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Related Experiment Videos

PTSD: a problematic diagnostic category.

Paul R McHugh1, Glenn Treisman

  • 1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. pmchugh1@jhmi.edu

Journal of Anxiety Disorders
|November 7, 2006
PubMed
Summary
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The concept of posttraumatic stress disorder (PTSD) has overshadowed established views on trauma responses, potentially harming patient care and research. Returning to prior diagnostic standards could improve mental health outcomes.

Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • Posttraumatic stress disorder (PTSD) has become a dominant diagnostic category since the DSM-III.
  • The proliferation of PTSD subtypes (acute, chronic, complex, etc.) has expanded its clinical application.
  • Established views on trauma responses have been supplanted by the PTSD framework.

Purpose of the Study:

  • To conduct a historical and clinical review of the concept of PTSD.
  • To evaluate the impact of the PTSD diagnosis on patient care and psychiatric investigation.
  • To assess the natural course of reactions to trauma and their management.

Main Methods:

  • Historical review of psychiatric literature and diagnostic manuals.
  • Clinical evaluation of emotional and behavioral reactions to trauma.

Related Experiment Videos

  • Analysis of therapeutic management strategies in civilian and military contexts.

    • Main Results:

    • The widespread adoption of PTSD has potentially detracted from understanding natural trauma responses.
    • The current conceptualization of PTSD may hinder effective patient care and psychiatric research.
    • Established diagnostic practices and therapeutic planning may offer a more beneficial approach.

    Conclusions:

    • The concept of PTSD has led the mental health field away from a clear understanding of psychological responses to trauma.
    • Revisiting prior diagnostic standards and therapeutic planning is recommended.
    • Improvements in patient care, veteran services, and research are anticipated with a return to older frameworks.