Emotional Aftermath Of The Persian Gulf War

Emotional Aftermath of the Persian Gulf War explores the impact of war from a unique perspective -- it addresses not only the effect of trauma on soldiers in combat but also the toll war takes on families and communities as a whole. In this book, experts from the Department of Defense (including Dick Cheney, former Secretary of Defense, who provides the preface), the Veterans Administration, the National Institute of Mental Health, Israel Defense Forces, and academia provide an integrated look at the psychiatric and psychological effects of war and the treatment of war-related stress and psychiatric disorders. The authors focus on the experience of servicemembers and of their families in response to deployment, separation, and loss, and reintegration after the war. They discuss the treatment of combat casualties, those with and without psychiatric illness, who were rapidly returned home still in the acute stage of their injuries. The authors emphasize providing the best support, both medically and psychologically, for military personnel and their families for the essential mental health and effectiveness of the fighting force and the improved quality of life of individual people. The special needs of families and of reserve and guard members are considered, and models of community outreach programs for coping with the stressors of war are discussed. Unique in terms of the role that technology played -- including live TV coverage, Patriot missiles, and "smart" bombs -- the Gulf War was a part of the day-to-day lives of the fighting forces and their families, communities, and nations.

This report investigates the possibility (i.e., that stress might have played a role in some of the undiagnosed illnesses among Persian Gulf War veterans (PGWV)), but the task is complex because the relationship between stress and physical and psychological symptoms is complex. The physical and psychological interact with each other, serving as both cause and effect. Individual differences make the task of teasing out cause from effect even more difficult. Two soldiers exposed to the same combat situation may react very differently. Also, how they react is shaped, in part, by cultural influences, which vary over time. The medical profession itself adds yet another layer of complexity. Doctors do not practice medicine in a vacuum. They are part of a culture and a profession, each of which may shape the way they respond to a patient's symptoms. In some instances, these anthropological influences have led to a search for a singular cause of the undiagnosed symptoms of Gulf War veterans. Furthermore, the veterans themselves are subject to cultural influences that condition their own responses to their illnesses.

In January 1995 the Institute of Medicine released a preliminary report containing initial findings and recommendations on the federal government's response to reports by some veterans and their families that they were suffering from illnesses related to military service in the Persian Gulf War. The committee was asked to review the government's means of collecting and maintaining information for assessing the health consequences of military service and to recommend improvements and epidemiological studies if warranted. This new volume reflects an additional year of study by the committee and the full results of its three-year effort.

In these original essays, widely respected experts analyze the personal psychologies and public belief systems of the individuals and nations involved in the Gulf War - from George Bush and Saddam Hussein to the peoples of the United States, Israel, and Arab countries. Approaching the events of 1990-1991 from the perspectives of psychology, history, mass communications, and political science, these scholars examine the dynamic relationship of events, behavior, and perceptions.Part I deals with the psychological and political origins of the war; part II focuses on George Bush, Saddam Hussein, and the nature of their leadership and judgement; part III discusses the battle for public perceptions and beliefs waged by both sides; part IV analyzes the results of that battle as revealed by the understanding of the U.S., Israeli, and Arab publics; and part V deals with the war's consequences. A postscript by Stanley Renshon covers military actions in the Gulf in late 1992 and early 1993.

The sixth in a series of congressionally mandated reports on Gulf War veterans' health, this volume evaluates the health effects associated with stress. Since the launch of Operation Desert Storm in 1991, there has been growing concern about the physical and psychological health of Gulf War and other veterans. In the late 1990s, Congress responded by asking the National Academy of Sciences (NAS) to review and evaluate the scientific and medical literature regarding associations between illness and exposure to toxic agents, environmental or wartime hazards, and preventive medicines or vaccines in members of the armed forces who were exposed to such agents. Deployment to a war zone has a profound impact on the lives of troops and on their family members. There are a plethora of stressors associated with deployment, including constant vigilance against unexpected attack, difficulty distinguishing enemy combatants from civilians, concerns about survival, caring for the badly injured, and witnessing the death of a person. Less traumatic but more pervasive stressors include anxiety about home life, such as loss of a job and income, impacts on relationships, and absence from family. The focus of this report, by the Institute of Medicine (IOM) Committee on Gulf War and Health: Physiologic, and Psychosocial Effects of Deployment-Related Stress, is the long-term effects of deployment-related stress. Gulf War and Health: Volume 6. Physiologic, and Psychosocial Effects of Development Related Stress evaluates the scientific literature regarding association between deployment-related stressors and health effects, and provides meaningful recommendations to remedy this problem.

The overall patterns of research findings demonstrate that stress-such as that which characterized Gulf War deployment, combat, and return home-is a contributing factor to many illnesses. This book argues for greater understanding of the complexity of symptoms and potential causes of combat-related stress.

The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.