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Stories tagged with “PTSD

NEWS FLASH

Army To Review PTSD Diagnoses At All Medical Facilites | The Army announced a review of post-traumatic stress disorder (PTSD) and other behavioral issue diagnoses since 2001 at all its medical facilities nationwide. The probe comes after a review of 400 cases of reversed PTSD diagnoses at Washington state’s Joint Base Lewis-McChord. Of those cases, 100 had their PTSD diagnoses restored. “Reviewing our processes and policies will ensure that we apply an appropriate standard at every installation — one that is influenced only by the opinion and expertise of our medical professionals,” said Army Secretary John McHugh and Chief of Staff Gen. Raymond Odierno in a statement. Fears circulated that the Army reversed diagnoses because of the cost of treatment.

NEWS FLASH

POLL: PTSD Tops Military Families’ Concerns | For the first time, post-traumatic stress disorder tops the list of military families’ concerns, according to a poll conducted by non-profit advocates. The survey by Blue Star Families prioritizes military families areas of concern. Also on the list were the stress put on children by long deployments of their parents, civilian-military divide and a sense that most Americans don’t understand the sacrifices made by service-members. But Stephanie Himel-Nelson, a spokesperson for the group, said the results about post-traumatic stress disorder were “most surprising’: “Post-traumatic stress has never been in the Top 5 [concerns] before.” In a related study, Blue Star Families found that nearly two-thirds of those who report post-traumatic stress didn’t pursue avenues of treatment available through the military.

NEWS FLASH

Study: Two Thirds Of Troops Who Believe They Have PTSD Don’t Seek Military Treatment | A study by a nonprofit group found that only one third of military service members who show signs of post-traumatic stress disorder (PTSD) seek treatment though the military. The nonprofit, Blue Star Families, surveyed military spouses who gave varying reasons their counterparts, despite signs, didn’t get help, some of them because they fear dismissal or being viewed as inadequate for service. “We have a lot more work to do regarding the stigma of seeking help, and that’s something that has to come from every level of leadership,” said Blue Star director of research and policy Vivian Greentree, a military spouse and Navy veteran.

NEWS FLASH

Iraq, Afghan War Vets With PTSD More Likely To Abuse Painkillers | The Los Angeles Times reported yesterday that a new study from the Journal of the American Medical Assn. has found that veterans of the wars in Iraq and Afghanistan that suffer from mental health disorders such as post traumatic stress disorder are more likely to receive and misuse prescription painkillers. Eleven percent of the 141,000 vets examined were prescribed opioid painkillers for 20 or more consecutive days. Nearly 18 percent of vets with PTSD received the drugs compared to 12 percent with mental health issues (but not PTSD) and and 6.5 percent of vets with no mental health diagnosis. Vets “with PTSD and a substance-use disorder were most likely to be prescribed opioids compared with vets with no mental health disorder — 33.5% compared with 6.5%.”

Alyssa

‘Downton Abbey’ Open Thread: At War On The Home Front

If last week’s Downton Abbey was all about the initial power war has to upset the social order, this week’s episode was about the lingering power of institutions, whether the idea that a man headed off to war is entitled to a sweetheart; the sororicidal battles between women for position; or the ability of the servant class to conduct intense power struggles entirely beyond the notice of their employers. It’s fitting, given that theme, that it seems we’re locked into some old plots this week, as Thomas returns to cause all sorts of trouble at Downton, but with increased capacity to sow dissension now that he can play Cora and Isobel off against each other; Mr. Bates and Anna seem locked in a stalemate by his iron and the pace of English legal proceedings; and Sybil and Branson have trouble understanding each other.

It was awful to see Daisy trapped this week, forced into accepting William’s proposal by Mrs. Patmore’s theories of troop morale, forced by William into announcing their engagement prematurely, and then told by Mrs. Harris that she should stay downstairs because “No, Daisy. Not you. The war has not changed everything.” There’s no question that Daisy is safer at Downton than she might be under other circumstances, but the very things that keep her safe and provided for also keep her trapped. It never occurs to anyone that Daisy might have a mind of her own — in fact, Thomas and O’Brien’s machinations against Mr. Bates last season depended on the idea that her head could be sown with any idea no matter how ludicrous. There’s a real sadness in that belief that could morph into a ruined life if William survives, and Daisy is railroaded into marrying him against her desires.

She’s not the only woman torn between her heart and norms, enforced by both law and society, that govern the behavior of women. When Anna finds Mr. Bates, she’s relieved to find out he’s found grounds for a divorce, but disconcerted by the revelation that “for her to divorce me, she needs something beyond adultery…for a husband, adultery is enough.” But when she ventures that that seems unjust, the force of Bates’ passion barrels past her bloom of a political opinion. “I don’t care about fairness,” Mr. Bates declares. “I care about you.” And he refuses to sleep with her, even when she points out “it’s not against the law to take a mistress, Mr. Bates.” Meanwhile, back at Downton, Ethel’s willingness to be sexually available gets her on Mrs. Hughes’ watch list, but it also lands her a date with a soldier that may put paid to her saucy talk.

While women are at subtle odds in those situations, they’re at outright war when it comes to the struggle between Isobel and Cora for control over Downton in its role as convalescent home, and Rosalind is trying to make a cold war hot by prodding Mary to slander Lavinia and break her engagement to Matthew. The first debate is exacerbated by Thomas, who’s returned to Downton determined to take Carson down a peg and with new power to manipulate the people upstairs. I have mixed feelings about Thomas’s manuverings here — the pilot this season suggested some real growth, so it’s disconcerting to see both him and O’Brien fall into old patterns. I hope there are longer games here that move both of them forward, or tragedies born of their limitations. But it’s fascinating to watch Isobel and Cora go at least other in conversations that come up to the very edge of civility. And of course it’s the civility that matters: one of Cora’s complaints is that Isobel has usurped her place with her servants. Cora has more social pull than Isobel does, while Isobel has more practical skills. It’s Edith, perhaps, who represents a way forward, combining Cora’s graces with Isobel’s unflinching desire to connect, even when it means confronting wounds like the amputation that took Captain Smiley’s hand (I am, for the record, considering him George’s father). Seeing the General call her out for her good deeds gave me hope that Edith will find her own way, a typically middle-child blending of Mary’s conventionality and Sybil’s rebellions.
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Security

Obama Marks End Of Iraq War: ‘The Final Work Has Been Done’

President Barack Obama marked the end of the Iraq war today in a speech to U.S. troops in Fort Bragg, North Carolina. He welcomed the troops home and hailed their “extraordinary achievement” in a war that, just a few years ago, appeared to be a quagmire. “I want to speak to you about the end of the war in Iraq,” Obama said. “The final work has been done.”

Watch a clip of the speech:

While the work did yield an “extraordinary achievement,” it also came at a significant cost in U.S. blood and treasure, as well as to the Iraqi people and their society. Yesterday, Center For American Progress analysts Matt Duss and Peter Juul released a briefing updating “the Iraq War Ledger” in “A Look at the War’s Human, Financial, and Strategic Costs” (PDF or online).

Duss and Juul tally the costs of the war in human casualties, financial burdens, and to U.S. strategic posture. The pure numbers are staggering. This chart, from the brief, weighs the heaviest of costs to Americans and Iraqis, that paid for in human lives:

But those numbers for civilian deaths don’t tell the full story for Iraqi human costs: at least 10,000 members of Iraqi security forces fighting alongside the U.S.-led coalition also lost their lives; 1.24 million people were internally displaced; and more than 1.6 million Iraqis became refugees from the war.

Then there was the financial cost to the U.S., both for fighting the war ($806 billion) and for caring for the more than 2 million U.S. soldiers who did so (projected to total between $422 and $717 billion). Those figures include treatment for an incomprehensible human psychological toll of more than 150,000 troops with post-traumatic stress and a suicide rate for veterans of both Iraq and Afghanistan at more than three times the national average.

Lastly, the war created a burden on the U.S. and the international community by exacerbating other problems, such as “fueling sectarianism in the region,” “creat(ing) not only a rallying call for violent Islamic extremists but also an environment for them to develop, test, and perfect various tactics and techniques,” and hurting the U.S.’s international standing, among other issues.

“Iraq has made progress but still struggles with insecurity and deep political discord,” write Duss and Juul. “Still,” they continue

the end of former Iraq President Saddam Hussein’s brutal regime represents a considerable global good, and a nascent democratic Iraqi republic partnered with the United States could potentially yield benefits in the future.

But when weighing those possible benefits against the costs of the Iraq intervention, there is simply no conceivable calculus by which Operation Iraqi Freedom can be judged to have been a successful or worthwhile policy. The war was intended to show the extent of America’s power. It succeeded only in showing its limits.

NEWS FLASH

Army Ranger’s Widow Confronts Rumsfeld About Her Husband’s Suicide | Security officers removed an Army Ranger’s widow from former Defense Secretary Donald Rumsfeld’s book signing at Joint Base Lewis-McChord in Tacoma, Washington. Ashley Joppa-Hagemann, whose husband committed suicide in June before his ninth deployment, said her husband joined the military because of 9/11, and she said “it was his (Rumsfeld’s) lies that cost my husband his life.” Her husband had been diagnosed with PTSD but had not received help despite requesting it. Joppa-Hagemann introduced herself to Rumsfeld by handing him a copy of her husband’s funeral program and blamed Rumsfeld for not providing enough support for soldiers returning home before security officers removed her and anti-war veteran Jorge Gonzalez from the event. Watch a local news report of the incident here.

Alyssa

Intermission

-Bridesmaids is going to be the most profitable movie Judd Apatow’s ever been involved with.

-Something else we can blame Michael Bay for: giving Tyrese Gibson PTSD.

-You Don’t Mess With the Zohan is surprisingly funny, also not in violation of copyright law.

-Rob Thomas, please stop torturing me with promises of a Party Down movie.

-I’d be much more excited for the new Mission Impossible movie if it was about Jeremy Renner and Simon Pegg teaming up to take down Tom Cruise:

Alyssa

Mac McClelland’s PTSD Story And The Risks And Costs Of Journalism

Mac McClelland’s account of how she’s dealing with her post-traumatic stress disorder is powerful and important and warrants a close read. For me, some of the toughest things in it to read were on the larger professional context:

I realize now that I was undone. Journalists put themselves in threatening situations all the time, but they rarely talk about the emotional impact. It’s not easy to complain about the difficulties of being around trauma when you’ve chosen to be around trauma for a living, and it certainly isn’t cool. When CBS correspondent Lara Logan went public that she was raped in Egypt five months after I returned from Haiti, most people reacted with the appropriate amount of horror. Some, though, blamed the reporter for putting herself in a risky situation, and for being reckless enough to enter one when she’s so hot. No wonder it’s a rarity for correspondents to discuss their pain, and practically unheard of when it regards sexual harassment or assault. The handbook of the Committee to Protect Journalists didn’t even mention it—until 20 days ago, when the organization published an “addendum on sexual aggression.”

“Why don’t I get some real problems?” I asked her. The shocking lack of sympathy I got from some industry people I talked to about my breakdown was only compounding my concerns that I didn’t deserve to be this distraught. “Editors are going to think I’m a liability now. What kind of fucking pussy cries and pukes about getting almost hurt or having to watch bad things happen to other people?”

“Dude,” she said. “Marines.”

That the CPJ could just…not think to address that sexual assault is a form of harm journalists face in conflict zones or other dangerous situations says pretty much everything about the dominant assumptions about the kind of work women can do in journalism (and an odd myopia about the fact that men can get assaulted, too).

It also puts paid to the idea of journalistic objectivity — as did Greg Marinovich when I interviewed him earlier this year about working as a combat photographer. Maybe at some level, we can ask journalists to be detached, but for the big issues, we need folks who are able to draw conclusions about right and wrong from their reporting, and it’s insane to expect that people won’t be affected by the things they cover — we really need that, in fact. Journalism is a form of bearing witness, and part of supporting journalism is supporting people in going and seeing the things we can’t and bringing back moral testimony.

Security

PTSD Awareness Day: Five Ways PTSD Hurts U.S. Soldiers

Today is national Post-Traumatic Stress Disorder (PTSD) Awareness Day. As the number of U.S. soldiers returning home from combat in Afghanistan and Iraq increase, so will the number of veterans struggling with this under-reported disease. To date, the military has diagnosed 78,000 cases of PTSD among veterans, but the Department of Veteran Affairs (VA) says “the real number is closer to 800,000.” The latest military mental health survey finds that 20 percent (one in five) Afghanistan veterans suffer from “acute stress, depression or anxiety.” However, less than half — 46 percent — actually seek medical help. Without treatment, soldiers suffering from PTSD are more likely to face unemployment, domestic abuse, divorce, homelessness, and suicide among our troops:

PTSD Creates More Unemployment: Post-9/11 veterans have an unemployment rate of “10.9 percent, compared to 8.5 percent unemployment overall.” That rate is actually higher than the rate for all veterans, which is 7.7 percent. The Labor Department recently found that “more than 20 percent of young Iraq and Afghanistan war veterans were unemployed last year,” and some think PTSD is a contributing factor to this number. “People just frown upon us nowadays, thinking we’re all flying-off-the-handle crazy guys,” said one veteran to USA Today of employers. “They don’t even give us a chance.”

PTSD Destroys Marriages: PTSD also takes a toll on marriages and other relationships. For example, research has found that 38 percent of “Vietnam veteran marriages failed within six months of the veteran’s return from Southeast Asia.” Research also finds that “veterans with PTSD are more likely to report marital or relationship problems, higher levels of parenting problems, and generally poorer family adjustment than veterans without PTSD.” A 2005 Pentagon study found that the divorce rate for Iraq and Afghanistan veterans was up 78 percent since 2003.

PTSD Leads To Domestic Violence: According to military mental health experts, “The increasing number of veterans with [PTSD] raises the risk of domestic violence and its consequences on families and children in communities across the United States.” VA research finds that “male veterans with PTSD are two to three times more likely than veterans without PTSD to engage in intimate partner violence and more likely to be involved in the legal system.” What’s more, several studies found that female partners of veterans with PTSD also “self-reported higher rates of perpetrating family violence than did the partners of veterans without PTSD” as PTSD “can also affect the mental health” of a veteran’s partner.

PTSD Leads To Homelessness: There is an alarming rate of homelessness among America’s soldiers. While only 10 percent of the population, veterans make up one-third of the homeless population. The VA “estimates 107,000 veterans are homeless on any given night. Over the course of a year, approximately twice that many experience homelessness.” A recent federal study found that “the 136,334 veterans who spent at least one night in a shelter” in 2009 amounted to “one of every 168 veterans in the USA and one of every 10 veterans living in poverty.” As the National Coalition for Homeless Veterans notes, a leading reason for the high rate is because at-risk veterans “live with lingering effects of [PTSD] and substance abuse.”

PTSD Leads To Much Higher Rates Of Suicide Attempts: Studies show that having PTSD correlates to having a higher chance of committing suicide; over “50 percent of all trauma survivors worldwide will attempt suicide in their lifetimes.” The National Institute of Health estimates that people suffering from PTSD are six times more likely to committ suicide. Among the military population, suicide has reached alarming levels. American veterans now account for one in every five suicides. This past April, the Veterans Administration’s suicide hotline received a record number of calls — nearly 14,000 over the month, 400 a day. A VA investigation found last year that there were an average of 33 suicide attempts by veterans a day, with 18 being successful.

The prevalance of PTSD among Americans is a silent epidemic, and many of those who are suffering feel as if no one is speaking for them. But there are organizations you can contribute to that dedicate themselves to battling this plague, particularly among American veterans. The Disabled American Veterans, National Center for PTSD, USO, Iraq and Afghanistan Veterans of America, and other organizations welcome your support.

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