Victimhood and trauma within drone warfare DOI

Jacob Holz

Critical Military Studies, Год журнала: 2021, Номер 9(2), С. 175 - 190

Опубликована: Июль 29, 2021

Operators of Unmanned Aerial Vehicles (UAVs) within the military have increasingly been recognized as potential sufferers immense stress and trauma a result conditions they are exposed to. In cases such trauma, provision for access to sufficient mental health care is vital minimize risks developing Post-Traumatic Stress Disorder (PTSD), moral injury or high emotional distress. Through integrating psychological studies data with critical feminist security studies, this article attempts establish validity drone operators victims broader context warfare. The aim not only highlight suffered by operators, but also openly address ongoing stigma factors that prevent them from seeking adequate care. Drone further stigmatized emasculated their peers, resulting in decrease uptake available support. adopting gendered approach, explores how invalidates much experiences furthermore structured ideas masculinity emasculation. Recognizing emasculation important understanding order masculinized dynamics state violence, addressing wider issues

Язык: Английский

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review DOI Creative Commons
Lisa Burback, Suzette Brémault‐Phillips, Mirjam J. Nijdam

и другие.

Current Neuropharmacology, Год журнала: 2023, Номер 22(4), С. 557 - 635

Опубликована: Май 3, 2023

Abstract: This narrative state-of-the-art review paper describes the progress in understanding and treatment of Posttraumatic Stress Disorder (PTSD). Over last four decades, scientific landscape has matured, with many interdisciplinary contributions to its diagnosis, etiology, epidemiology. Advances genetics, neurobiology, stress pathophysiology, brain imaging have made it apparent that chronic PTSD is a systemic disorder high allostatic load. The current state includes wide variety pharmacological psychotherapeutic approaches, which are evidence-based. However, myriad challenges inherent disorder, such as individual barriers good outcome, comorbidity, emotional dysregulation, suicidality, dissociation, substance use, trauma-related guilt shame, often render response suboptimal. These discussed drivers for emerging novel including early interventions Golden Hours, interventions, medication augmentation use psychedelics, well targeting nervous system. All this aims improve symptom relief clinical outcomes. Finally, phase orientation recognized tool strategize position step progression pathophysiology. Revisions guidelines systems care will be needed incorporate innovative treatments evidence emerges they become mainstream. generation well-positioned address devastating disabling impact traumatic events through holistic, cutting-edge efforts research.

Язык: Английский

Процитировано

94
Repeated oral esketamine in patients with treatment resistant depression and comorbid posttraumatic stress disorder DOI Creative Commons
Jolien K. E. Veraart,

M. van Westenbrugge,

J.E. van Wulfften Palthe

и другие.

Heliyon, Год журнала: 2023, Номер 9(5), С. e15883 - e15883

Опубликована: Май 1, 2023

Ketamine and its S-enantiomer esketamine are novel pharmacotherapeutic options for treatment resistant depression (TRD). There is growing evidence on the efficacy other psychiatric disorders, including posttraumatic stress disorder (PTSD). It hypothesized that psychotherapy may further potentiate effects of (es)ketamine in disorders.Repeated oral was prescribed once or twice weekly five patients suffering from TRD comorbid PTSD. We describe clinical report data psychometric instruments patients' perspectives.Esketamine duration ranged six weeks to a year. In four patients, we observed improvement depressive symptoms, increased resilience more receptiveness psychotherapy. One patient experienced symptom worsening response threatening situation during treatment, highlighting need safe setting.(Es)ketamine within psychotherapeutic framework appears promising with symptoms Controlled trials warranted validate these results elucidate optimal methods.

Язык: Английский

Процитировано

25
The impact of trauma exposure and moral injury on UK military veterans: a qualitative study DOI Creative Commons
Victoria Williamson, Dominic Murphy, Sharon A. M. Stevelink

и другие.

European journal of psychotraumatology, Год журнала: 2020, Номер 11(1)

Опубликована: Янв. 9, 2020

Background: Exposure to a potentially morally injurious event (PMIE) has been found be associated with range of adverse mental health outcomes. However, how the psychological consequences following PMIEs compare those encountered after traumatic, but not PMIE, remain poorly understood.Objective: The aim was qualitatively explore UK military veterans' responses experiences trauma and moral injury impact such events on wellbeing.Method: Thirty male veterans who reported exposure traumatic and/or were recruited. Semi-structured qualitative interviews conducted, data analysed using thematic analysis.Results: Six described non-morally event, 15 experiencing 9 'mixed' which simultaneously traumatic. Veterans PMIE dissonance, or clash between concurrently held sets values (e.g. versus civilian values), provoked considerable distress. Veterans' cognitions differ compared could have negative implications for daily functioning. Several risk protective factors distress described.Conclusions: This study provides some first evidence that experienced by can life-threatening as well highlighting process may occur in veterans. These findings illustrate need examine effective pathways prevention intervention event.

Язык: Английский

Процитировано

57
Grasping Post-Traumatic Stress Disorder (PTSD) from the Perspective of Psychoneuroimmunoendocrinology (PNIE): Etiopathogenic Mechanisms and Relevance for the Integrative Management DOI Creative Commons
Oscar Fraile‐Martínez, Cielo García‐Montero, Miguel Ángel Álvarez-Mon

и другие.

Biological Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Янв. 1, 2025

Язык: Английский

Процитировано

0
Exploring Structural Adaptations to Cognitive Processing Therapy: A Systematic Review and Meta-Analysis DOI
Priyadharshiny Sandanapitchai, Reginald D.V. Nixon

Behavior Therapy, Год журнала: 2025, Номер unknown

Опубликована: Март 1, 2025

Язык: Английский

Процитировано

0
Moral injury and the COVID-19 pandemic: A philosophical viewpoint DOI Open Access
F. Akram

Ethics Medicine and Public Health, Год журнала: 2021, Номер 18, С. 100661 - 100661

Опубликована: Март 24, 2021

Язык: Английский

Процитировано

28
Occupational Stress and Anger: Mediating Effects of Resiliency in First Responders DOI Open Access
Jessie N. Doyle, Mary Ann Campbell, Lena Gryshchuk

и другие.

Journal of Police and Criminal Psychology, Год журнала: 2021, Номер 36(3), С. 463 - 472

Опубликована: Фев. 4, 2021

Язык: Английский

Процитировано

27
Validation of the PCL-5, PHQ-9, and GAD-7 in a Sample of Veterans DOI

Aazi Ahmadi,

Warren N. Ponder, Jose Carbajal

и другие.

Journal of Occupational and Environmental Medicine, Год журнала: 2023, Номер 65(8), С. 643 - 654

Опубликована: Июнь 1, 2023

Objective Veterans can present at nongovernment (Department of Defense, Department Affairs) mental health agencies with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no veteran study has validated these measures on a treatment-seeking sample veterans outside the DoD VA. Methods We used ( N = 493) to validate assess constructs (PTSD Checklist 5, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7). Results The seven-factor disorder hybrid configuration was best fit. fitting model depression measure two-factor structure, cognitive-affective, somatic depression. anxiety unidimensional model. Limitations Follow-up studies should nontreatment-seeking discharged veterans. Conclusions interpret findings within scholarship explore clinical implications for providers.

Язык: Английский

Процитировано

11
Veterans' experiences of somatic experiencing and prolonged exposure therapies for post‐traumatic stress disorder: A qualitative analysis DOI Creative Commons
Anna Harwood‐Gross,

S A Elias,

Karen Lerner

и другие.

Psychology and Psychotherapy Theory Research and Practice, Год журнала: 2025, Номер unknown

Опубликована: Янв. 14, 2025

Abstract Purpose Despite the proliferation of research into evidence based treatment for military PTSD there is little assignment criterion and still demonstrates low remission rates. Method Thirty participants in a randomized control trial comparing Prolonged Exposure (PE) Somatic Experiencing (SE) were interviewed on their experiences therapy responses assessed using descriptive phenomenological analysis approach to delineate central tenets two therapeutic approaches. Results indicated that from both therapies covered themes experience change, relationship process. Within these themes, SE PE reported similar experiences, such as predominance physiological or bodily also described nuanced differences, specifically pertaining characteristics. process terms learning language, applicable alternative scenarios conquering exposures order achieve respite symptoms. Conclusion The current findings have relevance presenting key elements distinct trauma determining appropriateness desired outcomes. They highlight commonalities differences between patient SE, response, expertise therapist characteristics treatments. Understanding unique PE, gold‐standard novel somatic‐based psychotherapy, will allow better preparation potentially aid assignment.

Язык: Английский

Процитировано

0
Safety and efficacy of methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in post-traumatic stress disorder: An overview of systematic reviews and meta-analyses DOI Creative Commons
Alene Sze Jing Yong,

Suzie Bratuskins,

Musa Samir Sultani

и другие.

Australian & New Zealand Journal of Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Фев. 20, 2025

Objective: To critically evaluate published and unpublished systematic reviews meta-analyses on the safety efficacy of methylenedioxymethamphetamine-assisted psychotherapy for post-traumatic stress disorder. Methods: Six bibliometric databases grey literature were searched from inception to 9 May 2024 methylenedioxymethamphetamine (MDMA)-assisted compared alone among adults with Quality assessment using AMSTAR-2 tool was conducted independently by two investigators. Results: Fourteen comprising 20 primary studies involving up 353 participants included. All included one-to-three sessions 50–125 mg MDMA-assisted (some supplemental dosage) either 25–40 MDMA or inactive placebo psychotherapy. Four deemed high quality. Meta-analyses reported substantial benefits in improving disorder symptoms (standardised mean difference, 0.8–1.3), response rate (relative risk, 1.3–3.5) remission 2.3–2.9) alone. However, that assessed certainty evidence, evidence rated as low very due risk bias, indirectness imprecision. There moderate-quality associated an increased odd transient adverse events. noted reliance spontaneous rather than event reporting, discrepancies between events clinical trial registries, a lack long-term data. Conclusion: high-quality suggest outcomes moderate quality outcomes.

Язык: Английский

Процитировано

0