47 States and both Houses of Congress drop the “D”

    A WOUND NOT A WEAKNESS         

The diagnostic term Post-traumatic Stress Disorder (PTSD) was crafted in 1980 by the American Psychiatric Association to commonly describe and categorize the psychological aftermath of experiencing traumatic events. Since, as the result of intensive electromagnetic imaging research, it has been shown that severe post-traumatic stress, combat induced or otherwise, causes physical changes within the brain which more accurately describe an injury than a disorder – a treatable wound calling for definitive and timely treatment.

The stigma advanced by the term “Post-traumatic Stress Disorder” presents a needless liability to the health and welfare of those already overwhelmed by this basic natural response to an extraordinary event. To label them “disordered” only serves to add to their struggle, discouraging some of the afflicted from seeking care while keeping others, particularly those who do not know them, from truly caring.

In 2012, the American Psychiatric Association held an open hearing to debate the name change of post-traumatic stress disorder (PTSD) to, or include post-traumatic stress injury (PTSI). Regrettably, the APA’s decision was to not change or add to the name for DSM 5.

Beyond this obvious obstruction to the healing process, the use of the word “disorder” here negates the sense of honor owed the brave men and women who have received these wounds while risking their lives to protect ours, be it on the field of battle, the emergency rooms of our hospitals, or the streets of our communities. On a personal level it disparages the character of victims of crime and abuse, as well as survivors of life-threatening accidents, natural disasters, and more. 

In 2013 Honor for ALL began a grassroots campaign to rebrand the term as Post-traumatic Stress Injury on a cultural level by petitioning federal, state and local officials to declare June 27 as Post-traumatic Stress Injury Day Awareness Day (the date June 27 was first chosen by the United States Senate as National PTSD Awareness Day in 2010). Our objective was, and remains, to gather enough support among governing bodies, the press, and the electorate, to positively influence succeeding actions of the APA’s DSM Scientific Review Committee in favor of name change.

Our first state resolution for came from our home state of Michigan in 2014. We have now, as of the Spring of 2022, received participation from 47 states by way of bill, resolution and/or proclamation designating June 27 Post-traumatic Stress Injury Awareness Day. The US House of Representatives signed on in 2017 and the Senate has designated June 27 as PTS Awareness Day beginning in 2016.

HFA Medical Advisor, Dr. Frank Ochberg, former Associate Director of the National Institute of Mental Health (NIMH) and member and chair of APA councils, committees and task forces in the late 1970s and early 1980s materially responsible for advancing the creation and modification of the original diagnosis known as PTSD agrees, “As far as I am concerned, the name PTSD, was never important.  The concept was important.  We knew before 1980 that research would help us adjust the diagnostic criteria through time.  We knew that later versions would reflect evolving scientific knowledge.  And now, evolving knowledge leads us to a modification in the name as well as modifications in criteria.  The basic concept remains. Some details have changed.  The fact that profound trauma creates injuries to brain function, brain physiology and brain anatomy is well established.  The fact that calling this phenomenon an injury, not a disorder, confers honor rather than stigma is now established.”

Initially a veterans focused organization, Honor for ALL’s concern has grown to include all who suffer from the psychological and moral injuries now grouped together under the term post-traumatic stress disorder (PTSD). As Dr. Ochberg also states, “Removing the “D” can reduce the stigma and that is good. Adding the “I” for injury introduces honor and that is better.”

Identifying Post-traumatic Stress as an Injury by officially and publicly declaring a Day of Awareness cannot unwring the bell sounded by the APA in DSM III some forty years ago when they coined their original descriptor, but it can serve to redirect public sentiment. Officially and publicly declaring a Day for Post-traumatic Stress Injury Awareness says we are committed to excluding shame, adding honor, and in the end – saving lives.

For individual Bills, Resolutions and Proclamations to date go to *Supporters*.

47 States and both Houses of Congress drop the “D”

    A WOUND NOT A WEAKNESS         

The diagnostic term Post-traumatic Stress Disorder (PTSD) was crafted in 1980 by the American Psychiatric Association to commonly describe and categorize the psychological aftermath of experiencing traumatic events. Since, as the result of intensive electromagnetic imaging research, it has been shown that severe post-traumatic stress, combat induced or otherwise, causes physical changes within the brain which more accurately describe an injury than a disorder – a treatable wound calling for definitive and timely treatment.

The stigma advanced by the term “Post-traumatic Stress Disorder” presents a needless liability to the health and welfare of those already overwhelmed by this basic natural response to an extraordinary event. To label them “disordered” only serves to add to their struggle, discouraging some of the afflicted from seeking care while keeping others, particularly those who do not know them, from truly caring.

In 2012, the American Psychiatric Association held an open hearing to debate the name change of post-traumatic stress disorder (PTSD) to, or include post-traumatic stress injury (PTSI). Regrettably, the APA’s decision was to not change or add to the name for DSM 5.

Beyond this obvious obstruction to the healing process, the use of the word “disorder” here negates the sense of honor owed the brave men and women who have received these wounds while risking their lives to protect ours, be it on the field of battle, the emergency rooms of our hospitals, or the streets of our communities. On a personal level it disparages the character of victims of crime and abuse, as well as survivors of life-threatening accidents, natural disasters, and more.

In 2013 Honor for ALL began a grassroots campaign to rebrand the term as Post-traumatic Stress Injury on a cultural level by petitioning federal, state and local officials to declare June 27 as Post-traumatic Stress Injury Day Awareness Day (the date June 27 was first chosen by the United States Senate as National PTSD Awareness Day in 2010). Our objective was, and remains, to gather enough support among governing bodies, the press, and the electorate, to positively influence succeeding actions of the APA’s DSM Scientific Review Committee in favor of name change.

Our first state resolution for Post-traumatic Stress Injury Awareness Day came from our home state of Michigan in 2014. We have now, as of the Spring of 2022, received participation from 47 states by way of bill, resolution and/or proclamation designating June 27 Post-traumatic Stress Injury Awareness Day. The US House of Representatives signed on in 2017 and the Senate has designated June 27 as PTS Awareness Day beginning in 2016.

HFA Medical Advisor, Dr. Frank Ochberg, former Associate Director of the National Institute of Mental Health (NIMH) and member and chair of APA councils, committees and task forces materially responsible for advancing the creation and modification of the original diagnosis known as PTSD in the late 1970s and early 1980s agrees, “As far as I am concerned, the name PTSD, was never important.  The concept was important.  We knew before 1980 that research would help us adjust the diagnostic criteria through time.  We knew that later versions would reflect evolving scientific knowledge.  And now, evolving knowledge leads us to a modification in the name as well as modifications in criteria.  The basic concept remains. Some details have c   hanged.  The fact that profound trauma creates injuries to brain function, brain physiology and brain anatomy is well established.  The fact that calling this phenomenon an injury, not a disorder, confers honor rather than stigma is now established.”

Initially a veterans focused organization, Honor for ALL’s concern has grown to include all who suffer from the psychological and moral injuries now grouped together under the term post-traumatic stress disorder (PTSD).

Identifying Post-traumatic Stress as an Injury by officially and publicly declaring a Day of Awareness cannot unwring the bell sounded by the APA in DSM III some forty years ago when they coined their original descriptor, but it can serve to redirect public sentiment. Officially and publicly declaring a Day for Post-traumatic Stress Injury Awareness says we are committed to excluding shame, adding honor, and in the end – saving lives.

Honor for ALL Initiates Post-traumatic Stress Injury Awareness Day in 2014

Honor for ALL is responsible for initiating the first governmental resolution of its kind designating Post-traumatic Stress Injury Awareness Day

Adopted concurrently by the House and Senate of the State of Michigan, June 23, 2014:

June 27, 2014, is designated ‘‘Michigan Post-traumatic Stress Injury Awareness Day’’

Whereas the brave men and women of the United States Armed Forces, who proudly serve the United States, risk their lives to protect the freedom of the United States and deserve the investment of every possible resource to ensure their lasting physical, mental, and emotional well-being;

Whereas more than 2,000,000 United States service members have deployed as part of overseas contingency operations since the events of September 11, 2001;

Whereas the military has sustained an operational tempo for a period of time unprecedented in the history of the United States, with many service members deploying multiple times to combat zones, placing them at high risk of post-traumatic stress injury (referred to in this preamble as “PTSI”);

Whereas it is expected that ten thousand veterans will return to the State of Michigan every year for the next three to five years after spending a significant amount of time in combat environments, exposing thousands of soldiers to traumatic life threatening events;

Whereas the Department of Veterans Affairs reports that in fiscal year 2012, more than 500,000 veterans from all wars sought care at a Department of Veterans Affairs medical center received treatment for PTSI;

Whereas PTSI significantly increases the risk of depression, suicide, and drug and alcohol related disorders and deaths;

Whereas the Department of Defense and the United States Department of Veterans Affairs have made significant advances in the prevention, diagnosis, and treatment of PTSI and the symptoms of PTSI, many challenges remain; and

Whereas the establishment of a Michigan Post-Traumatic Stress Injury Awareness Day will raise public awareness about issues related to PTSI:

Now, therefore, be it Resolved, that the (Senate/House) —

(1) designates June 27, 2014, as ‘‘Michigan Post-Traumatic Stress Injury Awareness Day’’;

2) urges the Michigan Veterans Affairs Agency and The Adjutant General to continue working to educate servicemembers, veterans, the families of servicemembers and veterans, and the public about the causes, symptoms, and treatment of post-traumatic stress injury; and

(3) respectfully requests that the –(Sec of the Senate/Clerk of the House)– transmit a copy of this resolution to the governor of the State of Michigan.