C-PTSD Effects
http://sasian.org/cptsd/
Recommended DSM diagnostic criteria, per Trauma and Recovery by Judith Herman, ©1992 by Basic Books. A history of subjection to totalitarian control over a prolonged period (months to years).
Alterations in affect regulation, including
persistent dysphoria, chronic suicidal preoccupation, self-injury, explosive or inhibited anger (may alternate), compulsive or inhibited sexuality (may alternate)
Alterations in consciousness, including
amnesia or hyperamnesia for traumatic events, transient dissociative episodes, depersonalization/derealization, reliving experiences either intrusive or rumination
Alterations in self-perception, including:
sense of helplessness or paralysis of initiative, shame, guilt, and self-blame, sense of defilement or stigma, sense of difference from others, utter aloneness, no one can understand
Alterations in perception of perpetrator, including:
preoccupation with relationship with perpetrator (includes revenge), unrealistic attribution of total power to perpetrator (victim's assessment of power may be the most realistic versus others), idealization or paradoxical gratitude, sense of special or supernatural relationship, acceptance of belief system or rationalizations of the perpetrator.
Alterations in relations with others, including:
isolation and withdrawal, disruption in intimate relationships, repeated search for rescuer (may alternate with isolation and withdrawal), persistent distrust, repeated failures of self-protection
Alterations in systems of meaning:
loss of sustaining faith, sense of hopelessness and despair,
Recommended DSM diagnostic criteria, per Trauma and Recovery by Judith Herman, ©1992 by Basic Books. A history of subjection to totalitarian control over a prolonged period (months to years).
Alterations in affect regulation, including
persistent dysphoria, chronic suicidal preoccupation, self-injury, explosive or inhibited anger (may alternate), compulsive or inhibited sexuality (may alternate)
Alterations in consciousness, including
amnesia or hyperamnesia for traumatic events, transient dissociative episodes, depersonalization/derealization, reliving experiences either intrusive or rumination
Alterations in self-perception, including:
sense of helplessness or paralysis of initiative, shame, guilt, and self-blame, sense of defilement or stigma, sense of difference from others, utter aloneness, no one can understand
Alterations in perception of perpetrator, including:
preoccupation with relationship with perpetrator (includes revenge), unrealistic attribution of total power to perpetrator (victim's assessment of power may be the most realistic versus others), idealization or paradoxical gratitude, sense of special or supernatural relationship, acceptance of belief system or rationalizations of the perpetrator.
Alterations in relations with others, including:
isolation and withdrawal, disruption in intimate relationships, repeated search for rescuer (may alternate with isolation and withdrawal), persistent distrust, repeated failures of self-protection
Alterations in systems of meaning:
loss of sustaining faith, sense of hopelessness and despair,
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