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Vol. 9, Art. 8 (pp. 73-89)    |    mart 2008       

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Brief summary

The purpose of investigation to research dissociative disorders and psychological protections of chronic posttraumatic stress disorder of different severity stages. MATERIALS AND METHODS: 545 humans (from 18 to 50 years old) were examined. Male ? 367 (67,34±)2,01 %), female ? 178 (32,66±2,01 %). The clinical research was done also we made psychometric investigation: Mississippi Scale (MS), Scale of influence of traumatic disorders, Symptom Check List – 90-Revised (SCL-90-R), Scale of dissociative disorders and also Blume test for revelation of latent incest. RESULTS: it was revealed, that decrease of severity stage of PTSD correlates with number of severe psychic traumatic events in anamnesis. Also it was determined, that as the stage of severity increases, intensity of dossociative disorders (in severe stage of PTSD were determine in female in 81,4 %, in male ? 90%) also increase. At that, men had higher indices of dissociative disorders in comparison with women. Clinical manifestations of dissociative disorders in different stages of severity in chronic PTSD were described. The mechanism of symptom forming and the dynamics of clinical manifestations of chronic PTSD were given like demonstration of psychological protection. The protective variant ? hypercompensation is typical for light form of chronic PTSD. Middle stage ? protection of second level (release from environment) and third level (“escape from themselves”). Severe PTSD ? fourth and fifth protective level ? “escape from I am” (dissociation of I am from environment) and esternalization from negative part of I am. CONCLUSION: in chronic PTSD synchronous increase of severity with number of severe psychic traumas and intensity of dissociative disorders were revealed.


Key words

chronic posttraumatic stress disorder, dissociative disorder, psychological protection.

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