PTSD Following Compulsory Admission

By Chong, S. A.; Chua, L. | Hong Kong Journal of Psychiatry, November 1995 | Go to article overview

PTSD Following Compulsory Admission


Chong, S. A., Chua, L., Hong Kong Journal of Psychiatry


SUMMARY

A woman developed post traumatic stress disorder (PTSD) after being compulsorily admitted far psychiatric treatment. This report warns of such a possible development in certain situations following involuntary admission. Keywords: autonomy, compulsory admission, PTSD, personality, suicide

INTRODUCTION

In DSM-III-R (American Psychiatric Association, 1987), post-traumatic stress disorder (PTSD) may occur following a stressor that Is Outside the range of usual human experience and would be markedly distressing to almost anyone. McGorry et al (1991) found a prevalence of PTSD in 35% of a group of psychotic patients 11 months after their hospitalisation. They suggested that involuntary admission, which often involved police, duress, forced sedation, restraint and seclusion, and finding oneself in a closed environment with a member of other psychotic or disturbed individuals, may predispose the development of PTSD. Physical restraint has been described by some patients to be parallel to the experience of rape or physical abuse (Blanch & Parrish, 1990). We report here a case of a woman who developed DSM-III-R PTSD following compulsory admission.

CASE REPORT

T.K., a 30 year old Chinese woman sought help in a psychiatric outpatient clinic of a local general hospital following the death of her pet dog which had been her constant companion for the past 15 years. Her husband, a drug addict, had also recently been detained at the drug rehabilitation centre.

The middle child of three siblings, she had since young felt unloved by her parents. Her parents' marital relationship which had all along been very poor had ended in divorce. To avoid conflicts during the marriage, her father would absent himself from their home. Her mother was especially punitive towards T.K. because she bore a strong semblance to her father. There was no childhood history of sexual abuse. Since her childhood, T.K. has found it much easier to relate to animals than to humans. She is generally distrustful of fellow human beings and found animals to be more trustworthy, loyal and devoted.

After her secondary school education, she worked at various jobs, and while working as a veterinary assistant, she met her future husband who was a drug addict. Not long after their marriage, he was sent to a drug rehabilitation centre for a drug related offence. It was during this time, that her dog died. Feeling very miserable, lonely and deserted, she entertained frequent thoughts of killing herself so that her soul could go to purgatory to look for her dog; she believed her dog possessed a soul which had been sent to purgatory. Her state of ambivalence often caused her to be agitated. Her psychiatrist, believing that she was depressed and possibly psychotic because of the seemingly unusual reason for wanting to kill herself, had on several occasions suggested hospitalisation. T.K. had, however, vehemently refused each time. On one occasion, in a telephone call to her psychiatrist she expressed this desire to kill herself. Thinking that she might be in danger, the psychiatrist called for police intervention at her home--an act which the patient perceived as unwarranted and humiliating. Shortly after this episode, she went to the same clinic without an appointment and was seen by another doctor. Hospitalisation was again suggested whereupon she became very agitated and aggressive. Unable to calm her, and of the opinion that she was psychotic and suicidal, the doctor decided on involuntary admission. In the process she put up a vigorous struggle and had to be restrained and sedated. She was transferred to the state mental hospital. Evaluation was not possible until the following day because of her sedated state. She was subsequently reassessed by a different team of doctors. She was calm and co-operative, and admitted that she became upset because of the insistent suggestion that she should be admitted, an option which she neither wanted nor thought necessary. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

PTSD Following Compulsory Admission
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.