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How PTSD Becomes Self-Sustaining in Civilian Survivors of War

Research maps out how trauma takes on a life of its own

Grant H Brenner MD DFAPA
7 min readMar 14, 2022
Photo Credit: Grant H Brenner

New research on Balkan war survivors sheds light on the persistence of PTSD.

As the war in Ukraine wages, and the world watches millions of refugees flee for their lives, we are reminded of countless prior wars. While media attention mobilizes our outrage and the outpouring of immediate help to affected civilian populations, what happens after the wars end?

We know that war takes a massive toll on the people, but our understanding of how the effects unfold for years after is still evolving. Do we forget to pay attention after the cameras stop rolling? What can we learn from past wars about post- traumatic stress?

PTSD Begets PTSD

Researchers Schlechter, Hellmann, McNally and Morina conducted a study of civilian survivors of 1990s Balkan wars, including those who had stayed in their countries of origin (including Bosnia-Herzegovina, Croatia, Kosovo, Macedonia and Serbia) and those who had settled in Germany, Italy and the UK. The results wee recently published in the Journal of Traumatic Stress (2022).

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Grant H Brenner MD DFAPA
Grant H Brenner MD DFAPA

Written by Grant H Brenner MD DFAPA

Psychiatrist, Psychoanalyst, Entrepreneur, Writer, Speaker, Disaster Responder, Advocate, Photographer

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