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Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
Funded by The Federal Ministry for Economic Affairs and Energy; Grant: 01MD19013D, Smart-MD Project, Digital Technologies
Medical conditions associated with an increased risk of PTSD include cancer, heart attack, and stroke. Intensive-care unit (ICU) hospitalization is also a risk factor for PTSD. Some women experience PTSD from their experiences related to breast cancer and mastectomy.
Women who experience miscarriage are at risk of PTSD. Those who experience subsequent miscarriages have an increased risk of PTSD compared to those experiencing only one. PTSD can also occur after childbirth and the risk increases if a woman has experienced trauma prior to the pregnancy. Prevalence of PTSD following normal childbirth (that is, excluding stillbirth or major complications) is estimated to be between 2.8 and 5.6% at 6 weeks postpartum, with rates dropping to 1.5% at 6 months postpartum. Symptoms of PTSD are common following childbirth, with prevalence of 24-30.1% at 6 weeks, dropping to 13.6% at 6 months. Emergency childbirth is also associated with PTSD. Some women experience PTSD from their experiences related to breast cancer and mastectomy.
The causes of PTSD are: Natural or human disasters, war, serious accident, witness of violent death of others, violent attack, being the victim of sexual abuse, rape, torture, terrorism or hostage taking.
Predisposing factors
The predisposing factors are: Personality traits and Previous history of Psychiatric illness.
Psychiatric consultation: Exploration of memories of the traumatic event, relief of associated symptoms and counseling.
Rape trauma syndrome (RTS) is the psychological trauma experienced by a rape victim that includes disruptions to normal physical, emotional, cognitive, and interpersonal behavior. The theory was first described by psychiatrist Ann Wolbert Burgess and sociologist Lynda Lytle Holmstrom in 1974.
RTS is a cluster of psychological and physical signs, symptoms and reactions common to most rape victims immediately following and for months or years after a rape. While most research into RTS has focused on female victims, sexually abused males (whether by male or female perpetrators) also exhibit RTS symptoms. RTS paved the way for consideration of complex post-traumatic stress disorder, which can more accurately describe the consequences of serious, protracted trauma than posttraumatic stress disorder alone. The symptoms of RTS and post-traumatic stress syndrome overlap. As might be expected, a person who has been raped will generally experience high levels of distress immediately afterward. These feelings may subside over time for some people; however, individually each syndrome can have long devastating effects on rape victims and some victims will continue to experience some form of psychological distress for months or years. It has also been found that rape survivors are at high risk for developing substance use disorders, major depression, generalized anxiety disorder, obsessive-compulsive disorder, and eating disorders.
RTS identifies three stages of psychological trauma a rape survivor goes through: the acute stage, the outer adjustment stage, and the renormalization stage.
Rape is the unconsensual and unlawful act of sexual intercourse forced by one person onto another. This can include penetration, but does not have to. Victims of rape can be female or male. “Rape is the most extreme possible invasion of a person’s physical and emotional privacy.” It is considered to be such a heinous crime because victims are attacked in a very personal manner and because physical force or deception can be utilized. Rape can be physically painful, but it can be more emotionally unbearable. Rape is often described as less of an invasion of the body and more of an invasion of “self.” Victims often have intense emotional reactions, usually in a predictable order. This is known as rape trauma syndrome.
Rape victims can experience added stress after the assault because of the way hospital staff, police personnel, friends, family, and significant others react to the situation. They can often feel lowered self-esteem and even a sense of helplessness. They long for a sense of safety and control over their lives. Rape victims can develop a fear of sex for physical and psychological reasons. During sexual assault, victims experience physical trauma such as soreness, bruising, pain, genital irritation, genital infection, severe tearing of vaginal walls, and rectal bleeding. They may also grapple with fear of the potential reoccurrence of assault. This possibility for rape can put stress on relationships as well. Some women and men can become distrusting and suspicious of others. Rape victims can become fearful of sexual intercourse because of physical pain and mental anguish.
Traumatic grief or complicated mourning are conditions where both trauma and grief coincide. There are conceptual links between trauma and bereavement since loss of a loved one is inherently traumatic. If a traumatic event was life-threatening, but did not result in death, then it is more likely that the survivor will experience post-traumatic stress symptoms. If a person dies, and the survivor was close to the person who died, then it is more likely that symptoms of grief will also develop. When the death is of a loved one, and was sudden or violent, then both symptoms often coincide. This is likely in children exposed to community violence.
For C-PTSD to manifest, the violence would occur under conditions of captivity, loss of control and disempowerment, coinciding with the death of a friend or loved one in life-threatening circumstances. This again is most likely for children and stepchildren who experience prolonged domestic or chronic community violence that ultimately results in the death of friends and loved ones. The phenomenon of the increased risk of violence and death of stepchildren is referred to as the Cinderella effect.
There can be many different reasons for why people develop genophobia. Some of the main causes are former incidents of sexual assaults or abuse. These incidents violate the victim’s trust and take away their sense of right to self-determination. Another possible cause of genophobia is the feeling of intense shame or medical reasons. Others may have the fear without any diagnosable reason.
Women's fear of crime refers to women's fear of being a victim of crime, independent of actual victimization. Although fear of crime is a concern for people of all genders, studies consistently find that women around the world tend to have much higher levels of fear of crime than men, despite the fact that in many places, and for most offenses, men's actual victimization rates are higher. Fear of crime is related to perceived risk of victimization, but is not the same; fear of crime may be generalized instead of referring to specific offenses, and perceived risk may also be considered a demographic factor that contributes to fear of crime. Women tend to have higher levels for both perceived risk and fear of crime.
In women's everyday lives, fear of crime can have negative effects, such as reducing their environmental mobility. Studies have shown that women tend to avoid certain behaviors, such as walking alone at night, because they are fearful of crime, and would feel more comfortable with these behaviors if they felt safer.
Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder) is a psychological disorder thought to occur as a result of repetitive, prolonged trauma involving harm or abandonment by a caregiver or other interpersonal relationships with an uneven power dynamic. C-PTSD is associated with sexual, emotional or physical abuse or neglect in childhood, intimate partner violence, victims of kidnapping and hostage situations, indentured servants, victims of slavery, sweatshop workers, prisoners of war, victims of bullying, concentration camp survivors, and defectors of cults or cult-like organizations. Situations involving captivity/entrapment (a situation lacking a viable escape route for the victim or a perception of such) can lead to C-PTSD-like symptoms, which include prolonged feelings of terror, worthlessness, helplessness, and deformation of one's identity and sense of self.
Some researchers argue that C-PTSD is distinct from, but similar to PTSD, somatization disorder, dissociative identity disorder, and borderline personality disorder, with the main distinction being that it distorts a person's core identity, especially when prolonged trauma occurs during childhood development . It was first described in 1992 by Judith Herman in her book "Trauma & Recovery" and an accompanying article. Though peer-reviewed journals have published papers on C-PTSD, the category is not yet adopted by either the American Psychiatric Association's (APA) "Diagnostic and Statistical Manual of Mental Disorders", 5th Edition (DSM-5), or in the World Health Organization's (WHO) "International Statistical Classification of Diseases and Related Health Problems", 10th Edition (ICD-10). However, it is proposed for the ICD-11, to be finalized in 2018.
Survivor guilt (or survivor's guilt; also called survivor syndrome or survivor's syndrome) is a mental condition that occurs when a person believes they have done something wrong by surviving a traumatic event when others did not. It may be found among survivors of murder, terrorism, combat, natural disasters, epidemics, among the friends and family of those who have died by suicide, and in non-mortal situation. The experience and manifestation of survivor's guilt will depend on an individual's psychological profile. When the "Diagnostic and Statistical Manual of Mental Disorders IV" (DSM-IV) was published, survivor guilt was removed as a recognized specific diagnosis, and redefined as a significant symptom of post traumatic stress disorder (PTSD).
Fear of intimacy is generally a social phobia and anxiety disorder resulting in difficulty forming close relationships with another person. The term can also refer to a scale on a psychometric test, or a type of adult in attachment theory psychology.
The fear of intimacy is the fear of being emotionally and/or physically close to another individual. This fear is also defined as “the inhibited capacity of an individual, because of anxiety, to exchange thought and feelings of personal significance with another individual who is highly valued”. Fear of intimacy is the expression of existential views in that to love and to be loved makes life seem precious and death more inevitable. It often results from past traumas such as rape or childhood sexual abuse. Fear of intimacy is also related to the fear of being touched .
People with this fear are anxious about or afraid of intimate relationships. They believe that they do not deserve love or support from others. Fear of intimacy has three defining features: content which represents the ability to communicate personal information, emotional valence which refers to the feelings about personal information exchanged, and vulnerability signifying their regard for the person they are intimate with. Bartholomew and Horowitz go further and determine four different adult attachment types: “(1) Secure individuals have a sense of worthiness or lovability and are comfortable with intimacy and autonomy; (2) preoccupied persons lack this sense of self-worthiness yet view others positively and seek their love and acceptance; (3) fearful people lack a sense of lovability and are avoidant of others in anticipation of rejection; (4) dismissing persons feel worthy of love yet detach from others whom they generally regard as untrustworthy”.
Social scientists have differing views on the causes of women's fear of crime. Some have argued that women's heightened fear of crime is due to women's higher levels physical vulnerability compared to men, although feminist work generally resists this generalization and often tries to relocate the cause to larger societal factors. It is nonetheless important that most women are aware of pervasive cultural view that women are more vulnerable than men, which may make them think they are more likely to be victimized and therefore contribute to their fear; in this way, it would be perceived vulnerability and not actual vulnerability that is the cause of women's fear. Some research has also suggested that women are in fact not much more fearful about crime than men, but that dominant cultural ideas about masculinity may make men reluctant to talk about their fear or report it in surveys.
Small children are at particularly high risk for the abuse that causes SBS given the large difference in size between the small child and an adult. SBS usually occurs in children under the age of two but may occur in those up to age five.
Survivor guilt was first identified during the 1960s. Several therapists recognized similar if not identical conditions among Holocaust survivors. Similar signs and symptoms have been recognized in survivors of traumatic situations including combat, natural disasters, terrorist attacks, air-crashes and wide-ranging job layoffs. A variant form has been found among rescue and emergency services personnel who blame themselves for doing too little to help those in danger, and among therapists, who may feel a form of guilt in the face of their patients' suffering.
Stephen Joseph, a psychologist at the University of Warwick, has studied the survivors of the capsizing of the MS "Herald of Free Enterprise" which killed 193 of the 459 passengers. His studies showed that 60 percent of the survivors suffered from survivor guilt. Joseph went on to say: "There were three types: first, there was guilt about staying alive while others died; second, there was guilt about the things they failed to do – these people often suffered post-traumatic 'intrusions' as they relived the event again and again; third, there were feelings of guilt about what they did do, such as scrambling over others to escape. These people usually wanted to avoid thinking about the catastrophe. They didn't want to be reminded of what really happened.
Sufferers sometimes blame themselves for the deaths of others, including those who died while rescuing the survivor or whom the survivor tried unsuccessfully to save.
Functional somatic syndromes may occur in 6 to 36% of the population.
Gestational problems affecting both mother and fetus, the birthing process, prematurity and nutritional deficits can accelerate skeletal and hemorrhagic pathologies that can also mimic SBS, even before birth.
Hybristophilia is a paraphilia in which sexual arousal, facilitation, and attainment of orgasm are responsive to and contingent upon being with a partner known to have committed an outrage, cheating, lying, known infidelities or crime, such as rape, murder, or armed robbery. The term is derived from the Greek word ὑβρίζειν "hubrizein", meaning "to commit an outrage against someone" (ultimately derived from ὕβρις "hubris" "hubris"), and "philo", meaning "having a strong affinity/preference for". In popular culture, this phenomenon is also known as "Bonnie and Clyde Syndrome".
Many high-profile criminals, particularly those who have committed atrocious crimes, receive "fan mail" in prison that is sometimes amorous or sexual, presumably as a result of this phenomenon. In some cases, admirers of these criminals have gone on to marry the object of their affections in prison.
Hybristophilia is accepted as potentially lethal, among other such paraphilias including, but not being limited to, asphyxiophilia, autassassinophilia, biastophilia, and chremastistophilia.
The reason why some people do this is unknown, but some speculations have been offered. For instance, Katherine Ramsland, who is a professor of forensic psychology at DeSales University mentions that some of the women in particular who have married or dated male serial killers have offered the following reasons:
- "Some believe they can change a man as cruel and powerful as a serial killer."
- "Others 'see' the little boy that the killer once was and seek to nurture him."
- "A few hoped to share in the media spotlight or get a book or movie deal."
- "Then there's the notion of the 'perfect boyfriend'. She knows where he is at all times and she knows he's thinking about her. While she can claim that someone loves her, she does not have to endure the day-to-day issues involved in most relationships. There’s no laundry to do, no cooking for him, and no accountability to him. She can keep the fantasy charged up for a long time."
Others offered reasons along the lines of:
- "Some mental health experts have compared infatuation with killers to extreme forms of fanaticism. They view such women as insecure females who cannot find love in normal ways or as 'love-avoidant' females who seek romantic relationships that cannot be consummated."
From a perspective focusing on male serial killers attracting female partners, Leon F. Seltzer (psychologist), has offered explanations based on evolutionary psychology. Serial killers, in his view, are cases of alpha males that tend to attract women. This is because such males were good at protecting women and their offspring in our evolutionary history. Women nowadays may consciously realize that it is unwise to date a serial killer, but they are nevertheless attracted to them, as he notes "as a therapist I've encountered many women who bemoaned their vulnerability toward dominant men who, consciously, they recognized were all wrong for them". As evidence of women's fantasy preference for dominant men, he refers to the book "A Billion Wicked Thoughts: What the World's Largest Experiment Reveals about Human Desire" by Ogi Ogas and Sai Gaddam. Seltzer discusses Ogas and Gaddam's argument that this fantasy is the dominant plot of most erotic/romantic books and movies written for women but the fantasy always holds that this male dominance is conditional, "it doesn't really represent the man's innermost reality".
Courtship disorder is a theoretical construct in sexology in which a certain set of paraphilias are seen as specific instances of anomalous courtship instincts in men. The specific paraphilias are biastophilia (paraphilic rape), exhibitionism, frotteurism, telephone scatologia, and voyeurism. According to the "courtship disorder hypothesis", there is a species-typical courtship process in human males consisting of four phases, and anomalies in different phases result in one of these paraphilic sexual interests. That is, instead of being independent paraphilias, this theory sees these sexual interests as individual symptoms of a single underlying disorder.
Sexual sadism disorder is the condition of experiencing sexual arousal in response to the extreme pain, suffering or humiliation of others. Several other terms have been used to describe the condition, and the condition may overlap with other conditions that involve inflicting pain. It is distinct from situations in which consenting individuals use mild or simulated pain or humiliation for sexual excitement. The words "sadism" and "" are derived from Marquis de Sade.
Lesbophobia (sometimes lesbiphobia) comprises various forms of negativity towards lesbians as individuals, as couples, or as a social group. Based on the categories of sex, sexual orientation, lesbian identity, and gender expression, this negativity encompasses prejudice, discrimination, and abuse, in addition to attitudes and feelings ranging from disdain to hostility. As such, lesbophobia is sexism against women that intersects with homophobia and vice versa.
It is possible for an individual who suffers from sexsomnia to experience a variety of negative emotions due to the nature of their disorder. The following are commonly seen secondary effects of sexsomnia:
- Anger
- Confusion
- Denial
- Frustration
- Guilt
- Revulsion
- Shame
The effects of sexsomnia also extend to those in relationship with the sufferer. Whether the significant other is directly involved, in the case of sexual intercourse, or a bystander, in the case of masturbation behavior, they are often the first to recognize the abnormal behavior. These abnormal sexual behaviors may be unwanted by the partner, which could lead to the incident being defined as sexual assault.