Soldiers’ mental illness By Gwynne Dyer - Monday 2nd May 2011

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AMERICAN and British soldiers have been fighting in Iraq and Afghanistan for about the same length of time, and their casualty rates have been about the same. More than 30 per cent of the American troops subsequently suffer Post-Traumatic Stress Disorder (PTSD), a condition that involves memory suppression and uncontrollable anxiety. Only four per cent of British troops do. It`s a statistic that suddenly undermines long-held assumptions.
My own long-held assumption, in this case, was that the rise of PTSD in western armies was mainly due to a major change in the way they trained their troops. Before 1945, like all the other armies, they just trained soldiers to shoot. After 1945, they started training their soldiers to kill people.
The change was triggered by a discovery that Gen S.L.A. Marshall made during the Second World War. He sent out teams to interview American infantry companies immediately after combat, with a guarantee that each soldier`s testimony would remain absolutely confidential — and he learned that up to 90 per cent of those American infantrymen had found it impossible to kill enemy soldiers.
They did not run away, they may even have shot their weapons into the air –—but they simply could not look down the sights and kill another human being. At the last moment, they became conscientious objectors.
Marshall had stumbled upon the single-most important fact about the modern battlefield: most of the soldiers present were not really taking part in the battle. Moreover, this secret refusal to kill could not be solely an American trait, or else the US Army would have lost every battle it fought against the Germans and the Japanese. In fact, it was true of every army that fought in the Second World War.
Significantly, however, it was only the private infantrymen, alone and unobserved in their foxholes, who silently refused to kill (but never admitted it to their comrades). The lesson US military leaders drew was that while the soldiers` private morality made it hard for them to kill, the right training could overcome their moral inhibitions. So they changed the training.
By the early 1950s, US Army basic training sought to lay down reflex pathways that bypassed the inhibitions, by training soldiers to snap-shoot at human-shaped targets that only appeared for a few seconds. They also addressed the problem directly, psyching their young soldiers up until they believed that they actually wanted to kill.
It worked: by the time of the Vietnam war, 90 per cent of American infantry were firing their weapons in combat and trying to kill their targets. Other western armies adopted the same training techniques, with equally impressive results. But there is an obvious psychological price to be paid for all this, or so it seemed.
The Vietnam war in the 1960s was when the incidence of PTSD among American veterans began to soar. They had been tricked into doing something that was morally abhorrent to them, and that was why so many of them fell apart afterwards.
Veterans of earlier wars had suffered high-than-average levels of alcoholism, depression and suicide, but that was nothing to compare with the PTSD plague that infected the new generation of veterans. The psychological manipulation they had been subjected to seemed to be the key — but then along comes this statistic saying that American soldiers are seven times more likely to suffer from PTSD than British soldiers.

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