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29 Dev. Mental Health L. 1 (2010)

handle is hein.journals/dvmnhlt29 and id is 1 raw text is: DEVELOPMENTS IN
The Institute of Law, Psychiatry & Public Policy - The University of Virginia

Volume 29, Number 1

January 2010

To commemorate the 30th anniversary of the inclusion of the diagnosis of PTSD in the DSM-III,
this issue is devoted to emerging questions associated with combat-related PTSD.-Editor
To Hell and Back:*
Evolution of Combat-Related Post Traumatic Stress Disorder
By F. Don Nidiffer** and Spencer Leach***

It's my nerves. I can hear the shells come
over but I can't hear them burst.
Post Traumatic Stress Disorder (PTSD) is the
psychiatric diagnosis now given to a set of
reactive symptoms that result from
experiencing a traumatic event or a series of
such events. This Article will focus on the
history of combat-related PTSD and the
* Taken from the 1955 movie To Hell and Back,
which, in turn, was based on a 1949 autobiography
of the same name written by Audie Murphy, the
most decorated American veteran of World War II,
describing his experiences in the U.S. Army.
** Ph.D., ABMPP, CBIST; University of Virginia
Medical Center; Executive Director, Virginia
NeuroCare; Program Manager and Co-Principal
Investigator, Defense and Veterans Brain Injury
Center; MENTOR ABI. The author thanks Prof.
Jeffrey T. Barth, Ph.D., ABPP-CN, for his insightful
review of an earlier draft version of this Article, and
Prof. Thomas L. Hafemeister, J.D., Ph.D., for his
helpful suggestions and editing of this Article.
Correspondence may be addressed to
*** J.D. anticipated 2011 from the University of
Virginia School of Law.
1Pvt. Charles H. Kuhl.

Also in This Issue:
Mary Tramontin, Exit Wounds:
Current Issues Pertaining to
Combat-Related PTSD Related
to the Legal System ............. 23
Peter W. Tuerk, Maria Steenkamp,
& Sheila A. M. Rauch, Combat-
Related PTSD: Scope of the
Current Problem, Understanding
Effective Treatment, and
Barriers to Care ................... 49
Daniel Burgess, Nicole Stockey,
& Kara Coen, Reviving the
Vietnam Defense: Post-
Traumatic Stress Disorder and
Criminal Responsibility in a
Post-lraq/Afghanistan World .. 59
emotional and behavioral responses to being
in a war zone. The history of this diagnosis
will be reviewed in conjunction with related
contemporary political, legal, and social
developments to better understand the unique
aspects of this diagnosis. The behaviors of

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