for the physician, who make themselves small To make matters even worse, war is different now. But no matter how long the V.A. who shot you in the head from great heights, you sat on a fence walk, The disturbance of daily routine by PTSD symptoms no doubt contributes to the patient’s sleep disturbance. Post-traumatic Stress Disorder (PTSD) in blind patients is a rare clinical entity. None the less, some veteran groups continue to encourage vets to blame those who are simply out enjoying life, and healthily living it. As a result of this his results have suffered. A drill sergeant teaches (commonly male)  soldiers it is their job to “save” those in a dependent position (commonly women and children), but showing emotion for the victims it is their job to save is discouraged, because emotions make a soldier vulnerable. Blind people rely on heightened auditory alertness to compensate for the lack of visual cues. Mr MK is a 24 year-old student, who has been blind since birth. Pre-morbidly he enjoyed a wide range of hobbies and activities, including cycling, skateboarding, rock climbing, and attending the cinema. These nightmares have the same content as the flashbacks he has been experiencing. in basements of funeral homes, clatter, clatter against a fence post She believes for this to happen the stories of survivors must be heard. And though human empathy and gender equality may be a liability on the battlefield,  it is necessary for love and life. What is Post Traumatic Stress Disorder (PTSD)? and lie about love, men think it is their job Although less compelling than double-blind, placebo-controlled trials, small open-label studies and some case reports indicate a potential role for topiramate in PTSD for specific populations. Furthermore, disturbed attention which is a known symptom of PTSD [5] seems to have profound effects on our patient. One shows how cannabis can reduce activity in the amygdala - a part of the … But before you lash out at someone who has broken a social contract (again) by mismanaging their time, remember: it’s not about you. Though stress disorders may be somewhat “contagious” in general, combat vets and those that love them are uniquely susceptible to this emerging PTSD epidemic. Melissa Flemings, who has worked with refugees, claims in a TED Radio Hour segment that the victims of war can hold the key to lasting peace. They have been incorrectly taught (in some manner, through some kind of system, familial or otherwise) that trauma or abuse equals love, duty or obligation. A trial with paroxetine investigated long-term treatment in patients with PTSD. will chains unravel with the body of a crustacean, only when the just man leaps The first time I read “Dulce et Decorum Est,” I felt I was there on the battlefield—angry at how the soldiers suffered. This is because they themselves are commonly the very victims abandoned by men’s ineffective strategizies. like a chandelier come crashing down The greatest funding went to treatment (42.3%), epidemiology (25.1%), and basic science (17.1%). will he hear Sarah’s screams, Therefore a US soldier must be on guard against any innocent or ill-used it is their job to save. For all too many veterans, returning from military service means coping with symptoms of post-traumatic stress disorder (PTSD). Two recent studies point to the way that cannabinoids may help treat PTSD. in self-bottled silence This fear triggers many split-second changes in the body to prepare to defend against the danger or avoid it, i.e., the “fight-or-flight” response. He also has mild symptoms of depression. and calling Sarah jealous, like a spell caster Are we going to hold broken or ill designed systems accountable for what they are incorrectly doing to veterans and their families? It doesn’t reflect on how important the obligation actually was to them. Our patient had a great difficulty reconstructing or describing visual images and perceptions of sounds predominated his flashbacks. This leads to accelerated aging in brain tissue. Post-traumatic stress disorder (PTSD) can happen for a variety of reasons, none of them pleasant. Yet I have seen American civilians who have survived horrific traumas of their own, such as domestic violence and rape, or who suffered severe child abuse at the hands of their own parents  or a clergy member (also abandoned or retraumatized by our own systems) get ridiculed and demoralized by combat vets for correctly comparing their resultant stress disorders, when they tried to reach out and share with these vets the information they need to recover, as I am attempting to do today. Flashbacks. Neither is it written to condemn our military leaders personally. This piece is not written to blame everything on or scapegoat the president. War is complex, but life is simple. Systems see you as the expendable and they do not exist to serve the laws of love. Women tend to act instantaneously and with passion, but this doesn’t mean women don’t think and consider facts first, like those written on the backs of medicine bottles, noting side effects of which their husbands preferred to remain ignorant. During such flashbacks, he re-experiences himself sitting in the car, as on the day of the accident, describing the car he is in and the road with cars going in both directions. Auditory flashbacks, disturbed attention and sleep disturbance are prominent symptoms in blind patients who suffer from PTSD. Auditory flashbacks, disturbed attention and sleep disturbance are prominent symptoms in blind patients who suffer from PTSD. Women have been pondering uncomfortable facts for thousands of years, knowing action and proportionate expression of emotion is not only allowable in real life, but necessary. Brute expression and behavior is lauded rather than reasoned arguments based in critical thinking ability. Our military, whose interests and directives, although not always 100% humanitarian, has defended our nation and freed many foreign citizens from abusive, terrorist regimes. "Waiting in line feels like hours," said Roxanne Fouché, an … To live life healthily one must be willing to love and be loved. Wouldn’t that mean then, that terrorism has won? The development of delayed-onset PTSD in the absence of any previous PTSD symptoms is very rare, and most cases of delayed-onset PTSD seem to reflect a worsening or re-occurrence of symptoms. This holds true for their families as well,  and receiving what is necessary to get on with life (knowledge of and access to correct cognitive tools) is the soldier’s and his or her family’s earned right. It can make those on the receiving end feel confused, disrespected, angry, unimportant, and betrayed. without making a sound, A recent study showed that patients with visual impairment (not affected by PTSD) are at particular risk of sleep disturbance [6]. Most often PTSD is triggered by a single event, but it can also be triggered by a series of events, such as long-term abuse. And what disturbs me the most is that military authorities and strategists are aware of this. This piece is not written to knock the brotherhood and bond often felt by those who fought side by side in battle. Lodge Education Ltd 1994-2006. Sleep disturbance was a dominant feature of our patient’s illness. Current and Lifetime Diagnostic Version. We present a case of a young male patient who has developed chronic PTSD. Consultant Psychiatrist Patients who completed a double-blind treatment phase were given up to 50 mg daily of paroxetine in a flexible dose schedule based on response. Face blindness is thought to be the result of abnormalities, damage, or impairment in the right fusiform gyrus, a fold in the brain that appears to coordinate the neural systems that control facial perception and memory. Dr. Iain Au-Yong for his help with the manuscript. And if the victim is the enemy’s race, the authoritative sergeant teaches that those victims are expendible. [3] Posttraumatic stress disorder and blindness. We must take accountability for our actions – yes –  but also our inaction, refusal to communicate with one another, inertia, emotional and voice suppression, the freeze response in PTSD, and self-imposed blindness that is putting a lid on an already boiling pot, causing us to dissociate, become less human, and making us part of the monster. Moreover, since all human beings are equals and the words we use determine how we think, the military should reconsider referring to spouses and their children as dependents. How is military training just if it does not allow those who have tried to save and defend us – to be saved and defended by us – when they return home? but the truth one has hushed He has less interest in his course and is finding it difficult to concentrate during lectures because of poor attention caused by intrusive flashbacks. Medical historians have documented many early accounts of what would now be classified as PTSD. Are we going to serve love and life by facing, expressing and sharing our grief and pain (not dangerously suppressing it) and being there for our loved ones, ultimately finding joy? love float, Soldiers have been taught to be willing to kill or abandon those whom they would in other circumstances protect or love. Seems incorrectly treated or untreated PTSD in combat vets is contagious, and secondary victims now have their own war stories to tell. DSM -IV lists 17 symptoms. MK sustained back and shoulders injuries at the time. One must unlearn what one has learned wrongly. For how is military training just if we permanently brainwash all human vulnerability out of the man, and destroy his capacity for love, trust, human empathy and bonding? If vets want effective help they have to realize they need it, it’s out there, and obtain it on their own (like the rest of us) but typically will not do so because they place unconditional trust in systems for which they were, for lack of a better word, brainwashed to be expendible. He also experiences a marked sleep disturbance and nightmares in relation to the accident. I would think Christians (who still consititute a large proportion of our Armed Forces) would take both heed and comfort that a savior already died and rose again so that humans would choose love and life. In our country we now have powerful leaders who actually suggest disproportionate untrustworthiness and potential for invasion, criminality and violence in all persons of certain nationalities. It can get you any time, any where. you sold Sarah to the naysayers, For the indoctrinated soldier, his or her recovery often depends upon accepting effective treatment through the love, insistence and zero tolerance policies of  loved ones, for this sort of thing is not going to come from Veterans Affairs. will he find that PTSD victims typically will keep choosing new abusive pattern types (an abusive job, an abusive spouse, etcetera) in a desperate effort to finally “win” love and security where love and security can never be found, because it is not in the nature of that entity to provide it. Perceptions of sounds often predominate in these flashbacks. not dead bodies and debris Medical student This trial was conducted at 2 U.S. sites, and used a fixed dose, randomized, double-blind, parallel-arm, placebo-controlled design comparing GR205171 (5 mg/day) with placebo in chronic PTSD. Conclusions. We are rescued by those whom we have rescued. A randomized, double-blind evaluation of d-cycloserine or alprazolam combined with virtual reality exposure therapy for posttraumatic stress disorder in … Dr. Najat Khalifa for his valuable guidance. The victim knows deep down inside what they’ve subconsciously learned is not true, and this makes them feel out of control. These men seem to think women, who by nature are life bearers and in that sense paradoxically both stronger, wiser and more vulnerable than men all at the same time, haven’t been noticing the destructive nature of men’s physically domineering (but ironically more impotent) strength all along. His past medical and psychiatric history is unremarkable. to the crooks, Post-traumatic disorder was first described in the late 19th century [4]. He has been experiencing flashbacks which started a week after the event, and have persisted throughout the two years following it. There has been some controversy regarding the difference between posttraumatic stress disorder (PTSD) and complex posttraumatic stress disorder (complex PTSD) amongst researchers and members of the medical profession. Why would psychology be anything different for a soldier? This may be a beautiful, even admirable and touching token of gratitude towards the deceased soldier and their grieving family, but it wrongly implies that loyalty to a by-nature abusive system (even after death) is the law of love. McFarlane AC (1988)Comprehensive Psychiatry, 29:6 558-460, [4] Erichsen FE, On railway and other injuries of the nervous system. a slave to the man, frozen in February, These kinds of behaviors would not only normalize a disorder, PTSD, they do nothing to help non-deployed veterans express their emotions and normalize life – while actually encouraging an uneducated public to view the combat vet as helpless and inherently more dangerous to himself or others. People with PTSD will continue to do this until they realize separation, ideally a “no contact” policy (not loyalty to by-nature abusive entities) and rethinking personal trauma is what really sets people free and allows one to bond with other free innocents, which is necessary for life. I say no, for the answer is clear, very clear, and should have been perceived and acknowledged the first time an American child commited suicide because Daddy came home from war and couldn’t love him anymore. Those research priorities reflect DoD and VA efforts to understand, prevent, and treat for PTSD in service members and veterans who are exposed to traumatic events. FOSTERING RESEARCH resilience (17.9%). Internationally leading cognitive therapists and neuro-linguistic programming experts believe the most severe cases of combat-related PTSD are really CPTSD, with war being the secondary trauma to childhood neglect. and sleep disturbances as mediators Journal of Trauma and Stress, 2005 Aug;18(4):299-302. I have written this piece for all combat vets but especially with men in mind because men have been lied to, and wrongly taught, not just by the military, that vulnerability and healthy expression of emotions (necessary for healing from PTSD) including the processing of just anger and grief, is weak, unmanly, socially unacceptable, unhealthy, or a sign that one lacks “decorum”. For people struggling with post-traumatic stress disorder, making it through the day can be a burden. But no one human disproportionately one gender, should be taught it is his or her job and responsibility to “save” all other human beings, as if man is God. Encouraging the use of maintanance strategies such as yoga or dissociative meditation is not the answer. and trust in the power of love and master, you honor the old woman instead Healing, for the returning combat vet  (like all civilians who have gone through a living hell) depends upon a willingness to detach from all abusive authority figures and relations, jobs and systems, and a willingness to let a healthy love, not a war mentality, save them. One would think that all thinking people could agree that one can believe in a strong military defense, but no one should really be “pro war”. One of the authors of the study, Edward Vessel, said , “We suspect that the reason for the strong influence of sensory imagery is its ability to convey meaning. watching your options fall, There’s Herodotus’ description of an Athenian soldier who became blind after witnessing the Battle of Marathon in 490 B.C., and a Shakespearean monologue in Henry IV, Part 1 in which Lady Percy describes her husband’s sleeplessness and inability to enjoy life after fighting a battle. Time blindness can hurt. Dowd SM(1), Zalta AK(2), Burgess HJ(3), Adkins EC(4), Valdespino-Hayden Z(5), Pollack MH(6). for only those It is not an inconsequential fact that men, particularly heterosexual alpha males, tend to seek counsel only from other men, regardless of credentials, rather than from intelligent and intuitive women that, because of this empathic nature, can help, as if it’s men’s job to protect women, despite women being their own equals, from hearing or bearing the truth. It will continue to appear this way to self aware individuals until military authorities provide a surviving soldier and their families the correct cognitive therapy and effective deprogramming tools necessary to have a normal life, which would involve learning how to drop one’s guard, and perhaps leaving the war lifestyle behind them entirely. so they bury them alive Relaxation therapies are not the same thing as providing combat vets with grounding strategies and effective, corrective, cognitive, mental exercise tools that they really need. Someone with PTSD may have some of these symptoms, or they may have all of them. Couching the argument in terms of dollars spent on ill-designed military or veteran medical programs urgently in need of reform, not more dollars, is a glaringly obvious, intentional diversion to anyone familiar with the means to overcome PTSD, who will notice effective therapies and instruction noteably lacking, and in reality, not even being promoted within the veteran medical community. Leicestershire Partnership NHS Trust. [5] Meewisse ML, Nijdam MJ et al Disaster-related posttraumatic stress symptoms and sustained attention: Evaluation of depressive symptomatology All pages copyright ©Priory I saw your body wrung, I say if helpless children are dying or their lives are being destroyed, it’s because they didn’t have parents or villagers of both genders willing to do the same. and to the liars He fulfils diagnostic criteria for post traumatic stress disorder according to the Diagnostic statistical Manual (DSM IV) [1] and Clinician Administered PTSD scale [2]. doi: 10.4088/PCC.17m02138. DSM IV diagnostic criteria include experience of an event which involves death, injury or threat of to the integrity of ones health, frequent re-experiencing of the traumatic event,  by thought intrusions, flashbacks, nightmares, with associated physiological reactivity, and avoidance of stimuli associated with the trauma. And this is why the just woman, the good mother, will immediately, intuitively and automatically give of her own life force (not a man’s oxygen mask) breathing directly into the mouth of a dying child. Amy Au-Yong * BSc (Hons) 2017 Aug 24;19(4). I believe terrorists’ placing of their own innocent women and children in harm’s way and using them as human explosives has contributed to returning vets misidentifying their own loved ones as emotional liabilities, being triggered by them, and mistaking them for the enemy. Therefore systems are the blue falcon or more crudely put,  the buddy or cluster fuck. They are much like Manchurian candidates brainwashed with a mental disorder that only works in a war zone. for suffering too much, you mistook her for the enemy Systems exist so that systems work (read: stay in existence) not so that you and I stay in existence. The need for the blind to maintain a high degree of auditory selective attention,' which is disrupted in PTSD,' means that they find this disorder unusually disabling for two reasons. I say it’s about time someone let the cat out of the bag, if not for our soldiers’ sake, for the sake of the country, those they went to war to defend, not harm, and for the sake of those they will inevitably, pre-emptively abandon, who are mostly innocent women and children, if everyone continues to keep looking the other way. But what that is that must be relearned correctly is usually the last thing that will occur to a victim of PTSD, especially if he or she tries to dissociate, meditate, medicate or suppress symptoms away. The difference, however, is that shell shock was specific to the experiences of combat whereas the concept of PTSD has developed to be more wide-ranging. Serina will be back on the next episode as she understandably has taken some time off for … People don’t get trauma disorders simply because they have been exposed to trauma. The just military man still tends to say things like “How can I help others, if I don’t calmly put my own oxygen mask on first?” as if he is the savior of the world. And considering the suicide rates of soldiers with PTSD and the increasing rates of suicide among military family members including children, it smacks of way too little too late. As Yoda said, you must unlearn what you have learned. Or are we going to punish people who have often survived equally traumatic, private wars of their own? During the early 1990s, the psychologist Judith Herman, in her seminal … Read the rest He was actually cheered on, even though the war mentality, believing that only winning matters, is the hallmark sign of sociopathy. Ramaswamy S, Driscoll D, Reist C, Smith LM, Albers LJ, Rose J, Nguyen L, Monga V, Doria R, Hollifield M. A Double-Blind, Placebo-Controlled Randomized Trial of Vilazodone in the Treatment of Posttraumatic Stress Disorder and Comorbid Depression. Blindness is naturally one of the most feared disabilities. Living with PTSD is a constant reminder of the traumatic events they have experienced. not war Study Design. Yet military authorities will never teach vets it’s time to drop their guard against innocent victims so that the soldier can get on with love and life. This fear is justified in veterans suffering from visual impairment caused by incidents during combat or in-service accidents. National Centre for Post Traumatic Stress Disorder. Ethical Considerations I think it’s a big mistake to assume that this is ocurring because combat-related PTSD (what used to be called battle fatigue) is somehow by nature far worse than any other form of PTSD. PTSD is also typically accompanied by feelings of blame or guilt, and individuals who have experienced trauma are at a higher risk of suicide.. I write this piece only to remind vets that man’s systems including the military, the Department of Veterans Affairs, and all systems within the government, are self-referential. The loss of sight can affect almost every aspect of everyday life, not to mention greatly impair one’s ability to find and keep a job. The situations I have described are classic psychological double binds that destroy unaware victims from within if they are not revisited, and the laws of love and life are not relearned correctly and properly restored. Am J Ophthalmol 1998;126:707–712. Abstract to save the world invisible nets waiting, only when the tide brings in Are we going to serve war and death by trying to make ourselves as “invulnerable” as drones to everything and everyone around us except those disordered systems, while punishing the innocent for being healthily human, those who scream out when they are in pain, or laugh when they are happy? In 2011, VA had 130 active studies on PTSD for a total investment of $155.4 million (Defense Health Program and VA, 2011). Stress disorders are worse and going viral among the military population because this country keeps its soldiers ready for deployment by medical suppression of symptoms and emotions, utilizing anti-depressants, anti-anxieties and stigma propaganda. 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