So, anyway. I had to take a step back and realize that,
- one, my obtuseness can tend to be intolerable at times
- two the fact that I think from a practitioners perspective can further lead to speculation
- and finally, I have magical mystical thinking
I really appreciate what you are trying to do for our fellow veterans. That said, I am not quite sure that I understand all of your writings. Are you saying that virtually all combat veterans will eventually get PTSD? There is no prevention. There is no cure. Furthermore, we need to hire someone to monitor all veterans for the rest of their lives to make sure that they don't commit criminal acts upon themselves or others in society?My response,
I do not think that I said or implied any of what you suggest. An individuals reaction to any given trauma has a direct and indirect relation to their development, genetics, upbringing, environment, level of support, culture, level and number of traumatizations and a multitude of other considerations. Most trauma reactions will not lead to a pathological reaction. The implications of reactions to extreme stress have considerable ramifications to those of us who manage day to day with PTSD.
Structural Dissociation of the Personality
Relationship Between Dissociation and IdentityPersonal Attachments, Before and After Combat
Combat Attachments Born of Blood
Do I think prevention is a viable cause? Yes, we can do much more to prevent PTSD than we do. Will this prevent everyone from getting PTSD? No, we train to drive a car. Does it prevent all accidents? No.
Fully Train Our Soldiers For the Rigors of War
As to whether a cure is to be had or found, that depends on the severity of the traumatization and the individuals response to it. Most with PTSD (simple PTSD) will become symptom free, others more chronically affected in all probability will not. Every person afflicted with PTSD can find considerable relief from major symptoms. Do I think that chronic, complex or combat PTSD can be cured? For most, no I do not. Do I think that we can find relief from major symptomology? Yes. I have had three years of extensive therapy (20 months in an in-treatment facility) and have resumed therapy again, with probably at least two to three more years to go.
None of the questions you pose brings an easy answer, if it did then we would not see the problems we see today. An attempt to fully answer your questions could be a dissertation topic, to say the least extremely time consuming and cumbersome. If you truly want to understand more, then read these articles. They address your questions,
Statistics, Effects and the Realities of Multiple Deployments
These articles tie together all the above,
Post Traumatic Stress Disorder: From A Combat Veterans Perspective
Dissociative Posttraumatic Stress Disorder and Influences on Criminality
Combat Veterans and Institutions: A Systems Analysis