PTSD and Older Veterans
From as long ago as Homer’s ancient story of the battle between the Trojans and the Greeks, and the times of the Bible and Shakespeare, military personnel have been confronted by the trauma of war. Recent books and movies have highlighted the impact of war trauma for veterans of the Vietnam war and the Persian Gulf war, but the traumas faced by veterans of World War II and the Korean conflict have been publicly acknowledged in the media less often and less clearly.
With the release of the movie, “Saving Private Ryan,” the reality of war trauma in World War II came front and center for veterans, their families, and our society at large.
The phrase, “war is hell,” only begins to describe how terrifying and shocking that war was for hundreds of thousands of American military personnel. For most World War II veterans, those memories still can be upsetting, although only occasionally and for brief periods, more than 50 years later. For a smaller number of World War II veterans, the war trauma memories cause severe problems still, in the form of “post-traumatic stress disorder” or PTSD. This Fact Sheet provides information to help veterans of World War II and other wars, their families (some of whom are second and third generation veterans themselves), and concerned members of the public to begin to answer the following important questions about war trauma and PTSD with older veterans:
How does war affect “normal,” “healthy” military personnel?
War is a life-threatening experience that involves witnessing and engaging in terrifying and gruesome acts of violence. It also is, for most military personnel, a patriotic duty to protect and defend their country, their loved ones, and their values and way of life. The trauma of war is the shocking confrontation with death, devastation, and violence. It is normal for human beings to react to war’s psychic trauma with feelings of fear, anger, grief and horror, as well as emotional numbness and disbelief.
We know from numerous research studies that the more prolonged, extensive, and horrifying a soldier’s or sailor’s exposure to war trauma, the more likely that she or he will become emotionally worn down and exhausted — this happens to even the strongest and healthiest of individuals, and often it is precisely these exemplary soldiers who are the most psychologically disturbed by war because they are able to endure so much of it with such courage. Most war heroes don’t feel brave or heroic at the time, but simply carry on and do their duty with a heavy but strong heart so that others will be safer — despite often feeling overwhelmed and horrified.
So it is no surprise that when military personnel have severe difficulty getting over the trauma of war, their psychological difficulties have been described as “soldier’s heart” (in the Civil War), or “shell shock” (in World War I), or “combat fatigue” (in World War II). After World War II, psychiatrists realized that these problems usually were not an inborn “mental illness” like schizophrenia or manic depressive illness, but were a different form of psychological disease that resulted from too much war trauma: “traumatic war neurosis” or “post-traumatic stress disorder” (PTSD).
Most war veterans are troubled by war memories, but were fortunate enough either not to have “too much” trauma to recover from or to have immediate and lasting help from family, friends, and spiritual and psychological counselors so that the memories became “liveable.” A smaller number, probably about one in twenty among World War II veterans now, had so much war trauma and so many readjustment difficulties that they now suffer from PTSD.