Posts Tagged ‘PTSD’

Storytellers shed light on the horrors of war

Thursday, June 5th, 2008

by Jerry Waxler

(You can listen to the podcast version by clicking the player control at the bottom of this post or download it from iTunes.)

Amidst a lifetime of events, some memories are like scorpions that guard the gate of our own past. In my journey to understand as much as possible about life writing, I consider the question many aspiring life writers raise. “Should I approach painful memories, and if so should the memories become part of my story?” Of course there is no one right answer, so I look for lessons contained within painful memoirs I read.

I recently read “A Temporary Sort of Peace,” by Jim McGarrah, an engaging and well-written memoir about a soldier’s experience in Vietnam. I have a special affinity with Vietnam, because I was one of the students on the home front pleading to bring those boys home. Now after all these years, I finally get to see what I was protesting and it’s far more disturbing than I could have imagined.

While the author brings me into the jungle, and lets me share his pain, his psychological reality is so enormous I wanted a guidebook to help me find my way through his and my emotions. It turns out I found such a guidebook, “Achilles in Vietnam, Combat Trauma and the Undoing of Character,” by medical doctor and PTSD specialist, Jonathan Shay. For years, Shay has been working with Vietnam vets who have been so unnerved by their war experience that the memories yank them back into the fray, without warning.

Shay has explained trauma in an unusual way. He juxtaposes quotes from Homer’s Iliad side by side with conversations among Vietnam vets. It turns out that Homer was an expert on the psychological trauma of war, and this ancient epic that has been lurking in literature classes for centuries contains insights that help Shay explain what soldiers feel.

Soldiers’ love and loss
When I first heard someone claim that soldiers risk their lives because of their love for each other, I thought the word “love” was preposterous. But Shay and Homer convinced me that buddies on the battlefield do indeed care about each other with an intimacy we expect from brothers, or “best buddies.” (English is a bit weak in this regard, but apparently the Greek word philia comes closer.) What I don’t understand is what it must feel like to see such a beloved comrade explode into parts, vaporize, or bleed out in front of your eyes. It’s incomprehensible, and yet it happens, and changes a soldier’s life profoundly. As Jim McGarrah says in “A Temporary Sort of Peace,” “At that moment I started going insane.”

Absence of community compassion
When people in civilian life lose a loved one, they attend services in the company of community and family, and sit quietly in prayer to honor the dead. Shay calls this shared grief “communalization” and says it is one of the most important factors that keeps people balanced after loss. It is almost entirely missing from the combat soldier’s experience. When a soldier loses a buddy, the body is destroyed, lost, or shipped out in a bag. Soldiers are not encouraged to show their emotions. They get right back to fighting, and if they try to talk about what happened when they get home, civilians are unable to relate. The isolation feeds upon itself and creates a cauldron of inner pain.

Demonize the enemy at your own peril
In Homer’s time, truces were regularly declared to gather up and mourn those who had fallen on the battlefield. This act of mutual respect helped keep everyone in harmony with a universe that would continue to exist long after this particular war was over. In modern warfare, soldiers increase their will to kill by convincing themselves that the people they are fighting are less than human. Shay claims this attitude leads to atrocity and despair on and off the battlefield.

Defiling the body
Achilles ties Hector’s body to a chariot and drags it around the walls of Troy, using it as a weapon to demoralize the enemy. When I first read the book I thought it indicated that Greeks were a barbaric culture. But according to Shay, my assumption was incorrect. Achilles’ moral downfall meant that he as an individual had fallen into a barbaric state, and this fall according to Shay, was one of the central tragedies of the Iliad. During the Vietnam War, soldiers on both sides defiled bodies in order to fill the enemy with hatred, fear, and disgust. Loss of respect for the body undermines what it means to be human, and contributes to the unraveling of sanity that lingers long after the war is finished.

Berserking or “losing it”
I’ve seen soldiers in movies, screaming and running towards the enemy. I thought of it as an entertaining bit of theatrical exaggeration. I now realize that this is a very real state of temporary insanity in which soldiers slip outside the bounds of rational thought.

“Berserking” drastically increases the risk of death, and the results for those who survive are also tragic. Jim McGarrah, in a state of exhaustion and rage, performed reckless acts that haunted him for the rest of his life. Jonathan Shay suggests that modern military training actually encourages this loss of control. He warns that this tolerance towards “berserking” is a misguided strategy that hurts soldiers during their irrational behavior, and later damages their ability to return to civilian life.

The value of reading and writing painful memoirs
After Jim McGarrah left the war, there was no science of PTSD and soldiers were told to take it like a man or forget it. So when it finally dawned on McGarrah that he needed help, he had to overcome enormous resistance. He did finally reach out, and even though he doesn’t go into detail about the psychological work he did at the Veterans Administration, I already know the outcome. He faced his memories, no matter how horrific, turned them into a story and from those stories created a book. Thanks to the magic of reading and writing, I have spent hours with him in the jungles, accompanied him during his berserk episodes, sat with him in the recovery room after the wound that got him back to civilian life, and shared some pangs of his emotions, as well as one empathetic individual can do.

By sharing his story, McGarrah has opened himself up to one of the most important elements that veterans are missing, the “communalization” of his grief. Jim McGarrah and I have shared a few hours of pain and commiseration about some of the most painful experiences a human must endure, the loss of life and love during combat. My belief is that in the process of sharing these hours, we have regained a little of what was lost.

Notes

For an excellent, readable clinical explanation of PTSD, and its treatment, read “Sanctuary” by Dr. Sandra Bloom, based on years of clinical work, mainly with survivors of systematic child abuse.

For an account of another type of trauma, all too common in civilian life, read Alice Sebold’s memoir Lucky. To read my essay about Alice Sebold’s traumatic memoir, click here. She quotes another widely regarded source book for PTSD is “Trauma and Recovery: The Aftermath of Violence–from Domestic Abuse to Political Terror” by Judith Herman.

Other war trauma books:
Tracy Kidder, My Detachment
Tobias Wolff, In the Pharoah’s Army
William Manchester, Goodbye Darkness

Note: Many soldiers walk away from deadly injury and regain their sense of purpose. For “Shades of Darkness” author, George Brummell, the challenges of coping with his blindness became his urgent task, and he went on to actually increase his education, and become director of the Blinded Veterans Association.

Note: Memoirs of people who have crashed and burned are not just about soldiers. Many of life’s most severe problems dismantle the sense of self that keeps us safe. In this article I talk about four people who walked into traps of various sorts and felt their lives becoming dismantled.

Outtake
Betrayal shatters faith in the world.
Jonathan Shay says that an important contribution to a soldier’s unraveling is a sense of betrayal, that the organization is not protecting him. For example, faulty weapons in Vietnam were interpreted as a sign that the military really wanted the soldiers to die. I knew that most Vietnam soldiers felt betrayed by the lack of civilian support, but I was surprised to learn that many soldiers hated the officers who were directing them in battle. The hatred was based on the belief that decisions were made more for the officer’s own career advancement than on the safety of soldiers or effective military strategy. Shay suggests this attitude about rear-echelon officers had a parallel in the Iliad. In ancient mythology the gods on Mount Olympus manipulated the outcome of the battle based on childish selfish desires.

The soldiers in Homer’s time used mythology and rituals to appease the gods. Modern soldiers have no such talismans. Once a modern soldier becomes convinced “The System” is capricious, irrational, and malevolent, they cross into a state of alienation from society and authority, and many of them carry this alienation back with them when they return home. Such betrayal from above undermines the basis for a sane, healthy energetic involvement in society.

To listen to the podcast version click the player control below:

 
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Veterans seek healing by cycling through Vietnam

Wednesday, April 30th, 2008

by Jerry Waxler

(You can listen to the podcast version by clicking the player control at the bottom of this post or download it from iTunes.)

In 1998 a group of American veterans joined their former Vietnamese enemies on a bicycle ride from Hanoi to Saigon. They rode through villages and countryside, much of it unchanged since the war. The venture was documented in a recently released video, “Vietnam: Long Time Coming,” from Kartemquin Films. Villagers waved and children, who had been playing in the paddy fields, ran shouting and laughing towards the stream of brightly clad cyclists. These idyllic scenes highlighted the enormous shift in perspective between the past and the present.

Outside, in the world around them, the world seemed peaceful, while much of the real drama was taking place inside their minds, where memories boiled and occasionally erupted into tears. I empathized with the courage it must have taken to face the country where deep scars were burned into their psyche, and several times I cried along with them.

I first learned about this movie because of my interest in a memoir by one of the participants, George Brummell. In “Shades of Darkness,” George wrote about growing up black in the segregated south, coming of age in Korea, and being blinded by a land mine in Vietnam. Back in the states he learned how to navigate without sight, earned a college degree, and eventually became a director of the blinded veterans association. (Click here to read the essay I wrote about George Brummell’s book Shades of Darkness.)

George and the others who returned to Vietnam for this ride were reaching out towards a new relationship with this place where their lives had been changed forever. Through the documentary movie “The Long Time Coming” I was able to witness that experience and gain a deeper understanding of the psychological aftermath of war. This may seem like a highly specialized concern, but the pain spills out to family, friends, and the community. People are affected for decades when combat veterans feel that they have crossed over a chasm that can only be traversed in one direction, and once on the other side, they cannot find their way back. The existence of that pain in my fellow human beings stirs my desire to understand more.

The movie “Long Time Coming” illustrates that revisiting the past is one of the tools that can help heal in the present. Even though you can’t always return to the scene physically, you can create some of the same effects by writing. Visiting the past through writing can enable you not only to recreate the situation, but also to apply to those memories some of the wisdom you have gained in the intervening years. In some cases, building bridges backwards through time can create a pathway from pain back into hope.

While the most obvious healing strategy of the movie was simply revisiting the scene, there were other strategies being employed. One of the American veterans was a psychologist who conducted meetings and spoke individually with the American vets who were trying to cope with their emotional wounds. The discussions with each other and with a therapist helped them reorganize the thoughts and feelings awakened by this experience. And their connections, friendships, and warmth with former enemies soothed some of the war wounds, as well.

I’ve heard the claim that war is one of the greatest expressions of love, because soldiers must risk their lives for each other. The problem of course is that war requires a common enemy, and so it turns bloody and leaves lingering effects that are not loving at all. Team sports also have the ability to draw people together in a common goal, and that’s what the TEAM bicycle ride in Vietnam was about. These riders, instead of fighting against each other, were joining together to fight the common “enemy” – moving their bicycles towards Saigon. As their focus shifts from danger and betrayal to beauty and friendship, one of the American veterans says, “I feel like this happiness now, riding this bike in Vietnam, is pushing out some of the hatred that had been filling my cup.”

The camera followed bikers up a long mountain road in 100 degree heat. The hand cyclists struggled most because the arm levers did not provide the same mechanical advantage as the foot powered ones. As these slower riders reached the top, those who had already gathered there rushed forward to offer hugs and celebratory whoops. After this outpouring of affection, one of the Vietnamese hand cyclists said, his voice filled with excitement, “This is something both disabled and able bodied people dream of. This experience, though exhausting, is what gives meaning to life.”

He didn’t mean just climbing a mountain on a hot day in a bicycle built for someone without legs. He was surrounded by loving new friends, the honor of being part of a team, the rapprochement of former enemies reaching out to each other. It was a healing moment for him, and for me.

Podcast version click the player control below:

 
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Writing Prompt: Write about a time when working together towards a common goal made you feel closer to someone.

Writing Prompt: Select a memory that you have bad feelings about, and pretend you are writing fiction. Applying your wisdom and imagination, reorganize the events so that this character learns some powerful lesson, or accomplishes or triumphs in some way.

Note, links and resources
The ride was organized by a non-profit group called World TEAM Sports –http://www.worldteamsports.org/. The documentary was produced by another non-profit, Kartemquin Films, best known for the award winning documentary Hoop Dreams about inner city youth looking to basketball to elevate their prospects in life. You can help the organization by shopping at: http://www.kartemquin.com/

An excellent book for understanding more about PTSD is “Achilles in Vietnam: Combat Trauma and the Undoing of Character” by Jonathan Shay. Because of the profound effects of PTSD, neurologically and on the very foundation of character, many of the methods in psychology are not sufficient to unravel the damage wrought by combat. And yet, there is much research and compassionate work that has helped veterans suffering from PTSD. In addition to helping them cope with their specialized needs, I believe these therapies and strategies can help other people who suffer with an irreconcilable relationships with painful memories.

For an example of one person’s successful strategy to channel inner directed shame into bicycle racing read the moving memoir “Ten Points” by Bill Strickland. Another memoir in which a soldier seeks healing by revisiting the past is William Manchester’s “Goodbye Darkness.”

For more about revisiting the past, see my essay about the movie Pursuit of Happyness, which portrayed Chris Gardner’s life. For him, it was a return to the trauma and triumph of his youth.

To learn more about how two groups can join to become one by sharing a common task, see the famous sociology experiment by Muzafer Sherif et al (1954) The Robbers Cave experiment. For example, see the Wikipedia entry here: http://en.wikipedia.org/wiki/Muzafer_Sherif