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17 Med. & L. 225 (1998)
Medical Negligence and Post-Traumatic Stress Disorder (PTSD)

handle is hein.journals/mlv17 and id is 233 raw text is: 

Med Law (1998) 17:225-228                               Medicine
                                                          and Law
                                                        @YozMor 1996
Psychiatry Law and Ethics


MEDICAL NEGLIGENCE AND POST TRAUMATIC STRESS
DISORDER (PTSD)

Dr. J.J. Bradley, Emeritus Consultant Psychiatrist, Camden &
Islington CHS NHS Trust, Hon. Senior Lecturer, University College
London, London, UK


      Abstract: Post traumatic stress disorder (PTSD) is well recognised as
      a consequence of natural and man-made disasters, accidents and
      assaults. An increasing number of plaintiffs making claims for
      compensation alleging medical negligence complain of the symptoms
      of PTSD.
      Medical accidents such as anaesthetic awareness and stillbirths may
      be claimed as stressors and relatives may allege PTSD as a
      psychological injury following witnessing the death or suffering of a
      loved one. A series of cases will be presented.
      Many cases are entirely genuine but increasing media publicity has
      alerted potential plaintiffs and their legal advisers to the symptoms of
      PTSD which make evaluation of symptoms difficult for psychiatric
      experts. Psychometric tests exist to screen PTSD but research has
      shown that they can be falsified and it would be unwise to rely on
      such tests.


   Post traumatic stress disorder is well recognised as a consequence of
natural and man-made disasters, accidents and assaults. An increasing
number of plaintiffs making claims for compensation alleging medical
negligence also complain of the symptoms of post traumatic stress disorder
(PTSD).
   The generally accepted descriptive classificatory systems are the
American Diagnostic and Statistical Manual of Mental Disorders (DSM4)
and the International Classification of Disease (ICDIO), published in 1994
and 1993 respectively.
   The criteria for diagnosis of PTSD in both systems are in broad
agreement. In particular that the stress should involve experiencing distress


225

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