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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.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	For God, country, and manhood: The social construction of posttraumatic stress disorder among Vietnam veterans./
作者:	Smith, Marisa M.
面頁冊數:	222 p.
附註:	Chair: Andrew Scull.
Contained By:	Dissertation Abstracts International62-11A.
標題:	Health Sciences, Mental Health. -
電子資源:	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of group therapy at a VA mental health clinic, interviews with patients and clinical staff, as well as historical documents, I analyze the construction of PTSD both in the clinical literature and in the therapeutic encounter.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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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.
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