{
  "schema_version": "uw.editorial_geo.v1",
  "article_index": "WAR-003",
  "catalog_id": "WAR-003",
  "language": "en",
  "headline": "PTSD: what it is, how it is assessed, and why an article cannot diagnose it",
  "description": "PTSD, screening, professional interviews, and adult participation without self-diagnosis.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "952388da1ab0b7207a256602ba29817dcb58fbdfe3d8a10d612451ea2388f857",
  "short_answer": "An article can help formulate a question but cannot establish PTSD. Screening differs from diagnosis; professional assessment considers symptoms, timing, effects, and other causes, while present safety and an understandable process remain important.",
  "claims": [
    {
      "id": "C01",
      "type": "clinical_educational_information",
      "text": "PTSD can develop after trauma, but not everyone who experiences danger has it; one experience does not establish diagnosis.",
      "source_ids": [
        "S1"
      ],
      "article_sections": [
        "I. The name of a disorder is not the name of an entire life",
        "II. Signs are considered together rather than as isolated proof"
      ],
      "attribution": "NIMH public educational information",
      "limitations": "Not a reader diagnosis or a name for every consequence of war."
    },
    {
      "id": "C02",
      "type": "clinical_educational_information",
      "text": "The timing described in NIMH PTSD information is not an instruction to delay seeking help; daily effects need specific consideration.",
      "source_ids": [
        "S1"
      ],
      "article_sections": [
        "III. Timing matters without becoming a waiting period for help"
      ],
      "attribution": "NIMH description with explicit editorial boundary",
      "limitations": "US information is not a universal access procedure or a diagnosis of early reactions."
    },
    {
      "id": "C03",
      "type": "clinical_assessment_boundary",
      "text": "Screening informs whether further assessment is needed and does not itself establish PTSD.",
      "source_ids": [
        "S2",
        "S5"
      ],
      "article_sections": [
        "IV. Screening raises a question for further assessment"
      ],
      "attribution": "VA patient education and CDC professional scope",
      "limitations": "No instrument questions, cutoffs, or repeated testing towards a preferred result."
    },
    {
      "id": "C04",
      "type": "clinical_assessment_boundary",
      "text": "Assessment may involve interviews and questionnaires; its purpose, use, provider experience, and pauses can be discussed.",
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "V. A fuller assessment is a conversation with a purpose",
        "VII. Preparation need not involve detailed independent immersion",
        "VIII. Privacy and the purpose of results need clarification"
      ],
      "attribution": "VA public explanation of assessment",
      "limitations": "No promise of identical procedure, duration, or absolute confidentiality across countries."
    },
    {
      "id": "C05",
      "type": "medical_boundary",
      "text": "Other possible explanations need consideration; new sudden confusion requires immediate medical help.",
      "source_ids": [
        "S1",
        "S4"
      ],
      "article_sections": [
        "VI. Other explanations do not make the experience invented",
        "What this means in practice"
      ],
      "attribution": "NIMH assessment limitations and NHS urgent guidance",
      "limitations": "Not home diagnosis or foreign contacts; an earlier diagnosis does not exclude an acute new problem."
    },
    {
      "id": "C06",
      "type": "clinical_treatment_boundary",
      "text": "A diagnosis opens discussion of suitable care; treatment names and medication categories are not self-prescriptions.",
      "source_ids": [
        "S3"
      ],
      "article_sections": [
        "IX. Diagnosis opens discussion of care rather than supplying a complete route"
      ],
      "attribution": "NHS public treatment overview",
      "limitations": "No schedule, method chosen by one symptom, guaranteed result, or cancellation of protection."
    },
    {
      "id": "C07",
      "type": "authorial_practical_proposal",
      "text": "A first contact can begin with one consequence and questions about the process; a suggested route differs from care received.",
      "source_ids": [],
      "article_sections": [
        "VII. Preparation need not involve detailed independent immersion",
        "X. Assessment can leave questions open",
        "What this means in practice"
      ],
      "attribution": "United Wisdom optional descriptive proposal",
      "limitations": "Not a mandatory questionnaire, full narrative, or qualification for support."
    },
    {
      "id": "C08",
      "type": "philosophical_religious_comparison",
      "text": "Epictetus on action and Christian participation have different foundations and do not replace clinical assessment.",
      "source_ids": [
        "S6",
        "S7"
      ],
      "article_sections": [
        "X. Assessment can leave questions open",
        "XI. A person remains more than a medical conclusion"
      ],
      "attribution": "Named primary texts with expressly limited comparison",
      "limitations": "No medical invulnerability, compulsory faith, or forgiveness asserted."
    }
  ],
  "questions": [
    {
      "id": "F01",
      "q": "Does a high online score already mean diagnosis?",
      "a": "No. Screening raises a question for fuller assessment; a number does not replace an interview and consideration of circumstances.",
      "claim_ids": [
        "C03"
      ],
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "IV. Screening raises a question for further assessment"
      ]
    },
    {
      "id": "F02",
      "q": "Must I wait a month before asking for help?",
      "a": "No. A diagnostic duration described in a source is no ban on early care; current danger and acute medical change have their own urgency.",
      "claim_ids": [
        "C02",
        "C05"
      ],
      "source_ids": [
        "S1",
        "S4"
      ],
      "article_sections": [
        "III. Timing matters without becoming a waiting period for help",
        "What this means in practice"
      ]
    },
    {
      "id": "F03",
      "q": "What can I ask before assessment?",
      "a": "Its purpose and contents, use of results, provider experience, information needed, and possible pauses; clarify local privacy rules with the service.",
      "claim_ids": [
        "C04"
      ],
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "V. A fuller assessment is a conversation with a purpose",
        "VIII. Privacy and the purpose of results need clarification"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "author": "National Institute of Mental Health",
      "title": "Post-Traumatic Stress Disorder",
      "url": "https://www.nimh.nih.gov/health/publications/post-traumatic-stress-disorder-ptsd",
      "edition": "NIH publication 23-MH-8124; revised 2023",
      "read_scope": "Full relevant written sections: definition, reactions, assessment, ongoing trauma and Reprints; web lines 21–154",
      "role": "Professional assessment differs from recognising a reaction",
      "limitations": "No individual diagnosis, symptom scale, local pathway or treatment plan",
      "rights_status": "TEXT_REUSE_ALLOWED_WITH_ATTRIBUTION",
      "rights_notes": "Exact publication Reprints permits text reuse with NIMH attribution; images excluded.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S2",
      "author": "VA National Center for PTSD",
      "title": "How Is PTSD Assessed?",
      "url": "https://www.ptsd.va.gov/understand/isitptsd/measured_how.asp",
      "edition": "Last updated September 25, 2026",
      "read_scope": "Complete main written article, web lines 363–425, and update line 507; video and actual diagnostic instruments not examined",
      "role": "Screening versus fuller assessment; interview and questions about process",
      "limitations": "US patient education; no instrument questions, scoring cutoffs, administrative promises or universal confidentiality rights",
      "rights_status": "UNKNOWN",
      "rights_notes": "Original bounded paraphrase and link; no full page, instrument or video copied; specific licence not separately established",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S3",
      "author": "National Health Service",
      "title": "PTSD (post-traumatic stress disorder)",
      "url": "https://www.nhs.uk/mental-health/conditions/ptsd-post-traumatic-stress-disorder/",
      "edition": "Reviewed 8 April 2026; next review 8 April 2029",
      "read_scope": "Entire main written page, symptoms/causes/assessment/treatment/support and metadata, web lines 13–196; original symptoms URL redirects here",
      "role": "Professional assessment and treatment types; no personalised prescription",
      "limitations": "No diagnosis by recognising a term; UK access procedures, child-specific advice and treatment protocols not reproduced",
      "rights_status": "UNKNOWN",
      "rights_notes": "Short own paraphrase and link, specific licence not independently established; no images or full source page stored.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S4",
      "author": "National Health Service",
      "title": "Sudden confusion (delirium)",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "edition": "Reviewed 28 May 2024; next review 28 May 2027",
      "read_scope": "Entire short substantive page, web lines 13–76",
      "role": "Sudden confusion requires immediate medical help",
      "limitations": "No foreign emergency number, home diagnostic test or exhaustive triage",
      "rights_status": "UNKNOWN",
      "rights_notes": "Brief own paraphrase and link; no image/full page copied; specific licence not independently established.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S5",
      "author": "Centers for Disease Control and Prevention",
      "title": "Mental Health: Refugee Health Domestic Guidance",
      "url": "https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html",
      "edition": "Published 15 May 2024, reviewed/updated 31 January 2025",
      "read_scope": "Scope and Quick Guide, lines 25–50; selected background 60–76; Making a Referral 244–263; page metadata 268–285",
      "role": "Screening is not diagnosis; language and access in a referral",
      "limitations": "US professional setting; no scales, thresholds, treatment protocol or universal immigration rule reproduced",
      "rights_status": "UNKNOWN",
      "rights_notes": "Only original paraphrase of institutional guidance, with attribution; linked third-party works not copied or claimed read.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S6",
      "author": "Epictetus; displayed translator Elizabeth Carter",
      "title": "Enchiridion, sections 1 and 29",
      "url": "https://classics.mit.edu/Epictetus/epicench.html",
      "edition": "Displayed Internet Classics Archive English version credited to Elizabeth Carter; modernisation date unknown",
      "read_scope": "Title/translator and complete sections 1 and 29, web lines 18–27 and 76–83",
      "role": "Limits of action and considering an undertaking; ethical comparison only",
      "limitations": "Claims of invulnerability and dismissal of external harm expressly not adopted",
      "rights_status": "UNKNOWN",
      "rights_notes": "Two short continuous English quotations, 9 and 12 words, with attribution; Russian explicitly own translation. No full work imported; specific rights remain UNKNOWN.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S7",
      "author": "Pauline epistle to the Romans (biblical text)",
      "title": "Romans 12:9–18, KJV",
      "url": "https://www.biblegateway.com/passage/?search=Romans%2012%3A9-18&version=KJV",
      "edition": "Displayed King James Version; underlying print edition not established",
      "read_scope": "All selected verses and KJV marker, web lines 21–49",
      "role": "Key quotation 12:15 and participation within Christian community instruction",
      "limitations": "No compulsory faith, reconciliation with danger, or equivalence to Stoic self-command",
      "rights_status": "UNKNOWN",
      "rights_notes": "Displayed Public Domain label without global legal conclusion; 12-word English quotation; Russian explicitly own translation.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    }
  ],
  "entities": [
    {
      "name": "PTSD",
      "type": "Clinical condition discussed without diagnosing reader"
    },
    {
      "name": "Screening",
      "type": "Assessment component, not diagnosis"
    },
    {
      "name": "Epictetus",
      "type": "Stoic philosopher"
    },
    {
      "name": "Romans",
      "type": "Christian epistle"
    }
  ],
  "retrieval_limits": [
    "No self-diagnosis or copied screening instrument.",
    "Diagnostic timing is not a waiting requirement for care.",
    "Actual threats and acute medical needs take precedence.",
    "No foreign contacts, universal confidentiality or administrative outcome promised.",
    "Ethical texts do not establish a clinical mechanism.",
    "All named examples are fictional."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:WAR-003:en",
    "headline": "PTSD: what it is, how it is assessed, and why an article cannot diagnose it",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}