The Evolving Construct of Posttraumatic Stress Disorder (PTSD): DSM-5 Criteria Changes and Legal Implications

In the DSM-5, the diagnosis of posttraumatic stress disorder (PTSD) has undergone multiple, albeit minor, changes. These changes include shifting PTSD placement from within the anxiety disorders into a new category of traumatic and stressor-related disorders, alterations in the definition of a traumatic event, shifting of the symptom cluster structure from three to four clusters, the addition of new symptoms including persistent negative beliefs and expectations about oneself or the world, persistent distorted blame of self or others, persistent negative trauma-related emotions, and risky or reckless behaviors, and the addition of a dissociative specifier. The evidence or lack thereof behind each of these changes is briefly reviewed. These changes, although not likely to change overall prevalence, have the potential to increase the heterogeneity of individuals receiving a PTSD diagnosis both by altering what qualifies as a traumatic event and by adding symptoms commonly occurring in other disorders such as depression, borderline personality disorder, and dissociative disorders. Legal implications of these changes include continued confusion regarding what constitutes a traumatic stressor, difficulties with differential diagnosis, increased ease in malingering, and improper linking of symptoms to causes of behavior. These PTSD changes are discussed within the broader context of DSM reliability and validity concerns.     

Acculturation and reported intimate partner violence among Latinas in Los Angeles

This study sought to understand the relationship between acculturation and reporting intimate partner violence (IPV) among Latinas. A cross-sectional interviewer-administered survey was conducted at public health care clinics throughout Los Angeles County. Logistic regression was used to estimate the effect of acculturation on reporting IPV. An increasing trend of reporting IPV was observed among Latinas who were more acculturated (chi-square = 41.02, p = .0006). Highly acculturated Latinas were more likely to report IPV compared with least acculturated Latinas (prevalence odds ration = 2.18, 95% confidence level = 0.98, 4.89) and moderately acculturated Latinas were more likely to report IPV compared with least acculturated Latinas (prevalence odds ration = 1.29, 95% confidence level = 0.69, 2.43). Culturally competent IPV prevention programs may be the key to significantly reducing the number of women exposed to this serious public health problem.     

Measuring the economically active population in Mexico in the early 1990s

"This paper refers to problems of definition and measurement of the economically active population in the early nineties in different Mexican sources of information, considering in particular the 1990 Population Census and the 1991 National Survey on Employment. The study analyzes in detail the questions, reference periods, and coding systems of these two and other previous surveys and censuses. Its findings allow us to state that the 1990 Population Census is an adequate source of information for analyzing [the] national full-time salaried work force." (SUMMARY IN ENG)     

Back to prehistory: the quest for an alternative IR founding myth

Abstract

Searching for an alternative founding myth for international relations (IR) entails going back long before the 1648 Westphalian milestone. Drawing from a world historical approach, this article makes the case for investigating the origins of the subject matter of IR in the pre-state era: its founding moment may be traced back to a first encounter between two distinct bands of nomadic Homo sapiens hunter-gatherers in the Palaeolithic period. As the outcome of this interaction was not predetermined, four scenarios are considered: absence of relations by retreat and isolation; conflict triggered by self-preservation (birth of war); cooperation, barter or other types of exchange; and merging together. Following the initial engagement, intergroup relations became much more intertwined. Once the stranger was no longer unknown, the original distinction between Us and Them began to fade away. The ensuing relationship shaped their co-constructed social reality, in a long process of extending trust beyond the family circle.     

State marionettes,phantom organisations or genuine movements? The paradoxical emergence of rural social movements in post-socialist Russia

Of all the rural social movements in the world, those in post-socialist Russia have been considered to be among the weakest. Nevertheless, triggered by the neo-liberal reforms in the countryside, state attention to agriculture and rising land conflicts, new social movement organisations with a strong political orientation are emerging in Russia today. This sudden burst of civil activity, however, raises questions as to how genuine and independent the emerging organisations are. Our research shows that many rural movements, agricultural associations, farm unions and rural political parties lack constituency, support the status quo and/or are actually counterfeits (what we call ‘phantom movement organisations’). With this analysis, we aim to explain the nature of social movements in the post-Soviet countryside and offer an original contribution to the theory on and practice of rural social movements.     

Electro-acupuncture to prevent prolonged postoperative ileus:A randomized clinical trial

AIM:To examine whether acupuncture can prevent prolonged postoperative ileus(PPOI)after intraperitoneal surgery for colon cancer. METHODS:Ninety patients were recruited from the Fudan University Cancer Hospital,Shanghai,China. After surgery,patients were randomized to receive acupuncture(once daily,starting on postoperative day 1, for up to six consecutive days)or usual care.PPOI was defined as an inability to pass flatus or have a bowel movement by 96 h after surgery.The main outcomes were time to first fl...