The art of medicine : Child in the shadowlands

She shivered as she entered the hotel room. It was not that the team of investigators from the International Criminal Court did not seem friendly. It was not that she was afraid to give her testimony and go through her traumatic experiences all over again. It was the air-conditioned, dark hotel room that made her shiver: a sharp contrast with the outside heat and sun-beaten colours of Bangui.

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The Holocaust and Other Genocides : An Introduction

This unique guidebook offers concise information about five 20th-century cases of genocide, as well as the responses of international justice. By relevant use of illustrations and references, and by using the most recent literature, this is an indispensable work offering new insight, in the processes of genocide.

 

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A Randomized Placebo-Controlled Trial of D-Cycloserine to Enhance Exposure Therapy for Posttraumatic Stress Disorder

Background

Posttraumatic stress disorder (PTSD) is a complex and debilitating anxiety disorder, and, although prolonged exposure therapy has been proven effective, many patients remain symptomatic after treatment. In other anxiety disorders, the supplementary use of d-cycloserine (DCS), a partial agonist at the glutamatergic N-methyl-D-aspartate receptor, showed promise in enhancing treatment effects. We examined whether augmentation of prolonged exposure therapy for PTSD with DCS enhances treatment efficacy.

Methods

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Bereavement and Mental Health after Sudden and Violent Losses : A Review

This paper reviews the literature on the psychological consequences of sudden and violent losses, including disaster and military losses. It also reviews risk and resilience factors for grief and mental health and describes the effects and possible benefit of psychosocial interventions. The review shows gaps in the literature on grief and bereavement after sudden and violent deaths. Still, some preliminary conclusions can be made.

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Nurses in War : voices from Iraq and Afghanistan

This unique volume presents the experience of 37 U.S. military nurses sent to the Iraq and Afghanistan theaters of war to care for the injured and dying. The personal and professional challenges they faced, the difficulties they endured, the dangers they overcame, and the consequences they grappled with are vividly described from deployment to discharge. In mobile surgical field hospitals and...

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Lower cortisol levels predict recurrence in remitted patients with recurrent depression: a 5.5 year prospective study

Major Depressive Disorder (MDD) is a highly recurrent disease. Stress-responsive system dysfunction seems to persist after remission. In patients with more chronic and recurrent depressive episodes, state related HPA-axis dysregulation might be a risk factor for prospective recurrence. This study examines the predictive effect of cortisol on consecutive episodes in remitted recurrently depressed...

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Longitudinal hypothalamic-pituitary-adrenal axis trait and state effects in recurrent depression

BackgroundHypothalamic-pituitary-adrenal (HPA)-axis hyperactivity has been observed in (recurrent) major depressive disorder (MDD), although inconsistently and mainly cross-sectional. Longitudinal studies clarifying state-trait issues are lacking. We aimed to determine whether HPA-axis (hyper)activity in recurrent MDD is: (I) reflecting a persistent trait, (II) influenced by depressive state, (...

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Loss, Trauma, and Resilience in Adulthood

The first wave of research on loss and potentially traumatic events (PTEs) was dominated by either a psychopathological approach emphasizing individual dysfunction or an event approach emphasizing average differences between exposed and nonexposed groups. We consider the strengths and limitations of these approaches and then review more recent research that has focused on the heterogeneity of...

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Lost in Srebrenica : responsibility and subjectivity in the reconstructions of a failed peacekeeping mission

Lost in Srebrenica is an interdisciplinary PhD thesis in the areas of Dutch/UN Peacekeeping in Srebrenica, international politics, genocide studies, ethics and foreign politics, international law and history. The events in Srebrenica are still haunting international politics as “Europe’s Worst Massacre since the Second World War,” as can be illustrated by the new and old Srebrenica issues...

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K-complexes are not preferentially evoked to combat sounds in combat-exposed Vietnam veterans with and without post-traumatic stress disorder

The primary objective was to compare the evoked K-complex response to salient versus non-salient auditory stimuli in combat-exposed Vietnam veterans with and without post-traumatic stress disorder (PTSD). Three categories of auditory stimuli (standard 1000Hz tones, trauma-related combat sounds, and affectively neutral environmental sounds) were presented during stage 2 sleep utilizing an oddball...

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