Garb R, Bleich A, Lerer B
Psychiatry Service, Meir Hospital (Sackler School of Medicine, Tel-Aviv University), Kfar Saba, Israel.
Psychiatr Clin North Am. 1987 Sep;10(3):421-36.
Despite the obvious fact that loss and bereavement are an integral part of the war experience, surprisingly little has been written about bereavement and grief in combat. This article discusses reasons for the resistance to the concepts of loss and bereavement in military psychiatry, distinctive aspects of combat bereavement, factors that impede appropriate grieving in war, and, with the aid of case vignettes, the varieties of bereavement states seen in combat situations. The authors conclude that the clinical phenomena of grief run like a connecting thread through the various presentations of combat-related psychiatric syndromes, including post-traumatic stress disorders, and that more research in this area is called for.
尽管损失和丧亲之痛显然是战争经历中不可或缺的一部分,但令人惊讶的是,关于战斗中的丧亲之痛和悲痛的著述却很少。本文讨论了军事精神病学中对损失和丧亲概念抵触的原因、战斗丧亲之痛的独特方面、阻碍在战争中进行适当悲痛的因素,并且借助病例 vignettes 探讨了在战斗情况下出现的各种丧亲状态。作者得出结论,悲痛的临床现象就像一条连接线贯穿于包括创伤后应激障碍在内的各种与战斗相关的精神综合征的表现中,并且需要在该领域进行更多研究。