“…117 As a result, the current thrust of research in the field appears to be focused on posttraumatic affect and cognitions, with a strong focus on the psyche. 13,14,26,60,79,111,112 However, we argue that full understanding of the mechanisms to explain the experience of WAD must go beyond implying that sufferers are "thinking wrong." It is our position that a reconceptualization of WAD as a multisystem stress-and tissue-based interaction moderated by contextual factors is required to achieve a better mechanistic understanding of patient-centered outcomes.…”