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Reformulating PTSD for DSM-V: Life after Criterion A


Brewin, C R; Lanius, R A; Novac, A; Schnyder, U; Galea, S (2009). Reformulating PTSD for DSM-V: Life after Criterion A. Journal of Traumatic Stress, 22(5):366-373.

Abstract

The diagnosis of posttraumatic stress disorder has been criticized on numerous grounds, but principally for three reasons (a) the alleged pathologizing of normal events, (b) the inadequacy of Criterion A, and (c) symptom overlap with other disorders. The authors review these problems along with arguments why the diagnosis is nevertheless worth retaining in an amended form. A proposal for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is put forward that involves abolishing Criterion A, narrowing the B criteria to focus on the core phenomena of flashbacks and nightmares, and narrowing the C and D criteria to reduce overlap with other disorders. The potential advantages and disadvantages of this formulation are discussed.

The diagnosis of posttraumatic stress disorder has been criticized on numerous grounds, but principally for three reasons (a) the alleged pathologizing of normal events, (b) the inadequacy of Criterion A, and (c) symptom overlap with other disorders. The authors review these problems along with arguments why the diagnosis is nevertheless worth retaining in an amended form. A proposal for the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) is put forward that involves abolishing Criterion A, narrowing the B criteria to focus on the core phenomena of flashbacks and nightmares, and narrowing the C and D criteria to reduce overlap with other disorders. The potential advantages and disadvantages of this formulation are discussed.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Psychiatry and Psychotherapy
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2009
Deposited On:26 Jan 2010 09:58
Last Modified:05 Apr 2016 13:47
Publisher:Wiley-Blackwell
ISSN:0894-9867
Additional Information:The definitive version is available at www.blackwell-synergy.com
Publisher DOI:10.1002/jts.20443
PubMed ID:19743480
Permanent URL: http://doi.org/10.5167/uzh-27925

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