Scurta incursiune în domeniul psihotraumatologiei

De când oamenii au legat noțiunea de suflet de prezența imaterială a vieții, dar și de aspirația la nemurire, neputând să-i excludă totuși legăturile cu corpul, i-au descris într-un limbaj comun suferințele ca și cum ar fi fost fizice, corporale, precum în cazul explicării suferințelor provocate de rănile nevindecate ale sufletului. De aici decurg azi, în limbajul științific, similitudinile dintre traumă și rană, suflet și psihic. Cu toate aceste similitudini, doar în ultimele decenii beneficiem de un studiu programatic, consacrat traumelor psihice, condițiilor în care acestea acționează, se produc și lasă consecințe imediate sau tardive, într-un cuvânt, asistăm la dezvoltarea psihotraumatologiei, un domeniu cu multiple confluențe interdisciplinare.
După J. Laplanche și J.-B. Pontalis (1994), trauma sau traumatismul psihic reprezintă un eveniment din viața subiectului care se definește prin intensitatea sa, prin incapacitatea subiectului de a-i răspunde adecvat și prin tulburările și efectele patogene durabile pe care le provoacă. Interac-țiunea cu un eveniment devine pentru un individ semnificativ-determinantă, în sens traumatic, nu numai prin felul particular în care o trăiește, dar și prin valoarea simbolică pe care i-o acordă.
Modificările psihopatologice survenite după evenimente traumatizante se definesc ca tulburări posttraumatice, din cauză că se extind dincolo de capa-citatea indivizilor de a le autocontrola. Manifestările generale ale reacțiilor traumatice pot include: amnezii lacunare, stări de depersonalizare (sentimentul de mo-dificare, pierdere a identității somatopsihice) sau de derealizare (sentimentul de înstrăinare față de realitate).
Raportat la gravitatea factorilor traumatogeni, în funcție de rezistența psihică personală și de gradul de vulnerabilitate înnăscută sau dobândită, situațiile de expunere la stres și traume psihice se împart în:

– ușoare – schimbarea mediului, conflictele cu anturajul sau familia duse până la limita acceptabilă cultural a normelor;
– medii – eșecurile în ruta educațională (repetenții, exmatriculări), bolile cronice, pierderile materiale cu modificări remediabile sau încă suportabile ale statutului social, pensionarea;
– severe – divorțul cu repercusiuni asupra încre-dințării și creșterii copiilor, graviditatea nedorită la adolescente, arestarea, moartea unor membri din familie;
– extrem de severe – abuzul sexual, agresiunea resimțită ca pericol vital, deportarea, tortura, munca forțată, maltratarea corporală sau moartea unuia dintre parteneri;
– catastrofale – moartea copilului, sinuciderea unuia dintre parteneri, situația de victimă a crimelor împotriva umanității, dezastrele naturale.
Evenimentele traumatizante pot fi:
-unice – confruntarea cu o situație violentă, neobișnuită la care este expus un individ.
-multiple și durabile în timp – cumularea lor succesivă duce la înlănțuirea și amplificarea consecințelor traumatogene asupra indivizilor.
Sunt cunoscute la copiii care au depășit vârsta de nouă luni o altă categorie de situații traumatizante, și anume cele de neglijare socială. Aceste situații pot duce la perturbarea atașamentului față de adulții care le asigură îngrijirea, manifestându-se fie printr-un comportament inhibat și detașat emoțional față de aceștia, fie prin abordarea dezinhibată a adulților necunoscuți și menținerea redusă ori absența legăturii cu persoanele care-I îngrijesc.

Tulburarea de stres posttraumatic, tulburarea acută de stres și tulburările de adaptare sunt alte posibile manifestări psihopatologice consecutive expunerii la eve-nimente traumatice sau stresante.

Dr. Mihai Ardelean, Medic Primar Psihiatru
Centrul de Sanatate Mintala Tg.-Mures

December 29, 2019 admin2019 Dr. Mihai Ardelean 65 Comments
65 comments

  1. 384300 228272Exceptional weblog here! Additionally your site rather a whole lot up quick! What host are you the usage of? Can I get your affiliate link to your host? I wish my website loaded up as quick as yours lol 705384

  5. Hmm it appears like your site ate my first comment (it was super long) so I guess I’ll just sum it up
    what I wrote and say, I’m thoroughly enjoying your blog.
    I as well am an aspiring blog writer but I’m still new to the whole thing.

    Do you have any helpful hints for novice blog writers?
    I’d genuinely appreciate it.

  6. What’s up everyone, it’s my first visit at this
    website, and post is genuinely fruitful in support of me, keep up posting such articles.

  7. It’s really a cool and helpful piece of info. I’m glad that you
    shared this useful information with us. Please
    stay us informed like this. Thanks for sharing.

  8. Today, I went to the beachfront with my kids. I found a sea shell and
    gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed.
    There was a hermit crab inside and it pinched her ear.
    She never wants to go back! LoL I know this is totally off topic but I had to tell someone!

  9. scoliosis
    My family members all the time say that I am wasting my time here
    at net, but I know I am getting familiarity everyday by reading thes good articles.
    scoliosis

  10. scoliosis
    Great post. I was checking constantly this blog and I am impressed!
    Extremely useful info specifically the last part 🙂 I care for such information much.
    I was looking for this certain info for a long time. Thank you and good luck.
    scoliosis

  13. Howdy I am so grateful I found your site, I really
    found you by accident, while I was searching on Bing for something else, Nonetheless I am here
    now and would just like to say thanks for a incredible post and a
    all round exciting blog (I also love the theme/design), I
    don’t have time to read through it all at the minute but I have
    book-marked it and also added your RSS feeds, so when I have time I will be
    back to read a lot more, Please do keep up the fantastic work.

  14. I think what you posted was actually very logical.
    But, what about this? what if you composed a catchier post title?
    I am not suggesting your content is not good., however suppose you added a headline to possibly
    grab people’s attention? I mean Scurta incursiune în domeniul psihotraumatologiei – sanatateaconteaza is a little
    vanilla. You should glance at Yahoo’s home page and watch how they create news headlines to grab viewers interested.

    You might add a related video or a picture or two to get people
    excited about what you’ve written. In my opinion, it would make your blog
    a little bit more interesting.

  15. Magnificent goods from you, man. I’ve understand your stuff previous
    to and you are just too excellent. I really like what
    you’ve acquired here, certainly like what you are stating and the way in which
    you say it. You make it entertaining and you still take care of to
    keep it smart. I cant wait to read far more from you.
    This is actually a tremendous website.

  16. Do you have a spam problem on this website; I also
    am a blogger, and I was wondering your situation; we have created some nice procedures and we
    are looking to exchange techniques with others, please shoot me an e-mail if
    interested.

  21. I just like the helpful info you provide in your articles.
    I will bookmark your blog and check once more here frequently.
    I’m quite sure I will learn plenty of new stuff right right here!

    Good luck for the next!

  22. The contextual educating style featured within the Jamorama will not leave you training on your own in your own room for long periods on end hoping for a slight improvement. The best way to gain knowledge music is to play with other, better, musicians. Jamorama offers you with a way to learn from some of the best qualified person guitar players, which include jam monitor recordings that let you play together with the pros. This extensive multimedia package deal includes a guitar-playing tuition book, ear schooling game, music browsing game, tuning software, a metronome, and video lessons.

  23. 810165 219195Hey there! This is my 1st comment here so I just wanted to give a quick shout out and tell you I genuinely enjoy reading through your blog posts. Can you recommend any other blogs/websites/forums that cover the same subjects? Thank you! 284021

  24. 851030 554431Hello! I just now would pick to supply a enormous thumbs up with the wonderful information you could have here within this post. I will likely be coming back to your weblog site for additional soon. 726508

  25. This is the proper weblog for anyone who needs to search out out about this topic. You notice a lot its almost hard to argue with you (not that I actually would needHaHa). You definitely put a new spin on a subject thats been written about for years. Nice stuff, just nice!

  27. This is a massive and an very interesting write to check out on this massive website. Never post any replies only now just could not resist

  28. It is appropriate time to make some plans for the future and it’s time
    to be happy. I have read this post and if I could I wish to suggest you some
    interesting things or tips. Perhaps you can write next articles referring to this article.

    I wish to read even more things about it!

  29. Thanks for your recommenndations on this blog. A single thing I would choose to say is purchasing electronic devices items
    on the Internet is nothing new. The fact is, in the
    past decades alone, the marketplace for online electronics has grown a great
    deal. Today, you can find practically almpst any electronic
    device and devices on thhe Internet, including cameras
    as well as camcorders to computer parts and gambling consoles.

  30. Hi there mates, һow is thhe wholе thing, and what you desire tօ say on thhe topic of thjѕ article, in my
    view its genuinely awesome designeɗ for me.

  31. Hi there, I discovered your site by way of Google at the same time as searching for
    a comparable topic, your web site came up,
    it appears great. I’ve bookmarked it in my google bookmarks.[X-N-E-W-L-I-N-S-P-I-N-X]Hi there, simply changed into aware of your blog via Google, and located that it is truly informative.

    I am going to watch out for brussels. I’ll appreciate when you proceed this in future.
    Numerous other folks can be benefited out of your writing.
    Cheers!

    Here is my website – Keto Vibe Pills Price

  42. I believe everything composed was actually very reasonable.
    But, consider this, suppose you typed a catchier
    title? I am not suggesting your content is not solid.,
    but suppose you added something that makes people desire more?
    I mean Scurta incursiune în domeniul psihotraumatologiei –
    sanatateaconteaza is kinda plain. You could look at Yahoo’s home page and note how they write article headlines
    to get viewers interested. You might add a related video or a related pic or two to grab readers
    interested about everything’ve got to say. Just my opinion, it might bring your posts
    a little bit more interesting.

    my site: fles.hlc.edu.tw

  44. What’s Happening i am new to this, I stumbled upon this I
    have found It absolutely useful and it has aided me out loads.
    I hope to give a contribution & assist other customers like its helped me.
    Good job.

    Here is my webpage; pansionat.com.ru

  46. The very next time I read a blog, Hopefully
    it won’t disappoint me just as much as this one.

    After all, I know it was my choice to read, nonetheless
    I genuinely believed you’d have something useful to say. All I hear is
    a bunch of whining about something that you could possibly fix if you were not too busy searching
    for attention.

    Have a look at my site; Isis

  47. I’d must test with you here. Which isn’t something I often do! I get pleasure from studying a put up that will make people think. Additionally, thanks for permitting me to comment!

  52. Every weekend i used to pay a visit this web page, because i wish for enjoyment, since this this web page
    conations really nice funny data too.

  55. Hey there, You’ve done a fantastic job. I will certainly digg it and personally recommend to
    my friends. I’m sure they’ll be benefited from this site.

    Visit my blog post Zenzi CBD

  56. I precisely needed to appreciate you all over again. I am not sure the things that I
    might have accomplished in the absence of the actual opinions provided by you about such a question.
    Previously it was an absolute depressing case for me personally,
    but finding out the very well-written avenue you solved it forced me to jump with happiness.
    Now i’m happier for this assistance and even wish you are aware of a great job
    you happen to be doing educating the mediocre ones all
    through a web site. I’m certain you haven’t got to know any of
    us.

    My web page … Muama Translator

  57. Great ? I should certainly pronounce, impressed with your site.

    I had no trouble navigating through all tabs as well as related info ended up being truly simple to do to access.
    I recently found what I hoped for before you know it at all.

    Reasonably unusual. Is likely to appreciate it for those who add forums or something, web site theme .
    a tones way for your client to communicate. Nice task.

    Here is my page … Nitro Strive Reviews

  58. Thanks for the sensible critique. Me & my neighbor were just preparing to do some research about this.

    We got a grab a book from our area library but I think I learned more
    from this post. I am very glad to see such wonderful info being shared freely out there.

    my web page :: Zenzi CBD

  59. I loved as much as you’ll receive carried out right here.
    The sketch is tasteful, your authored subject matter stylish.

    nonetheless, you command get got an impatience over that
    you wish be delivering the following. unwell unquestionably come more formerly again as exactly the same nearly very often inside case you shield this hike.

    My page :: Naked CBD Gummies Review

  61. Hello would you mind letting me know which web host you’re using?
    I’ve loaded your blog in 3 different internet browsers and I must
    say this blog loads a lot faster then most. Can you suggest a good internet hosting provider at a honest price?
    Thanks a lot, I appreciate it!

    Check out my web-site – Renaldo

  62. This is the right site for anybody who would like to
    understand this topic. You know a whole lot its almost hard to argue with you (not that I really will need to?HaHa).
    You certainly put a new spin on a topic which has been discussed for years.
    Wonderful stuff, just wonderful!

    my blog; Slimingo Keto Reviews

  65. Howdy! I could have sworn I’ve visited this website before
    but after going through many of the posts I realized it’s new to me.
    Anyways, I’m definitely delighted I stumbled upon it and I’ll be bookmarking
    it and checking back regularly!

    Here is my web page :: Live Well CBD Gummies

Add Comment

Required fields are marked *. Your email address will not be published.