2014 marks the 100th anniversary of the outbreak of World War 1: a pivotal time for Europe and a key transition point for medical science. The Lancet marks this centenary with a three part series ‘Legacy of the war 1914-1918’. The three papers examine the impact of World War 1 on infectious disease, military psychiatry, and amputation related pain.
In 2008, Outside the Wire, a theater company, began productions of Sophocles' Ajax and Philoctetes to audiences of soldiers and marines returned from Iraq and Afghanistan.
And whither must I go? What end, what purpose Could urge thee to it? I am nothing, lost And dead already. Wherefore- tell me, wherefore?- Am I not still the same detested burthen, Loathsome and lame? Again must Philoctetes Disturb your holy rites? If I am with you How can you make libations? That was once Your vile pretence for inhumanity. Oh! may you perish for the deed! The gods Will grant it sure, if justice be their care And that it is I know. You had not left Your native soil to seek a wretch like me Had not some impulse from the powers above, Spite of yourselves, ordained it. O my country! And you, O gods! who look upon this deed, Punish, in pity to me, punish all The guilty band! Could I behold them perish, My wounds were nothing; that would heal them all.[more inside]
"Sexual assault is alarmingly common in the U.S. military, and more than half of the victims are men. According to the Pentagon, thirty-eight military men are sexually assaulted every single day. These are the stories you never hear—because the culprits almost always go free, the survivors rarely speak, and no one in the military or Congress has done enough to stop it." A tough read from GQ. Could be triggering.
Over the past 20 years, medical researchers have found new ways to quantify the effects of the relentless violence on America’s inner cities, [and are] only now beginning to trace the effects of untreated PTSD on neighborhoods that are already struggling with unemployment, poverty and the devastating impact of the war on drugs. [...] Despite the growing evidence of PTSD in civilians, little is being done to address the problem. Hospital trauma centers often provide adequate care for physical wounds, but do almost nothing to help patients cope with the mental and emotional aftermath of trauma.
(1)I still remember the first time I smelled brain. It was my grandfather, cracking open the skulls of squirrels he’d killed. They’d scamper down the sides of pecans and live oaks among the Louisiana timbers where I grew up, enter his sights—then, oblivion. (2) At 21, he started sweeping the floors in a morgue in New Orleans’ Jefferson Parish. When he assisted with his first autopsy, his stomach proved as unflinching as his curiosity. In the late 1980s, he became one of the country’s youngest medicolegal death investigators, logging 7,000 autopsies and 3,000 next-of-kin notifications around New Orleans, then Atlanta. (3) Morgan relates gruesome tales of true crime scene experiences while weaving in parallels from his own (often dark) adolescence in Louisiana. After so many years of performing autopsies and doing one of the most horrific and traumatic—and generally unrecognized—jobs, Morgan was diagnosed with severe PTSD and forced into retirement from fieldwork. (Warning: Very disturbing photos in the first and third links. Very detailed talk of murder, suicide, and prostitution)
Researchers at Harvard-affiliated McLean Hospital are reporting that xenon gas has the potential to become a treatment for post-traumatic stress disorder (PTSD) and other memory-related disorders.
Over the past few decades, urban policy has focused on breaking up clusters of poverty, planning cities so that poor residents could live in areas that also had middle-class people. Does this new research mean projects like MTO are actually a bad thing? “When we first showed these results, somebody said, ‘Well, don’t send them to new neighborhoods,’” says Kessler. “Well wait a second, you’re now dealing the girls some pretty bad outcomes. But if you do send them, the boys are getting bad outcomes. What if you have one boy and one girl?”
Veterans Administration hospitals performed lobotomies on more than 2,000 mentally ill soldiers during and after World War II. Today, the Wall Street Journal published the first part of a story extensively documenting the lives of the men who underwent this procedure, and those who performed it.
From the Dallas Morning News, an 8-part profile of Lauren Kavanaugh, who was kept in a closet for six years before being rescued at age 8 weighing 26 lbs, and of the remarkable people and recovery that has followed. [Warning: this story and the accompanying photos and videos are immensely hard to read, watch and listen to, and this piece is a trigger for every possible kind of abuse.]
PTSD and Gene Kelly's lost wartime star turn: For the last six decades or so, a copy [of "Combat Fatigue Irritability"] has been filed away, along with thousands of other films, at the National Library of Medicine. The only people it has been lost to are the public and Gene Kelly’s devoted and still numerous fans. But now the National Library of Medicine is featuring Combat Fatigue Irritability in Medical Movies on the Web, and the film will be given a well-deserved, though very belated, New York premiere, on October 5, 2013, at the New York Academy of Medicine. [more inside]
"As I thought about that spot, as I considered the mounting reports of suicides, homeless vets, collapsing families, I began to get the uneasy feeling that PTSD is a lot like autism: A thing identified, but poorly understood. I read about the supposed symptoms, the heightened alertness, the re-experiencing of specific trauma, the going numb. It was all true. Up to a point." -- Writer and veteran Myke Cole writes about post traumatic stress disorder and how it's portrayed in the media.
"Daniel Somers was a veteran of Operation Iraqi Freedom. He was part of Task Force Lightning, an intelligence unit." [more inside]
How A War Hero Became A Serial Bank Robber. "Army medic Nicholas Walker returned home from Iraq after 250 combat missions, traumatized and broken. His friends and family couldn’t help him. Therapy couldn’t help him. Heroin couldn’t help him. Pulling bank heists helped him." [Via]
In the Crosshairs: Chris Kyle, a decorated sniper, tried to help a troubled veteran. The result was tragic. [Previously, Via]
A New Theory of PTSD and Veterans: Moral Injury
But as clergy and good clinicians have listened to more stories like these, they have heard a new narrative, one that signals changes to the brain along with what in less spiritually challenged times might be called a shadow on the soul. It is the tale of disintegrating vets, but also of seemingly squared-away former soldiers and spit-shined generals shuttling between two worlds: ours, where thou shalt not kill is chiseled into everyday life, and another, where thou better kill, be killed, or suffer the shame of not trying. There is no more hellish commute.[more inside]
Rhiannon Lucy Coslett, one of the women behind The Vagenda, writes on the phenomenon of the trigger warning.
The first thing we learned about war re-enactment is that it's fucking terrifying having guns fired at you, even ones loaded with blanks. The second thing we learned is a common re-enactor's dilemma called "The G.I. Effect", which is basically that people playing Americans don't like to die. So sometimes they just don't.It's Like Vietnam All Over Again, pt 1. Part 2
Ecstasy found to help veterans with PTSD "In a paper posted online Tuesday by the Journal of Psychopharmacology, Michael and Ann Mithoefer, the husband-and-wife team offering the treatment — which combines psychotherapy with a dose of MDMA — write that they found 15 of 21 people who recovered from severe post-traumatic stress in the therapy in the early 2000s reported minor to virtually no symptoms today. Many said they have received other kinds of therapy since then, but not with MDMA... And news that the Mithoefers are beginning to test the drug in veterans is out, in the military press and on veterans’ blogs. 'We’ve had more than 250 vets call us,' Dr. Mithoefer said. 'There’s a long waiting list, we wish we could enroll them all.'"
Living Under Drones: Death, Injury and Trauma to Civilians From US Drone Practices in Pakistan. An extensive new study (PDF) by human rights lawyers from Stanford and NYU examines the impact of drone strikes on civilians in Pakistan, including the strategic effectiveness of the policy as well as the psychological impact on those living in constant fear that they might come under attack. [Via]
"Video games have for so long been like, 'Look, war is when you go in and kill people who deserve to die, because they are destroying the things that you love—and have fun.' It was such a strange disconnect for us going into this project that we had allowed war to become such a spectacle-based entertainment, and we wanted to make a game in our medium that spoke to the truth of war just like every other medium had done." Warning (,although all the linked articles state as much, all links include spoilers for the videogame Spec Ops: The line) [more inside]
How To Deal With An “Unruly Passenger” On A Cross Country Flight An independent film producer on a flight from New York to L.A. shares his conversation with a man who was so unstable that the plane had to land early in Denver.
"A post-World War II documentary, banned by the military in 1946 but lately released online, is one of the earliest depictions of psychotherapy." Let There Be Light, a film by John Huston. [more inside]
'While they never met, they had some things in common. Both were Army captains, engaged in important work for the nation, their costly educations paid for by U.S. taxpayers. Ian Morrison, 26, returned to Fort Hood, Texas, last December after nine months flying 70 combat missions over Iraq. Dr. Michael McCaddon, 37, was an ob-gyn resident at Hawaii’s Tripler Army Medical Center. The pilot and the doctor shared one other thing: they found themselves in a darkening, soul-sucking funnel that has trapped some 2,500 military personnel since 9/11. Like them, each died, at his own hand, on March 21, nearly 4,000 miles apart.' [more inside]
"Hell Broke Luce" -- a surreal anti-war video from Tom Waits for his powerful song based on the harrowing story of Lance Corporal Jeff Lucey, a 23-year old Iraq war Marine veteran who committed suicide in 2004. From Waits' 22d album Bad As Me (2011, AntiRecords) [more inside]
People need to realise that their wars are not fought by the guy on the news that lost a leg and loves his flag — he was the FNG [f--king new guy] that got blown up because he was incompetent, who left the fight before it turned him into one of us. A private military contractor and former infantryman talks about the military PR complex. [more inside]
The forgetting pill: Can it erase painful memories forever? What about politically inconvenient memories? Will the act of remembering will become a choice?
According to national statistics, one in three Native American women will be raped in their lifetimes. Vanguard correspondent Mariana Van Zeller travels to Rosebud reservation in South Dakota to investigate the alarmingly high incidence of rape and sexual assaults. What happened to 19-year-old Marquita, and how can the reservation's understaffed police force keep it from happening again? Candid interviews with her family members, classmates and police reveal many of the disturbing social attitudes and behaviors that lead up to her death. It is one of many compelling guides to the kinds of lives most never see in Current TV's season before last of Vanguard. (previously) [more inside]
Army vet with PTSD sought the treatment he needed by taking hostages – but got jail instead. "Fifteen months of carnage in Iraq had left the 29-year-old debilitated by post-traumatic stress disorder. But despite his doctor’s urgent recommendation, the Army failed to send him to a Warrior Transition Unit for help. The best the Department of Veterans Affairs could offer was 10-minute therapy sessions — via videoconference. So, early on Labor Day morning last year, after topping off a night of drinking with a handful of sleeping pills, Quinones barged into Fort Stewart’s hospital, forced his way to the third-floor psychiatric ward and held three soldiers hostage, demanding better mental health treatment." [Via] [more inside]
How violent sex helped ease a reporter's PTSD Female reporter Mac McClelland deals with the trauma of reportage. May include triggers.
Can a Single Pill Change Your Life? Oprah Magazine examines recent studies on the use of MDMA (the main ingredient in Ecstasy) to combat Post Traumatic Stress Disorder
I've never known of a single colleague who has been tortured, or who lives with the threat of death and persecution for their work, in such a confused state of mind that they believe that working in the defence of individual and collective freedoms is an act of heroism. We know full well that it is nothing more than an exercise in survival and shared dignity. [more inside]
For the second year in a row, the U.S. Military has lost more troops to suicide than it has to combat in Iraq and Afghanistan. (Previous posts regarding PTSD) [more inside]
Taxi III Stand Up and Cry Like a Man - a short but powerful clip in which taxi drivers talk about their experiences in the Troubles of Northern Ireland. [more inside]
... it's terribly important for veterans to feel they are continuing a mission that held them together through the violence and stress of war. "PTSD carries a stigma, that you're broken and wounded," said Yount, "And many guys have guilt for not still being in the fight. The idea of Paws for Purple Hearts is you can be part of the war effort while you're getting treatment."
Statsis: A short film by Christian Swegal In the future, an Ex-Soldier is placed in virtual exercises to cure his Post Traumatic Stress Disorder. In the simulations, he sees glimpses of a mysterious girl, presumably someone from his past. When a Stranger appears in his facility offering answers, the Soldier finds himself once again asked to kill, this time for her... [more inside]
In a pilot Phase II study of PTSD sufferers with a median of 19 years since diagnosis, MDMA-assisted therapy resulted in 10 out of 12 patients no longer meeting the diagnostic criteria. [more inside]
Service dogs for PTSD are changing the lives of both former veterans with PTSD and their trainers (audio/picture version and article version). [more inside]
Zoos and circuses in India will no longer be allowed to keep elephants. Elephants in captivity and PTSD. [previously]
About three months after her son's birth, Ms. Roscoe asked to see a psychiatrist. She was given a diagnosis of post-traumatic stress disorder, or P.T.S.D. — a mental illness more often associated with surviving war, car accidents and assaults, but now being recognized in parents of premature infants in prolonged intensive care. (nyt)
Tuesday is a so-called psychiatric-service dog, a new generation of animals trained to help people whose suffering is not physical, but emotional. They are, effectively, Seeing Eye dogs for the mind.
Tuesday's master is an Iraq war veteran suffering from severe post-traumatic stress disorder. [more inside]
Tuesday's master is an Iraq war veteran suffering from severe post-traumatic stress disorder. [more inside]
Soldiers' Stress: What Doctors Get Wrong About PTSD. A growing number of experts insist that the concept of post-traumatic stress disorder is itself disordered and that soldiers are suffering as a result.
“There’s culture shock, and then there’s the culture shock of moving to a country that started a war in your home.”
"The war has uprooted 4.7 million people from their homes. So where are they?" With the election of Obama and the economic crisis, the topic of Iraq has fallen by the wayside. As hard as things may be right now, Iraqis have been going through far worse for years now. If you're curious about what they have to say, hear them tell it in their own words. Iraqi Refugee Stories. [more inside]
West treats East. "To help traumatized Tibetan monks, doctors in Boston turn to cross-cultural medicine." [Via]
The Economist on Drugs -- Scientists in North America, Europe and Israel are studying the use of MDMA, LSD, hallucinogenic mushrooms, marijuana and other banned psychoactive substances in treating conditions such as anxiety, cluster headaches, addiction and obsessive-compulsive disorder. They are supported by private funds from a handful of organisations: the Beckley Foundation in Britain; the Heffter Research Institute and the Multidisciplinary Association for Psychedelic Studies (MAPS) in America. [related]
"The plays can reassure a soldier, she says, 'that I am not alone, that I am not going crazy, that I am joined by the ages of warriors and their loved ones who've gone before me, and who have done what most in society have no idea our warriors do.' " The Philoctetes Project. (video available)
Hi there, it’s Gail Westerfield, the writer's super heroine, and I'm feeling groovy thanks to Dr. Michael Mithoefer. Previously.
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