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A century of controversy surrounding posttraumatic stress stress-spectrum syndromes: the impact on DSM-III & DSM-IV

  [ 12 votes ]   [ Discuss This Article ]
www.ProHealth.com • April 9, 1996


The authors describe historical clinical reports that preceded the
development of criteria for posttraumatic stress disorder
(PTSD) and influenced the formation of PTSD in DSM-IV. These
reports were identified from extensive search of 19th- and
20th-century American and European medical literature.
Relevant findings from the most representative reports are
described and discussed. Since the mid-19th century, clinical
syndromes resembling PTSD have been described. However,
understanding of PTSD has been complicated by questions of
nomenclature, etiology, and compensation. Nomenclature placed
PTSD syndromes under existing psychiatric disorders:
traumatic hysteria, traumatic neurasthenia, or traumatic
neurosis. Etiological issues have been concerned often solely
with organic factors, pre-existing personality impairments,
intrapsychiatric conflicts, and social factors. Only after
World War II and the concentration camp experiences did the
role of severe trauma in PTSD become recognized. Even though
controversy remains, much progress in understanding PTSD has
been made. {MCMStrSt}

Kinzie JD, Goetz RR




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