Combat Trauma

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.

"This manual offers spiritual solutions for your struggles with PTSD. It combines the latest insights of the medical and counseling communities with the timeless principles of God's Word."--Cover

An original and groundbreaking book that examines the psychological devastation of war by comparing the soldiers of Homer’s Iliad with Vietnam veterans suffering from post-traumatic stress disorder. In this moving, dazzlingly creative book, Dr. 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, it 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).

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.

Americans have long been asked to support the troops and care for veterans’ psychological wounds. Who, though, does this injunction serve? As acclaimed scholar Nadia Abu El-Haj argues here, in the American public’s imagination, the traumatized soldier stands in for destructive wars abroad, with decisive ramifications in the post-9/11 era. Across the political spectrum the language of soldier trauma is used to discuss American warfare, producing a narrative in which traumatized soldiers are the only acknowledged casualties of war, while those killed by American firepower are largely sidelined and forgotten. In this wide-ranging and fascinating study of the meshing of medicine, science, and politics, Abu El-Haj explores the concept of post-traumatic stress disorder and the history of its medical diagnosis. While antiwar Vietnam War veterans sought to address their psychological pain even as they maintained full awareness of their guilt and responsibility for perpetrating atrocities on the killing fields of Vietnam, by the 1980s, a peculiar convergence of feminist activism against sexual violence and Reagan’s right-wing “war on crime” transformed the idea of PTSD into a condition of victimhood. In so doing, the meaning of Vietnam veterans’ trauma would also shift, moving away from a political space of reckoning with guilt and complicity to one that cast them as blameless victims of a hostile public upon their return home. This is how, in the post-9/11 era of the Wars on Terror, the injunction to “support our troops,” came to both sustain US militarism and also shields American civilians from the reality of wars fought ostensibly in their name. In this compelling and crucial account, Nadia Abu El-Haj challenges us to think anew about the devastations of the post-9/11 era.

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.

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.

In this ambitious follow-up to Achilles in Vietnam, Dr. Jonathan Shay uses the Odyssey, the story of a soldier's homecoming, to illuminate the pitfalls that trap many veterans on the road back to civilian life. Seamlessly combining important psychological work and brilliant literary interpretation with an impassioned plea to renovate American military institutions, Shay deepens our understanding of both the combat veteran's experience and one of the world's greatest classics.