By Richard A. Bryant PhD
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Extra info for Acute Stress Disorder: What It Is and How to Treat It
PTSD in DSM-5 In considering the ASD diagnosis in DSM-5, we need to also place it in the context of the PTSD diagnosis, which underwent considerable change in the latest DSM revision. The predictive capacity of ASD in identifying later PTSD cases will always be dependent on the definition of PTSD. , 2000). Putting the apparent circularity of this argument aside, the definition of PTSD will inevitably impact the predictive capacity of the ASD diagnosis. The PTSD definition took a distinct turn in DSM-5 insofar as it intentionally went beyond the scope of fear and anxiety for the first time.
Again, this was similar to the DSM-IV items, but they were more clearly specified by delineating avoidance of internal reminders (such as traumarelated thoughts or emotions) and avoidance of external reminders (such as situations or conversations reminiscent of the trauma). In DSM-IV this was globally referred to as “marked” avoidance, however, in DSM-5 this reaction was given greater numerical weight by having them recognized as two separate items in the potential list of symptoms. The final grouping of symptoms focuses on the arousal symptoms.
Despite the influence of dissociation theorists in this early period, the prominence of dissociative theory was dormant for many years, partly because of the dominance of Freud’s influence over Janet’s, and partly because of the enthusiasm of behaviorists throughout much of the 20th century in the United States. During the 1980s, however, there was a renewed interest in dissociation. Most dramatically this was seen in the explosion of attention given to extreme dissociative disorders, such as repressed memory and dissociative identity disorder (McNally, 2003).
Acute Stress Disorder: What It Is and How to Treat It by Richard A. Bryant PhD