Modern Methods of Psychological Work with Post-Traumatic Stress Disorder in Military Personnel

The article describes the importance of psychological work with military personnel, primarily in the presence of post-traumatic stress disorder (PTSD) associated with participation in hostilities. A brief description of the causes and symptoms of PTSD is given. The main directions of psychological work with military personnel participating in hostilities are described. The topic of the qualifications of psychologists who come into contact with this complex issue in their professional activities is touched upon. The possibilities of various areas of psychological work with PTSD are discussed, including art therapy, cognitive behavioral therapy, aromatherapy, and others. Psychological work with PTSD in interaction with military personnel is described in the following main areas: directly during combat operations, in hospitals, and in rehabilitation centers. Psychodiagnostic techniques used in the detection of PTSD and the current condition of a servicemember are mentioned. Studies confirming the effectiveness of various methods and techniques of working with PTSD are described.

1. Grigor'eva M.A. Art-terapiya, kak odin iz metodov, v integrativnom podkhode psikhologicheskoi raboty so stressom i PTSR [Art therapy, as one of the methods in the integrative approach to psychological work with stress and PTSD]. Rossiiskii voenno-psikhologicheskii zhurnal = Russian military psychological journal, 2024, no. 1(3), pp. 126—135. DOI:10.25629/RMPJ.2024.01.15 (In Russ.).
2. Gnezdilov G.V. Kiselev V.V., Gnezdilova M.G. Osobennosti psikhoreabilitatsionnoi raboty s uchastnikami boevykh deistvii s posttravmaticheskim stressovym rasstroistvom (PTSR) [Features of psychorehabilitation work with combatants with post-traumatic stress disorder (PTSD)]. Chelovecheskii kapital [Human capital], 2023, no. 11—2(179), pp. 78—89. DOI:10.25629/HC.2023.11.37 (In Russ.).
3. Kozlov V.V. Psikhologiya krizisa [Psychology of crisis]. Saratov: Publ. Vuzovskoe obrazovanie, 2014. 386 p.
4. Kolomeets E.A. Art-terapiya i aromaterapiya kak integrativnye metody v rabote s psikhotravmoi, PTSR i K-PTSR [Art therapy and aromatherapy as integrative methods in working with psychotrauma, PTSD and C-PTSD]. In Bakhtin M.V. (ed.) Chelovek v sovremennom mire: iskusstvennyi i estestvennyi intellekt: sopernichestvo ili sorabotnichestvo? sbornik nauchnykh trudov [Man in the modern world: artificial and natural intelligence: competition or collaboration?]. Raguza: Entsiklopedist-Maksimum, 2024. pp. 420—429. (In Russ.).
5. Kuz'mina T.I., Matkovskaya E.N. Posledstviya okazaniya nekvalifitsirovannoi psikhologicheskoi pomoshchi uchastnikam boevykh deistvii [Consequences of providing unqualified psychological assistance to combatants]. Materialy III nauchnogo foruma s mezhdunarodnym uchastiem «Ekstremal'naya psikhologiya v ekstremal'nom mire» [Materials of the III scientific forum with international participation “Extreme psychology in an extreme world”]. Moscow: MGPPU, 2024, 159—164. (In Russ.).
6. Kuz'mina T.I. Prikladnye aspekty ispol'zovaniya psikhologicheskikh znanii uchastnikami boevykh deistvii [Applied aspects of the use of psychological knowledge by combatants]. Lichnost' v ekstremal'nykh usloviyakh i krizisnykh situatsiyakh zhiznedeyatel'nosti = Personality in extreme conditions and crisis situations of life, 2016, no. 6, pp. 217—226. (In Russ.).
7. Mar'in M.I., Kasperovich Yu.G., Myagkikh N.I., Rybnikov V.Yu., Kotenev I.O., Adaev A.I., Petrov V.E., Boreko A.V., Egorov K.A Organizatsiya psikhologicheskogo obespecheniya deyatel'nosti sotrudnikov organov vnutrennikh del v ekstremal'nykh usloviyakh: metodicheskoe posobie [Organization of psychological support for the activities of employees of internal affairs bodies in extreme conditions: a methodological manual]. Moscow: Glavnoe upravlenie kadrov MVD Rossii, 2004. 240 p. (In Russ.).
8. Petrishina N.N. Fitoterapiya i aromaterapiya [Fitoterapiya i aromaterapiya]. Nauchnyi i innovatsionnyi potentsial razvitiya proizvodstva, pererabotki i primeneniya efiromaslichnykh i lekarstvennykh rastenii Evraziiskogo ekonomicheskogo soyuza [Scientific and innovative potential for the development of production, processing and use of essential oils and medicinal plants of the Eurasian Economic Unio]. Pod red. V.S. Pashtetskogo. Simferopol': Izd-vo OOO "IT "Arial", 2021, pp. 75—83. (In Russ.).
9. Perechen' poruchenii po itogam vstrechi [Elektronnyi resurs] [List of instructions following the meeting]. Prezident Rossiiskoi Federatsii [President of Russian Federation]. Pr-464, p. 1a). URL: http://www.kremlin.ru/acts/assignments/orders/70647 (Accessed: 13.07.2024)
10. Poznyak A. Primenenie ol'faktoterapii v sinteze s art-terapiei dlya garmonizatsii emotsional'nogo sostoyaniya zhenshchin [The use of olfactotherapy in synthesis with art therapy to harmonize the emotional state of women]. Sovremennye psikhologicheskie i pedagogicheskie tekhnologii = Modern psychological and pedagogical technologies, 2020, no. 1, pp. 1—9. (In Russ.).
11. Mar'in M.I., Pozdnyakov V.M., Petrov V.E. et al. Psikhologicheskoe obespechenie spetsial'nogo pervonachal'nogo obucheniya: uchebno-metodicheskoe posobie [Psychological support for special initial training: educational and methodological manual]. Ufa: Uchebnyi tsentr MVD Respubliki Bashkortostan, 2005. 142 p. (In Russ.).
12. Sosnin V.A. Sovremennyi terrorizm i problema verbovki lyudei v terroristicheskie seti: psikhologicheskie aspekty [Modern terrorism and the problem of recruiting people into terrorist networks: psychological aspects]. Prikladnaya yuridicheskaya psikhologiya = Applied legal psychology, 2015, no. 4, pp. 20—28. (In Russ.).
13. Palmer E., Hill K., Lobban J., Murphy D. Veterans’ perspectives on the accepta bility of art therapy: a mixed-methods study. International Journal of Art Therapy, 2017, 22, pp. 132—137. DOI:10.1080/17454832.2016.1277250
14. Campbell M., Decker K.P., Kruk K., Deaver S.P. Art Therapy and Cognitive Processing Therapy for Combat-Related PTSD: A Randomized Controlled Trial. Art Therapy, 2016, 33(4), pp. 169—177. DOI:10.1080/07421656.2016.1226643
15. Faniel A. L'olfactothérapie. Sentir pour mieux se sentir. Editions Amyris, 2012. 213 p.
16. Géraud G., Mary R., Sommerard J-Ch., Béhar C. Le Guide de l'olfactothérapie: Les huiles essentielles pour soigner notre corps et accompagner nos émotions. Paris, Editions Albin Michel, 2011. 301 p.
17. All-Party Parliamentary Group on Arts, Health and Wellbeing. Creative Health: The Arts for Health and Wellbeing: Inquiry Report. 2nd edn. [Электронный ресурс]. London, 2017. 99 p. URL: https://www.culturehealthandwellbeing.org.uk/appg-inquiry/Publications/Creative_Health_Inquiry_Report_2017_-_Second_Edition.pdf (дата обращения: 23.07.2024).
18. Kaimal G., Walker M.S., Herres J., French L.M., DeGraba T.J. Observational study of associations between visual imagery and measures of depression, anxiety and post-traumatic stress among active-duty military service mem bers with traumatic brain injury at the Walter Reed National Military Med ical Center. BMJ Open, 2018, Vol. 8(6). 9 p. DOI:10.1136/bmjopen-2017-021448
19. Nicholson P.J. Art therapy for post-traumatic stress disorder and traumatic brain injury. Occupational Medicine, 2019, 69(6), pp. 400—402. DOI:10.1093/occmed/kqz039
20. Ramirez J., Erylayna E., Guilliaum M. A review of art therapy among military service members and veterans with post-traumatic stress disorder. Journal of military and veterans' health, Vol. 24, pp. 40—51.
21. Woollett N., Bandeira M., Hatcher A. Trauma-informed art and play therapy: Pilot study outcomes for children and mothers in domestic violence shelters in the United States and South Africa. Child Abuse Negl, 2020. Vol.107. DOI:10.1016/j.chiabu.2020.104564