Posttraumatic stress syndromes: Useful or negative heuristics?
The articles in this special issue provide a wide range of challenges to current conceptions, nosology, and assessment procedures for posttraumatic stress disorders. At best, they overcome the negative heuristic posed by these disorders, reopening issues that have preemptively been closed about dissociation, the presumed causal connection between a life threatening event and the symptoms of posttraumatic stress disorders, and the adequacy of checklist assessments of symptoms. They note discontinuities between current thinking about these disorders and the dominant thinking of the past. We make recommendations for more studies that similarly challenge the validity of current conceptions of posttraumatic disorders and dissociation, and the adequacy of checklist assessments of symptoms. With this goal, we note the value of studying ersatz posttraumatic stress response. Finally, we call for greater transparency in this literature with author disclosure of activity as expert witnesses.
Coyne
James C
JC
Department of Psychiatry, University of Pennsylvania School of Medicine, 3400 Spruce St., 11 Gates, Philadelphia, PA 19014, USA. jcoyne@mail.med.upenn.edu
Thompson
Richard
R
D003937:Diagnosis, Differential; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology; D005104:Expert Testimony; D006801:Humans; D008306:Malingering / Q000175:diagnosis* / Q000523:psychology*; D015203:Reproducibility of Results; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology*