The British Journal of Psychiatry (2008) 192: 3-4. doi: 10.1192/bjp.bp.107.043083
© 2008 The Royal College of Psychiatrists
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EDITORIALS

Problems with the post-traumatic stress disorder diagnosis and its future in DSM–V

Gerald M. Rosen, PhD

University of Washington, Seattle, Washington, USA

Robert L. Spitzer, MD

Columbia University, New York, USA

Paul R. McHugh, MD

Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Correspondence: Gerald M. Rosen, 117 East Louisa Street, PMB-229 Seattle 98102, Washington, USA. Email: grosen{at}u.washington.edu

Declaration of interest

None.

Gerald Rosen (pictured) is a Clinical Professor with the Department of Psychology at the University of Washington, and with the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. Robert Spitzer is Professor of Psychiatry in the Department of Psychiatry at Columbia University. He led the development of the American Psychiatric Association’s Diagnostic and Statistical Manual, 3rd edition (DSM–III) and its revision (DSM–III–R). Paul McHugh is presently University Professor of Psychiatry at Johns Hopkins School of Medicine and Professor in the Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University. He was Psychiatrist-in-Chief at Johns Hopkins Hospital, 1975–2001.

Significant issues challenge the diagnosis of post-traumatic stress disorder (PTSD). Yet, applications of the PTSD ‘model’ have been extended to an increasing array of events and human reactions across diverse cultures. These issues have implications for clinical practice and for those who revise criteria in the DSM–V.


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