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    Living and Working with PTSD - Synopsis


    Introduction: Getting the most from your course; your tutor; study tips.

    Module 1 – Introduction to PTSD



    Module 1:1 – Introduction to PTSD
    The clinical definitions of PTSD; those at most risk of being traumatised; the history of PTSD; modern day diagnosis; the Boxing Day Tsunami; 7 July London Bombings.

    Module 1:2 – Criteria to Establish PTSD
    Official tables for the diagnosis of PTSD: DSM-IV diagnosis for acute stress reaction; DSM-IV diagnostic criteria for PTSD; ICD10 definition of PTSD.

    Module 1:3 – The Demography of PTSD
    The ‘disaster era’ (1985-1989); high risk groups; the ‘ten for one’ rule; complex PTSD; differing reactions to stressors; the two Gulf Wars; those most at risk; a case study.


    Module 2 – Traumatic Events and PTSD in Children



    Module 2:1 – Trauma Case Studies
    A series of 12 case studies looking at both large scale disasters and personal traumas covering the period 1914 to the present day.

    Module 2:2 – Child PTSD
    What influences a child’s ability to cope; recognising behavioural changes; characteristics of PTSD unique to children.

    Module 2:3 – The Trauma of Abuse
    Neglect; physical abuse; sexual abuse; emotional abuse and bullying; separation.

    Module 2:4 – The Trauma of Chronically ill and Life-limited Children
    Children’s understanding of illness; parental reaction; socio-demographic factors; family adaptive patterns; children’s and adolescents’ understanding of life-threatening illness; meeting the individual needs of children at various ages; supporting the families.


    Module 3 - Symptoms of PTSD



    Module 3:1 – Symptoms of PTSD
    Intrusive symptoms; avoidant symptoms; physical symptoms; social symptoms; treatments.


    Module 4 – Recovery from PTSD



    Module 4:1 – Recovery from PTSD
    Models of recovery (Williams 1992 and Horowitz 1997); the Snakes and Ladders model of recovery; examples of snakes and ladders which might affect a person’s recovery; traumatic anniversaries; common difficulties; advice for those in early recovery.

    Module 4:2 – The Long-term Future
    Revised thinking by PTSD survivors in advanced recovery.


    Module 5 – First Aid for PTSD



    Module 5:1 - Defusing
    Structured defusing: introduction; exploration; information; effects.

    Module 5:2 – Debriefing
    Historical names for Psychological Debriefing; early intervention; incident specific crisis intervention; the debriefing; who does it; where it should be conducted; who is invited; how long it should last; what happens afterwards; current thinking; dual attention theory; the eclectic approach; training, supervision and ethics for debriefers.

    Module 5:3 – Debriefing Models
    The Mitchell debriefing; the Dyregrov debriefing; the three-stage revised debriefing (after Parkinson); emotional decompression (debriefing for emergency services/armed forces – Kinchin 2006).


    Module 6 – Treatment for PTSD



    Module 6:1 – Treatments for PTSD
    Drug therapy (antidepressants, hypnotics, beta-blockers and analgesics); psychotherapy; counselling; crisis counselling; imaginal exposure; real life exposure; physiotherapy; relaxation; occupational therapy.

    Module 6:2 – Eye-movement Desensitisation and Reprocessing
    What is EMDR? How does it work? What happens in EMDR therapy?

    Module 6:3 – Alternative and New Age Therapies
    Various therapies to explore; aromatherapy; neuro-linguistic programming; play/art therapy; prayer healing.




    Appendix 1
    Psychological debriefing – an effective method?
    Atle Dyregrov PhD

    Appendix 2
    The Politics of PTSD – Issues Arising from UK Disasters
    Dr Anne Eyre

    Appendix 3
    20 Years after the Hungerford Massacre
    David Kinchin

    Appendix 4
    Debriefing Rebekah – a case study

    Appendix 5
    Stockholm Syndrome

    Appendix 6
    Self Disclosure – Yes, No or Maybe.
    Cathy Watson, Julia Brownlie, Meenaxi Patel and Ruth Weiner



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