By Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.
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Extra resources for Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury
2014, p. 20, 76, 78). In effect, CPT appears to treat troubling war zone events as either accidents, role-consistent acts, or reactions prompted by rage, fear, or helplessness, unless the person consciously intended all the specific negative outcomes and had good choices in the moment, yet behaved badly anyway. In this way, the only way for service members to reach the threshold for real culpability is that they behaved in a sociopathic manner. This is anathema to military culture, which is deeply rooted in the moral responsibility of the intentional (not accidental) carrying of lethal weapons in war zones.
Culture of one sort or another is inescapable; the words you are reading right now are tools of our shared culture. Although everyone participates in one or more cultures, not everyone subscribes strongly to an ethos; not everyone shares significant facets of his or her identity with a group of other, like-minded people. Members of professions invariably do, because shared values and guiding ideals serve as the “DNA” of a professional “species,” allowing it to maintain a relatively stable identity from generation to generation.
Summary In this chapter, we have summarized the unique potential harms and traumas associated with service in war zones and have reviewed the existing evidence to support currently disseminated approaches to PTSD among service members and veterans of war. Prolonged exposure and CPT are considered first-line empirically supported interventions but each has relatively weak support in veteran and military populations. For example, the effect sizes are substantially smaller relative to those in trials using these therapies with civilians with considerably less complex trauma.
Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury by Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.