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Nightmares
Selected Abstracts,I Saw a Nightmare . . .': Violence and the Construction of Memory (Soweto, June 16, 1976)HISTORY AND THEORY, Issue 4 2000Helena Pohlandt-McCormick The protests on June 16, 1976 of black schoolchildren in Soweto against the imposition of Afrikaans as a medium of instruction in their schools precipitated one of the most pro-found challenges to the South African apartheid state. These events were experienced in a context of violent social and political conflict. They were almost immediately drawn into a discourse that discredited and silenced them, manipulating meaning for ideological and political reasons with little regard for how language and its absence,silences,further violated those who had experienced the events. Violence, in its physical and discursive shape, forged individual memories that remain torn with pain, anger, distrust, and open questions; collective memories that left few spaces for ambiguity; and official or public histories tarnished by their political agendas or the very structures,and sources,that produced them. Based on oral histories and historical documents, this article discusses the collusion of violence and silence and its consequences. It argues that,while the collusion between violence and silence might appear to disrupt or, worse, destroy the ability of individuals to think historically,the individual historical actor can and does have the will to contest and engage with collective memory and official history. [source] When is a Nightmare Really a Nightmare?PACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 9 2001CHRISTOPHER C. E. LANG B.Sc., Ch.B. No abstract is available for this article. [source] Europe's Jihadic Nightmare: The Case for Civil IslamANTIPODE, Issue 5 2007William H. Thornton First page of article [source] A controlled study of imagery rehearsal for chronic nightmares in sexual assault survivors with PTSD: A preliminary reportJOURNAL OF TRAUMATIC STRESS, Issue 4 2000Barry Krakow Imagery-rehearsal therapy for chronic nightmares was assessed in a randomized, controlled study of sexual assault survivors with posttraumatic stress disorder (PTSD). Nightmares, sleep quality, and PTSD were assessed at baseline for 169 women, who were randomized into two groups: treatment (n = 87) and wait-list control (n = 82). Treatment consisted of two 3-hr sessions and one 1-hr session conducted over 5 weeks. Of 169 participants, 91 women (Treatment, n = 43, Control, n = 48) completed a 3-month follow-up and 78 did not. At follow-up, nightmare frequency and PTSD severity decreased and sleep quality improved in the treatment group with small to minimal changes in the control group. Treatment effects were moderate to high (Cohen's d ranged from 0.57 to 1.26). Notwithstanding the large dropout rate, imagery-rehearsal therapy is an effective treatment for chronic nightmares in sexual assault survivors with PTSD and is associated with improvement in sleep quality and decreases in PTSD severity. [source] Erotic Dreams And Nightmares From Antiquity To The PresentTHE JOURNAL OF THE ROYAL ANTHROPOLOGICAL INSTITUTE, Issue 2 2002Charles Stewart The history of erotic dreams, nightmares, and erotic nightmares offers a valuable opportunity to study how such dreams tested Western ideas about the self, desire, and self-control. Like Foucault, I find it more productive to analyse these dreams, and the struggles to introject them, as sites of self-making rather than of repression. Erotic dreams and nightmares have been inflected by various historical strategies of self-making, themselves produced by different regimes of knowledge such as Christian asceticism, medicine, or philosophy. Erotic nightmares still proliferate today in reports of alien abductions. A reason for this historical tenacity has been the ease with which the affective sensations of the erotic nightmare , terror and sexual arousal , have jumped between genres as various as monastic handbooks, medieval folk-tales, gothic fiction, and personal dreams. This study demonstrates the importance of historical perspective for the ability to identify and understand culturally elaborated (,culture-bound') syndromes. [source] The Use of a Synthetic Cannabinoid in the Management of Treatment-Resistant Nightmares in Posttraumatic Stress Disorder (PTSD)CNS: NEUROSCIENCE AND THERAPEUTICS, Issue 1 2009George A. Fraser This is the report of an open label clinical trial to evaluate the effects of nabilone, an endocannabinoid receptor agonist, on treatment-resistant nightmares in patients diagnosed with posttraumatic stress disorder (PTSD). Methods: Charts of 47 patients diagnosed with PTSD and having continuing nightmares in spite of conventional antidepressants and hypnotics were reviewed after adjunctive treatment with nabilone was initiated. These patients had been referred to a psychiatric specialist outpatient clinic between 2004 and 2006. The majority of patients (72%) receiving nabilone experienced either cessation of nightmares or a significant reduction in nightmare intensity. Subjective improvement in sleep time, the quality of sleep, and the reduction of daytime flashbacks and nightsweats were also noted by some patients. The results of this study indicate the potential benefits of nabilone, a synthetic cannabinoid, in patients with PTSD experiencing poor control of nightmares with standard pharmacotherapy. This is the first report of the use of nabilone (Cesamet; Valeant Canada, Ltd., Montreal, Canada) for the management of treatment-resistant nightmares in PTSD. [source] Her kind: Anne Sexton, the Cold War and the idea of the housewifeCRITICAL QUARTERLY, Issue 3 2006CLARE POLLARD As a key figure of the 'Confessional' movement, Anne Sexton's work has often been critically assessed only in relation to her life - her history of mental illness and eventual suicide. This article attempts to place Sexton's poetry back into its historical context, arguing that with American suburbia being viewed as a new 'home front' during the Cold War, the persona of 'Housewife-poet' that Sexton adopted was highly politically charged. Seizing the language of pop-culture - from advertising to sci-fi - Sexton used it to expose the nightmare behind the white picket fence, and deconstruct the carefully constructed propaganda of the American housewife. [source] Galvanic removal of metallic wrought iron from marine encrustationsINTERNATIONAL JOURNAL OF NAUTICAL ARCHAEOLOGY, Issue 2 2002Worth Carlin Historic shipwrecks frequently contain a large proportion of wrought-iron tools, fasteners, and other types of artefacts. Encrustations readily form around such objects in many marine environments. Depending on many factors, the iron objects inside these encrustations may be well preserved, completely disintegrated, or poorly preserved but still present. The latter type of encrustation is every conservator's nightmare because removing the encrustation yields merely a poorly preserved artefact still in need of extensive additional conservation. Neatly separating the artefact from its encrustation in order to obtain a natural mould for casting is generally impossible. Having encountered this problem many times, the authors began to experiment with the extraction of metallic iron from poorly preserved encrusted artefacts using galvanic dissolution. Data on rates of dissolution were gathered for three experimental configurations. The results of a test conducted on an encrusted artefact were promising, but inconclusive. [source] Quantum computing measurement and intelligenceINTERNATIONAL JOURNAL OF QUANTUM CHEMISTRY, Issue 5 2010Zoheir Ezziane Abstract One of the grand challenges in the nanoscopic computing era is guarantees of robustness. Robust computing system design is confronted with quantum physical, probabilistic, and even biological phenomena, and guaranteeing high-reliability is much more difficult than ever before. Scaling devices down to the level of single electron operation will bring forth new challenges due to probabilistic effects and uncertainty in guaranteeing "zero-one" based computing. Minuscule devices imply billions of devices on a single chip, which may help mitigate the challenge of uncertainty by replication and redundancy. However, such device densities will create a design and validation nightmare with the sheer scale. The questions that confront computer engineers regarding the current status of nanocomputing material and the reliability of systems built from such minuscule devices are difficult to articulate and answer. This article illustrates and discusses two types of quantum algorithms as follows: (1) a simple quantum algorithm and (2) a quantum search algorithm. This article also presents a review of recent advances in quantum computing and intelligence and presents major achievements and obstacles for researchers in the near future. © 2009 Wiley Periodicals, Inc. Int J Quantum Chem, 2010 [source] Return Migration and the Problem of ReintegrationINTERNATIONAL MIGRATION, Issue 5 2000Oladele O. Arowolo This article proposes a programme approach for achieving the social and economic reintegration of all categories of return migrants. As former exiles who have returned to their country of origin are no longer refugees, some government agencies need to organize the reception of, and provide assistance to, returnees. But without long-term planning, ad hoc committees are unable to be effective facilitators of the reintegration process. The article suggests a list of major elements necessary for an effective reintegration programme, and argues that governments should focus on the institutional mechanism of programme management, including the creation of a responsible agency or agencies. The management structure should be based in the National Planning Ministry of government. Establishment of an effective mechanism would be likely to inspire donor confidence; and ,homecoming' would no longer be a nightmare for potential returnees trying to reintegrate. [source] Women's perceptions and experiences of a traumatic birth: a meta-ethnographyJOURNAL OF ADVANCED NURSING, Issue 10 2010Rakime Elmir elmir r., schmied v., wilkes l. & jackson d. (2010) Women's perceptions and experiences of a traumatic birth: a meta-ethnography. Journal of Advanced Nursing,66(10), 2142,2153. Abstract Aim., This study presents the findings a meta-ethnographic study reporting women's perceptions and experiences of traumatic birth. Background., Childbirth is viewed by many as a life transition that can bring a sense of accomplishment. However, for some women, birth is experienced as a traumatic event with a minority experiencing post-traumatic stress. A traumatic birth experience can have a significant impact on the physical and emotional well-being of a woman, her infant and family. Data source., The CINAHL, MEDLINE, Scopus and PubMed databases were searched for the period January 1994 to October 2009 using the keywords birth trauma, traumatic birth, qualitative research, birth narrative and birth stories. Review methods., A meta-ethnographic approach was used. Quality appraisal was carried out. An index paper served as a guide in identifying particular findings and comparing them with other findings. This ,reciprocal translation' process started with a search for common themes, phrases and metaphors. Results., Ten qualitative studies were included in the final sample. Six major themes were identified: ,feeling invisible and out of control', ,to be treated humanely', ,feeling trapped: the reoccurring nightmare of my childbirth experience', ,a rollercoaster of emotions', ,disrupted relationships' and ,strength of purpose: a way to succeed as a mother'. Conclusions., It is evident that a small percentage of women experience a traumatic birth. Although some women who experience a traumatic birth do not necessarily have physical or psychological adverse outcomes, others identify a significant personal impact. Healthcare professionals must recognize women's need to be involved in decision-making and to be fully informed about all aspects of their labour and birth to increase their sense of control. [source] Software systems: The missing element in M&A planningJOURNAL OF CORPORATE ACCOUNTING & FINANCE, Issue 2 2003Mike Fitzgerald In the rush to complete a merger, the problem of merging two different IT systems often gets short shrift. Applications software, operations, and methodologies are particularly important to consider. Merging two companies will produce endless problems if their software isn't compatible. The author shows how to avoid that nightmare. What factors should you consider? How can you steer clear of common mistakes? © 2003 Wiley Periodicals, Inc. [source] Evaluating the awakening criterion in the definition of nightmares: how certain are people in judging whether a nightmare woke them up?JOURNAL OF SLEEP RESEARCH, Issue 2 2006MARK BLAGROVE Summary There is debate about whether to include in the definition of nightmares a criterion that the imagery or emotions of the nightmare caused the person to wake up. This study investigates whether people believe that they can judge this cause of awakening. 42 participants recorded for 14 nights whether they had a dream, and decided for each dream whether it had or had not woken them. They then rated on a 5-point scale (where 1 = very certain and 5 = very uncertain) how certain they were in their decision of whether or not the dream woke them. Participants' mean certainty was high for decisions that the dream woke them (mean certainty = 1.60), and for very unpleasant dreams this mean certainty that the dream woke them was very high (mean certainty = 1.27). Dreams judged to have caused awakening were found to be more unpleasant than dreams judged not to have caused awakening. Although the inclusion of the awakening criterion did not increase the association of nightmare frequency with anxiety, there may be other advantages in the use of the awakening criterion. [source] Münsterberg's nightmare: Psychology and history in fin-de-siècle Germany and AmericaJOURNAL OF THE HISTORY OF THE BEHAVIORAL SCIENCES, Issue 2 2003Manuel Stoffers Lecturer This article demonstrates that Hugo Münsterberg's presidential address "Psychology and History," delivered to the American Psychological Association in 1898, should be understood in the German context of the 1890s. It constituted a response to a central feature of fin-de-siècle culture in Europe, the revolt against positivism. To be more precise, Münsterberg reacted against a new intellectual trend that was arising in Germany in the middle 1890s: the call for a historically oriented social psychology put forward by Wilhelm Dilthey,who was explicitly attacking Münsterberg's physiological conception of psychology,and new cultural historians like Karl Lamprecht and others who seemed to be putting Dilthey's program into practice. © 2003 Wiley Periodicals, Inc. [source] Ceftriaxone intradermal test-related fatal anaphylactic shock: a medico-legal nightmareALLERGY, Issue 1 2010I. Riezzo No abstract is available for this article. [source] ,Dead-in-bed' syndrome , a diabetes nightmarePEDIATRIC DIABETES, Issue 5 2008Dror Koltin Abstract:, We report in this study the death in bed of a 14-yr-old girl with type 1 diabetes and a review of the existing literature on this topic. Diagnosed at 5 yr of age, the patient followed a relatively benign disease course. Hemoglobin A1c was 6.6,8.4%, and there were no hospital admissions apart from the one at diagnosis. Hypoglycemic episodes were not excessive or severe. At age 14 yr, the patient was found dead in bed after having been well the night before. No apparent explanation could be provided. The ,dead-in-bed' syndrome accounts for 5,6% of mortality cases in patients with type 1 diabetes, amounting to two to six cases per 10 000 patient years. Theories attempting to explain the mechanism for this syndrome include hypoglycemia or cardiac autonomic dysfunction. This case emphasizes several problems faced by clinicians: the risk for sudden death in youth with diabetes, which may compromise good glycemic control, the question of early detection of autonomic dysfunction, and the need to understand this phenomenon better and search for preventive measures. [source] Collective trauma: the nightmare of history,PSYCHOTHERAPY AND POLITICS INTERNATIONAL, Issue 1 2004Arlene Audergon Abstract Although trauma is usually examined as an individual experience, it is a collective dynamic. Whole communities are traumatized and dynamics of trauma involve all of us and affect the course of history. An orientation to understanding trauma is needed that is at once personal, communal and political. This paper discusses why understanding the dynamics of trauma is essential for facilitators of conflict resolution in zones of conflict and for post-war reconciliation and community building. It also considers that, in addition to international tribunals and truth commissions, there is a need for community forums throughout society to work with issues of accountability and collective trauma concerning past and current conflicts. Trauma is also relevant to such issues as understanding dynamics of revenge, the silence accompanying atrocity, and historical revisionism. Copyright © 2004 Whurr Publishers Ltd. [source] Escaping climate policy Groundhog DayPUBLIC POLICY RESEARCH, Issue 4 2008Matthew Lockwood Matthew Lockwood and Andrew Pendleton argue that to escape the recurrent nightmare of climate change policy requires a radical revision of priorities [source] Finding our way in the darkTHE JOURNAL OF ANALYTICAL PSYCHOLOGY, Issue 1 2005John Beebe Abstract:, Accepting the common lay definition of nightmare as any form of upsetting, dreamlike cognition occurring in the midst of sleep, the author argues for a classification of nightmares that would be based, not on physiological findings, but on what the upsetting nocturnal occurrence turns out to mean to the dreamer. Three types of nightmare identified on this basis are illustrated through dream sequences from classic Hollywood movies and amplified by clinical examples: (1) the dream that symbolizes the next stage of life as unusually daunting, (2) the dream that exposes the shadow of another person in a shocking way, and (3) the ,empathy dream', in which the dreamer experiences directly the anxieties of another subject. It is suggested that the accurate interpretation of a particular upsetting dream depends upon which type of nightmare the dream turns out to be. [source] Erotic Dreams And Nightmares From Antiquity To The PresentTHE JOURNAL OF THE ROYAL ANTHROPOLOGICAL INSTITUTE, Issue 2 2002Charles Stewart The history of erotic dreams, nightmares, and erotic nightmares offers a valuable opportunity to study how such dreams tested Western ideas about the self, desire, and self-control. Like Foucault, I find it more productive to analyse these dreams, and the struggles to introject them, as sites of self-making rather than of repression. Erotic dreams and nightmares have been inflected by various historical strategies of self-making, themselves produced by different regimes of knowledge such as Christian asceticism, medicine, or philosophy. Erotic nightmares still proliferate today in reports of alien abductions. A reason for this historical tenacity has been the ease with which the affective sensations of the erotic nightmare , terror and sexual arousal , have jumped between genres as various as monastic handbooks, medieval folk-tales, gothic fiction, and personal dreams. This study demonstrates the importance of historical perspective for the ability to identify and understand culturally elaborated (,culture-bound') syndromes. [source] Popular hair style , an anaesthetic nightmareANAESTHESIA, Issue 3 2000M. T. Chikungwa No abstract is available for this article. [source] Proctalgia fugax , a nightmare drowned in enemaCOLORECTAL DISEASE, Issue 5 2008B. Olsen No abstract is available for this article. [source] Agricultural incomes and the CAPECONOMIC AFFAIRS, Issue 2 2000Berkeley Hill Concern with the living standards of farmers is central to the CAP yet it demonstrates the muddled objectives, inappropriate indicators and misdirected interventions that are the stuff of analysts' worst nightmares. As a consequence, the performance of the CAP in terms of this fundamental aim has, in all likelihood, been very poor. Attempts to reorientate the CAP to be more in line with its declared objectives face enormous vested interests in the agricultural industry and among policy-makers. [source] What is the nature of the emergence phenomenon when using intravenous or intramuscular ketamine for paediatric procedural sedation?EMERGENCY MEDICINE AUSTRALASIA, Issue 4 2009Greg Treston Abstract Objective: Ketamine has become the drug most favoured by emergency physicians for sedation of children in the ED. Some emergency physicians do not use ketamine for paediatric procedural sedation (PPS) because of concern about emergence delirium on recovery. The present study set out to determine the true incidence and nature of this phenomenon. Methods: Prospective data relating to any emergence agitation, crying, hallucinations, dreams, altered perceptions, delirium and necessary interventions were recorded in consecutive cases of ketamine PPS from March 2002 to June 2007, and analysed. Standard inclusion and exclusion criteria for the use of ketamine were followed. Results: A total of 745 prospective data collection records were available for analysis over the 5 year period. Of all, 93 (12.5%) children cried on awakening when recovering from PPS, 291 (39%) experienced pleasant altered perceptions and 16 (2.1%) experienced what was called ,emergence delirium'. None required any active treatment and all except one settled within 20 min. There was no evidence of an increased rate of nightmares on telephone follow up in the weeks post procedure. Conclusion: The belief that ketamine, in the doses used for ED PPS, causes frequent emergence delirium is flawed. A pleasant emergence phenomenon is common, but is not distressing for the child, and has no long-term (up to 30 days) negative sequelae. Rarely, there is anxiety or distress on awakening from ketamine sedation, which settles spontaneously. This should not deter emergency physicians from using ketamine for PPS. [source] Persistence of Traumatic Memories in World War II Prisoners of WarJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2009(See editorial comments by Dr. Jules Rosen, 2347), on pp 234 OBJECTIVES: To assess the long-term effects of the prisoner of war (POW) experience on U.S. World War II (WWII) veterans. DESIGN: Exploratory study. SETTING: Participants were recruited through the Hines Veterans Affairs Hospital; a POW reunion in Orlando, Florida; and the WWII veterans periodical, "The QUAN." PARTICIPANTS: One hundred fifty-seven American military veterans who were former WWII POWs. MEASURMENTS: Participants completed a mailed survey describing their POW experiences, POW effects on subsequent psychological and physical well-being, and ways in which these experiences shaped major decisions in their lives. RESULTS: Participants from the European and Pacific theaters reported that their captivity during WWII affected their long-term emotional well-being. Both groups reported high rates of reflection, dreaming, and flashbacks pertaining to their POW experiences, but Pacific theater POWs did so at higher rates in the present than in the past. Large portions of both groups reported greater rumination on POW experiences after retirement. Finally, 16.6% of participants met the requirements of a current, clinical diagnosis of posttraumatic stress disorder (PTSD) based on the Mississippi PTSD scale, with PTSD rates in Pacific theater POWs (34%) three times those of European theater POWs (12%). CONCLUSION: Traumatic memories and clinical levels of PTSD persist for WWII POWs as long as 65 years after their captivity. Additionally, rumination about these experiences, including flashbacks and persistent nightmares, may increase after retirement, particularly for those held in the Pacific theater. These findings inform the current therapeutic needs of this elderly population and future generations of POWs from other military conflicts. [source] Cognitive-behavioral treatment for chronic nightmares in trauma-exposed persons: assessing physiological reactions to nightmare-related fearJOURNAL OF CLINICAL PSYCHOLOGY, Issue 4 2010Jamie L. Rhudy Abstract Cognitive-behavioral treatments (CBTs) that target nightmares are efficacious for ameliorating self-reported sleep problems and psychological distress. However, it is important to determine whether these treatments influence objective markers of nightmare-related fear, because fear and concomitant physiological responses could promote nightmare chronicity and sleep disturbance. This randomized, controlled study (N=40) assessed physiological (skin conductance, heart rate, facial electromyogram) and subjective (displeasure, fear, anger, sadness, arousal) reactions to personally relevant nightmare imagery intended to evoke nightmare-related fear. Physiological assessments were conducted at pretreatment as well as 1-week, 3-months, and 6-months posttreatment. Results of mixed effects analysis of variance models suggested treatment reduced physiological and subjective reactions to nightmare imagery, gains that were generally maintained at the 6-month follow-up. Potential implications are discussed. © 2010 Wiley Periodicals, Inc. J Clin Psychol 66: 1,18, 2010. [source] Sleep problems and daytime somnolence in a German population-based sample of snoring school-aged childrenJOURNAL OF SLEEP RESEARCH, Issue 1 2007STEFFEN EITNER Summary Habitual snoring is associated with daytime symptoms like tiredness and behavioral problems. Its association with sleep problems is unclear. We aimed to assess associations between habitual snoring and sleep problems in primary school children. The design was a population-based cross-sectional study with a nested cohort study. The setting was twenty-seven primary schools in the city of Hannover, Germany. Habitual snoring and sleep problems were assessed in primary school children using an extended version of Gozal's sleep-disordered breathing questionnaire (n = 1144). Approximately 1 year later, parents of children reported to snore habitually (n = 114) and an equal number of children who snored never or occasionally were given the Sleep Disturbance Scale for Children, a validated questionnaire for the assessment of pediatric sleep problems. Snoring status was re-assessed using the initial questionnaire and children were then classified as long-term habitual snorers or ex-habitual snorers. An increasing prevalence of sleep problems was found with increasing snoring frequency for sleep-onset delay, night awakenings, and nightmares. Long-term habitual snorers were at significantly increased risk for sleep,wake transition disorders (e.g. rhythmic movements, hypnic jerks, sleeptalking, bruxism; odds ratio, 95% confidence interval: 12.0, 3.8,37.3), sleep hyperhidrosis (3.6, 1.2,10.8), disorders of arousal/nightmares (e.g. sleepwalking, sleep terrors, nightmares; 4.6, 1.3,15.6), and excessive somnolence (i.e. difficulty waking up, morning tiredness, daytime somnolence; 6.3, 2.2,17.8). Ex-habitual snorers were at increased risk for sleep,wake transition disorders (4.4, 1.4,14.2). Habitual snoring was associated with several sleep problems in our study. Long-term habitual snorers were more likely to have sleep problems than children who had stopped snoring spontaneously. [source] Evaluating the awakening criterion in the definition of nightmares: how certain are people in judging whether a nightmare woke them up?JOURNAL OF SLEEP RESEARCH, Issue 2 2006MARK BLAGROVE Summary There is debate about whether to include in the definition of nightmares a criterion that the imagery or emotions of the nightmare caused the person to wake up. This study investigates whether people believe that they can judge this cause of awakening. 42 participants recorded for 14 nights whether they had a dream, and decided for each dream whether it had or had not woken them. They then rated on a 5-point scale (where 1 = very certain and 5 = very uncertain) how certain they were in their decision of whether or not the dream woke them. Participants' mean certainty was high for decisions that the dream woke them (mean certainty = 1.60), and for very unpleasant dreams this mean certainty that the dream woke them was very high (mean certainty = 1.27). Dreams judged to have caused awakening were found to be more unpleasant than dreams judged not to have caused awakening. Although the inclusion of the awakening criterion did not increase the association of nightmare frequency with anxiety, there may be other advantages in the use of the awakening criterion. [source] Reformulating PTSD for DSM-V: Life after Criterion AJOURNAL OF TRAUMATIC STRESS, Issue 5 2009Chris R. Brewin The diagnosis of posttraumatic stress disorder has been criticized on numerous grounds, but principally for three reasons (a) the alleged pathologizing of normal events, (b) the inadequacy of Criterion A, and (c) symptom overlap with other disorders. The authors review these problems along with arguments why the diagnosis is nevertheless worth retaining in an amended form. A proposal for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is put forward that involves abolishing Criterion A, narrowing the B criteria to focus on the core phenomena of flashbacks and nightmares, and narrowing the C and D criteria to reduce overlap with other disorders. The potential advantages and disadvantages of this formulation are discussed. [source] The relationship of sleep quality and posttraumatic stress to potential sleep disorders in sexual assault survivors with nightmares, insomnia, and PTSDJOURNAL OF TRAUMATIC STRESS, Issue 4 2001Barry Krakow Abstract Sleep quality and posttraumatic stress disorder (PTSD) were examined in 151 sexual assault survivors, 77% of whom had previously reported symptoms of sleep-disordered breathing (SDB) or sleep movement disorders (SMD) or both. Participants completed the Pittsburgh Sleep Quality Index (PSQI) and the Posttraumatic Stress Scale (PSS). High PSQI scores reflected extremely poor sleep quality and correlated with PSS scores. PSQI scores were greater in participants with potential SDB or SMD or both. PSQI or PSS scores coupled with body-mass index and use of antidepressants or anxiolytics predicted potential sleep disorders. The relationship between sleep and posttraumatic stress appears to be more complex than can be explained by the current PTSD paradigm; and, sleep breathing and sleep movement disorders may be associated with this complexity. [source] | ||||||||||||||||||||||