Generational Wartime Behavioral Health Crises: Part One of a Preliminary Analysis

As the USA enters into its 12th year of war, the persistent drum beat of negative news headlines of unmet mental health and social needs of veterans fuels public perception of a twenty-first century military behavioral health crisis. For many Americans, the status quo harkens back to previous wartime crises. Wartime mental health crises continue to happen, despite the personal and financial consequences. This paper address this crisis by carefully tracking the critical decisions that lead to the current situation. This is the first of a two-part preliminary analysis of generational wartime behavioral health crises. We first define wartime mental health crises and how current and past conditions qualify as such a crisis. Next, we point out that there is a continual underestimate of war and post-wartime behavioral health needs. We then provide an extensive review of official military records, government investigations, and news media reports; a compelling evidence of a major crisis in the twenty-first century. In the final section of the paper, we discuss the themes that emerged from the review that both confirm the generational failure to learn fundamental war trauma lessons.     

Investigating Recurrent Generational Wartime Behavioral Health Crises: Part 2 of a Preliminary Analysis

This is the second of a two-part analysis of generational wartime mental health crises. Wartime mental health crisis has been defined as a sentinel public health event whereby mental health demand of the military population demonstrably exceeds the mental health system’s capacity to provide adequate access to timely, effective mental health and social support services during and/or after a period of war. The present study extends an analysis that substantiated a twenty-first century wartime crisis by investigating the hypothesis of repetitive mental health crises following every major American war since the 20th century. Compelling evidence of recurring generational crises is established by citing first-hand primary sources from wartime cohorts. A clear trend emerged, possibly linking the pattern of wartime crises with generations of self-reported failure to learn well-documented war trauma lessons (e.g., the need to adequately plan, prepare, and train for inevitable war stress casualties). The authors discuss the need for further research that would elucidate so-called “psychiatric lessons of war” and contribute to the prevention of cyclic crises.     

Books in review

has taught at the universities of London and York. He is author of The Making of Sociology, The Shaking of the Foundations: Family and Society,and The Abolitionists—The Family and Marriage under Attack.Fletcher’s own book on Burt, Science, Ideology, and the Media,will be issued by Transaction in 1991.     

Of Wild and Cultivated Politics: Conflict and Democracy in Argentina

This is a study of cultural change within democratization. It uses conflict theory to understand the culture of conflict escalation and management, taking Argentina as its example. Beginning with the most extreme dictatorships, The Dirty War and the Rosas period, and then looking at other periods of governance, the essay illustrates that Argentina has an authoritarian culture of conflict. The essay suggests why these patterns have developed in Argentina. It asks whether it is possible to change such cultural patterns and whether the current democratizing effort includes efforts at change. It concludes that the democratization efforts since 1983 have included attempts to change culture, as well as electoral and institutional movement toward democracy.