The psychological toll of war is vast, and the social costs of war’s psychiatric casualties extend even further. Yet military mental health care suffers from extensive waiting lists, organizational scandals, spikes in veteran suicide, narcotic overprescription, shortages of mental health professionals, and inadequate treatment. The prevalence of conditions such as post–traumatic stress disorder is often underestimated, and there remains entrenched stigma and fear of being diagnosed. Even more alarming is how the military dismisses or conceals the significance and extent of the mental health crisis.
The trauma experts Mark C. Russell and Charles Figley offer an impassioned and meticulous critique of the systemic failures in military mental health care in the United States. They examine the persistent disconnect between war culture, which valorizes an appearance of strength and seeks to purge weakness, and the science and treatment of trauma. Instead of reckoning with the mental health crisis, the military has neglected the needs of service members. It has discharged, prosecuted, and incarcerated a large number of people struggling with the psychological realities of war, and it has inflicted humiliation, ridicule, and shame on many more. Through a far-reaching historical account, Russell and Figley detail how the military has perpetuated a self-inflicted crisis. The book concludes with actionable prescriptions for change and a comprehensive approach to significantly improving military mental health.
Jadual kandungan
Preface
Acknowledgments
Introduction: The Genesis of the Military’s Mental Health Dilemma
1. A War to Die For: Casualty Trends of Modern Warfare
2. The Dark Side of Military Mental Health: A History of Self-Inflicted Wounds
3. Cruel and Inhumane Handling: The First Dark-Side Strategy
4. Legal Prosecution, Incarceration, and Executions of Mental Illness: The Second Dark-Side Strategy
5. Humiliate, Ridicule, and Shame into Submission: The Third Dark-Side Strategy
6. Denying the Psychiatric Reality of War: The Fourth Dark-Side Strategy
7. Purging Weakness: The Fifth Dark-Side Strategy
8. Delay, Deceive, and Delay Again: The Sixth Dark-Side Strategy
9. Faulty Diagnosis and Backdoor Discharges: The Seventh Dark-Side Strategy
10. Avoiding Responsibility and Accountability: The Eighth Dark-Side Strategy
11. Inadequate, Experimental, or Harmful Treatment: The Ninth Dark-Side Strategy
12. Perpetuating Neglect, Indifference, and Self-Inflicted Crises: The Tenth Dark-Side Strategy
13. Toward a Resilient and Mentally Healthy Military
14. Transforming Military Mental Healthcare: Three Options for Change
Appendix
Notes
References
Index
Mengenai Pengarang
Mark C. Russell is core faculty in the Psy D Program at Antioch University Seattle, where he is establishing director of the Institute of War Stress Injury, Recovery, and Social Justice. He is a former U.S. Navy commander and military clinical psychologist with over twenty-six years of military service.Charles Figley is the Paul Henry Kurzweg, MD Distinguished Chair in Disaster Mental Health; professor of social work; and director of the Traumatology Institute at Tulane University. He is the author of many books, the first of which, Stress Disorders Among Vietnam Veterans (1978), contributed to the diagnosis of PTSD. He served a tour of duty in the Vietnam War as a member of the U.S. Marine Corps.
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