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Post-Traumatic Stress Disorder and Civil Violence in Northern Ireland

Published online by Cambridge University Press:  02 January 2018

G. C. Loughrey*
Affiliation:
Downshire Hospital
P. Bell
Affiliation:
Royal Belfast Hospital for Sick Children
M. Kee
Affiliation:
977 Summitt Av., St Paul, Minnesota
R. J. Roddy
Affiliation:
977 Summitt Av., St Paul, Minnesota
P. S. Curran
Affiliation:
Mater Infirmorum Hospital, Belfast
*
Downshire Hospital, Andglass Road, Downpatrick Co. Down BT30 6RA, Northern Ireland

Abstract

The case records of 499 victims of civil and terrorist violence were examined, and the presence or absence of post-traumatic stress disorder (PTSD) and associated features recorded. The results support the face, and predictive, validities of PTSD. ‘Acting as if the event were reoccurring’ and 'survivor guilt’ seemed not to be characteristic symptoms, and the homogeneity of the emotional state in PTSD was questionable. Only marital disharmony and suicidal behaviour were associated complications. PTSD seemed to be found in a wide range of stressors, but the danger in over-reliance on results from combat veterans is emphasised.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd cdn) (DSM–III). Washington, DC: APA.Google Scholar
Archibald, H. C. & Tuddenham, R. D. (1965) Persistent stress reactions after combat. Archives of General Psychiatry, 12, 475481.Google Scholar
Atkinson, R. M., Henderson, R. G., Sparr, L. F. & Deale, S. (1982) Assessment of Vietnam veterans for post-traumatic stress disorder in Veterans Administration disability claims. American Journal of Psychiatry, 139, 11181121.Google Scholar
Birkheimer, L. J., Devane, C. L. & Muniz, C. E. (1985) Post-traumatic stress disorder: characteristics and pharmacological response in the veteran population. Comprehensive Psychiatry, 26, 304310.Google Scholar
Blanchard, E. B., Kolb, L. C., Pallmeyer, T. P. & Gerardi, R. J. (1982) A psychophysiological study of post-traumatic stress disorder in Vietnam veterans. Psychiatric Quarterly, 54, 220229.Google Scholar
Boman, B. (1985) Post-traumatic stress disorder and concurrent psychiatric illness among Australian Vietnam veterans. A controlled study. Journal of the Army Medical Corps, 131, 128131.Google Scholar
Chodoff, P. (1963) Late effects of the concentration camp syndrome. Archives of General Psychiatry, 8, 3747.Google Scholar
Davidson, J., Swartz, M., Storck, M., Krishnan, R. R. & Hammett, E. (1985) A diagnostic and family study of post-traumatic stress disorder. American Journal of Psychiatry, 142, 9093.Google Scholar
Escobar, J. I., Randolph, E. T., Puente, G., Spiwak, F., Asamen, J. K., Hill, M. & Hough, R. C. (1983) Post-traumatic stress disorder in Hispanic Vietnam veterans. Journal of Nervous and Mental Disease, 171, 585–5%.CrossRefGoogle ScholarPubMed
Friedman, M. J., Schneiderman, C. K., West, A. N. & Corson, J. A. (1986) Measurement of combat exposure, post-traumatic stress disorder and life stress in Vietnam combat veterans. American Journal of Psychiatry, 143, 537539.Google Scholar
Horowitz, M. J. (1976) Stress Response Syndromes. New York: Aronsen.Google Scholar
Horowitz, M. J., Wilner, N., Kaltreider, N. & Alvarez, W. (1980) Signs and symptoms of post-traumatic stress disorder. Archives of General Psychiatry, 37, 8592.Google Scholar
Laufer, R. S., Yager, T., Frey-Wouters, E. & Donnellan, J. (1981) Legacies of Vietnam: Vol III. Post-War Trauma: Social and Psychological Problems of Vietnam Veterans and their Peers. Washington DC: US Government Printing Office.Google Scholar
Laufer, R. S., Brett, E. & Gallops, M. S. (1984) Post-traumatic stress disorder reconsidered: post-traumatic stress disorder among Vietnam veterans In Post-traumatic Stress Disorder: Psychological and Biological Sequelae (ed. Van de Kolb, B.). Washington, DC: American Psychiatric Press.Google Scholar
Laufer, R. S., Brett, E. & Gallops, M. S. (1985) Symptom pattern associated with post-traumatic stress disorder among Vietnam veterans exposed to war trauma. American Journal of Psychiatry, 142, 13041311.Google Scholar
Lifton, R. J. & Olsen, E. (1976) Death imprint in Buffalo Creek In Emergency and Disaster Management (eds Parad, H. J., Resnick, H. L. P. & Parad, L. G.). Bowie, Maryland: The Charles Press Publishers Inc.Google Scholar
Loughrey, G. C. & Curran, P. S. (1987) The psychopathology of civil disorder In Recent Advances in Medicine No. 20 (eds Dawson, A. M. & Besser, G. M.). Edinburgh, London, Melbourne and New York: Churchill Livingstone.Google Scholar
Sierles, F. S., Chen, J. J., McFarland, R. E. & Taylor, M. A. (1983) Post-traumatic stress disorder and concurrent psychiatric illness. American Journal of Psychiatry, 140, 11771179.Google Scholar
Spitzer, R. I. & Williams, J. B. W. (1985) Classification of mental disorders In Comprehensive Textbook of Psychiatry, 4th edn (eds Kaplan, H. I. & Sadcock, B. J.), vol. 1. Baltimore: William, & Williams.Google Scholar
Tarsh, M. J. & Royston, C. (1985) A follow-up study of accident neurosis. British Journal of Psychiatry, 146, 1825.Google Scholar
Van Kampen, M., Watson, C. G., Tilleskjor, C., Kucala, T. & Vassar, P. (1986) The definition of post-traumatic stress disorder in alcoholic Vietnam veterans. Journal of Nervous and Mental Disease, 174, 137144.Google Scholar
Van Putten, T. & Yager, J. (1984) Post-traumatic stress disorder. Archives of General Psychiatry, 41, 411413.Google Scholar
Wilkinson, C. B. (1983) Aftermath of a disaster. The collapse of the Hyatt Regency Hotel, Skywalk. American Journal of Psychiatry, 40, 11341139.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary & Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
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