{
  "schema_version": "uw.editorial_geo.v1",
  "article_index": "WAR-007",
  "catalog_id": "WAR-007",
  "language": "en",
  "headline": "Why distress may become more noticeable after reaching safety",
  "description": "Noticing distress after changed circumstances without compulsory deterioration or self-diagnosis.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "020ef1ee655218936d88636462eda55ace457f5a7b14c342721466e5c52b2d45",
  "short_answer": "Later symptom onset is possible, but difficulty after relocation does not prove that safety caused it. New experiences, greater notice, and changed conditions differ. Present medical questions, protection, access, and a specific request need their own consideration without expecting an inevitable breakdown.",
  "claims": [
    {
      "id": "C01",
      "type": "clinical_temporal_boundary",
      "text": "NIMH allows later PTSD symptom onset and variation over time; this establishes neither diagnosis nor safety as a cause.",
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "II. New, stronger, or newly noticed",
        "VI. Time should not become an accusation"
      ],
      "attribution": "NIMH patient education with explicit temporal inference limit",
      "limitations": "No personal prognosis, inevitable breakdown, waiting rule, or universal nervous-system theory."
    },
    {
      "id": "C02",
      "type": "public_health_context",
      "text": "Reduced danger can coexist with social questions and service-access obstacles.",
      "source_ids": [
        "S1"
      ],
      "article_sections": [
        "I. Safety does not always mean every task is complete",
        "III. A new day brings different demands"
      ],
      "attribution": "WHO emergency mental-health public context",
      "limitations": "No individual safety assessment or explanation for every experience."
    },
    {
      "id": "C03",
      "type": "medical_boundary",
      "text": "New medical needs and accompanying questions should not automatically be assigned to the past; sudden confusion requires immediate medical help.",
      "source_ids": [
        "S2",
        "S3"
      ],
      "article_sections": [
        "IV. New health questions are not absorbed by the past",
        "IX. Contact begins with a present question",
        "What this means in practice"
      ],
      "attribution": "NIMH assessment scope and NHS specific urgent guidance",
      "limitations": "No home test, foreign contact, prescription change, or complete urgency list."
    },
    {
      "id": "C04",
      "type": "authorial_descriptive_distinction",
      "text": "Onset, increased severity, increased notice, and an opportunity to speak are different questions; sequence alone does not identify cause.",
      "source_ids": [],
      "article_sections": [
        "II. New, stronger, or newly noticed"
      ],
      "attribution": "United Wisdom descriptive distinction",
      "limitations": "No empirical diagnostic classification or challenge to the legitimacy of reporting difficulty."
    },
    {
      "id": "C05",
      "type": "authorial_practical_proposal",
      "text": "One task, conversation limits, and actual access can be clarified; detailed disclosure and records are optional.",
      "source_ids": [],
      "article_sections": [
        "III. A new day brings different demands",
        "V. The journey can end while connections continue",
        "VII. An opportunity to speak is no duty to disclose",
        "VIII. Small arrangements without a self-testing programme",
        "IX. Contact begins with a present question",
        "XI. The first period after change does not determine the future",
        "What this means in practice"
      ],
      "attribution": "United Wisdom optional practical and ethical proposal",
      "limitations": "Irina is fictional; no universal route, care guarantee, monitoring without agreement, or self-directed exposure."
    },
    {
      "id": "C06",
      "type": "religious_philosophical_comparison",
      "text": "Ecclesiastes on silence/speech and the Daoist water image are compared only as voluntary reflections on pace and pressure.",
      "source_ids": [
        "S4",
        "S5"
      ],
      "article_sections": [
        "X. Silence and speech in two traditions"
      ],
      "attribution": "Checked primary passages with authorial comparison",
      "limitations": "No clinical sequence, justification of violence, compulsory silence, cure, or delayed care."
    }
  ],
  "questions": [
    {
      "id": "F01",
      "q": "Does safety necessarily cause later deterioration?",
      "a": "No. Possible later onset establishes neither that cause nor one trajectory for everyone.",
      "claim_ids": [
        "C01",
        "C04"
      ],
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "II. New, stronger, or newly noticed",
        "XI. The first period after change does not determine the future"
      ]
    },
    {
      "id": "F02",
      "q": "What if I do not know when it started?",
      "a": "Report noticing a difficulty after change while its cause remains unclear; detailed reconstruction is not required here.",
      "claim_ids": [
        "C04",
        "C05"
      ],
      "source_ids": [],
      "article_sections": [
        "II. New, stronger, or newly noticed",
        "IX. Contact begins with a present question"
      ]
    },
    {
      "id": "F03",
      "q": "Must I wait for it to resolve itself?",
      "a": "No waiting period is assigned. A present concern can be discussed; a new medical need has its own significance and urgency.",
      "claim_ids": [
        "C01",
        "C03"
      ],
      "source_ids": [
        "S2",
        "S3"
      ],
      "article_sections": [
        "IV. New health questions are not absorbed by the past",
        "VI. Time should not become an accusation",
        "What this means in practice"
      ]
    },
    {
      "id": "F04",
      "q": "Must I finally tell everything in the new place?",
      "a": "No. Opportunity is no obligation; choose a limit, a practical task, or professional contact.",
      "claim_ids": [
        "C05"
      ],
      "source_ids": [],
      "article_sections": [
        "VII. An opportunity to speak is no duty to disclose",
        "IX. Contact begins with a present question",
        "What this means in practice"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "author": "World Health Organization",
      "title": "Mental health in emergencies",
      "url": "https://www.who.int/news-room/fact-sheets/detail/mental-health-in-emergencies",
      "edition": "May 6, 2025",
      "read_scope": "Complete main fact sheet, web lines 81–151, including problems, actions and references; listed underlying studies not independently read",
      "role": "Current social conditions, unfinished tasks and service access; no individual causal explanation",
      "limitations": "Public-health and service context, not individual prognosis; prevalence numbers, country claims and clinical protocols not imported",
      "rights_status": "UNKNOWN",
      "rights_notes": "Original concise paraphrase with source link; no source article, charts, images or quotations copied. Specific reuse licence not separately established; no global public-domain claim.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S2",
      "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": "Main written publication and Reprints already read in this task, lines 21–154; specific risk/protection section lines 86–107 checked for WAR-005",
      "role": "Possible later symptom onset, variable course, professional assessment and accompanying conditions; safety not established as cause",
      "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": "S3",
      "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": "One urgent boundary: sudden confusion requires immediate medical help, independently of proposed psychological explanation",
      "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": "S4",
      "author": "Ecclesiastes (biblical text)",
      "title": "Ecclesiastes 3:1–8, KJV",
      "url": "https://www.biblegateway.com/passage/?search=Ecclesiastes%203%3A1-8&version=KJV",
      "edition": "Displayed King James Version; underlying print edition not established",
      "read_scope": "All selected verses and version marker, web lines 45–70",
      "role": "Short epigraph and optional ethical reflection on silence/speech; no symptom timetable or justification of violence",
      "limitations": "Wisdom poetry, not medical evidence, a timetable or justification of war",
      "rights_status": "UNKNOWN",
      "rights_notes": "Displayed Public Domain label recorded without worldwide PD conclusion; brief excerpt only; Russian is our translation from this English version.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    },
    {
      "id": "S5",
      "author": "Laozi (traditional attribution); translator James Legge",
      "title": "Tao Teh King, chapter 15",
      "url": "https://www.gutenberg.org/cache/epub/216/pg216-images.html",
      "edition": "Project Gutenberg 216, updated 11 May 2015",
      "read_scope": "Complete chapter 15 and opening edition/reuse information already read for WAR-002, web lines 0–17 and 114–118; chapter 64 not used here",
      "role": "Primary philosophical image of water/stillness; limited reflection on pressure and pace",
      "limitations": "Not nervous-system theory, safety advice, delayed care, promised cure or required silence",
      "rights_status": "UNKNOWN",
      "rights_notes": "Short Let it be still phrase only, attributed; Russian own translation. Opening terms/local-law caveat already read; full work not republished, no worldwide public-domain assertion.",
      "read_date": "2026-10-18",
      "search_executor": "Codex web.run / branch A author"
    }
  ],
  "entities": [
    {
      "name": "Later onset",
      "type": "Possibility, no individual prognosis"
    },
    {
      "name": "Present conditions",
      "type": "Separate practical consideration"
    },
    {
      "name": "Ecclesiastes",
      "type": "Primary wisdom text"
    },
    {
      "name": "Laozi",
      "type": "Traditional attribution"
    },
    {
      "name": "James Legge",
      "type": "Named translator"
    }
  ],
  "retrieval_limits": [
    "After does not automatically establish because.",
    "No obligatory worsening after safety or universal recovery sequence.",
    "No diagnosis, self-test, exposure, treatment change or waiting prescription.",
    "New medical questions and external danger remain separate.",
    "No forced disclosure, stillness, gratitude, faith or growth.",
    "No universal access, privacy or local route promised.",
    "Irina is fictional."
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:WAR-007:en",
    "headline": "Why distress may become more noticeable after reaching safety",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}