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Ptsd dsm 4
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Originally, the PCL was developed by the National Center for PTSD in 1990. The scale assessed for the presence of and level of severity of each of the diagnostic criterion for PTSD, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). Using a 5-point Likert Scale, individuals rated 17 items on a scale of 1-5, 1 being “not at all” and 5 being “extremely”. The original version of the PCL came in three different forms, the PCL-Military (PCL-M), PCL-Civilian (PCL-C), or the PCL-Specific (PCL-S). The only difference between the three versions is the way the form of trauma is referenced in the items on the scale that mention it. Once the PCL is completed, the items are summed together in order to measure
the severity of PTSD symptoms. The possible scores using the PCL range from 17 to 85. One of the critiques of the PCL is that there is no definitive/consistent cut score to determine the severity of PTSD symptoms. Cut scores anywhere between 30 and 60 have been used. The cut score is often times determined by looking at the population, setting, and goal of the assessment. Another way to analyze the scores is to use every item scored 3 or higher as symptoms, and then compare the symptoms to the DSM’s diagnostic criteria for PTSD. The PCL has been extensively studied and tested for reliability and validity. Past studies have found the PCL to have excellent test-retest reliability, ranging from .66 to .96, internal consistency with an alpha between .83 and .98, convergent validity (corresponding with other PTSD scales with ranges between .62 and .93), discriminant validity with correlations between other scales below .87, and diagnostic utility ranging anywhere from 0.58 and .83.
General Robert E. Lee executed poor mission command during the Battle of Gettysburg by not providing a clear commander’s intent, and not creating teams of mutual trust1. General Lee commanded the Confederate Army during the Battle of Gettysburg, Pennsylvania in July 1861. The Confederate Army sought supplies before they decisively engaged the Union Army. General Lee’s lack of mission command lost the Battle of Gettysburg3.
As the incoming brigade commander, LTC (P) Owens, I see the critical leadership problem facing the 4th Armored Brigade Combat Team (ABCT) is the inability or unwillingness of Colonel Cutler to lead and manage change effectively. In initial talks with Col Cutler and in reviewing the brigade’s historical unit status reports, the 4th ABCT performed as well as can be expected in Afghanistan, but as the onion was peeled back there are numerous organizational issues that were brought to the surface while I walked around and listened to the soldiers of the 4th ABCT, in addition to reviewing the Center for Army Lessons Learned (CALL) report. One of the most formidable tasks of a leader is to improve the organization while simultaneously accomplishing
Post traumatic stress disorder (PTSD) is a mental health condition, similar to an anxiety disorder, that is triggered by trauma and other extremely stressful circumstances. Throughout the book, Junger talks about PTSD in a wide range:from PTSD rates in natural disaster victims to PTSD rates in veterans. The latter is explained on a deeper perspective. While Junger gave many examples of why PTSD rates in America were so high, the most captivating was:
Unified Land Operations defines the army operational design methodology (ADM) as “a methodology for applying critical and creative thinking to understand, visualize, and describe unfamiliar problems and approaches to solving them. The operational design methodology incorporated into army doctrine serves as a method to compliment the military decision making process (MDMP). Although the ADM it is often confused with replacing MDMP, its purpose is to address complex problems from a nonlinear approach. ADM helps the commander to answer questions to problems. However, only a collaborative effort of an operation planning team (OPT) will achieve the approach to answering complex problems. Doctrine alone does not provide the answer to complex problems, but rather offers a guide to solve them. To conceptualize the MDMP, planners must incorporate ADM to provide a better understanding, visualization, and description of the problem. The purpose of this paper is to provide the framework to support why ADM is required in the MDMP.
Antwone Fisher presents characteristics consistent with Posttraumatic Stress Disorder (American Psychiatric Association, 2013, p. 271). The American Psychiatric Association described the characteristics of Posttraumatic Stress Disorder, or PTSD, as “the development of characteristic symptoms following exposure to one or more traumatic events” (American Psychiatric Association, 2013, p. 271). The American Psychological Association (2013) outlines the criterion for diagnosis outlined in eight diagnostic criterion sublevels (American Psychiatric Association, 2013, pp. 271-272). Criterion A is measured by “exposure to actual or threatened” serious trauma or injury based upon one or more factors (American Psychiatric Association, 2013, p.
“Studies show that PTSD occurs in 1%-14% of the population. It can be diagnosed at any age, and can occ...
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
In today’s operational environments, the U.S. Army is facing a range of problems and mission sets that are arguably more complex than previously encountered. Forces face an array of demands that encompass geo-political, social, cultural, and military factors that interact in unpredictable ways. The inherent complexity of today’s operations has underscored the need for the Army to expand beyond its traditional approach to operational planning. In March 2010 in FM 5-0: The Operations
Research done by Paul Ciechanowski in 2015 identified the continuance of PTSD from 6.8 to 12.3 percent in the overall adult population in the U.S. (Ciechanowski, 2015). To be diagnosed with this disorder the individual must meet a certain set of criteria. The criteria for PTSD that we will be using can be found in the Diagnostic and Statistical Manual of Mental Disorder Ed.4, or DSM-IV for short. PTSD is categorized by the following symptoms: intrusive thoughts, hypervigilance, sleep disturbance, nightmares and flashbacks of the past traumatic events, and avoidance to triggers of the trauma. The list I just gave you is a simplified version of the criteria that needs to meet for diagnosing PTSD. A more thorough detailing of the criteria can be found in Appendix section of this paper (PTSD Criteria List n.d.). When assessing whether an individual has PTSD or not it is important to specify the onset or duration of the disorder. Specifications in the duration of PTSD are acute, chronic, and delayed onset. Acute is referring to less than three months, chronic is referring to more than three months, and delayed onset is referring to six months passing before symptoms are
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
The current criteria for assessment of PTSD is only suitable if criterion A is met. Every symptom must be bound to the traumatic event through temporal and/or contextual evidence. The DSM-5 stipulates that to qualify, the symptoms must begin (criterion B or C) or worsen (symptom D and E) after the traumatic event. Even though symptoms must be linked to a traumatic event, this linking does not imply causality or etiology (Pai, 2017, p.4). The changes made with the DSM-5 included increasing the number of symptom groups from three to four and the number of symptoms from 17 to 20. The symptom groups are intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and
Treatment Goals: Verbalize an accurate understanding of PTSD and how it develops. Learn and implemen...
The Diagnostic and Statistical Manual of Mental Disorders, explains the diagnosis of PTSD can be determined
Nayback, A. (2009). PTSD in the combat veteran: Using roy's adaptation model to examine the combat veteran as a human adaptive system. Issues In Mental Health Nursing, 30(5), 304-310. doi:10.1080/01612840902754404
Post-Traumatic Stress Disorder can turn into a very chronic condition that can immensely affect the daily life of an individual. As the name implies, there is a great amount of stress and fear related symptoms that follow a traumatic event. These events can range from something as extreme as being in combat or to something that can happen at any given moment, such as a car accident or assault. In general, we associate this disorder with veterans, as most develop signs of the disorder soon after coming back home, but in reality, PTSD can happen to anyone at any point in their lives. The fifth edition of the American Psychological Association’s Diagnostic and Statistical Manual of Mental Illnesses lists eight criteria that an individual must meet in order to receive proper diagnosis of the disorder. These criteria are dependent whether one is older or younger than six years old, but are both very similar. Specifically in children, there will be more observable behavior during play and demonstrate more attachment towards the parent or guardian, but otherwise, the symptoms are similar to adults. The first criterion states that the patient must have been involved in the traumatic event, whether they were directly involved, witnessed, or heard about the event that involved someone close to them. Vivid flashbacks and nightmares are also an indicator of the disorder. These are not just any flashbacks and nightmares; they relate to the event and cause a great amount of physiological arousal. When it comes to their sleeping habits, there are constant sleep disturbances that can prevent the individual to fall asleep. There must also be avoidance of anything that reminds the patient of the traumatizing event. The patient will do anythin...