In its initial DSM-III formulation, a traumatic event was conceptualized as a catastrophic stressor that was outside the range of usual human experience. The key to understanding the scientific basis and clinical expression of PTSD is the concept of "trauma."ĭSM-5 Criteria for PTSD diagnosis Assessing PTSD Treatment for PTSD Recommended Readings References Importance of traumatic events From an historical perspective, the significant change ushered in by the PTSD concept was the stipulation that the etiological agent was outside the individual (i.e., a traumatic event) rather than an inherent individual weakness (i.e., a traumatic neurosis). Although controversial when first introduced, the PTSD diagnosis has filled an important gap in psychiatric theory and practice. In 1980, the American Psychiatric Association (APA) added PTSD to the third edition of its Diagnostic and Statistical Manual of Mental Disorders ( DSM-III) nosologic classification scheme (2). The history of the development of the PTSD concept is described by Trimble (1). Shakespeare's Henry IV appears to meet many, if not all, of the diagnostic criteria for Posttraumatic Stress Disorder (PTSD), as have other heroes and heroines throughout the world's literature. Attacks by saber tooth tigers or twenty-first century terrorists have probably produced similar psychological sequelae in the survivors of such violence. The risk of exposure to trauma has been a part of the human condition since we evolved as a species. Friedman, MD, PhD A Brief History of the PTSD Diagnosis VA Software Documentation Library (VDL).Clinical Trainees (Academic Affiliations).War Related Illness & Injury Study Center.
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