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Twelve Precise Parallels Between DPTSD From Adult Life and DPSTD From Infancy
The original trauma is experienced by the infant as a life-threatening event, because for all mammalian species separation from mother to young means death. In every aspect it is the same PTSD disorder. The only obvious difference is that a shift to an earlier trauma involves a shift to an earlier mind/brain/reality/feelings/behaviour/chemistry/physiology/body movements/level of affective expression and anatomical locations in the brain that were active and developing at the exact time of the original trauma. trauma during infancy. Shifting to an earlier mind/brain/reality gives the appearance of being a completely different disorder, but in fact it is exactly the same and meets all the DSM criteria for delayed PTSD.
Similarities between adult-life PTSD and delayed-onset childhood PTSD include:
1. The original symptom-defining trauma for both is an overwhelming event. For an adult combat veteran, these can be terrifying experiences of carnage and death, usually associated with sudden sharp, loud noises. For the child, it is anything that the child may experience as a threat of separation from the mother. These sometimes subtle traumas are not considered worrisome for the child and may involve taking a short vacation and leaving the child for a few days with someone who is completely trustworthy, caring and reliable. The problem is that the child does not know this, and the child may fear abandonment and death, a fear that goes back thousands of years in all mammalian species. Other infant separation traumas include moving to a new house and the mother gets busy making the new place feel like home, or a tragedy that happens to an older child distracts the mother, or the father does something stupid that upsets the mother and emotionally creates a separation trauma for child.
2. The initial symptom-inducing trauma, years or decades later, matches or resembles the original symptom-defining trauma in some way. Most often it’s a loud noise that triggers the initial flashback in the veteran – or it can be any other element of war. In the infant, it is the separation from some other “significant person” decades later that precipitates the initial step back in time.
3. Symptom-inducing trauma triggers a survival mechanism in both that applies to all species, at all ages, and generally increases survival more often than not. Otherwise, it would not have been built in as an adaptive measure for survival.
4. The survival mechanism may be mal-adaptive in both war trauma and schizophrenia.
5. In both cases, the person partially returns to the entire former gestalt, i.e. the former mind/brain/reality/feelings/behavior/chemistry/physiology/body movements and anatomical locations in the brain that were active and developing at the exact time. original trauma.
6. The negative symptoms are the same in both (they result from a huge process of repression, beginning at the time of the original trauma, which pushes unpleasant thoughts, events and feelings out of the conscious mind.
7. Positive symptoms are the same. These are represented by wild, chaotic behavior associated with thoughts, feelings, memories and actions associated with the original traumas – whether these overwhelming thoughts and feelings arose in childhood or from the terror associated with the trauma of adult life.
8. The precursors of delayed-onset PTSD are the same whether they are caused by frightening experiences in childhood or adulthood.
9. The defensive rampart is the same (a massive shield of repression stemming from the original traumatic event).
10. Precursors and negative symptoms in both are attempts to repress or repress the painful experience of the original trauma.
11. Unidirectional correlation is the same. War didn’t start because someone had a memory twenty years later, and childhood trauma didn’t happen because someone developed schizophrenia years or decades later or had a neurobiological change.
12. The age of onset of schizophrenia can be determined clinically because the patient’s symptoms correspond to the infant’s feelings/behavior/reality at the time of the original trauma, and the age of war trauma can also be determined clinically – because the symptoms correspond to the war trauma and we know , how old the veteran was when he experienced war trauma.
So we have twelve exact parallels between delayed childhood PTSD and delayed adult PTSD. These are so accurate that schizophrenia, schizoaffective disorder, bipolar disorder, and other psychotic and non-psychotic depressions actually meet all the DSM criteria for PTSD.
In addition to contributing to the understanding of the disorder, it removes the stigma of being labeled schizophrenic, bipolar, etc.
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