Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Understanding of Posttraumatic Embitterment Disorder (PTED)

외상후 울분장애의 이해

  • Ko, Han-Suk (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Han, Chang-Su (Department of Psychiatry, College of Medicine, Korea University) ;
  • Chae, Jeong-Ho (Department of Psychiatry, College of Medicine, The Catholic University of Korea)
  • 고한석 (가톨릭대학교 의과대학 정신과학교실) ;
  • 한창수 (고려대학교 의과대학 정신과학교실) ;
  • 채정호 (가톨릭대학교 의과대학 정신과학교실)
  • Received : 2014.01.28
  • Accepted : 2014.04.01
  • Published : 2014.04.30
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Abstract

Reactive disorder is a group of diagnosis with a definitely known etiology and whose etiological factor is essential to the diagnosis. In DSM system, such reactive disorders are listed as adjustment disorder, acute stress disorder, brief psychotic disorder with marked stressor and posttraumatic stress disorder (PTSD). However, a growing number of individuals is suffering from a prolonged feeling of embitterment after exceptional negative life events and this condition could be diagnosed neither PTSD nor adjustment disorder nor depressive disorder in the context of DSM-IV diagnostic system. This clinical condition can be described as 'posttraumatic embitterment disorder' (PTED). PTED is a reactive disorder triggered by exceptional, though normal negative life events such as conflict in the workplace, unemployment, death of a relative, divorce, severe illness, or experience of loss or separation. The common feature of such events is that they are experienced as unjust, as a personal insult, accompanied by psychological violation of basic beliefs and values. The central psychopathological response pattern in PTED is a prolonged feeling of embitterment. In particular, the core emotion of embitterment can lead to the rejection of treatment. Therefore, "wisdom therapy" as a new treatment approach specifically designed for PTED has been developed. It is assumed that many patients suffering from PTED are often misunderstood and misdiagnosed. This review would help to introduce PTED into the clinical field in psychiatry.

Keywords

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