Rôle de l'évitement de la détresse concomitante à un événement traumatique dans la genèse d'un cas d'ESPT avec TDMR

The role of peritraumatic distress in the genesis of PTSD, although well established and explicit in the DSM criteria, seems to be undervalued by the main theoretical conceptualizations of PTSD. Most models explain the presence of a large variety of emotions other than fear as subsequent to the reinterpretation of the traumatic event. Exposure strategies implemented in the case study illustrate the unexpected appearance of strong feelings of distress in the face of trauma-related sensations and situations and lead us to postulate the primacy of these emotions as well as the role of the avoidance of these same emotions in the genesis of disorders. This hypothesis corroborates the innovations of third generation cognitive and behavioral therapy, which underlines the role of emotions as well as the avoidance of emotions in the development of persistent mood disorders.