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This book addresses the impact of war and extreme stress on civilian populations, as well as psychology's response to these phenomena. Contributors examined and developed interventions in locations including Africa, the Balkans, Afghanistan, Siberia, the Middle East, and Southeast Asia.
This volume describes a variety of public mental health and psychosocial programs in conflict and post-conflict situations in Africa and Asia. Each chapter details the psychosocial and mental health aspects of specific conflicts and examines them within their sociopolitical and historical contexts. This volume will be of great interest to psychologists, social workers, anthropologists, historians, human rights experts, and psychiatrists working or interested in the field of psychotrauma.
The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.
This transnational, interdisciplinary study of traumatic neurosis moves beyond the existing histories of medical theory, welfare, and symptomatology. The essays explore the personal traumas of soldiers and civilians in the wake of the First World War; they also discuss how memory and representations of trauma are transmitted between patients, doctors and families across generations. The book argues that so far the traumatic effects of the war have been substantially underestimated. Trauma was shaped by gender, politics, and personality. To uncover the varied forms of trauma ignored by medical and political authorities, this volume draws on diverse sources, such as family archives and narratives by children of traumatized men, documents from film and photography, memoirs by soldiers and civilians. This innovative study challenges us to re-examine our approach to the complex psychological effects of the First World War.
Finding meaning in trauma work, as a traumatized healer yourself. The act of caregiving is physically exhausting and emotionally draining, yet caregivers describe it as rewarding and gratifying. Prolonged exposure to human suffering, however, is not without risks?caregivers report high rates of burnout and poor quality of life. Many care providers believe that their feelings do not matter; that they should ignore their pain, brush off their trauma, wipe away their tears, and just “suck it up.” Here, Omar Reda a Libyan-born American psychiatrist who, as an emergency physician and trauma counselor provided care for medical staff caring for victims of trauma, calls upon other healers to break free from cycles of secrecy, toxic stress, and silent suffering so they can continue to empower and inspire those in their care. Filled with poignant first-person stories and clinical case studies, this book is an impassioned plea for psychosocial trauma care that prioritizes the health of both client and healer.
In the years following World War II the health and well-being of the nation was of primary concern to the British government. The essays in this collection examine the relationship between health and stress in post-war Britain through a series of carefully connected case studies.
Looks at the effect of deadly battle on the body and mind and offers new research findings to help prevent lasting adverse effects.
Uniquely using historical material and military records as well as personal interviews and clinical diagnoses, Surviving Vietnam focuses on veterans' war-zone experiences and the development in some of PTSD. It addresses controversies regarding reported rates of PTSD and the importance of exposure to traumatic events compared with pre-war personal vulnerability.
Preventing War and Promoting Peace focuses on how health professionals can actively engage in the prevention of war and the promotion of peace.
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system.