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• W1567258728 abstract "POST-TRAUMATIC STRESS DISORDER-PTSD-HAS been an accepted diagnosis since 1980. And that's a good thing. So why is it now making controversial headlines? Why are some clinicians like myself- along with a wide range of veterans' advocates, women's groups, and others-arguing for changing the name of the diagnosis, PTSD, to for post-traumatic stress injury?In large part, General Peter Chiarelli, retired vice chief of staffof the U.S. Army, has inspired this argument. After two tours in Iraq, General Chiarelli grew alarmed by rising suicide rates in the Army. He reviewed every case, and concluded that many service men and women hate the term and suffer in silence rather than endure that label. For a soldier who sees the kinds of things soldiers see and experience on the battlefield today, to tell them what they're experiencing is a disorder does a tremendous disservice, he has said. not a disorder. It's an injury.Jonathan Shay, M.D., Ph.D.-whose pioneering studies of veterans earned him a MacArthur Fellowship-and I agreed with General Chiarelli. We wrote to John Oldham, M.D., president of the American Psychiatric Association, on 7 April 2012, proposing that the new edition of the Diagnostic and Statistical Manual, currently under review, adopt the PTSI name. We wrote that there is a crisis of suicide, stigma, and misunderstanding affecting young veterans. Anything that helps them seek help is worth consideration. We then argued that the name affects civilian survivors of trauma as well-crime victims, women who are raped and battered, and others who develop the syndrome. Finally, we explained how the injury model applies to the history, theory, and treatment of this condition. (That includes journalists who cover war and have high rates of PTSD. We believe journalists, too, are injured on the job and are more like the physically wounded than the chronically mentally ill.)Since April, this new language has received endorsements from a wide spectrum of individuals, some of whom speak for veterans groups, some for women's issues, and others who represent organizations that advocate for the needs of traumatized populations.Women who survive rape, incest, and battering plead with the American Psychiatric Association (APA) for recognition of their dignity. They ask the APA to keep the basic concept behind posttraumatic stress disorder intact, but to improve the name to a phrase that they find more accurate, hopeful, and honorable.Many endorsers are men and women who have received a PTSD diagnosis, who are grateful for the help they have received, but who ask the APA, on their behalf, to rename the condition an injury. They tell us that they will feel less stigmatized. They also explain how the concept of an injury, rather than a disorder, does justice to their experience. Once they were whole. Then they were shattered. When their counselors, employers, friends, and loved ones behaved as though they were survivors of injuries, with lingering wounds, they could heal. When they felt like mental patients and were treated as persons with preexisting weakness, they could not heal.Among those who share this concern are longtime leaders in understanding the impact of violence-including a previous director of National Institutes of Mental Health, Bertram S. Brown. Also among these leaders are the founding president of the International Society for Traumatic Stress Studies, Charles Figley, and leading feminists such as Gloria Steinem. Several authors of books documenting their traumatic struggles and military and Department of Veterans Affairs mental health professionals are also onboard with this concern.Jonathan Shay and I shared these letters of endorsement with the APA. We hope those who have the power to name psychiatric syndromes will eventually be persuaded, whether or not the change is adopted for this version of the Diagnostic and Statistical Manual.Arguments AgainstTo date, we have heard the following arguments against a name change from members of the Diagnostic and Statistical Manual-5 committee:* A name change will make no difference. …" @default.
• W1567258728 created "2016-06-24" @default.
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• W1567258728 date "2013-03-01" @default.
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• W1567258728 title "An Injury, Not a Disorder" @default.
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