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The Dark Cartoon: Intrusive Imagery Secondary to Childhood Sexual Abuse

Published online by Cambridge University Press:  13 June 2014

Yoshihiro Katsuura  and
Vincent Russell
Yoshihiro Katsuura*
Affiliation:
RCSI, 123 St Stephen's Green, Dublin 2
Vincent Russell
Affiliation:
Department of Psychiatry, Penang Medical College, 4 Jalan Sepoy Lines, 10450 Penang, Malaysia
*
*Correspondence Email: [email protected]
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Abstract

We report on the case of a middle-aged woman with a complex psychiatric history in whom atypical intrusive imagery identified in the mental status examination appeared to represent an emergence of childhood dissociative phenomena. These new symptoms led to the reappraisal of her clinical presentation and a diagnostic re-evaluation that they represented a re-emergence of childhood post-traumatic stress disorder secondary to sexual abuse. We discuss the phenomenology identified in our patient with the aim of increasing awareness of unusual symptoms in adults with a history of childhood sexual abuse and the importance of the mental state examination in eliciting and classifying such phenomena.

Keywords

Intrusive imagerypost-traumatic stress disorder (PTSD)childhood PSTDchildhood sexual abuse
Type
Original Paper
Information
Irish Journal of Psychological Medicine , Volume 29 , Issue 3 , 2012 , pp. 171 - 175
Copyright
Copyright © Cambridge University Press 2012

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