Combat addiction: Overview of implications in symptom maintenance and treatment planning

Solursh, Lionel P.

doi:10.1002/jts.2490020408

Cited by 26 publications

(6 citation statements)

References 20 publications

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“…For combat veterans, sexual difficulties in intimate relationships may relate to specifics of combat experiences or enduring emotional sequelae of combat such as guilt, horror, and shame. For example, the intense physiological arousal and emotions experienced when under fire, and when killing others, may include excitement, pleasure, and exhilaration and have been described as a “combat high,” which may be followed by feelings of guilt and shame [29,30]. The association of aggression and violence with sex has long been observed, from physical anthropology to cultural studies to popular media and advertising.…”

Section: Sexual Dysfunction In Ptsdmentioning

confidence: 99%

PTSD and Sexual Dysfunction in Men and Women

Yehuda

Lehrner

Rosenbaum³

2015

The Journal of Sexual Medicine

148

115

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Introduction Difficulties in sexual desire and function often occur in persons with posttraumatic stress disorder (PTSD), but many questions remain regarding the mechanisms underlying the occurrence of sexual problems in PTSD. Aim The aim of this review was to present a model of sexual dysfunction in PTSD underpinned by an inability to regulate and redirect the physiological arousal needed for healthy sexual function away from aversive hyperarousal and intrusive memories. Method A literature review pertaining to PTSD and sexual function was conducted. Evidence for the comorbidity of sexual dysfunction and PTSD is presented, and biological and psychological mechanisms that may underlie this co-occurrence are proposed. Main Outcome Measures This manuscript presents evidence of sexual dysfunction in conjunction with PTSD, and of the neurobiology and neuroendocrinology of PTSD and sexual function. Results Sexual dysfunction following trauma exposure may be mediated by PTSD-related biological, cognitive, and affective processes. Conclusions The treatment of PTSD must include attention to sexual dysfunction and vice versa.

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Section: Sexual Dysfunction In Ptsdmentioning

confidence: 99%

PTSD and Sexual Dysfunction in Men and Women

Yehuda

Lehrner

Rosenbaum³

2015

The Journal of Sexual Medicine

148

115

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“…For example, reintegration following deployment may elicit complex attitudes and motivations. Spouses may feel overwhelmed by returning service members who are exhibiting aggression, irritability, and heightened arousal symptoms (Solursh, 1989), and who may be abusing substances in an attempt to cope (Dao, 2011). For service members, especially those suffering from posttraumatic stress, combat operations may have taken on an “addictive” quality (Galovski & Lyons, 2004) and they might feel under-stimulated and unfulfilled upon their return to civilian life.…”

Section: Adapting Interventions To the Military Contextmentioning

confidence: 99%

The case for treating depression in military spouses.

Verdeli¹,

Baily²,

Vousoura³

et al. 2011

Journal of Family Psychology

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The increased operational tempo associated with current deployments to Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) is placing considerable strain on military families. Among other sequelae of OIF and OEF deployment, findings from recent studies suggest high rates of depression in spouses of service members. This review presents a rationale for targeting depression among military spouses. It examines how stressors relating to the deployment cycle may contribute to depression in spouses, and outlines the effects of spousal depression on the mental health of service members and their children. Mental health services currently available to military spouses as well as barriers to their care are also described. Considerations for the adaptation of treatment to their unique circumstances and needs are discussed.

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“…Solursh studying a sample of 100 American Vietnam-War veterans suffering from PTSD; found out that 94% had a pattern of "combat addiction" where nightmares or flashbacks experienced as a 'high' had alternated with periods of severe depression. 27 Collins and Bailey studying a prison sample of 1140 males; established a relationship between PTSD and violent crime excluding armed combating. 28 Here, the 2.3% who satisfied the strict criteria of PTSD showed a significantly higher chance of being arrested or imprisoned for a violent offence.…”

Section: Mental Disorders Among Criminalsmentioning

confidence: 99%

Crime and mental disorder: a literature review

Hulathduwa

2017

Sri Lanka J Forensic Med, Sci & Law

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Conceptual uncertainty exists surrounding the term "mental disorder". It is generally possible to locate a physical cause for physiological diseases making the diagnosis more precise and accurate. In contrary to this, the attribution of "mental disorder" is a subjective assessment usually formed within a given medical and legal framework of the country, mostly influenced by the culture, religion and other sociological factors too. The word "disorder" is the preferred generic term in psychiatry today as classification and labeling of certain mental conditions/states as "illnesses" is a focus of debate. Since the beginning of the human history, the society has associated mental disorders with crime; particularly the more violent forms of crime. Public opinion surveys show that people across the globe think that mental disorder and crime go hand in hand-a misconception revived and propagated mostly by the media. For example, a national survey conducted in 2006 found that 60% of Americans thought that people with schizophrenia were likely to act violently toward others. This article attempts to review the current literature so as to better visualize the yet unsettled proposition of crime and mental disorder.

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Combat addiction: Overview of implications in symptom maintenance and treatment planning

Abstract: T o m b a t addiction" is discussed as a concept central to understanding the chronicity and treatment-resistant quality

Cited by 26 publications

References 20 publications

PTSD and Sexual Dysfunction in Men and Women

PTSD and Sexual Dysfunction in Men and Women

The case for treating depression in military spouses.

Crime and mental disorder: a literature review

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