Showing posts with label News Article. Show all posts
Showing posts with label News Article. Show all posts

Friday, August 21, 2009

Mental Stress Training Is Planned for U.S. Soldiers

August 18, 2009

PHILADELPHIA — The Army plans to require that all 1.1 million of its soldiers take intensive training in emotional resiliency, military officials say.

The training, the first of its kind in the military, is meant to improve performance in combat and head off the mental health problems, including depression, post-traumatic stress disorder and suicide, that plague about one-fifth of troops returning from Afghanistan and Iraq.

Active-duty soldiers, reservists and members of the National Guard will receive the training, which will also be available to their family members and to civilian employees.

The new program is to be introduced at two bases in October and phased in gradually throughout the service, starting in basic training. It is modeled on techniques that have been tested mainly in middle schools.

Usually taught in weekly 90-minute classes, the methods seek to defuse or expose common habits of thinking and flawed beliefs that can lead to anger and frustration — for example, the tendency to assume the worst. (“My wife didn’t answer the phone; she must be with someone else.”)

The Army wants to train 1,500 sergeants by next summer to teach the techniques.

In an interview, Gen. George W. Casey Jr., the Army’s chief of staff, said the $117 million program was an effort to transform a military culture that has generally considered talk of emotions to be so much hand-holding, a sign of weakness.

“I’m still not sure that our culture is ready to accept this,” General Casey said. “That’s what I worry about most.”

In an open exchange at an early training session here last week, General Casey asked a group of sergeants what they thought of the new training. Did it seem too touchy-feely?

“I believe so, sir,” said one, standing to address the general. He said a formal class would be a hard sell to a young private “who all he wants to do is hang out with his buddies and drink beer.”

But others disagreed, saying the program was desperately needed. And in the interview, General Casey said the mental effects of repeated deployments — rising suicide rates in the Army, mild traumatic brain injuries, post-traumatic stress — had convinced commanders “that we need a program that gives soldiers and their families better ways to cope.”

The general agreed to the interview after The New York Times learned of the program from Dr. Martin E. P. Seligman, chairman of the University of Pennsylvania Positive Psychology Center, who has been consulting with the Pentagon.

In recent studies, psychologists at Penn and elsewhere have found that the techniques can reduce mental distress in some children and teenagers. But outside experts cautioned that the Army program was more an experiment than a proven solution.

“It’s important to be clear that there’s no evidence that any program makes soldiers more resilient,” said George A. Bonanno, a psychologist at Columbia University. But he and others said the program could settle one of the most important questions in psychology: whether mental toughness can be taught in the classroom.

“These are skills that apply broadly, they’re things people use throughout life, and what we’ve done is adapt them for soldiers,” said Karen Reivich, a psychologist at Penn, who is helping the Army carry out the program.

At the training session, given at a hotel near the university, 48 sergeants in full fatigues and boots sat at desks, took notes, play-acted, and wisecracked as psychologists taught them about mental fitness. In one role-playing exercise, Sgt. First Class James Cole of Fort Riley, Kan., and a classmate acted out Sergeant Cole’s thinking in response to an order late in the day to have his exhausted men do one last difficult assignment.

“Why is he tasking us again for this job?” the classmate asked. “It’s not fair.”

“Well, maybe,” Sergeant Cole responded. “Or maybe he’s hitting us because he knows we’re more reliable.”

In another session, Dr. Reivich asked the sergeants to think of situations when such internal debates were useful.

One, a veteran of several deployments to Iraq, said he was out at dinner the night before when a customer at a nearby table said he and his friends were being obnoxious.

“At one time maybe I would have thrown the guy out the window and gone for the jugular,” the sergeant said. But guided by the new techniques, he fought the temptation and decided to buy the man a beer instead. “The guy came over and apologized,” he said.

The training is based in part on the ideas of Dr. Aaron Beck and the late Albert Ellis, who found that mentally disputing unexamined thoughts and assumptions often defuses them. It also draws on recent research suggesting that people can manage stress by thinking in terms of their psychological strengths.

“Psychology has given us this whole language of pathology, so that a soldier in tears after seeing someone killed thinks, ‘Something’s wrong with me; I have post-traumatic stress,’ ” or P.T.S.D., Dr. Seligman said. “The idea here is to give people a new vocabulary, to speak in terms of resilience. Most people who experience trauma don’t end up with P.T.S.D.; many experience post-traumatic growth.”

Many of the sergeants were at first leery of the techniques. “But I think maybe it becomes like muscle memory — with practice you start to use them automatically,” said Sgt. First Class Darlene Sanders of Fort Jackson, S.C.

To track the effects of the program, the Army will require troops at all levels, from new recruits to officers, to regularly fill out a 170-item questionnaire to evaluate their mental health, along with the strength of their social support, among other things.

The program is not intended to diagnose mental health problems. The results will be kept private, General Casey said.

The Army will track average scores in units to see whether the training has any impact on mental symptoms and performance, said Gen. Rhonda Cornum, the director of Comprehensive Soldier Fitness, who is overseeing the carrying out of the new resilience program. General Cornum said that the Army had contracted with researchers at the University of Michigan to determine whether the training was working, and added that corrections could be made along the way “if the program is not having the intended effect.”

This being the Army, the sergeants at the training session last week had questions about logistics. How would teachers be evaluated? How and when would Reserve and Guard units get the training?

Perhaps the biggest question — can an organization that has long suppressed talk of emotions now open up? — is unlikely to have an answer until next year at the earliest. But the Army’s leaders are determined to ask.

“For years, the military has been saying, ‘Oh, my God, a suicide, what do we do now?’ ” said Col. Darryl Williams, the program’s deputy director. “It was reactive. It’s time to change that.”

Copyright 2009 The New York Times Company

Wednesday, May 27, 2009

Army post shuts down for anti-suicide event

By Richard Allen Greene
CNN

(CNN) -- A major United States military post is shutting down for three days following a rash of suicides, the post announced.

Fort Campbell, home of the Army's 101st Airborne Division, is holding a three-day "suicide stand-down training event" starting Wednesday -- the second one it has held this year, a post spokeswoman told CNN.

At least 11 deaths of Fort Campbell soldiers this year are confirmed or suspected suicides, spokeswoman Kelly Tyler said. That's out of 64 confirmed or suspected suicides in the entire Army, according to official statistics. At that rate, the Army is on pace for a record number of suicides this year.

The post commander, Brig. Gen. Stephen Townsend, addressed all 19,000 soldiers of the 101st Airborne Division on Wednesday, Tyler said.

"His intent was to be able to look them in the eye and make them aware that everyone cares about the issue, and make sure they know -- corporal to general -- what help is available," she said. "To make sure that people know we want them to keep living."

Soldiers often refuse to admit they are having problems because of the culture of the military, she said.

"You still have the stigma in the Army of asking for help -- it's an institution of strength and honor. And they need to understand that there is strength and honor in asking for help," Tyler said.

"It's easy to lose focus of that. We are a nation at war, an army at war. The guys around you need you to be there. They need you to ask for help, or for them to ask for help if you can't."

Fort Campbell's commanders are trying to impress upon the troops that this is more than a mandatory exercise.

"It is such an unusual event to look them in the eye and say their life matters, their buddy's life matters," Tyler said. "We're not checking a box, not punching a ticket. This is an effort to let the soldiers know that the command cares."

Military suicides are among the top worries for a leading veterans' group.

"This is a grave concern for our organization," said Ryan Gallucci, a spokesman for AmVets.

Combat stress manifests itself in different ways, he said, citing the case of a U.S. soldier charged with killing five of his comrades at a mental-health clinic in Iraq earlier this month.

"The incident in Baghdad brought a lot of attention to combat stress, but this is the other side of the coin," he said.

He agreed that the military's emphasis on personal toughness makes it harder for soldiers to ask for help when they need it.

"Mental strength is a necessary character trait in combat. To suddenly say it's OK to admit you have a problem contradicts your training," he said.

But he said the Army needs to do more to prevent suicide.

"The military has certainly done a better job of identifying it, but you see the numbers -- the numbers speak for themselves," he said.

A record number of soldiers committed suicide last year -- at least 133, the Army said. That was up from at least 115 in 2007, which was itself a record since the Pentagon began keeping statistics on suicide in 1980. The statistics cover active-duty soldiers and activated National Guard and reserves.

More soldiers killed themselves in January of this year than died in battle, Army statistics suggest.

Suicides for Marines were also up in 2008. There were 41 in 2008, up from 33 in 2007 and 25 in 2006, according to a Marine Corps report.

Gen. Peter W. Chiarelli, vice chief of staff of the Army, expressed concern about the suicide rate in March testimony before the Senate Armed Services Military Personnel Subcommittee.

He cited long deployments, lengthy separations from family and the perceived stigma associated with seeking help as factors contributing to the suicides.

"We must find ways to relieve some of this stress," Chiarelli said.

Fort Campbell is on both sides of the Kentucky-Tennessee state line, southeast of Paducah, Kentucky.

CNN's Adam Levine and Mike Mount contributed to this report.

Monday, April 6, 2009

Brain scan 'could diagnose PTSD'

Brain scan 'could diagnose PTSD'

Scientists say they are moving ever closer to being able to diagnose Post Traumatic Stress Disorder (PTSD) using a brain scanner.

Research to be presented to the World Psychiatric Association congress in Florence suggests differences in the brain activity of PTSD sufferers.

Over 40 US soldiers who had served in Iraq or Afghanistan were tested - about half of whom had a diagnosis of PTSD.

Their brains were examined with an MRI scanner as they performed memory tests.

The term PTSD is used to describe a range of psychological symptoms people may experience following a traumatic, usually life-threatening, event. It is seen most commonly in those who have been on active service.

Researchers at Duke University in the US presented 42 soldiers, both male and female, with photographs of three similar faces.

They were then showed pictures of a combat scene, a non-combat scene - such as as man playing a trombone for instance - or a digitally scrambled picture.

Finally, they were shown a photograph of a face again and asked whether they had just seen it.

Driven to distraction

While watching the part of the brain associated with paying attention, researchers noted the group without PTSD was far more distracted by the pictures of combat scenes.

It is not actually hard to diagnose PTSD - all you need is a decent mental health professional
Professor Simon Wessely King's Centre for Military Health Research

Those with PTSD were distracted by both the combat and non-combat pictures and performed more poorly in the memory test of faces which followed.

"This sensitivity to neutral information is consistent with the PTSD symptom of hypervigilance, where those afflicted are on high alert for threats and are more distracted by not only threatening situations that remind them of the trauma, but also by benign situations," said Dr Rajendra Morey, an assistant professor of psychiatry at Duke University.

"This has not been seen at the brain level before. If further research confirms this preliminary finding, this pattern could be useful in distinguishing the PTSD brain."

But experts in the UK said it was hard at this stage to see much practical use there was in being able to identify PTSD on a brain scanner.

"It is not actually hard to diagnose PTSD - all you need is a decent mental health professional," said Professor Simon Wessely, director of the King's Centre for Military Health Research.

"The real challenge is to persuade people to come forward for help.

"Neuroscience is clearly going to help us understand the neural substrates underlying symptoms, but as long as soldiers continue to believe that admitting to psychological distress is not what a soldier should do, most will never get near an MRI scanner."

Neil Greenberg, a senior lecturer in military psychiatry, said he could not see any therapeutic benefit in using a scanner to diagnose.

But he said: "There's a possible use from a medico-legal perspective, if someone wants to prove definitively that this is a condition they have.

"And it's also feasible that it could be used against those who are avoiding military duties because they say they have PTSD."

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/7977144.stm

Published: 2009/04/02 23:05:47 GMT

© BBC MMIX

Sunday, April 5, 2009

Admiral says war veterans will suffer for years

NEW YORK (AP) — Homelessness, family strains and psychological problems among returning veterans of the Iraq and Afghanistan wars will persist in the U.S. for generations to come, the top U.S. military officer said Thursday.

"This is not a 10-year problem. It is a 50- or 60- or 70-year problem," Navy Adm. Mike Mullen, chairman of the Joint Chiefs of Staff, told a lunchtime audience at the Hudson Union Society, a group that promotes nonpartisan debate.

Mullen said he was particularly disturbed by the emergence of homelessness as a problem among war veterans.

"I have started to meet with, in veterans hospitals, homeless veterans" of the wars in Iraq and Afghanistan, he said. "And they are every bit as homeless and every bit as tragic as any homeless vet we've ever had. We as a country should not allow that to happen."

At a White House news conference last week, President Barack Obama said that some of the funding increases in his proposed budget for veterans affairs are directed at alleviating the problem of homelessness among veterans, which he said is a bigger problem, proportionally, than is homelessness in the rest of the American population.

Mullen said he also was worried by a rising number of suicides among U.S. military members.

"The trends are all in the wrong direction," he said, adding that "we're just at the beginning of understanding" how to deal with the psychological wounds and scars that military members incur during combat service.

"I believe the cumulative effects of these deployments, the pressure that so many are under, the impact of what ... mostly our soldiers and Marines have been through" on the battlefield "in our eighth year of war has a lot to do with" the suicide and other stress-related problems that are plaguing the military and their families, he said.

Mullen said the military has added hundreds of mental health professionals to help with the problem, yet "we're struggling with respect to that." Another aspect of the problem, he added, is the impact on children, who can suffer severely from the extended and repeated absence of a mother or father going off to war.

In a wide-ranging question-and-answer session with his audience, Mullen also said he was "reasonably comfortable" that Pakistan's nuclear weapons are secure amid a rising tide of insurgent violence aimed at the government.

"We have invested in that (effort), they've taken significant steps in recent years, so I'm comfortable," he said. "My biggest concern is that if Pakistan gets to a point where it implodes, you've got a country that could be an Islamist, theocratic country with nuclear weapons which could both use them and proliferate them. One of our goals is to make sure that doesn't happen."

He also explicitly linked the Pakistani military's intelligence arm, the Inter-Services Intelligence, to elements of the insurgency inside Pakistan, a connection that others have said helps empower the Taliban and other extremist groups.

"They've got an intelligence organization that must, in my view, change its strategic approach and be completely disconnected from the insurgents. And they're not right now," he said.

The role of Pakistani intelligence was discussed Wednesday at a Senate Armed Services Committee hearing in which Army Gen. David Petraeus, the top commander of U.S. forces in the Middle East and in Afghanistan, said there have been cases where Pakistani intelligence warned the insurgents of impending U.S. or Pakistani military strikes against them.

Petraeus called those episodes troubling. He said he and Mullen have raised the problem directly with the chief of Pakistani intelligence, Lt. Gen. Ahmed Shuja Pasha.