This ground-breaking book applies trauma studies to the drama and literature of the ancient Greeks. Diverse essays explore how the Greeks responded to war and if what we now term "combat trauma," "post-traumatic stress," or "combat stress injury" can be discerned in ancient Greek culture.

Combat Stress Injury represents a definitive collection of the most current theory, research, and practice in the area of combat and operational stress management, edited by two experts in the field. In this book, Charles Figley and Bill Nash have assembled a wide-ranging group of authors (military / nonmilitary, American / international, combat veterans / trainers, and as diverse as psychiatrists / psychologists / social workers / nurses / clergy / physiologists / military scientists). The chapters in this volume collectively demonstrate that combat stress can effectively be managed through prevention and training prior to combat, stress reduction methods during operations, and desensitization programs immediately following combat exposure.

In this extraordinary new text, the contributors explore the enduring legacy of such social shocks as war, genocide, slavery, tyranny, crime, and disease. Among the cases addressed are: instances of genocide in Turkey, Cambodia, and Russia, the plight of the families of Holocaust survivors, atomic bomb survivors in Japan, and even the children of Nazis, the long-term effects associated with the Vietnam War and the war in Yugoslavia, and the psychology arising from the legacy of slavery in America.

An original and groundbreaking examination of the psychological devastation of war through the lens of Homer’s Iliad in this “compassionate book [that] deserves a place in the lasting literature of the Vietnam War” (The New York Times). In this moving and dazzlingly creative book, Dr. Jonathan Shay examines the psychological devastation of war by comparing the soldiers of Homer’s Iliad with Vietnam veterans suffering from post-traumatic stress disorder. A classic of war literature that has as much relevance as ever in the wake of the wars in Iraq and Afghanistan, Achilles in Vietnam is a “transcendent literary adventure” (The New York Times) and “clearly one of the most original and most important scholarly works to have emerged from the Vietnam War” (Tim O’Brien, author of The Things They Carried). As a Veterans Affairs psychiatrist, Shay encountered devastating stories of unhealed PTSD and uncovered the painful paradox—that fighting for one’s country can render one unfit to be a citizen. With a sensitive and compassionate examination of the battles many Vietnam veterans continue to fight, Shay offers readers a greater understanding of PTSD and how to alleviate the potential suffering of soldiers. Although the Iliad was written twenty-seven centuries ago, Shay shows how it has much to teach about combat trauma, as do the more recent, compelling voices and experiences of Vietnam vets. A groundbreaking and provocative monograph, Achilles in Vietnam takes readers on a literary journey that demonstrates how we can learn how war damages the mind and spirit, and work to change those things in our culture that so that we don’t continue repeating the same mistakes.

Provides information on the long-term effects of combat trauma through the experiences of fifteen Vietnam veterans, describing how their combat trauma symptoms effect their thoughts, feelings, and behaviors.

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

The police fight a different kind of war, and the enemy is the police officer's own civilian population: those who engage in crime, social indignity, and inhumane treatment of others. The result for the police officer is both physical and psychological battering, occasionally culminating in the officer sacrificing his or her life to protect others. This book focuses on the psychological impact of police civilian combat. During a police career, the men and women of police agencies are exposed to distressing events that go far beyond the experience of the ordinary citizen, and there is an increased need today to help police officers deal with these traumatic experiences. As police work becomes increasingly complex, this need will grow. Mental health and other professionals need to be made aware of the conditions and precipitants of trauma stress among the police. The goal of this book is to provide that important information. The book's perspective is based on the idea that trauma stress is a product of complex interaction of person, place, situation, support mechanisms, and interventions. To effectively communicate this to the reader, new conceptual and methodological considerations, essays on special groups in policing, and innovative ideas on recovery and treatment of trauma are presented. This information can be used to prevent or minimize trauma stress and to help in establishing improved support and therapeutic measures for police officers. Contributions in the book are from professionals who work with police officers, and in some cases those who are or have been police officers, to provide the reader with different perspectives. Chapters are grouped into three sections: conceptual and methodological issues, special police groups, and recovery and treatment. The book concludes with a discussion of issues and identifies future directions for conceptualization, assessment, intervention, and effective treatment of psychological trauma in policing.

This book takes a case-based approach to addressing the challenges psychiatrists and other clinicians face when working with American combat veterans after their return from a war zone. Written by experts, the book concentrates on a wide variety of concerns associated with posttraumatic stress disorder (PTSD), including different treatments of PTSD. The text also looks at PTSD comorbidities, such as depression and traumatic brain injury (TBI) and other conditions masquerading as PTSD. Finally, the authors touch on other subjects concerning returning veterans, including pain, disability, facing the end of a career, sleep problems , suicidal thoughts, violence, , and mefloquine “toxidrome”. Each case study includes a case presentation, diagnosis and assessment, treatment and management, outcome and case resolution, and clinical pearls and pitfalls. Post-Traumatic Stress Disorder and Related Diseases in Combat Veterans is a valuable resource for civilian and military mental health practitioners, and primary care physicians on how to treat patients returning from active war zones.