2.Writes Paragraph On“War is a menace - causes loss to the family and severe
emotional breakdown”.
Answers
Answer:
Among the consequences of war, the impact on the mental health of the civilian population is one of the most significant. Studies of the general population show a definite increase in the incidence and prevalence of mental disorders. Women are more affected than men. Other vulnerable groups are children, the elderly and the disabled. Prevalence rates are associated with the degree of trauma, and the availability of physical and emotional support. The use of cultural and religious coping strategies is frequent in developing countries.
Keywords: War, mental health, vulnerable groups, coping strategies
The year 2005 is significant in understanding the relationship between war and mental health. This is the 30th anniversary of the end of the Vietnam war and of the start of the war in Lebanon. Every day the media bring the horrors of the ongoing "war" situation in Iraq. Some recent quotations from the media depict the impact of war on mental health: "We are living in a state of constant fear" (in Iraq); "War takes a toll on Iraqi mental health"; "War trauma leaves physical mark"; "War is hell... it has an impact on the people who take part that never heals"; "War is terrible and beyond the understanding and experience of most people"; "A generation has grown up knowing only war".
Wars have had an important part in psychiatric history in a number of ways. It was the psychological impact of the world wars in the form of shell shock that supported the effectiveness of psychological interventions during the first half of the 20th century. It was the recognition of a proportion of the population not suitable for army recruitment during the Second World War that spurred the setting up of the National Institute of Mental Health in USA. The differences in the presentation of the psychological symptoms among the officers and the soldiers opened up new ways of understanding the psychiatric reactions to stress.
During the last year, a large number of books and documents have addressed the effects of war on mental health. They include the WPA book "Disasters and mental health" (1); the World Bank report "Mental health and conflicts - Conceptual framework and approaches" (2); the United Nations (UN) book "Trauma interventions in war and peace: prevention, practice and policy" (3); the United Nations Children's Fund (UNICEF) document "The state of the world's children - Childhood under threat" (4); the book "Trauma and the role of mental health in postconflict recovery" (5) and a chapter on "War and mental health in Africa" in the WPA book "Essentials of clinical psychiatry for sub-Saharan Africa" (6).
Though there have not been any world wars since the Second World War, there have been wars and conflicts throughout the last 60 years. For example, in the 22 countries of the Eastern Mediterranean region of the World Health Organization (WHO), over 80% of the population either is in a conflict situation or has experienced such a situation in the last quarter of century (7).
War has a catastrophic effect on the health and well being of nations. Studies have shown that conflict situations cause more mortality and disability than any major disease. War destroys communities and families and often disrupts the development of the social and economic fabric of nations. The effects of war include long-term physical and psychological harm to children and adults, as well as reduction in material and human capital. Death as a result of wars is simply the "tip of the iceberg". Other consequences, besides death, are not well documented. They include endemic poverty, malnutrition, disability, economic/ social decline and psychosocial illness, to mention only a few. Only through a greater understanding of conflicts and the myriad of mental health problems that arise from them, coherent and effective strategies for dealing with such problems can be developed.
The importance that the WHO attributes to dealing with the psychological traumas of war was highlighted by the resolution of the World Health Assembly in May 2005, which urged member states "to strengthen action to protect children from and in armed conflict" and the resolution of the WHO Executive Board in January 2005, which urged "support for implementation of programmes to repair the psychological damage of war, conflict and natural disasters" (8).
The WHO estimated that, in the situations of armed conflicts throughout the world, "10% of the people who experience traumatic events will have serious mental health problems and another 10% will develop behavior that will hinder their ability to function effectively. The most common conditions are depression, anxiety and psychosomatic problems such as insomnia, or back and stomach aches" (9).