Casualties

Datos Bibliográficos

ID9684724
AutoresJonathan Shay (Department of Veterans Affairs, autor de correspondencia)
Año2011
Volumen140
Número3
Páginas179-188
Fecha de publicación2011-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaDaedalus (JOURNAL)
Identificadores de la revistaISSN: 0011-5266 • E-ISSN: 1548-6192
EditorialMIT Press - Journals (PUBLISHER)
DOI10.1162/daed_a_00107
PMID21898967
OpenAlexW4239543928
IdiomaEN
Citas recibidas24

Privation and disease have mainly killed soldiers until very recently. Now that enemy action predominates, faster and better control of bleeding and infection before and during evacuation spares ever more lives today. This essay focuses on psychological war wounds, placing them in the context of military casualties. The surgeon's concepts of 'primary' wounds in war, and of would 'complications' and 'contamination', serve as models for psychological and moral injury in war. 'Psychological injury' is explained and preferred to 'Post-Traumatic Stress Disorder', being less stigmatizing and more faithful to the phenomenon. Primary psychological injury equates to the direct damage done by a bullet; the complications - for example, alcohol abuse - equate to hemorrhage and infection. Two current senses of 'moral injury' equate to wound contamination. As with physical wounds, it is the complications and contamination of mental wounds that most often kill service members or veterans, or blight their lives

Adversary · Computer security · Context (archaeology · Criminology · Military service · Moral injury · Political science · Psychiatry · Health and Conflict Studies · History · Law · Medicine · Psychology · Social Psychology · Trauma, Hemostasis, Coagulopathy, Resuscitation