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In June, the Department of Defense Task Force on Mental Health acknowledged "daunting and growing" psychological problems among our troops: Nearly 40 percent of soldiers, a third of Marines and half of National Guard members are presenting with serious mental health issues. They also reported "fundamental weaknesses" in the U.S. military's approach to psychological health. That report was followed in August by the Army Suicide Event Report (ASER), which reported that 2006 saw the highest rate of military suicides in 26 years. And last month, CBS News reported that, based on its own extensive research, over 6,250 American veterans took their own lives in 2005 alone -- that works out to a little more than 17 suicides every day.
That's all pretty bleak, but there is reason for optimism in the long-overdue attention being paid to the emotional and psychic cost of these new wars. The shrill hypocrisy of an administration that has decked itself in yellow ribbons and mandatory lapel pins while ignoring a human crisis of monumental proportion is finally being exposed.
On Dec. 12, Rep. Bob Filner, D-Calif., chairman of the House Veterans Affairs Committee, called a hearing on "Stopping Suicides: Mental Health Challenges Within the Department of Veterans Affairs." At that hearing suggestions were raised and conversations begun that hopefully will bear fruit.
But I find myself extremely anxious in the face of some of these new suggestions, specifically what is being called the Psychological Kevlar Act of 2007 and use of the drug propranalol to treat the symptoms of posttraumatic stress injuries. Though both, at least in theory, sound entirely reasonable, even desirable, in the wrong hands, under the wrong leadership, they could make the sci-fi fantasies of Blade Runner seem prescient.
The Psychological Kevlar Act "directs the secretary of defense to develop and implement a plan to incorporate preventive and early-intervention measures, practices or procedures that reduce the likelihood that personnel in combat will develop post-traumatic stress disorder (PTSD) or other stress-related psychopathologies, including substance use conditions. (Kevlar, a DuPont fiber, is an essential component of U.S. military helmets and bullet-proof vests advertised to be "five times stronger than steel.") The stated purpose of this legislation is to make American soldiers less vulnerable to the combat stressors that so often result in psychic injuries.
On the face of it, the bill sounds logical and even compassionate. After all, our soldiers are supplied with physical armor -- at least in theory. So why not mental? My guess is that the representatives who have signed on to this bill are genuinely concerned about the welfare of troops and their families. Patrick Kennedy, D-R.I., is the bill's sponsor, and I have no reason to question his genuine commitment to mental health issues, both within and outside of the military. Still, I find myself chilled at the prospects. To explain my discomfort, I need to go briefly into the history of military training.
Since World War II, our military has sought and found any number of ways to override the values and belief systems recruits have absorbed from their families, schools, communities and religions. Using the principles of operant conditioning, the military has found ways to reprogram their human software, overriding those characteristics that are inconvenient in a military context, most particularly the inherent resistance human beings have to killing others of their own species. "Modern combat training conditions soldiers to act reflexively to stimuli," says Lt. Col. Peter Kilner, a professor of philosophy and ethics at West Point, "and this maximizes soldiers' lethality, but it does so by bypassing their moral autonomy. Soldiers are conditioned to act without considering the moral repercussions of their actions; they are enabled to kill without making the conscious decision to do so. If they are unable to justify to themselves the fact that they killed another human being, they will likely -- and understandably -- suffer enormous guilt. This guilt manifests itself as post-traumatic stress disorder (PTSD), and it has damaged the lives of thousands of men who performed their duty in combat."
See more stories tagged with: mental kevlar, propanolol
Penny Coleman is the widow of a Vietnam veteran who took his own life after coming home. Her latest book, Flashback: Posttraumatic Stress Disorder, Suicide and the Lessons of War, was released on Memorial Day, 2006. Her blog is Flashback.
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