Essay Writing Service Sample: T.M. MacMillan
Posted by: Write My Essay on: June 11, 2019

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Post-traumatic Stress Disorder and Severe Head Injury by T.M. MacMillan


Post-Traumatic Stress Disorder directly relates to head injuries suffered by patients following road traffic accidents. The stress reactions of the accidents were associated with several intrusive thoughts and avoidance of physical and cognitive events based on the sequence of the accident. PTSD appears to manifest itself even when there was a loss of consciousness and organic amnesia for the accidents and the subsequent events. Car accidents can cause PTSD among people that are directly involved in car accidents and later suffer head injuries in addition to relatives of the affected persons that never witnessed but have memories of the incident.

The article is based on the case scenario of a girl that was involved in a car accident and was diagnosed with severe brain swelling and the effects she suffered for a duration of over three months in addition to the nature of treatment used for her PSTD symptoms. The study shows that she went through different treatments for a duration of three months in different medical departments. After being discharged from her head injury treatment, she resumed work, where she was known to be a competent employee capable of handling all duties. After fourteen months, she started to show psychogenic symptoms known to be common with a head injury such as poor concentration, severe headaches, undue fatigue, occasional dizziness, and difficulty coping at work (McMillan, 1991, p. 431). At home, her mother noticed that she blamed herself for surviving while her friend, who was driving died from the accident. Her mother noticed some additional symptoms such as loss of libido, early awakening and tearfulness, hopelessness, and poor appetite (McMillan, 1991, p. 431).

PTSD after disasters or combating stress is now being noticed in adults especially with head injuries. Amnesia is also related when the head injuries are severe but has also been noticed in accidents with smaller impacts. Studies show that the possibility of PTSD occurrence in minor head injuries has been suggested (McMillan, 1991, p. 432). In addition, the stress associated with post-accident trauma can be ameliorated by behavioral techniques as was shown in the case of AC (McMillan, 1991, p. 433). [“Write my essay for me?” Get help here.]

Critical Analysis

This is a research article that attempts to provide evidence of the study objectives by use of a case study. The thesis statement was the relation between head injuries and PTSD, and the provided example shows how such injuries can affect people even after undergoing treatment regardless of their age. In addition, it bases the objective on adults and chooses the case of an 18-year-old girl while still mentioning that PTSD can also affect children.

This is a British Journal of Psychiatry and was published by T. M. MacMillan in London. The author an established professor of Clinical Neuropsychology and has written very many articles on psychiatry. He is the research director of the D.Clin.Psychology and MSc in Neuropsychology courses at the University of Glasgow, a position that has given him wide exposure to issues related to PTSD (The University of Glasgow, 2016).

Upon the analysis of this article, MacMillan shows excellent research skills by providing all information on the case study for one to relate with the objective of the article. This is the case because AC is an 18-year-old girl that suffers from PTSD while her mother is also shown to be affected by learning the details of the accident, even though she was never involved. In addition, he uses simple psychological terminologies as that serves to facilitate information with many readers. This means that the article has an open audience of any person interested in PTSD and car accidents. The article also relies on data from a case study to which many people can relate, as car accidents are common with people, and the reactions are readily witnessed in society. While considering the medical explanation of when the victim was hospitalized provides people with real life examples such as Intensive Care Unit while leaving out the prescriptions that would have been associated with such treatment (McMillan, 1991, p.431). One would expect that a professor such as MacMillan would choose technical terms while writing an article. [Need an essay writing service? Find help here.]

The focus of this article is to show people that adults also experience PTSD after accidents and combating stress as opposed to previous studies that only associated the condition with children. To achieve this, it compares the relations between PTSD and accidents when head injuries are involved. His presentation of data is excellent as he chooses a single case study and includes different effects in AC’s life. According to the article, AC sustained a severe head injury resulting in unconsciousness at the age of 18 when she was involved as a passenger in a collision between two cars (McMillan, 1991, p.431). He specifies AC’s age as 18 to show that she suffered the accident as an adult as in normal cases, people associate teenagers as youngsters while that is not the case. In addition, the fact that AC was 18 years and she accomplished so much at her workplace served to show the effects that PTSD can have on people. By stating the effects of the head injury at AC’s workplace and home shows how intensive, a head injury after an accident can affect the victims. To be specific, McMillan (1991) states that there were symptoms of depression, including negative thinking, feelings of failure, loss of interest hopelessness, poor appetite, loss of libido, early wakening, and tearfulness.

The writing style used for the article is very effective as it involves a clear arrangement of points using subtitles, paragraphs, and numbering. In addition, he references his work so that the reader can do more research and find out whether there is additional information from the sources. The subtitles are made in bold to ensure that a reader can always anticipate the nature of content before reading. From a general view, the article shows a well-arranged content that could give a person the framework used by McMillan for this research article. [Click Essay Writer to order your essay]


MacMillan concludes the article by providing an alternative means through which people can deal with PTSD. Given his field of expertise, he suggests that behavioral techniques could be effective in dealing with this condition among adults as that was the effective method used for AC’s case. He gives this advice to clinicians as the use of medical techniques proved ineffective with AC’s case, but with the addition of behavioral techniques then it could be possible to deal with the PTSD. This makes the article an effective research study that analyzes a situation while enlightening people in addition to providing viable solutions. Therefore, based on the information provided by the article, one would assume that the target audiences are clinicians and other experts within the field of psychology. However, any interested person could also benefit from this information by knowing the best solutions to seek when involved in car accidents whether the injuries are minor or major.


McMillan, M. T. (1991). Post-traumatic Stress Disorder, and Severe Head Injury. British Journal of Psychiatry, 159, 431-433. Retrieved November 16, 2016

The University of Glasgow. (2016). Professor Tom McMillan.



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