Figured that this topic needed a separate topic in an attempt to discuss intelligently.. there has been mention by gates about the possibility of including PTSDT for determing eligibility for Purple Hearts.. as much as I believe that in war people are seriously effected by the stress of combat I am not sure it fits this category.. Whether it be my neighbour who got 5 silver stars in WWII and still has a difficult time talking about liberating the concentration camps or my friends from Viet Nam who are still having nightmares, for the most part people seem to be able to function.. not sure how you acknowledge invisible scars.. The criteria for determining PTSDT, the DSM IV is not available on line, so this criteria is pretty close to what I remember..although it is from wikipedia. http://en.wikipedia.org/wiki/Posttraumatic_stress_disorder When you read this the possibility of fraud and misuse becomes obvious.. there is a lot of room for interpretation.. consider a soldier who comes from a long history of physical abuse and other horrors... when he goes to war is the PTSDT from war or did war trigger the underlying issues.. in reality some folks witness years of horrific happenings and do ok, others witness one or two things and they become basket cases. This issue also raises other salient issues, i.e. first responders, police, correctional officers, firemen etc. All will witness traumatic events, probably most will have nightmares and some will have experience marital or other issues.. should all of these people receive rewards for doing what is expected?? The Army times has an interesting discussion about the whole Purple Heart for PTSDT.. http://www.armytimes.com/news/2008/05/army_purpleptsd_051908w/ In reality traumatic events go with the turf for so many people, while some wind up catatonic... most of us just carry on.. it is part of the job.. maybe it is something they should talk more about before people enlist, this will happen to you, women and children will be killed, your buddies will die and get maimed and you will see stuff that is beyond anything you could ever imagine..