Manor I, Shklar R, Solomon Z
Mental Health Department, Medical Corps, Israel Defense Forces.
J Trauma Stress. 1995 Apr;8(2):247-58. doi: 10.1007/BF02109562.
This study examined the attitudes of 203 Israel Defense Forces (IDF) military physicians regarding the causes and treatment of combat stress reaction. The findings indicate that subjects tended primarily to endorse situational rather than predispositional explanations for the causation of the CSR. They attributed the highest levels of responsibility for treatment to the frontline physician and to commanders, and the least amount of responsibility to the casualty himself. These findings suggest that military physicians do not hold CSR casualties responsible for the causation or the treatment of the stress reaction. CSR is now viewed within the "medical model." It is considered by doctors to be within the purview of medicine and CSR casualties are considered legitimate objects of medical concern. The stigma attached to the phenomenon in the past thus appears to have diminished considerably.
本研究调查了203名以色列国防军军医对战斗应激反应的成因及治疗的态度。研究结果表明，受试者主要倾向于认可情境性而非素质性的战斗应激反应成因解释。他们认为一线医生和指挥官对治疗负有最高责任，而伤员自身责任最小。这些结果表明，军医并不认为战斗应激反应伤员应对应激反应的成因或治疗负责。战斗应激反应现在被视为处于“医学模式”之中。医生认为它属于医学范畴，战斗应激反应伤员被视为医疗关注的合理对象。因此，过去附着于这一现象的污名似乎已大大减少。
