Minnesota Multiphasic Personality Inventory (MMPI)-derived psychopathology subtypes among former prisoners of war (POWs): Replication and extension

Psychopathology and symptom patterns identified among former prisoners of war (POWs) by Sutker, Winstead, Goist, Malow, and Allain (1986) were replicated in an independent sample of 51 former POWs with similar personal backgrounds and military experiences. Data collection instruments included the Minnesota Multiphasic Personality Inventory (MMPI), self-report measures of anxiety and depression, and a structured clinical interview including a POW Trauma Index. Two prototypic MMPI profile patterns were identified using modal profile analysis (Skinner & Lei, 1980). Both were highly similar in shape and elevation to those reported in the previous investigation. Multiprofile-multisample analysis produced prototypic profile patterns which were accurate representations of profiles identified in separate analyses of the derivation and replication samples (r's .96). Representing unique constellations of clinical features, profile subtypes were associated differentially with confinement stress severity, postservice adjustment, and nature and extent of stress-induced symptomatology.     

A comparison between strategies used on prisoners of war and battered wives

Comparisons were made between strategies used on prisoners of war (POWs) and battered wives to determine whether battering tactics are gender specific and thus a result of sexism, or whether battering is a reflection of societal violence. Similarities found between strategies used by captors and batterers were (a) psychological abuse within the context of violence; (b) the use of emotional dependency based on intermittent reinforcement; and (c) isolation from the victim's support system resulting in validation of assailant's beliefs and behavior. Both captors and batterers were successful in destroying the individual's self-identity, as well as eliciting and controlling certain kinds of behavior, when the victim remained isolated from a democratic setting. Differences in the experiences of POWs and battered wives center around the type of a hierarchical structure. In the case of battered wives, a patriarchal family legitimates male domination over women; therefore, the violence occurs within a sexist context.     

Psychopathology subtypes and symptom correlates among former prisoners of war

Psychopathology and symptom patterns were studied in 60 former prisoners-of-war (POWs) by administering standardized tests including the Minnesota Multiphasic Personality Inventory (MMPI), an adjustment problem checklist, and a structured clinical interview. Most POWs showed marked psychological impairment, but modal profile analysis identified two prototypic MMPI patterns, which differed in pervasiveness and type of psychopathology. Profile subtypes were defined by unique clusters of clinical symptoms and differed in confinement stress severity. The typology of symptoms argues against a homogeneous conceptualization of stress-induced disorders and suggests the need for definition of the severity and subtype of stress phenomena and individual difference factors in responding to trauma.     

Coping with war captivity: the role of attachment style

The current study examines the implication of attachment style in both immediate coping and long-term adjustment of prisoners of war (POWs). 164-ex-POWs and 184 matched controls filled out a battery of questionnaires, 18 years after the war. They were questioned about their subjective experience of captivity, current mental health status, and characteristic attachment style. Secure individuals, who reported lower levels of suffering, less helplessness and more active coping during captivity, exhibited better long-term adjustment. Avoidant ex-POWs, who reported helplessness and hostility, and ambivalent individuals, who felt abandoned and vulnerable, reported long-term maladjustment. The role of attachment style as a stress-moderating resource is discussed. © 1998 John Wiley & Sons, Ltd.     

MMPI profiles of veterans of WWII and Korea: comparisons of former POWs and combat survivors

MMPI profile patterns were compared between combat veteran groups of 168 POW survivors and 67 servicemen who were not war captives in WWII and the Korean Conflict. Results confirm previous reports that the scales, Hypochondriasis (Hs), Depression (D), and Hysteria (Hy), are characteristically elevated among former POWs. Findings also point to the contribution of scales, Psychasthenia (Pt), Paranoia (Pa), and Ego Strength (Es), in differentiating groups, suggesting that negative ruminations, heightened anxiety, interpersonal anger and suspiciousness, and low self-esteem contribute significantly to group differentiation.     

Coping with war captivity: The role of sensation seeking

This study examines the implication of both sensation seeking and the subjective appraisal of captivity in the long-term adjustment of ex-prisoners of war (ex-POWs). 164 Israeli ex-POWs and 184 comparable controls were studied, 18 years after their participation in the Yom Kippur War. The findings indicate that high-sensation seekers adjusted better than low-sensation seekers to the stresses of captivity. Low-sensation-seeking ex-POWs reported more PTSD symptoms, more severe psychiatric symptomatology, and more intense intrusive and avoidance tendencies. High- and low-sensation-seeking POWs differed also in feelings when taken prisoner, subjective assessment of suffering in prison, ways of coping with prison, and emotional states during captivity. The present study supports the postulation that sensation seeking is an important stress-buffering personal resource. The role of coping styles in long-term adjustment following war captivity is discussed.     

正义的战争与战争的正义——关于战争伦理的反思

War can be defined as organized political violence among two or more nations. In accordance with the purpose, processes and results of war, the ethics of war generally comprises three aspects: right ethics, action ethics and duty ethics. The most important issue in ethics of war is “justice”. “Justice” and “injustice” as a conceptual pair do not prescribe the objective character of war but rather convey a subjective attitude and ethical position that have the potential to compel a populace to either support or oppose a war. Translated by Zuo Gaoshan and Xi Yunpeng from Lunlixue Yanjiu 伦理学研究 (Studies in Ethtics), 2005, (6): 43–48     

Adjustment to War Captivity: The Role of Sociodemographic Background,Trauma Severity,and Immediate Responses,in the Long-Term Mental Health of Israeli Ex-Pows

This study assessed the role of sociodemographic features, pre-captivity combat exposure, captivity severity, emotional responses and coping during captivity, and social support at homecoming, to the short- and long-term mental health of 164 Israeli POWs of the 1973 Yom Kippur War. The major contributors to the POWs' mental health were psychological responses during captivity, followed first by their education and ethnic status, and then by severity of captivity. Both traumatic stress of captivity and the results of the study were discussed in the light of Conservation of Resources (COR) theory.     

Posttraumatic Stress Disorder and Marital Adjustment: The Mediating Role of Forgiveness

The study assessed the effects of war captivity on posttraumatic stress symptoms and marital adjustment among Prisoners of War (POWs) from the Yom Kippur War. It was hypothesized that men's perception of level of forgiveness mediates the relation between posttraumatic symptoms and marital adjustment. The sample consisted of 157 Israeli veterans divided into 3 groups: 21 POWs with Posttraumatic Stress Disorder (PTSD), 58 former POWs without PTSD, and 70 control veterans. The findings indicated that former POWs with PTSD reported lower levels of marital satisfaction and forgiveness than veterans in the other 2 groups. In addition, men's perception of level of forgiveness mediated the relationship between their posttraumatic symptoms and their marital adjustment. The theoretical and clinical implications of these results are discussed.     

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.     

Anxiety and watching the war in Ukraine

On 24 February 2022, Russia attacked Ukraine. Millions of people tuned into social media to watch the war. Media exposure to disasters and large-scale violence can precipitate anxiety resulting in intrusive thoughts. This research investigates factors related to anxiety while watching the war. Since the war began during the ongoing coronavirus pandemic, threat from COVID-19 is seen as a predictor of anxiety when watching the war. A theoretical model is put forward where the outcome was anxiety when watching the war, and predictors were self-reported interference of watching the war with one's studies or work, gender, worry about the war, self-efficacy and coronavirus threat. Data were collected online with independent samples of university students from two European countries close to Ukraine, Germany (n = 348) and Finland (n = 228), who filled out an anonymous questionnaire. Path analysis was used to analyse the data. Findings showed that the model was an acceptable fit to the data in each sample, and standardised regression coefficients indicated that anxiety, when watching the war, increased with interference, war worry and coronavirus threat, and decreased with self-efficacy. Women reported more anxiety when watching the war than men. Implications of the results are discussed.     

Truce thinking and just war theory

In his book, A Theory of Truces, Nir Eisikovits offers a perceptive and timely ethics of truces based on the claim that we need to reject the ‘false dichotomy between the ideas of war and peace’ underpinning much current thought about conflict and conflict resolution. In this article, I concur that truces and ‘truce thinking’ should be a focus of concern for any political theory wishing to address the realities of war. However, Eisikovits’s account, to be convincing, requires engagement with a tradition of thought figuring only marginally in his reflections on truces, that is, just war theory. I argue this for three reasons. Without incorporation of the just war principles that should inform the decisions to enter conflict, to maintain conflict, and to cease conflict, any theory of truces will be, first, normatively inadequate, failing to provide us with requisite direction, and, second, open to the charge of permitting intolerable injustices, a charge Eisikovits wishes to avoid. Third, engagement with just war theory is important for arriving at a nuanced understanding of peacemaking, one which grants truces their place in our deliberations and spurns simplistic ‘war versus peace’ binaries whilst keeping more ambitious ideals of peace firmly in sight.     

The leaders and the led: Problems of just war theory

Any attempt to justify war in the fashion of just war theories risks underestimating its morally problematic nature. This becomes clear if we ask how the individual soldier or citizen is supposed to use just war theory in his own thinking. Michael Walzer's recent book, Just and Unjust Wars, illustrates the problem nicely. Walzer's view is that whether a state is justified in going to war is not a matter for the citizen to judge, and with regard to the way the war is conducted the individual soldier can have only minimal moral responsibility for what is done. Walzer's position is criticized in detail and the conclusion drawn that such an understanding of just war theory undermines the theory's significance as a moral outlook on war. It is also argued that a more pertinent version of just war theory must have strong implications for social change.     

The influence of war on moral judgments about harm

How does war influence moral judgments about harm? While the general rule is “thou shalt not kill,” war appears to provide an exception to the moral prohibition on intentional harm. In three studies (n = 263, n = 557, n = 793), we quantify the difference in moral judgments across peace and war contexts, and explore two possible explanations for the difference. The findings demonstrate that third-party observers judge a trade-off of one life for five as more morally acceptable in war than in peace, especially if the one person is from an outgroup of the person making the trade-off. In addition, the robust difference in moral judgments across “switch” and “footbridge” trolley problems is attenuated in war compared to in peace. The present studies have implications for moral psychology researchers who use war-based scenarios to study broader cognitive or affective processes. If the war context changes judgments of moral scenarios by triggering group-based reasoning or altering the perceived structure of the moral event, using such scenarios to make decontextualized claims about moral judgment may not be warranted.     

War exposure and post-traumatic stress as predictors of Portuguese colonial war veterans' physical health

The relationship between war exposure and post-traumatic stress disorder (PTSD) has been largely investigated but the impact of the combat experience on physical health has only recently merited attention. The authors investigated the relationship between war exposure and psychological and physical health among 350 Portuguese colonial war veterans. The role of current PTSD symptoms as a mediator of these relationships was also investigated. The results showed that 39% of the veterans met criteria for current PTSD diagnosis and psychological distress was present in half of the sample. Pain, fatigue, and sleep problems were the most reported physical symptoms and mental health and gastro-intestinal problems, the most reported illnesses. Combat exposure variables were significant predictors of current health. The results indicated that veterans with higher exposure to war trauma maintained higher current levels of psychological distress and presented more physical health problems and physical symptoms than those less exposed. Mediation analyses showed that current PTSD was a full mediator of the relationship between war exposure and physical health outcomes.     

The gulf war: Distressful reactions to scud missiles attacks

This study investigated the relationships among coping strategies, trait anxiety and distressful reactions (State anxiety and fears and symptoms) of Israeli civilians under missile attack during the 1991 Gulf war. During the war sixty-six subjects (46 females and 20 males) completed a questionnaire that measured their distressful reactions and included fears in various situations (e.g., during the night, in the sealed room) and various symptoms (e.g., sleep disturbances, sensitivity to noise). In addition each subject completed the Coping Inventory for Stressful Situations (CISS, Endler & Parker, 1990a), a multidimensional self-report measure of coping which measures three major coping strategies: task-oriented, emotion-oriented and avoidance-oriented. Subjects also completed the State and Trait anxiety scales of the Endler Multidimensional Anxiety Scales (EMAS, Endler, Edwards, & Vitelli, 1991). The state anxiety scales measure two components of the individual's state anxiety, cognitive worry and autonomic emotional reactions. The trait anxiety scales measure the individual's predisposition to experience anxiety in four different situations: social evaluation, physical danger, ambiguous situations and daily routines. The results showed that individuals who used emotion-oriented coping more frequently, experienced more state anxiety and symptoms and fears, (i.e., experienced greater distress) during the war. Task-oriented and avoidance-oriented coping were not related to the distressful reactions. It was further found that subjects high on physical danger trait anxiety and social evaluation trait anxiety experienced greater fears and more symptoms (i.e., experienced greater distress) during the war. Persons high on social evaluation trait anxiety also experienced great cognitive-worry state anxiety. The results are discussed within the framework of the multidimensional model of stress, anxiety and coping (Endler, 1988; Endler & Parker, 1990a, 1990b) and the special characteristics of the Gulf war situation.     

The direct and indirect benefits of dispositional mindfulness on self-esteem and social anxiety

This study investigated the long‐term health effects of combat stress reaction (CSR) among Israeli CSR casualties (112) and control veterans (184) of the 1973 Yom Kippur war. Posttraumatic stress disorder (PTSD), physical symptoms, and adverse health practices were examined 18 years after the war. The relationship between CSR, PTSD, physical symptoms and adverse health practices was examined via hierarchical linear regression. Findings indicate that although CSR was positively associated with more current physical symptoms and adverse health practices in univariate analyses, these associations were not significant once demographic differences between the groups were controlled. In contrast, current PTSD symptoms were positively associated with current physical symptoms (p < 0.001) and showed a trend association with adverse health practices (p = 0.06). PTSD was the most powerful predictor of current physical symptoms and appears to mediate the association between CSR and physical symptoms almost two decades after the war. Both combat stress reaction and the results of the study were discussed in the light of the theory of Conservation of Resources (COR).     

The relationship between posttraumatic stress disorder symptoms and paternal parenting of adult children among ex-prisoners of war: a longitudinal study

The aversive impact of combat and combat-induced posttraumatic stress disorder (PTSD) on parenting of young children has been examined in a few studies. Nevertheless, the toll of war captivity on parenting and the long-term relations between posttraumatic symptoms and paternal parenting of adult children remains unknown. This longitudinal study examined paternal parenting of adult children among war veterans, some of whom were held in captivity. Furthermore, we examined the mediating role of PTSD symptoms in the association between captivity and parenting. The sample included two groups of male Israeli veterans from the 1973 Yom Kippur War: ex-prisoners of war (ex-POWs) and comparable veterans who had not been held captive. Both groups were assessed via self-report measures of PTSD at three time points: Time 1 (18 after the war), Time 2 (30 after the war), and Time 3 (35 after the war) years after the war. Results shows that ex-POWs reported lower levels of positive parenting compared to comparison group veterans at Time 3. Furthermore, PTSD symptoms at Time 1, Time 2, and Time 3 mediated the association between captivity experience and parenting at Time 3. In addition, it was found that increases in the levels of PTSD symptom clusters over time were associated with lower levels of positive parenting at Time 3.     

Change and Stability in Attitudes Toward Violence During ISAF Service

A Swedish contingent to the International Security Assistance Force (ISAF; N = approx. 320) was studied before and after deployment to Afghanistan to assess if the mission and experiences on it affected attitudes toward violence. Attitudes toward war violence and penal violence were assessed across t = 1 and t = 2, as were the effects of combat exposure on change and stability in attitudes. It was hypothesized that the attitudes would remain stable across the deployment due to their importance to the soldierly identity, but that experiences of combat exposure would cause an increase in the propensity toward change. Results demonstrate that attitudes did not change between the pre- and postdeployment stages. Unexpectedly, increasing levels of combat exposure did not predict higher rates of change, but rather increased stability in attitudes toward violence. The results demonstrate that in terms of the willingness to use force, peacekeeping deployments do not have detrimental effects on soldiers.     

Rehabilitating civilian victims of war through psychosocial intervention in Sierra Leone

This research assessed an intervention (involving drug therapy and psychoeducational counseling) for war trauma in Sierra Leone. We examine the impact of the intervention on symptoms of post‐traumatic stress disorder (PTSD) and indicators of intergroup emotions and attitudes. Civilian war victims were drawn from a rehabilitation program (Intervention, N=50) or a waiting list Control group (N=50). The rehabilitation program combined general psychiatric treatment with additional life skills support. Those in the Intervention group had significantly lower PTSD symptoms and also scored lower on Intergroup Anxiety and Outgroup Blame, than those in Control. The intervention had an indirect effect on PTSD symptoms through Intergroup Anxiety. The reduction in PTSD in the intervention was greater for participants with a stronger identification with Sierra Leone.