Dissociative Spectrum Disorders and the Combat Veteran

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For two years or so after Desert Storm I had severe forms of dissociative fugues, a deeper level on the dissociative spectrum, where a total separation of identity consumes the individual. I remember one time when I was working in a sheet metal shop, I was running a CNC machine that cuts and punches angle iron. I was entering data into the computer on the machine when I started to lose track of the numbers. Numbers, reading and rapid eye movement back and forth along with highly "busy" areas will trigger a dissociative amnesia episode. So, I was entering the data, I started to get confused and kept having to reenter the data. Then I was staring at the screen and realized that I had no idea what I was doing. I looked around at the shop and knew that it was familiar, but could not identify what it was or why I was there. It was like I was dropped off on a alien planet and I could see some things that looked similar to what I know but yet was totally alien in form. Then I tried to access information about me and was denied the information. I tried to think of my name and could not, my identity was foreign to me. I did not know who I was or what I was doing in this place, but I do remember that the place was familiar. I do not know how long this episode lasted, but all of a sudden all everything came back to me in a rush.

I had several more types of fugues, I would be walking down the isle of the grocery store and experience a fugue. I do not know why, but a grocery store would send me into a crying fit of guilt and grief with only one thought in my mind and nothing else. I would cry for hours and could not be moved, lying in the isle of the store just crying with my wife holding me thinking only of the one singular thought. The Iraqi soldiers we killed that were trying to surrender.

Other times in a store I would walk aimlessly around not knowing why I was there and wondering what it was that I was supposed to do. My wife would have to come to the store and get me after having been in the store for hours. The episodes were triggered by areas with an abundance of numbers, letters, colors, areas of high visual traffic. This went on for about two years after the war.

The incident that solidified the mental wound of PTSD results in a mind numbing, or psychic shift. In response to the trauma of combat, the person needs to make a mental detachment to do what needs to be done. The survival mode of operation forgoes the higher levels of functioning and depends on the primitive reactionary portion of the brain (Cercone, 296). When this unconscious detachment has been activated to frequently or for extended amounts of time it becomes part of conscious processing and interferes with everyday interactions.

I remember in the Gulf War when that cognitive fracture, or dissociative reorganization happened for me. It was at night, I was watching our long range rockets and artillery barrage launching to rain down on the enemy. It was surreal, beautiful, terrifying, the most intense fireworks I had ever seen filling the entire sky illuminating the battlefield, I was in awe. It felt like I was one with the universe, out among the everything, feeling all and knowing all. I heard over the distance of what seemed like eternity, "Move out".

I realized that I was no longer inside of my body, the instant that I heard that order and made that connection I was paralyzed as I slammed back into my body. In that same moment, I had this switch that went off or turned on. This mode of operation was no longer a thinking thing, it was a reacting thing. My field of vision opened up completely, it was like my central focus point had widened to include my whole field of vision. I was aware of everything without having to look at it. I was more alive than I had ever been, except that there was no conscious processing of information and a total lack of emotion, absolute detachment. Time had suspended itself for me, I was eternal, I had accessed a part of me that was omnipresent.

Iraqi War Mental Health Epidemic

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In the next 10 to 15 years the American public will see a sharp rise in veterans suffering from Post-Traumatic-Stress-Disorder, to the point of epidemic proportions. You see, never before in war have our troops been subjected to such prolonged exposure to combat and life threatening situations.

In World War II our troops were fighting a defined enemy while engaging real objectives with sufficient downtime in between engagements. Most of the troops to see combat were infantry soldiers fighting on a distinct front, not the ones "in the rear with the gear". With a real threat to our sovereignty and way of life soldiers of this era were less affected by the trauma of war.

The significant political interference of the Vietnam War generated little to no tangible objectives for our soldiers solidifying and branding their levels of anxiety and forever troubling their minds. Guerrilla warfare, an inherently cognitively damaging military action compounded the neuropathic damage experienced by our troops in Vietnam. Even with the troops having regular downtime in between engagements the cognitive fractures of these veterans were enhanced by more intense combat and the rejection of our returning soldiers. Now that being said, I know a guy that did 5 tours in Vietnam which was uncommon, most soldiers did their two years and the ones that survived went home.

The soldiers in the Iraqi war have been sent on multiple deployments with an average of two or three tours of duty with little time in between. While in Iraq, there are no friendly countries or areas to spend leave time to relieve stress. They are on constant alert and most, even non-combat soldiers, see combat or threats on a daily basis. Now combine this with the most intensive warfare possible, guerrilla warfare in an urban environment. We get troops that are overextended and overexposed to life threatening situations within unprecedented levels of combat.

Our troops in Iraq have no respite from danger, further entrenching the effects of PTSD through the hyper levels of neurotransmitters. This information should be the on the forefront of discussion and conversation in the news and in the public arena. This is what is not being said about whats going on with this war.

The reason we don't have 20,000 soldiers dead compared to the Vietnam War 5 years into the war? Our medical knowledge and technical experience gained from another unpopular war.

What we do have are veterans that would have died in the Vietnam War or World War II that are going home with their bodies and minds shattered. The amputation rates have risen to twice that of previous wars. What will be the result of such unmitigated multiple traumas that the Iraqi veterans will be facing?

Some of the current thinking have postulated the PTSD rates of this war to be in the range of 30-50%. Come on America WAKE UP! Your freedom is due to the sacrifice of our soldiers lives, both in mortality and the possibility of becoming a meaningful and productive human being.

The Patriarch

My father passed away on Saturday the 2nd, I have been handling the funeral arraignments and proceedings. The ceremony is on Wednesday. My emotional affect has been flat and void of feelings. I feel the patriarch position being passed on and do not have time to process yet. I do not even think that I can process it all anyway