@foggy
Thank you for writing this post. It is extremely interesting.
PTSD and mental health in general are so subjective in real world sense cause truly culture influences what is illness in the mind and what is not. I have familial CPTSD - sometimes symptomatic and sometimes not...depends and even when I am symptomatic it does not impact my life harshly enough to be concerned for my livelyhood or my relationships. it is more internal chaos and identity development to manage sometimes I feel ( personal anecdote) that my body has cptsd but my mind does not; hence, why I can take care of me in a sense and not fully collapse to it...this is my personal feeling and opinion.
Where I grew up, family intrusion, abuse, neglect or the whole nurture is truly lacking hugely. A great book I find interesting is The Anthropology of Childhood: Cherubs, Chattel by Lancy. My culture I would say is mostly like children are chattels - must take care of the elders sort of style...100% anti cherubs here! so you can just imagine PTSD in a childhood would be rampant!. Now, same culture because it is so fundamental, ptsd is not a barrier ...if anything, culturally speaking crime is low (or used to be - the world is changing now) and marriages used to be longer and family relationships stronger but people have sort of fragmented selves and need others deeply (dependency is very high)...again my personal view so individualism is quite dead and if you show too much of that - then definitely you are displaying reverse ptsd that everybody has and you are the crazy one!
My point is ptsd and its debate is interesting. There are a lot of people who are severely sick and extremely unable to function in normal every day but there are also extremely functional and can take care of other both personally and professionally and all have ptsd. One may critically ask how does that work in the brain exactly?
It kind of makes you wonder why is that? To me, personally, we sanction people too easily for having mental health because our culture (north america) perfection is pervasive. If you have slightly human negative feeling and worse express it, you are diagnosed more or less. In my culture, mental health is sanctioned two major ways - crime or group (family or society) has decided or sanctioned the person to be mentally ill (attempt of suicide usually by fire or hanging is a good sign or having psychosis but being difficult, loner, depressed or anxious do not). The bar for mentally ill is quite high. Most who suffer depression or anxiety have family accepting that is just the way they are ...they consider character rather than mental health as long as you are functional and not having psychosis, you manage your thing openly in the family. The downside is women have more leeway than men...it is much more difficult for men to display their mental health so most commit crime or substance abuse.--- which will definitely give them mental health diagnosis or be sanctioned by the whole family or society.
I think sometimes some vets (and I cannot speak for them but I grew up with them a lot and can give my opinion) feel very much (at least generally) they are in the symptomatic phase of ptsd especially when new to the diagnosis and feel sort of disconnect with those who are quite functional and can perpetuate a long history of trauma. The impact of ptsd is important to note.
Now that I have been around and learned a lot about ptsd and still learning, the way I see, it changes every day and to me I feel it is up to the person seeking help to feel and resonate when diagnosed that is what they have and let others determine for themselves. When others tell you or tell others how to feel, what is their mental state, that is when sanctioning/diagnosing comes into affect and I am very leery about that.
Now, I take care of myself while I am aware of cultural and personal differences....but I will be lying if I do not say my cultural background helps me manage it differently than the culture I live in today.