental factors.
11. References
Atkinson, M. P., Guetz, A., & Wein, L. M. (2009). A dynamic model for posttraumatic stress disorder
among U.S. troops in operation Iraqi freedom. Management Science, 55(9), 1454-1454-
1468. Retrieved from http://search.proquest.com/docview/213269767? accountid=34899
Costa, D. L., & Kahn, M. E. (2010). Health, wartime stress, and unit cohesion: Evidence from
union army veterans*. Demography, 47(1), 45-45-66. Retrieved from http://
search.proquest.com/docview/222819735?accountid=34899
Dworkin, R. W. (2010). The rise of the caring industry. Policy Review, (161), 45-45-59. Retrieved
from http://search.proquest.com/docview/609957271?accountid=34899
Friedman, M. J., & Harris, W. W. (2004). Commentary on "brain environment interactions:
Stress, posttraumatic stress disorder, and the need for a postmortem brain collection":
Toward a national PTSD brain bank. Psychiatry, 67(4), 384-384-390. Retrieved from
http://search.proquest.com/docview/220668332?accountid=34899
Hoge, C. W., Castro, C. A., Hotopf, M., & Fear, N. (2006). Post-traumatic stress disorder in UK
and US forces deployed to Iraq/Author's reply. The Lancet, 368(9538), 837-837; author
reply 837. Retrieved from http://search.proquest.com/docview/199058983?
accountid=34899
Iversen, A. C., Fear, N. T., Ehlers, A., Hacker H. J., Hull, L., Earnshaw, M., . . . .Hotopf, M. (2008). Risk
factors for post-traumatic stress disorder among UK armed forces personnel.
Psychological Medicine, 38(4), 511-511-22. doi:10.1017/S0033291708002778
Marx, B. P., Doron-Lamarca, S., Proctor, S. P., & Vasterling, J. J. (2009). The influence of
pre-deployment neurocognitive functioning on post-deployment PTSD symptom
outcomes among Iraq-deployed army soldiers. Journal of the International
Neuropsychological Society : JINS, 15(6), 840-840-52. doi:10.1017/S1355617709990488
Polusny, M. A., Erbes, C. R., Murdoch, M., Arbisi, P. A., Thuras, P., & Rath, M. B. (2011). Prospective
risk factors for new-onset post-traumatic stress disorder in national guard soldiers deployed to Iraq.
Psychological Medicine, 41(4), 687-687-698.
doi:10.1017/S0033291710002047
Sundin, J., Fear, N. T., Iversen, A., Rona, R. J., & Wessely, S. (2010). PTSD after deployment to
Iraq: Conflicting rates, conflicting claims. Psychological Medicine, 40(3), 367-367-82.
doi:10.1017/S0033291709990791
Wells, T. S., LeardMann, C. A., Fortuna, S. O., Smith, B., Smith, T. C., Ryan, M. A., . . . Blazer, D. (2010). A
prospective study of depression following combat deployment in support of the wars in
Iraq and Afghanistan. American Journal of Public Health, 100(1), 90-90-9. Retrieved from
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Notes de l'éditeur
My interest in military service connected PTSD developed from being in the military and working at the Philadelphia VA Medical Center’s Behavioral Health and Social Work Services Office. The objective of this paper is partly to explore the disorder and partly identify new directions of research and exposing further potentials.
The overwhelming focus is on the environmental stimuli that can trigger PTSD symptoms. Atkinson, M., Guetz, A., and Wein, L. (2009) suggests that deployment schedules are a predictive environmental condition, as well as the rate of recuperation. Similarly, environmental conditions argued by Costa, D., and Kahn, M. (2010) cause cognitive, behavioral and physiological responses from which stress hormones are released and those stress hormones can be a catalyst for psychiatric disorders, including PTSD. PTSD is approached from the view that the trauma combined with persistent environmental conditions in turn develop PTSD.
Atkinson, M., Guetz, A., and Wein, L. (2009) conducted this military research study. Again with studies of this type the focus is on the environment. The exposure to stress and the frequency that stress is encountered. The exposure to stress in conjunction with a traumatic event may be a necessary condition for the onset of PTSD, but determining if these environmental influences are the only necessary condition is vital. We must first acknowledge that multiple people can be exposed to the same or nearly same environment, but they will not all result in cases of PTSD. To establish this we need to look beyond the environment.
Exploring who develops PTSD and why could be more important than what environmental conditions trigger it. Adding cultural context to the debate Hoge, C., Castro, C. A., Hotopf, M., and Fear, N. (2006) begin to contrast the persistence and prevalence of cases of PTSD between U.S. and U.K. forces having fought in Iraq.While comparing the percentage rates of combat related traumas and the organizational structural differences that may impact resilience and stress factors, combat related traumas are found to be more significant.
Iversen, A. C., Fear, N. T., Ehlers, A., Hacker H. J., Hull, L., Earnshaw, M., Greenberg, N., Rona R., Wessely, S. and Hotopf, M. (2008) continue the debate of the resilience and environment exploring the contrast between U.K. Military personnel mental health and non-military occupations susceptible to psychological trauma. However, the positions addressing the environment are more in moving toward the cognitive perspective addressing the thought processes.
There are also problems associated with studying only the environmental factors surrounding PTSD, Particularly when studying military groups. Considerations such as lower IQ, lower education levels, marital status and lower ranks were associated with higher rates of PTSD, but these may be factors of circumstance that place these demographics in a military positions more likely to encounter combat (i.e. infantry).The ASVAB placement test may place lower IQs in higher proximity to combat thereby skewing the results of a study, but further investigation is warranted into the concept. These studies may be perpetuating or even creating inaccurate stigmas around PTSD.
People in the same combat environment with a multitude of environmental similarities experience PTSD at differing rates of prevalence. Friedman, M. J., and Harris, W. W. also argue that similar methods of research, specifically work with brain banks developed for schizophrenia, Alzheimer’s disease, alcoholism, mood and a variety of other neurological disorders, which can be comorbid with PTSD, already exist even though the prevalence of PTSD is currently greater than the other disorders except for depression.
People in the same combat environment with a multitude of environmental similarities experience PTSD at differing rates of prevalence. Friedman, M. J., and Harris, W. W. also argue that similar methods of research, specifically work with brain banks developed for schizophrenia, Alzheimer’s disease, alcoholism, mood and a variety of other neurological disorders, which can be comorbid with PTSD, already exist even though the prevalence of PTSD is currently greater than the other disorders except for depression.
People in the same combat environment with a multitude of environmental similarities experience PTSD at differing rates of prevalence. Friedman, M. J., and Harris, W. W. also argue that similar methods of research, specifically work with brain banks developed for schizophrenia, Alzheimer’s disease, alcoholism, mood and a variety of other neurological disorders, which can be comorbid with PTSD, already exist even though the prevalence of PTSD is currently greater than the other disorders except for depression.