UNH researcher: Gulf, Balkan wars add new dimensions to war trauma

March 19, 2012

A new book by a University of New Hampshire researcher and Vietnam-era disabled veteran sheds new light on the long-term psychological trauma experienced by the coalition force in recent wars in the Gulf and Balkans that, when left untreated, can have deadly consequences.

In his new book "War Trauma and its Aftermath: An International Perspective on the Balkan and Gulf Wars" (University Press of America, 2012), Laurence French, senior research associate at UNH Justiceworks, and co-author Lidija Nikolic-Novakovic, a Balkan War survivor, detail how the Gulf and Balkan wars added new dimensions to the traditional definition of , or PTSD, largely due to the changing dynamics of these wars. The research is so significant that the U.S. Embassy in Sarajevo has added the book to its library.

Instead of looking at PTSD traditionally as it has been narrowly defined by the Veteran's Administration – requiring that a person be in a combat situation – French found that traumatic stress should be redefined as being on a continuum, with PTSD at the end of the continuum and applied to a wider range of military forces as well as civilians.

This continuum begins with the inability to make an automatic adjustment to a new situation, which creates an adjustment disorder. Residual clinical issues remain if the adjustment disorder is not remedied and can lead to PTSD. There is no single cure for post-traumatic stress disorder. Symptoms include insidious depression, panic and anxiety disorders, and brief psychotic breaks.

"By focusing on only a narrow definition of PTSD, the Veteran's Administration was excluding a lot of people," French says. "Unresolved traumatic stress, regardless of where it falls on the continuum, can result in suicide."

War trauma has long been associated with PTSD, a term coined in 1980 to explain the post-war impact on Vietnam veterans. However, during the Gulf wars, rapid deployments, sexual assaults, and suicides surfaced as paramount untreated problems within the coalition force.

These wars involved the unprecedented use of reserve and National Guard personnel in U.S. forces, along with the largest contingent of female military personnel to date. For many of these soldiers, they were unprepared psychologically for what they experienced, French says.

He explains that the Gulf and Balkan wars involved many soldiers who did not have a combat Military Occupational Specialty but who were repeatedly targeted by the enemy. National Guard troops trained to work with artillery supplies and transportation systems suddenly found themselves under constant attack by suicide bombers and roadside bombings, forcing them to be hyper vigilant for these attacks.

"These were the people who were targeted by the IEDs so you had this anticipation of 'when am I going to get blown up' or when will someone in the convoy get blown up. The body doesn't recover from that because you have that constant hyper vigilance. And then with the rapid redeployment, they never have a chance to work this through," French says.

In contrast, people in a clear combat situation would experience trauma similar to the victim of an earthquake or a single-event situation. French explains that these soldiers may experience acute stress disorder and have a better chance of recovering from it, thus avoiding the longer-term impact of PTSD.

"It is devastating, and they have to go through an adjustment, but it isn't as devastating as this subtle process of never knowing what is going to happen. They never divorce themselves from that psychologically. That is the new dimensions of post-traumatic stress disorder," French says.

In addition, before the Gulf and Balkan wars, never before had soldier-on-soldier sexual harassment and sexual assault been so prevalent, French says, adding a new dimension to war trauma experienced primarily by women soldiers. "When the women complained about the sexual abuse, they were made to feel even worse than before. They experienced a silent treatment. This can lead to refractory depression, which the outcome can be suicide," French says.

With the Balkan War -- the worst war in Europe since World War II -- the people who experienced the 44-month siege of Sarajevo and NATO bombing, indiscriminate killing of civilians, incarceration, torture, and rape never had a chance to recover from it, French says.

"You have this unresolved trauma because they didn't have the money for treatment," French says.

To make matters worse, the victims of the Balkan War now are experiencing secondary PTSD – the children of the people who never received treatment for PTSD are now taking on the symptoms of their parents and have to be hyper vigilant about the thousands of live landmines left behind, he says.

A sociologist, criminologist, and psychologist, French has worked with traumatic stress clients for more than 40 years. He previously served in the U.S. Marine Corps from 1959 to 1965. He holds Ph.D.s in sociology (social disorganization/social psychology) from UNH and in cultural psychology (educational psychology and measurement) from the University of Nebraska-Lincoln. He is a native of Suncook, N.H.

Explore further: Chronic post-traumatic stress disorder in women linked to history of rape, child abuse

Related Stories

Chronic post-traumatic stress disorder in women linked to history of rape, child abuse

November 29, 2011
A Florida State University clinical psychologist has identified factors that could cause some women with post-traumatic stress disorder (PTSD) to have chronic, persistent symptoms while others recover naturally over time.

Study suggests feelings of guilt may be a top factor in PTSD

December 6, 2011
A leading cause of post-traumatic stress disorder is guilt that troops experience because of moral dilemmas faced in combat, according to preliminary findings of a study of active-duty Marines.

Recommended for you

Researchers pave new path toward preventing obesity

July 24, 2017
People who experience unpredictable childhoods due to issues such as divorce, crime or frequent moves face a higher risk of becoming obese as adults, according to a new study by a Florida State University researcher.

Using money to buy time linked to increased happiness

July 24, 2017
New research is challenging the age-old adage that money can't buy happiness.

Exposure to violence hinders short-term memory, cognitive control

July 24, 2017
Being exposed to and actively remembering violent episodes—even those that happened up to a decade before—hinders short-term memory and cognitive control, according to a study published in the Proceedings of the National ...

Higher cognitive abilities linked to greater risk of stereotyping

July 24, 2017
People with higher cognitive abilities are more likely to learn and apply social stereotypes, finds a new study. The results, stemming from a series of experiments, show that those with higher cognitive abilities also more ...

Psychologists say our 'attachment style' applies to social networks like Facebook

July 24, 2017
A new investigation appearing this week in the Personality and Social Psychology Bulletin suggests a strong association between a person's attachment style—how avoidant or anxious people are in their close relationships—and ...

Neuroticism may postpone death for some

July 24, 2017
Data from a longitudinal study of over 500,000 people in the United Kingdom indicate that having higher levels of the personality trait neuroticism may reduce the risk of death for individuals who report being in fair or ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.