Mdthbs

In my post-apocalyptic novel, my MC Eris is severely traumatized by the death of her family at her own hands. Because of this, she has extreme aversion to social interaction and even physical contact.

In the real world, if something like this happened, Eris might be suffering from PTSD, depression, paranoia, etc., but this is not the real world, and no one is concerned with self-diagnosing themselves with an illness.

However, I have witnessed various authors come under fire for rarely/never addressing the fact that many of their characters are traumatized (JK Rowling and never mentioning Harry's trauma or possible PTSD, Suzanne Collins and only mentioning Katniss' PTSD with the fact that she has "nightmares"), and I wouldn't want that to happen to me or my work.

So, in some way that fits into the story, should I "diagnose" Eris? Should I address her obvious trauma, or just let the reader bear witness to it but never outright call it "trauma"? What are the pitfalls of both choices?

You don't have to diagnose it as "PTSD" or whatever name WE use for it, but you can have a character call it out as a real thing: They are an expert, they have seen many soldiers with a similar collection of symptoms, perhaps as a comfort to the person suffering this (i.e. you are not alone, you are not imagining it, you are not weak or defective for experiencing it).

If it is post-apocalyptic Earth, then you can even use PTSD, somebody may still exist that has heard of it, or read of it. Post-apocalyptic doesn't have to mean everyone is stupid and illiterate, the infrastructure may have been destroyed, but parents can still teach their children to read and write. They did, in fact, for settlers in the American West, even though they were farmers with very little infrastructure, no electricity, using animals for travel and labor, etc. Post-apocalyptic doesn't have to mean knowledge of psychology and medicine are all erased, it might mean no more new knowledge is being generated, but the textbooks and papers should still exist, somewhere. I have three old psychology books on my bookshelves, from my college days. (I did not sell my books back for any class).

If you are concerned about getting dinged, just mention either a diagnosis, or alternatively, have somebody recognize it as a common condition, perhaps suggest treatment. The MC doesn't have to agree or participate, but it should satisfy you that you didn't ignore it, and if there are sticklers you can point at the paragraph saying you addressed their concern.

Personally, in the movie I immediately recognized Katniss was suffering from PTSD, I had no problem with it not being named or treated, I wouldn't expect it to be in her primitive setting. It seemed like a fair enough treatment of the condition to me. A story does not have to be a public service announcement.

In my opinion: you should let the condition speak for itself. I agree with Alexander when he says that people who hold authors' feet to the fire are overblowing things, as a lot of these people would probably feel safer about themselves if whatever condition they have could easily be tied to a character who was diagnosed with the same thing.

If you want one example of a character who has a real condition that's never overtly stated in the narrative, look at Minnow from Nick Anderson's Planet Ripple: she's a character who is mostly socially inept and whose brain functions much different from other people -- and is berated at the beginning of the story partly as a result of this. What isn't directly mentioned is that Minnow has ASD; this is something the author himself has talked about when the topic of his book comes up, but at no point does any character say "yeah, she has autism." And honestly -- even if the author hadn't said in interviews that the character had autism, most readers likely would have been able to piece that for themselves, anyway.

I honestly think it's more dangerous to directly say that Eris has PTSD than not -- because if you don't do all the research, go against what's expected of PTSD, or just forget something about the condition AFTER your narrative makes her condition clear to the audience, you are more likely to draw controversy from people in the mindset of "hey, not all PTSD people are like that! Are you trying to paint a stereotype of us?"

Like I said: let the condition speak for itself. Diagnoses are a modern thing, but literature has lived before and will continue to live after modernism.