The utility of Criterion A under chronic national terror.
According to DSM-IV-TR, both an objective and a subjective exposure component (A1 and A2 criteria, respectively) are required in order to qualify for a Posttraumatic stress Disorder (PTSD) diagnosis. one proposed DSM-5 change is that Criterion A be more explicitly defined and made purely objective. the DSM and the ICD appear to be largely products of the north american and european societies and, therefore, may be culturally-biased. Compared with other societies, the latter are not exposed to chronic national traumatic stress. therefore, the current structure of Criterion A may be especially relevant to single traumatic incidents, rather than to chronic national scale. the current review raises the question of whether the proposed DSM-5 changes to Criterion A are congruent with the reality of nations where exposure to terror is persistent, constant and of national proportions.
The Department of Criminology, Bar-Ilan University, Ramat Gan, Israel.
Moshe
M
Bensimon
Zahava
Z
Solomon
Danny
D
Horesh
D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D013313:Stress Disorders, Post-Traumatic / Q000145:classification / Q000175:diagnosis*; D023481:Terrorism / Q000523:psychology*