This edited volume explores the emergence of the stress concept and its ever-changing definitions; its uses in making novel linkages between disciplines such as ecology, physiology, psychology, psychiatry, public health, urban planning, architecture, and a range of social sciences; its application in a variety of sites such as the battlefield, workplace, clinic, hospital, and home; and the emergence of techniques of stress management in a variety of different socio-cultural and scientific locations. In short, this volume explores what happened when stress entered the discourse around modernity.
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.
The application of psychiatry to war and terrorism is highly topical and a source of intense media interest. Shell Shock to PTSD explores the central issues involved in maintaining the mental health of the armed forces and treating those who succumb to the intense stress of combat. Drawing on historical records, recent findings and interviews with veterans and psychiatrists, Edgar Jones and Simon Wessely present a comprehensive analysis of the evolution of military psychiatry. The psychological disorders suffered by servicemen and women from 1900 to the present are discussed and related to contemporary medical priorities and health concerns. This book provides a thought-provoking evaluation of the history and practice of military psychiatry, and places its findings in the context of advancing medical knowledge and the developing technology of warfare. It will be of interest to practicing military psychiatrists and those studying psychiatry, military history, war studies or medical history.
Acclaimed New York Times journalist and author Chris Hedges offers a critical -- and fascinating -- lesson in the dangerous realities of our age: a stark look at the effects of war on combatants. Utterly lacking in rhetoric or dogma, this manual relies instead on bare fact, frank description, and a spare question-and-answer format. Hedges allows U.S. military documentation of the brutalizing physical and psychological consequences of combat to speak for itself. Hedges poses dozens of questions that young soldiers might ask about combat, and then answers them by quoting from medical and psychological studies. • What are my chances of being wounded or killed if we go to war? • What does it feel like to get shot? • What do artillery shells do to you? • What is the most painful way to get wounded? • Will I be afraid? • What could happen to me in a nuclear attack? • What does it feel like to kill someone? • Can I withstand torture? • What are the long-term consequences of combat stress? • What will happen to my body after I die? This profound and devastating portrayal of the horrors to which we subject our armed forces stands as a ringing indictment of the glorification of war and the concealment of its barbarity.
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.
Combat stress casualties are not necessarily higher in city operations than operations on other types of terrain. Commanders and NCOs need to have the skills to treat and prevent stress casualties and understand their implications for urban operations. The authors review the known precipitants of combat stress reaction, its battlefield treatment, and the preventive steps commanders can take to limit its extent and severity.
The essential handbook for anyone who has ever returned from a war zone, and their spouse, partner, or family members. Being back home can be as difficult, if not more so, than the time spent serving in a combat zone. It’s with this truth that Colonel Charles W. Hoge, MD, a leading advocate for eliminating the stigma of mental health care, presents Once a Warrior—Always a Warrior, a groundbreaking resource with essential new insights for anyone who has ever returned home from a war zone. In clear practical language, Dr. Hoge explores the latest knowledge in combat stress, PTSD (post-traumatic stress disorder), mTBI (mild traumatic brain injury), other physiological reactions to war, and their treatment options. Recognizing that warriors and family members both change during deployment, he helps them better understand each other’s experience, especially living with enduring survival skills from the combat environment that are often viewed as “symptoms” back home. The heart of this book focuses on what’s necessary to successfully navigate the transition—“LANDNAV” for the home front. Once a Warrior—Always a Warrior shows how a warrior’s knowledge and skills are vital for living at peace in an insane world.
The brain is the most complex organ in our body. Indeed, it is perhaps the most complex structure we have ever encountered in nature. Both structurally and functionally, there are many peculiarities that differentiate the brain from all other organs. The brain is our connection to the world around us and by governing nervous system and higher function, any disturbance induces severe neurological and psychiatric disorders that can have a devastating effect on quality of life. Our understanding of the physiology and biochemistry of the brain has improved dramatically in the last two decades. In particular, the critical role of cations, including magnesium, has become evident, even if incompletely understood at a mechanistic level. The exact role and regulation of magnesium, in particular, remains elusive, largely because intracellular levels are so difficult to routinely quantify. Nonetheless, the importance of magnesium to normal central nervous system activity is self-evident given the complicated homeostatic mechanisms that maintain the concentration of this cation within strict limits essential for normal physiology and metabolism. There is also considerable accumulating evidence to suggest alterations to some brain functions in both normal and pathological conditions may be linked to alterations in local magnesium concentration. This book, containing chapters written by some of the foremost experts in the field of magnesium research, brings together the latest in experimental and clinical magnesium research as it relates to the central nervous system. It offers a complete and updated view of magnesiums involvement in central nervous system function and in so doing, brings together two main pillars of contemporary neuroscience research, namely providing an explanation for the molecular mechanisms involved in brain function, and emphasizing the connections between the molecular changes and behavior. It is the untiring efforts of those magnesium researchers who have dedicated their lives to unraveling the mysteries of magnesiums role in biological systems that has inspired the collation of this volume of work.
Being "so stressed" has to be the most common description for a woman today -- no matter your age or marital status, whether you have a career or work inside the home. Stress is the gift of modern life that keeps on giving, because, even after you've gotten through a stressful day or week, the effects on your body and mind linger, whether you're aware of them or not. And they can build up and make you sick -- unless you do something to stop them. That's where So Stressed, a landmark new guide to women's health, can help. The realization that stress was the most common cause of all the different symptoms and ailments that their patients were coming to them for was a eureka moment for internationally renowned OB-GYN physicians Stephanie McClellan and Beth Hamilton. To find out how stress could be the root cause of diseases as disparate as chronic pain, gynecological disorders and depression,asthma and metabolic disorders, Drs. McClellan and Hamilton embarked on a unique medical quest -- they wanted to find the latest discoveries emerging around the world in the science of stress and put them all together in treatments to help their patients now. Their urgent mission took them to the leading researchers at the best medical centers around the world, where they learned the exciting findings that they reveal in this fascinating new approach to women's health, So Stressed. With information from the medical and psychological sciences of stress that no other practicing physician or clinician has implemented, So Stressed shows you what stress is doing to every cell in your body, how it disrupts the intricate balance of your body's systems, and most important what you can do, starting today, to restore your body's health and prevent yourself from getting sick. Drs. McClellan and Hamilton -- who are widely sought after for their compassionate manner and educational approach to their patients -- have treated more than 16,000 women in their shared three decades of medical practice. Through their timely research and unique, integrative approach to patient care, they have developed four groundbreaking stress types, each with unique patterns for potential illness and disease -- presented here for the first time -- that you can use to identify the ways that stress is affecting your body and mind. Once you know your unique stress profile, the doctors help you learn new ways to see and respond to stress, reduce it and its effects on your body, and even prevent the life-threatening illnesses it causes. You'll find the right program -- specifically designed for the way you fit into your stress type -- with prescriptive advice for the best mental relaxation techniques, nutrition, exercise, and restoration practices for you. Filled with instructive and inspiring case stories from their patients' and their own life experience, Drs. McClellan and Hamilton bridge the gap between the lab bench and the bedside in this comprehensive program for total health.
