Working together to address sexual misconduct in the Canadian Armed Forces

Brown, Andrea; Millman, Heather; Easterbrook, Bethany; Heber, Alexandra; Park, Rosemary; Lanius, Ruth A.; Nazarov, Anthony; Jetly, Rakesh; Stanley-Aikens, Ruth; Sanderson, Carleigh; Hutchins, Christina; Darte, Kathy; Hall, Amy Laura; Brémault‐Phillips, Suzette; Smith-MacDonald, Lorraine; Doak, Daphne; Oakley, T. W. H.; Nicholson, Andrew A.; Pichtikova, Mina; Smith, Patrick; Mulligan, Ashlee; Byerlay, Corinne; McKinnon, Margaret C.

doi:10.3138/jmvfh-2021-0033

Cited by 1 publication

(2 citation statements)

References 28 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Betrayal trauma, perpetrated by a close and often trusted other, has an especially pernicious impact on physical health and psychopathology, including PTSD, dissociation, and shame [ 71 , 74 - 76 ], which may be partly mediated by emotion regulation difficulties [ 77 ]. Military sexual trauma (MST) resulting from sexual misconduct at the hand of a military colleague, akin to a family member, has more recently been described as a profound from of betrayal [ 78 ]. Among Canadian Armed Forces actively serving Regular Force members, 70%, in 2018, reported having witnessed or experienced at least one form of sexual misconduct during the previous 12 months of military service, with 15.4% of respondents (women 28.1%, men 13%) stating they had been personally targeted [ 78 ].…”

Section: Introductionmentioning

confidence: 99%

“…Military sexual trauma (MST) resulting from sexual misconduct at the hand of a military colleague, akin to a family member, has more recently been described as a profound from of betrayal [ 78 ]. Among Canadian Armed Forces actively serving Regular Force members, 70%, in 2018, reported having witnessed or experienced at least one form of sexual misconduct during the previous 12 months of military service, with 15.4% of respondents (women 28.1%, men 13%) stating they had been personally targeted [ 78 ]. This includes inappropriate verbal or non-verbal communication, sexually explicit materials, physical contact or suggested sexual relations, or discrimination on the basis of sex, sexual orientation, or gender identity [ 79 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review

Burback

Brémault‐Phillips

Nijdam

et al. 2024

Self Cite

View full text Add to dashboard Cite

This narrative state-of-the-art review paper describes the progress in the understanding and treatment of Posttraumatic Stress Disorder (PTSD). Over the last four decades, the scientific landscape has matured, with many interdisciplinary contributions to understanding its diagnosis, etiology, and epidemiology. Advances in genetics, neurobiology, stress pathophysiology, and brain imaging have made it apparent that chronic PTSD is a systemic disorder with high allostatic load. The current state of treatment yields a wide variety of pharmacological and psychotherapeutic approaches, of which many are evidence-based. However, the myriad challenges inherent in the disorder, such as individual and systemic barriers to treatment outcome, comorbidity, emotional dysregulation, suicidality, dissociation, substance use, and trauma-related guilt and shame often render treatment response suboptimal. These challenges are discussed as drivers for emerging novel treatment approaches, including early interventions in the Golden Hours, pharmacological and psychotherapeutic interventions, medication augmentation interventions, the use of psychedelics, as well as interventions targeting the brain and nervous system. All of this aims to improve symptom relief and clinical outcomes. Finally, a phase orientation to treatment is recognized as a tool to strategize treatment of the disorder, and position interventions in step with the progression of the pathophysiology. Revisions to guidelines and systems of care will be needed to incorporate innovative treatments as evidence emerges and they become mainstream. This generation is well-positioned to address the devastating and often chronic disabling impact of traumatic stress events through holistic, cutting-edge clinical efforts and interdisciplinary research.

show abstract