PTSD In The Movie Brothers

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Introduction
The lifetime prevalence of PTSD in the general population is 6-8% and increases to 20-30% for victims of severe traumatic events (Desmedt et al., 2015). PTSD resulting from combat-related trauma is a popular topic discussed throughout the media and is commonly adapted into characters in movies and television. In this paper, post-traumatic stress disorder portrayed in the movie Brothers will be critiqued and compared to the neural correlates that underlie symptoms of the disorder in neuropsychological literature.
Post-traumatic stress disorder (PTSD) is a mental illness that develops after exposure to an event that is perceived to be life threatening or pose serious bodily injury to self or others (Sherin & Nemeroff, 2011). According …show more content…

Several functional imaging studies using both testing paradigms illustrate this dysfunction. When participants with PTSD were shown fearful faces in a cognitive activation paradigm, there was a corresponding increase in cBRF using fMRI, indicating hyper-responsiveness of the amydgala to threat-related stimuli (Bryant et al., 2008). Liberzon et al. (1999) also measured cBRF in Vietnam veterans with PTSD using SPECT during a symptom provocation paradigm of combat-related sounds. The results revealed exclusive activation of the left amygdala and nucleus accumbens in PTSD patients and not in combat controls and normal …show more content…

Specifically, the anterior insula plays a role in introspective awareness of psychological and emotional states and autobiographical memory. The abnormal functioning of the insula is linked to the anxiety associated with PTSD (Garfinkel & Liberzon, 2009). Kasai et al. (2008), used voxel-based morphometry to quantify gray matter density reduction using MRI in combat-exposed Vietnam veteran twins with PTSD compared to those without PTSD. The twins with PTSD showed significant grey matter density reductions in the bilateral insula, as well as the right hippocampus, and anterior cingulate cortex. Functional alterations were shown in a symptom provocation study of individuals with PTSD having higher anterior insula activation during script-driven imagery with traumatic scripts (Hopper et al, 2007). These studies of insular alterations represent Sam’s persistent anxiety throughout the movie and contribute to the overall malfunctioning of the “central fear

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