Well, I think that has more to do with the how PTSD is defined. It seems to me that there are only a handful of effects that can occur to people as far as stress and trauma are concerned, but that there are a myriad reasons/triggers for why they happen. Are there historical references to PTSD prior to the 19th century? I think an interesting case study would be the Thirty Years War, the Crusades, or any of the Roman or Mongol campaigns.
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