The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.

Posttraumatic Stress Disorder continues to be a highly stigmatized disease for the veteran population and stigma, experienced as a mark of discredit or shame, continues to be identified as the main deterrent in treatment seeking. Little attention has been paid to how the process of obtaining service...

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Main Author: Katinka Hooyer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0267424&type=printable
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author Katinka Hooyer
author_facet Katinka Hooyer
author_sort Katinka Hooyer
collection DOAJ
description Posttraumatic Stress Disorder continues to be a highly stigmatized disease for the veteran population and stigma, experienced as a mark of discredit or shame, continues to be identified as the main deterrent in treatment seeking. Little attention has been paid to how the process of obtaining service-connected disability status can amplify veterans' perceptions of being stigmatized. The following ethnographic study identified how combat veterans experienced stigma in processing through Veterans Affairs care and the effects of linking a Posttraumatic Stress Disorder diagnosis with disability compensation. Stigma was identified in two inter-related areas: 1) the structural level in the Veterans Affairs disability claims process and 2) the individual level in interactions with Veterans Affairs service providers. Findings based on veterans' narratives suggest that the disability claims process, requiring multiple repetitions of personal trauma, coupled with perceptions of institutional stigmas of malingering, created bureaugenic effects: a worsening of symptoms caused by bureaucratic protocols intended to help veterans. This process influenced first time treatment users of the Veterans Affairs by deterring treatment-seeking behavior but was not found to affect veterans who had already initiated treatment. Despite the experience of stigma and commodification of their suffering through disability and diagnostic screening, veterans still sought disability compensation. Veterans viewed this compensation as acknowledgment of their loss and validation of their sacrifice.
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spelling doaj-art-efa1d86b2382438bbd5567be76a32f7a2025-08-20T03:16:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e026742410.1371/journal.pone.0267424The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.Katinka HooyerPosttraumatic Stress Disorder continues to be a highly stigmatized disease for the veteran population and stigma, experienced as a mark of discredit or shame, continues to be identified as the main deterrent in treatment seeking. Little attention has been paid to how the process of obtaining service-connected disability status can amplify veterans' perceptions of being stigmatized. The following ethnographic study identified how combat veterans experienced stigma in processing through Veterans Affairs care and the effects of linking a Posttraumatic Stress Disorder diagnosis with disability compensation. Stigma was identified in two inter-related areas: 1) the structural level in the Veterans Affairs disability claims process and 2) the individual level in interactions with Veterans Affairs service providers. Findings based on veterans' narratives suggest that the disability claims process, requiring multiple repetitions of personal trauma, coupled with perceptions of institutional stigmas of malingering, created bureaugenic effects: a worsening of symptoms caused by bureaucratic protocols intended to help veterans. This process influenced first time treatment users of the Veterans Affairs by deterring treatment-seeking behavior but was not found to affect veterans who had already initiated treatment. Despite the experience of stigma and commodification of their suffering through disability and diagnostic screening, veterans still sought disability compensation. Veterans viewed this compensation as acknowledgment of their loss and validation of their sacrifice.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0267424&type=printable
spellingShingle Katinka Hooyer
The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
PLoS ONE
title The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
title_full The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
title_fullStr The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
title_full_unstemmed The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
title_short The "trauma pitch": How stigma emerges for Iraq and Afghanistan veterans seeking disability compensation.
title_sort trauma pitch how stigma emerges for iraq and afghanistan veterans seeking disability compensation
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0267424&type=printable
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