The Environment and Mental Health: A Guide for Clinicians

By Ante Lundberg | Go to book overview

tions (e.g., angina, hypertension, or myocardial infarction), neurological impairment, psychotic thought processes, and extremely poor impulse control. Inexperienced clinicians attempting this type of intervention are urged to seek supervision from a fully qualified peer.

We also urge clinicians dealing with PGW veterans, and in fact veterans of all military conflicts, to give full attention to descriptions of physical symptoms, even those that seem vague or suggestive of psychosomatic manifestations of anxiety. Whereas the present findings suggest that there are high rates of somatic concerns among Persian Gulf returnees, and that these physical complaints are often related to self-reported levels of stress, these data do not disconfirm the existence of a physical etiology to some subset of veterans' health complaints. Current empirical investigations regarding the existence and etiology of a PGW syndrome have proven inconclusive. We echo the reservations expressed in a recent Journal of the American Medical Association editorial, which suggests that "the findings on risk factors should instill a sense of etiologic caution in medical practitioners. Clinicians need to recognize that the precise causation of illness in most Persian Gulf War veterans may never be known with certainty" ( Landrigan, 1997, p. 260). This state of uncertainty dictates that mental health professionals make special efforts to remain sensitive to Gulf War veterans' fears of the unknown and avoid reaching premature conclusions regarding the nature of somatic complaints.


ACKNOWLEDGMENTS

This research was supported by special funding from Mental Health and Behavioral Sciences Service, Department of Veterans Affairs Headquarters for evaluation, debriefing and treatment of ODS returnees and veterans of other wars affected by this military action, and by a Veterans Affairs Medical Research Award to Jennifer J. Vasterling and Patricia B. Sutker. Special appreciation is expressed to Drs. Paul Errera, Laurent Lehmann and Robert Rosenheck and to Gay Koerber and Robert Murphy for their guidance in project design and implementation. Grateful thanks go to the armed forces personnel who gave of their time to provide us with the information that forms the basis of this chapter.


REFERENCES

Baker M. S., & Strunk H. K. ( 1991). "Medical aspects of Persian Gulf operations: Environmental hazards". Mililary Medicine, 156, 381-385.

Bartone P. T., Ursano R. J., Wright K. M., & Ingraham L. H. ( 1989). "The impact of a military air disaster on the health of assistance workers: A prospective study". Journal of? Nervous and Mental Disease, 177, 317-328.

-98-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
The Environment and Mental Health: A Guide for Clinicians
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen
/ 233

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.