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Derek Lovell

Derek Lovell

Consultant Psychiatrist specializing in medico-legal psychiatry and PTSD assessment; co-author of the Psychiatric Impairment Rating Scale (PIRS)

Jul 28, 2026

4:52
Yeah, certainly
4:53
... their experience of what they've been through.
4:57
That is often very difficult because people, when they've had awful traumatic experiences, don't want to talk about it.
5:08
They don't-- They try not to think about it.
5:10
One of the reasons that they get the dreams is because they don't think about it, and they haven't processed it, and it comes through a dream, which is the royal road to the unconscious.
5:22
When they're making their statement, you need to be very empathic.
5:28
You need to let them set the pace.

23 MINS LATER

4:01
As-- I mean, this goes back before Vietnam, doesn't it, in terms of-- Talk us through railway spine and shell shock.
4:09
Okay.
4:10
Well, look, the British are big on their trains.
4:14
They introduced the train system to India.
4:17
And in the eighteen forties, what happened was that, uh, two hundred and fifty million Brits started traveling by train.
4:25
And the trains weren't all that good in those days, and there were a number of train accidents.
4:32
And one of the victims of these train accidents happened to be Charles Dickens, the author, and he described beautifully some of the symptoms of what is now PTSD.
7:32
Talk us through now, Doctor, what are the qualifying criteria, and where's the debate generally?

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