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Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
Ruth stewart iac presentation 2014
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Ruth stewart iac presentation 2014

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  • 1. Complexity, Chaos and Conflict exploring the perplexing processes around military PTSD Ruth Stewart Graduate Centre for Applied Psychology Athabasca University ruth.stewart@gcap.ca
  • 2. Observation good people earnestly (sometimes angrily) talking past each other
  • 3. PTSD You just don’t get the demands of military service They’re all heroes He’s pulling the wool over your eyes for secondary gain Accommodate the injured I was there and I’m OK – he must be weak He must have done something heroic to be suffering so badly We can barely meet our commitments as it is You just don’t get the reality of mental illness Observed Discourse a Decade Ago
  • 4. PTSD Legal liability Self-identify and we’ll expertly fix you The illness identity comes with intolerable losses Sacred social contract Carefully manage the message I’ve been ostracized and betrayed by my military family We outlawed social stigma – what remains must be self-created Break the silence We made the best evidence-based programs in NATO You’re failing at leadership Currently Observed Discourse
  • 5. Question Experiencing PTSD is bad enough. Why are the dialogues and processes around military PTSD chronically chaotic and exceptionally antagonistic?
  • 6. Common Theories • Government isn't funding enough treatment because… • Ignorance: Need more education about the science of PTSD • Awareness: Need more publicity about the painful and debilitating experience of PTSD • Traditional masculinity is inherently problematic • Military context is inherently problematic • Culture gap between military and civilians**
  • 7. internal externalindividualcollective civil-military relationship: historic tension existential uncertainty loyalty & betrayal individual identity cultural identity military vs civilian: judgment & defensive insularity military subcultural hierarchies collective memory individual (traumatic) memory moral injury bureaucracy causality responsibility government budgets social resources influence contradiction media narratives “individualizing technologies” diagnosis: biomedical disorder occupational health social interpersonal responsibility cognitive behavioural modification risky behaviours legal troubles homelessness national responsibility collectivist culture serving an individualist society isolation traumatic event **Wilber’s quadrants re-experiencing negative mood & cognition medication avoidance arousal/reactivity
  • 8. complexity doesn’t fully explain the exceptional intensity, emotion, & entrenched positions Why?
  • 9. Complexity culture & context politics & history social systems power heightened social and moral ambiguity conflicting strategies to reduce uncertainty & make sense of suffering assigning hierarchies of significance to human adversity & suffering
  • 10. identity lost spoilt reclaimed reinvented contested hierarchies of value imposters pretenders interconnectedness loyalty betrayal brotherhood leadership abandonment isolation Emerging themes from social media (military & veterans) meaning in death/loss protector defender resisting exploitation honour respect never forget labour complete gratitude sacred bond sacred responsibility misunderstood
  • 11. Goals of research: To investigate (via grounded theory methodology) and comprehensively map the perspectives and processes within the field of military psychological trauma. To understand how individual military clients perceive and are affected by these processes. To understand the role of mental health providers, and the multi- level effects of our diagnoses and interventions. To illuminate the possibilities for wise and beneficial action at all levels.
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