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  • Intimacy Post-Injury: Combat Trauma and Sexual Health

    Intimacy Post-Injury by Cameron Ritchie, Elspeth;

    Combat Trauma and Sexual Health

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    A termék adatai:

    • Kiadó OUP USA
    • Megjelenés dátuma 2016. december 8.

    • ISBN 9780190461508
    • Kötéstípus Puhakötés
    • Terjedelem248 oldal
    • Méret 155x231x15 mm
    • Súly 363 g
    • Nyelv angol
    • 0

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    Rövid leírás:

    PTSD (post traumatic stress disorder) and TBI (traumatic brain injury) have been called the "signature wounds" of the recent war. The bomb blast has been the "signature weapon" of these conflicts, which primarily affect the lower exposed areas of the body, including the extremities and pelvic region.

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    Hosszú leírás:

    Since September 11 2001, or "9/11", approximately 2.7 US million service members have served in the wars in Afghanistan and Iraq. Many thousands have been wounded, with injuries ranging from mild to severe. PTSD (post traumatic stress disorder) and TBI (traumatic brain injury) have been called the "signature wounds" of war. The psychological injuries of war, PTSD and related co-morbid conditions, lead to feeling isolated from others, which directly affects intimate relationships. TBI (traumatic brain injury) is also a very common injury from these past decades of war. The treatment of PTSD and TBI involves medications that often have sexual side-effects, such as erectile dysfunction and loss of libido, weight gain, ejaculatory delay, and sedation.

    The bomb blast has been the "signature weapon" of these conflicts. Service members wear helmets and body armor, which covers their torsos. Thus blasts primarily effect the lower exposed areas of the body, including the extremities and pelvic region. Numerous service members have lost one or both legs, and in some cases arms.
    Because of the blast, many have lost part or all of their genitalia, their penis or testes. This loss directly impacts sexual functioning and fertility. The bomb blast or other weapons may also burn and scar faces and hands. Pain from these injuries and subsequent surgeries is a constant theme. Sexual difficulties contribute to relationship difficulties, domestic violence, and suicide.

    Less well recognized is the impact of toxic exposures on sexual health. All wars are environmentally dirty. Agent Orange is the best known toxic agent from Vietnam. Anti-malarial agents, used in Iraq and Afghanistan, cause a host of neuropsychiatric effects. Sexual assault is another type of toxic exposure.

    Thus there are a host of ways that exposure to combat can affect intimacy, sexual functioning and fertility. Fortunately there are many strategies to mitigate these negative effects, which are covered in detail in this book.

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    Tartalomjegyzék:

    Table of Contents
    Contributors
    Introduction and Overview
    1. A Brief Overview of the Effect of War Injuries on Sexual Health and Intimacy
    Kathryn Ellis
    2. Intimacy versus Isolation: A Psychodynamic Clinical Reflection on Physically Injured Military Patients
    Joseph Wise
    3. The Role of Sympathetic Nervous System in PTSD-related Male Sexual Dysfunction: Clinical Evidence and Related Interventions
    Eugene Lipov
    4. Sexual Health and Intimacy in the Military: A Contextual Framework
    Glenn Parkinson, Martin Chin
    5. Training Health Care Providers to Deal with Sexual Health and Intimacy Issues
    Hani Miletski
    6. Psychosocial Issues Related to Genito-urinary Injury
    Suzanne Waddingham
    7. Strategies, Modifications, and Adaptations for Intimate Relationships and Sexual Activity
    Kathryn Ellis
    8. PTSD and Sexual Intimacy
    Jennifer Greenberg
    9. Side-effects of Medications and Mitigation Strategies
    John Burger
    10. Psychological Aspects of Infertility Post-Injury
    Laura Covington
    11. Understanding Failed Relationships as a Factor Related to Suicide and Suicidal Behavior among Military Personnel
    Jackie Garrick
    12. Intimacy After Intimate Partner Violence
    Glenna Tinney, April Gerlock
    13. Intimacy After Sexual Violence
    Glenna Tinney, April Gerlock
    14. Toxic Exposures from Service in the U.S. Military: Effects on Reproductive and Sexual Health
    Remington Nevin, Elspeth Cameron Ritchie
    15. Genital Injury and the Psychiatric Consult Liaison Service
    Harold Wain, Lisa Young
    16. Evolution of Sexual Trauma Treatment in the Military: Experience of a Psychiatric Partial Hospitalization Program
    Raymond Lande, Sawsan Ghurani, Cara N. Burton, Kerrie Earley
    17. Way Ahead: Reconstructive Transplantation as an Emerging Option for Penile Restoration
    Sami Tuffaha, Gerald Brandacher, Richard Redett

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