ColumnsAfterword: Beyond Diagnosis to Mourning and the Meaning of SymptomsPlakun, Eric M. MD Author Information PLAKUN: Austen Riggs Center, Stockbridge, MA, and American Psychiatric Association Psychotherapy Caucus, Washington, DC The authors declare no conflicts of interest. Please send correspondence to: David Potik, MA, Department of Criminology, Bar-Ilan University, Ramat-Gan 52900, Israel (e-mail: [email protected]). Journal of Psychiatric Practice: May 2022 - Volume 28 - Issue 3 - p 234-239 doi: 10.1097/PRA.0000000000000625 Buy Metrics Abstract Reports of destructive behavior by military personnel after demobilization have become more frequent; however, the pathways that might lead these individuals to commit such acts are not clear enough. This column presents the case of a retired soldier who reported the onset of pyromania after military service, and the relationship between dissociation and reenactment of the trauma is discussed. The main conclusions are that psychotherapy of traumatized patients should focus on helping them create a verbal representation of the trauma and that integrating ceremonies and rituals into treatment is a possible and significant option. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.