Instruct: Given a question, retrieve relevant passages that can help answer the question.
Query: What is shell shock?
During the War, the concept of shell shock was ill-defined. Cases of "shell shock" could be interpreted as either a physical or psychological injury, or simply as a lack of moral fibre. The term "shell shock" is still used by the Veterans Administration to describe certain parts of PTSD, but mostly it has entered into popular imagination and memory, and it is often identified as the signature injury of the War.
The five stages namely, denial, anger, bargaining, depression, and acceptance proposed by Elisabeth Kübler-Ross in her model of grief describe the process by which people undergo after a loss. Anxiety, dread, guilt, helplessness, hopelessness, and feelings of being overwhelmed are also common. However, it is important to note that anticipatory grief is not simply normal grief begun earlier.
Witnesses interviewed by Max Blumenthal testified observing people jumping from fourth-floor stories as flames engulfed their houses and of men stripping off clothes to cover near-naked women fleeing the scene. Several residential blocks were extensively shelled destroying dozens of houses. Palestinians attempting to flee the area described the scene as a "massacre", as did the Palestinian president Mahmoud Abbas, Richard Falk, Norwegian doctor Mads Gilbert and journalist Sharif Abdel Kouddous in "The Nation". Hundreds of civilians were injured during the unpredictable combination of artillery shelling and airstrikes overnight and only began to leave the area at dawn, many to seek refuge at the Al-Shifa Hospital. Two paramedics were killed during attempts to enter the area and assist the wounded, and Médecins Sans Frontières complained that its post-operative clinic in Gaza City was running at 10 to 30 percent of capacity due to the intensity of the bombing, which hindered patients from reaching the center.
On March 1, 1954, the U.S. detonated its first practical thermonuclear weapon (which used isotopes of lithium as its fusion fuel), known as the "Shrimp" device of the Castle Bravo test, at Bikini Atoll, Marshall Islands. The device yielded 15 megatons, more than twice its expected yield, and became the worst radiological disaster in U.S. history. The combination of the unexpectedly large blast and poor weather conditions caused a cloud of radioactive nuclear fallout to contaminate over . 239 Marshall Island natives and 28 Americans were exposed to significant amounts of radiation, resulting in elevated levels of cancer and birth defects in the years to come.
Joanne Jozefowski in 1999 through "The Phoenix Phenomenon: Rising from the Ashes of Grief" summarizes five stages to rebuild a shattered life.There is a distinction between grief counseling and grief therapy. Counseling involves helping people move through uncomplicated, or normal, grief to health and resolution. Grief therapy involves the use of clinical tools for traumatic or complicated grief reactions. This could occur where the grief reaction is prolonged or manifests itself through some bodily or behavioral symptom, or by a grief response outside the range of cultural or psychiatrically defined normality.
In the past, the term PCS was also used to refer to immediate physical symptoms or post-concussive symptoms following a minor TBI or concussion. The severity of these symptoms typically decreases rapidly. In addition, the nature of the symptoms may change over time: acute symptoms are most commonly of a physical nature, while persisting symptoms tend to be predominantly psychological. Symptoms such as noise sensitivity, problems with concentration and memory, irritability, depression, and anxiety may be called 'late symptoms' because they generally do not occur immediately after the injury, but rather in the days or weeks after the injury. Nausea and drowsiness commonly occur acutely following concussion. Headache and dizziness occur immediately after the injury, but also can be long lasting.
Command hallucinations are hallucinations in the form of commands; they can be auditory or inside of the person's mind or consciousness. The contents of the hallucinations can range from the innocuous to commands to cause harm to the self or others. Command hallucinations are often associated with schizophrenia. People experiencing command hallucinations may or may not comply with the hallucinated commands, depending on the circumstances. Compliance is more common for non-violent commands.
Like all Australian communities, Colinton was affected by the impact of WWI. Of the 330,770 Australians who embarked for overseas service in WWI, 58,961 died and 170,909 were wounded, went missing or became prisoners of war. This meant that around 69% of embarked personnel became casualties - or 21% of eligible Australian males. To date, no previous or subsequent war has had such an impact on Australia in terms of loss of life; almost every community in every Australian state lost young people. Even before the end of hostilities, memorials were being erected by Australian communities to honour local people who had served and/or died. These memorials were a spontaneous and highly visible means of honouring those who served and expressing national grief; substitute graves for the Australians whose bodies lay in battlefield cemeteries in Europe and the Middle East.
The philosopher Søren Kierkegaard, in "The Concept of Anxiety" (1844), described anxiety or dread associated with the "dizziness of freedom" and suggested the possibility for positive resolution of anxiety through the self-conscious exercise of responsibility and choosing. In "Art and Artist" (1932), the psychologist Otto Rank wrote that the psychological trauma of birth was the pre-eminent human symbol of existential anxiety and encompasses the creative person's simultaneous fear of – and desire for – separation, individuation, and differentiation.
Post-concussion syndrome, also known as postconcussive syndrome or PCS, is a set of symptoms that may continue for weeks, months, or a year or more after a concussion – a mild form of traumatic brain injury (TBI). The rates of PCS vary, but most studies report that about 15% of individuals with a history of a single concussion develop persistent symptoms associated with the injury. A diagnosis may be made when symptoms resulting from concussion last for more than three months after the injury. Loss of consciousness is not required for a diagnosis of concussion or post-concussion syndrome.
Like all Australian towns and cities, Cairns was affected by the impact of WWI. Of the 330,770 Australians who embarked for overseas service in WWI, 58,961 died and 170,909 were wounded, went missing or became prisoners of war. This meant that around 69% of embarked personnel became casualties - or 21% of eligible Australian males. No previous or subsequent war has had such an impact on Australia in terms of loss of life; almost every community in every Australian state lost young people. Even before the end of hostilities, memorials were being erected by Australian communities to honour local people who had served and died. These memorials were a spontaneous and highly visible expression of national grief; substitute graves for the Australians whose bodies lay in battlefield cemeteries in Europe and the Middle East. The word "cenotaph" literally means "empty tomb" and was commonly applied to war memorials following its use for the famous Cenotaph at Whitehall, London. Cenotaphs were tapering structures like the London precedent but the term applied generally to war monuments.
During the course of the novel, the ideas of the stages of grief are introduced. The stages are denial, anger, depression, and acceptance. The narrator, as well as other characters in the story, slowly passes through these stages in trying to deal with death.
Researchers have investigated the relationship between posttraumatic amnesia (PTA) resulting from traumatic brain injury (TBI) and the development of symptoms of posttraumatic stress disorder (PTSD) and acute stress disorder (ASD). 282 outpatients, who were an average of 53 days post-TBI in their recovery, were divided into four groups: PTA episode lasting less than one hour; PTA episode lasting between one hour and 24 hours; PTA episode lasting between 24 hours and one week; and PTA episode lasting for longer than one week. The patients' personal details were used as variables classified for age, gender, marital status, time elapsed between injury and assessment, and type of injury (motor vehicle accident, pedestrian, assault and other). Patients were given two self-report inventories: the Impact of Event Scale (IES) and the General Health Questionnaire (GHQ). The IES measures symptoms of PTSD and contains questions regarding the intrusiveness of the traumatic event (ex. nightmares) and avoidant behaviours related to the traumatic event (ex. avoiding a certain location). The GHQ was used as an indicator of overall psychological health. The majority of subjects were in Group 1 (PTA episode lasting less than one hour), injured in motor vehicle accidents, and male.
Like all Australian communities, Woody Point was affected by the impact of WWI. Of the 330,770 Australians who embarked for overseas service in WWI, 58,961 died and 170,909 were wounded, went missing or became prisoners of war. This meant that around 69% of embarked personnel became casualties - or 21% of eligible Australian males. To date, no previous or subsequent war has had such an impact on Australia in terms of loss of life; almost every community in every Australian state lost young people. Even before the end of hostilities, memorials were being erected by Australian communities to honour local people who had served and died. These memorials were a spontaneous and highly visible expression of national grief; substitute graves for the Australians whose bodies lay in battlefield cemeteries in Europe and the Middle East.
During the 2014 Gaza war, Shuja'iyya was the location of the Battle of Shuja'iyya, the fiercest battle of the war, and was heavily shelled by Israeli forces. Between 65 and 120 Palestinians were killed in the fighting, including at least 17 children, 14 women and four elderly persons, as well as 13 Israeli soldiers. Israel stated the district was targeted because 8% of the rocket attacks by Palestinian forces against Israel originated in Shuja'iyya because the area was allegedly a source of tunnels crossing into Israel. After the 2014 war, an Israeli brigade gave soldiers who fought in Shuja'iyya before and after photos, showing the damage. IDF sources said the incident was under investigation. Reconstruction of the quarter is complicated by UN priorities. Funding is allocated according to a ladder of importance, from small to large-scale damage, and many of the cement vouchers for families are sold on the black market.
While Kübler-Ross, Anderson, and others have attempted to define discrete stages of grief, such as an initial period of numbness leading to depression and finally to reorganization and recovery, most modern grief specialists recognize the variations and fluidity of grief experiences, that differ considerably in intensity and length among cultural groups and from person to person. No grief stage theory has been able to account for how people cope with loss, why they experience varying degrees and types of distress at different times, and how or when they adjust to a life without their loved one over time.
The word "schizophrenia"—which translates roughly as "splitting of the mind" and comes from the Greek roots "schizein" (σχίζειν, "to split") and "phrēn", "phren-" (φρήν, φρεν-, "mind")—was coined by Eugen Bleuler in 1908 and was intended to describe the separation of function between personality, thinking, memory, and perception. Bleuler described the main symptoms as four "A"'s: flattened "Affect", "Autism", impaired "Association" of ideas and "Ambivalence". Bleuler realized that the illness was not a dementia as some of his patients improved rather than deteriorated and hence proposed the term "schizophrenia" instead. However, many at the time did not accept that splitting or dissociation was an appropriate description, and the term would later have more significance as a source of confusion and social stigma than scientific meaning.
The neuroscientist Donald Hebb (1904–1985) was the first to distinguish between short-term memory and long-term memory. According to current theories in neuroscience, things that we "notice" are stored in short-term memory for up to a few minutes; this memory depends on "reverberating" electrical activity in neuronal circuits, and is very easily destroyed by interruption or interference. Memories stored for longer than this are stored in "long-term memory". Whether information is stored in long-term memory depends on its "importance"; for any animal, memories of traumatic events are potentially important for the adaptive value that they have for future avoidance behavior, and hormones that are released during stress have a role in determining what memories are preserved. In humans, traumatic stress is associated with acute secretion of epinephrine and norepinephrine (adrenaline and noradrenaline) from the adrenal medulla and cortisol from the adrenal cortex. Increases in these facilitate memory, but chronic stress associated with prolonged hypersecretion of cortisol may have the opposite effect. The limbic system is involved in memory storage and retrieval as well as giving emotional significance to sensory inputs. Within the limbic system, the hippocampus is important for explicit memory, and for memory consolidation; it is also sensitive to stress hormones, and has a role in recording the emotions of a stressful event. The amygdala may be particularly important in assigning emotional values to sensory inputs.
In 1908, Eugen Bleuler introduced the term ""schizophrenia"" to represent a revised disease concept for Emil Kraepelin's "dementia praecox." Whereas Kraepelin's natural disease entity was anchored in the metaphor of progressive deterioration and mental weakness and defect, Bleuler offered a reinterpretation based on dissociation or "splitting' ("Spaltung") and widely broadened the inclusion criteria for the diagnosis. A review of the "Index medicus" from 1903 through 1978 showed a dramatic decline in the number of reports of multiple personality after the diagnosis of schizophrenia became popular, especially in the United States. The rise of the broad diagnostic category of dementia praecox has also been posited in the disappearance of "hysteria" (the usual diagnostic designation for cases of multiple personalities) by 1910. A number of factors helped create a large climate of skepticism and disbelief; paralleling the increased suspicion of DID was the decline of interest in dissociation as a laboratory and clinical phenomenon.
Faculty provides care for thousands suffering from mild to traumatic brain injuries. The concussion clinic at Medstar NRH focuses primarily on this form of brain injury and is regarded as one of the best in the country according to U.S. News & World Report. 75 percent of all traumatic brain injuries that occur are concussions. Traumatic brain injuries contribute to a third of all deaths in the United States with over 1.5 million brain injuries occurring each year. During their stay, patients are also educated on precautions they can take to prevent a future incidence.
The Germans used mustard gas for the first time, supported by a mass of heavy artillery, which captured part of the bridgehead over the Yser and annihilated two British battalions. After several postponements, Operation Hush was cancelled on 14 October 1917, as the advance during the Third Battle of Ypres did not meet the objectives required to begin the attack. In April 1918, the Dover Patrol raided Zeebrugge, to sink block ships in the canal entrance to trap U-Boats, which closed the canal for a short time. From September–October 1918, the Belgian coast was occupied by the Allies, in the Fifth Battle of Ypres.
Some men suffering from shell shock were put on trial, and even executed, for military crimes including desertion and cowardice. While it was recognised that the stresses of war could cause men to break down, a lasting episode was likely to be seen as symptomatic of an underlying lack of character. For instance, in his testimony to the post-war Royal Commission examining shell shock, Lord Gort said that shell shock was a weakness and was not found in "good" units. The continued pressure to avoid medical recognition of shell shock meant that it was not, in itself, considered an admissible defence.
In 1984, Johnston adopted the stage name "Michelle Shocked," a play on the expression "shell shocked," she said in a 1992 interview with "Green Left Weekly": "The term 'Miss shell shocked' is a direct reference to the thousand-yard stare, which was a term that they first used to describe the victims of shell-shock in World War I. These people from outward appearances had survived the war quite well when in fact inside their minds were blown. I first used that name in 1984 at the Democratic Convention in San Francisco where I was arrested for protesting and demonstrating against corporations who contribute money to both the Democratic Party and the Republican Party campaigns."
Shell Shock, also known as 82nd Marines Attack, is a 1964 film B-movie directed and co-written by John Hayes and produced by and starring Beach Dickerson. The film takes place in Italy during World War II, and tells the story of a sergeant with his group of soldiers.
Although there was a general lack of knowledge about its mechanisms, a review of patients seen during WWI combat reveals the symptoms of post-traumatic amnesia (PTA) in many soldiers. The term shell shock was used to refer to the acute psychological state that accompanied exposure to exploding shells, and more generally, exposure to combat conditions. There are a number of documented cases of shell shock victims. These soldiers commonly displayed dizziness, varying degrees of consciousness, a loss of non-traumatic personal information, and a lack of normal self-awareness lasting anywhere from hours to days. Many of the symptoms of shell shock are highly similar to those of PTA. The following excerpt from a case report illustrates the loss of personal information observed in one patient:
Researchers found that physicians had documented reports of combatants where "[b]oth central and peripheral details of the traumatic experience were lost." Patients displayed gaps in memory recollection for the period following the trauma, sometimes up to the time of hospitalization, which could be weeks later.