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you fought in Vietnam and your twin brother did not—but he suffers from a psychiatric disorder such as schizophrenia—you are statistically more likely to get PTSD. If you experienced the death of a loved one, or if you weren’t held enough as a child, you are up to seven times more likely to develop the kinds of anxiety disorders that contribute to PTSD.
Among younger vets, deployment to Iraq or Afghanistan actually lowers the risk of suicide, because soldiers with obvious mental health issues are not deployed with their units.
Further confusing the issue, voluntary service has resulted in a military population that has a disproportionate number of young people with a history of sexual abuse. One theory for this holds that military service is an easy way for young people to get out of their home, and so the military will disproportionally draw recruits from troubled families.
According to a 2014 study in the American Medical Association’s JAMA Psychiatry, men with military service are now twice as likely to report sexual assault during their childhood as men who never served. This was not true during the draft. Sexual abuse is a well-known predictor of depression and other men...
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Killing seems to traumatize people regardless of the danger they’re in or the perceived righteousness of their cause. Pilots of unmanned drones, who watch their missiles kill human beings by remote camera, have been calculated to have the same PTSD rates as pilots who fly actual combat missions in war zones....
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Thirty-five years after finally acknowledging the problem, the US military now has the highest reported PTSD rate in its history—and probably in the world. American soldiers appear to suffer PTSD at around twice the rate of British soldiers who were in combat with them. The United States currently spends more than $4 billion annually in disability compensation for PTSD, most of which will continue for the entire lifetime of these veterans. Horrific experiences are unfortunately a human universal, but long-term impairment from them is not, and despite billions of dollars spent on treatment, a
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In addition to being an enormous waste of taxpayer money, misdiagnosis does real harm to vets who truly need help. One Veterans Administration counselor I spoke with, who asked to remain anonymous, described having to physically protect someone in a PTSD support group because other vets wanted to beat him up for seeming to fake his trauma. This counselor said that many combat veterans actively avoid the VA because they worry about losing their temper around patients who they think are milking the system. “It’s the real deals—the guys who have seen the most—that this tends to bother,” he told
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The vast majority of traumatized vets are not faking their symptoms, however. They return from wars that are safer than those their fathers and grandfathers fought, and yet far greater numbers of them wind up alienated and depressed. This is true even for people who didn’t experience combat. In other words, the problem doesn’t seem to be trauma on the battlefield so much as reentry into society.
Adversity often leads people to depend more on one another, and that closeness can produce a kind of nostalgia for the hard times that even civilians are susceptible to. After World War II, many Londoners claimed to miss the exciting and perilous days of the Blitz (“I wouldn’t mind having an evening like it, say, once a week—ordinarily there’s no excitement,” one man commented to Mass-Observation about the air raids), and the war that is missed doesn’t even have to be a shooting war: “I am a survivor of the AIDS epidemic,” an American man wrote in 2014 on the comment board of an online lecture
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What people miss presumably isn’t danger or loss but the unity that these things often engender. There are obvious stresses on a person in a group, but there may be even greater stresses on a person in isolation, so during disasters there is a net gain in well-being.
Shared public meaning gives soldiers a context for their losses and their sacrifice that is acknowledged by most of the society. That helps keep at bay the sense of futility and rage that can develop among soldiers during a war that doesn’t seem to end. Such public meaning is probably not generated by the kinds of formulaic phrases, such as “Thank you for your service,” that many Americans now feel compelled to offer soldiers and vets. Neither is it generated by honoring vets at sporting events, allowing them to board planes first, or giving them minor discounts at stores. If anything, these
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Because modern society has almost completely eliminated trauma and violence from everyday life, anyone who does suffer those things is deemed to be extraordinarily unfortunate. This gives people access to sympathy and resources but also creates an identity of victimhood that can delay recovery.
“In tribal cultures, combat can be part of the maturation process,” I was told by Sharon Abramowitz, who was in Ivory Coast with the Peace Corps in 2002. “When youth return from combat, their return is seen as integral to their own society—they don’t feel like outsiders. In the United States we valorize our vets with words and posters and signs, but we don’t give them what’s really important to Americans, what really sets you apart as someone who is valuable to society—we don’t give them jobs. All the praise in the world doesn’t mean anything if you’re not recognized by society as someone who
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Perhaps most important, veterans need to feel that they’re just as necessary and productive back in society as they were on the battlefield.
There are many costs to modern society, starting with its toll on the global ecosystem and working one’s way down to its toll on the human psyche, but the most dangerous loss may be to community. If the human race is under threat in some way that we don’t yet understand, it will probably be at a community level that we either solve the problem or fail to. If the future of the planet depends on, say, rationing water, communities of neighbors will be able to enforce new rules far more effectively than even local government. It’s how we evolved to exist, and it obviously works.
It makes absolutely no sense to make sacrifices for a group that, itself, isn’t willing to make sacrifices for you.
The public is often accused of being disconnected from its military, but frankly it’s disconnected from just about everything. Farming, mineral extraction, gas and oil production, bulk cargo transport, logging, fishing, infrastructure construction—all the industries that keep the nation going are mostly unacknowledged by the people who depend on them most.
The ultimate act of disaffiliation isn’t littering or fraud, of course, but violence against your own people.