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WilliamPitt Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 07:20 PM
Original message
When PTSD Comes Marching Home


Wilburn C. Russell wipes his eyes after speaking with reporters. His son, US Army Sgt. John Russell, is accused of killing five fellow troops at Camp Liberty in Iraq. (Photo: LM Otero / AP)

When PTSD Comes Marching Home
By William Rivers Pitt
t r u t h o u t | Columnist

Wednesday 13 May 2009

There is disconnection between everything human and what has to be done in combat. Imagine being in an unimaginable situation and having to do the unthinkable. How can this be done? A detachment between everything human and having to do the inconceivable resounds in combat.

- PTSD: A Soldier's Perspective


Two men, ages 21 and 23, attempted to rob an Iowa farm. When two farmers, both 52, caught the two young men in the act, the farmers were savagely beaten and tied to a fence. The injuries incurred by the two farmers included skull fractures, facial fractures and a broken arm. The two men were arrested.

A 25-year-old man kidnapped his girlfriend at gunpoint in Tennessee. He forced her to drive to an ATM machine, took the money, drove her back to her home and then raped her. The man was later arrested.

A man in Massachusetts got into a fight with his wife and began drinking. Later that evening, he opened fire on a man and a woman outside a crowded nightclub. No injuries were reported. The man was later arrested.

A 35-year-old man in Colorado shot his wife five times in the head and neck and then shot himself. His wife was pregnant.

A 20-year-old man went on a beer run in Las Vegas at 1:00 AM, wearing a long black coat with an assault rifle tucked underneath. He was spotted by another man and a woman in an alley and told to leave. He opened fire on the man and woman, and returned to his apartment to get more ammunition. He was later arrested. The man and the woman were killed.

A 20-year-old man in Washington shot his 18-year-old girlfriend in the back of the head before turning the gun on himself.

A 19-year-old man in Washington stabbed his 18-year-old wife to death. He was later arrested.

A 37-year-old man in Virginia hanged himself with a bed sheet in his jail cell after being arrested for beating his wife.

A man from Portland, Oregon, was arrested after the body of his wife was found in a van. She had been shot through the throat.

A 31-year-old man in Washington was placed under a restraining order by his wife after he pushed her and threatened her. Two days later, the man drowned his wife in their bathtub.

A 36-year-old man in Colorado savagely beat his wife and threatened to kill her with a .357 Magnum. When police arrived on the scene, the man put the gun to his head and fired, killing himself.

A 25-year-old man in St. Louis hanged himself in his residence after he had been arrested for a domestic disturbance involving his wife.

There are thousands of stories just like this that have been taking place all over America.

Most people have not heard about them, but by now just about everyone has heard about this one: A 44-year-old man was arrested after killing five men inside a counseling center. This horrifying act happened at Camp Liberty, a massive US base in Iraq, and has been much in the news ever since.

All the other stories took place in America, but they all share one awful common factor: They were all acts of terrible brutality and violence committed by US soldiers, who had served either in Iraq or Afghanistan or both.

The soldier who shot five fellow troops in Iraq did so in a base clinic catering to service members suffering from post-traumatic stress disorder (PTSD). He had served three tours in Iraq. As with the other soldiers who committed the above-described crimes, he suffered from PTSD, and in the end, his disorder became the catalyst for savagery.

"They didn't tell him they were there for his benefit," said the man's father to a Texas news station, "they were there as a friend to him to find out if he had any psychological problems as a result of his third tour of duty. They didn't want him to come back home and kill his wife or himself and this kind of stuff. That's the worst thing they could have done because they trained him to kill. He had a short fuse when they antagonized him. And I guess he couldn't help himself."

PTSD is defined by the United States Department of Veterans Affairs as "A psychiatric disorder that can occur following the experiencing or witnessing of life-threatening events such as military combat, natural disasters, terrorist incidents, serious accidents, abuse, and violent personal assaults like rape. People who suffer from PTSD often relive the experience through nightmares and flashbacks, have difficulty sleeping, and feel detached or estranged, and these symptoms can be severe enough and last long enough to significantly impair the person's daily life."

Indeed. The military has stated that at least one in five American soldiers who were deployed overseas to Iraq or Afghanistan suffer from some degree of PTSD. According to a recent report by Truthout journalist Dahr Jamail, "The US military has been medicating soldiers before they are redeployed to Iraq, in order to keep enough boots on the ground. An anonymous survey of US troops taken during Fall 2007, used as part of the data in the Army's fifth Mental Health Advisory Team report, found that 12 percent of combat troops in Iraq and 17 percent in Afghanistan were on prescription drugs that were mostly antidepressants or sleeping pills."

"Studies that go back to World War II," continued Jamail, "have found that combat veterans are twice as likely to commit suicide as people in the general population. Other lesser known distressing facts are that nine percent of all unemployment in the United States is attributed to combat exposure, as is 8 percent of all divorce or separation and 21 percent of all spousal or partner abuse. The impact of all this extends to behavioral problems in children, child abuse, drug and alcohol addiction, incarceration and homelessness, all of which have implication that go well beyond the individual and reverberate across generations. As both occupations continue into the indefinite future, we should not be surprised when we hear of more atrocities like what happened Monday in Baghdad, whether they occur in Iraq or in the United States."

How long will Iraq be with us, even after we leave? Evidence strongly suggests that the physical and psychological toll taken upon our soldiers and service members from their extended, savage, deadly and ultimately fruitless deployments to the wars of the Bush administration is enormous, and growing. These soldiers volunteered to serve, and swore to give their lives in that service. In return, they have been torn apart, killed, maimed, and in far too many cases, driven to or past the edge of madness by what they saw and did Over There.

A wise person once said that any nation that cannot properly care for their veterans has no business making new ones. These, our newest generation of scarred soldiers, deserve far better than what they have received from the government and the nation they swore to defend. We sent them over there, and now they are marching home, some of them with Hell itself in their minds and hearts. They can, and must, be helped and healed.

We must get them out of Iraq, get them out of Afghanistan, get them home and get them well. They deserve nothing less from us, and it is the very least we can do for them.

http://www.truthout.org/051309R
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WheelWalker Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 07:24 PM
Response to Original message
1. Exactly. k&r !
:kick:
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Deja Q Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 07:37 PM
Response to Original message
2. I was diagnosed with PTSD as early as 2000.
How come I'm not running around beating up or killing people?

And, oh yes, I have flashbacks quite often...

I know soldiers of conflicts gone by, who were in the heat of battle, who too have PTSD. They don't go around killing or mauling people either.

What makes some people inherently stronger than others?

And, no, I was not a soldier. In the defined sense as postulated in your OP. But the conditions were most certainly warlike, and I didn't have any commando troop backing my butt...
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Juche Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:10 PM
Response to Reply #2
12. Ever tried EMDR or beta blockers
There is research into those as possible treatments.
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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:04 AM
Response to Reply #12
16. EMDR and alpha-theta neurotherapy.
Edited on Thu May-14-09 12:05 AM by Jackpine Radical
See Peterson's article in Biofeedback, Winter, 2000 on how the 2 can best be integrated in treating PTSD.
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Juche Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:08 AM
Response to Reply #16
17. Thank you
Edited on Thu May-14-09 12:17 AM by Juche
I have never heard of alpha-theta neurotherapy. Combining neurofeedback with binaural beats could work pretty well. Jeffrey Thompson has an alpha-theta CD.

http://www.amazon.com/Brainwave-Suite-Alpha-Jeffrey-Thompson/dp/B000001OOU

I cannot find the article you are talking about, do you have a title for it? I don't really follow biofeedback or neurofeedback so I am not sure who Peterson is or what kind of work he does.
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Jackpine Radical Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 11:52 AM
Response to Reply #17
30. Here's the reference.
Peterson, J.M. (2000). Notes on the role of neurotherapy in the treatment of post-traumatic stress
disorder. Biofeedback, 28, 3.

Actually, I think that eeg biofeedback or any of the entrainment technologies (binaural beats, light/sound, etc.) can be useful for PTSD, largely because they permit you to access the traumatic materials without escalating into high arousal (anxiety) or dissociating or going into any of the other escape techniques you may have evolved, but you should really process those materials by talking and journaling about them. When I do neurotherapy, I typically put the patient on the machine for 20 minutes to 1/2 hour & then spend 1/2 hour or so talking about what surfaced. Very often the patient won't remember what came up until asked about it. A clever therapist will sometimes also "seed" the situation to increase the likelihood of the patient's accessing materials. A lot of therapists are rather mechanical in their approach to neurotherapy, and I think that's generally not the most effective approach.
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Baby Snooks Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 03:15 AM
Response to Reply #2
18. Syndrome versus disorder....
Edited on Thu May-14-09 03:22 AM by Baby Snooks
Originally it was called a syndrome. Then it became a disorder. Not sure why. Or what the distinction suddenly was. I believe it is both and there is a fine line between the two. One that many slip over for one reason or another. Others are pushed over it. They are doing research into it. But the military, really, doesn't care.

As long as they can send someone back into battle, they will. Which is the worst thing for someone suffering from the syndrome. That definitely pushes them over that fine line. And into the disorder.

And when they can't send someone back into battle, they discharge them and diagnose them as "mentally ill" and literally dump them into the streets.

Most if not all stalking victims suffer from it. The worse the trauma and the more prolonged the trauma the more likely they will not recover from it. The more likely the syndrome will become the disorder.

I do okay. But not really. Most people function 24/7. I joke at times and say I function 15/5. Although in reality that pretty much sums up the reality of what post traumatic stress does to you.

Personally I think the medications are responsible for some of the tragedies. Pop a pill and it all goes away. Maybe for some. But not for all.

The first to take post traumatic stress seriously by the way was the FBI. The FBI kept the agents off the battlefield so to speak.

The real problem in two wars was the reality that there was no "good" being fought for. It's just killing people. For no reason. In Vietnam. And now in Iraq and Afghanistan.

That of course is where the trauma lies. The realization that you are just killing someone for no reason other than to promote someone's agenda. There is no "good" in the end. And the killing is just the means to an end. We send our troops off to war. And then the reality hits. The people of Vietnam were not our enemies. The people of Iraq and Afghanistan are not our enemies. So why are we killing them?

We have become what we once fought against. We have become the enemy.

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Cetacea Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 09:26 AM
Response to Reply #2
26. 99 percent of PTSD victims lead lives of passive resignation in quiet dignity.
I am a big fan of Will's writings but am not a big fan of articles that suggest that the mentally ill are more violent than the so-called "normal" population.

Granted that these are veterans coming back from combat but I don't ever recall hearing about "shell-shocked" WWII vets coming home and killing people.

So either the diagnostic criteria has changed or the article fails to mention the thousands of PTSD afflicted who are coming back and not carrying out acts of violence.

Thanks for posting and best wishes to you.
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sinkingfeeling Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 10:26 AM
Response to Reply #26
28. Sure were a lot of violent and deadly instances after Vietnam. Huge numbers of divorces as well.
http://www.emedicinehealth.com/post-traumatic_stress_disorder_ptsd/article_em.htm

"More than half of all Vietnam veterans, about 1.7 million, have experienced symptoms of PTSD. Although 60% of war veterans with PTSD have had serious medical problems, only 6% of them have a problem due to injury in combat."
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TahitiNut Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:56 PM
Response to Reply #28
34. "Huge numbers of divorces as well"??? I object to the implication, here.
By raising this in this context, there's a clear implication that divorces resulted from some psychological or emotional impact on the returning Viet Nam veteran -- i.e. that the divorces were some "aftermath."

That's contrary to my direct experience AND my observations as a Viet Nam veteran. By far, the majority of terminated 'relationships' (married, engaged, etc) were discontinued by the "girl back home" WHILE the guy was in Viet Nam. It had NOTHING to do with anything that HE could have done or any 'change' in HIM.

In my unit alone, by most estimates, over HALF the marriages broke up and over 75% of the engagements and "girlfriend" relationships. Hell, we had one whole side of the company bulletin board dedicated to "Dear John" letters ... and many didn't bother to write,. (My wife didn't, as one example.)

I have few doubts that the "girls back home" may engage in a bit of revisionist history. As my ex-wife was fond of saying, "a girl's gotta do what a girl's gotta do." Uh-huh.

Were there divorces resulting from the (psychological) injuries to the returning veterans?? Sure. Lose a leg and lose a wife. After all, she didn't sign up to be a nurse, did she? (OOps! Mine did. She WAS a nurse.)



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sinkingfeeling Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 01:04 PM
Response to Reply #34
35. I know of at least 4 of my friends from the era that did divorce after the Nam vet returned home and
Edited on Thu May-14-09 01:16 PM by sinkingfeeling
showed either psychological instability or domestic abuse. Mine wasn't one of them. Mine was initiated while my ex was in Thailand and began before he left the USA.

http://books.google.com/books?id=j9qQ-DhKRjoC&pg=PA165&lpg=PA165&dq=divorce+rates+of+Nam+veterans&source=bl&ots=h5WsKi5o0X&sig=sFBvfWRgtxTur0ADOf4MozOuucA&hl=en&ei=UF0MSq2YB5C0Nd3pgcIG&sa=X&oi=book_result&ct=result&resnum=6

From the book The Vietnam War by James E. Westheider

By 1977, veterans who served in units that had at least a 25 percent casualty rte had a post-Vietnam divorce rate of 30 percent, compared to a 19 percent divorce rate for veterans of units with only modest casualties and a 12 percent rate for units that suffered few or no casualties. On the whole, 20 percent of the veterans studied were separated or divorced, in contrast to 14 percent of noncombat Vietnam veterans.
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barbtries Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 06:32 PM
Response to Reply #2
39. "What makes some people inherently stronger than others? "
i don't know the answer to that, but in a different context throughout my life i have found it to be true. i don't know if there is a way to identify those who might go off and save them from having to go into battle, but if there was, i doubt our military would utilize it. these soldiers are mere bodies to throw at their fucking wars. they just don't care.
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bridgit Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 07:44 PM
Response to Original message
3. Red rain is coming down
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malaise Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 07:47 PM
Response to Original message
4. Isn't that the truth
Excellent post.
This was my post after I saw poor Mr. Russell on TV this morning

http://www.democraticunderground.com/discuss/duboard.php?az=view_all&address=389x5645097
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madamesilverspurs Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 08:24 PM
Response to Original message
5. Two summers ago
a young man from our town spoke to an anti-war rally that I attended. He had served a couple of tours in Iraq and had been honorably discharged after having been diagnosed with PTSD. He wept when talking about helping to zip his friends into body bags. He wept again when he related that he had been told by the VA that it would be a couple of years before he could get any help for the PTSD. After the event, he and I chatted briefly and shared a few tears; I gave him a hug and a kiss on the cheek and reassured him that we'd keep the pressure on congress and the VA. Less than two weeks later he shot and killed his wife. He is now serving life in prison.

Last October we buried a spectacular young man, the son of a friend. A member of the reserves, he'd been taking some classes while awaiting his third deployment. Mere days from that departure he shot himself in the head. At a gathering to offer support to his family, held on the day before the service, members of his unit spoke of him with tears streaming down their faces. Likewise his brother, who was also in uniform.

My brother, who served three tours in Vietnam, couldn't get help from the VA until he suffered a heart attack.

We don't need no stinkin' yellow ribbon car magnets. We need to give a damn. Our veterans deserve to get the care that we are instead lavishing on Wall Street.
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The Wizard Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 08:59 PM
Response to Reply #5
8. According to Republicans
Paris Hilton deserves a tax cut before
"Our veterans deserve to get the care that we are instead lavishing on Wall Street."
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Solly Mack Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 08:27 PM
Response to Original message
6. K&R
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noamnety Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 08:39 PM
Response to Original message
7. Will, I think you are doing women a disservice with this article.
If most of those incidents had been hate crimes by white men against another ethnic group, your focus would not have been solely on "PTSD" as the cause. It would have included a serious discussion of how military culture promotes racism. You wouldn't have overlooked the racism as if it's a natural outcome of PTSD.

But because it's mostly just hate crimes against women, look where your focus is.

Could you have written the same story in the same way if the connection among the killers was that they were (mostly) all motivated by racism?

Something to think about.
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omega minimo Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:02 PM
Response to Original message
9. This is why I stood across the street 2003 from Gung Ho deluded defiant "patriots" and protested
another illegal war on their behalf.
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The Wizard Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:02 PM
Response to Original message
10. One of my VA counselors
said this country is lucky so many of us were getting high when we returned from Vietnam, otherwise there would have been dead bodies all over our streets.
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TahitiNut Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:14 PM
Response to Reply #10
13. Well, I was more inclined to kill myself than anyone else.
An occasional drag on the hash pipe helped a lot.

:smoke:

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rucognizant Donating Member (1000+ posts) Send PM | Profile | Ignore Fri May-15-09 06:26 AM
Response to Reply #10
40. Maybe that's why..........
Govt. is rethinking it's stance on the legality of Pot?
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Mari333 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:05 PM
Response to Original message
11. k n r
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PufPuf23 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:29 PM
Response to Original message
14. PSTD doesn't necessarily lead to violence but
very much more often is internalized into to self-destructive and mis-understood behavior.

PSTD from many sources is rampant and ubiquitous in our society.

A War on PTSDs from all causes makes more sense than Wars on Terror, Drugs, and Alternative Lifestyles .

Medical care is a human right especially in a nation that claims great natural, moral, and human capital wealth.

I love the USA with roots of freedom and liberty spanning multiple generations and cultures.
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Gregorian Donating Member (1000+ posts) Send PM | Profile | Ignore Wed May-13-09 09:59 PM
Response to Original message
15. Will, I love your series of posts.
I see the context. I share it. And I appreciate you for it.

Life is difficult enough. Our efforts should be toward peaceful ends.
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H2O Man Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 08:23 AM
Response to Original message
19. Outstanding.
Mr. Pitt: I hope that you will take the time to read the original lyrics to the song that you make reference to in the title to this wonderful essay. They were written as an Irish anti-war song. Later, of course, the lyrics were changed by those who found the intense power of the message to be too true a statement against the horrors of war.

Your essay has done justice to the real lyrics. Thank you for that.

Nominated, with pride.
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pnutbutr Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 08:29 AM
Response to Original message
20. PTSD plays a role in some
but there are thousands of cases like these and worse that do not involve soldiers. Trying to link all these crimes to PTSD is like saying if your gay you will get aids.

The one that is the focus of the article obviously did involve PTSD but not every crime committed by a former soldier is associated with it.
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deaniac21 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 08:41 AM
Response to Original message
21. If they'd only wait 24 business hours before they act.......
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WilliamPitt Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 08:43 AM
Response to Reply #21
22. Nothing like a little humor at the expense of wounded soldiers.
Edited on Thu May-14-09 08:43 AM by WilliamPitt
You need some new scriptwriters, I think.
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deaniac21 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 09:09 AM
Response to Reply #22
24. Let me correct you. Nothing like a little humor at the expense
of the "Great" William Rivers Pitt.:hi:
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WilliamPitt Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 09:11 AM
Response to Reply #24
25. ...by saying soldiers should wait 24 business hours before committing murder.
Yah. Laff riot, you.
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deaniac21 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 10:36 AM
Response to Reply #25
29. You see, if they waited 24 business hours nothing would have
EVER happened.
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tomp Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 08:46 AM
Response to Original message
23. "We must get them out of Iraq, get them out of Afghanistan...
...get them home and get them well."

So how's that gonna happen?

We've got more ptsd, as well as other psych disorders, than we can resaonably handle right now. We will NEVER have enough resources to properly care for them if we don't adjust the social order that produces psychiatric disorders.

Obama, the great black hope, is kowtowing to the powers that be.

So how's this gonna happen? We'll stop adding to the problem exactly when?

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Wednesdays Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 10:20 AM
Response to Original message
27. K&R
:kick:
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byronius Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:33 PM
Response to Original message
31. K&R.
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QueenOfCalifornia Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:39 PM
Response to Original message
32. K&R
I was diagnosed with PTSD in the early '90's -

It was due to my childhood.

I still cringe when someone moves their hand near me.

I have never been violent but I was suicidal - I do the best I can to deal with it. Some days are good... others not so good.

I can go to pieces when anyone raises their voice at me. I feel so sorry for these people... it is very sad indeed.
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DU GrovelBot  Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 12:39 PM
Response to Original message
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proteus_lives Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 01:08 PM
Response to Original message
36. My dad deals with with this.
Vets need understanding and someone to talk to. Don't treat them like ticking time bombs either. Many would never hurt another person. My dad used to lock himself in the bathroom and sit on the floor when he was having an episode.

I worry that doctors will take the easy way out and just start shoving pills at them. Pills do help some people but it needs to be controlled. Back in the 80's my dad went to a doctor and the quack just wrote him a script and it took him over ten years to shake off his addiction to pills.

Our govt has NEVER treated our sick and hurt vets with the respect they deserve.
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suzy creemcheeze Donating Member (31 posts) Send PM | Profile | Ignore Thu May-14-09 01:11 PM
Response to Original message
37. I have always said that even those who come back from war
can be utterly destroyed inside. So the fatality numbers don't begin to tell the true human cost of war. Thank you.
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barbtries Donating Member (1000+ posts) Send PM | Profile | Ignore Thu May-14-09 06:29 PM
Response to Original message
38. it is criminal
what has been done to these soldiers. if they don't die too many times they are destroyed nonetheless. it's heartbreaking. and it goes on and on.
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