title: Idioms of distress among trauma survivors: subtypes and clinical utility.
abstract: In this introduction to the Special Issue on Trauma and Idioms of Distress, we provide an overview of the concept and typology of "idioms of distress," focusing particularly on their clinical utility. This includes the role of idioms as indicators of trauma exposure, of various types of psychopathology and of levels of distress, risk and functioning. It likewise includes the fact that idioms of distress may profoundly influence the personal meaning of having a trauma-related disorder, may shape the interpersonal course of the disorder and may pattern help-seeking and self-treatment. Finally, it illustrates the fact that idioms may also help clinicians understand sufferers' views of the causes of their distress, constitute key therapeutic targets and help increase therapeutic empathy and treatment adherence. This special issue focuses on the role played by idioms of distress in the local trauma ontology, the associations between the idioms and psychiatric disorders occurring in the context of trauma and the mechanisms by which the idioms profoundly influence the personal and interpersonal course of trauma-related disorders.
authors.forename: Devon E
authors.initials: DE
authors.lastname: Hinton
authors.forename: Roberto
authors.initials: R
authors.lastname: Lewis-Fernández
mesh_terms: D000786:Anger; D003431:Cross-Cultural Comparison; D054521:Cultural Competency; D004645:Empathy; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D011613:Psychotherapy; D012660:Semantics; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000534:rehabilitation; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000534:rehabilitation; D040921:Stress Disorders, Traumatic / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology / Q000534:rehabilitation; D013406:Suicide, Attempted / Q000208:ethnology / Q000523:psychology; D017741:Survivors / Q000523:psychology*; D014754:Violence / Q000208:ethnology / Q000523:psychology
references.citation: Soc Sci Med. 1985;21(2):187-96
references.pmid: 4049005
references.citation: J Anxiety Disord. 2006;20(3):281-95
references.pmid: 16564433
references.citation: J Nerv Ment Dis. 2009 May;197(5):337-47
references.pmid: 19440107
references.citation: J Nerv Ment Dis. 1993 Mar;181(3):157-65
references.pmid: 8445374
references.citation: Transcult Psychiatry. 2002 Sep;39(3):323-344
references.pmid: 20814562
references.citation: Eur J Pain. 2006 Jan;10(1):1-11
references.pmid: 16291293
references.citation: Cogn Behav Ther. 2008;37(2):101-16
references.pmid: 18470741
references.citation: Ann Intern Med. 1978 Feb;88(2):251-8
references.pmid: 626456
references.citation: Cult Med Psychiatry. 2003 Sep;27(3):339-66
references.pmid: 14510098
references.citation: Cult Med Psychiatry. 1981 Dec;5(4):379-408
references.pmid: 7326955
references.citation: Cult Med Psychiatry. 1977 Apr;1(1):25-58
references.pmid: 756353
references.citation: Arthritis Rheum. 2007 May 15;57(4):656-65
references.pmid: 17471542
references.citation: Depress Anxiety. 2008;25(6):489-95
references.pmid: 17570492