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首页> 外文期刊>Nordic journal of psychiatry. >(Post-traumatic) embitterment disorder: critical evaluation of its stressor criterion and a proposed revised classification.
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(Post-traumatic) embitterment disorder: critical evaluation of its stressor criterion and a proposed revised classification.

机译：（创伤后）栓塞症：对其应激源标准的严格评估和拟议的分类。

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BACKGROUND: In 2003, the German psychiatrist Michael Linden proposed the new mental disorder concept of "post-traumatic embitterment disorder (PTED)". PTED is defined as the mental reaction to a critical event that is normal, but not everyday, such as conflict at work. The patient sees this event as unjust and as a violation of basic beliefs. The principal aspect of the reaction pattern is a prolonged feeling of embitterment. AIM: In the present paper, the concept of PTED is systematically evaluated. Moreover, future developments in terms of diagnostic systems of mental disorders (ICD-11, DSM-V) are addressed. RESULTS: The evaluation of critical points concerning PTED revealed that the question of whether PTED is a mental disorder of the post-traumatic type cannot be finally answered. It is not possible to specify an empirical criterion by means of which traumatic and non-traumatic life events can be differentiated. An empirical criterion for determining the traumatic nature of a given event depends on whether this event has already been classified as traumatic (i.e. circular argument). CONCLUSIONS: For the purpose of a clear classification of embitterment disorders, the new concept of adjustment disorders of Andreas Maercker and co-workers is introduced. Based on the criteria and their findings, the best and most viable possibility to classify embitterment disorders in accordance with the current adjustment disorder and post-traumatic stress disorder definitions of ICD and DSM is by regarding embitterment disorders as a subtype of adjustment disorders.
机译：背景：2003年，德国精神科医生迈克尔·林登（Michael Linden）提出了新的精神障碍概念：“创伤后情绪低落症（PTED）”。 PTED定义为对正常事件（而非日常事件）（例如工作中的冲突）的关键事件的精神反应。病人认为这一事件是不公正的，并且违反了基本信念。反应模式的主要方面是长时间的苦涩感。目的：本文对PTED的概念进行了系统的评估。此外，涉及精神障碍诊断系统（ICD-11，DSM-V）的未来发展。结果：有关PTED的关键点的评估表明，关于PTED是否是创伤后类型的精神障碍的问题无法最终得到解答。不可能指定经验标准，通过该标准可以区分创伤性和非创伤性生活事件。确定给定事件的创伤性质的经验标准取决于该事件是否已被分类为创伤（即循环论证）。结论：为了清楚地分类兴奋性障碍，引入了Andreas Maercker及其同事的适应性障碍的新概念。根据这些标准和他们的发现，根据目前的调节障碍和ICD和DSM的创伤后应激障碍定义对痉挛性障碍进行分类的最佳和最可行的可能性是，将痉挛性障碍视为调节性障碍的一种。

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