Pierre Janet on post-traumatic stress |
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Authors: | Bessel A. van der Kolk Paul Brown Onno van der Hart |
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Affiliation: | (1) MMHC Trauma Center, Harvard Medical School, 74 Fenwood Road, 02115 Boston, Massachusetts |
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Abstract: | One hundred years ago, in 1889, Pierre Janet published L'Automatisme Psychologique, his first work to deal with how the mind processes traumatic experiences. Janet claimed that vehement emotions interfere with proper appraisal and appropriate action. Failure to confront the experience fully leads to dissociation of the traumatic memories and their return as fragmentary reliving experiences: feeling states, somatic sensations, visual images, and behavioral reenactments. A century later, Janet still provides an unsurpassed framework for integrating current knowledge about the psychodynamic, cognitive, and biological effects of human traumatization. |
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Keywords: | Janet post-traumatic stress disorder (PTSD) dissociation memory history of psychiatry cognitive psychology |
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