The Second World War involved most of the countries of the world and left so many millions dead and maimed, disorganised and devastated through personal and communal loss. This book recovers some of South Africa’s soldiers’ experiences from the physical and mental debris of the war. Individuals are important; their lives – used as lenses – give us colour and texture, and their voices tell the stories of ordinary soldiers. Using their memoirs and diaries, the vitality of their endeavours is reasserted, their successes and failures, victories and indecencies are re-examined, and their magnanimity and the general triumph of the human spirit are celebrated.
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.
Since 2001, Western forces have been involved in a series of major military campaigns, primarily in Iraq and Afghanistan but also in Africa. For all the sophistication of the contemporary Western way of war with its digital technologies and precision weapons, infantry soldier have been frequently involved in close combat of an intensity which is comparable to the wars of the twentieth century. At the small unit level, combat has been as brutal as ever. Yet, in many cases, they have prevailed even when they were surprised or disadvantaged. How and why have professional Western soldiers been willing and able to fight effectively together during these campaigns? Through a series of rich historical and ethnographic case-studies, this collection seeks to analyse the experience of combat soldiers on operations in the last decade. The book explores the motivation, training, and culture of the professional Western soldier, highlighting differences and commonalities between the troops of different nations. This book is a project of the Changing Character of War programme at the University of Oxford.
In his breakout bestseller, The Perfect Storm, Sebastian Junger created "a wild ride that brilliantly captures the awesome power of the raging sea and the often futile attempts of humans to withstand it" (Los Angeles Times Book Review). Now, Junger turns his brilliant and empathetic eye to the reality of combat--the fear, the honor, and the trust among men in an extreme situation whose survival depends on their absolute commitment to one another. His on-the-ground account follows a single platoon through a 15-month tour of duty in the most dangerous outpost in Afghanistan's Korengal Valley. Through the experiences of these young men at war, he shows what it means to fight, to serve, and to face down mortal danger on a daily basis.
With more than 60% new material reflecting advances in evidence-based treatments and the evolving roles of military mental health providers, the authoritative resource in the field is now in a significantly revised third edition. The volume provides research-based roadmaps for prevention and intervention with service members and veterans in a wide range of settings. Up-to-date information about military procedures and guidelines is included throughout. Grounded in current knowledge about stress and resilience, chapters describe best practices in treating such challenges as depression, anxiety disorders, posttraumatic stress disorder, and substance use disorders. Also addressed are operational functions of psychologists in personnel assessment and selection, counterintelligence, and other areas. New to This Edition *Chapters on new topics: the spectrum of military stress reactions, concussion management, military sexual assault, embedded/expeditionary psychological practice, and security clearance evaluations. *Fully rewritten chapters on evidence-based treatments, behavioral health in primary care, and disaster mental health. *Incorporates major shifts in how and where military mental health services are delivered.
Many programs are available to increase psychological resilience among service members and families, but little is known about their effectiveness. This report reviews existing programs to identify evidence-informed factors for promoting resilience.
War has always been a dangerous business, bringing injury, wounds, and death, and--until recently--often disease. What has changed over time, most dramatically in the last 150 or so years, is the care these casualties receive and who provides it. This book looks at the history of how humanity has cared for its war casualties and veterans, from ancient times through the aftermath of World War II.
