The Role and Importance of the "D" in PTSD

Abstract

In December 2012, the American Psychiatric Association (APA) board of trustees voted on changes to the new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Among the decisions was one to retain the word disorder in the term posttraumatic stress disorder (PTSD). U.S. Army leadership initially requested the change in terminology, stating that the word disorder is stigmatizing and that removing it would encourage more individuals suffering from symptoms to access care. Although the APA has issued its ruling, the term posttraumatic stress (PTS) is being used informally by some individuals within military communities. It is unclear whether informal use of the term will continue, or whether military leaders will continue to advocate future changes to the DSM. Our intent is to further the discussion regarding the removal or revision of the term disorder. We explore the rationales for not changing the diagnostic terminology, and to the extent possible, anticipate what the effects of widespread informal use of new terminology might be.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2013
Accession Number
ADA585210

Entities

People

  • Michael P. Fisher
  • Terry L Schell

Organizations

  • RAND Corporation

Tags

DTIC Thesaurus Topics

  • Anxiety Disorders
  • Brain Injuries
  • Combat Injuries
  • Depression
  • Health Care
  • Health Services
  • Medical Personnel
  • Mental Disorders
  • Military Medicine
  • National Security
  • Psychiatry
  • Psychology
  • Public Health
  • Social Psychology
  • Societies
  • Therapy
  • Traumatic Stress Disorder

Fields of Study

  • Medicine
  • Psychology

Readers

  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Military History of the United States in the 20th Century.
  • Theoretical Analysis.

Technology Areas

  • Fully Networked C3
  • Fully Networked C3 - Command and Control