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Purpose – In this chapter, I examine the ways that various trauma carriers, including social movements, self-identified survivors, professional organizations, and advocates make public claims about trauma and the PTSD diagnosis as they work to define moral and political issues.

Methodology/approach – Employing the method of social pattern analysis, I analyze a variety of narrative data pertaining to issues such as child sexual abuse, war, slavery, and genocide.

Findings – Trauma carriers engage in significant social memory work and collective identity work, define social problems, and practice social activism as they address the causes and consequences of psychological suffering. Within the context of modern diagnostic psychiatry, the PTSD diagnosis stands out as a unique narrative of social illness. The PTSD diagnosis is a powerful cultural script that various individuals and interest groups use to interpret mental health symptoms while attributing psychological consequences to social causes as opposed to problems rooted in the individual's psyche (as with psychoanalysis) or neurophysiology (as with modern diagnostic psychiatry). By implication, the social world must be “cured” for the individual to be healthy.

Originality/value of paper – I detail the unique sociocognitive implications of the PTSD diagnosis, highlighting its impact on our collective understanding of particular traumatic experiences and the shared nature of posttraumatic affect. I show the relevance of social memory studies, the more broadly conceived sociology of culture and cognition – especially as it pertains to collective identity and classification norms, the sociology of health-focused social movements, and the analysis of social problems claims-making to an emerging sociology of diagnosis.

After decades of focus on disaster, crisis, and trauma itself, in recent years more attention has been devoted to the study of human strengths and resilience, as reflected in the rise of positive psychology and strengths-based social work. In particular, psychological growth after trauma has been increasingly studied, and one of the official terms referring to the phenomenon is posttraumatic growth (PTG). The PTG literature reflects work on positive psychology, trauma recovery, and resilience. The main components associated with PTG are new possibilities, interpersonal growth, personal growth, appreciation for life, and spiritual change (Calhoun & Tedeschi, 2014). These domains have been tested and measured with a scale, the Posttraumatic Growth Inventory. While PTG and related concepts such as resilience have been studied in various populations, they have not yet been investigated extensively in Southeast Asia (SEA) populations. This chapter explores the psychological examination of resilience and PTG in the SEA context, with some discussion of the background of both positive psychological concepts and PTG research cross-culturally, and their application to the SEA region specifically. Brief relevant trauma history of the region, such as human-made and natural hazards impacting the region’s individuals and communities, and similarities and differences in the results of these traumas will be described. Implications for broader international work as well as cultural and clinical implications also will be discussed in this chapter.

In recent years, a wide range of psychosocial health interventions have been implemented among military service members and their families. However, there are questions over the evaluative rigor of these interventions. We conducted a systematic review of this literature, rating each relevant study (k = 111) on five evaluative rigor scales (type of control group, approach to participant assignment, outcome quality, number of measurement time points, and follow-up distality). The most frequently coded values on three of the five scales (control group type, participant assignment, and follow-up distality) were those indicating the lowest level of operationally defined rigor. Logistic regression results indicate that the evaluative rigor of intervention studies has largely remained consistent over time, with exceptions indicating that rigor has decreased. Analyses among seven military sub-populations indicate that interventions conducted among soldiers completing basic training, soldiers returning from combat deployment, and combat veterans have had, on average, the greatest evaluative rigor. However, variability in mean scores across evaluative rigor scales within sub-populations highlights the unique methodological hurdles common to different military settings. Recommendations for better standardizing the intervention evaluation process are discussed.

Disaster responders play a crucial role in providing aid to individuals and communities following catastrophic events. Being tasked to protect and preserve life and property, these groups of professionals are constantly exposed to various hazards, which puts them at risk of negative mental health consequences. This chapter describes and discusses these mental health effects and interventions for disaster responders in Southeast Asia. The chapter defines who the disaster responders are in Southeast Asian countries. Drawing from the literature, this chapter enumerates the various positive and negative psychological consequences of disaster response, and the risk and protective factors associated with disaster response work. This chapter also describes the different interventions, such as psychological first aid and psychotherapy, following the Inter-agency Standing Committee (IASC) (2007) guidelines on conducting mental health and psychosocial support services (MHPSS), and focusing on the Southeast Asian context. This chapter ends with a discussion of the different challenges of providing MHPSS in Southeast Asia and with some recommendations on how to improve the delivery of these services and the mental health of disaster responders in general.

This chapter examines the role of stress and emotional well-being as critical antecedents of important outcomes in the military context. In it, we provide a framework for understanding the sources of stress among military personnel. Using this model, we review the risk factors associated with combat and deployment cycles in addition to protective factors, such as personality characteristics and social support, which mitigate the effects of stress on emotional well-being and performance. Finally, we evaluate efforts by military organizations to enhance the emotional well-being of service members through training programs designed to build resiliency.

This chapter summarizes the literature on mindfulness and its impact of postdisaster response. Although the use of mindfulness is still in its infancy in Southeast Asia (SEA), initial studies suggest it has potential as a means to address survivors’ posttrauma symptoms. Given cultural nuances such as a discomfort in emotional expression and shame, mindfulness is non-intrusive and encourages non-judgmental acceptance. Mindfulness has been used in group settings which is congruent with the region’s collectivist orientation. In addition, given the importance of spirituality, we suggest that mindfulness may be an inclusive approach that is familiar and acceptable to SEA survivors.

How can schools, specifically school leaders, be an integral part in helping students from refugee backgrounds build resilience in their new settings? The following literature review has been written to give a brief overview of the refugee-resettlement process in US history, how things have developed with the study of posttraumatic stress disorder, and how school leaders can work with students who may have suffered from traumatic experiences. It is concluded with some suggestions for schools and school leaders on how to work with refugee students and their families. With a refugee crisis around the globe, this study is part of a growing body of research regarding the issue of refugee resettlement; specifically, how school leaders can be involved in the resettlement process of refugee students. Continued research is needed that will continue to build on the current body of knowledge around this vital issue affecting so many today.

Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to their exposure to multiple poverty-related risks, African American children may be more susceptible to exposure to toxic stress. Toxic stress affects young children’s brain and neurophysiologic functioning, which leads to a wide range of deleterious health, developmental, and mental health outcomes. Given the benefits of early care and education (ECE) for African American young children, ECE may represent a compensating experience for this group of children, and promote their positive development.

The impact of globalization on individual well-being through the interplay of self and standard forms of lifestyle aspirations, has generally received less attention than the merits of globalization at the macro-level. This chapter addresses this question by testing the hypothesis that poor rural-dwelling Botswana men suffer diminished well-being compared to their relatively well-off urban-dwelling counterparts as a result of unfulfilled lifestyle aspirations. The study combines ethnographic, psychological, and psychosomatic data to compare well-being among rural and urban adult Botswana men. Results indicate that failed urban migration associates with low cortisol and high depressive affect, and rural residence is also independently associated with high depressive affect. This psychosomatic syndrome may be similar to that observed in posttraumatic stress disorder, suggesting that the experience of failed urban migration is considerably more stressful than the demands of employed urban life in contemporary Botswana.