{"id":1874,"date":"2019-03-18T10:00:25","date_gmt":"2019-03-18T09:00:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1874"},"modified":"2019-06-27T14:26:44","modified_gmt":"2019-06-27T13:26:44","slug":"from-post-traumatic-stress-disorder-to-absolute-dependence-in-an-intensive-care-unit-reflections-on-a-clinical-account","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/03\/18\/from-post-traumatic-stress-disorder-to-absolute-dependence-in-an-intensive-care-unit-reflections-on-a-clinical-account\/","title":{"rendered":"From Post-Traumatic Stress Disorder to Absolute Dependence in an Intensive Care Unit. Reflections on a Clinical Account"},"content":{"rendered":"<p>by Tina Catherine Sideris<\/p>\n<p>This paper tells the story of one man\u2019s experience of terrifying hallucinations and nightmares in an Intensive Care Unit (ICU). His experience draws attention to the reality that intensive care treatment can cause emotional suffering severe enough to be identified as post-traumatic stress disorder (PTSD). At the same time this patient\u2019s account, and patient experiences described in other studies, clearly show how helpless and absolutely dependent patients are, no only for complex treatment but also for having their most basic needs met. This highlights the relational dimension of professional patient care. The paper argues that the experiences of ICU treatment such as mechnicial ventilation can be terrifying,\u00a0 but our vulnerability lies in our dependency. There is always the chance of not being hear, not being attended to. When carers don\u2019t respond \u00a0to patients distress and the risks of traumatisation are intensified.\u00a0 On the other hand, research shows that \u00a0even the smallest gestures of care nurture safety, and thereby reduce the risk of \u00a0patients developing PTSD. The paper raises the question of how we might explain the neglect of relational care that is a recurring theme in medical contexts, without blaming the carers.<\/p>\n<p>Listen to a soundbite about the article here:<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-1874-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2019\/03\/Sideris-Tina-Catherine-From-Post-Traumatic-Stress-Disorder-to-Absolute-Dependence-in-an-Intensive-Care-Unit.-Reflections-on-a-Clinical-Account.m4a?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2019\/03\/Sideris-Tina-Catherine-From-Post-Traumatic-Stress-Disorder-to-Absolute-Dependence-in-an-Intensive-Care-Unit.-Reflections-on-a-Clinical-Account.m4a\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2019\/03\/Sideris-Tina-Catherine-From-Post-Traumatic-Stress-Disorder-to-Absolute-Dependence-in-an-Intensive-Care-Unit.-Reflections-on-a-Clinical-Account.m4a<\/a><\/audio>\n<p>Read the full article on the <em>Medical Humanities<\/em> Journal <a href=\"https:\/\/mh.bmj.com\/content\/45\/1\/37\">website<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Tina Catherine Sideris This paper tells the story of one man\u2019s experience of terrifying hallucinations and nightmares in an Intensive Care Unit (ICU). His experience draws attention to the reality that intensive care treatment can cause emotional suffering severe enough to be identified as post-traumatic stress disorder (PTSD). At the same time this patient\u2019s [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/03\/18\/from-post-traumatic-stress-disorder-to-absolute-dependence-in-an-intensive-care-unit-reflections-on-a-clinical-account\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028,15047],"tags":[15052,15059,15039,15044],"class_list":["post-1874","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","category-special-issues","tag-health-humanities","tag-medhums","tag-medical-humanities","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>From Post-Traumatic Stress Disorder to Absolute Dependence in an Intensive Care Unit. Reflections on a Clinical Account - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/03\/18\/from-post-traumatic-stress-disorder-to-absolute-dependence-in-an-intensive-care-unit-reflections-on-a-clinical-account\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"From Post-Traumatic Stress Disorder to Absolute Dependence in an Intensive Care Unit. Reflections on a Clinical Account - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"by Tina Catherine Sideris This paper tells the story of one man\u2019s experience of terrifying hallucinations and nightmares in an Intensive Care Unit (ICU). His experience draws attention to the reality that intensive care treatment can cause emotional suffering severe enough to be identified as post-traumatic stress disorder (PTSD). 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