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PTSD - Diagnosis and Identity in Post-empire America (Paperback)
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PTSD - Diagnosis and Identity in Post-empire America (Paperback)
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Stories of soldiers suffering from Post-Traumatic Stress Disorder
dominate news coverage of the return from wars in the Middle East.
On the surface, the stories call our attention to psychic trauma
and the need for mental health services for veterans; scratch that
surface and we see that PTSD has morphed from a diagnostic category
into a cultural trope with broad societal implications. In PTSD:
Diagnosis and Identity in Post-empire America, Jerry Lembcke
exposes those implications. Lembcke reprises PTSD's formulation
following the war in Vietnam, examining how its medical discourse
provided a psychological alternative to the political
interpretations of veterans' opposition to the war- psychiatrists
said veteran dissent was cathartic, a form of acting-out. Lembcke
drills deeply into the modern history of war-trauma treatment,
picking up the threads left by nineteenth-century work on men and
hysteria, and following them into the treatment of "shell shock" in
World War I. With great originality, Lembcke also shows how art and
the media led the "science" of war trauma, and then how the
followers of Sigmund Freud showed that shell-shock symptoms were as
likely to be expressions of fears and conflicts internal to the
patients as the effects of exploding shells. The line drawn by the
Freudian critique of the medical/neurological model would resurface
in debates leading to PTSD's inclusion in the DSM in 1980 and
on-going deliberations over the definition and meaning of Traumatic
Brain Injury. In core chapters, Lembcke shows the influence of
film, theater, television, and news coverage on public and
professional thinking about war trauma. The inglorious nature of
recent wars, from Vietnam through Iraq and Afghanistan, leaves
Americans searching for meaning in those conflicts and finding it
in loss and sacrifice. Lembcke warns that the image of damaged war
veterans is working metaphorically in these dangerous times to
construct a national self-image of defeat and damage that needs to
be avenged. It is a dangerous end-of-empire narrative that needs to
be engaged, he says, lest its dangers reach fruition in more war.
The insights found in this book make it an invaluable resource for
scholars of sociology, medical sociology, psychology, military
studies, gender studies, and history of psychiatry, and a riveting
read for anyone interested in the subjects it treats.
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