“You have the right to remain silent. Anything you say or do can and will be used to help you. You have the right to bring anyone with you. If you cannot afford therapy, your therapist will work with you to address this problem. Do you understand these rights?” ~ Dan Metevier, PsyD
No doubt you recognize these words, or words that sound similar. If you watch any kind of “cops and robbers” TV show, then I know you’ve heard something like this coming out of the mouth of a police officer. Miranda rights were established in 1966 from the United States Supreme Court case of Miranda v. Arizona. The Miranda warning protects a suspect’s Fifth Amendment right to refuse to answer self-incriminating questions. The Therapy Miranda Rights, on the other hand, help clients understand some of the “rules of the game” before engaging in the therapy process.
“We don’t seem ready to acknowledge that the largest danger to our women and children isn’t Al-Qaeda, but the people who are supposed to love and take care of them.” ~ Bessel van der Kolk, MD
NOTE: This is a continuation of the story started in Part One of this series about a diagnosis called Developmental Trauma Disorder (DTD) that would apply to many children who are or were abused. We resume our story just as the people who decide what gets into the DSM-5® (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) receive an unprecedented amount of research data and information in order to make their wise decision. As in Part One, much of the following summarizes an article published in the magazine, Psychotherapy Networker by senior editor Mary Sykes Wylie, PhD, called “The Puzzle of Trauma: Redefining PTSD in the DSM.”
Shall we find out what happens?
“Child abuse is the largest single public health issue in America.”* ~ Mary Sykes Wylie, PhD
We currently wage war on drugs, poverty, terror, cancer, gangs, women, and Christmas (according to some). Why no war on child abuse if it’s such a big deal? Better still, why not a child “love-in” (a term from my generation where we professed to make love, not war, supposedly)? Wouldn’t that pretty much take care of all those other wars, over time? Wait a minute, you were expecting another installment of my “Evolution of a Diagnosis”series on PTSD (Posttraumatic Stress Disorder)? Now I’m using the word “devolution” and talking about child abuse. What’s all that about?
Childhood should be carefree, playing in the sun; not living a nightmare in the darkness of the soul. ~ Dave Pelzer
Note: This is the second part of a series on the evolution of the diagnosis called Posttraumatic Stress Disorder or PTSD. While it’s not necessary to have read the first part, it may be helpful in giving you some context and an understanding of the terms used here.
One of the significant changes in the DSM-5®’s criteria to meet the diagnosis of PTSD has to do with the age of the person in question. Specifically, the authors have: (a) singled out children of age six or younger and (b) changed the criteria (the set of relevant symptoms) for those children ever so slightly. Such children don’t need to have quite as many symptoms as people older than six. This seems mildly interesting to me in a positive way. But my attention really gets drawn to the fact that the authors single out criteria for younger children at all. Let’s call this “the good news.”
Trauma is in the eye of the beholder. ~ Dan Metevier
You have probably heard of PTSD, especially if you know someone who has served in the military. This “mental disorder” diagnosis stands for Posttraumatic Stress Disorder. It was developed following the Vietnam war in recognition of the sometimes terrible after-effects of that war on many of the people who participated in it. For example, I once evaluated for disability insurance a Vietnam vet whose job was to load onto a helicopter the bodies of his buddies who had died that day. He did this all day long, day after day. Needless to say, he was not doing so well. I thanked him for his service and sent him on his way, with a tear in my eye.