Combat Stress In The 20th Century

Produced for the Canadian Defence Academy Press by 17 Wing Winnipeg Publishing Office.

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.

Produced for the Canadian Defence Academy Press by 17 Wing Winnipeg Publishing Office.

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.

They Called it Shell Shock provides a new perspective on the psychological reactions to the traumatic experiences of combat. In the Great War, soldiers were incapacitated by traumatic disorders at an epidemic scale that surpassed anything known from previous armed conflicts. Drawing upon individual histories from British and German servicemen, this book illustrates the universal suffering of soldiers involved in this conflict and its often devastating consequences for their mental health. Dr Stefanie Linden explains how shell shock challenged the fabric of pre-war society, including its beliefs about gender (superiority of the male character), class (superiority of the officer class) and scientific progress. She argues that the shell shock epidemic had enduring consequences for the understanding of the human mind and the power that it can exert over the body. The author has analysed over 660 original medical case records from shell-shocked soldiers who were treated at the world-leading neurological/psychiatric institutions of the time: the National Hospital at Queen Square in London, the Charité Psychiatric Department in Berlin and the Jena Military Hospital at Jena/Germany. This is thus the first shell shock book to be based on original case records from both sides of the battle. It includes a rich collection of hitherto unpublished first-hand accounts of life in the trenches and soldiers' traumas. The focal point of the book is the soldier's experience on the battlefield that triggers his nervous breakdown - and the author links this up with the soldiers' biographies and provides a perspective on their pre-war civilian life and experience of the war. She then describes the fate of individual soldiers; their psychological and neurological symptoms; their journey through the system of military hospitals and specialist units at home; and the initially ambivalent response of the medical system. She analyses the external factors that influenced clinical presentations of traumatized soldiers and shows how cultural and political factors can shape mental illness and the reactions of doctors and society. The author argues that the challenge posed by tens of thousands of shell-shocked soldiers and the necessity to maintain the fighting strength of the army eventually led to a modernization of medicine - even resulting in the first formal treatment studies in the history of medicine. "They called it Shell Shock" is also one of the first books to tackle often neglected topics of war history, including desertion, suicide and soldiers' mental illness. Based on her expertise in psychiatry and history of medicine, the author argues that many modern trauma therapies had their root in the medicine of the First World War and that the experience of the shell shock patients and their doctors is still very relevant for the understanding of present-day traumatic diseases.

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 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.

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.