Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems

<p>Abstract</p> <p>Background</p> <p>This article reviews the current debate on developmental trauma disorder (DTD) with respect to formalizing its diagnostic criteria. Victims of abuse, neglect, and maltreatment in childhood often develop a wide range of age-dependent...

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Main Authors: Schmid Marc, Petermann Franz, Fegert Joerg M
Format: Article
Language:English
Published: BMC 2013-01-01
Series:BMC Psychiatry
Subjects:
Online Access:http://www.biomedcentral.com/1471-244X/13/3
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author Schmid Marc
Petermann Franz
Fegert Joerg M
author_facet Schmid Marc
Petermann Franz
Fegert Joerg M
author_sort Schmid Marc
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>This article reviews the current debate on developmental trauma disorder (DTD) with respect to formalizing its diagnostic criteria. Victims of abuse, neglect, and maltreatment in childhood often develop a wide range of age-dependent psychopathologies with various mental comorbidities. The supporters of a formal DTD diagnosis argue that post-traumatic stress disorder (PTSD) does not cover all consequences of severe and complex traumatization in childhood.</p> <p>Discussion</p> <p>Traumatized individuals are difficult to treat, but clinical experience has shown that they tend to benefit from specific trauma therapy. A main argument against inclusion of formal DTD criteria into existing diagnostic systems is that emphasis on the etiology of the disorder might force current diagnostic systems to deviate from their purely descriptive nature. Furthermore, comorbidities and biological aspects of the disorder may be underdiagnosed using the DTD criteria.</p> <p>Summary</p> <p>Here, we discuss arguments for and against the proposal of DTD criteria and address implications and consequences for the clinical practice.</p>
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spelling doaj.art-6fd300a9b4f24ca69245d6bc2b59d2882022-12-21T19:14:34ZengBMCBMC Psychiatry1471-244X2013-01-01131310.1186/1471-244X-13-3Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systemsSchmid MarcPetermann FranzFegert Joerg M<p>Abstract</p> <p>Background</p> <p>This article reviews the current debate on developmental trauma disorder (DTD) with respect to formalizing its diagnostic criteria. Victims of abuse, neglect, and maltreatment in childhood often develop a wide range of age-dependent psychopathologies with various mental comorbidities. The supporters of a formal DTD diagnosis argue that post-traumatic stress disorder (PTSD) does not cover all consequences of severe and complex traumatization in childhood.</p> <p>Discussion</p> <p>Traumatized individuals are difficult to treat, but clinical experience has shown that they tend to benefit from specific trauma therapy. A main argument against inclusion of formal DTD criteria into existing diagnostic systems is that emphasis on the etiology of the disorder might force current diagnostic systems to deviate from their purely descriptive nature. Furthermore, comorbidities and biological aspects of the disorder may be underdiagnosed using the DTD criteria.</p> <p>Summary</p> <p>Here, we discuss arguments for and against the proposal of DTD criteria and address implications and consequences for the clinical practice.</p>http://www.biomedcentral.com/1471-244X/13/3ComorbidityDevelopmental psychopathologyDevelopmental trauma disorder (DTD)Dissociation, Post-traumatic stress disorder (PTSD)
spellingShingle Schmid Marc
Petermann Franz
Fegert Joerg M
Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
BMC Psychiatry
Comorbidity
Developmental psychopathology
Developmental trauma disorder (DTD)
Dissociation, Post-traumatic stress disorder (PTSD)
title Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
title_full Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
title_fullStr Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
title_full_unstemmed Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
title_short Developmental trauma disorder: pros and cons of including formal criteria in the psychiatric diagnostic systems
title_sort developmental trauma disorder pros and cons of including formal criteria in the psychiatric diagnostic systems
topic Comorbidity
Developmental psychopathology
Developmental trauma disorder (DTD)
Dissociation, Post-traumatic stress disorder (PTSD)
url http://www.biomedcentral.com/1471-244X/13/3
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