The thousand-yard stare (also referred to as two-thousand-yard stare) is a phrase often used to describe the blank, unfocused gaze of people experiencing dissociation due to acute stress or traumatic events. It was originally used about war combatants and the post-traumatic stress they exhibited but is now also used to refer to an unfocused gaze observed in people under a stressful situation, or in people with certain mental health conditions. [1]
The thousand-yard stare is sometimes described as an effect of shell shock or combat stress reaction, along with other mental health conditions. However, it is not a formal medical term. [1] [2] [3]
The phrase was popularized after Life magazine published the painting Marines Call It That 2,000 Yard Stare by World War II artist and correspondent Tom Lea, [4] although the painting was not referred to with that title in the 1945 magazine article. The painting, a 1944 portrait of a nameless Marine at the Battle of Peleliu, is now held by the United States Army Center of Military History in Fort Lesley J. McNair, Washington, D.C. [5] About the real-life Marine who was his subject, Lea said:
He left the States 31 months ago. He was wounded in his first campaign. He has had tropical diseases. He half-sleeps at night and gouges Japs out of holes all day. Two-thirds of his company has been killed or wounded. He will return to attack this morning. How much can a human being endure? [6]
When recounting his arrival in Vietnam in 1965, then-Corporal Joe Houle (director of the Marine Corps Museum of the Carolinas in 2002) said he saw no emotion in the eyes of his new squad: "The look in their eyes was like the life was sucked out of them". He later learned that the term for their condition was "the 1,000-yard stare". "After I lost my first friend, I felt it was best to be detached," he explained. [7]
Neurosis is a term mainly used today by followers of Freudian thinking to describe mental disorders caused by past anxiety, often that has been repressed. In recent history, the term has been used to refer to anxiety-related conditions more generally.
Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that develops from experiencing a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life or well-being. Symptoms may include disturbing thoughts, feelings, or dreams related to the events, mental or physical distress to trauma-related cues, attempts to avoid trauma-related cues, alterations in the way a person thinks and feels, and an increase in the fight-or-flight response. These symptoms last for more than a month after the event and can include triggers such as misophonia. Young children are less likely to show distress, but instead may express their memories through play. A person with PTSD is at a higher risk of suicide and intentional self-harm.
Psychological trauma is an emotional response caused by severe distressing events that are outside the normal range of human experiences. It must be understood by the affected person as directly threatening the affected person or their loved ones generally with death, severe bodily injury, or sexual violence; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and possibly overwhelming physiological stress response, but does not produce trauma per se. Examples of distressing events include violence, rape, or a terrorist attack.
Combat stress reaction (CSR) is acute behavioral disorganization as a direct result of the trauma of war. Also known as "combat fatigue", "battle fatigue", or "battle neurosis", it has some overlap with the diagnosis of acute stress reaction used in civilian psychiatry. It is historically linked to shell shock and can sometimes precurse post-traumatic stress disorder.
Acute stress reaction and acute stress disorder (ASD) is a psychological response to a terrifying, traumatic or surprising experience. Combat stress reaction (CSR) is a similar response to the trauma of war. The reactions may include but are not limited to intrusive or dissociative symptoms, and reactivity symptoms such as avoidance or arousal. It may be exhibited for days or weeks after the traumatic event. If the condition is not correctly addressed, it may develop into post-traumatic stress disorder (PTSD).
Survivor guilt or survivor's guilt happens when individuals feel guilty after they survive a near death or traumatic event when others perished. It can cause similar depressive symptoms associated with PTSD. Niederlande first introduced the term to describe the feeling of punishment many of the Holocaust survivors felt for surviving their loved ones. The experience and manifestation of survivor's guilt will depend on an individual's psychological profile. When the Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) was published, survivor guilt was removed as a recognized specific diagnosis, and redefined as a significant symptom of post-traumatic stress disorder (PTSD). History of survivor guilt outlines similar symptoms among many groups and individuals that experience tragic situations. Other patterns of guilt are found in medical aid groups who lose patients and place blame on themselves. Examples of traumatic events involve situations where an individual feels intense feeling of guilt after a loved one has past. War and the losing of a loved one due to traumatic events are closely related to feelings of depression and anxiety, that can later lead to PTSD. Suicidal thoughts are related to intense feelings of anxiety and depression from guilt related to traumatic events.
Complex post-traumatic stress disorder is a stress-related mental disorder generally occurring in response to complex traumas, i.e., commonly prolonged or repetitive exposures to a series of traumatic events, within which individuals perceive little or no chance to escape.
Chaim F. Shatan was a Jewish-Canadian psychiatrist born in Włocławek, Poland.
A psychiatric casualty is a military combatant who is unable to continue fighting due to some sort of mental debilitation. The debilitations a casualty can experience are extensive; they can be anything from affective disorders to somatoform disorders, with many psychiatric casualties developing long term or permanent post-traumatic stress disorder. Treatment generally consists of simply removing a soldier from combat; however, psychotherapy is sometimes used.
Stress-related disorders constitute a category of mental disorders. They are maladaptive, biological and psychological responses to short- or long-term exposures to physical or emotional stressors. The National Institute of Environmental Health Sciences categorizes Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) as stress-related disorders. However, the World Health Organization's ICD-11 excludes OCD but categorizes PTSD, Complex Post-Traumatic Stress Disorder (CPTSD), adjustment disorder as stress-related disorders.
Traumatic stress is a common term for reactive anxiety and depression, although it is not a medical term and is not included in the Diagnostic and Statistical Manual of Mental Disorders (DSM). The experience of traumatic stress include subtypes of anxiety, depression and disturbance of conduct along with combinations of these symptoms. This may result from events that are less threatening and distressing than those that lead to post-traumatic stress disorder. The fifth edition of the DSM describes in a section titled "Trauma and Stress-Related Disorders" disinhibited social engagement disorder, reactive attachment disorder, acute stress disorder, adjustment disorder, and post-traumatic stress disorder.
Military psychiatry covers special aspects of psychiatry and mental disorders within the military context. The aim of military psychiatry is to keep as many serving personnel as possible fit for duty and to treat those disabled by psychiatric conditions. Military psychiatry encompasses counseling individuals and families on a variety of life issues, often from the standpoint of life strategy counseling, as well as counseling for mental health issues, substance abuse prevention and substance abuse treatment; and where called for, medical treatment for biologically based mental illness, among other elements.
Thomas "Tom" Calloway Lea III was an American muralist, illustrator, artist, war correspondent, novelist, and historian. The bulk of his art and literary works were about Texas, north-central Mexico, and his World War II experience in the South Pacific and Asia. Two of his most popular novels, The Brave Bulls and The Wonderful Country, are widely considered to be classics of southwestern American literature.
Brief psychotic disorder—according to the classifications of mental disorders DSM-IV-TR and DSM-5—is a psychotic condition involving the sudden onset of at least one psychotic symptom lasting 1 day to 1 month, often accompanied by emotional turmoil. Remission of all symptoms is complete with patients returning to the previous level of functioning. It may follow a period of extreme stress including the loss of a loved one. Most patients with this condition under DSM-5 would be classified as having acute and transient psychotic disorders under ICD-10. Prior to DSM-IV, this condition was called "brief reactive psychosis." This condition may or may not be recurrent, and it should not be caused by another condition.
Shell shock is a term that originated during World War I to describe the type of post-traumatic stress disorder (PTSD) that many soldiers experienced during the war, before PTSD was officially recognized. It is a reaction to the intensity of the bombardment and fighting that produced helplessness, which could manifest as panic, fear, flight, or an inability to reason, sleep, walk, or talk.
China Marine: An Infantryman's Life after World War II is the second memoir written by United States Marine Corporal Eugene B. Sledge, published posthumously with foreword by Stephen E. Ambrose, without subtitle, on May 10, 2002 by University of Alabama Press It was republished in paperback with the full title by Oxford University Press in July 2003. This book is the sequel to his first, better known, memoir, With the Old Breed: At Peleliu and Okinawa and Ambrose identifies it as the only account of the Marines stationed in postwar China. It has recently achieved wider public recognition as credited source material for the 2010 HBO miniseries The Pacific.
Psychological first aid (PFA) is a technique designed to reduce the occurrence of post-traumatic stress disorder. It was developed by the National Center for Post Traumatic Stress Disorder (NC-PTSD), a section of the United States Department of Veterans Affairs, in 2006. It has been endorsed and used by the International Federation of Red Cross and Red Crescent Societies, Community Emergency Response Team (CERT), the American Psychological Association (APA) and many others. It was developed in a two-day intensive collaboration, involving more than 25 disaster mental health researchers, an online survey of the first cohort that used PFA and repeated reviews of the draft.
Richard Allan Bryant is an Australian medical scientist. He is Scientia Professor of Psychology at the University of New South Wales (UNSW) and director of the UNSW Traumatic Stress Clinic, based at UNSW and Westmead Institute for Medical Research. His main areas of research are posttraumatic stress disorder (PTSD) and prolonged grief disorder. On 13 June 2016 he was appointed a Companion of the Order of Australia (AC), for eminent service to medical research in the field of psychotraumatology, as a psychologist and author, to the study of Indigenous mental health, as an advisor to a range of government and international organisations, and to professional societies.
Operational stress injury or OSI is a non-clinical, non-medical term referring to a persistent psychological difficulty caused by traumatic experiences or prolonged high stress or fatigue during service as a military member or first responder. The term does not replace any individual diagnoses or disorders, but rather describes a category of mental health concerns linked to the particular challenges that these military members or first responders encounter in their service. There is not yet a single fixed definition. The term was first conceptualized within the Canadian Armed Forces to help foster understanding of the broader mental health challenges faced by military members who have been impacted by traumatic experiences and who face difficulty as a result. OSI encompasses a number of the diagnoses found in the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification system, with the common thread being a linkage to the operational experiences of the afflicted. The term has gained traction outside of the military community as an appropriate way to describe similar challenges suffered by those whose work regularly exposes them to trauma, particularly front line emergency first responders such as but not limited to police, firefighters, paramedics, correctional officers, and emergency dispatchers. The term, at present mostly used within Canada, is increasingly significant in the development of legislation, policy, treatments and benefits in the military and first responder communities.
WWII lasted from September 1st, 1939 until September 2nd, 1945. The death toll during WWII has been estimated to be between 35,000,000 and 60,000,000. However, the exact number is unknown. With all those fatalities, it should not be surprising that it left so many lasting effects on the survivors. There have been many terms for these lasting effects over the decades. These terms include, but are not limited to, shell shock and combat fatigue. In 1980, the diagnosis of PTSD was added to the newly published DSM 3.