van der kolk is the authority who has apparently determined that traumatic stress causes permanent neuro chemical changes. do not quote me cause that kind of stuff always changes.
cross cultural psychiatric practice is notoriously sketchy -- for example, all buddhists test depressed on western dipstick one-size-fits-all diagnostic interrogatories.
in the same way, crude PTSD diagnostics test for western concepts of trauma, high on the list survivor guilt (asian survivors of atomic blasts were alleged to suffer it by robert jay lifton, who pulled it out of his ass, but they do not; as neither do asian survivors of political famine and genocide. they're shame-based societies, not guilt, for starters, and one has a karma to survive or not, etc.) and other ideas which may not be part of trauma psychosis elsewhere.
arthur kleinman of harvard devised these eight questions to ask people of Other cultures about their medical condition.
some of the recent research I've read has to do with memory retrieval and storage. Short form: getting someone to "talk it out" right after something has happened may be counterproductive by forcing them to focus on something that would pass naturally without intervention, the act of retrieving memory changes memory, and the nature of memory is very slippery in general.
All the research I'm reading is from the Americas and Europe. As others have pointed out, that lends a bias to the available information.
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http://www.hrw.org/en/search/apachesolr_search/liberia+child+soldiers
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http://books.google.com/books?id=Dgi2KHmNZZYC&pg=PR11&lpg=PR11&dq=eth+and+pynoos+ptsd+in+children&source=bl&ots=nb9BmjIdum&sig=IfDnaRd3o7Ee9Nob-O60ORjWLOA&hl=en&ei=tMQbS4e5OIbOsQPvh9T2Bw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CA0Q6AEwAA#v=onepage&q=eth%20and%20pynoos%20ptsd%20in%20children&f=false
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but he is the man.
http://www.amazon.com/Traumatic-Stress-Effects-Overwhelming-Experience/dp/157230457X/ref=sr_1_1?ie=UTF8&s=books&qid=1260112645&sr=1-1#reader_157230457X
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in the same way, crude PTSD diagnostics test for western concepts of trauma, high on the list survivor guilt (asian survivors of atomic blasts were alleged to suffer it by robert jay lifton, who pulled it out of his ass, but they do not; as neither do asian survivors of political famine and genocide. they're shame-based societies, not guilt, for starters, and one has a karma to survive or not, etc.) and other ideas which may not be part of trauma psychosis elsewhere.
arthur kleinman of harvard devised these eight questions to ask people of Other cultures about their medical condition.
http://erc.msh.org/aapi/tt11.html
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All the research I'm reading is from the Americas and Europe. As others have pointed out, that lends a bias to the available information.
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