By Richard A. Bryant PhD
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Additional info for Acute Stress Disorder: What It Is and How to Treat It
Anger, shame), as well as self-blame and exaggerated negative cognitions (Friedman, Resick, Bryant, & Brewin, 2011). Broadening the definition beyond fear would also bring the ASD definition closer to the conceptualization of acute stress reaction in the ICD. The argument for this extension would be that the diagnosis would be applicable to a greater number of distressed trauma survivors in the acute phase as far as those who were primarily depressed, angry, or suffering somatic reactions could be identified.
This has represented a major development in how people conceptualize initial reactions, as well as providing an enormous impetus to research and managing acute stress. In this chapter we review the background to this relatively new diagnosis, outline the reasons for its introduction and definition, and look at the major reactions to its introduction. Diagnostic Systems and Acute Stress One of the major impacts of military understandings of acute stress was that it strongly influenced how the construct was understood in the early psychiatric diagnostic systems.
The other major modification to the stressor criterion was to remove the A2 criterion (“fear, horror, or helplessness”). 3. DSM-5 Criteria for ASD A. Stressor Exposure to actual or threatened death, serious injury, or sexual violation in one (or more) of the following ways: 1. Directly experiencing the traumatic event(s). Witnessing, in person, the event(s) as it occurred to others. 3. Learning that the event(s) occurred to a close family member or close friend (must be violent or accidental event).