[Taking care of the psychological trauma by the general practitioner].
Someone who experiences an important psychological trauma will undergo typical sequences of mental disorder with a time-dependent clinical course. The classification of psychiatric disorders (DSM-IV) focuses on two stages: acute and chronic. Clinical intervention with these traumatized patients must consider this evolution and must adjust the intensity and kind of treatment response as well as the therapist's profile. The involvement during the acute stage, often called "debriefing", is the fundamental start point of a quality care, eventually leading toward a long lasting therapy, but is currently controversial needing some development. The aim of this article is the clarification of the debate related to the clinician's care of the psychological trauma.
Rubovszky
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Unité de psychiatrie de liaison Service d'accueil, d'urgences et de liaison psychiatriques Département de psychiatrie HUG, 1211 Genève 14. gregoire.rubovszky@hcuge.ch
D006801:Humans; D010821:Physicians, Family; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000628:therapy*