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The Aleutian Enterprise sinking and posttraumatic stress disorder: Misdiagnosis in clinical and forensic settings.
Authors:Rosen  Gerald M
Abstract:This study examines the vulnerability of clinicians to overdiagnose posttraumatic stress disorder (PTSD) when survivors of a traumatic event are involved in litigation. 19 of 22 survivors of a marine disaster were seen by mental health professionals while pursuing personal injury claims and received a PTSD diagnosis that was maintained for more than 6 mo. This yielded an incidence rate for chronic PTSD of no less than 86%, a rate in excess of any previously reported in the literature for any type of trauma. The extraordinary incidence rate appeared to be explained, in part, by crew members' reports of attorney advice and symptom sharing. Clinicians are cautioned not to rely on client's self-reports and to consider postincident factors that may influence these reports when clients are involved in litigation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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