tenebrism

tenebrism
Caravaggio, The Taking of Christ, 1602

Tuesday, October 28, 2014

Blog #4: The Psychological Effects of War on Soldiers and Possible Treatments



We have seen in our recent readings and viewings of “Apocalypse Now,” “The Banana Fish” and “The Sweetheart of the Song Tra Bong, the scars that war leaves on soldiers are not purely physical; the psychological effects of war are very real and very prominent in every one in eight returning soldiers. We saw Captain Kurtz go insane under the pressure of war, we watched as Mary Anne Bell transform from a sweet, innocent girl into a savage brute as a result of being brought into war, and we learned of Seymour’s suicide attempts before seeing him crack under the weight of the blood on his hands as a result of fighting in a war. War is a terrible burden on the minds of soldiers, and the more we learn of the human mind, the better we can see the mental scars of the ones who return. The overwhelming statistics are discouragingly gloomy. One in five veterans of the Iraq and Afghanistan Wars are officially diagnosed with PTSD, or Post-Traumatic-Stress-Disorder, which is defined as a condition that's triggered by a terrifying event — either experiencing it or witnessing it. Hundreds of others who aren’t diagnosed suffer in silence: almost 40% of those who experience symptoms don’t seek out medical help. The suicide rate of veterans is nearly double that of the general population: about 8,000 each year, or 22 every day. The majority of this number are men between the ages of 50 and 59. The numbers are staggering but they do not end there; other statistics regarding the mental health of our soldiers are just as undesirable.
            While depression and PTSD are the most common mental health problems, there are many other effects and difficulties tackled by soldiers. Unfortunately, 30% of soldiers develop mental problems within 3 to 4 months of being home, but only 56% of veterans will seek out professional treatment. Those who don’t may turn to more unconventional methods of dealing with their ghosts: 20% of veterans will eventually turn to heavy drinking or drugs once they return. There are different reasons for the manifestation of these problems. Some of the more common causes are TBI (Traumatic Brain Injury), and MST (Military Sexual Trauma). Between 10 and 20% of Iraq and Afghanistan veterans have suffered a TBI, causing radical changes in personality, especially anger and suicidal thoughts. 55% of women and 38% of men report being victim to sexual harassment while serving in the military, but because men make up a larger portion of the military, more than half of those who suffered from MST are men. Although so many of our soldiers suffer from intense psychological disorders, there are several forms are treatment that have varying levels of success.
            Since PTSD is the most common mental health illness experienced by veterans, it makes sense that it should have the most treatment. Cognitive therapy is one type of treatment used to decrease the effects of PTSD. In cognitive therapy, your therapist helps you understand and change how you think about your trauma and its aftermath. In cognitive therapy, the soldiers learns to identify the thoughts that make him upset, and will try to replace those thoughts with less stressful ones as a way of coping with negative emotions. Exposure therapy is designed to reduce fear of memories by talking about them in detail and focusing on them. The goal is to desensitize the soldier so that their memories affect them less. EDMR, or Eye movement desensitization and reprocessing, is used by having the soldier think or talk about their memories, then having them focus on other stimuli like eye movements, hand taps, and sounds. While the validity of this type of therapy is still being debated, it has proved effective in some cases. As a last resort, SRIs, or serotonin reuptake inhibitors are used to ward off depression, because an excess of serotonin is the root of a large portion of depression cases. SSRIs include citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). All in all, although the statistics of mental health problems in soldiers are unfortunately high, there are ways to help reduce the effects of the scars that war leaves.


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