Psychiatric casualties : how and why the military ignores the full cost of war / Mark Russell and Charles Figley.

Format:

Book

Author/Creator:

Russell, Mark C. (Mark Charles), 1960- author.

Figley, Charles R., 1944- author.

Language:

English

Subjects (All):

Military psychiatry--History--United States.

Military psychiatry.

Veterans--Mental health services--United States--Evaluation.

Veterans.

Soldiers--Mental health services--United States--Evaluation.

Soldiers.

Physical Description:

1 online resource (464 pages) : illustrations

Place of Publication:

New York, New York State : Columbia University Press, [2021]

Summary:

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.

Contents:

Frontmatter

CONTENTS

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

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

0-231-54745-5

OCLC:

1162451501