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Combat and Operational Stress Control - Answers is a coordinated program for the prevention of, and
actions taken by military leadership to prevent, identify and manage adverse combat and operational
stress reactions in units.
Combat and Operational Stress Control Behavior - Answers is the term that is used to describe the range
of combat and operational stress that service members are exposed to throughout their military
experience. Other names that have been used in the past to describe this reaction include shell shock,
battle fatigue, and battle exhaustion.
Combat Stressors - Answers -Personal injury and killing of combatant
-witnessing the death of an individual. Death of another unit member.
-Injury resulting in the loss of a limb
Operational Stressors - Answers -Prolonged exposure to extreme geographical environments such as
desert heat or arctic cold.
-Reduced quality of life and communication resources over extended period of time.
-Prolonged separation from significant support systems such as family separation.
-Exposure to significant stressors over multiple missions such as witnessing the death of several unit
members over the course of many combat missions.
Potentially Traumatic events - Answers is an event that causes an indiv. or a group to experience intense
feelings of terror, horror, helplessness, and hopelessness. It is an event that is perceived and
experienced as a threat to one's safety or to the stability of one's world.
Adaptive Stress Reactions - Answers Stressors, when combined with effective leadership and strong peer
relationships, often lead to adaptive stress reactions which enhance indiv. and unit performance.
Vertical Bonding - Answers Personal trust, loyalty, and cohesiveness that develops b/w leaders and their
subordinates.
Unit cohesion - Answers The binding force that keeps service members together and performing the
mission in spite of danger and adversity.
Cohesion is a result of - Answers service members knowing and trusting their peers and leaders and
understanding their dependency on one another.
Maladaptive Behaviors - Answers 1. Misconduct stress behaviors
, 2. Post-combat and operational stress
3. Posttraumatic growth
Misconduct Stress Behaviors - Answers Is a form of COS reactions and most likely to occur in poorly
trained undisciplined units.
Post-combat and Operational Stress - Answers describes a range of possible outcomes along the
continuum of stress reactions which may be experienced weeks or even years after combat and
operational stress exposure.
Mild Stress Reaction - Answers may be signaled by changes in behavior and disciplined only by the
individual service member or by close comrades.
Severe Stress Reactions - Answers may prevent the indiv. from performing his duties or create a concern
for personal safety or the safety of others.
Mild Stress Reaction: Physical Reaction - Answers -Trembling. Jumpiness
-Cold sweats, dry mouth. Insomnia
-Pounding heart. Dizziness
-Nausea, vomiting, or diarrhea. Fatigue
-Thousand-rad stare
-Difficulty thinking, speaking, and communicating
Mild Stress Reaction: Emotional Reaction - Answers -Anxiety, indecisiveness. Irritability, complaining
-Forgetfulness, inability to concentrate. Nightmares
-Easily startled by noise, movement, and light
-Anger, loss of confidence in self and unit
Severe Stress Reactions: Physical Reaction - Answers -Constantly moves around
-Flinches/ducks at sudden sounds/movements. Shakes/trembles
-Cannot use part of body (hand, arm, or leg) for no apparent physical reason
-Inability see, hear, or feel
-Is physically exhausted, cries easily. Freezes under fire or is totally immobile. Panics, runs under fire,
socially withdrawn