WWI: Legacy of Shellshock to PTSD in DSM-5

Mark your calendars. The world readies to commemorate the 100th anniversary of the Great War, World War I, with many planned events.

For an overview, see:

http://www.greatwar.co.uk/events/2014-2018-ww1-centenary-events.htm

Part of the “legacy” if you will, is “shellshock” or “war neurosis”:

In the history of psychiatry, the First World War is often identified with the rise of the disorder of “shellshock.” Referred to at the time most often as “war neurosis,” the malady was characterized by a common core of possible symptoms: tics, convulsions, muscle spasms, paralyses, shakes, and problems in memory were among the most prominent.

http://www.psychiatrictimes.com/blogs/history-psychiatry/first-world-war-and-legacy-shellshock?GUID=4DF841CA-87EE-48E8-A554-688A7FF2EDF6&rememberme=1&ts=01032014#sthash.BMTyX0kN.dpuf

For an overview of “gross stress reaction” in DSM-I to PTSD in DSM-III and newer versions, see:

http://www.brainline.org/content/2011/01/posttraumatic-stress-disorder-a-history-and-a-critique_pageall.html

See also:

http://www.ptsd.va.gov/professional/PTSD-overview/ptsd-overview.asp

And:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181586/

There are substantive differences in PTSD in the DSM-IV-TR and DSM-5.

From DSM-IV-TR:

http://www.brainlinemilitary.org/content/2010/06/dsm-iv-tr-criteria-for-ptsd.html

To DSM-5:

http://www.ptsd.va.gov/professional/PTSD-overview/ptsd-overview.asp

How are you assessing PTSD now that DSM-5 has replaced DSM-IV-TR?

For CAPS-5 see:

http://www.ptsd.va.gov/professional/assessment/adult-int/caps.asp

And PCL-5 see:

http://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp

And LEC-5 see:

http://www.ptsd.va.gov/professional/assessment/te-measures/life_events_checklist.asp

 

Roy

 

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