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For God, country, and manhood: The s...

Smith, Marisa M.

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For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans./
Author:	Smith, Marisa M.
Description:	222 p.
Notes:	Chair: Andrew Scull.
Contained By:	Dissertation Abstracts International62-11A.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3031947
ISBN:	049344419X

For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans.
Smith, Marisa M.

For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans. - 222 p.

Chair: Andrew Scull.

Thesis (Ph.D.)--University of California, San Diego, 2002.

This dissertation is a qualitative study of Posttraumatic Stress Disorder (PTSD) among Vietnam veterans. Based on participant-observation of group therapy at a VA mental health clinic, interviews with patients and clinical staff, as well as historical documents, I analyze the construction of PTSD both in the clinical literature and in the therapeutic encounter. I argue that PTSD is a new disorder in that it is not synonymous with previous labels for war neuroses such as shell shock or combat exhaustion. Initially, PTSD explained why veterans could not function in society, not why soldiers could not function in battle. The shell shocked and combat exhausted soldiers of previous wars were distinguished by their failure to fight; in contrast, PTSD identifies veterans unable to adjust to peacetime. I suggest that the changing understanding of combat trauma reflects not only evolving psychiatric thought but also the class biases and political interests of the military, psychiatrists, and the veterans themselves.

ISBN: 049344419XSubjects--Topical Terms:

1017693
Health Sciences, Mental Health.

For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans.
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035 $a (UnM)AAI3031947
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040 $a UnM $c UnM
100 1 $a Smith, Marisa M. $3 1258547
245 1 0 $a For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans.
300 $a 222 p.
500 $a Chair: Andrew Scull.
500 $a Source: Dissertation Abstracts International, Volume: 62-11, Section: A, page: 3954.
502 $a Thesis (Ph.D.)--University of California, San Diego, 2002.
520 $a This dissertation is a qualitative study of Posttraumatic Stress Disorder (PTSD) among Vietnam veterans. Based on participant-observation of group therapy at a VA mental health clinic, interviews with patients and clinical staff, as well as historical documents, I analyze the construction of PTSD both in the clinical literature and in the therapeutic encounter. I argue that PTSD is a new disorder in that it is not synonymous with previous labels for war neuroses such as shell shock or combat exhaustion. Initially, PTSD explained why veterans could not function in society, not why soldiers could not function in battle. The shell shocked and combat exhausted soldiers of previous wars were distinguished by their failure to fight; in contrast, PTSD identifies veterans unable to adjust to peacetime. I suggest that the changing understanding of combat trauma reflects not only evolving psychiatric thought but also the class biases and political interests of the military, psychiatrists, and the veterans themselves.
520 $a PTSD in Vietnam veterans is also integrally intertwined with conceptions of masculinity. I suggest that disillusioned by the experience of combat, the lack of a homecoming, and a less than receptive job market, many Vietnam veterans acted out their frustration at failing to meet society's expectations of masculinity by displaying particularly hypermasculine behaviors subsequently labeled PTSD. For veterans who did adjust for a period of time to civilian society, a “crisis” of masculinity such as the loss of job, retirement, or deteriorating health frequently provides the catalyst to seek psychiatric care decades after Vietnam.
520 $a Once in therapy, the association between PTSD and constructions of masculinity becomes even clearer. I argue that the treatment for PTSD reflects at least an implicit acknowledgement of the role of gender in PTSD, and group therapy provides an opportunity for veterans to explore the meanings of masculinity. I conclude that group therapy serves to reconstruct the meaning of masculinity as much as it helps veterans to more effectively deal with their traumatic experiences.
590 $a School code: 0033.
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Psychology, Social. $3 529430
650 4 $a Sociology, Individual and Family Studies. $3 626655
650 4 $a Sociology, Public and Social Welfare. $3 1017909
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710 2 0 $a University of California, San Diego. $3 1018093
773 0 $t Dissertation Abstracts International $g 62-11A.
790 $a 0033
790 1 0 $a Scull, Andrew, $e advisor
791 $a Ph.D.
792 $a 2002
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3031947