RESUMO
Treating combat deployed soldiers is becoming more prevalent and needed in psychiatry. Modern combat produces unique psychological challenges, including those without criteria for post-traumatic stress disorder (PTSD). This article will attempt to share the primary author's experience with psychotherapy in a combat zone, along with understanding the general themes of dreams the author encountered while being deployed. Toward that end, the primary author [RW] discusses his personal experiences in Iraq working with soldiers whom he saw and treated while in theatre, with a particular focus on the dreams they reported. The co-authors [EG and MI] afterward collaborated with the primary author to formulate and provide insight into the dreams from a Jungian perspective.
Assuntos
Distúrbios de Guerra/psicologia , Sonhos/psicologia , Teoria Junguiana , Militares/psicologia , Terapia Psicanalítica , Humanos , Guerra do Iraque 2003-2011 , Transtornos de Estresse Pós-Traumáticos/psicologiaRESUMO
The prevalence of impairment of executive function among 50 medical inpatients referred for psychiatric consultation was assessed by using the Executive Interview (EXIT25) and an executive clock-drawing task (CLOX). The Mini-Mental Status Examination (MMSE) was also administered to assess general cognition. The percentage of patients who failed each test was calculated. Seventy-two percent failed at least one measure of executive function, whereas only 30% failed the MMSE. The results suggest that impairment of executive function is common among inpatients referred for psychiatric consultation. Because impairment of executive function has been specifically associated with behavioral and functional disability, routine assessment of executive function should be integrated into psychiatric case management.