Some clinicians doubt the validity of a diagnosis of delayed
posttraumatic stress disorder for Vietnam veterans. Precombat
psychopathology, drug abuse, factitious symptoms, and malingering in
pursuit of disability compensation are cited as alternative explanations
for the syndrome. The authors discuss the case of a much decorated World
War II veteran whose symptoms of posttraumatic stress disorder first
occurred more than 30 years after combat. They consider the alternative
explanations for his symptoms to be inadequate.