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The following text is quoted from the [https://en.wikipedia.org/w/index.php?title=Posttraumatic_stress_disorder Wikipedia]:
'''Posttraumatic stress disorder (PTSD)''' was not recognized as a disease until 1980, when the American Psychiatric Association created a new classification of disease.<ref name="dsm1980">{{REFbook
|last=American Psychiatric Association
|first=
|year=1980
|title=Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III)
|url=
|pages=
|isbn=
|accessdate=2021-08-08
}}</ref><ref name="vanderkolk2014A">{{REFbook
|last=van der Kolk
|first=Bessel
|init=BA
|author-link=Bessel van der Kolk
|year=2014
|title=The Body Keeps the Score
|url=
|page=19
|isbn=978-0-14-312774-1
|accessdate=2021-08-07
}}</ref> Prior to that time, the condition was variously called ''shell [[shock]]'' or ''combat fatigue''.
 
The following text is quoted from the {{WikipediaQuote|URL=https://en.wikipedia.org/wiki/Post-traumatic_stress_disorder|title=Post-traumatic stress disorder}}


<blockquote>
<blockquote>
'''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.<ref>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.</ref> 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.
'''Post-traumatic 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.<ref>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.</ref> 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.<ref>National Collaborating Centre for Mental Health (UK) (2005). [https://www.ncbi.nlm.nih.gov/books/NBK56494/ "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). [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015848/ Lay summary] – Pubmed Health (plain English).</ref> 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.<ref>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</ref> 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.
Most people having experienced a traumatizing event will not develop PTSD.<ref>National Collaborating Centre for Mental Health (UK) (2005). [https://www.ncbi.nlm.nih.gov/books/NBK56494/ "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). [http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0015848/ Lay summary] – Pubmed Health (plain English).</ref> 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.<ref>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</ref> 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.
</blockquote>
</blockquote>


===Child circumcision as a traumatizing eveɲt===
===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 called a [[circumstraint]]. 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="vanderkolk2014B">{{REFbook
|last=van der Kolk
|first=Bessel
|init=BA
|author-link=Bessel van der Kolk
|year=2014
|title=The Body Keeps the Score
|url=
|page=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">{{TaddioA etal 1995}}</ref> <ref name="taddio1997">{{TaddioA KatzJ IlersichAL KorenG 1997}}</ref> showing that the nervous system had been permanently sensitized to heightened pain sensation.
 
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
|init=A
|first=Anna
|author-link=
|last2=Goldbach
|init2=M
|first2=Morton
|author2-link=
|last3=Ipp
|init3=M
|first3=Moshe
|author3-link=
|last4=Stevens
|init4=S
|first4=Bonnie
|author4-link=
|last5=Koren
|init5=G
|first5=Gideon
|author5-link=
|etal=no
|title=Effect of neonatal circumcision on pain responses during vaccination in boys
|journal=Lancet
|location=
|date=1995
|volume=344
|issue=
|pages=291-2
|url=http://www.cirp.org/library/pain/taddio/
|archived=
|quote=
|pubmedID=7837863
|pubmedCID=
|DOI=10.1016/s0140-6736(95)90278-3
|accessdate=2020-11-10
}}</ref> <ref name="taddio1997">{{REFjournal
|last=Taddio
|init=A
|first=Anna
|author-link=
|last2=Katz
|init2=J
|first2=Joel
|author2-link=
|last3=Ilersich
|init3=AL
|first3=A. Lane
|author3-link=
|last4=Gideon
|init4=K
|first4=Koren
|author4-link=
|etal=no
|title=Effect of neonatal circumcision on pain response during subsequent routine vaccination
|journal=Lancet
|location=
|date=1997-03-01
|volume=342
|issue=9052
|pages=599-603
|url=https://yorkspace.library.yorku.ca/xmlui/bitstream/handle/10315/7941/KAT036.pdf?sequence=1&origin=publication_detail
|archived=
|quote=
|pubmedID=9057731
|pubmedCID=
|DOI=10.1016/S0140-6736(96)10316-0
|accessdate=2020-11-28
}}</ref> showing that the nervous system had been permanently sensitized to heightened pain sensation.


Taddio ''et al''. (1997) concluded:
Taddio et al. (1997) concluded:
<blockquote>
<blockquote>
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 <u>infant analogue of a post-traumatic stress disorder</u> triggered by a traumatic and painful event and re-experienced under similar circumstances of pain during vaccination.<ref name="taddio1997" />
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 <u>infant analogue of a post-traumatic stress disorder</u> triggered by a traumatic and painful event and re-experienced under similar circumstances of pain during vaccination.<ref name="taddio1997" />
</blockquote>
</blockquote>


John Rhinehart, M. D., (1999) a clinical psychiatrist, reported finding numerous cases of PTSD in his adult male patients pursuant to infant circumcision.<ref>{{REFjournal
John Rhinehart, M. D., (1999) a clinical psychiatrist, reported finding numerous cases of [[PTSD]] in his adult male patients pursuant to infant circumcision.<ref>{{REFjournal
  |last=Rhinehart
  |last=Rhinehart
|first=John
  |init=J
  |init=J
|first=John
  |author-link=
  |author-link=
  |title=Neonatal circumcision reconsidered
  |title=Neonatal circumcision reconsidered
Line 99: Line 63:
  |url=http://www.cirp.org/library/psych/rhinehart1/
  |url=http://www.cirp.org/library/psych/rhinehart1/
  |accessdate=2020-11-28
  |accessdate=2020-11-28
}}</ref>
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.<ref>{{REFjournal
|last=Boyle
|first=Gregory J.
|init=GJ
|author-link=Gregory J. Boyle
|last2=Ramos
|first2=Samuel
|init2=S
|author2-link=
|etal=no
|title=Post-traumatic stress disorder (PTSD) among Filipino boys subjected to non-therapeutic ritual or medical surgical procedures: A retrospective cohort study
|trans-title=
|language=English
|journal=Annals of Medicine and Surgery
|location=
|date=2019
|volume=42
|issue=
|pages=19-22
|url=https://www.sciencedirect.com/science/article/pii/S2049080119300305
|archived=
|quote=
|pubmedID=31080593
|pubmedCID=6506608
|DOI=10.1016/j.amsu.2019.04.004
|accessdate=2020-11-28
}}</ref>
==Symptoms and signs of PTSD==
===Re-experiencing Symptoms===
Re-experiencing is the most typical symptom of PTSD & C-PTSD. This is when a person involuntarily and vividly relives the traumatic event.
* Flashbacks—reliving the traumatic event, and feeling like it happening right now including physical symptoms such as a racing heart or sweating.
* Reoccurring memories or [[nightmares]] related to the event.
* Distressing and intrusive thoughts or images.
* Physical sensations like sweating, trembling, pain or feeling sick.
Thoughts and feelings can trigger these symptoms, as well as words, objects, or situations that are reminders of the event.
===Alertness and Reactivity Symptoms===
You may be ‘jittery’, or always alert and on the lookout for danger. You might suddenly become angry or irritable.
* Being jumpy and easily startled.
* Feeling tense, on guard, or “on edge” – this is called hypervigilance.
* Having difficulty concentrating on even simple and everyday tasks.
* Having difficulty falling asleep or staying asleep.
* Feeling irritable and having angry or aggressive outbursts.
* Self-destructive or reckless behaviour.
* Aversion or difficulty in tolerating sound.
===Avoidance Symptoms===
Trying to avoid being reminded of the traumatic event is another key symptom of PTSD & C-PTSD: avoiding certain people or places that remind you of the trauma, or avoiding talking to anyone about your experience.
* Staying away from places, events, or objects that are reminders of the experience.
* Feeling that you need to keep yourself busy all the time.
* Using alcohol or drugs to avoid memories.
* Feeling emotionally numb or cut off from your feelings.
* Feeling numb or detached from your body.
* Being unable to remember details of the trauma.
Avoidance symptoms may cause people to change their routines.
===Feeling and mood symptoms===
The way you think about yourself and others may change because of the trauma.
* Trouble remembering key features of the traumatic event.
* Feeling like you can’t trust anyone.
* Distorted thoughts about the trauma that cause feelings of blame and guilt.
* Overwhelming negative emotions, such as fear, sadness, anger, guilt, or shame.
* Loss of interest in previous activities.
* Feeling like nowhere is safe.
* Difficulty feeling positive emotions, such as happiness or satisfaction.<ref>{{REFweb
|url=https://www.ptsduk.org/what-is-ptsd/symptoms-of-ptsd/
|archived=
|title=PTSD-UK
|trans-title=
|language=
|last=
|first=
|author-link=
|publisher=
|website=https://www.ptsduk.org
|date=2021
|accessdate=2021-08-12
|format=
|quote=When we feel stressed emotionally, our bodies release hormones called cortisol and adrenaline. This is the body’s automatic way of preparing to respond to a threat, sometimes called the ‘fight, flight or freeze‘ response.
}}</ref>
}}</ref>


{{SEEALSO}}
{{SEEALSO}}
 
* [[Adverse Childhood Experiences (ACEs)]]
* [[Circumstraint]]
* [[Pain]]
* [[Pain]]
* [[Psychological issues of male circumcision]]
* [[Psychological issues of male circumcision]]
* [[Psychiatrist Discusses the Lasting Trauma of Circumcision]]
* [[Psychiatrist Discusses the Lasting Trauma of Circumcision]]
* [[Trauma]]
* [[Tuli]]


{{LINKS}}
* {{REFweb
|url=https://www.betterhealth.vic.gov.au/health/HealthyLiving/trauma-and-children-newborns-to-two-years
|archived=
|title=Trauma and children - newborns to two years
|trans-title=
|language=
|last=
|first=
|author-link=
|publisher=Victoria Department of Health
|website=Better Health Channel
|date=2020
|accessdate=2021-08-14
|format=
|quote=
}}
* {{REFweb
|url=https://www.friendshipcircle.org/blog/2013/07/12/post-traumatic-stress-disorder-in-babies-and-toddlers-what-are-the-symptoms/
|archived=
|title=Post Traumatic Stress Disorder in Babies and Toddlers: What Are the Symptoms?
|trans-title=
|language=
|last=Philo
|first=Jolene
|author-link=
|publisher=Special Needs Resources
|website=
|date=2013-07-12
|accessdate=2021-08-14
|format=
|quote=It’s normal for children to exhibit some of these behaviors in the first weeks after a significant trauma occurs. But if the behaviors persist more than 3 months after the initial event, treatment may be needed.
}}
* {{REFweb
|url=https://www.reddit.com/r/CityCrusherYT/comments/1p16jt1/male_circumcision_mgm_and_ptsd/
|title=Male circumcision (MGM) and PTSD
|last=Anonymous
|publisher=REDDIT
|date=2025-11-19
|accessdate=2025-11-23
}}
{{REF}}
{{REF}}


 
[[Category:Circumcision risk]]
[[Category:Pain]]
[[Category:Pain]]
[[Category:Psychology]]
[[Category:Trauma]]


[[de:Posttraumatische Belastungsstörung]]
[[de:Posttraumatische Belastungsstörung]]
Retrieved from "https://en.intactiwiki.org/wiki/Posttraumatic_stress_disorder"