It is important, therefore, to emphasize that although current evidence does not indicate that PTSD is necessarily chronic, it has been shown to be a relatively persistent condition, which does not readily respond to psychotherapy or drug therapy .
This is especially true among war veterans, “which show less reduction in symptom severity following pharmacotherapy than other patient groups” (, p. Robjant and Fazel (2010) show that a combination of medication and psychotherapy may result in a clinically significant improvement .
This attitude stands in complete contrast to both Israeli and American data, which clearly obviate the need for suspicion and indicate a low rate of exaggeration and dissimulation. (2014) found 79.4% concordance between electronic medical records and structured clinical interviews for the DSM-IV for lifetime PTSD and 72.3% for current PTSD of American veterans serving in Iraq and Afghanistan .
Of those without concordance, there were varying proportions of false positives and false negatives.
Moreover, in a longitudinal research of 20 years, Solomon and Mikulincer (2006) tracked fluctuations in the psychological condition of all soldiers identified as having suffered Combat Stress Reaction (CSR) during the First Lebanon War (1982) over a 20-year period .
The study also tracked the condition of a control group, veterans of the same war with a similar health profile, who were exposed to the same risk situations of CSR, but had not been classified as such.
Refusal to granting PH to traumatized veterans is spread also among those who acknowledge PTSD, who still fear that doing so would diminish the medal’s prestige .
In other words, CPTSD still suffers from misrecognition by the dominant cultural norms of the military.
Explaining the Pentagon’s decision of 6 January 2009, Defense Department (Do D) spokeswoman Eileen Lainez said that “PTSD is an anxiety disorder caused by witnessing or experiencing a traumatic event; it is not a wound intentionally caused by the enemy from outside force or agent” . The second part is discussed below, and suffice to say here that 36 years after recognizing trauma as caused by an outside force, such a statement is puzzling.
As for the first part, one should note, that although the DSM-V removed the syndrome from the classification of In an official statement (cited in ), MOPH added that PTSD is a disease, and a treatable one, unlike the loss of a limb or any other combat wound, which they contend, is a permanent loss.