IRAQ WAR CLINICIAN GUIDE
Iraq War Clinician's Guide - Network Of Care
Iraq War Clinician's Guide - Network Of Care
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Iraq War Clinician Guide 185 Appendix I<br />
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P<br />
6. Theoretically primary preventive measures might include prevention of<br />
war or screenillg out vulnerable military recruits. In practice, primary<br />
preventive measttres have included ~svcl~wducational and inoculation<br />
appronches. Secondary prevention has'been attempled through critical<br />
incident stress debriefing adminislered according to the principles of<br />
proximity, immediacy, expectancy, and simplicity. Tertiary prevention<br />
has included psychotherapy, pharmacolherapy, dual diagnosis approaches,<br />
peer counseling, and inpatient treatment. Few treatments have<br />
been ritorouslv walualed.<br />
7. There ;re botc theoretical reasons and empirical findings to suggest that<br />
mtlitary r,cterans rvith PTSD are .lt grater risk for more physical health<br />
problems, psorer I~calll~ s~lus, and more nlrulical srrvicc usgc - hluch<br />
more researclt is needed on this matter.<br />
8. Despile the potential adverse impact of war-zone expasureon mental and<br />
physical health, there is also evidence thal hauma can sometimes have<br />
salutary effects on personality and overall function.<br />
References<br />
1. Axhibald IIC. Long DM. Miller C. et al: Cms stms reaction in cambal: A 15.year <br />
follow-up. Am J Psychiatry 119:317, 1962 <br />
2. Archibald HC, Tuddenham RD: Persistent slra raction after combat: A 20-year fol- <br />
lo%v.up.Arch Gen I'sychiatry 12/5, I965 <br />
3. Artirr I(: Humn behnvior under arcsr: Fmtn combat to social i,svchiatrv. Mdit bled<br />
., ,<br />
128:1011,1963<br />
4. Blake D, KeaneTM. Winr PR, el al: Prevaicnreaf FED symptoms in combat vdcrans <br />
seeking mcdical irealment. 1Tmum Strw, 3:15.1990 <br />
5. Blank AS: 'rhc Velcrans Administratian's Vietnaxn Vetemnr Outreseb and Counseling<br />
Ccmcrj. b!Sannenbcrg Sh*, Blank AS,Talbalt JA (eds):TheTcauma of War: Strm and<br />
Ikoveiy in Vietnam Veleranr. WasBinglon, DC. American Psyrlriatric Press, 1985, p<br />
--, "17<br />
6. Blank AS: The lo~~gitudiaal course of postIratunatic strew disorder. 1. Wilson II: Ra-<br />
phael B (eds): Intcmalional Hilndboak of Traumatic Stress Syndmmcs. New York,<br />
Plenum Prew, 1993, p 3<br />
7. Brenlner ID, SauthwickSM. j ohn DR. el al: Childlwad pltysical ab- and mmbal-<br />
related posllraumvlic ilreS.5 disorder in Viclnsm veterans. Am I Psychiatry 150:235.<br />
9-1<br />
.,,-<br />
8. Camp NM: The Vielnam War 2nd the ethics of combat psycllblry. Am II'rychialry<br />
150:IWO, 1993<br />
9. DavidwnIRT, Kudler HS,Saunden WB, el al: Symptom and camorbidity patlcms in<br />
World War 11 and Vielnam veleraw tuilh posttraumatic ares5 disarder. Compr P$ychiatry<br />
31:162,1990<br />
10. Egcndorf A, KadushisC, laufer R,et nl: ~aci~ofVietnum:Compnrstiveadjuslment<br />
of veterans and llwir pees. Washinson, DC. Cwcrnrnent Prinling OfOm, 1981<br />
11. Elder GH Jr, Clipp E: Combal experience and emotional health: Impairment and mili-<br />
encc inlater life. Journal of Personalitv 57311,1989 <br />
12. FairbankJA, Hnnsen DJ. Pitterling~6~altemsof appnbd aandcapingucrorc different<br />
rtrc.wr condilionn atnong farmer priwncrs of war wiih and wilhoul posnraumalic<br />
arcsdisorder. 1Cansuil Clin Psycho1 59274, 1991<br />
13. Friedman lull: Post-Vieh~am syndrome: Rmenilion and management. Psyd~osomalics<br />
22:931, 1981<br />
14. Fried- MI: Riolagicul approachrs to the diagnosis ad treatment of pon-tmumalic<br />
strcs disorder. J Traitm Stress 967, 1991<br />
15. I:ricdman lull. Charney DS, Southwick 5M: I'itarmacolherapy for recently evacualed<br />
mililary casuailies. Miiil hled 1583493, 1993<br />
I<br />
I<br />
DEPARTMENT OF VETERANS AFFAIRS<br />
NATIONAL CENTER FOR PTSD
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