The nosological roots of post-traumatic stress disorder (PTSD) may be
traced back to th American Psychiatric Association's DSM-I entry of
gross stress reaction, as published in 1952. Yet the origins of the
current enthusi- asm with regard to post-traumatic stress can be traced
back to 1980, which marked the emergence of the term post-traumatic
stress disorder in the DSM- III. This reflected the American Psychiatric
Association's acknowledgment of post-traumatic stress as a discrete,
phenomenologically unique, and reli- able psychopathological entity at a
time in American history when such recognition had important social,
political, and psychiatric implications. Clearly, prior to DSM-I the
lack of a generally accepted terminology did little to augment the
disabling effects that psychological traumatization could engender. Nor
did the subsequent provision of an official diagnostic label alone
render substantial ameliorative qualities. Nevertheless, the post-
Vietnam DSM-III recognition of PTSD did herald a dramatic increase in
research and clinical discovery. The American Red Cross acknowledged the
need to establish disaster mental health services, the American
Psychological Association urged its members to form disaster mental
health networks, and the Veterans Administration established a national
study center for PTSD.