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Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2017, vol. 23, issue 2
Subject Area: Medicine - Psychiatry & Psychology
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DOI: 10.5272/jimab.2017232.1564
Published online: 23 May 2017
Case Report
J of IMAB 2017 Apr-Jun;23(2):1564-1566
PSYCHOPATHOLOGICAL DYNAMICS OF A DISASTER VICTIM, REJECTING MENTAL HEALTH CARE – A CASE REPORT AND DISCUSSION
Ivan Aleksandrov1
, Yasen Yanev1, Mariana Arnaoudova1, Ivan Dimitrov2, Valeri Stoyanov3,
1) Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University, Varna, University hospital St. Marina, Varna, Bulgaria
2) Department of Neurology, Faculty of Medicine, Medical University, Varna, University hospital St. Marina, Varna, Bulgaria
3) Department of Psychology, Faculty of Social Sciences, Varna Free University Chernorizets Hrabar, Bulgaria.
ABSTRACT:
Background: Seeking and receiving psychological help after a stressful life event is associated with certain prejudice attitudes, especially present in minority ethnic groups.
Case description: This case report describes the specific reactions and psychopathological dynamics of a female patient, the age of 43, who survived the terrible accident on December the 10th 2016, in Hitrino village.
Discussion: Due to stigmatising beliefs, patient reluctantly had only a few meeting with a clinical psychologist, refused proper psychiatric treatment, and developed an acute stress reaction in the first few days after the accident, followed by post-traumatic stress disorder the next few weeks, as described chronologically in the ICD-10.
Conclusion: Stigmatising beliefs are further amplified by ethnic minorities’ prejudice of seeking mental health and having a mental illness, which affects professionals’ ability to provide comprehensive medical care.
Keywords: psychiatric stigma, acute stress reaction, PTSD, disaster,
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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Aleksandrov I, Yanev Y, Arnaoudova M, Dimitrov I, Stoyanov V. Psychopathological dynamics of a disaster victim, rejecting mental health care - a case report and discussion. J of IMAB. 2017 Jan-Mar;23(2):1564-1566. DOI: 10.5272/jimab.2017232.1564
Correspondence to: Ivan Aleksandrov, Department of psychiatry and medical psychology, Medical University; 55, Marin Drinov str., 9002 Varna, Bulgaria; E-mail: i_s_aleksandrov@abv.bg
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Received: 10 March 2017
Published online: 23 May 2017