November 7, 2009
Stress Beyond Belief
Simply stated, we cannot continue sending service members into combat for three tours, four tours, five tours and more without paying a horrendous price in terms of the psychological well-being of the troops and their families, and the overall readiness of the armed forces to protect the nation.
The breakdowns are already occurring and will only get worse as the months and years pass and we remain engaged in the conflicts in
I spent some time on the West Coast recently interviewing doctors and researchers studying the enormous problem of troops returning from
These are not weak men and women we are talking about. This is the toll that the horror of combat, especially repeated doses of it, takes on people — even those who are young, physically fit and mentally sound.
“These invisible wounds of war are profound and relatively common,” said Dr. Charles Marmar, a psychiatrist and one of the nation’s leading experts on stress-related disorders. “Pound for pound, they may be more disabling than physical wounds. People often don’t seek treatment for P.T.S.D. or depression or psychosis, and they are very disabling without proper treatment.”
At the time I interviewed Dr. Marmar a few weeks ago, he was the chief of psychiatry at the
Both Dr. Marmar and a colleague at the medical center, Dr. Karen Seal, noted the link between multiple deployments and an increased risk of mental health problems. “We know there is a statistically significant association between having more than one deployment and P.T.S.D.,” said Dr. Seal.
Dr. Marmar added, “The Department of Defense is losing people right now — war fighters are being disabled by P.T.S.D. every day.”
The military has been trying to cope, but the challenge is enormous and there are significant institutional obstacles to overcome. Just last week, Defense Secretary Robert Gates spoke publicly about the widespread fear among military personnel that they will be stigmatized if they seek help for psychological problems. And he criticized the military and government bureaucracy for often complicating the efforts of individuals who are trying to get help.
The fallout from the mental health challenges facing
This small sliver of the overall
By the end of last summer, the Army was reporting the highest tallies of soldier suicides since accurate record-keeping began. We’re getting saturation media coverage of Thursday’s outburst of horror at
If we’re going to fight wars as a nation, then we need to draw our warriors from a wider swath of the population and give them the full and complete support that they need and deserve. We’ll no doubt be analyzing the twisted psychological state of Nidal Malik Hasan every which way from sundown. But we’ll continue to give short shrift to the daily struggles and frequent horrors of the honorable men and women who have taken on the thankless task of fighting our wars.
This is not just shameful, it’s unsustainable.
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"The master class has always declared the wars; the subject class has always fought the battles. The master class has had all to gain and nothing to lose, while the subject class has had nothing to gain and everything to lose--especially their lives." Eugene Victor Debs