Cover image for Psychological and psychosocial consequences of combat and deployment with special emphasis on the Gulf War
Psychological and psychosocial consequences of combat and deployment with special emphasis on the Gulf War
Marlowe, David H.
Personal Author:
Publication Information:
Santa Monica, CA : RAND, 2001.
Physical Description:
xxxi, 181 pages ; 25 cm
General Note:
Reading Level:
1480 Lexile.
Format :


Call Number
Material Type
Home Location
Item Holds
RC550 .M37 2001 Adult Non-Fiction Central Closed Stacks

On Order



The authors of this series report on their literature review, summarize what is known about the range of actual exposures in the Gulf, and assess the plausibility of the risk factor at hand as a cause of illness. The authors caution that more research on health effects remains to be completed.

Table of Contents

Prefacep. v
Tablesp. xi
Forewordp. xiii
Summaryp. xvii
Acknowledgmentsp. xxxi
Chapter 1 Introductionp. 1
Chapter 2 Historical Overview: Psychological Consequences of Battle Stressp. 7
The Classical Worldp. 7
A More Recent Culture Illuminates Perspectives from the Classical Worldp. 10
The Relation Between Group Cohesion and Soldier Sustainmentp. 11
The Importance of the Leaderp. 12
Western Values Regarding Behavior During and Following Combatp. 12
Mind-Body Decoupling in the Westp. 13
Chapter 3 Modern War: The American Civil Warp. 17
Postwar Phenomenap. 21
Chapter 4 Conceptual and Theoretical Medical Developments in the 19th and Early 20th Centuriesp. 23
Hysteria and Hypochondriap. 23
Neurasthenia (Neurocirculatory Asthenia)p. 24
Changes in the Concept of Hysteria and Traumatic Neurosisp. 24
The Major Medical Text: Osler's Definitionsp. 26
Traumatic Neurosesp. 26
Hysteriap. 27
Neurastheniap. 28
Beyond Osler's Definitionsp. 28
Ancillary Developments in Military Medicinep. 29
Chapter 5 World War Ip. 31
Shell Shockp. 31
The Shift to a Psychological Interpretationp. 33
Treatment of Shell Shockp. 34
Changes in the Significance of Military Groups and Treatment Near the Front Linesp. 35
The Redefinition of Hysteriap. 36
The American Experiencep. 38
Postwar Concernsp. 39
The Lessons of World War Ip. 40
Chapter 6 1919-1941: The Interwar Yearsp. 43
Mind-Body Dichotomyp. 45
Diagnosis and Classificationp. 46
Chapter 7 World War IIp. 47
Selectionp. 47
Combat Realities and the Failure of Selectionp. 49
The Role of the Groupp. 52
Battle Fatigue/Combat Fatiguep. 54
A Noncombat Hysteriform Behavioral Epidemic: The Case of Atabrinep. 56
Other Non-Battle-Fatigue Psychologically Implicated Disordersp. 59
The World War II Paradigm Shiftp. 62
Chapter 8 Post-World War II Conceptual Developmentsp. 65
The Development of the Contemporary Concept of Stressp. 67
Other Theoretical Developments Bearing on the Psychogenic and Psychosomatic Consequences of "Being Ill"p. 70
Chapter 9 Vietnamp. 73
Vietnam As a Paradigmatic Casep. 74
Psychiatric Casualties in Vietnamp. 76
Vietnam Combat Reactionp. 78
The Ecology of Combat and the Sociocultural Context of the Vietnam Conflictp. 80
The Phases of the Vietnam Conflictp. 82
The Problems in Respect to Psychologically Based Casualty Generationp. 83
The Temporal Patterns of Combat-Stress Casualtiesp. 85
Factors Some Presumed to Account for Rate Variationsp. 87
Prescribed Medicationsp. 87
Group and Unit Cohesionp. 88
Short-Timers Syndromep. 89
Life Restructure As a Factorp. 90
Substance Abuse in Vietnamp. 91
Traumatic Exposure in Vietnam and Its Attributional Role in the Development of the PTSD Outcome Categoryp. 94
Some Further Considerations on the Issue of PTSDp. 101
Health Consequences of Service in Vietnamp. 109
Herbicide Exposurep. 109
Homecoming Patternp. 112
Chapter 10 The Gulf War: Operations Desert Shield and Desert
Stormp. 115
The Stresses of the Gulf Deploymentp. 116
Assessing Stress and Adaptationp. 118
The Structure of the Studiesp. 118
The Field Study and Assessment Phasep. 121
Factors Contributing to the Stress of the Deploymentp. 122
Stress Generated by Concerns About Homep. 123
Stressful Living Conditionsp. 125
Stresses Generated by the Perceived Threatp. 128
Organizationally Attributed Stressorsp. 129
Other Sources of Stressp. 130
Stress Mediatorsp. 130
Population Variation in Response to Stressorsp. 131
Stresses in Anticipation of Combatp. 136
Measuring Stress Levelsp. 138
The Stresses of the Combat Periodp. 140
Chapter 11 Return from the Persian Gulf and its Consequencesp. 145
The Effects of Traumatic Exposure to Combatp. 147
The Stresses of Return from the Persian Gulfp. 149
Chapter 12 Conclusionsp. 159
Bibliographyp. 167