Exam 8: Trauma- and Stressor-Related Disorders

Use the following terms to complete the answer. -Acurte stress -Adjustment -Disinhibted social engagment -Posttraumatic stress -Reactive attachment -The essential feature of __________ disorder is absence or grossly underdeveloped attachment between the child and acknowledged caregiving adults.

Duc Tran Dong, a forty-two year-old Vietnamese immigrant was held up at gunpoint and shot in the arm one year ago working as a clerk in the neighborhood convenience store. Within the last two weeks he has begun experiencing symptoms of posttraumatic stress disorder. You are his social worker. What would help you to decide whether his diagnosis posttraumatic stress disorder could be characterized as acute, chronic, delayed onset or residual?

Use the following terms to complete the answer. -Acurte stress -Adjustment -Disinhibted social engagment -Posttraumatic stress -Reactive attachment -Indiscriminate social behavior and a lack of reticence with unfamiliar adults in toddlerhood accompanied by attention-seeking behaviors in preschoolers are commonly seen in __________ disorder.

The experience of a college student at a film festival watching a series of violent movies that contain graphic rape scenes would qualify as a traumatic event supporting diagnostic criteria for posttraumatic stress disorder.

Sarah Ackley was 6 years old when her mother and step-father brought her to the Children's Center for an evaluation. Her mother, Dianna Hamilton, described her daughter's childhood as filled with frequent changes in primary caregivers. When Sarah was 2 years old her parents divorced. Mrs. Hamilton stated, "I was in the Army at the time serving in Afghanistan so her father was granted custody. Looking back, I don't think it was a good idea. Seems he had a steady stream of girlfriends coming and going but being stationed so far away I never really got the full story. Anyway, somebody put in an anonymous complaint to child protective services and Sarah was removed from his care. She was subsequently placed with my parents. They were in their late sixties at the time so I'm not really sure they were ready to be parents again but I do know they were concerned about Sarah." According to the family physician, Sarah's physical development was seen as normal. However, socially she appeared immature and inappropriate. Her interactions were described as "dominated by indiscriminate sociability." Mrs. Hamilton explained Sarah's behavior as follows, "I don't know how many times I have been so embarrassed by that child. I mean Sarah will talk to anybody. If we are in the supermarket and she sees a woman wearing a bracelet that she likes, Sarah will go right over and ask if she could have it. I thought this was a phase she was going though and that she would outgrow it but that's not happening." What is the most likely diagnosis for Sarah Ackley?

The establishment of a separate chapter for trauma- and stressor-related disorders in the DSM-5 is based on strong evidence that the clinical expression of psychological distress following exposure to a traumatic or stressful event is quite variable.

Posttraumatic stress disorder PTSD) may arise after all the following except:

Cindy Baxter is a 6 year-old little girl who witnessed a traumatic episode where her babysitter was raped by an intruder. Cindy's mother is relieved that her daughter was unharmed. Which of the following behaviors would suggest that Cindy might be experiencing posttraumatic stress disorder?

Adjustment disorder is a reaction to a stressor, such as learning one has a serious medical illness.