Posttraumatic stress disorder is a diagnosis generated from conflict. To come into being as a concept and a diagnosis, PTSD has required from healthcare providers and the public a paradigmatic shift, a shift away from “blaming the victim” in which the symptoms are seen as expressions of the victims’ inherent character defects and for which symptoms they are personally culpable as cowards (combat soldiers), whores (rape victims), malingerers (environmental disaster or accident victims), or mad (abuse victims). This shift in cultural cognitions has just begun; agreeing on the official name and defining the characteristics of PTSD has required over one hundred years of heated debate. Despite the apparently geometric growth in research on PTSD, neuroscientists and psychologists appear to have reached agreement only that the physiological symptoms are neither rare, nor necessary, nor even normal responses to extreme psychological stressors over which the victims believed they had little or no control (APA DSM-IV, 2000; Amir & Ramati, 2002; Blank, 1993; Davidson & Foa, 1991; Delahanty, Raimonde, Spoonster, & Cullado, 2003; Goodman, Saxe, & Harvey, 1991; McFarlane, 1988).