(BQ) Part 2 book “The psychiatric interview in clinical practice” has contents: The traumatized patient, the dissociative identity disorder patient, the antisocial patient, the antisocial patient, the psychotic patient, the psychosomatic patient, the cognitively impaired patient, and other content. | C H A P T E R 1 0 THE TRAUMATIZED PATIENT ALESSANDRA SCALMATI, ., . Trauma is common in everyday life. It can take many forms, from the unexpected loss of a loved one to a serious motor vehicle accident, the diagnosis of a life-threatening illness, or being the victim of an assault. Popular attention has focused on the aftermath of severe trauma such as civilian disasters, industrial explosions, natural catastrophes, terrorist attacks, life-threatening combat situations, rape, and childhood sexual abuse. Many people respond to a traumatic event with an acute stress reaction or an increase in anxiety of short duration that resolves spontaneously without need for treatment. Some people develop a more chronic traumatic stress response that becomes impairing and disabling. Being the victim or witness of a traumatic event does not imply a pathological response or enduring psychological trauma. In fact, even though close to 90% of people will be exposed to some kind of traumatic event during their lifetime, according to a survey conducted in the early 2000s to establish the prevalence of psychiatric disorders in the population, the lifetime prevalence of posttraumatic stress disorder (PTSD) was . From the beginning, an essential question of traumatic studies has been what differentiates between people who develop a disabling response to trauma and those who are more resilient in response to similar tragedies. Traumatic events and their effect on the human psyche occupy center stage in the current psychiatric landscape, and it is easy to forget that until 1980 PTSD was not an acknowledged diagnosis. Even though trauma, war, misfortune, loss, death, illness, and suffering are and have 339 340 • THE PSYCHIATRIC INTERVIEW IN CLINICAL PRACTICE always been common, for many millennia the stories of sorrow and heartbreak, of soul-sickness and madness, caused by life tragedies, fate capriciousness, and human cruelty were mostly the province of poetry and art, .
