1. (Post-traumatic) embitterment disorder: critical evaluation of its stressor criterion and a proposed revised classification.
- Author
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Dobricki M and Maercker A
- Subjects
- Adult, Conflict, Psychological, Culture, Depressive Disorder classification, Depressive Disorder diagnosis, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Dysthymic Disorder classification, Dysthymic Disorder diagnosis, Female, Humans, International Classification of Diseases, Interpersonal Relations, Male, Middle Aged, Risk Factors, Social Justice, Stress Disorders, Traumatic classification, Stress Disorders, Traumatic diagnosis, Stress Disorders, Traumatic psychology, Adjustment Disorders classification, Adjustment Disorders diagnosis, Life Change Events, Stress Disorders, Post-Traumatic classification, Stress Disorders, Post-Traumatic diagnosis
- Abstract
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.
- Published
- 2010
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