The development of “noteworthy occupational maladjustment, psychiatric disturbances and unusual personality changes” is common, including symptoms associated with PTSD in varying degrees of severity and duration, such as extreme narcissism, confusion, psychosis, paranoia, disorientation, depersonalization, memory distortion, fleeting as well as longer lasting uncontrollable dissociative states, described as “out of context pseudo-identity reenactments” (a term coined by West). Also, “reappearance of false identity outside an operational context,” and simply “loss of self.”
