One ‘knows’: self-rated health and telomere length among ex-prisoners of war

Abstract

Objective: Ill-health and early mortality are amongst the most significant ramifications of trauma. Furthermore, trauma alters the subjective perception and experience of the body. The aim of this study is to examine the extent to which deteriorations in perceived health among traumatised individuals are associated with cellular health as manifested in telomere length.

Methods: Specifically, 88 former prisoners of war (ex-POWs) evaluated their health (self-rated health; SRH) at 18 (T1), 35 (T2) and 42 (T3) years after the war, and were assessed for telomere length at T3. Health behaviour, BMI, morbidity and PTSD were also examined at T3.

Results: The findings demonstrated that SRH was cross-sectionally correlated with telomere length. Furthermore, a significant sequential indirect effect was found, in which worse SRH in T1 was associated with shorter telomere length at T3, through worse SRH at T2 and at T3.

Conclusions: These findings demonstrate that long-term deteriorations in the subjective evaluations of health are implicated in actual cellular health among individuals exposed to trauma.     

Grasping neither war nor peace: the folly of cosmopolitan preventive war

ABSTRACT

Some liberal-cosmopolitan theorists have sought to justify preventive war by proposing new institutions meant to ensure the accurate evaluation of non-imminent threats, and also make any war against them proportionate. In the debate over these proposals there has been little consideration of the post-war conditions any preventive war will likely produce. This is a serious omission; many theorists emphasize the degree to which the ability to secure a just peace is crucial to whether a war is proportionate. This article begins to remedy this missing piece of the debate over what it calls ‘cosmopolitan preventive war’ (CPW). After reviewing the debate, it discusses preventive war in the context of theorizations of post-war justice, or jus post bellum. It then investigates CPW’s ability to account for jus post bellum concerns through a counterfactual 2003 Iraq CPW. Showing that the proposed institutions do not do enough to account for the likely, and possibly immense, post-war harm wrought by preventive war, the article concludes with a negative evaluation of the CPW program and a brief statement on the ethics of preventive war in general.     

The Burden Left My Heart

Abstract

This paper presents psychosocial services for displaced women living in the war zones. Two study groups were formed from two cities in Croatia, Zenica and Tuzla. The services were designed to ameliorate distress and improve psychosocial functioning. A questionnaire-based evaluation indicated that highly distressed women derived greater benefit from group psychotherapy (Tuzla) than did the group who participated in occupational activities (Zenica).     

Internal reflections of an external peace process: A case study

Abstract

This case study records and analyzes how external changes, emanating from the ceasefires in Northern Ireland in 1994, resulted in significant changes within the internal world of a Northern Irish Client     

Secondary traumatization among former prisoners of wars' adult children: the mediating role of parental bonding

Background and Objectives: The aversive impact of combat and parents' combat-induced posttraumatic stress disorder (PTSD) on young children has been examined in a few studies. However, the long-term toll of war captivity on secondary traumatization (ST) and the parental bonding of adult children remain unknown. This study examined ST symptoms and parental bonding among adult children of former prisoners of war (ex-POWs' children) that were compared to adult children of comparable veterans (controls' children). Furthermore, we examined the mediating role of parental bonding and exposure to stress in the association between group and ST symptoms. Design: A correlative, cross-sectional study. Methods: Participants were Israeli ex-POWs' children (N = 98) and controls' children (N = 90), whose fathers fought in the 1973 Yom Kippur War. All participants completed a battery of self-reported questionnaires. Results: Ex-POWs' children reported a higher number of ST symptoms and lower levels of fathers' care, as compared to controls' children. Importantly, exposure to stress stemming from fathers' behaviors and fathers' care was found to mediate the association between research group and ST. Conclusions: Forty years after the war ended, the experience of living with ex-POWs is associated with ex-POWs' children psychological outcome.     

Children as Victims of War and Terrorism

Summary

War and terrorism victimize all people in a country, group, or area, but disputes in recent decades are especially likely to impact children and families. Children can experience wars by being in the war zone, by being in countries that deploy military personnel to a war zone, by suffering from the consequences of military expenses and economic warfare, by experiencing war and terrorism from a distance through media, or by suffering fromindoctrination and the building of enemy images. This paper reviews what researchers havediscovered about the unique risks associated with each of those categories and recommendspromising solutions.     

Anxiety research in Japan

Abstract

This article focused on traumatic stress and adjustment in the Middle East. Conservation of Resources (COR) stress theory was proposed as a template to explain the relationship between traumatic circumstances and subsequent adjustment. According to COR theory, moderate and major life events produce negative psychological, functional, and health sequelae to the extent that resource loss is experienced. Resource loss that is developmentally overwhelming, or chronic, or a threat to survival was proposed to produce extreme or prolonged adjustment difficulties. Conversely, the replenishment of resources was seen as alleviating psychological suffering. COR theory was applied broadly to children, adults, civilians, and military personnel.     

Acute stress disorder among civilians during a war and post-traumatic growth six years later: the impact of personal and social resources

Background and Objectives: Various studies suggest a link between stress response to a traumatic event and post-traumatic growth (PTG), but little is known about their long-term relationship. In this study, the relationship between acute stress disorder (ASD) among civilians during a war on the home front and PTG six years later was examined for the first time. Based on the conservation of resources (COR) theory, the role of personal and social resource loss and gain as moderating factors was investigated. Design and Methods: At Time 1 of the research (the Second Lebanon War in 2006), a structured questionnaire was administered to 370 civilians living within rocket range. At Time 2, 6 years later, 301 participants from Time 1 were again examined. The data analysis refers to the 301 respondents who participated at Time 2. Results: The findings indicate a significant relationship between ASD and PTG. Examination of the interaction revealed that resource gain (but not resource loss) moderates (strengthens) the relationship between the two. Conclusions: These findings are not consistent with the COR view that resource loss has a greater effect on stress responses than resource gain.     

Art Speaks in Healing Survivors of War

Abstract

Mental health clinics can use creative art therapies as a means of reaching out to war refugees in their communities who may not respond to traditional talk therapy. In this case, the use of quilting and other artwork was utilized by the staff at Chicago Health Outreach to assist displaced Bosnians to cope with their war-related trauma and integration into their new environment in the United States. It can be difficult to reach refugee populations within a community whose culture and language are different from the majority, but finding other means of communicating can make a real difference for these individuals as they find safety and understanding by working on and sharing special creative projects.     

Assessing Trauma Impact,Recovery, and Resiliency in Refugees of War

Abstract

This paper describes the psychometric properties and process of using the Multidimensional Trauma Recovery and Resiliency Scale (MTRR) with 83 untreated war-affected adolescent and adult refugees of diverse cultures, family of origin, age, gender, and time since the war. The MTRR met reliability, validity, and utility criteria with this convenience sample. This paper discusses modifications made to the MTRR-I format, questions, and prompts to enable work with the wide range of ages and cultures represented in the sample. The results support the MTRR as a tool that may have the ability to capture the complexity of culture as well as measure a variety of trauma responses and work with other measurements. Limitations of the study and avenues of future research are discussed.     

Images of freud: From his correspondence

Abstract

The study of the epistolary activity of Freud, because of the specific investment demonstrated by the estimated 20,000 letters which make up his correspondence, in itself affords us various insights: on Freud himself, describing himself from day to day, on the history and nature of the conscious and unconscious libidinal relationships which linked him to his principal correspondents and, taking this exceptional case as our starting point, on the specificity of the need to write and to receive letters which is present to differing degrees in every human being. Leaving to others the detailed investigation of the content of this correspondence as a source of biographical or theoretical information, this work concentrates on the comments by Freud himself on the many different aspects of the art of the letter-writer. The method used was specific: some 600 extracts from his letters were read, whereby we confined ourselves to remarks on the material circumstances in which they were written, the handwriting, the detailed records which were kept of them, their frequency, their family or conventional aspects, etc. This intentionally limited vision allows us to isolate a number of points of reference in the manifestations of a compulsion to write intended to prevent the occurrence, already feared by the young Freud of age 18 years, of “mortal boredom”.     

The mercy of anxiety: A relational-psychoanalytic study of Dialogues des Carmélites

This article discusses the complex relationship between anxiety and religion in identity formation by analysing an intense, contemporary opera, the Dialogues des Carmélites by the French composer Francis Poulenc. The theoretical framework for our discussion was adopted from what is currently called relational psychoanalysis - and more specifically, from the theories of Erik H. Erikson, Ernest G. Schachtel and Donald W. Winnicott. We will try to demonstrate that existential anxiety forms part of the process of developing a (religious) identity, and need not necessarily be a sign of weakness or pathology. Nonetheless, feelings of anxiety may be paralysing in a cultural climate such as ours, which stresses the values of freedom and autonomy. A relational psychoanalytic reading of the opera leads to a re-evaluation of these values, showing that (religious) identity development is an intrinsically relational process. The attitude of receptivity (which is connected to the theological theme of grace) plays an important role in this respect. On completing our analysis, we concluded that relational psychoanalysis complements the existential view on identity and anxiety. We also advocate more attention for the theme of receptivity in the psychology of religion.     

Reports of recovered memories of childhood abuse in therapy in France

ABSTRACT

Recovered memories of abuse in therapy are especially controversial if the clients were not aware they were abused before therapy. In the past, such memory recovery has led to legal action, as well as a debate about whether such memories might be repressed, forgotten, or false memories. More than two decades after the height of the controversy, it is unclear to what degree such memories are still recovered today, and to what extent it occurs in France. In our French survey of 1312 participants (M_age?=?33; 53% female), 551 reported having done therapy at some point. Of that 551, 33 (6%) indicated they had recovered memories of abuse in therapy that they did not know about before therapy. Sexual abuse was the most commonly reported type that was recovered in therapy (79%). As in past research, discussing the possibility of repressed memories with therapists was associated with reports of recovered memories of abuse. Surprisingly, memory recovery occurred just as much in behavioural and cognitive therapies as it did in therapies focused on trauma. We found recovered memories in a proportion of clients who began therapy recently. Recovered memories in therapy appears to be an ongoing concern in France.     

Mass psychology of the led and the leaders

Abstract

Some salient features of a Sullivanian perspective are given as a background for a discussion of the case of Anna. Lived experience is mentioned as of equal importance as fantasy. Technically, analytic inquiry in the form of questions is stressed. In his review of the case presentation, the author observes that too much emphasis is given to content, compared to form. He notes that the therapist does not report key transference and non-transference interactions with the patient and further suggests that the patient still has significant narcissistic problems. He suggests that it is time to confront the patient with her characterological ways of relating to the analyst.     

Personality traits as moderators of the associations between deployment experiences and PTSD symptoms in OEF/OIF service members

Abstract

This investigation examined traits from the five-factor model of personality as moderators of the associations of combat and aftermath of battle experiences with symptoms of posttraumatic stress disorder (PTSD) in 214 National Guard/Reserve service members deployed to operations enduring and Iraqi freedom. Extraversion significantly moderated the associations of both combat experiences and aftermath of battle experiences with PTSD severity, with associations weakening as levels of extraversion increased. The relation between aftermath of battle experiences and PTSD was also moderated by the other four personality factors, with the relation being weaker at higher levels of agreeableness, conscientiousness, and openness, and lower levels of neuroticism. These results suggest that personality traits may impact individual responses to war trauma, particularly war-related experiences that are not directly threatening to one's safety (i.e., aftermath of battle events vs. actual combat events). Although this investigation was cross-sectional, these findings indicate that personality traits are an important risk/resiliency factor to consider in people's responses to traumatic events.     

Engineering the just war: Examination of an approach to teaching engineering ethics

The efficiency of engineering applied to civilian projects sometimes threatens to run away with the social agenda, but in military applications, engineering often adds a devastating sleekness to the inevitable destruction of life. The relative crudeness of terrorism (e.g., 9/11) leaves a stark after-image, which belies the comparative insignificance of random (as opposed to orchestrated) belligerence. Just as engineering dwarfs the bricolage of vernacular design—moving us past the appreciation of brush-strokes, so to speak—the scale of engineered destruction makes it difficult to focus on the charred remains of individual lives. Engineers need to guard against the inappropriate military subsumption of their effort. Fortunately, the ethics of warfare has been an ongoing topic of discussion for millennia. This paper will examine the university core class I’ve developed (The Moral Dimensions of Technology) to meet accreditation requirements in engineering ethics, and the discussion with engineering and non-engineering students focused by the life of electrical engineer Vannevar Bush, with selected readings in moral philosophy from the Dao de Jing, Lao Tze, Cicero, Aurelius Augustinus, Kant, Annette Baier, Peter Singer, Elizabeth Anscombe, Philippa Foot, and Judith Thomson. An earlier version of this paper was presented at the 2005 conference, Ethics and Social Responsibility in Engineering and Technology, Linking Workplace Ethics and Education, co-hosted by Gonzaga University and Loyola Marymount University, Los Angeles, CA, USA, 9–10 June 2005.     

The presence of the absence in Kjell Westö’s novel: “Hägring 38”

ABSTRACT

The word ‘hägring’ (in English. ‘mirage’) can be understood in different ways: as an unrealistic hope or wish that cannot be achieved (wishful thinking); as an image in a mirror of something that is not there, but in another place, and as a sign of something that has not yet become visible, for instance, the first rays of sunlight on the horizon before the sun has risen. These meanings represent different ways in which presence and absence interplay, and are all illustrated in Kjell Westö’s impressive novel from 2013 for which he received the Nordic Literature Prize in 2014.

The action of the novel takes place during eight months in Helsinki from March to November 1938 and unravels how the past and present are woven together on a historical, societal and individual level. The present article will try to illustrate this.     

Just War Moralities

This essay discusses four recent books on the Western, and one book on the classical Chinese, traditions of just war. It concentrates on the jus ad bellum moral criteria (legitimate authority, just cause, and right intention), giving attention to the centrality of the state in just war morality, to some challenges in reconceptualizing the jus ad bellum in the context of non‐state agents, and to controversies over a “presumption against war.”     

Legacies of War: Asian American Women and War Trauma

ABSTRACT

Although Asian Americans are diverse in many ways, such as language, culture, ethnicity, religion, generational status, and more, many share a common experience: that of having experienced war first hand or being progeny of war survivors. World War II, the Korean War, the Vietnam War, the Cambodian genocide, along with centuries of oppressive and authoritarian rule, have brought experiences of trauma, directly and historically, to the lives of many Asians. Subsequent experiences of migration and resettlement, as well as life in the United States as an ethnic minority, have also compounded the layers of oppression for many Asian Americans. Sexism in our cultures of origin, as well as sexism in the U.S., represents additional realities and traumas faced by Asian American women. In this article, we explore the experiences of war and subsequent traumas in the lives of Asian American women. We present a brief review of the current state of mental health as it relates to the experiences of war trauma, with the goal of providing a crucial contextual backdrop for our review of the best practices in mental health services to Asian American women. We review some of the best practices and conclude with a narrative reflection based on our own involvement in a small professional women’s group that yielded insights, discoveries, healing, and empowerment from the legacy of war trauma.