Abstract
In the last 25 years, the scientific study of the psychological aftermath of war has flourished. A burgeoning clinical and empirical literature has provided incontrovertible evidence that war exacts a heavy toll in terms of human suffering, not only for combatants but also for military support personnel and affected civilians. Clinical investigators have delineated the symptoms that characterize war-related stress reactions and have devised etiological models that explain the onset and course of these symptoms. In addition, they have developed increasingly sophisticated assessment instruments and clinical interventions to evaluate and treat combat veterans.
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References
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.
American Psychiatric Association. (1968). Diagnostic and statistical manual of mental disorders ( 2nd ed. ). Washington, DC: Author.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders ( 3rd ed. ). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-rev.). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed. ). Washington, DC: Author.
Archibald, H. C., and Tuddenham, R. D. (1965). Persistent stress reaction after combat. Archives of General Psychiatry, 12, 475–481.
Baker, R. R., Menard, S. W., and Johns, L. A. (1989). The military nurse experience in Vietnam: Stress and impact. Journal of Clinical Psychology, 45, 736–744.
Bleuler, E. (1924). Textbook of psychiatry. New York: Macmillan.
Bourne, P. G. (1970). Military psychiatry and the Vietnam experience. American Journal of Psychiatry, 127, 481–488.
Bremner, J. D., Southwick, S. M., Johnson, D. R., Yehuda, R., and Charney, D. S. (1993). Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans. American Journal of Psychiatry, 150, 235–239.
Bremner, J. D., Steinberg, M., Southwick, S. M., Johnson, D. R., and Charney, D. S. (1993). Use of the structured clinical interview for DSM-IV dissociative disorders for systematic assessment of dissociative symptoms in posttraumatic stress disorder. American Journal of Psychiatry, 150, 1011–1014.
Breslau, N., and Davis, G. C. (1987). Posttraumatic stress disorder: The etiologic specificity of wartime stressors. American Journal of Psychiatry, 144, 578–583.
Brett, E. A., and Ostroff, R. (1985). Imagery and posttraumatic stress disorder: An overview. American Journal of Psychiatry, 142, 417–424.
Card, J. J. (1983). Lives after Vietnam. Lexington, MA: Lexington Books.
Carroll, E. M., Rueger, D. B., Foy, D. W., and Donahoe, C. P. (1985). Vietnam combat veterans with posttraumatic stress disorder: Analysis of marital and cohabitating adjustment. Journal of Abnormal Psychology, 94, 329–337.
Centers for Disease Control. (1988). Health status of Vietnam veterans: I. Psychosocial characteristics. Journal of the American Medical Association, 259, 2701–2707.
Davidson, J., Smith, R., and Kudler, H. (1989). Familial psychiatric illness in chronic posttraumatic stress disorder. Comprehensive Psychiatry, 30, 339–345.
Davidson, J., Swartz, M., Storck, M., Krishnan, R. R., and Hammett, E. (1985). A diagnostic and family study of posttraumatic stress disorder. American Journal of Psychiatry, 142, 90–93.
Derogatis, L. R., and Spencer, P. M. (1982). The Brief Symptom Inventory administration, scoring, and procedures manual-I. Baltimore: Clinical Psychometric Research Institute.
Egendorf, A., Kadushin, C., Laufer, R. S., Rothbart, G., and Sloan, L. (1981). Legacies of Vietnam: Comparative adjustment of veterans and their peers. New York: The Center for Policy Research.
Figley, C. R. (1978). Symptoms of delayed combat stress among a college sample of Vietnam veterans. Military Medicine, 143, 107–110.
Fontana, A., and Rosenheck, R. (1993). A causal model of the etiology of war-related PTSD. Journal of Traumatic Stress, 6, 475–500.
Gallers, J., Foy, D. W., Donahoe, C. P., and Goldfarb, J. (1988). Post-traumatic stress disorder in Vietnam combat veterans: Effects of traumatic violence exposure and military adjustment. Journal of Traumatic Stress, 1, 181–192.
Glover, H. (1984). Survival guilt and the Vietnam veteran. Journal of Nervous and Mental Disease, 172, 393–397.
Goldberg, J., True, W. R., Eisen, S. A., and Henderson, W. G. (1990). A twin study of the effects of the Vietnam war on posttraumatic stress disorder. Journal of the American Medical Association, 263, 1227–1232.
Green, B. L. (1993). Identifying survivors at risk: Trauma and stressors across events. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 135–144 ). New York: Plenum Press.
Green, B. L., Wilson, J. P., and Lindy, J. D. (1985). Conceptualizing PTSD: A psychosocial 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.
Grinker, R. R., and Spiegel, J. P. (1945). Men under stress. Philadelphia: Blakiston.
Haley, S. A. (1974). When the patient reports atrocities. Archives of General Psychiatry, 30, 191–196.
Helzer, J. E., Robins, L. N., and McEvoy, L. (1987). Post-traumatic stress disorder in the general population: Findings of the Epidemiological Catchment Area Survey. New England Journal of Medicine, 317, 1630–1634.
Hendin, H., and Haas, A. P. (1984a). Posttraumatic stress disorders in veterans of early American wars. Psychohistory Review, 25, 25–30.
Hendin, H., and Haas, A. P. (1984b). Combat adaptations of Vietnam veterans without post-traumatic stress disorders. American Journal of Psychiatry, 141, 956–960.
Herman, J. L. (1992). Trauma and recovery. Basic Books.
Horowitz, M. J. (1986). Stress response syndromes ( 2nd ed. ). Northvale, NJ: Jason Aronson.
Hunter, E. J. (1993). The Vietnam prisoner of war experience. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 297–303 ). New York: Plenum Press.
Jordan, B. K., Marmar, C. R., Fairbank, J. A., Schienger, W. E., Kulka, R. A., Hough, R. L., and Weiss, D. S. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916–926.
Kardiner, A., and Spiegel, H. (1947). War stress and neurotic illness. New York: Harper.
Keane, T. M. ( 1990, Fall). The epidemiology of post-traumatic stress disorder: Some comments and concerns. PTSD Research Quarterly, pp. 1–3.
Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., and Bender, M. E. (1985). A behavioral approach to assessing and treating post-traumatic stress disorder in Vietnam veterans. In C. R. Figley (Ed.), Trauma and its wake (vol. 1 ) (pp. 257–294 ). New York: Brunner/Mazel.
Keane, T. M., Scott, W. O., Chavoya, G. A., Lamparski, D. M., and Fairbank, J. A. (1985). Social support in Vietnam veterans with posttraumatic stress disorder: A comparative analysis. Journal of Consulting and Clinical Psychology, 53, 95–102.
Keane, T. M., and Wolfe, J. (1990). Comorbidity in post-traumatic stress disorder: An analysis of community and clinical studies. Journal of Applied Social Psychology, 20, 1776–1788.
Keegan, J. (1993). A history of warfare. New York: Alfred A. Knopf.
Kentsmith, D. K. (1986). Principles of battlefield psychiatry. Military Medicine, 151, 89–96.
King, D. W., King, L. A., Gudanowski, D. M., and Vreven, D. L. (1995). Alternative representations of war zone trauma: Relationships to posttraumatic stress disorder and other outcomes in male and female Vietnam veterans. Journal of Abnormal Psychology, 104, 184–196.
Kinzie, J. D. (1993). Posttraumatic effects and their treatment among Southeast Asian refugees. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 311–319 ). New York: Plenum Press.
Kolb, L. C. (1987). A neuropsychological hypothesis explaining posttraumatic stress disorders. American Journal of Psychiatry, 144, 989–995.
Kraepelin, E. (1913). Lectures on clinical psychiatry (3rd English ed.). New York: William Wood.
Kubany, E. S. (1994). A cognitive model of guilt typology in combat-related PTSD. Journal of Traumatic Stress, 7, 3–19.
Kulka, R. A., Schienger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., and Weiss, D. S. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Jordan, B. K., Hough, R. L., Marmar, C. R., and Weiss, D. S. (1991). Assessment of posttraumatic stress disorder in the community: Prospects and pitfalls from recent studies of Vietnam veterans. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 547–560.
Laufer, R. S., Gallops, M. S., and Frey-Wouters, E. (1984). War stress and trauma: The Vietnam experience. Journal of Health and Social Behavior, 25, 65–85.
Lifton, R. J. (1974). “Death imprints” on youth in Vietnam. Journal of Clinical Child Psychology, 3, 47–49.
Mollica, R. F., Wyshak, G., and Lavelle, J. (1987). The psychosocial impact of war trauma and torture on Southeast Asian refugees. American Journal of Psychiatry, 144, 1567–1572.
Nezu, A. M., and Carnevale, G. J. (1987). Interpersonal problem solving and coping reactions of Vietnam veterans with posttraumatic stress disorder. Journal of Abnormal Psychology, 96, 155–157.
O’Brien, T. (1993, April). Ambush! Boston Magazine, pp. 62–106.
Orsillo, S. M., Weathers, F. W., Litz, B. T., Steinberg, H. R., and Keane, T. M. ( 1993, November). Current and lifetime prevalence of comorbid psychiatric disorders in combat-related PTSD. Paper presented at the annual meeting of the Association for Advancement of Behavior Therapy, Atlanta, GA.
Parson, E. R. (1985). The intercultural setting: Encountering black Viet Nam veterans. In S. M. Sonnenberg, A. S. Blank, and J. A. Talbott (Eds.), The trauma of war: Stress and recovery in Viet Nam veterans (pp. 359–387 ). Washington, DC: American Psychiatric Press.
Pina, G. (1985). Diagnosis and treatment of post-traumatic stress disorder in Hispanic Viet Nam veterans. In S. M. Sonnenberg, A. S. Blank, and J. A. Talbott (Eds.), The trauma of war: Stress and recovery in Viet Nam veterans (pp. 389–402 ). Washington, DC: American Psychiatric Press.
Robins, L. N., Heizer, J. E., Croughan, J., and Ratcliff, K. S. (1981). National Institute of Mental Health diagnostic interview schedule: Its history, characteristics, and validity. Archives of General Psychiatry, 38, 381–389.
Salmon, T. W. (1919). The war neuroses and their lesson. New York State Journal of Medicine, 51, 993–994.
Schlenger, W. E., Kulka, R. A., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., and Weiss, D. S. (1992). The prevalence of post-traumatic stress disorder in the Vietnam generation: A multimethod, multisource assessment of psychiatric disorder. Journal of Traumatic Stress, 5, 333–363.
Schnaier, J. A. (1986). A study of women Vietnam veterans and their mental health adjustment. In C. R. Figley (Ed.), Trauma and its wake. Vol. II: Traumatic stress theory, research, and intervention (pp. 97–132 ). New York: Brunner/Mazel.
Shay, J. (1991). Learning about combat stress from Homer’s Iliad. Journal of Traumatic Stress, 4, 561–579.
Snow, B. R., Stellman, J. M., Stellman, S. D., and Sommer, J. F. (1988). Post-traumatic stress disorder among American Legionnaires in relation to combat experience in Vietnam: Associated and contributing factors. Environmental Research, 47, 175–192.
Solomon, Z. (1993). Combat stress reaction: The enduring toll of war. New York: Plenum Press.
Sutker, P. B., Winstead, D. K., Galina, Z. H., and Allain, A. N. (1991). Cognitive deficits and psychopathology among former prisoners of war and combat veterans of the Korean conflict. American Journal of Psychiatry, 148, 67–72.
Trimble, M. (1981). Post-traumatic neurosis. New York: John Wiley and Sons.
True, W. R., Rice, J., Eisen, S. A., Heath, A. C., Goldberg, J., Lyons, M. J., and Nowak, J. (1993). A twin study of genetic and environmental contributions to liability for posttraumatic stress symptoms. Archives of General Psychiatry, 50, 257–264.
Ursano, R. J. (1985). Viet Nam era prisoners of war: Studies of U.S. Air Force prisoners of war. In S. M. Sonnenberg, A. S. Blank, and J. A. Talbott (Eds.), The trauma of war: Stress and recovery in Viet Nam veterans (pp. 339–358 ). Washington, DC: American Psychiatric Press.
Wolfe, J. ( 1993, Winter). Female military veterans and traumatic stress. PTSD Research Quarterly, pp. 1–4.
Wolfe, J., Brown, P. J., Furey, J., and Levin, K. B. (1993). Development of a wartime stressor scale for women. Psychological Assessment, 5, 330–335.
Wolfe, J., Keane, T. M., Kaloupek, D. G., Mora, C. A., and Wine, P. (1993). Patterns of positive readjustment in Vietnam combat veterans. Journal of Traumatic Stress, 6, 179–193.
Yager, T., Laufer, R., and Gallops, M. (1984). Some problems associated with war experience in men of the Vietnam generation. Archives of General Psychiatry, 41, 327–333.
Yehuda, R., Southwick, S. M., and Giller, E. L. (1992). Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans. American Journal of Psychiatry, 149, 333–336.
Zaidi, L. Y., and Foy, D. W. (1994). Childhood abuse experiences and combat-related PTSD. Journal of Traumatic Stress, 7, 33–42.
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Weathers, F.W., Litz, B.T., Keane, T.M. (1995). 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_5
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DOI: https://doi.org/10.1007/978-1-4899-1076-9_5
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