02919cam a2200481 i 4500001001000000003000500010005001700015008004100032020003500073020003800108027002000146037002100166040001900187043001200206050002400218100003200242245008900274246006900363264003700432300002200469336002600491337002600517337002800543338003600571338002700607500002400634500014100658500001900799504005200818520098300870530005801853588004701911650005101958650004402009650001902053650004902072650002602121700003002147710008502177710002202262710008002284856007302364282063910RAND20200811100925.0080226s2013    cau      b    000 0 eng d  a0833078585 (pbk. : alk. paper)  a9780833078582 (pbk. : alk. paper)  aRAND/OP-389-OSD  c$9.95fpaperback  aCstmoRcCstmoR  an-us--- 4aRC552.P67bF57 20131 aFisher, Michael P.eauthor.14aThe role and importance of the 'D' in PTSD /cMichael P. Fisher and Terry L. Schell.3 aRole and importance of the 'D' in post-traumatic stress disorder 1aSanta Monica, CA :bRAND,c2013.  a15 pages ;c28 cm  atextbtxt2rdacontent  acomputerbc2rdamedia  aunmediatedbn2rdamedia  aonline resourcebcr2rdacarrier  avolumebnc2rdacarrier  a"RAND Corporation."  a"This research was conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute"--Back cover.  aCaption title.  aIncludes bibliographical references (p. 12-14).  aRecently, the American Psychiatric Association (APA) board of trustees voted on changes to the new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Among the decisions was one to retain the word “disorder” in the term “posttraumatic stress disorder.” U.S. Army leadership initially requested a change in terminology, stating that the word “disorder” is stigmatizing and that removing it would encourage more individuals suffering from symptoms to access care. Although the APA has issued its ruling, the term “posttraumatic stress” is being used informally by some individuals within military communities. It is unclear whether informal use of the term will continue, or whether military leaders will continue to advocate future changes to the DSM. RAND explored the rationales for not changing the diagnostic terminology, and to the extent possible, anticipated what the effects of widespread informal use of new terminology might be.  aAlso available on the internet via WWW in PDF format.  aDescription based on print version record. 0aPost-traumatic stress disorderzUnited States. 0aVeteransxMental healthzUnited States. 2aSocial Stigma. 2aStress Disorders, Post-Traumaticxdiagnosis. 2aTerminology as Topic.1 aSchell, Terry L.eauthor.2 aNational Defense Research Institute (U.S.).bForces and Resources Policy Center.2 aRand Corporation.1 aUnited States.bDepartment of Defense.bOffice of the Secretary of Defense.41yOnline Accessuhttp://www.rand.org/pubs/occasional_papers/OP389.html