Her environment became fearful, because she would wait there for Mr. Payne to return, and when he did, as she had feared, he began violently physically abusing her. Her level of fear and anxiety would have been high at the time Mr. Payne arrived home, having been exacerbated by the waiting in the environment. Her fear for her safety in the future had come to the moment of the future, in that Mr. Payne arrived home.
The battered syndrome Ms. Armstrong experienced was in no small part exacerbated by her inability to sleep. She scored two on a scale of four for sleep disturbances, and, as do those people who are in the battlefield experience, her sleep was at a superficial level, which is a level not at ease, but rest, yet alert. Her body had no time to restore itself through deep and relaxed sleep, which left her mentally exhausted. This is consistent with the stress experienced by individuals with PTSD. Keep in mind, too, that Ms. Armstrong was battered daily, threatened daily, and that her environment afforded her no refuge from fear of the next battering.
Ms. Armstrong scored a two on a four scale level in concentration. In no small part due to her mental exhaustion, Ms. Armstrong found she was unable to concentrate on everyday matters, and she noted her memory was not good. She found it difficult to do the routine work in her life; housekeeping, laundry, cooking, and such things, and certainly employment would have been a problem, if not impossible.
I observed that Ms. Armstrong manifested recognizable symptoms and signs of depression; a sense of hopelessness, sadness, helplessness, and dependency, which would have contributed to her overall inability to resolve her situation and to escape Mr. Payne's abusing her. In this area, Ms. Armstrong scored a three on a scale of four. This demonstrates that she was indeed at her emotional weakest, and unable to make choices for herself wherein she might have looked to the long-term consequences of her actions. Her reaction came out of these signs of depression, and fear for her physical well being. Her action was a response to a precipitating factor -- the violence being dealt her by Mr. Payne; not a plan of action that she had formulated in her mind. In fact, her concentration and memory were impaired such that she could not have sufficiently thought through such a plan, and then carried it out, because her memory was impacted too. She lacked the mental capacity to have acted on a plan of action. All that she had that moment in time were responses to the precipitators that evoked her responses.
For instance, if I take a ball and toss the ball in your direction, your response is to try to catch the ball. Even if the ball is hard and you are not wearing a ball glove, you would reach up and respond by attempting to catch the ball -- without consideration of the pain that you might experience by catching the hard ball in your bare hand. It is a response, not a thought through plan of action, because the precipitator was unexpected, and you reacted in the moment. Ms. Armstrong's diminished mental capacity left her unable to reason, or to formulate a plan, but reacted to precipitator in the moment.
Ms. Armstrong experienced fatigue, and real functional disturbances of her senses. These sensory disturbances manifested with tinnitus, blurring of vision, hot and cold flashes, and prickling sensations. All of these are in no small part due to the lack of sleep and in overall physical and mental exhaustion. In her heightened state of anxiousness and fear, her nerve endings showed signs of stress, and this is the tingling and prickling sensations she experienced. People often describe this as raw nerves, fried nerves, because it is equated with the electrical impulses that the nerves receive from the brain. When physical exhaustion is the case, then the impulses are not being received as strongly as when a person is physically and mentally healthy.
Ms. Armstrong does not report tachycardia, palpitations, oppression, chest pain, throbbing in the blood vessels, or feelings of faintness. While most of us consider the absence of these signs good for Ms. Armstrong it was a dual edged sword. Her heightened state of anxiety would have prevented her from experiencing these senses, because a heightened state, though physically unsustainable, does not manifest these conditions. The individual's...
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