Психолошката архитектура на посттрауматското стресно растројство

Abstract

The paper discusses the complex range of psychological changes that often develop in the adaptation process after a traumatic experience. In addition to the well known structure of the posttraumatic stress disorder defined in accordance with current diagnostic criteria, other clinically relevant issues are presented: the multidimensional nature of posttraumatic processes, the holistic approach to traumatization effects, the interconnectedness of posttraumatic symptom clusters, the specific effects of traumatic personality injuries and posttraumatic interpersonal consequences. The review includes a brief overview of current PTSD reconceptualization efforts, as well as of the clinical implications of the disparity between the psychological nature of posttraumatic adaptation and the diagnostic frameworks that determine treatment guidelines.