DSM’ler boyunca travma kavramının seyri

Literatürde ‘A ölçütü sorunu’ olarak geçen Travma Sonrası Stres Bozukluğu’nun (TSSB) ‘travma’yı tanımlayan ilk ölçütünün içeriği Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabının (DSM) üçüncü baskısında bu yana tartışılmakta ve her yeni DSM sürümüyle de değişikliğe uğramaktadır. DSM’nin üçüncü baskısından önce de travma ile ilişkili bozukluklardan bahsedilmiş olmakla beraber hem travmanın hem travma ile ilgili bozuklukların doğrudan tanımı yapılmamıştır. TSSB tanısında travma tartışmalı tek yönlü bir nedenselliğe işaret etse de merkezi önemini korumaya devam etmektedir. Bu makalede travmanın DSM sürecinde geçirdiği değişim incelenmiştir
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Post travmatik stres

The Course of The Trauma Concept Throughout the DSMs

The ‘Criterion A problem’ has been a topic of debate since the introduction of PTSD in DSM-III and the definition of trauma has changed in every new DSM edition. Many psychiatric disorders were already accepted to be related to traumatic life events, thus the authors of DSM-I and II did not specifically identify a distinct category of traumatic disorders. The controversery also stems from etiological causality: wordings such as ‘trauma related’ or ‘traumatic’ generally refer to a definite causality in general medicine as well as psychiatry. İn this article we will focus on the change of the concept of trauma in DSM process from first edition to last edition planned for publication in 2013

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