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Posttraumatic stress disorder following political imprisonment: the role of mental defeat, alienation, and perceived permanent change

Ehlers, Anke, Maercker, Andreas, Boos, Anne·2000·Journal of Abnormal Psychology

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Abstract

An interview study of 81 former political prisoners investigated whether posttraumatic stress disorder (PTSD) is related to the way individuals process the prison experience. In contrast to participants without PTSD, those with chronic or remitted PTSD were more likely to perceive mental defeat and an overall feeling of alienation from other people. Chronic PTSD was also related to perceived negative and permanent change in their personalities or life aspirations. The groups did not differ in their attempts to gain control during imprisonment. Evidence for a relationship between political commitment and PTSD was mixed. The results suggest that mental defeat, alienation, and permanent change are related to PTSD after interpersonal trauma and may need to be addressed in treatment.

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Authors: Ehlers, A., Maercker, A., & Boos, A.
Affiliations: Warneford Hospital (GB)
ORCID: Ehlers, Anke
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2000-02
Volume: 109
Issue: 1
Pages: 45-55
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/0021-843x.109.1.45
OpenAlex: W2018894807
Cited by: 274
References: 54
Citations by year: 2026: 3 · 2025: 6 · 2024: 4 · 2023: 9 · 2022: 15 · 2021: 10 · 2020: 7 · 2019: 4 · 2018: 11 · 2017: 14 · 2016: 7 · 2015: 16 · 2014: 8 · 2013: 18 · 2012: 12
FWCI: 9.77
Type: journal article
Language: en
Open access: closed
Locations: Journal of Abnormal Psychology (publishedVersion)
PubMed (publishedVersion)
Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
Funders: Wellcome Trust (069777)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
Keywords: post-traumatic stress disorder, political imprisonment, former political prisoners, mental defeat, alienation, personality change, political commitment, interpersonal trauma, chronic PTSD
MeSH terms: Adolescent, Adult, Chronic Disease, Female, Germany, Germany, East, Humans, Male, Personality, Politics, Prisoners, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Regression Analysis, Stress Disorders, Post-Traumatic, Confounding Factors, Epidemiologic

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Posttraumatic stress disorder following political imprisonment: the role of mental defeat, alienation, and perceived permanent change

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