• Corpus ID: 38114342

Conceptual Problems with the DSM-IV Criteria for Posttraumatic Stress Disorder

  title={Conceptual Problems with the DSM-IV Criteria for Posttraumatic Stress Disorder},
  author={Margaret Lamousin-Whiteand Richardj and Nally},
Controversy has haunted the diagnosis of posttraumatic stress disorder (PTSD) ever since its appearance in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III; American Psychiatric Association [APA], 1980). At the outset, psychiatrists opposed to the inclusion of the diagnosis in DSM-III argued that the problems of trauma-exposed people were already covered by combinations of existing diagnoses. Ratifying PTSD would merely entail cobbling together selected… 

Posttraumatic Stress Disorder in DSM-5: New Criteria, New Measures, and Implications for Assessment

The diagnostic criteria for posttraumatic stress disorder (PTSD) were substantially revised for Diagnostic and Statistical Manual of Mental Disorders—5th edition (DSM-5). This in turn necessitated

Borderline personality or complex posttraumatic stress disorder? An update on the controversy.

The major criticisms of the DSM-IV diagnosis of borderline personality disorder are reviewed, including the absence of an etiology for the disorder, which is widely believed to be associated with early traumatic experiences.

Consequences of untreated posttraumatic stress disorder following war in former Yugoslavia: morbidity, subjective quality of life, and care costs.

People with untreated war-related PTSD have a high risk of still having PTSD a decade after the traumatic event, and their SQOL is relatively low, and they generate considerable care costs.

The utility of the A1 and A2 criteria in the diagnosis of PTSD.

Evaluation of traumatic events as defined by the DSM-IV-TR criteria

The results found psychiatrists and psychologists to be slightly more conservative in claiming an event was traumatic in comparison to social workers, and events were deemed at a somewhat higher level of trauma for individuals who had less years of experience at the Department of Veterans Affairs.

The Long-Term Effects of Family Circumstances and Adversity on the Incidence of Posttraumatic Stress Disorder : The Case of Vietnam-Era Veterans

This paper provides econometric evidence on the prevalence and childhood antecedents of Posttraumatic Stress Disorder (PTSD) using data from a large-scale crosssectional survey of Vietnam-Era

Posttraumatic stress disorders (PTSD) from different perspectives: a transdisciplinary integrative approach.

PTSD is a complex highly disabling and suffering disorder where the past is always present in people haunted by the dread frozen in memory of the traumatic events, however, PTSD also represents an oportunity for psychological and spiritual growth due to the human ability to adapt and thrive despite experiencing adversity and tough times.

Post-traumatic stress disorder: present and future

  • N. Crumlish
  • Psychology
    Irish Journal of Psychological Medicine
  • 2010
It is useful initially to distinguish ASD and PTSD from adjustment disorders, which are also diagnosed only after an observable life event, and the range of stressors precipitating an adjustment disorder is potentially much broader than that precipitating ASD or PTSD.



Diagnostic issues in posttraumatic stress disorder: considerations for the DSM-IV.

Four issues of key interest with regard to posttraumatic stress disorder in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) are discussed. These include: (a) how

The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category

The story of post-traumatic stress disorder is a telling example of the role of society and politics in the process of invention rather than discovery.

Individual Differences in Posttraumatic Distress: Problems with the DSM-IV Model

Treatment approaches assuming that toxic event exposure creates a posttraumatic disorder fail to consider individual differences that could improve treatment efficacy, and the relatively minor contribution of event qualities compared with individual differences has significant treatment implications.

Does Early Psychological Intervention Promote Recovery From Posttraumatic Stress?

  • R. McNallyR. BryantA. Ehlers
  • Psychology
    Psychological science in the public interest : a journal of the American Psychological Society
  • 2003
Risk factors for PTSD, research on psychological debriefing, recent recommendations for crisis intervention and the identification of individuals at risk of chronic PTSD, and research on early interventions based on cognitive-behavioral therapy are reviewed.

Flashbacks and post-traumatic stress disorder: the genesis of a 20th-century diagnosis

Although this study raises questions about changing interpretations of post-traumatic illness, it supports the hypothesis that some of the characteristics of PTSD are culture-bound, as earlier conflicts showed a greater emphasis on somatic symptoms.

Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis.

The results suggest that peritraumatic psychological processes, not prior characteristics, are the strongest predictors of PTSD.

Progress and controversy in the study of posttraumatic stress disorder.

  • R. McNally
  • Psychology
    Annual review of psychology
  • 2003
The evidence bearing on the most contentious issues in the field of traumatic stress: broadening of the definition of trauma, problems with the dose-response model of PTSD, distortion in the recollection of traumatization, concerns about "phony combat vets," psychologically toxic guilt as a traumatic stressor, risk factors for PTSD, and the brain-damaging effects of stress hormones are focused on.

The concept of mental disorder. On the boundary between biological facts and social values.

The harmful dysfunction analysis is shown to avoid the problems while preserving the insights of these other approaches and the concept of disorder combines value and scientific components.

Shook over Hell: Post-Traumatic Stress, Vietnam, and the Civil War

Vietnam still haunts the American conscience. Not only did nearly 58,000 Americans die there, but by some estimates 1.5 million veterans returned with war-induced Post-Traumatic Stress Disorder