articles on military issue
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After more than five years of war in Iraq and almost seven in Afghanistan, the U.S. military is facing a crisis not seen since the end of the Vietnam War. Equipment shortages, manpower shortfalls, recruiting and retention problems, and misplaced budget priorities have resulted in a military barely able to meet the challenges the United States faces today and dangerously ill-prepared to handle future challenges.
After more than five years of war in Iraq and almost seven in Afghanistan, the U.S. military is facing a crisis not seen since the end of the Vietnam War. Equipment shortages, manpower shortfalls, recruiting and retention problems, and misplaced budget priorities have resulted in a military barely able to meet the challenges the United States faces today and dangerously ill-prepared to handle future challenges.The 9/11 terrorist attacks demonstrated that the most immediate threat to the United States is not from a conventional nation-state adversary but from an enemy that operates without regard for national borders and aims to surprise it with deadly attacks on its homeland and its interests around the globe. These attacks, and the subsequent war in Afghanistan, have also demonstrated that a weakly governed state or region half a world away could pose a direct threat to U.S security.
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The US military long has emphasized the principles of prevention and early intervention, in preparing for and treating those afflicted by the psychological wounds of war. More recently, civilian communities in the United States have increased efforts to minimize psychological sequelae for individuals exposed to mass trauma, violence, and terrorism. This article reviews of some of the lessons in trauma psychiatry learned by the US military through wartime and other trauma experiences during the past century. Current practice in the military's employment of stress control teams is reviewed. The military's efforts to prevent and limit psychological casualties, to include the care of battle casualties and prisoners of war (POWs), are addressed. Recent experiences that have informed further, and are shaping the military's approach to managing the psychological aftermath of trauma (such as the Sept. 11, 2001, attack on the Pentagon and the current war with Iraq) are included. Guidelines developed after 9/11, and articulated in the “Mass Violence and Early Intervention” conference are presented. Finally, current ideas on preparation for and intervention after weapons of mass destruction will be outlined.
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