alienist comments on Stupid Questions December 2014 - Less Wrong
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PTSS almost seems like a culture-bound syndrome of the modern West. In particular there don't seem to be any references to it before WWI and even there (and in subsequent wars) all the references seem to be from the western allies. Furthermore, the reaction to "shell shock", as it was then called, during WWI suggests that this was something new that the established structures didn't know how to deal with.
Not everyone who's had traumatic experiences has PTSD.
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There are significant confounders here, as modern science-based psychology got started around the same time - and WWI really was very different from earlier conflicts, not least in its sheer scale. But the idea is nonetheless intriguing; the West really is quite different from traditional societies, along lines that could plausibly make folks more vulnerable to traumatic shock.