Not since the great military suicide epidemic of the American Civil War have we seen so many of our heroes, our soldiers and veterans, die by suicide. Why? War is violence. There is intent to cause death, or serious injury, or threat to the physical and psychological integrity of others. War stress is unforgiving. Suicide is an all too frequent response. Today, one member of the military dies by suicide every day. This is a new epidemic. This book addresses some tough questions: What do we know about suicides in the military? Are rates high? Or low? Is military suicide the same or different in the United States and Canada? Is military culture relevant? Do we know the causes, patterns, and associations? Is suicide among the armed forces similar to or different from suicide among civilians? Can it be altruistic? Through individual case studies and general/population approaches, we attempt to understand the cost of military service. It is especially through the personal stories of the great Civil War hero General Emory Upton, Admiral of the Navy Mike Boorda, and Hospital Corpsman Chris Purcell that we find answers. We learn there is a relative lack of understanding about military suicides, mainly due to the very complexity of suicide. The nature of suicide is not monolithic--it is multi-determined. Military service, we find, is a risk factor for suicide and suicidal behavior. Military veterans are twice as likely as civilians to die by suicide. Posttraumatic stress disorder (PTSD) and traumatic brain Injury (TBI) are especially noted to be huge risk factors, but so are other physical and psychological injuries. Sadly, the aftershocks of war include not only suicides but also incarceration, motor vehicle accidents, homicides, homicide(s)-suicides, and many more faces of violence. And there are many more, uncounted, wounded and dead. The families of traumatized soldiers and veterans, too, are indirect victims of their traumatic experience and, for some, their suicides; there is secondary traumatization. Yet, as this book shows, we must not forget that despite the unbearable pain of war, soldiers, veterans, and their military families, including children, are typically resilient. They can survive! Without question, our vulnerable heroes and veterans are at risk for suicide. But there is secrecy surrounding this, which may well be the biggest barrier. The government, the Department of Defense, the military, veterans groups, survivors, health providers, and other stakeholders need to develop and support more research, more programs, and more care for suicidal and disabled armed services personnel, veterans, and survivors. This war stress needs to stop.

This book was written to be a comfort and guide for bereaved parents whose adult child has died; to show by sharing our experiences that we are not alone in our responses to our child's death; that we are not weak, defective in character or otherwise inadequate because of the way we grieve; to spell out ways in which some of us have increased our understanding of our condition, found solace, dispelled guilt and anger, overcome depression, come to terms with survivors, and memorialized our deceased children. Questionnaires were sent to more than sixty bereaved parents of adult children who died and many anonymous examples from these questionnaires are used throughout the book.

This book explores the impact of trauma and dissociation on physical health throughout the lifespan. Important chronic conditions, such as cardiovascular disease and chronic pain, are examined. In addition, trauma in childbearing women is considering, specifically examining the short- and long-term effects of the birth experience itself. Dissociation's effect on long-term health is also described, and how it might manifest in patients in health care settings. This book was based on a special issue of Journal of Trauma & Dissociation.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

The collection asks how faculty, courses, and programmes have responded and adapted to changes in students' needs and abilities, to economic constraints, to new course management systems, and to Web 2.0 technologies such as social networking, virtual worlds, and mobile communication devices. Addressing these questions it includes contributing voices from a wide variety of post-secondary, from urban and rural institutions and from technological and career colleges.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

Assessment of Trauma in Youths: Understanding issues of age, complexity, and associated variables is a collection of articles by well-known specialists in the field of childhood trauma. The articles describe developmental issues in addition to others that are important to the assessment of trauma-exposed youth, to the ongoing refinement of trauma-related diagnoses for children, and to understanding PTSD and more complicated reactions to trauma for young people. The book explores trauma in very young to middle childhood aged children, trauma in adolescents, childhood complicated trauma, and childhood complicated grief. It considers PTSD and Reactive Attachment Disorder as well as discussing disorders that are under continued study such as Developmental Trauma Disorder, Prolonged Grief Disorder, and Traumatic Grief. In the second half of the book, chapters look at the associated features of childhood traumatic response such as genetics and personality, cortisol, poly-victimization, and guilt and shame. Variables such as cortisol reactivity and guilt/shame may influence or follow traumas in children. This book was originally published as a special issue of the Journal of Child and Adolescent Trauma.

In American and NATO Veteran Reintegration, MaryCatherine McDonald and Gary Senecal examine mental health issues among former American service members. Data shows that American veterans suffer from post-traumatic stress disorder (PTSD) at significantly higher rates than veterans in other NATO ally countries involved in the war in Afghanistan. McDonald and Senecal argue that sociocultural factors, such as military training and civilian culture, have a dramatic impact on these rates.

*Authoritative work on helping adults heal, edited by a renowned expert. *Research is growing for the use of expressive arts to access and regulate powerful emotions and support recovery. *Practical features include case examples and suggestions for tailoring therapies to individual needs. *Covers a broad range of approaches--art, music, movement, writing, play, and more.

This publication looks at restoring connections: between the public and private worlds; between individuals and communities; and between men and women. The author, a psychiatrist, makes the link between the "heroic" suffering of men in war and political struggle, and the degraded suffering of women through rape, incest and domestic violence. She identifies a fresh diagnostic category for those suffering from "hidden" traumas, and proposes a recovery programme which favours a process of reintegration.;With a new afterword, Judith Lewis Herman describes the controversy ignited by her work, the new research to emerge in this field of psychology and the far-reaching implications of this text on trauma situations worldwide.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

This book explores the impacts of HIV/AIDS and neoliberal globalization on the occupational health of public sector hospital nurses in KwaZulu-Natal, South Africa. The story of South African public sector nurses provides multiple perspectives on the HIV/AIDS epidemic-for a workforce that played a role in the struggle against apartheid, women who deal with the burden of HIV/AIDS care at work and in the community, and a constituency of the new South African democracy that is working on the frontlines of the HIV/AIDS epidemic. Through case studies of three provincial hospitals in KwaZulu-Natal, set against a historical backdrop, this book tells the story of the HIV/AIDS epidemic in the post-apartheid period.

Kristina E. Schellinski uncovers the hidden trauma of the replacement child - born into an atmosphere of grief to substitute for a lost sibling or other person - and helps adult replacement children discover the uniqueness of their self. Schellinski combines Jungian theory with research from over 20 years of clinical practice to demonstrate how adult replacement children who suffer from physical and psychological distress can rediscover the essence of their being in the transformative process of individuation. Theoretical yet practical, the book discusses core concepts of analytical psychology, psychoanalysis and attachment theory, and detailed case studies address grief, guilt, identity formation, relational challenges and shadow aspects. Schellinski explores how Jung's birth after three dead children impacted his search for self and his theory and discloses her own personal experience. On treatment and prevention, she argues that by recognising elements of the condition, clinicians can facilitate acceptance, compassion and healing, and help reduce transgenerational transmission. This book is an indispensable tool for clinicians, analytical psychologists, psychodynamic psychotherapists and those in other medical professions, and will be of great interest to academics and readers interested in Jungian studies and existential questions. It offers adult replacement children and their families hope for a psychological rebirth.

Wrestling with the Angel addresses the human struggle to cope with death, dying, grief, and bereavement. The book includes essays, a one-act play, a short story, and poetry, including shape poems, rhyming, structured verse, and free verse. In the one-act play, an angel of death comes for a man who has lived an unexamined life and wants to explain why he is not prepared to leave. The short story offers a humorous look at a man who resists aging by continuing to view himself as the young man he once was. The diverse genres allow for different ways of exploring these issues, but all are intended to engage the reader's emotions as well as intellect. The writings incorporate reflections and quotations addressing common human issues related to our mortality and explore reactions to the loss of a loved one--whether expected, such as the death of an aging parent or someone with a terminal illness, or unexpected, such as accidental death. The final chapters examine how aging causes us to assess our lives and why preparing ourselves for death can enhance the quality of our life. This is a book with many more questions than answers, but the reader is invited to share in the process of finding answers. It is a book that requires the reader to be comfortable with ambiguity, because the reality it describes is often ambiguous--a reality that presents us with many choices but few certainties. Intended Audience: Scholars, hospice workers, funeral home directors, hospital chaplains, ministers, and others who work with bereavement issues; classes in death education and classes for mental health professionals in death and grief; general readers who have suffered the loss of a loved one.

This book describes working conditions in informal sector shoemaking in Indonesia and the Philippines, their national and international policy implications. It provides information on glues, an organic solvent, found in footwear chemicals and women garment homeworkers in Bulacan.

Thoroughly updated with DSM-5 content throughout, this book is written for the average trauma clinician (or clinician new to the field who is confronted with a trauma client) to use in his or her daily work. Key Features Offers an Integrated Approach to Trauma Treatment Presents a Clinician-Friendly Review of Treatment Literature Addresses Innovative and "Cutting-Edge" Topics. This popular text provides a creative synthesis of cognitive-behavioural, relational, affect regulation, mindfulness, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for front-line clinicians, those in private practice, and graduate students of public mental health.

Trauma-Attachment Tangle offers informative and inspiring clinical stories of children who have complex trauma and attachment issues from experiences such as adoption, hospitalization, or death of a parent. Some of these children display puzzling or extreme symptoms like prolonged tantrums, self-hatred, attacking their parents or being fearful of common things like lights, solid foods or clothing. Dr. Lovett presents strategies for unraveling the traumatic origins of children's symptoms and gives a variety of tools for treating complex trauma and for promoting attunement and attachment.

Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.

Compiled by internationally recognized experts in trauma critical care,this sourcediscusses the entire gamut of critical care management of the trauma patient and covers several common complications and conditions treated in surgical intensive care units that are not specifically related to trauma. Utilizing evidence-based guidelines where they exist, this all-encompassing source expertly analyzes procedures in analgesia and sedation, patient monitoring, infection control, nutritional evaluation, psychological support, and end-of-life care.

Compiled by internationally recognized experts in trauma critical care, this set discusses the entire gamut of critical care management of the trauma patient.

An epic, deeply moving novel about the power of love and loving with courage - from the Man Booker International Prize-winning author of A Horse Walks into a Bar On a kibbutz in Israel in 2008, Gili is celebrating the ninetieth birthday of her grandmother Vera, the adored matriarch of a sprawling and tight-knit family. But festivities are interrupted by the arrival of Nina: the iron-willed daughter who rejected Vera's care; and the absent mother who abandoned Gili when she was still a baby. Nina's return to the family after years of silence precipitates an epic journey from Israel to the desolate island of Goli Otok, formerly part of Yugoslavia. It was here, five decades earlier, that Vera was held and tortured as a political prisoner. And it is here that the three women will finally come to terms with the terrible moral dilemma that Vera faced, and that permanently altered the course of their lives. More Than I Love My Life is a sweeping story about the power of love and loving with courage. A novel driven by faith in humanity even in our darkest moments, it asks us to confront our deepest held beliefs about a woman's duty to herself and to her children. 'Grossman's work resonates with emotional intelligence, humanity and truth' Irish Times

Outcome Measures in Orthopaedic Trauma is a combined new edition of the successful Outcome Measures in Orthopaedics and Outcome Measures in Trauma that were the first books devoted to the topic of outcome measures for orthopedic trauma surgeons and researchers. The ability to measure results is vital for effective medical practice, particularly in view of the increased emphasis on evidence-based medicine and the introduction of the NICE guidelines. Evaluation of the success of failure of treatment is not only of importance to the patient and practitioner, but also to the health administrator as health care costs increase. Orthopedic and orthopedic trauma are highly complex subjects that can prove difficult to quantify, but accurate measurement is required for setting standards of care and for assessing the severity of an injury. Outcome Measures in Orthopaedics and Orthopaedic Trauma helps the clinician fulfil his or her role in the outcome assessment by providing good references to sources of instruments and techniques used and assisting them in making an informed selection from the different scoring systems available. It will be of interest to orthopaedic and trauma surgeons as well as emergency personnel and lawyers, researchers and hospital administrators working in this area.

*The gold-standard trauma treatment, now available directly to consumers. *A self-help version of the approach in the bestselling professional manual, Cognitive Processing Therapy for PSTD (9781462528646; over 50,000 in print). *This straightforward, encouraging, self-paced program brings science-based relief to those “stuck” in painful emotions and memories. *Worksheets (also available to download), progress-monitoring tools, and additional resources make this a comprehensive, valuable package. *From renowned, award-winning clinician-researchers.

This volume is a collection of writings from pioneers who have created aftercare programs. The perspectives they offer are wide - from the practical how-to's in developing a program to the more personal stories that enlighten the reader on the motivation behind those who founded the programs. The chapters include information on funeral home based programs as well as those based in schools, hospitals and the military.

Building on comprehensive research conducted in US schools, this accessible volume offers an effective model of school leadership to develop and implement school-wide, trauma-responsive approaches to student discipline. Recognizing that challenging student behaviours are often rooted in early experiences of trauma, the volume builds on a model from the Substance Abuse and Mental Health Services Administration (SAMHSA) to walk readers through the processes of realizing, recognizing, responding to, and resisting the impacts of trauma in school contexts. Research and interviews model an educational reform process and explain how a range of differentiated interventions including Positive Behaviour Interventions and Supports (PBIS), social-emotional learning (SEL), restorative justice, and family engagement can be used to boost student resilience and pro-social behaviour. Practical steps are supported by current theory, resources, and stories of implementation from superintendents, principals, and teachers. This text will benefit school leaders, teachers, and counsellors with an interest in restorative student discipline, emotional and behavioural difficulties in young people, and PreK-12 education more broadly. Those interested in school psychology, trauma studies, and trauma counselling with children and adolescents will also benefit from the volume.