Difference between revisions of "Post-traumatic stress disorder"
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===Child circumcision as a traumatizing event=== | ===Child circumcision as a traumatizing event=== | ||
| + | When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the [[Pain| painful]] surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of ''inescapable shock'', described as a "physical condition in which the organism cannot do anything to affect the inevitable."<ref name="vanderkolk2014">{{REFbook | ||
| + | |last=van der Kolk | ||
| + | |first=Bessel | ||
| + | |year=2014 | ||
| + | |title=The Body Keeps the Score | ||
| + | |url= | ||
| + | |pages=76 | ||
| + | |isbn=978-0-14-312774-1 | ||
| + | |accessdate=2021-08-12 | ||
| + | }}</ref> | ||
| − | The male [[circumcision]] operation to amputate the [[foreskin]] has been shown to be a traumatic event. | + | The male [[circumcision]] operation to amputate the [[foreskin]] has been shown to be a traumatic event. Taddio & colleagues (1995)(1997) studied the effect of neonatal circumcision on the behavior of boys after surgery and at the time of vaccination. It was found that circumcised boys had a higher pain response at time of vaccination six months later as compared with intact boys,<ref name="taddio"1995">{{REFjournal |
| − | |||
| − | Taddio & colleagues (1995)(1997) studied the effect of neonatal circumcision on the behavior of boys after surgery and at the time of vaccination. It was found that circumcised boys had a higher pain response at time of vaccination six months later as compared with intact boys,<ref name="taddio"1995">{{REFjournal | ||
|last=Taddio | |last=Taddio | ||
|first=Anna | |first=Anna | ||
Revision as of 13:06, 12 August 2021
Posttraumatic stress disorder (PTSD) was not recognized as a disease until 1980, when the American Psychiatric Association created a new classification of disease.[1][2] Prior to that time, the condition was various called shell shock or combat fatigue.
The following text is quoted from the Wikipedia:
Posttraumatic stress disorder (PTSD) may develop after a person is exposed to one or more traumatic events, such as major stress, sexual assault, terrorism, or other threats on a person's life.[3] The diagnosis may be given when a group of symptoms, such as disturbing recurring flashbacks, avoidance or numbing of memories of the event, and hyperarousal, continue for more than a month after the occurrence of a traumatic event.
Most people having experienced a traumatizing event will not develop PTSD.[4] People who experience assault-based trauma are more likely to develop PTSD, as opposed to people who experience non-assault based trauma such as witnessing trauma, accidents, and fire events.[5] Children are less likely to experience PTSD after trauma than adults, especially if they are under ten years of age. War veterans are commonly at risk for PTSD.
Child circumcision as a traumatizing event
When an infant boy is to be circumcised, it is the usual practice to immobilize the infant for the painful surgery by securely tying his limbs to a molded plastic board specially made for that purpose. The infant thus is preventing from fighting or fleeing, which is the trauma-producing situation of inescapable shock, described as a "physical condition in which the organism cannot do anything to affect the inevitable."[2]
The male circumcision operation to amputate the foreskin has been shown to be a traumatic event. Taddio & colleagues (1995)(1997) studied the effect of neonatal circumcision on the behavior of boys after surgery and at the time of vaccination. It was found that circumcised boys had a higher pain response at time of vaccination six months later as compared with intact boys,[6] [7] showing that the nervous system had been permanently sensitized to heightened pain sensation.
Taddio et al. (1997) concluded:
Although postsurgical central sensitisation (allodynia and hyperalgesia) can extend to sites of the body distal from the wound, suggesting a supraspinal effect, the long-term consequences of surgery done without anaesthesia are likely to include post-traumatic stress as well as pain. It is, therefore, possible that the greater vaccination response in the infants circumcised without anaesthesia may represent an infant analogue of a post-traumatic stress disorder triggered by a traumatic and painful event and re-experienced under similar circumstances of pain during vaccination.[7]
John Rhinehart, M. D., (1999) a clinical psychiatrist, reported finding numerous cases of PTSD in his adult male patients pursuant to infant circumcision.[8]
Boyle & Ramos (2019) studied boys in the Philippine Islands who had undergone medical circumcision and others who had suffered the traditional "tuli" circumcision. Of the boys who had a medical circumcision, 51 percent exhibited symptoms of PTSD. Of the boys who had a tuli circumcision, 69 percent exhibited symptoms of PTSD.[9]
See also
- Tuli
- Pain
- Psychological issues of male circumcision
- Psychiatrist Discusses the Lasting Trauma of Circumcision
References
- ↑
American Psychiatric Association (1980): Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III). Retrieved 8 August 2021.
- ↑ a b van der Kolk, Bessel (2014): The Body Keeps the Score. Pp. 19. ISBN 978-0-14-312774-1. Retrieved 7 August 2021. Cite error: Invalid
<ref>tag; name "vanderkolk2014" defined multiple times with different content - ↑ American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. pp. 271–280. ISBN 978-0-89042-555-8.
- ↑ National Collaborating Centre for Mental Health (UK) (2005). "Post-Traumatic Stress Disorder: The Management of PTSD in Adults and Children in Primary and Secondary Care". NICE Clinical Guidelines, No. 26. Gaskell (Royal College of Psychiatrists). Lay summary – Pubmed Health (plain English).
- ↑ Zoladz, Phillip (June 2013). "Current status on behavioral and biological markers of PTSD: A search for clarity in a conflicting literature". Neuroscience and Biobehavioral Reviews 37 (5): 860-895. https://dx.doi.org/10.1016%2Fj.neubiorev.2013.03.024
- ↑
Taddio A, Goldbach M, Ipp M, Stevens S, Koren G. Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet. 1995; 344: 291-2. PMID. DOI. Retrieved 10 November 2020.
- ↑ a b Taddio A, Katz J, Ilersich AL, Gideon K. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet. 1 March 1997; 342(9052): 599-603. PMID. DOI. Retrieved 28 November 2020.
- ↑ Rhinehart J. Neonatal circumcision reconsidered. Tranactional Analysis Journal. July 1999; 29(3): 215-21. Retrieved 28 November 2020.
- ↑ Boyle GJ, Ramos S. Post-traumatic stress disorder (PTSD) among Filipino boys subjected to non-therapeutic ritual or medical surgical procedures: A retrospective cohort study. Annals of Medicine and Surgery. 2019; 42: 19-22. PMID. PMC. DOI. Retrieved 28 November 2020.
