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“I Wouldn't Start From Here”—An Alternative Perspective on PTSD From the ICD-11: Comment on Friedman (2013)

Authors

  • Chris R. Brewin

    Corresponding author
    1. Clinical, Educational, and Health Psychology, University College London, London, United Kingdom
    • Correspondence concerning this article should be addressed to Chris R. Brewin, Clinical, Educational, and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK. E-mail: c.brewin@ucl.ac.uk

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  • The author was a member of the WHO Advisory Group on Stress-Related Disorders for ICD-11. Any views expressed are not those of WHO or of the Advisory Group and do not in any way represent WHO policy.

Abstract

This commentary briefly summarizes some of the criticism directed at the diagnosis of posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) including the issues of complexity and comorbidity, and offers a rationale for attempting a simpler approach to diagnosis that can be used in minimally resourced, non-English-speaking countries. Rather than describe comprehensively the features of PTSD, the World Health Organization in its upcoming edition of the International Classification of Diseases has opted to define a much smaller number of symptoms that will effectively discriminate PTSD from other related conditions. Parallel research on the two approaches to diagnosis promises to add greatly to our understanding of the condition.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:“我不會在此出發”:PTSD從ICD-11呈現的不同觀點

撮要:本評論簡述針對根據DSM診斷PTSD的一些批評,包括複雜性和共病性。本文希望提供一個較便捷的診斷理據,以便在資源缺乏的非英語國家中使用。ICD-11建議書選擇不全面描述PTSD的特徵,而使用少數症狀定義PTSD來有效分辨PTSD和其他相關情況。在DSM和ICD兩種診斷標準作平行研究有助我們加深對PTSD的理解。

标题:“我不会在此出发”:PTSD从ICD-11呈现的不同观点

撮要:本评论简述针对根据DSM诊断PTSD的一些批评,包括复杂性和共病性。本文希望提供一个较方便的诊断理据,以在资源缺乏的非英语国家中使用。ICD-11建议书选择不全面描述PTSD的特征,而使用少数症状定义PTSD来有效分辨PTSD和其他相关情况。在DSM和ICD两种诊断标准作平行研究有助我们加深对PTSD的理解。

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