Iraq War, 2003-

Approximately 1.76 million men and women have served in the Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military campaigns since October 2001. The transition from living in a war zone to resuming a fulfilling life at home is often difficult for veterans. The purpose of this mixed methods study was to gain understanding of the issues that complicate health for veterans and approaches veterans used to resolve complicating health issues associated with the challenge of coming home from war. Qualitative data collection and analysis was guided by story inquiry method. Quantitative data was collected using the 36-item Short-Form Health Survey, Version 2 (SF-36v2) and analyzed using QualityMetric Health Outcomes[TM] Score Software, Version 4.0. Seven OEF/OIF veterans who had completed at least one tour of duty in Iraq since October 2001 participated in this study. Three themes emerged from the qualitative data that capture the complicating health issues that participants encountered when coming home from war: flipping the switch, figuring out how to belong, and living the stress of a new normal. Two themes emerged from the qualitative data that capture approaches used to resolve complicating health issues associated with returning home from war: connecting with others and choosing a positive attitude. Quantitative data revealed that the majority of participants scored at or above general population norms on three of the subscales that measure physical health, as well as on two of the subscales that measure mental health; however a significant percentage scored below norms on the subscale that measures social functioning (57%) and on the subscale that directly measures mental health (43%).

The cruelty of Military Police guards at Abu Ghraib prison contributed to American shame and questions regarding how such cruelty emerges. The accepted approach of "situational attribution theory" - based upon Zimbardo's (1973, 2007) social psychological perceptions and results of the Stanford Prison Experiment - proposed that personality or "disposition" has little role in the emergence of such cruelty. Termed "institutional cruelty," this manuscript presents the possibility that understandings and preventive measures afforded by situational attribution theory can be extended via acknowledgement of a greater role played by disposition. Psychoanalytic and object relations approaches are presented to this end. The manuscript addresses the most puzzling characteristics of institutional cruelty: 1) rapidity of onset, taking days or, at most, weeks for initial expression, 2) emergence in ordinary, normal individuals, and 3) emergence in the "mock" situation of the Stanford Prison Experiment. Criminological, organizational culture, and social psychological theories are explored for their application to institutional cruelty.