By Richard A. Bryant PhD
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Extra resources for Acute Stress Disorder: What It Is and How to Treat It
In a sense, it was felt that there was a “nosologic gap” between PTSD and adjustment disorder (Pincus, Frances, Davis, First, & Widiger, 1992, p. 115). There were two primary motivations for introducing the new diagnosis. S. health care system. Second, it was believed that the new ASD diagnosis could be used to identify people who were more likely to subsequently develop PTSD—that is, it was hoped that it could discern between those having transient stress reactions and those who were showing indications of the prodromal phase of subsequent PTSD (Koopman, Classen, Cardeña, & Spiegel, 1995).
2004) Disaster Murray et al. (2002) MVA Kuhn, Ehlert, et al. (2006) Injury Kassam-Adams et al. (2009) Parental injury Elklit et al. (2010) Rape MVA Study Bryant & Harvey (1998b) Brewin et al. (1999) Holeva et al. (2001) Fuglsang et al. (2004) Balluffi et al. Prospective Studies of the Relationship between ASD and PTSD in Adults ASD in DSM-5 33 approach. This is not surprising because when using this strategy we are not being so restrictive in terms of the symptom constellation that trauma survivors need to satisfy.
Fourth, the criteria are meant to be theory neutral insofar as they are not based on partisan ideological or theoretical premises but are equally applicable to practitioners of different theoretical persuasions. Based on arguments from some of the early influences on DSM, such as Robert Spitzer (who edited DSM-III and DSM-III-R), these criteria were in part to defend psychiatry against criticisms that diagnoses were not actually valid medical disorders but rather were socially disapproved behaviors (Spitzer & Endicott, 1978).