Ramchandani D
Department of Psychiatry, Medical College of Pennsylvania, Philadelphia 19129.
Bull Menninger Clin. 1990 Spring;54(2):247-54.
The author identifies common themes in the clinical presentations of war veterans who experienced a delayed onset of posttraumatic stress disorder. These patients appear to share the characteristics of (1) long periods of good postwar adjustment, (2) guilt about a relatively circumscribed act of omission or commission during combat, and (3) similar defense mechanisms. The author explores the implications of these findings for the understanding of posttraumatic stress disorder.
作者识别出了经历创伤后应激障碍延迟发作的退伍军人临床表现中的常见主题。这些患者似乎具有以下共同特征：（1）战后长时间的良好适应；（2）对战斗期间相对特定的不作为或作为行为感到内疚；（3）类似的防御机制。作者探讨了这些发现对理解创伤后应激障碍的意义。
