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.     

Dimensionality of the Beck Anxiety Inventory in a Polytrauma Sample of OEF/OIF/OND Veterans: Findings From Exploratory and Confirmatory Factor Analysis

The Beck Anxiety Inventory (BAI) is commonly used as a screening instrument for symptoms of anxiety in clinical settings. The factor structure has been researched in a variety of different clinical settings with results ranging from a 2- to 5-factor structure. The purpose of this study was to explore the factor structure of this instrument in a polytrauma veteran sample. A sample of 304 veterans was used for this study. All subjects were administered the BAI screening measure as part of an evaluation in an outpatient polytrauma clinic. Exploratory factor analysis was conducted for half of the sample, followed by confirmatory factor analysis for the remaining sample to determine the best model. Factor analyses revealed that a 5-factor model provided a best fit. It is interesting to note that previously identified models of the BAI with other types of samples did not provide the best fit for this polytrauma sample. The BAI may provide additional information for clinicians when examining the 5-factor model with veterans in polytrauma settings. The factor structure of the BAI includes 1 factor (i.e., personal safety) that may be unique for veterans who have served in combat zones.     

Organizational Tenure Diversity as Predictors of Combat Performance in ROK Army

Drawing on the upper-echelons theory and diversity issues, this study examines the relationships between top management team (TMT) organizational tenure, tenure diversity, and combat performance. The study is based on of Korea Combat Training Center (KCTC) that is designed for training and evaluation of the battalion combat power. Findings indicate that battalions with higher levels of TMT tenure have a positive effect on combat performance. Tenure diversity of TMT has a negative effect on combat performance. In addition, results showed that the negative relationships between tenure diversity of TMT and combat performance are attenuated by commander’s shared experience with other TMT members.     

Correcting Misperceptions About Cognitive Processing Therapy to Treat Moral Injury: A Response to Gray and Colleagues (this issue)

We respond to the commentary by Gray, Nash, and Litz (this issue) regarding the use of cognitive processing therapy (CPT) to address moral injury as described in our previous publication (Wachen et al., 2016). In their commentary, Gray et al. posit that CPT is inappropriate when applied to the treatment of war-related traumas involving “real moral and ethical transgressions” (i.e., moral injuries). However, Gray and colleagues’ assertions are centered on a premise that is incorrect, namely that CPT is based on the idea that “self-blame and guilt are inherently illogical or inaccurate,” and that CPT assumes that all beliefs associated with moral injury are erroneous. On the contrary, we acknowledge that self-blame and guilt may be accurate responses to warzone trauma, yet disagree that CPT is not suitable in these situations. This response serves to clarify some of the inaccurate interpretations of the treatment as stated by Gray and colleagues, and reiterates the position of CPT on many of the issues that were raised. Specifically, we discuss the use of Socratic questioning within CPT to address the issue of moral injury. Furthermore, we highlight the strong evidence base for the use of CPT in treating veterans and active military. Until it has been determined through empirical study, it is premature to assert that CPT is insufficient in addressing moral injury in combat personnel.     

Targets,tactics, and the open mouth face during play fighting in three species of primates

The play fighting of many mammals involves the nonserious use of behavior patterns derived from serious fighting. A major question of theoretical importance has been that of how, given this overlap in patterns of behavior, the animals can distinguish between playful and nonplayful intent. One proposed solution is that animals use play signals to inform each other about the playful intent of their actions. The most widely reported play signal amongst primates is the open mouth play face. The manner in which this so-called signal functions is based on correlational evidence, with most reports simply noting its presence or absence in a given species. This study involved a detailed video-based analysis of the occurrence of open mouths during the play fighting of three species of primates. One captive troop each of ring-tailed lemurs, black-handed spider monkeys, and patas monkeys was used. By examining all open mouths in the context of the species-typical style of play fighting, several conclusions were empirically verified. 1) Most open mouths occur as a functionally necessary precursor for biting. 2) Some open mouths occur as a defensive threat which deters further contact. 3) The residual open mouths which may function as contact promoting play signals, constituted about 20–25% of all open mouths by the lemurs and patas monkeys, but less than 5% for spider monkeys. These species differences appeared to arise from two causes. Firstly, the spider monkeys used another signal, the head shake, in situations where lemurs and patas monkeys used open mouths. Secondly, the style of play fighting greatly influenced the frequency and duration of open mouths. This was most marked in the face-to-face combat style of patas monkeys. These findings show that comparative studies of the occurrence and function of play signals need to take into account species-typical styles of playful combat. Aggr. Behav. 23:41–57, 1997. © 1997 Wiley-Liss, Inc.     

Lateral display as a combat tactic in richardson's ground squirrel Spermophilus richardsonii

During fighting, adult ground squirrels frequently face each other laterally, arch the back, and piloerect the tail. In a diurnal species, such distinctive visual cues seem consistent with the suggestion that the lateral display serves a communicatory function. However, a detailed analysis of videotaped sequences of free-living Richardson's ground squirrels from two consecutive mating seasons suggested that the lateral maneuver has a functional role in combat. Because most agonistic encounters involve chasing, the rump is the principal body area bitten. When stationary, however, the opponent's rump is bypassed, and bites are targeted at the shoulders. Defensively, a hip thrust is used to block such attacks to the shoulder by pushing the opponent's head away. Offensively, the lateral maneuver is used to push against the opponent, providing a vantage point from which to lunge at the opponent's shoulders. In addition, the defender can launch counterattacks at the side of the head. The lateral orientation provides the attacker with a means of evading such attacks, by swerving laterally away. In some encounters, both the offensive and defensive variations of the lateral maneuver were used by both opponents, often simultaneously. Therefore, irrespective of the signalling function of the lateral display, much of its occurrence during combat can be explained in terms of its role as a combat tactic. © 1996 Wiley-Liss, Inc.     

The Kawa River Model: Applying Theory to Develop Interventions for Combat and Operational Stress Control

This article proposes the implementation of the occupational therapy Kawa (Japanese for river) model to promote “culturally relevant” client-centered care for combat and operational stress control services provided in the military context. Currently, the occupational therapy literature lacks a culturally sensitive approach to address the military service members’ experiences with combat and operational stress. A review of the Kawa model features are provided within a case study for a military service member affected by combat and operational stress. This theoretical article offers a pragmatic method for infusing occupational therapy theory to address the cultural aspects of military service members in recovery.     

A Review of Research on Moral Injury in Combat Veterans

The moral injury construct has been proposed to describe the suffering some veterans experience when they engage in acts during combat that violate their beliefs about their own goodness or the goodness of the world. These experiences are labeled transgressive acts to identify them as potentially traumatic experiences distinct from the fear-based traumas associated with posttraumatic stress disorder. The goal of this article was to review empirical and clinical data relevant to transgressive acts and moral injury, to identify gaps in the literature, and to encourage future research and interventions. We reviewed literature on 3 broad arms of the moral injury model proposed by Litz and colleagues (2009) Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., &; Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29, 695–706. 10.1016/j.cpr.2009.07.003[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]: (a) the definition, prevalence, and potential correlates of transgressive acts (e.g., military training and leadership, combat exposure, and personality), (b) the relations between transgressive acts and the moral injury syndrome (e.g., self-handicapping, self-injury, demoralization), and (c) some of the proposed mechanisms of moral injury genesis (e.g., shame, guilt, social withdrawal, and self-condemnation). We conclude with recommendations for future research for veterans suffering with moral injury.     

Sexism as a Predictor of Attitudes Toward Women in the Military and in Combat

This study examined four forms of sexist beliefs as predictors of attitudes toward women in the military and in combat. Survey data revealed that military-affiliated college students (n = 62) held more negative attitudes than civilian students (n = 254) toward women in combat, but the groups did not differ on attitudes toward women in the military. All forms of sexism contributed uniquely to the prediction of attitudes toward women in the military, and 3 forms were associated with approval of women in combat. Sexist beliefs mediated the relationship between military-affiliation status and approval of women in combat.