Overview

A comprehensive history of PTSD. Post-traumatic stress disorder—and its predecessor diagnoses, including soldier’s heart, railroad spine, and shell shock—was recognized as a psychiatric disorder in the latter part of the nineteenth century. The psychic impacts of train crashes, wars, and sexual shocks among children first drew psychiatric attention. Later, enormous numbers of soldiers suffering from battlefield traumas returned from the world wars. It was not until the 1980s that PTSD became a formal diagnosis, in part to recognize the intense psychic suffering of Vietnam War veterans and women with trauma-related personality disorders. PTSD now occupies a dominant place in not only the mental health professions but also major social institutions and mainstream culture, making it the signature mental disorder of the early twenty-first century. In PTSD, Allan V. Horwitz traces the fluctuations in definitions of and responses to traumatic psychic conditions. Arguing that PTSD, perhaps more than any other diagnostic category, is a lens for showing major historical changes in conceptions of mental illness, he surveys the conditions most likely to produce traumas, the results of those traumas, and how to evaluate the claims of trauma victims. Illuminating a number of central issues about psychic disturbances more generally—including the relative importance of external stressors and internal vulnerabilities in causing mental illness, the benefits and costs of mental illness labels, and the influence of gender on expressions of mental disturbance—PTSD is a compact yet comprehensive survey. The book will appeal to diverse audiences, including the educated public, students across the psychological and social sciences, and trauma victims who are interested in socio-historical approaches to their condition. Praise for Allan V. Horwitz’s Anxiety: A Short History “The definitive overview of the history of anxiety.”—Bulletin of the History of Medicine “A lucid, erudite and brisk intellectual history driven by a clear and persuasive central argument.”—Social History of Medicine “An enlightening tour of anxiety, set at a sensible pace, with an exceptional scholar and writer leading the way.”—Library Journal

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9781421426396

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Reviews

Horwitz draws together an impressive array of work to produce a balanced and concise analysis of PTSD that will serve as an insightful guide to the nature and evolution of the disorder. -- Edgar Jones, King's College London * Bulletin of the History of Medicine * PTSD is an excellent survey: sharp, well-informed, probing and suitably skeptical of the epistemological status of a disorder that has become emblematic of our times. Horwitz is sympathetic to the suffering of trauma victims, but he is fully aware of the political, constructed nature of the underlying diagnosis, and the double-edged sword that it represents. -- Andrew Scull, PhD, University of California, San Diego * Journal of the History of Medicine & Allied Sciences *

Horwitz draws together an impressive array of work to produce a balanced and concise analysis of PTSD that will serve as an insightful guide to the nature and evolution of the disorder. -- Edgar Jones, King's College London * Bulletin of the History of Medicine *

Author Information

Allan V. Horwitz is a Board of Governors and Distinguished Professor of Sociology at Rutgers University. He is the author of Anxiety: A Short History, Creating Mental Illness, and The Loss of Sadness: Psychiatry’s Transformation of Normal Sorrow into Depressive Disorder.

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