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Posttraumatic Stress Disorder in DSM‐5: New Criteria and Controversies
Authors:Mark W. Miller  Erika J. Wolf  Terence M. Keane
Affiliation:National Center for PTSD at VA Boston Healthcare System, Boston University School of Medicine
Abstract:The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM‐5; American Psychiatric Association, 2013) featured extensive changes to the posttraumatic stress disorder (PTSD) diagnosis. PTSD was moved out of the anxiety disorders into a new class of “trauma‐ and stressor‐related disorders,” and the definition of what constitutes a traumatic experience was revised. Three new symptoms were added, existing ones were modified, and a new four‐cluster organization and diagnostic algorithm were introduced. Finally, a new dissociative subtype was added to the diagnosis. We review these changes, discuss some of the controversies surrounding them, and then introduce a new debate involving a radically different conceptualization of PTSD proposed for International Classification of Diseases, 11th edition.
Keywords:dissociative subtype     DSM‐5        ICD‐11     posttraumatic stress disorder
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