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update posttraumatic stress disorder ptsd fifth edition diagnostic statistical manual mental disorders dsm5 emphasizes definition psychological traumatism objective external event nevertheless scientific debate criteriology ptsd clinical pertinence application role subjective dimension appears still open although relation psychotrauma psychosis well examined way trauma risk factor development schizophrenia potential traumatism represented psychotic experience seems less known paper aims provide state art ptsd reaction psychosis defined ptsd post psychosis ptsdpp particularly epidemiological psychopathological terms performed bibliographic research pubmed using keywords posttraumatic stress disorder psychological trauma schizophrenia review psychosis first episode psychosis recovery schizophrenia first screening titles abstracts acute psychotic episode referred decompensation pathology dsm5schizophrenia spectrum psychotic disorders mood disorder psychotic features articles exclusively interested traumatic impact hospitalizations treatment conditions excluded literature noted ptsdpp affected quarter third psychotic patients interrogated recovery acute psychotic episode analytic epidemiology showed main validated risk factors ptsd also relevant development ptsdpp including past traumatic history childhood trauma feeling helplessness traumatic event criticizing methodological heterogeneity studies observational approach brought lack clinical pertinence dsm5a criteria defining traumatic event ptsd criteriology failed consider subjective dimension threat psychological integrity generated psychotrauma historical case studies presented complete posttraumatic symptomatology reaction psychosis suggesting supposed psychotic residual symptoms acute phase could referr actual traumatic reactions ptsdpp process observed descriptive research patients interviews appeared congruent cognitive model ptsd elaborated ehlers clark indeed psychotic patients developed negative appraisals others world occurrence content psychotic symptoms shame fear recurrence intolerance uncertainty perception losing control ones mind demonstrated significantly related ptsdpp perception current threat settled leading adaptation strategies possibly psychotic avoid intrusions others indices past psychotic episode thus reliving syndrome avoidance emotional numbing could simulate new psychotic exacerbation outerobserver psychotic experience could traumatic patients lead complete ptsd although appears nonconsensual clinical entity likely epistemological slip definition psychotrauma consideration potential ptsdpp presents undoubted clinical relevance indeed could help practioners precise semiological analysis patients recovering acute psychotic episode impact prognosis psychosis thinking impairment quality life affective suicidal comorbidities modify therapeutic approach recovery schizophrenia addition literature psychotic recovery seems particularly related concept posttraumatic growth ptg inscription psychotic episode traumatic frame requires clinical approach close possible subjectivity patient experience beyond evaluation psychotic symptoms remission question traumafocused therapies applied ptsdpp opens field future research