Saving PTSD from itself in DSM-V
Abstract
Papers in this special issue of the Journal of Anxiety Disorders concern critical issues and core assumptions that underlie the diagnostic construct of posttraumatic stress disorder. Rather than addressing specific points raised in these papers, we consider the issues and their implications for redefining PTSD and associated disorders in the DSM-V. Specific proposals are advanced to tighten definitional criteria for traumatic events and posttraumatic symptoms. We believe the more stringent criteria express the intent of the PTSD category and will promote more effective research on whether that intent was legitimate or based on misconceptions.
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The PTSD diagnosis is proposed to consist of a reduced set of six symptoms making up three core elements: re-experiencing, avoidance, and sense of threat.
“The PTSD diagnosis is proposed to consist of a reduced set of six symptoms making up three core elements, each of which is required for the diagnosis: re-experiencing of the traumatic event(s) in the present accompanied by emotions of fear or horror; avoidance of traumatic reminders; and a sense of current threat that is manifested by excessive hypervigilance or an enhanced startle reaction.”
From Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis (2013) · cites this paper as Spitzer, First, and Wakefield (2007)
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References 22 · Cited by 353
- Authors
- Spitzer, R. L., First, M. B., & Wakefield, J. C.
- Affiliations
- Columbia University (US)
- New York University (US)
- Corresponding author
- Spitzer, Robert L.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2007
- Volume
- 21
- Issue
- 2
- Pages
- 233-241
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W1969717936
- Cited by
- 353
- References
- 22
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 10 · 2023: 9 · 2022: 15 · 2021: 12 · 2020: 9 · 2019: 9 · 2018: 12 · 2017: 25 · 2016: 18 · 2015: 22 · 2014: 22 · 2013: 27 · 2012: 26
- FWCI
- 19.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- post-traumatic stress disorder, DSM-V, diagnostic criteria, traumatic events, posttraumatic stress symptoms, diagnostic validity
- MeSH terms
- Diagnosis, Differential, Humans, Malingering, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Diagnostic and Statistical Manual of Mental Disorders
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