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Six days ago a 27-year-old childcare worker was the front-seat passenger in a head-on collision in which the driver was killed. Since then she has had intrusive images of the impact, sleeps two to three hours a night, and will not travel by car. She says that for much of each day the world seems flat, like a film set. She remembers nothing of the twenty minutes after the crash although witnesses say she was never unconscious. She has no previous psychiatric history. Which one of the following best accounts for her presentation at this point?
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