Through my experience, it is much more difficult to put the soul back together again than to have bones mend.
I agree that the psychological component of my abuse (and this is pure personal experience) definitely caused more damage.
But I don’t see things quite the same way as to what may or may not be included as ptsd one day. The science seems to be growing, rather than shrinking, as to the role of amygdala-triggered traumatic experience in the development of ptsd specifically.
Criteria A isn’t about subjective assessment of “how awful has your experience been”, but “what type” of experience it was, in order to understand the way the brain responded.
I agree that psychological trauma isn’t taken as seriously. But I think that’s more to do with stigma and lack of education about the number and nature of
other mental health conditions that trauma can cause. There’s a lot of them, and they can pretty awful, and similar to ptsd in a lot of respects.
If there had not been a sexual or physical component to any of the traumas I had suffered, would I have developed much the same current distress and dysfunction that I currently suffer? I don’t doubt it.
Would I have developed ptsd specifically without those physical and sexual components? The science seems to say no. The science would seem to indicate that my psychological abuse, standing alone, could easily give rise to serious mental illness, but it would be something
other than ptsd. It seems to me that people often interpret that “something other than ptsd” as something less serious, or less debilitating, or involving less suffering. Not so.
Ptsd isn’t a question of: did what the person went through do enough damage? Or, was it awful enough?
Psychological trauma resulting in something “other than” ptsd, is not a statement about how traumatic their experience has been, or how serious their mental illness is. Deciding that “it’s awful enough to warrant a ptsd diagnosis” is a judgement which seems to me to minimise other forms of mental illness, rather than reflect any objective assessment of the nature of what is happening to their mental health.