By Richard A. Bryant PhD
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Extra resources for Acute Stress Disorder: What It Is and How to Treat It
2004) Assault Hamanaka et al. (2006) MVA Bryant et al. (2008a) Injury Ginzburg et al. (2006) Cardiac Fullerton et al. (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.
Wakefield (1997) has argued that DSM has relied on four criteria to validate the recognition of a diagnostic disorder. First, any disorder should provide sufficient criteria to distinguish it from other disorders. Second, disorders are meant to be distinguished from normal extensions or variations of nondisordered human conditions. Third, they are meant to be defined in ways that allow them to be reliably Diagnosis of ASD 29 diagnosed across settings by different clinicians. 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.
This is an important difference between the ICD and DSM diagnoses because the onus of predicting subsequent functioning was not present for the ICD. In the context of many settings in which the World Health Organization is influential—which include war, massive disasters, and civil conflicts—many people argued that the definition of acute stress reaction was more practically useful than the narrow criteria for ASD (Solomon, Laor, & McFarlane, 1996). There has been some criticism of the definition of acute stress reaction, however, because many acute stress reactions can persist for longer than 48 hours.