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Er, another area besides PTSD and separate from it is substance abuse, self medicating, affecting mood, dysregulation.
另一個領域就是濫用藥物，自我藥物治療，希望以此改變心情調節(jié)異常。
Not being able to control one's feelings.
無法控制自己的感情
Being submerged and overwhelmed by grief, by shame.
會被痛苦和羞愧吞噬
Er, the isolation and denial is huge, er trying to avoid thinking about it,
有巨大的孤獨排斥之感，想讓自己不去想它，
trying to avoid acknowledging that it happened, trying to get on because you can't face it
拒絕承認它曾經發(fā)生過，想要繼續(xù)生活，因為你無法正視它
that we often find survivor guilt, um, you can perhaps appreciate the significance of it.
我們常常發(fā)現(xiàn)生還者會有內疚感你們可以發(fā)現(xiàn)它其實很重要
The sense of shame, uh, often happens even though the person who was victimised should have no reason for shame,
這種羞愧感會常常出現(xiàn)雖然他本人受到迫害他不應該感到羞愧
they often carry that as well, and even worse a self blame.
但是他常常會出現(xiàn)這種感覺甚至更糟，會自我責備
They feel somehow it was my fault, that this was done to me.Er, they blame themselves.
他們會莫名其妙地，覺得這都是我的錯酷刑本來是針對我的他們會責怪自己
They can work their way through that but the blame is an important affect of this experience.
他們可以通過自己的努力走出來但是自責是這種經歷的重要結果
Depersonalisation, a sense of "I no longer feel like I'm myself, things no longer feel real."
喪失自我感，一種"我感覺不再是自己了事情不再感覺是真實的了"的感覺
Sexual dysfunction, thematic problems we often find with psychological origins that is fatigue, headaches, stomach aches that have no organic basis for it
性功能障礙問題等，我們常常發(fā)現(xiàn)這些問題的心理根源就是，疲憊，頭疼胃疼，身體并沒有問題
but it's a manifestation of the underlying emotion that can't be expressed otherwise.
這是內在情感的外在表現(xiàn)除此之外，沒有別的渠道可以表達
Despair, depression, you, I hope would understand well how that er would come to pass impaired work impaired relationships, even more seriously
絕望和沮喪，我希望你們能夠理解這能夠超越破壞人的工作破壞人的關系，甚至更為嚴重
psychotic syndromes can take place and then, we don't find this often, but the literature shows it, abusive and antisocial acting up.
導致精神病癥狀雖然這種情況并不常見，但是文獻表明可能會出現(xiàn)虐待性和反社會的行為
