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The DSM was developed by the American Psychiatric Association and is used by mental health professionals in the diagnosis of patients. Post traumatic stress disorder has evolved many times in the periodic revisions of the DSM. The DSM has also revised the definition of trauma in relation to PTSD. In the DSM III, trauma was seen as an event beyond the range of normal that would be distressing for anyone who experienced it. In the DSM IV, trauma is viewed as an event that can cause serious injury, harm or death but not necessarily beyond the range of normal. The DSM IV was revised in 2000 and redefined trauma to include events that cause intense fear, helplessness and horror. The revision also states that exposure to a traumatic event can also cause post traumatic stress disorder. Although much progress has been made in understanding PTSD, it remains uncertain whether there are differences in brain structure or chemistry in people that develop post traumatic stress disorder. While some individuals recover from PTSD, it becomes a lifelong condition for others. Post traumatic stress disorder that lasts longer than three months is considered chronic. People with PTSD may also suffer from depression, substance abuse or other anxiety disorders.
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, higher degrees of narcissism. At some point, individuals with high self esteem seem to be able to rationalize destructive behaviors towards others using the idea that they are superior. So some individuals with high self esteem can be highly defensive, narcissistic and don't take responsibility for their actions Baumeister, Campbell, Krueger, Vohs. So how do we get people to feel good about themselves without adding to their sense of superiority?The Answer Is Self CompassionWhile self esteem had to do with how one feels about himself, self compassion has to do with how one treats herself when things go badly. The goal is to treat oneself with the same type of kindness and compassion that most people extend to loved ones when they come up short. When someone else makes a mistake, most people will react with some degree of kindness and understanding Neff, Rude, Kirkpatrick. Self compassion seems to turn down the volume on the negative emotions typically associated with egregious mistakes while maintaining a sense of personal responsibility. A 2007 study at Duke University found that "inducing self compassion may decouple the relationship between taking responsibility and experiencing negative affect" Leary, Tate, Allen, Hancock. People who are self compassionate seem to be more accepting of constructive criticism because they have a different mindset regarding personal growth. Self compassionate folks have a growth mindset whereby they are seeking to develop mastery of self. So negative feedback is considered, evaluated objectively and, if found to have merit, acted upon to further self improvement.