Friedrich Jolly in 1897 (2) and Albin Hoffman in 1891 (3), among others, stated that it is not the often trivial accident but rather the law that triggers the development of this condition, and Hoffman recommended changes in the law rather than medical treatment. In 1974, I coined the term "nomogenic disorders" (4, 5) to characterize psychopathological conditions created, enhanced, and perpetuated by the law and its application and to denote the psychological and social consequences of the law in the way it affects the course of the disease. My experience confirms Zatzick and associates’ findings of the often disastrous consequences of PTSD, the way it affects a person and his or her environment, and the futility of any type of treatment of a condition that is not medical but social and legal. Following the resolution of a claim, the person with PTSD maintains the sick role. Bursten and D’Esopo (6) described this as "the obligation to remain sick." This also applies to pain, described by F. Dudley Hart as "an old friend" (7). The search for further medical attention is abandoned.