This has put forward a hypothesis that they are the consequence of withdrawal of endogenous opioids, produced when the Revitalization of memories of psihotravme. Characterological features, predisposing to the development of PTSD are emotional instability, increased anxiety, and immaturity of the individual. These data should however be treated with caution, as characterological changes may be due to trauma, rather than precede it. According to the psychoanalytic hypothesis that PTSD symptoms are a consequence of trauma recovery unresolved conflicts of early childhood. Established a significant correlation between the conflicting relationships with their parents on a 3-year life and subsequent violations of adaptation. Emphasizes the role of mothers in shaping a child's endurance to stress. The concept of "good enough mother" (Winnicott) comes from the fact that warm emotional support and flexible adaptation to properly recognizes the needs of the child create the most favorable background for the formation of adaptive psychological defense mechanisms. Attention is also drawn to the secondary gain from illness. Thus, financial compensation, the state of "special significance" can contribute to fixing the symptoms of disease. In contrast to PTSD in violation of adapting the intensity of stress is not always leads to a weight disorder. Stress can be single or overlap each other, to be periodic (jobs involving all hands at work) or permanent (poverty). Different stages of life characterized by its own specific stressful situations (early learning, leaving the parental home, marriage, birth of children and their care of the home, failure to achieve professional goals, retirement). Scrubs In a picture of the disease can be presented a general dulling of feelings (emotional anesthesia, a feeling of remoteness from others, loss of interest in previous activities, the inability to experience joy, tenderness, orgasm), or a feeling of humiliation, guilt, shame, anger. Possible dissociative state (up to stupor), which again experienced the traumatic situation, anxiety attacks, rudimentary delusions and hallucinations, transient loss of memory, concentration and control impulses. In the acute reaction is possible partial or complete dissociative amnesia episodes (F44.0). The consequences might be in the form of suicidal tendencies, and abuse of alcohol and other psychoactive substances. Victims of rape and robbery do not venture over different durations of time to go out unaccompanied. Experience of trauma is central to the patient's life, changing his style of life and social functioning. More intensive and lengthy is the human reaction to the stressor (rape) than to natural disasters (floods). In protracted cases, the patient is no longer fixed to the trauma and its consequences (disability, etc.). The appearance of symptoms, sometimes of delayed for varying periods of time, this also applies to violations of adaptation, where the symptoms do not necessarily decrease at the termination of stress.
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