Though they may add complementary value to a clinical evaluation, routine use is not recommended. In gaining asylum, survivors of torture are often reminded of the loss of family, friends, job, language, etc.
D Two or more hyperarousal symptoms are present following the trauma. Depressive states are very common among survivors of torture. A Neuropsychology has long been recognised as useful in discriminating between neurological and psychological conditions and in guiding treatment and rehabilitation of patients suffering from the consequences of various levels of brain damage.
Neuropsychological assessment may also be used to evaluate specific symptoms, such as problems with memory that occur in PTSD and related disorders. They can be present with or without psychotic features. D The administration of psychological instruments is up the discretion of the examining clinician.
Recalling traumatic experiences prior to, during, and following a medical evaluation often results in re-traumatisation. A The first step in addressing inconsistencies is to ask the individual for further clarification.
E All of the items listed are true about psychological sequelae of torture and ill treatment. G Interpretation of the clinical findings is a complex task.
According to the Istanbul Protocol, all of the concerns listed should be included in clinical interpretations of psychological evidence of torture and ill treatment.
B One or more re-experiencing symptoms are present following the trauma. Clinicians may fail to consider diagnostic possibilities especially if they simply focus on the most common psychological diagnoses.
Caution must be exercised in the interpretation of responses and scores because established norms do not exist for many countries. B Pre-torture psycho-social information is highly relevant to the interpretation of psychological evidence as it is provides a context for understanding individual behaviour and the meaning assigned to torture experiences.
Anniversary dates and interactions with police or security forces often serve as direct reminders of past traumatic experiences. L Symptoms of Major Depression include all of the symptoms listed above.
It can terrorize entire populations and create an atmosphere of pervasive fear, terror, inhibition, and hopelessness.
Awareness of culture specific syndromes and native language-bound idioms of distress is of paramount importance for conducting the interview and formulating the clinical impression and conclusion. B Somatiform disorders manifest as repeated presentations of physical symptoms in the absence of physical findings.
The Istanbul Protocol makes clear that psychological instruments should not be given more weight than the clinical evaluation. B Torture may not only have profound effects on individuals, but on families and society as well.
It often results in disruptions in family dynamics and may be associated with considerable family dysfunction. E All of the items listed may explain why survivors of torture and ill treatment may not trust examining clinicians.
Clinicians should be aware of local rehabilitation and support services. Neuropsychological evaluations of torture survivors are performed infrequently, but may be useful in evaluating individuals Module 6 answers of having brain injury and in distinguishing brain injury from PTSD.
C Three or more avoidance symptoms are present following the trauma. G All topics listed are components of the mental status examination with the exception of G, cranial nerve assessment. Detailed psychological evaluations should be included in all medical evaluations for all of the reasons listed.
If any physical disorders are present, they do not explain the nature and extent of the symptoms or the distress and preoccupation of the patient.
G In addition to all of the items listed, other possible diagnoses include: It can break or damage the will and coherence of entire communities. Depressive disorders may occur as a single episode or be recurrent.
A In the course of documenting psychological evidence of torture clinicians are not absolved of their ethical obligations. B Significant psychological symptoms may not be present among survivors of torture for a number of reasons. F The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
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