fields of combat understanding ptsd among veterans of iraq and afghanistan the culture and politics of health care work

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Fields Of Combat

Author : Erin P. Finley
ISBN : 0801461189
Genre : Medical
File Size : 45. 53 MB
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For many of the 1.6 million U.S. service members who have served in Iraq and Afghanistan since 2001, the trip home is only the beginning of a longer journey. Many undergo an awkward period of readjustment to civilian life after long deployments. Some veterans may find themselves drinking too much, unable to sleep or waking from unspeakable dreams, lashing out at friends and loved ones. Over time, some will struggle so profoundly that they eventually are diagnosed with post-traumatic stress Disorder (PTSD). Both heartbreaking and hopeful, Fields of Combat tells the story of how American veterans and their families navigate the return home. Following a group of veterans and their their personal stories of war, trauma, and recovery, Erin P. Finley illustrates the devastating impact PTSD can have on veterans and their families. Finley sensitively explores issues of substance abuse, failed relationships, domestic violence, and even suicide and also challenges popular ideas of PTSD as incurable and permanently debilitating. Drawing on rich, often searing ethnographic material, Finley examines the cultural, political, and historical influences that shape individual experiences of PTSD and how its sufferers are perceived by the military, medical personnel, and society at large. Despite widespread media coverage and public controversy over the military's response to wounded and traumatized service members, debate continues over how best to provide treatment and compensation for service-related disabilities. Meanwhile, new and highly effective treatments are revolutionizing how the Department of Veterans Affairs (VA) provides trauma care, redefining the way PTSD itself is understood in the process. Carefully and compassionately untangling each of these conflicts, Fields of Combat reveals the very real implications they have for veterans living with PTSD and offers recommendations to improve how we care for this vulnerable but resilient population.

A Heart For The Work

Author : Claire L. Wendland
ISBN : 9780226893273
Genre : Medical
File Size : 49. 71 MB
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Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

Guide To U S Health And Health Care Policy

Author : Thomas R. Oliver
ISBN : 9781483370453
Genre : Political Science
File Size : 49. 88 MB
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Guide to U.S. Health and Health Care Policy provides the analytical connections showing students how issues and actions are translated into public policies and institutions for resolving or managing health care issues and crises, such as the recent attempt to reform the national health care system. The Guide highlights the decision-making cycle that requires the cooperation of government, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation’s health care policies. Through 30 topical, operational, and relational essays, the book addresses the development of the U.S. health care system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation’s health care needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance. Key Features: The 30 topical essays investigate the fundamental political, social, economic, and procedural initiatives that drive health and health care policy decisions affecting Americans at the local, regional, and national levels Essential themes traced throughout the chapters include providing access to health care, national and international intervention, nutrition and health, human and financial resource allocation, freedom of religion versus public policy, discrimination and health care policy, universal health care coverage, private health care versus publicly funded health care, and the immediate and long-term costs associated with disease prevention, treatment, and health maintenance A Glossary of Key Health Care Policy Terms and Events, a selected Master Bibliography, and a thorough Index are included. This must-have reference for political science and public policy students who seek to understand the issues affecting health care policy in the U.S. is suitable for academic, public, high school, government, and professional libraries.

Once A Warrior Always A Warrior

Author : Charles Hoge
ISBN : 9780762762095
Genre : Psychology
File Size : 57. 5 MB
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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.

When The War Never Ends

Author : Leah Wizelman
ISBN : 9781442212077
Genre : Psychology
File Size : 60. 18 MB
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"Service members returning from deployment are often suffering from PTSD. Its symptoms include distressing flashbacks, memories and nightmares, aggression, memory problems, physical symptoms, loss of positive emotions, and withdrawal from society. When the War Never Ends tells the stories of those who have lived it themselves - affected veterans and active-duty personnel, as well as their spouses, from the U.S., Canada, Australia, and Germany, who were participants in various wars and peace missions. Thestories will help family members better understand their loved ones by vividly demonstrating what a trauma survivor is feeling and going through"--Provided by publisher.

Among You

Author : Jake Wood
ISBN : 9781780577197
Genre : Biography & Autobiography
File Size : 72. 33 MB
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Among You is the gripping real-life story of a soldier serving on the front line in Iraq and Afghanistan, and an unforgettable, unflinching account of the effects of post-traumatic stress disorder. Jake Wood lives parallel lives: encased in the glass tower of an international investment bank by day, he is also a dedicated TA soldier who serves on the front line during the invasion of Iraq, later returning to the war zone to conduct surveillance on insurgents. Disillusioned with the dullness and amorality of the banking world, he escapes back to the army for a third tour of duty. But in Afghanistan he discovers the savage, dehumanising effects that war has on both the body and the mind. Diagnosed with chronic PTSD on his return, he must now fight the last enemy – himself – in order to exorcise the ghosts of his past. Brutally honest and beautifully written, Among You brings home the harsh reality of front-line combat in Iraq and Afghanistan, and the courage of the troops who risk their lives for their country, as well as revealing the devastating after-effects of service.

Combat Trauma

Author : James D. Johnson
ISBN : 1442204362
Genre : Psychology
File Size : 21. 40 MB
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In this book, Johnson relates the stories of fifteen of his combat brothers to share with the world what their terror of four decades ago has done to them and how it affects them to this day. With candor and vivid detail, they reveal how their combat trauma symptoms still infect their thoughts, feelings, and behaviors on a daily basis.

The War Of My Generation

Author : David Kieran
ISBN : 9780813575711
Genre : Social Science
File Size : 28. 69 MB
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Following the 9/11 attacks, approximately four million Americans have turned eighteen each year and more than fifty million children have been born. These members of the millennial and post-millennial generation have come of age in a moment marked by increased anxiety about terrorism, two protracted wars, and policies that have raised questions about the United States's role abroad and at home. Young people have not been shielded from the attacks or from the wars and policy debates that followed. Instead, they have been active participants—as potential military recruits and organizers for social justice amid anti-immigration policies, as students in schools learning about the attacks or readers of young adult literature about wars. The War of My Generation is the first essay collection to focus specifically on how the terrorist attacks and their aftermath have shaped these new generations of Americans. Drawing from a variety of disciplines, including anthropology, sociology, cultural studies, and literary studies, the essays cover a wide range of topics, from graphic war images in the classroom to computer games designed to promote military recruitment to emails from parents in the combat zone. The collection considers what cultural factors and products have shaped young people's experience of the 9/11 attacks, the wars that have followed, and their experiences as emerging citizen-subjects in that moment. Revealing how young people understand the War on Terror—and how adults understand the way young people think—The War of My Generation offers groundbreaking research on catastrophic events still fresh in our minds.

Treating Ptsd In Military Personnel

Author : Bret A. Moore
ISBN : 9781609186371
Genre : Psychology
File Size : 62. 81 MB
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This practical volume covers the full range of effective treatments for PTSD and discusses their implementation with service members and veterans. The focus is on how to meet this population's unique needs. From conducting a thorough assessment to choosing an appropriate psychosocial or pharmacological treatment, the expert editors and contributors provide guidance based on years of experience in military contexts. The norms and values of military culture are discussed. Chapters thoroughly describe available therapies, review their strengths and limitations, and use illustrative case examples to demonstrate the treatments in action. Also addressed are clinical issues and co-occurring problems that can arise in this population, such as traumatic brain injury and substance abuse, and strategies for dealing with them.

Returning Home From Iraq And Afghanistan

Author : Institute of Medicine
ISBN : 9780309264273
Genre : Medical
File Size : 85. 71 MB
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As of December 2012, Operation Enduring Freedom (OEF) in Afghanistan and Operation Iraqi Freedom (OIF) in Iraq have resulted in the deployment of about 2.2 million troops; there have been 2,222 US fatalities in OEF and Operation New Dawn (OND)1 and 4,422 in OIF. The numbers of wounded US troops exceed 16,000 in Afghanistan and 32,000 in Iraq. In addition to deaths and morbidity, the operations have unforeseen consequences that are yet to be fully understood. In contrast with previous conflicts, the all-volunteer military has experienced numerous deployments of individual service members; has seen increased deployments of women, parents of young children, and reserve and National Guard troops; and in some cases has been subject to longer deployments and shorter times at home between deployments. Numerous reports in the popular press have made the public aware of issues that have pointed to the difficulty of military personnel in readjusting after returning from Iraq and Afghanistan. Many of those who have served in OEF and OIF readjust with few difficulties, but others have problems in readjusting to home, reconnecting with family members, finding employment, and returning to school. In response to the return of large numbers of veterans from Iraq and Afghanistan with physical-health and mental-health problems and to the growing readjustment needs of active duty service members, veterans, and their family members, Congress included Section 1661 of the National Defense Authorization Act for fiscal year 2008. That section required the secretary of defense, in consultation with the secretary of veterans affairs, to enter into an agreement with the National Academies for a study of the physical-health, mental-health, and other readjustment needs of members and former members of the armed forces who were deployed in OIF or OEF, their families, and their communities as a result of such deployment. The study consisted of two phases. The Phase 1 task was to conduct a preliminary assessment. The Phase 2 task was to provide a comprehensive assessment of the physical, psychologic, social, and economic effects of deployment on and identification of gaps in care for members and former members, their families, and their communities. The Phase 1 report was completed in March 2010 and delivered to the Department of Defense (DOD), the Department of Veterans Affairs (VA), and the relevant committees of the House of Representatives and the Senate. The secretaries of DOD and VA responded to the Phase 1 report in September 2010. Returning Home from Iraq and Afghanistan: Assessment of Readjustment Needs of Veterans, Service Members, and Their Families fulfills the requirement for Phase 2.

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