Showing posts with label combat. Show all posts
Showing posts with label combat. Show all posts

Saturday, May 3, 2014

Wartorn 1861-2010 - A Documentary on War and PTSD


No new information here for those who work with PTSD and especially combat-related PTSD, but this is still an essential documentary for those who love, live with, or know the young men (and women) coming home from Iraq and Afghanistan. An estimated 25-35% of combat veterans (mostly men) from these two recent wars will experience symptoms of post-traumatic stress disorder. This HBO documentary examines their experience, their symptoms, and their lives once they return home.

Wartorn 1861-2010

68 Minutes



After the Civil War more than half of the patients in mental institutions were veterans. In 1980 post-traumatic stress disorder (PTSD) became an accepted diagnosis for veterans with psychological wounds. Based on personal accounts of American soldiers whose physical and mental health was torn asunder by the shock and fear of bloodshed and PTSD, the documentary narrates the chronic effects of battle agony and post-traumatic anxiety on military personnel and people close to them throughout American history... from the Civil War through today's modern warfare in Iraq and Afghanistan.

There's a lot of confusion about post-traumatic stress. What are some of the physical manifestations? Well, the hallmark symptoms are the agitation and being keyed up and on edge. And the problem with PTSD is that those symptoms don't go away when soldiers come back home. It's almost like a seizure where they don't have control, they don't know when it's going to happen, and they have to constantly plan so that if it does happen, they're in a place where they can recover.

So what about the people that don't get it? Is there anybody that you can honestly say was in a great deal of intense combat situations and comes back completely fine? Those folks are pretty rare. There's that mythology of the warrior that the only thing you should feel when you shoot an insurgent is recoil. But in fact, nobody is really unscathed unless you really have no compassion for human life. If you have a total disregard maybe the only thing you feel is recoil. Everybody else carries something with them.

In August 1943, General Patton slapped a young soldier who was hospitalized with nervous exhaustion. He was reported to have said: I won't have the hospitals cluttered up with these sons of bitches who haven't got the guts to fight. Send that yellow son of a bitch back to the front line.

Monday, May 28, 2012

Happy Memorial Day - Perspectives . . . .


According to Wikipedia, Memorial Day was originally known as Decoration Day (because people had begun decorating, both during and after the Civil War, the graves of family members who had been killed):
On May 5, 1868, in his capacity as commander-in-chief of the Grand Army of the Republic - the organization for Union Civil War veterans - Logan issued a proclamation that "Decoration Day" should be observed nationwide.[14] It was observed for the first time on May 30 of the same year; according to folklore, the date was chosen because it was not the anniversary of a battle.[15]

Events were held in 183 cemeteries in 27 states in 1868, and 336 in 1869. The northern states quickly adopted the holiday; Michigan made "Decoration Day" an official state holiday in 1871 and by 1890, every northern state followed suit. The ceremonies were sponsored by the Women's Relief Corps, which had 100,000 members. By 1870, the remains of nearly 300,000 Union dead had been reinterred in 73 national cemeteries, located near the battlefields and therefore mostly in the South. The most famous are Gettysburg National Cemetery in Pennsylvania and Arlington National Cemetery, near Washington.

The Memorial Day speech became an occasion for veterans, politicians and ministers to commemorate the War - and at first to rehash the atrocities of the enemy. They mixed religion and celebratory nationalism and provided a means for the people to make sense of their history in terms of sacrifice for a better nation. People of all religious beliefs joined together, and the point was often made that the German and Irish soldiers had become true Americans in the "baptism of blood" on the battlefield. By the end of the 1870s much of the rancor was gone, and the speeches praised the brave soldiers both Blue and Gray. By the 1950s, the theme was American exceptionalism and duty to uphold freedom in the world.
Over the decades, Memorial Day became a national holiday and a community celebration of our military and its fallen heroes. "Taps" is the somber traditional song played in Memorial Day events:
More…
Taps as played on the bugle by the United States Army Band
While I appreciate the need and the desire to honor those who have served and died for their country, today I want to offer a slightly different perspective - one that I have only come to over the past 15 years or so. Additionally, in the pictures I am including in this post, I want to highlight the humanity of these men and women in such inhumane circumstances.



When I was young (teens and twenties) I tended to think of soldiers as brain-washed kids whose souls had been removed in basic training so that they could be made into efficient killing machines (think of the basic training part of Full Metal Jacket). Maybe part of that view was shaped by my father's insistence that I follow the family tradition and join the Navy or the Marines (all males on my dad's side have done this as far back as anyone knows), and my sense of relief (yes, I mean this) when he died before I had to make the choice to do as he wanted and be miserable, or refuse and be rejected as a wuss and a coward.

I was not cut out to be military. I knew that as a child, and my life has born out that instinct.

But I know now that the men and women who serve are often horrified by the things they have to do in combat, and with a few exceptions (those who are not mentally well), killing is the last thing they want to do. Some studies have shown that during WWII and earlier wars, as many as 80% of soldiers did not fire their weapons in combat situation (these numbers come from U.S. Army Brigadier General S.L.A. Marshall, whose methods and veracity have been challenged). Marshall felt that the soldiers simply could not take another life - and, as draftees, they had not been trained to do so.

By Vietnam that had changed, with up to 95% firing in combat situations. Part of the reason this changed was due to the training they received (from Greater Good, by Lt. Col. Dave Grossman):
Since World War II, a new era has quietly dawned in modern warfare: an era of psychological warfare, conducted not upon the enemy, but upon one’s own troops. The triad of methods used to enable men to overcome their innate resistance to killing includes desensitization, classical and operant conditioning, and denial defense mechanisms.
__

By the time a soldier does kill in combat, he has rehearsed the process so many times that he is able to, at one level, deny to himself that he is actually killing another human being. One British veteran of the Falklands, trained in the modern method, told Holmes that he “thought of the enemy as nothing more or less than Figure II [man-shaped] targets.”

There is “a natural disinclination to pull the trigger… when your weapon is pointed at a human,” says Bill Jordan, a career U.S. Border Patrol officer and veteran of many gunfights. “To aid in overcoming this resistance it is helpful if you can will yourself to think of your opponent as a mere target and not as a human being. In this connection you should go further and pick a spot on your target. This will allow better concentration and further remove the human element from your thinking.”
As it turns out, however, killing people carries a cost to those who do so. The numbers are alarming, with between 18 and 54 percent of the 2.8 million soldiers who did tours of duty in Vietnam suffering from post-traumatic stress disorder (PTSD) These numbers are significantly higher than previous wars. A 1988 study (Jeanne and Steven Stellman at Columbia University), the first one to look at the environmental influence on PTSD, found that those most likely to suffer PTSD served in high intensity combat situations (again from Greater Good):
These veterans suffer far higher incidence of divorce, marital problems, tranquilizer use, alcoholism, joblessness, heart disease, and ulcers. As far as PTSD symptoms are concerned, soldiers who were in noncombat situations in Vietnam were found to be statistically indistinguishable from those who spent their entire enlistment in the U.S.
The PTSD rates seems to be even higher now (and we may not know the full extent of the problem until 5 or 10 years after these wars are over) - but the walls between the soldiers who carry this wound and getting some help are often daunting.


During the Bush administration, the VA was directed to significantly reduce its diagnoses of PTSD, an order that was overturned by Obama. But the challenges to getting service remain, not least of which is the shortage of social workers (the VA does not yet hire counselors, marriage and family therapists, or licensed substance abuse counselors, despite regulations having been changed to include counselors and other masters level therapists).

According to this 2010 article from the American Observer:
Members of Iraq Veterans Against the War . . . . On the anniversary of the start of the war in Afghanistan the veteran's group declared its aim to halt the redeployment of soldiers with psychological health problems like post-traumatic stress disorder , traumatic brain injuries and military sexual trauma.

Veterans describe various institutional challenges that lie along two fronts—getting soldiers the treatment and time to heal, but first, simply ensuring that soldiers who suffer from trauma are identified. They attribute the challenges to stigma, inadequate screening, insufficient resources, and ultimately the military, whose ultimate goal is returning service members to active duty.
You can listen to one soldier's story, that of Matt Southworth:
Listen to Matt Southworth talk about his experience
Top officials in the VA, as late as 2009/2010, do not even believe PTSD is a legitimate diagnosis. Deputy Assistant Secretary for Policy at the VA, Michael McLendon, was quoted in a Boston Review (Nov/Dec 2009) article as follows:
[PTSD] is not a diagnosis based on empirical evidence, but rather . . . it is an artificial construct erected by a vote of selected psychiatrists. This does not mean that there are not problems that certain individuals do have [and] issues that need to be addressed. But rather, it means that we have created policies and programs that have not served veterans well.
This lack of support is part of the problem. More than any other group, the military should understand the psychological cost of killing. But treating PTSD takes time and that costs money when veterans are involved. Part of why Bush and the VA wanted to minimize the numbers of soldiers coming back from Iraq and Afghanistan with PTSD was that it was adding up to a lot of money. It's much easier to deny their symptoms, give them a collection of medications (Alternet, 2010) that amounts to a chemical straightjacket [Paxil (an antidepressant), Klonopin (a mood stabilizer), and Seroquel (a controversial anti-psychotic drug)], and send them back for another tour of duty.

Medications can be necessary for some survivors, but individual and/or group therapy is even more important. Returning for another tour of duty is NOT a good clinical choice, even if it seems to be a good financial choice on paper (retraining a soldier lost to PTSD can be very expensive - but we ask them to serve as volunteers, and promise to take care of them, so spend the damn money to train someone else, and spend the damn money to help the soldier with PTSD).

The lack of real or perceived social support is often part of the problem.

In a 2003 study from Karestan C. Koenen (VA Boston Healthcare System and Boston Medical Center), Jeanne Mager Stellman and Steven D. Stellman (Columbia University), and John F. Sommer Jr. (The American Legion), conducted over a 14-year period with Vietnam veterans, the key to recovery from PTSD is perceived social support.
High combat exposure, perceived negative community attitudes at homecoming, minority race, depression symptoms at Time 1, and more anger at Time 1 predicted a more chronic course. Community involvement at Time 1 was protective and associated with decreased risk at Time 2. Discomfort in disclosing Vietnam experiences was associated with an increased risk for developing PTSD but did not predict its course. Combat exposure predicted PTSD course more strongly than any other risk factor. Findings suggest recovery from PTSD is significantly influenced by perceived social support.
Social support is exactly what the Vietnam vets did not get. I recently spoke with a 73-year-old veteran of that war, who had served in a combat role, who said, with sadness and some tears, that no one had ever thanked him for his service to his country - not family, not friends, and not co-workers. He said that experience made him bitter and hurt him deeply.

Things have shifted in the last couple of decades. Many Americans opposed both Gulf Wars and the war in Afghanistan, but even among far left liberals the slogan was, "Hate the War, Love the Soldier."



So on this memorial day, let us praise the fallen, those who gave their lives for their country, but let us also love the men and women who have returned from any and all of our wars with psyches broken by the horrors they have seen and committed. No person should have to carry that burden alone, or in silence.

Where the government is failing these walking casualties of war, let us take the lead and give them the social support that can make the difference between a lifetime of suffering or the promise of healing and a return to a life in the world, not apart from it, an outsider in one's own home and country.

These men and women have paid a deep price in service to their country, our country, we owe them some compassion and some support.


Want to help?  
(inclusion of listing here does not imply endorsement) 
  • Soldier's Best Friend is non-profit dedicated to providing "United States military veterans suffering from Post Traumatic Stress Disorder (PTSD) or Traumatic Brain Injury (TBI) with a trained Service or Therapeutic Companion Dog, most of these dogs of which will be rescued from local shelters."
  • VA Voluntary Service - Volunteer to help care for wounded veterans.
  • Angels of Mercy / No Soldier Left in Need - Donate clothes to wounded soldiers returning stateside, or donate to long-term rehabilitation programs.
  • Wounded Warriors Fund - Donates everything from phone cards to TVs to wounded soldiers.
  • Adopt A US Soldier -  “Adoption” is as easy as writing letters or as involved as sending care packages. 
There are also many other ways to help.


Friday, November 18, 2011

Real Warrior Profile - Major Ed Pulido

When we hear about soldiers wounded in battle in Iraq or Afghanistan, we tend to hear mostly about the ones who have recovered from frightening injuries and seem to have found a sense of peace with their new lives.

We hear less often about those men (and women) who recover from their physical wounds but struggle with the emotional and psychological wounds, with PTSD. The Real Warrior series looks at some of those men and women.

Channel N, from Psych Central, posted this particular video, which is how I learned about the project.

A Real Warrior

By SANDRA KIUME




Major Ed Pulido


A US Army veteran describes what it was like to experience a severe blast injury in the Iraq war that affected him both physically and psychologically. 17 surgeries and many months in hospital saved his body, but it took more than that to heal from PTSD that also resulted. Now retired, he works to inspire others to seek help. The military media campaign Real Warriors profiles a series of veterans who suffered from PTSD and demonstrated the strength to seek assistance in recovery.


See all the videos here.


Visit Real Warriors Web Site

Producer: Real WarriorsFeaturing: Maj. Ed Pulido
Format: FlashDate: 03/08/10
Length: 00:06:01
Video Link:
http://youtu.be/8HA1YGvEyiU

Saturday, October 22, 2011

NPR - To 'Hell And Back,' With A Marine And His Wife

I listened to this earlier in the week and thought it was very revealing about how so many of the soldiers coming back from Iraq and especially Afghanistan are struggling with life back home. Sounds like a good film that might be a little hard to watch.

The documentary Hell and Back Again follows U.S. Marine Sgt. Nathan Harris and his wife, Ashley, as the two grapple with the physical and emotional fallout of his injuries in Afghanistan.
The documentary Hell and Back Again follows U.S. Marine Sgt. Nathan Harris and his wife, Ashley, as the two grapple with the physical and emotional fallout of his injuries in Afghanistan.
October 18, 2011
One Marine had been killed. A dozen had collapsed from heat exhaustion. It was 130 degrees, and their supplies of water were running out.
"That's when Sgt. Nathan Harris handed me his last bottle of water," says Danfung Dennis, a filmmaker and acclaimed combat photographer. "We first met on Machine Gun Hill."
With two deployments in Iraq and Afghanistan under his belt, the 25-year-old Harris was "an exceptional leader," Dennis tells NPR's Renee Montagne — the Marine chosen to be first off the chopper in an assault on a Taliban stronghold that would become a brutal firefight. "'He was this courageous platoon leader who was at the tip of the spear of this entire battle."
Six months later, watching a contingent of returning Marines step off the buses in North Carolina for a reunion with their families, Dennis realized that Nathan Harris wasn't among them. He'd been hit two weeks before — shot in the hip by a Taliban machine-gun round. He had nearly bled to death.
"He was in extreme pain and distress," Dennis recalls, "and feeling very guilty for having left his men behind."
Harris' agonized struggle to transition back into a society that didn't much understand what he'd been through became the focus of Dennis' documentary Hell and Back Again, which won a World Cinema Grand Jury Prize at this year's Sundance Film Festival.
Daily stresses that get under everyone's skin — paying bills, finding parking at a Walmart — proved overwhelmingly distracting for Harris.
"It makes me want to lose my frickin' mind," Harris says in the film. "It's just like, 'My God, I would rather be in Afghanistan, where it's simple.' When you come home, it's almost more difficult than doing that stuff."
Lingering pain from a gunshot wound to the hip is just one of the hurdles facing Harris as he tries to re-acclimate to life stateside.
EnlargeDanfung Dennis/Docurama Films
Lingering pain from a gunshot wound to the hip is just one of the hurdles facing Harris as he tries to re-acclimate to life stateside.
Simple? In a sense.
"Back in Afghanistan, it's simply walking, fighting and do it again the next day," Dennis explains.
But not uncomplicated. Embedded with Harris' unit, Dennis went through multiple combat engagements with the Marines. His camera captures the chaos of battle up close — dirt sprays the lens when a rocket-propelled grenade detonates nearby, and the day darkens when an IED explodes, enveloping the unit in dust and uncertainty.
"When you're exposed to that much violence and that much trauma, it's a very natural response for your body to go into this emotionally numb state," Dennis says. "You have to. When you get home, that's when it comes back — and so I'm trying to blend these two worlds, Afghanistan and North Carolina, and seamlessly create one experience to show that the fighting doesn't stop when you get back."
To create that "one experience," Dennis overlays footage from Harris' daily life in North Carolina with audio from battles the two went through in southern Afghanistan. In one scene, Harris' wife orders corn dogs and fries from a fast-food drive-through, as the roar of jet engines, the beat of helicopter blades and the chap-chap-chap of machine-gun fire slowly drowns her out.
Director Danfung Dennis (bottom left) shot Hell and Back Again in part while embedded with Harris' unit — Echo Company, 2nd Battalion, 8th Marine Regiment.
EnlargeJoe Raedle/via Docurama Films
Director Danfung Dennis (bottom left) shot Hell and Back Again in part while embedded with Harris' unit — Echo Company, 2nd Battalion, 8th Marine Regiment.
Those scenes aren't literal depictions of what was going through Harris' mind in those moments. They're more impressionistic.
"Sgt. Harris and I never sat down and looked at the footage I was shooting," Dennis says. "He just had to trust me to tell his story. And so I think I brought in a lot of my own personal experiences of what it was like to come home from war — of how that war stays with you, the things that you've seen stay with you. And they change you."
Much of the film is literal, though — a chronicle of how the war changed Harris. In a pharmacy, picking up her husband's powerful medications, Ashley Harris speaks of the stranger she sometimes sees behind Nathan's eyes.
"He gets so mad, he turns into a different person almost. ... It's like I don't even see my husband; it was almost like someone had taken over him," she says.
Wounded though he may be, Nathan Harris is still an active-duty Marine, part of the Wounded Warriors Regiment at Camp Lejeune in North Carolina. Dennis says he wants to go back to the battle — "he wants to be a leader of men."
It's unlikely to happen, and Harris eventually realizes that. "So Ashley, in one way, is relieved," Dennis says. "But at the same time, I think they both wonder, what is he going to do? Nothing really seems to have the same sort of purpose or meaning once you've been over there. And so he's sort of in this transition still, two years later, [discovering] what it means to come home from war where there isn't a clear spot for you to land."

Friday, March 11, 2011

Film: Walking to the Cage (MMA)

Mixed martial arts (MMA) is one of the most brutal sports I've seen. Very little padding on the gloves, some family jewels protection, a mouth guard, and often that's it. The fight lasts five rounds (or three for less experienced fighters) and ends when someone "taps out" or the ref stops it because one guy is not defending himself. I rarely see fights go the distance.

It's brutal, it's bloody, and it is one of the most popular sports in the country. Is this a natural part of the male psyche?

Walking to the Cage

(2009) 81 min

Walking to the Cage examines the emotional and spiritual aspects of mixed martial-arts

Mixed Martial Arts is an incredibly demanding and brutal sport. Jeff, Coby, and Josh are three decidedly different individuals who have different motivations for their pursuit of a career in this sport. Walking to the Cage examines the emotional and spiritual aspects of this sport, and the relationships and camaraderie that develop in the midst of endless rigorous unpaid training.

Watch more free documentaries
Directed and Produced by Matthew Hickney; Original Music by Nigel Wiesehan; Cinematography by Matthew Hickney, Tyler Mann, Scott Ogle, Andrew Sikes; Film Editing by Austin Anderson, Matthew Hickney

Here is the review(from the Seattle Weekly) by when the film showed at the Seattle Independent Film Festival in 2009.

What drives someone to fight in mixed martial arts? With the fighters on TV, there's at least the explanation of money. But what's the story behind the guys who fight on the amateur circuit, who risk limb (and in one case, life) with no possibility of payoff.

That's the question behind Walking to the Cage, Seattleite Matt Hickney's documentary about three local amateur fighters. Combining fight and training footage with extensive commentary from the subjects (and splices of a Bruce Lee interview on fighting as self-expression, for good measure), the film indeed allows us to walk with them to the cage (or ring), even if we still can't fully comprehend what it's like to be inside it, or why they'd want to do it. We're with them as they put themselves through grueling training, as they relax with their families, as they sit tensely in anticipation of fights against opponents who want to hurt them.

Coby Parmenter probably shouldn't even be fighting; he sustained life-threatening head injuries in a bicycle accident when he was a kid, and the doctors told him he should never be hit in the head. He's just entering fighting at the age of 30, having previously competed in wrestling and judo. His description of his first fight? "I was trying to hit this guy in the face and he was trying to hit me in the face. Mid-swing, I was like, 'I don't like this.' The guy hit me and I was like, 'oh.' I forgot all about what I was thinking about and started thinking 'I'm gonna kill this motherfucker.'" In his second fight, he tears up his knee, and spends the rest of the film rehabbing.

19-year-old Josh Calvo is like a vessel for the hopes and dreams of the older men who train him. They recognize that he has more talent then they had and want to see him succeed. He listens, working hard and forgoing the usual pleasures of youth. Going into his first fight, he explains that he's confident because he's been training on weekend nights, rather than out drinking and partying.

But the real voice of the movie is 36-year-old Jeff Bourgeois, a charismatic ex-Marine who's simultaneously jovial, deferential, defiant, and masochistically hard-working. An introspective, extroverted guy, he's not shy about letting the viewer into his head. He's a family man who clearly loves spending time with his wife and three kids, but he spends six nights a week training and teaching fighting. (In one of his moments of self-doubt, we can see him seemingly wondering whether this is how his life should be ordered.)

He can't straighten one arm because it was injured when he refused to tap out of an arm bar--a hold that hyperextends the elbow--and then refused treatment for the injury. He's demanding of his trainees, but also kind; in a touching scene, he tells a fighter who got knocked out in his first fight, "I'm proud of you."

Hickney listed a desire to show the humanity of fighters as one of the motivations for the movie, and that humanity is certainly on display. There's kindness and generosity aplenty in these circles.

Fighting is clearly addictive--these guys keep doing it, even as it destroys their bodies and keeps them away from their families. Knowing that most viewers will never understand the appeal, Bourgeois pleads for respect. I don't enjoy ballet, he says, but I respect the dancers. They're athletes who work extremely hard to do incredible things with their bodies. The same, he adds, holds true for fighters. And he's right. These guys do work extraordinarily hard. They aren't bloodthirsty thugs. They can be really thoughtful and unselfish. After watching this, a viewer will respect them for it--and still likely think they're crazy for doing it.

Boxing used to hold this place in society - a world where men fight - just two guys going at it, strength against strength. Boxing is on the decline (too greedy, I think), but MMA gets good ratings on TV and it even attracts women to the fights.

When I learned to box as a kid, it was because of Mohammad Ali, and because my father taught me that there is a philosophy to it - it's not merely violence and hitting. Ali was the master of not getting hit, while never possessing the knock out punch that Joe Frazier or George Foreman had.

There is a voice in my head that says, "This is violence - it's just like men to always want to beat each other up." Those voices are mostly female.

There is another voice that says, "This is what men do, this is who we are. We no longer have beasts to do battle with, so we tests each other." That's my dad's voice, and maybe Joe's, my first boxing coach.

I don't know what the answer is, other than to make the sport as safe is it can be considering it's two guys trying to beat other unconscious. I enjoy watching it. If I were not now an old man, I'd want to try doing it (but then the voice telling me it's stupid would be Jami's).