Overview
Active participation in combat exposes the soldier to extreme stress, which may result in both immediate and long-term impairment in his mental health. The most prevalent effects that are associated with combat-related stress are combat stress reaction (CSR) and posttraumatic stress disorder (PTSD) (APA, 1987, 1994; Solomon, 1993).
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References
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-rev). Washington, DC: American Psychiatric Press.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed. ). Washington, DC: Author.
Artiss, K. L. (1963). Human behavior under stress: From combat to social psychiatry. Military Magazine, 128, 1011–1015.
Benyakar, M., Kutz, I., Dasberg, H., and Stern, M. J. (1989). The collapse of structure: A structural approach to trauma. Journal of Traumatic Stress, 2, 431–450.
Bergman, L. H., and Queen, T. (1986). Critical incident stress: Part 1. Fire command. (pp. 52–56).
Birenbaum, F., Copolon, J., and Sharff, I. (1976). Crisis intervention after a natural disaster. In R. H. Moos (Ed.), Human adaptation: Coping with life crises (pp. 394–404 ). Lexington: Health and Company.
Bleich, A., Shalev, A., Shoham, S., Solomon, Z., and Kotler, M. (1992). PTSD: Theoretical and practical considerations as reflected through Koach-An innovative treatment project. Journal of Traumatic Stress, 5 (2), 265–271.
Bleich, A., Siegel, B., Garb, R., and Lerer, B. (1986). Post-traumatic stress disorder following combat exposure: Clinical features and psychopharmacological treatment. British Journal of Psychiatry, 149, 354–369.
Bloom, B. L. (1985). Stressful life events, theory, and research: Implications for primary prevention. Rockville, MD: NIMH/ADAMHA.
Boudewyns, P. A., and Heyr, L. (1990). Physiological response to combat memories and preliminary treatment outcomes in Vietnam, veterans PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63–87.
Bourne, P. G. (1969). Military psychiatry and the Viet Nam War in perspective. In P. G. Bourne (Ed.), The psychology and physiology of stress (pp. 219–236 ). New York: Academic Press.
Braun, P., Greenberg, D., Dasberg, H., and Lerer, B. (1990). Core symptoms of posttraumatic stress disorder unimproved by alprazolam treatment. Journal of Clinical Psychiatry, 51, 236–238.
Brom, D., Kleber, R. J., and Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 57, 607–612.
Charney, D. S., Dutch, A. Y., Krystal, J. H., Soutwick, S. M., and Davis, M. (1993). Psychobiologic mechanisms of posttraumatic stress disorder. Archives of General Psychiatry, 50, 294–306.
Cohen, R. C. (1976). Post disaster mobilization of a crisis intervention team: The Managua experience. In H. G. Parad, H. L. P. Resnick, and L. P. Parad (Eds.), Emergency and disaster management: A mental health handbook. Baltimore: Charles Press.
Cohen, R. E., and Ahearn, F. L. (1980). Handbook of mental health care for disaster victims. Baltimore: Johns Hopkins University Press.
Cooper, N. A., and Clum, G. A. (1989). Imaginal flooding as a supplementary treatment group for PTSD in combat veterans: A controlled study. Behavior Therapy, 20, 381–391.
Cooper, S. (1992). Anthropological impressions of Koach: Participant observations. Journal of Traumatic Stress, 5 (2), 247–264.
Davidson, J. (1992). Drug therapy of post-traumatic stress disorder. British Journal of Psychiatry, 160, 309–314.
Davidson, J., Kudler, H. S., Saunders, W. B., Erickson, L., Smith, R. D., Stein, R. M., Lipper, S., Hammett, E. B., Mahorney, S. L., and Cavenar, J.O.J. (1993). Predicting response to amitriptyline in posttraumatic stress disorder. American Journal of Psychiatry, 150, 1024–1029.
Davidson, J., Roth, S., and Newman, E. (1991). Fluoxetine in the post-traumatic stress disorder. Journal of Traumatic Stress, 4, 419–425.
Dunning, C. (1990). Mental health sequelae in disaster workers: Prevention and intervention. International Journal of Mental Health, 19, 91–103.
Dunning, C., and Silva, M. (1980). Disaster-induced trauma in rescue workers. Victimology, 5, 287–297.
Escobar, J. I., Randolph, E. T., Puente, G., Spiwak, F., Asamen, J. K., Hill, M., and Hough, R. L. (1983). PTSD in Hispanic Vietnam veterans-Clinical phenomenology and sociocultural characteristics. Journal of Nervous and Mental Diseases, 171, 586–569.
Fairbank, J. A., and Keane, T. M. (1982). Flooding for combat-related stress disorder: Assess- ment of anxiety reduction across traumatic memories. Behavior Therapy, 13, 499–510.
Figley, C. R. (1983). Catastrophes: An overview of family reactions. In C. R. Figley and H. I. McCubbin (Eds.), Stress and the family, Vol. II: Coping with catastrophe (pp. 3–20 ). New York: Brunner/Mazel.
Figley, C. R. (1987). Toward a field of traumatic stress. Journal of Traumatic Stress, 1, 3–16.
Foa, E. B., and Kozak, M. L. (1985). Treatment of anxiety disorders: Implications for psychopathology. In A. H. Turna and J. Maser (Eds.), Anxiety and the anxiety disorders (pp. 131–170). Hillsdale, NJ: Lawrence Erlbaum Associates.
Foa, E. B., and Kozak, M. L. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–30.
Foa, E. B., Rothbaum, B. O., Riggs, D. S., and Murdock, T. B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715–723.
Freud, S. (1957). Mourning and melancholia. Standard edition, Vol. CIV. London: Hogarth Press. Original work published 1917.
Freud, S. (1957). Lines of advance in psychoanalytic therapy. Standard edition, Vol. 17. London: Hogarth Press. Original work published 1919.
Freud, S. (1957). Beyond the pleasure principle. Standard edition, Vol. XVIII. London: Hogarth Press. Original work published 1920.
Friedman, M. J. (1988). Toward rational pharmacotherapy for posttraumatic stress disorder: An interim report. American Journal of Psychiatry, 145, 218–285.
Green, B. L., Wilson, J. P., and Lindy, J. D. (1985). Conceptualizing posttraumatic stress disorder: A psychological framework. In C. R. Figley (Ed.), Trauma and its wake, the study and treatment of post-traumatic stress disorder (pp. 53–69 ). New York: Brunner/Mazel.
Griffin, C. A. (1987). Community disasters and post traumatic stress disorder: A debriefing model for response. In T. Williams (Ed.), Post traumatic stress disorders: A handbook for clinicians (pp. 293–298 ). Cincinnati: Disabled American Veterans Publication.
Grinker, R. R., and Spiegel, J. P. (1945). Men under stress. Philadelphia: Blakiston.
Haley, S. (1974). When the patient reports atrocities. Archives of General Psychiatry, 57, 607–612.
Helzer, J. E., Robins, L. N., and Hesselbrock, M. (1979). Depression in Vietnam veterans and civilian controls. American Journal of Psychiatry, 136, 412–420.
Hetzer, J. E., Robins, L. N., and McEvoy, L. (1987). Post-traumatic stress disorder in the general population: Findings of the Epidemiologic Catchment Area survey. New England Journal of Medicine, 137: 1630–1634.
Horowitz, M. J. (1974). Stress response syndromes: Character style and dynamic psychotherapy. Archives of General Psychiatry, 31, 768–781.
Hyer, L., Woods, M., Summers, M. N., Boudewyns, P., and Harrison, W. R. (1990). Alexithymia among Vietnam veterans with posttraumatic stress disorder. Journal of Clinical Psychiatry, 51, 243–247.
Hytten, K., and Herlofsen, P. (1989). Accident stimulation as a new therapy technique for post-traumatic stress disorder: A case study. Acta Psychiatrica Scandinavica, 80, 79–83.
Ingraham, L., and Manning, F. (1986). American military psychiatry. In R. A. Gabriel (Ed.), Military psychiatry (pp. 25–66 ). New York: Greenwood Press.
Irwin, M., Van-Putten, T., Guze, B., and Marder, S. R. (1989). Pharmacological treatment of veterans with posttraumatic stress disorder and concomitant affective disorder. Annals of Clinical Psychiatry, 1, 127–130.
Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In C. R. Figley (Ed.), Traum, and its wake, the study and treatment of post-traumatic stress disorder (pp. 15–36 ). New York: Brunner/Mazel.
Jones, D. R. (1985). Secondary disaster victims: The emotional impact of recovering and identifying human remains. American Journal of Psychiatry, 142, 303–307.
Keane, T. M., Fairbank, J. A., Caddel, J. M., and Zimmering, R. T. (1989). Impulsive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20, 245–260.
Keane, T. M., Fairbank, J. A., Caddel, M. T., Zimmering, R. T., and Bender, M. E. (1985). A behavioral approach to assessing and treating post-traumatic stress disorders in Vietnam veterans. In C. R. Figley (Ed.), Trauma and its wake, the study and treatment of post-traumatic stress disorder (pp. 257–294 ). New York: Brunner/Mazel.
Kinzie, J., and Leung, P. (1989). Clodine in Cambodian patients with posttraumatic stress disorder. Journal of Nervous and Mental Diseases, 177, 546–550.
Kolb, L. C. (1987). A neuropsychological hypothesis explaining the post-traumatic stress disorder. American Journal of Psychiatry, 144, 989–999.
Kolb, L. C., and Multipassi, L. R. (1982). The conditioned emotional response: A subclass of the chronic and delayed post traumatic stress disorder. Psychiatric Annals, 12, 979–987.
Kormos, H. R. (1978). The nature of combat stress. In C. R. Figley (Ed.), Stress disorders among Vietnam veterans. New York: Brunner/Mazel.
Kosten, T. R., Frank, J. B., Dan, E., McDougle, C. J., and Giller, E. L. (1991). Pharmacotherapy for posttraumatic stress disorder using phenelzine or imipramine. Journal of Nervous and Mental Diseases, 179, 366–370.
Krystal, H. (1978). Trauma and affect. Psychoanalytic Study of the Child, 33, 81–116.
Krystal, J. H. (1990). Animal models for posttraumatic stress disorder. In E. L. Giller (Ed.), Biological assessment and treatment of posttraumatic stress disorder. Washington, DC: American Psychiatric Press.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., and Weiss, D. A. (1989). Trauma and the Vietnam War generation (Psychosocial series #18). New York: Brunner/Mazel.
Laufer, R. S. (1988). The serial self: War trauma, identity and adult development. In J. P. Wilson, Z. Harel, and B. Kahana (Eds.), Human adaptation to extreme stress from the holocaust to Vietnam (pp. 33–53 ). New York: Plenum Press.
Lerer, B., Bleich, A., Kotler, M., Garb, R., Hertzberg, M., and Levin, B. (1987). Posttraumatic stress disorder in Israeli combat veterans: Effect of phenelzine treatment. Archives of General Psychiatry, 44, 976–981.
Lifton, R. J. (1988). Understanding the traumatized self: Imagery symbolization and transformation. In J. P. Wilson, Z. Harel, and B. Kahana (Eds.), Human adaptation to extreme stress from the holocaust to Vietnam (pp. 7–32 ). New York: Plenum Press.
Lindermann, E. (1944). Symptomatology and management of acute grief. American Journal of Psychiatry, 101, 141–148.
Lindy, J. D. (1988). Vietnam-A casebook. New York: Brunner/Mazel.
Lindy, J. D. (1993). Focal psychoanalytic psychotherapy of posttraumatic stress disorder. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 803809 ). New York: Plenum Press.
Lowenstein, R. J., Hornstein, N., and Farber, B. (1988). Open trial of clonazepam in the treatment of posttraumatic stress disorder. Dissociation, 1, 3–12.
Maloney, L. J. (1988). Posttraumatic stresses of women partners of Vietnam veterans. Smith College Studies in Social Work, 58, 112–143.
Marmar, C. R., Foy, D., Kagan, B., and Pynoos, R. S. (1993). An integrated approach for treatment of post traumatic stress disorder. In J. M. Oldham, M. B. Riba, and A. Tasman (Eds.), American Psychiatric Press review of psychiatry (Vol. 12, pp. 230–271 ). Washington, DC: American Psychiatric Press.
Marshall, S. L. A. (1944). Island victory. New York: Pengu in Books.
Mason, J. W., Giller, E. L., Kosten, T. R., and Yehuda, R. (1990). Psychoendocrine approach to the diagnosis and pathogenesis of posttraumatic stress disorder. In E. L. Giller (Ed.), Biological assessment and treatment of posttraumatic stress disorder (pp. 65–87 ). Washington, DC: American Psychiatric Press.
McCann, I. L., and Pearlman, L. A. (1992). Constructivist self-development theory: A theoretical framework for assessing and treating traumatized college students. Journal of the American College of Health, 40, 189–196.
McFarlane, A. C. (1989). The treatment of post traumatic stress disorder. British Journal of Medical Psychology, 62, 81–90.
McFarlane, A. C. (1992). Multiple diagnoses in posttraumatic stress disorder in the victims of a natural disaster. Journal of Nervous and Mental Diseases, 180, 498–504.
Mitchell, J. T. (1981). Emergency response to crisis: A crisis intervention guidebook of emergency service personnel. Bowie, MD: Brady Co.
Mitchell, J. T. (1983). When disaster strikes. Journal of Emergency Medical Services, 8, 36–39.
Morgan, C. A., Southwick, S., Grillon, C., et al. ( 1990, October). Yohimbine potentiates acoustic startle response in humans. Presented at the Sixth Annual Meeting of the International Society for Traumatic Stress Studies, New Orleans.
Moses, R., and Cohen, I. (1984). Understanding and treatment of combat neurosis: The Israeli experience. In H. J. Schwartz (Ed.), Psychotherapy of the combat veteran (pp. 269–303 ). New York: Spectrum Publications.
Mueser, K. T., Yarnold, P. R., and Foy, D. W. (1991). Statistical analysis for single-case designs: Evaluating outcome of imaginal exposure treatment of chronic PTSD. Behavior Modification, 15, 135–155.
Nagy, L., Southwick, S. M., and Charney, D. S. (1993). Open prospective trial of fluoxetine for posttraumatic stress disorder. Journal of Clinical Psychopharmacology, 13, 107-113.
Peniston, E. G. (1986). EMG biofeedback assisted desensitization treatment for Vietnam combat veterans post traumatic stress disorder. Clinical Biofeedback Health, 9, 35–41.
Pitman, R. K. (1989). Posttraumatic stress disorder, hormones and memory. Biological Psychiatry, 26, 221–223.
Pitman, R. K., Altman, B., Greenwald, E., Longpre, R. E., Macklin, M. L., Poire, R. E., and Steketee, G. S. (1991). Psychiatric complications during flooding therapy for posttraumatic stress disorder. Journal of Clinical Psychiatry, 57, 17–20.
Pitman, R. K., Orr, S. P., Frgue, D. F., DeJong, J. B., and Claiborn, J. M. (1987). Psychophysiology of PTSD imagery in Vietnam combat veterans. Archives of General Psychiatry, 44, 970–997.
Pitman, R. K., van der Kolk, B. A., Orr, S. P., and Greenberg, M. S. (1990). Naloxone-reversible analgesic response to combat-related stimuli in posttraumatic stress disorder. A pilot study. Archives of General Psychiatry, 47, 541–544.
Raphael, B. (1986). When disaster strikes. New York: Basic Books.
Resick, P. A., and Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756.
Riest, C., Kauffman, C. D., and Haier, R. J. (1976). A controlled trial of desipramine in 81 men with posttraumatic stress disorder. American Journal of Psychiatry, 146, 513–516.
Risse, S. C., Whitters, A., Burke, J., Chen, S., Scurfield, R. M., and Raskind, M. A. (1990). Severe withdrawal symptoms after discontinuation of alprazolam in eight patients with combat-induced posttraumatic stress disorder. Journal of Clinical Psychiatry, 51, 206–209.
Rosenheck, R., and Nathan, P. (1985). Secondary traumatization in the children of Vietnam veterans with PTSD. Hospital and Community Psychiatry, 36, 538–539.
Salmon, T. (1919). The war neurosis and their lessons. New York State Journal of Medicine, 59, 933–944.
Schufield, R. M., Wong, L. E., and Zeeroachah, E. B. (1992). An evaluation of the impact of “helicopter ride therapy” for in-patient Vietnam veterans with war-related PTSD. Military Medicine, 67–73.
Shalev, A. Y., Orr, S. P., and Pitman, R. K. (1992). Psychophysiologic response during script driven imagery as an outcome measure in post-traumatic stress disorder. Journal of Clinical Psychiatry, 53, 324–326.
Shalev, A. Y., Rogel-Fuchs, Y., andPeri, T. (in press). Debriefing combat units in the Israel Defense Force effect on anxiety and self efficacy.
Shalev, A. Y., Rogel-Fuchs, Y., and Pitman, R. K. (1992). Conditioned fear and psychological trauma. Biological Psychiatry, 31, 863–865.
Shay, J. (1991). Fluoxetine reduces explosiveness and elevates mood on Vietnam combat vets with PTSD. Journal of Traumatic Stress, 5, 97–110.
Shestatzki, M., Greenberg, D., and Lerer, B. (1988). A controlled trial of phenelzine in post-traumatic stress disorder. Psychiatry Res, 24, 149–155.
Solomon, S. D., Gerrity, E. T., and Muff, A. M. (1992). Efficacy of treatment for posttraumatic stress disorder. JAMA, 268, 633–638.
Solomon, Z. (1993). Combat stress reaction: The enduring role of war New York: Plenum Press.
Solomon, Z., and Benbenishty, R. (1986). The role of proximity, immediacy, and expectancy in frontline treatment of combat stress reaction among Israelis in the Lebanon War. American Journal of Psychiatry, 143, 613–617.
Solomon, Z., Kotler, M., Shalev, A. Y., and Lin, R. (1989). Delayed post-traumatic stress disorder. Psychiatry, 52, 428–436.
Solomon, Z., Shalev, A. Y., Spiro, S., Dolev, A., Bleich, A., Waysman, M., and Cooper, S. (1992). The effectiveness of the Koach project: Negative psychometric outcome. Journal of Traumatic Stress, 5, 247–264.
Solomon, Z., Waysman, M., Levy, G., Fried, B., Mikulincer, M., Benbenishty, R., Florian, V., Bleich, A. (1992). From front line to home front: A study of secondary traumatization. Family Process, 31, 289–302.
Kolk, B. A., Dryfuss, D., Michaels, M., Shera, D., Berkowitz, R., Fisher, R., and Saxe, G. (1995). Fluoxetine in the treatment of post traumatic stress disorder. Journal of Clinical Psychiatry, 55, 517–522.
Kolk, B. A., Greenberg, M., Boyd, H., and Krystal, J. H. (1985). Inescapable shock, neurotransmitter and addiction to trauma: Towards a psychobiology of post traumatic stress disorder. Biological Psychiatry, 22, 314–325.
Vaughan, K., and Tarrier, N. (1992). The use of image habituation training with posttraumatic stress disorders. British Journal of Psychiatry, 161, 658–664.
Wagner, M. (1979). Airline disaster: A stress debrief program for police. Police Stress, 2, 16–20.
Wells, B. G., Chu, C. C., Johnson, R., Nasdahl, C., Ayubi, M. A., Sewell, E., and Statham, P. (1991). Buspirone in the treatment of posttraumatic stress disorder. Pharmacotherapy, 11, 340–343.
Yehuda, R., Giller, E. L., and Mason, J. W. (1993). Psychoneuroendocrine assessment of post traumatic stress disorder: Current progress and new directions. Progress in Neuropsychopharmacology and Biological Psychiatry, 17, 541–550.
Yehuda, R., Giller, E. L., Southwick, S. M., Lowy, M. T., and Mason, J. W. (1991). Hypothalamic pituitary adrenal dysfunction in posttraumatic stress disorder. Biological Psychiatry, 30, 1031–1048.
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Solomon, Z., Shalev, A.Y. (1995). Helping Victims of Military Trauma. In: Freedy, J.R., Hobfoll, S.E. (eds) Traumatic Stress. Springer Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1076-9_10
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