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VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF POST-TRAUMATIC STRESS

This update of the Clinical Practice Guideline for the Management of Post-Traumatic Stress was developed under the auspices of the Veterans Health Administration (VHA) and the Department of Defense (DoD), pursuant to directives from the Department of Veterans Affairs (VA). VHA and DoD define clinical practice guidelines as: This 2010 VA/DoD Post-Traumatic Stress guideline update…

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INVISIBLE WOUNDS OF WAR

Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments—many involving prolonged exposure to combat-related stress over multiple rotations—may be disproportionately high compared with the physical injuries of combat. In the face…

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Resilience

Resilience can mean many different things. Here is what I do not think it means: “the ability to endure waves of trauma without succumbing to the weight of complex tragedy; remaining productive in high-stress, high-stakes situations despite compounding pressures accumulated over time without opportunity for recovery.” I sometimes get the impression that military leaders invest…

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Moral Injury and “Cognition”

In America, those of us who understand Moral Injury as an existential and spiritual concern find ourselves in conflict with a popular misconception that makes of Moral Injury a cognitive problem. The kinds of struggles that Warriors experience in the aftermath of war often seem like plagues of “bad information” about self, war, and the…

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