Tag Archives: ptsd stigma

An Insult to Combat Veterans: Army Chaplains Invite PTSD Denier Kenneth Copeland to National Prayer Breakfast

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Kenneth Copeland in front of His Private Jet which he Flies Because “Demons fly Commercial” 

Friends of Padre Steve’s World,

I have been mulling over writing about this since I first learned that the heretical Prosperity Gospel preacher Kenneth Copeland had been invited to speak at the National Prayer Breakfast at Fort Jackson South Carolina. In 2013 Copeland along with the faux Christian “historian” David Barton claimed on Copeland’s television show that PTSD is not real because PTSD is not Biblical

Copeland, who is a member of President Trump’s Evangelical Advisory Council has had his ministry issue a clarification of his remarks, but that being said the “clarification” smacked of more of a defense of his theology than a compassionate attempt to understand the ravages of PTSD.

I wish I was kidding, but neither Copeland or Barton have ever served in the military or been in combat and now Copeland is speaking this morning at the Fort Jackson NCO Club. Copeland is a self-described Christian Extremist  claimed on his show with Barton nodding in agreement that PTSD doesn’t effect true believers.

The Garrison Chaplain’s Office was a key part of that decision. I know a number of Chaplains stationed at the Post who protested in vain about the decision to invite Copeland. The breakfast is voluntary, but I can testify from years of military service in both the Army and the Navy that attendance is highly encouraged and chaplains are routinely pressured by senior conservative Evangelical Christian chaplains and commanding officers regardless of their own beliefs. The pressure is most effective on younger junior chaplains or other junior officers, typically company commanders or battalion or brigade staff officers.

Really, I first experienced this when I was a company commander in Wiesbaden Germany in 1986, as a brigade staff officer at Fort Sam Houston Texas in 1987, a mobilized Army Reserve Chaplain in Germany in 1996, and a number of other times. The last one of these was when I was at Camp Lejeune North Carolina in 2000. I guess that I was lucky that deployments and operational commitments kept me from attending such events until I came back from Iraq in February of 2008. After that deployment suffering from severe PTSD and a crisis in faith I only attended one more at Naval Medical Center Portsmouth in 2009, and once I became a senior and supervisory Chaplain I refused to serve as the host to such events because they are all too often platforms for politicians to ingratiate themselves with the military and as photo ops for high flying preachers who then use the video or pictures to show to their followers how they support the military and in the process use those for fundraising purposes. If chaplains want to bow the knee to that kind of idolatry and to use that rather old-fashioned and judgmental word “sin” than they can, but I won’t.

But Copeland has no shame. His comments about PTSD and the trauma experienced in combat are not limited to his 2013 show but are found throughout his remarks which are reckless and full of incredibly poor biblical exegesis and hackneyed heretical theology. My God, I’m actually sounding like I am orthodox in my Christian beliefs despite being liberal, but that’s because I am.

But I do struggle with faith every day. From 2008 to just before Christmas of 2009 I was struggling so badly that I was for all purposes an agnostic praying that God still existed even as I dealt with people in life and death situations on a daily basis as a critical care ICU chaplain at the Naval Medical Center. I figure that I believe now about 60% of the time, and when I do I really believe, when I don’t it is to be gently described as difficult.

I have lived with PTSD for a decade. I know what it is to be clinically depressed, suicidal, and to be labeled and ostracized by Christians, other clergy, chaplains, and long time friends all because what I was going through did not match their theology. I have been honest in  documenting my struggle with PTSD and moral injury on this blog which I began in February 2009 in past as a way to process what was happening to me, as well as my struggle with faith and belief. Because of that was contacted by reporters and with the help of caring Pubic Affairs Officers and commanders I was able to share my story in the Jacksonville NC Daily News, the Washington TimesHuffington Post the Department of DOD Real Warriors Campaign project. All were terrifying experiences because even though I wrote about my story here, the fact that they went out in local, national, and DOD sites exposed me to more publicity than I could sometimes deal with but I did them to encourage other veterans, especially those in helping and caring professions,; physicians, nurses, chaplains, corpsmen, and medics to see help and not suffer alone and in silence.

I am sure that has affected my career and I while some people were quite compassionate a lot, especially Christians were not. As far as my career went I was effectively sidelined after Iraq and placed in billets that very few were ever promoted out of, and ultimately that is okay because it made me realize what is really important in caring for and leading men and women in the military. I probably will retire as a Navy Commander in two years, maybe three, and move on with life after what will then be 39 to 40 years of military service. Since I spent 17 1/2 years in the Army and resigned my commission as a Major in the Army Reserve to go on active duty as a Navy Lieutenant in 1999 I have nothing to be ashamed of; I don’t know too many people who have risen to be a Field Grade Officer in the Army and a Senior Officer in the Navy. I am profoundly grateful that I still am able to serve and to care for young sailors, marines, soldiers, and chaplains.

In the mean time I still suffer the effects. I am doing a lot better now in large part because of my wife Judy and my three Papillon dogs, Minnie, Izzy, and Pierre. Izzy especially is very sensitive to my moods and we often describe her as “Nurse Izzy.” That being said in 2015 I crashed so badly that my colleagues at the Joint forces Staff College feared for me and ensured that I got help. I have suffered concussions, sprained my neck, bruised my jaw, and broken my nose during various combat related night terrors.

I have had friends, including chaplains, commanders, and others who I have served with lose their careers, families, and even take their lives while struggling with PTSD. Some were much better Christians than I could ever hope to be, and the presence of Kenneth Copeland speaking on one of the Army’s largest training bases where there are many young, vulnerable, and impressionable recruits who have never been to war, but who probably end up at war is offensive to me.

I am not against faith, spiritual fitness, or finding inspiration and help for life’s struggles in the Bible; but I am against charlatans of any kind that spout all kinds of base doctrines while profiting off of their victims, or should I say followers?

So anyway, to Mr. Copeland and those who invited him,  have a nice breakfast. I hope that the bacon gives you indigestion and the undercooked scrambled eggs give you the shits.

I’ll get hate mail for this as there is nothing more unforgiving and vengeful than fundamentalists scorned.

Until tomorrow,

Peace

Padre Steve+

 

 

 

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Filed under christian life, faith, iraq, mental health, Military, PTSD, Tour in Iraq

The Opportunity to Act Upon a Dream

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“All men dream: but not equally. Those who dream by night in the dusty recesses of their minds wake up in the day to find it was vanity, but the dreamers of the day are dangerous men, for they may act their dreams with open eyes, to make it possible.” T E Lawrence

This week I will be part of a panel discussion entitled “Paths for Achieving Readiness Tomorrow” at the Military Officer’s Association of America “Warrior Family Symposium” in Washington DC. The opportunity came about through the Department of Defense’s Real Warriors campaign which I have been working with since 2011 when they did a video feature on my struggle with PTSD. The panel will be moderated by WUSA Channel 9’s news anchor Derek McGinty and will include a number of mental health care providers or program directors; I will be the only chaplain speaking at the symposium. The panel will discuss available and developing programs designed to provide insight, skills and assistance for veterans, service members, their children and families – to aid them through handling reintegration, combat/operational stress, and mental health concerns; and provide them and the community, the understanding of the art of being present.

I am a bit nervous about presenting despite having been very open and transparent about my struggles with PTSD since beginning this website back in 2009. That is not so much because I don’t know my material, or what to say, but rather because I am an introvert and find writing to be less stressful than talking about my experiences in front of a big group of people. Part of this is also related by my need for safety as I am often very anxious in big groups of people that I don’t know, and because I have so much emotional investment in the subject of getting those who deal with the trauma of war and their families the help that they need.

After some of my experiences in attempting to get help myself in the military mental health care system, some of which have been more damaging than helpful, especially recently I know how scary attempting to get help can be. Likewise, I fully understand the profound stigma that many military members, especially those of more senior ranks who have invested their lives in military service, feel when they admit to dealing with these issues.

While the military has attempted to get rid of the stigma of seeking mental health treatment, even for PTSD the fact of the matter is that the stigma still exists. A very senior enlisted leader in an elite community told me following the suicide of a true naval hero who suffered from untreated PTSD and probably TBI as well who we both served with: “it’s hard when they say if you have issues and they are known that you can still have a successful career, but you will never be promoted or selected to a critical position, again.” The ironic thing was that the leader that committed suicide asked me when he took command of the unit I was in “where does a chaplain go to get help?” He obviously knew the reality of the stigma, even for chaplains. Sadly, I have to confess that as a Chaplain, Priest and clergyman there is a huge stigma to being a broken or flawed clergyperson, especially in the institutions of the church and chaplaincy. We clergy tend to take better care of our other parishioners than we do of each other and most clergy, be they in parish work, denominational structures or institutional ministry report a sense of isolation and lack of care from men and women who should be their colleagues.

I did not expect this invitation and I do hope and pray that what I say will be of help to the attendees and to those that struggle with PTSD, TBI, Moral Injury and other combat trauma or stress related issues. I dream that when I retire from the Navy, whenever that happens to be that I will be able to be an advocate and spokesman for those who suffer from these injuries. Maybe this opportunity will provide me a network of sorts to prepare for that dream.

As T.E. Lawrence said that dreamers that dream with their eyes open are dangerous, because they may act with open eyes to make those dreams possible, and I am one who does that. I have ideas and experiences that I think can be of help to others walking this path and their families. Likewise, I have a passion for trying to get people the help they need and even more importantly provide a safe place where they know that they can be honest. Admiral James Stavridis said: “overall, I think that’s an obligation to share your ideas.”

My experience is a bit more diverse than your average clergyman, mental health provider or military member. I combine my theological, philosophical, ethical and pastoral care insights, with being a caregiver to those that suffer, while struggling with the effects of PTSD, sometimes more effectively than other times. All of this is tempered by the realism that comes from 33 year military career and my academic training as a historian; both of which enable me to place these things in a broader context.

So anyway I will follow up with something tomorrow night and hopefully report out on my experience at the symposium on Thursday, as I expect to be on the road late Wednesday night returning from D.C.

I do appreciate your thoughts and prayers.

Peace

Padre Steve+

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Filed under mental health, Military, PTSD

Not the Cover of the Rolling Stone but the Front Page: Padre Steve Featured in Washington Times article on PTSD

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“We were all at once terribly alone; and alone we must see it through.” Erich Maria Remarque in All Quiet on the Western Front

Well my friends it has been an interesting week. Last week I was contacted by a Public Affairs Officer at the Pentagon who had been a student in our Winter Class because he had been asked by a reporter if he knew someone who could talk about PTSD. I was then contacted by the reporter, Maggie Ybarra of the Washington Times. I was interviewed and the paper sent a wonderful photographer Eva Russo to take pictures of me at Norfolk’s Harbor Park.

Now the Times is not my paper of choice. However the chance to talk about PTSD and the effect on veterans including senior officers in such a high profile forum is important. One does not have to agree with the political slant of news organization if they present the particular topic with sensitivity and balance. The reporter, editor and photographer involved all treated me and those who suffer with respect. I cannot ask for more. Since I was interviewed and quoted by David Wood of the Huffington Post last month for an article on “Moral Injury” shows a sense of balance, I will talk to anyone willing to fairly present the struggles faced by currently serving military members and veterans suffering from PTSD. My brothers and sisters mean more to me than my political leanings. This week I have been contacted by a producer from the BBC about a documentary on that subject but that is waiting on PAO to do something with it.

What matters to me is that veterans suffering from PTSD, TBI and Moral Injury are not forgotten. That happens far too often often after every war. The public forgets, the military forgets and the government forgets. Major General Smedley Butler wrote in his classic War is a Racket:

“I have visited eighteen government hospitals for veterans. In them are about 50,000 destroyed men- men who were the pick of the nation eighteen years ago. The very able chief surgeon at the government hospital in Milwaukee, where there are 3,800 of the living dead, told me that mortality among veterans is three times as great as among those who stayed home.”

Likewise I understand the stigma of PTSD. Many senior personnel both officers and enlisted, the career men and women effected by it PTSD, TBI or Moral Injury don’t want to identify themselves or seek help. I can’t blame them in some ways even though it is killing them. My choice back in 2009 was to decide try tell my story as honestly and transparently. When my shrink asked me what I was going to do with this I thought about it hard. I am very much an introvert and it was scary to “come out.” It was even harder then because though a chaplain I was for all practical purposes an agnostic hoping that there was a God and I was afraid of everything. But I knew that I had to start speaking out because very few senior leaders affected by this scourge had the freedom to do so. That is one of the reasons that I started this website.

It was risky to speak out. Despite efforts by some senior leaders to change the military culture the fact is that there still is a great stigma attached to “coming out” and seeking help for PTSD and other mental illnesses. In fact I know of numerous senior leaders, officer and enlisted whose careers have cratered due to the effects of PTSD and even some who have lost their families or even taken their lives. So for me this is very personal and serious.

The first time I spoke out being interviewed in the Jacksonville (North Carolina) Daily News back in April 2011 there were trolls who made some incredibly hateful and vicious comments about me in the comments of the online edition. Some were even threatening. The paper took the abusive comments down but the wounds remain, some people are simply assholes and I pity them. No wonder people don’t want to talk about the subject and would rather resort to silence, substance abuse and suicide than talk about it.

The fact is that despite the fact that some senior leaders are doing what they can to try to change the culture of the military from one that penalizes, marginalizes and trivializes the suffering of those that serve the stigma remains, and many feel it. One senior enlisted leader in an elite branch of the Navy told me that “leaders could seek help that they would never get any more career enhancing or important assignments.” That was only a few months ago after the suicide of a retired Navy Captain who suffered from PTSD and TBI, a man who meant much to both of us.

The fact is that as a Chaplain I feel pretty much “radioactive” to other chaplains, at senior chaplains. I can count on one hand the number of senior chaplains who have bothered to contact me or ask how I was doing. But that being said I have been contacted by others, chaplains line officers and enlisted personnel who tell me that I am one of the few people who “gets it” and that they feel safe confiding in. Personally I would rather have that be my legacy than anything else.

The fact is it will take a generation of leaders to change the military culture to give the men and women who put it all on the line and suffer for their efforts to get help.

But enough of that for now, I’m getting upset and I already have a terrible time sleeping, I don’t need to spin myself up any more than I am. If you want to read the Times article the link is here: http://www.washingtontimes.com/news/2014/apr/22/less-silent-suffering-veterans-post-traumatic-stre/

On a different note, I did something today that in more than 32 years in the military I have never done. I received a maximum score on my physical fitness test. The past few years I have come close but never maxed it. The sad thing is what I need to do now to get a maximum score is more than I needed to do as a young Army officer in the 1980s.

Anyway, until tomorrow when I will have another Gettysburg article for you, have a great night and remember to care for the veterans and families who suffer the effects of PTSD, TBI and Moral Injury.

Peace

Padre Steve+

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Filed under Military, PTSD

Ending the Stigma: PTSD, TBI and Moral Injury in Senior Leaders

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Yesterday I wrote about the death of my former Commodore at EOD Group Two, Captain Thomas Sitsch who committed suicide on Monday outside a New Hampshire Hospital. Captain Sitsch was another casualty of the longest wars this nation has engaged.

Many senior leaders in the military, officers and senior enlisted of every service have frequently deployed to Iraq, Afghanistan as well as other locations in the war on terror. Since the war has been going over 12 years many have spent over half of their careers preparing for, engaging in, or recovering from wartime deployments. Many have suffered physical injuries as well as the unseen injuries of war, PTSD, Traumatic Brain Injury and Moral Injury. Unfortunately they are often the last people to seek help.

In the past few years I have personally known or know of a number of senior officers and senior enlisted personnel who have committed or attempted suicide or had their careers destroyed because of their actions. Some like Captain Sitsch were diagnosed with PTSD, others displayed some or all of the indicators but either refused help or put getting help aside in order to “stay in the fight.”

In the past couple of years the Commanding Officer of a deployed SEAL Team committed suicide in Afghanistan, two Marine Expeditionary Unit commanding officers were relieved after incidents that probably have their genus in PTSD, or Moral Injury. I would almost bet that some of the issues that some of our senior leaders have been relieved of their duties for are also the result of untreated PTSD, TBI, Combat Stress Injury or Moral Injury.

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Retired Canadian General Romeo Dallaire still suffers from PTSD following his command of the UN Rwanda force in the middle of that country’s genocide. He attempted suicide in 2000 and still suffers. Last month he was involved in a car accident on his way to work in the Canadian Senate when he fell asleep at the wheel of his car. He had not slept the previous night due to reliving the horrors of that experience. As someone who still suffers chronic insomnia related to my PTSD I understand how this can happen.

The PTSD of T. E. Lawrence’s experience of war in the Middle East in the First World War shows in the pages of his classic Seven Pillars of Wisdom and various letters. Lawrence, who could have risen to high rank in the military or the foreign service basically went underground under an assumed name to serve in the ranks of the Royal Air Force in the 1920s. He wrote to Eric Kennington in 1935 not long before his death in a motorcycle accident:

“You wonder what I am doing? Well, so do I, in truth. Days seem to dawn, suns to shine, evenings to follow, and then I sleep. What I have done, what I am doing, what I am going to do, puzzle and bewilder me. Have you ever been a leaf and fallen from your tree in autumn and been really puzzled about it? That’s the feeling.”  

That is a part of our military culture. Leaders are under a great deal of pressure to accomplish often impossible missions and to take care of their troops. Many have been exposed to repeated combat trauma and had to bury more than one of their troops, often after the person commits suicide. Many anguish over the deaths, blame themselves and heap guilt on top of grief on top of traumatic or moral injury.

As I said many do not seek help due to an overwhelming cultural stigma against getting help, or “going to the wizard.” Likewise they know that that the reality is that if they seek help them may never command or be assigned to sensitive career enhancing billets again. As one senior leader told me “its hard when they say if you have issues and they are known that you can still have a successful career, but you will never be promoted or selected to a critical position, again.” 

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A few senior leaders have admitted to suffering from the symptoms of Combat Stress Injury and sought treatment. The most senior was General Carter Ham who began to suffer symptoms following his deployment to Mosul Iraq in 2004. Major General Gary Patton has also sought help for PTSD. Lieutenant General Peter Chiarelli, now retired has taken up the cause to reduce the stigma seeking to have PTSD renamed Post Traumatic Stress Injury instead of “disorder” because it is an injury.

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I wish I had an answer. For me it took a complete crash to get help as well as the assistance of two fine EOD officers, Admiral Frank Morneau and Captain Sitsch. Even with that initial assistance I still feel a certain stigma. My experience is that senior leaders who admit to this and seek treatment often become radioactive. I feel this most often around other chaplains. I am sure that senior leaders probably feel the same way when they are around others who either do not have the experience or who are trying to bury theirs.

One thing that I do think would be helpful is that instead of promoting stigma would be to stand alongside each other. Relationships are key to this and while professional help is good the only thing that can take away the stigma is to get back to standing beside each other in crisis rather than abandoning those who struggle. We are the willing participants in a zero defect culture which sees struggle as weakness and a mark of failure. The sad thing is that under our current system many of the greatest military leaders in history would not be promoted. It is no wonder the leaders who we have invested so much in developing and have sacrificed so much of themselves do not seek help.

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I like the example of Ulysses Grant and William Tecumseh Sherman. Both had significant problems after they left the Army after the Mexican War and in the early days of the Civil War. Grant struggled with drinking and Sherman suffered terrible depression. Sherman said of their relationship: “Grant stood by me when I was crazy, and I stood by him when he was drunk, and now we stand by each other.”

The reality is that in today’s more corporate military culture that neither of these men would have ever been promoted to high command. They would have been shunted aside.

Something has to change if we are to end this terrible scourge. I hope that General Ham and General Chiarelli are working with mental health professionals are able to help change the culture, but then by themselves they cannot. That has to start as we say in the Navy “at the deck plates.” It is up to us to change our culture, to be warriors who look after our fellow warriors in their time of need and who by our actions take away the stigma that keeps our brothers and sisters from getting help.

Peace

Padre Steve+

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Filed under iraq,afghanistan, Military, News and current events, PTSD

Where I Belong: Padre Steve and the Christmas Truce

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Christmas 2007 COP South, Al Anbar Province Iraq

“I belong with those who are in pain, and who have lost their faith, I belong here.” Father Palmer, the Chaplain in Joyeux Noel (Merry Christmas)

Last night I again watched the film classic Joyeux Noel (Merry Christmas) which is the story of the amazing and exceptional Christmas Truce of 1914. It is a film that each time I see it that I discover something new, more powerful than the last time I viewed it.

As a Chaplain I am drawn to the actions of the British Padre who during the truce conducts a Mass for all the soldiers, British, French and German in no-man’s land, who goes about caring for the soldiers both the living and the dead.  His actions are contrasted with his Bishop who comes to relieve him of his duties and to urge on the replacement soldiers to better kill the Germans.

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Father Palmer Tending the Wounded

As the Chaplain begins to provide the last Rites to a dying soldier the Bishop walks in, in full purple cassock frock coat and hat and the chaplain looks up and kisses his ring.

As the chaplain looks at his clerical superior there is a silence and the Bishop looks sternly at the priest and addresses him:

“You’re being sent back to your parish in Scotland. I’ve brought you your marching orders.”

Stunned the Priest replies: “I belong with those who are in pain, and who have lost their faith, I belong here.”

The Bishop then sternly lectures the Priest: “I am very disappointed you know. When you requested permission to accompany the recruits from your parish I personally vouched for you. But then when I heard what happened I prayed for you.”

The Priest humbly and respectfully yet with conviction responds to his superior: “I sincerely believe that our Lord Jesus Christ guided me in what was the most important Mass of my life. I tried to be true to his trust and carry his message to all, whoever they may be.”

The Bishop seems a bit taken aback but then blames the Chaplain for what will next happen to the Soldiers that he has served with in the trenches: “Those men who listened to you on Christmas Eve will very soon bitterly regret it; because in a few days time their regiment is to be disbanded by the order of His Majesty the King. Where will those poor boys end up on the front line now? And what will their families think?”

They are interrupted when a soldier walks in to let the Bishop know that the new soldiers are ready for his sermon. After acknowledging the messenger the Bishop continues: “They’re waiting for me to preach a sermon to those who are replacing those who went astray with you.” He gets ready to depart and continues: “May our Lord Jesus Christ guide your steps back to the straight and narrow path.”

The Priest looks at him and asks: “Is that truly the path of our Lord?”

The Bishop looks at the Priest and asks what I think is the most troubling question: “You’re not asking the right question. Think on this: are you really suitable to remain with us in the house of Our Lord?”

With that the Bishop leaves and goes on to preach. The words of the sermon are from a 1915 sermon preached by an Anglican Bishop in Westminster Abbey. They reflect the poisonous aspects of many religious leaders on all sides of the Great War, but also many religious leaders of various faiths even today, sadly I have to say Christian leaders are among the worst when it comes to inciting violence against those that they perceive as enemies of the Church, their nation or in some cases their political faction within a country.

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The Bishop Leads His “Service” 

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“Christ our Lord said, “Think not that I come to bring peace on earth. I come not to bring peace, but a sword.” The Gospel according to St. Matthew. Well, my brethren, the sword of the Lord is in your hands. You are the very defenders of civilization itself. The forces of good against the forces of evil. For this war is indeed a crusade! A holy war to save the freedom of the world. In truth I tell you: the Germans do not act like us, neither do they think like us, for they are not, like us, children of God. Are those who shell cities populated only by civilians the children of God? Are those who advanced armed hiding behind women and children the children of God? With God’s help, you must kill the Germans, good or bad, young or old. Kill every one of them so that it won’t have to be done again.”

The sermon is chilling and had it not been edited by the director would have contained the remark actually said by the real Bishop that the Germans “crucified babies on Christmas.”  Of course that was typical of the propaganda of the time and similar to things that religious leaders of all faiths use to demonize their opponents and stir up violence in the name of their God.

When the Bishop leaves the Priest finishes his ministration to the wounded while listening to the words of the Bishop who is preaching not far away in the trenches. He meditates upon his simple cross, takes it off, kisses it hand hangs it upon a tripod where a container of water hangs.

The scene is chilling for a number of reasons. First is the obvious, the actions of a religious leader to denigrate the efforts of some to bring the Gospel of Peace into the abyss of Hell of earth and then to incite others to violence dehumanizing the enemy forces. The second and possibly even more troubling is to suggest that those who do not support dehumanizing and exterminating the enemy are not suitable to remain in the house of the Lord. Since I have had people, some in person and others on social media say similar things to what the Bishop asks Palmer the scene hits close to home.

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Christmas Eve 2007 with the Bedouin 

When I left Iraq in February 2008 I felt that I was abandoning those committed to my spiritual care, but my time was up. Because of it I missed going with some of my advisors to Basra with the 1st Iraqi Division to retake that city from insurgents. It was only a bit over a month after I had celebrated what I consider to be my most important Masses of my life at COP South and COP North on December 23rd as well as Christmas Eve and Christmas Day. When I left the new incoming senior Chaplain refused to take my replacement leaving our advisors without dedicated support. He then slandered me behind my back because what I was doing was not how he would do things and because I and my relief were under someone else’s operational control. It is funny how word gets back to you when people talk behind your back. Thankfully he is now retired from the Navy and I feel for any ministers of his denomination under his “spiritual” care.  So I cannot forget those days and every time I think about them, especially around Christmas I am somewhat melancholy and why I can relate so much to Father Palmer in the movie.

It has been six years since those Christmas Masses and they still feel like yesterday. In the intervening years my life has been different. Severe and Chronic PTSD, depression, anxiety and insomnia were coupled with a two year period where due to my struggles I lost faith, was for all practical purposes an agnostic. I felt abandoned by God, my former church and most other Chaplains. It was like being radioactive, there was and is a stigma for Chaplains that admits to PTSD and go through a faith crisis, especially from other Chaplains and Clergy.  It was just before Christmas in late 2009 that faith began to return in what I call my Christmas Miracle. But be sure, let no one tell you differently, no Soldier, Sailor, Marine or Airman who has suffered the trauma of war and admitted to PTSD does not feel the stigma that goes with it, and sadly, despite the best efforts of many there is a stigma.

Now that faith is different and I have become much more skeptical of the motivations of religious leaders, especially those that demonize and dehumanize those that do not believe like them or fully support their cause or agenda. Unfortunately there are far too many men and women who will use religion to do that, far too many.  

As for me I am in a better place now. I still suffer some of the effects of the PTSD, especially the insomnia, nightmares and anxiety in crowded places and bad traffic, but I do believe again. Like the Priest in the movie I know that my place is with those who are “in pain, and who have lost their faith.” Like Paul Tillich I have come to believe that “Sometimes I think it is my mission to bring faith to the faithless, and doubt to the faithful.” 

Praying for Peace this Christmas,

Padre Steve+

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Filed under faith, film, History, Military, ministry, Pastoral Care, PTSD, Religion, Tour in Iraq

The Tapestry of Life: How PTSD and Combat Stress is a Part of Who and What We Are

I have been dealing with the effects of Post Traumatic Stress over 3 ½ years.  In that time I have had my struggles going ranging from falling into the abyss to a measure of recovery and occasional relapses.  It has been a difficult time which has stretched me in ways that I never dreamed and given me perspective on what it is to live, to have faith and to experience life in ways that I could not have imagined before I deployed toIraq.

Within a few weeks of beginning therapy I was asked by my therapist what I wanted to do with my experience.  I really didn’t know, I was in the midst of a complete emotional breakdown and crisis of faith.  When my therapist asked me “well Padre how are you with the Big Guy” I could only answer “I don’t know if God exists anymore or if he does if he cares about me.”  My therapist was the first person that asked me about my spiritual life after I returned.  No clergy of any kind asked that question.  I guess that they assumed quite wrongly that I hadn’t really changed.  There is a tendency among clergy to ignore the obvious when a colleague begins to fall apart.

In fact it is really a cultural problem.  Often the advice to someone dealing with trauma and the experience of grief which often compounds traumatic experience is to “forget about it” or “put it behind you and move forward.”  Some therapists and pastors seem to have burying the experience, reliving it time and time again until you are numb or simply try to expunge it from memory as their goal.

The problem with all of these “methods” is that they label the person who has been traumatized and the complex grief that they experience as a result of the trauma as ill, damaged or broken.  But it the opposite is true, people that have experienced trauma especially in a combat zone are simply having a normal reaction to experiences that are not normal.

We adapt to war and the experience becomes part of who we are.  It is a survival tool that humans have had ever since the first skirmishes between primitive tribes.  However primitives actually have an advantage over the modern human.  They went to war to defend their families and homes.  The warriors would be sent out with fanfare, religious ceremonies and ritual. When they returned they would be brought back into the tribe, new warriors who had distinguished themselves would be noted, sometimes marked in some physical manner.  Rituals marked the re-entry of the warriors and they would be reincorporated into the community. Some societies would incorporate rituals for individuals to do as they re-entered the community. Their stories would become part of the tribe’s oral tradition and passed down to successive generations.

Today’s modern American warrior doesn’t go to war with his neighbors.  These warriors go to war with men and women that come from many parts of the country, US territories or immigrants and when they leave service they often return to neighbors, friends and families that care about them but do not understand them or their experience. The reactions that they developed in combat and their response to perceived threats are considered dangerous or abnormal.  People tell them that they need to go back to what they were before the war experience but they can’t because they have been changed by their experiences.

We live in a culture of denial. All too often it seems that society simply wants the traumatized and grieving veteran just be quiet, see a shrink, go to a PTSD group and “get well.”  Many times churches and religious institutions treat the problem as some kind of spiritual shortcoming.  Many Christian veterans come home and find that they are shunned because they have doubts or because they don’t “get better” after people pray for them.  I was reading a faux news article which was more like an infomercial for a CD that promotes a method as “Be still and know….”  It was developed by a reserve Army Chaplain and Christian therapist. It is designed to make it all go away.  Do the method right and you get better, God heals you and you live happily ever after until something breaks the cycle of denial and you crash.  I do believe that God heals but I don’t believe that God makes everything magically go away like it never happened.  Such a belief is not supported in Scripture, the testimony of the early Church or for that matter most of the Christian tradition.

This week I was being filmed for a Department of Defense program called The Real Warriors Campaign   http://www.realwarriors.net/which is designed to de-stigmatize Combat Stress injuries including PTSD and Traumatic Brain Injury.  They picked up the article that was written about me in the Jacksonville Daily News in April of this year and asked if I would be willing to participate.   http://www.enctoday.com/articles/cmdr-89433-jdn-stephen-military.html

It was a hard week for me. I went to a functioned hosted by our hospital Wardroom at the base Officer’s Club Saturday night and while I enjoyed myself I hit sensory overload. When I got hope I was pretty edgy and to add to the situation we had some Marine helicopters flying in the area I live that night. As I tried to calm down I realized that I was going to be interviewed Tuesday and the thought scared the shit out of me.  Yes I had agreed to do it and yes I thought I needed to do it but my heavily introverted and relatively anti-social personality type now seasoned with reactivated PTSD symptoms couldn’t handle it.  I couldn’t sleep and had the firstIraqrelated dreams I have had in many months. I did not even open the front door of my place on Sunday.  I couldn’t sleep Sunday night and got permission of my boss to get some assistance.  Since I couldn’t get a no-notice appointment with my current psychiatrist I called my first therapist and he was helpful. I went to a ball game and that helped calm me down.  I was still anxious but functional.

The two days of filming went pretty well for me, although I know with the possible exception of “COPS” there is no such thing as reality television.  This was not “reality television” but the goal was to try to show how I live life, work and relate to people after deployment.  The crew was really good and handled things professionally but even so it was packaged and things had to be have lighting, have different camera angles and required me to repeat things sometimes because of the privacy issues of patients in the hospital.  But it is what it is.  By the end of the two days I was pretty wiped out and simply rested last night.

However on Monday night before the interview I had an epiphany.  That simple illumination came from an episode of Star Trek the Next Generation called Tapestry I won’t ruin it for you but the final segment of the episode is linked here:

http://www.youtube.com/watch?v=hZeGzaJiP6g&feature=related

The epiphany was very simple.  All of our life, the good, the bad, the enjoyable and even the traumatic are part of a rich tapestry.  Those painful threads, the ones that we cause ourselves or the ones that are the result of trauma, grief and loss are part of who we are as human beings.  If we try to remove them we damage the tapestry and if we try or are persuaded by those that deny the reality of pain and suffering to remove the really painful and deep hurts, those which are the most tightly wound into the fabric of our lives, especially for the combat veteran we risk long lasting damage to our very soul.

The challenge is not to be “healed” or to compartmentalize the trauma and put it in some deep closet in our brain.  Nor is it to deny the trauma or for that matter keep trying to relive the trauma so that we are desensitized to the pain.  The real challenge is to allow our experiences of war, grief, loss and trauma to have their place in our lives knowing that without them we are not who we are.

I’m not saying that I have any real answer to what all of us that experience combat stress injuries deal with.  All I know is that I just want to be real and there are risks in opening up to people and reaching out to get help.  At the same time it is important to find a way to get help so we can adapt to our new reality.

As for me I went through some terrible times that still affect me.  Yes I went through a period of profound spiritual crisis and even a loss of faith and when I began to recover faith people that had been okay with me being broken ended up asking me to leave my church because the faith that I have now didn’t fit the narrow box that defined that church.

All that being said I am glad that my therapists or my supervisors allowed me and continue to allow me to work through the issues that still impact me and my ability to function in society, deal with others and even effect my marriage.  I wish every combat vet and survivor of trauma had that support.  I just hope that I can be worthy of the trust that they have place in me and that I will care for those entrusted to me with the same care and compassion that I was and am being shown.

Peace

Padre Steve+

3 Comments

Filed under faith, Military, Pastoral Care, philosophy, PTSD, Religion, star trek, Tour in Iraq

Till the Smoke Clears: A Reflection on PTSD and Faith

A morning drive in Iraq, looks like that here too

We are in a drought in Eastern North Carolina and with that drought have come forest and peat fires in the areas surrounding the Crystal Coast. The fires have now shrouded the summer sky with a layer of dense smoke and the National Weather Service is predicting poor air quality and visibilities of a mile or less.

I had been noticing it periodically over the past few weeks and occasionally the stench from the fires would catch me unsuspecting and send me back to Iraq. Anyone that has served in Iraq can testify of the pall of smoke from burn pits and in locations around the cities and countryside of Iraq. Those afflicted with PTSD often have a heightened sense of awareness to things that most people take for granted such as noise, light and smell.  Having experienced this myself and talked to many more men and women that served in Iraq, especially those with PTSD these normal parts of everyday life now seem to be hard wired into our brains along with a need for safety and a certain level of hyper-vigilance.

Sand smoke and clouds

I had to drive to the Marine Corps Air Station at Cherry Point for my BLS recertification at the Medical Clinic this morning and the sky was weird hue. It reminded me somewhat of Iraq and the smell of the smoke hit me as did the sound of helicopters and jets taking part in a large exercise.  For a fair amount of the trip I was back in Iraq.  When I returned to LeJeune I had to stop by the UPS Store for a simple transaction and as I was filling out the paperwork someone barged in and slammed the door to the store as the sound of bombs exploding on the bombing ranges of the coast of Camp LeJeune went off. About that time a police car roared by with its siren wailing, just like they did in Iraq. I had to about put myself back into my skin as I remembered a morning doing PT near the perimeter of Taqaddam air base when an explosion rocked the town of Habbinyah less than a mile away with gunfire and sirens following the explosion. That’s some good living.  Hurriedly paying I got out of the store got in my trusty 2001 Honda CR-V and got on the road. As I drove west toward the base the smoke was worse in places as was the stench.

Sunset in the smoke and sand and a smoky day in ENC

I got back to the Hospital and took care of what I needed to do and went home. On the way out the door I could not find my Blackberry. It was nowhere. Not in my uniform, my desk or anywhere. I wracked my brain wondering where it could be.  Then I thought that it had to be at the UPS store, the Cherry Point Clinic or the Cherry Point base gas station.  I was beginning to hit panic mode but was able to calm down and as I drove back home toward the UPS store I just prayed that I had left it there. Thankfully I had and the very kind lady that runs the store had safeguarded it.  Evidently when the other customer had slammed herself through the door I had dropped it out of my hand without even noticing.  That old startle response is still there and thank God for life in small towns.

I finally arrived at home relatively calm and turned on baseball. As I fixed dinner I could hear more bombs exploding on the ocean bombing range which is only about 6 or 7 miles away from my apartment.  Meanwhile the aircraft were much more active even deep into the night. I turned up the television and hunkered down on my big bean bag, finished an article that I began yesterday about the Battle of the Philippine Sea and tried to tune out the aircraft and the occasional explosion.

Hanging on at the end of the Iraq deployment with RP1 Nelson Lebron

A friend of mine recently wrote about the “tentacles of PTSD” which I think is an apt description of the neuro-sensory reactions that are part of life with PTSD.  While I have had a lot fewer reactions over the past few months I have noticed an increase of hyper-arousal and hyper vigilance as these stimuli trigger physical responses to perceived danger.

I remember when I was collapsing in the summer of 2008 there was a rather large and long burning fire in the Great Dismal Swamp. I walked out one morning and the smoke was so thick that the sky looked just like Iraq between the smoke and sandstorms.  That was the day that after a daylong seminar on combat and trauma that my medical officer looked at me and asked if I was okay and I said that I wasn’t. In fact that was around June 16th 2008.  It marked the beginning of me recognizing that I was different and damaged and that nothing was the same including my faith which was shattered to the point that for all practical purposes I was an agnostic. But that day was also my first step to healing.

Now I do not expect a major crash because I am a lot more aware of what is going on and what triggers me. At the same time I do feel less safe in large part due to the sights sounds and smells that are running rampant and reminding me of Iraq. They say that the smoke will be worse tomorrow and the temperatures will also rise into the mid-90s, low by Iraq standards but enough to increase sensitivity to the sights sounds and smells that I and thousands of other Iraq and Afghanistan veterans in the area will experience.

Eventually the smoke from the fires will clear away and with it the neuro-stimuli should decrease and life will return to my “post Iraq normal” where the hyper-vigilance will subside a bit. In the mean time I have the wonderful privilege of caring for and providing ministry to those who like me have returned from war changed.

My faith which was shattered when I returned from Iraq has returned and while I still have days where I have doubts I am no longer an agnostic.  I am able to be with those that doubt and even those that have “broken up with God” to use the term of Sarah Sentilles, especially those who had their faith damaged by war. I see a lot of that here as well as a lot of men and women that have doubts but try to hold onto faith while battling PTSD, TBI, depression, substance abuse and even suicidal thoughts.  Many like I did probably have to lie to their friends and families about their doubts, fears and struggles because most people don’t want to hear them.  When people do start talking they become “radioactive” to use the term of Dr. Robert Grant.  For me that openness cost me friends in my former denomination and led to me being asked to leave it in September of last year. I am better for the experience but it is still somewhat painful as I see more young men and women coming home from war not only injured or damaged in mind body and spirit but also wondering about the war itself and feeling cut off from their countrymen.  No one likes to talk about that but there are tens of thousands of veterans including many still on active duty that struggle with all of this.

Yes the smoke will clear someday, I am confident that somehow God’s grace mercy and love shown to us in Jesus will get us all through.  Until then we wait for that day when the smoke clears and we can see clearly.

Peace

Padre Steve+

4 Comments

Filed under Loose thoughts and musings

A New Start…Life off the Fat Boy Program

Back in Standards 

“Every day is a new opportunity. You can build on yesterday’s success or put its failures behind and start over again. That’s the way life is, with a new game every day, and that’s the way baseball is.” Bob Feller

One of the biggest effects of my post-Iraq PTSD crash was how I tried to cope with this multi-faceted beast. Of course psychologically and spiritually I was in the toilet so much so that I was in the midst of a spiritual crisis so great that I was for all practical purposes an agnostic.  I struggled to hold myself together during 2008 and early 2009 trying to believe again and keep in shape. To compensate for my lack of belief, depression and the other nasty effects of PTSD such as night terrors, insomnia, hyper-vigilance, flashbacks I threw myself totally into work on the critical care units of the hospital I was serving. I finished my Masters Degree program and worked hard to better our hospital’s Clinical Pastoral Education Program and served on various committees including the Ethics Committee.  It was too much and the collapse deepened so I sought other coping mechanisms. I turned to comfort food and drink as a way to cope, especially food that was bad for me and way too much very good beer.

After my physical fitness test and weigh in during April of 2009 I lost all control of the latter two. While I had been drinking more since my return from Iraq than before the deployment in the spring of 2009 it became a problem.  I would leave work and on days when the Norfolk Tides were in town I would take to my season ticket seat in Section 102 Row B Seat 2 and seek refuge from my problems.  The ballpark and baseball helped bring some peace to my soul, but it would only last for 3 hours.  At the ballpark I would drink two to three beers with a chili dog and fries and maybe a pretzel, peanuts or ice cream.  After the game I would swing by the Krispy Crème Donut shop on the way home and pick up a dozen hot and fresh glazed donuts. I would then get on my computer and write on this site. While writing I would down three to six of the donuts with another two to four beers and repeat the cycle the next day for the rest of the home stand. On other nights I would go over to get donuts and drink more beer with them often after eating a heavy meal with very good beer at the Gordon Biersch Brewery Restaurant in Town Center.  By November I weighed 194 pounds and though I passed the PT test with a very good score for someone my age I was way over my weight and body fat limits. Thereafter it was a struggle to get below 180 pounds. I failed my next body composition assessment by a percentage point and though scoring well enough to qualify for the DOD waiver which would have taken me off of the program it was not approved.  I weighed in weekly and continued to improve my physical condition to the point that I was within the body fat standard by the time I left that duty assignment I transferred before the next official physical fitness assessment and got to my new assignment after the period was over.  Thus I remained on the program.

To those that have never experienced life in any military branch Fat Boy or Girl program it is humiliating, at least if you are a military professional.  There is a stigma to being fat because the military is run by tall skinny people.  Those of us of the under tall variety understand this stigma very well even when we are within standards.  I know a good number of good Soldiers, Sailors and Marines put out of the military because they did not meet their service body fat and weight standards.  Many like me are those suffering the effects of war and just trying to cope with life.  Others are men and women who are suffering the effects of time with shrinking bodies due to spinal disc compression and other injuries, illnesses and the slowing of metabolism which conspire against them. The military is a young person’s game and 51 year old 30 year veteran relics like me are in the minority.  For me the physical requirements are little different than when I first went on active duty in 1983. Back then I thought that when you got older you would catch a few breaks. Well in the age of budget cutting and a shrinking military force those standards continue to tighten and few breaks are to be found.

Bursting at the seams in my Summer Whites in 2009, this was not a comfortable uniform at the time, now it is very loose

While I had lost weight and body fat I was still over my weight limit.  The body fat measurement in the Navy is the measuring tape around the neck and the fattest part of the belly.  It is a terribly subjective and according to many scientific studies inaccurate test.  Nonetheless if you are over the weight limit you must be taped.  I didn’t want to go through that again so I decided that I was going to start really eating healthy and diversifying my exercise regimen.  When I arrived at my new assignment I weighed 184 pounds and during the winter added a few more pounds. At the beginning of January I bought a digital scale and began to weigh myself several times a week. I stopped the comfort foods except for an occasional hamburger or piece of pizza.  Even if I ate a hamburger I omitted the fries and held the cheese and mayo. I began to look at the nutritional information on everything that I ate even looking up restaurant data to ensure that I had the healthiest food that I also liked, it does no good to eat healthy if you hate what you are eating because you don’t stick with it.  I cut back on my drinking a lot, even going to Yuengling Light Beer at home.  I counted every calorie and measured calories burned. If I went over on one thing I compensated rather than continuing as if I had not.

As winter became spring I noticed a difference, I was weighing less and all of my clothes continued to get loose to the point that things that I could not get into during the fall were baggy and some nearly falling off.  As the date approached my scales had me near the limit for a half inch below my real height just in case I got a bad measurement on my height, five pounds is five pounds.  I felt a lot of stress over the week and could feel every muscle in my back completely tense to the point that I was in pain. I weighed in Friday at 169 pounds and was six pounds below my weight limit and one pound below the lower height limit.  I have lost all 25 pounds that I gained during that horrible period of my life. On Monday I will take the physical fitness test something that I never have a problem doing well on.  When I do that I will be officially off the program.

Last night I was invited to do the invocation at the Navy Nurse Corps Birthday Ball at Camp LeJeune. I eased into my Mess Dress Blue uniform which last May I could barely squeeze my body into and in which I looked terrible.  The uniform was loose and fit very well. I went to the ball and had a wonderful time with my colleagues from the Naval Hospital and their guests.  I made sure that I had a friend take the picture which accompanies this post.

For me this is a comeback. I still have my struggles with PTSD but on the whole on the physical, psychological and spiritual aspects of life I am doing much better. Yes I still struggle at times and experience some of the manifestations of PTSD and of my spiritual crisis but I am not collapsing when something shakes me like I was between 2008 and even into 2010.

Had I failed the body composition assessment I could have been separated from the Navy and while I probably would have been able to retire it would have been a most humiliating way to leave the service.  Instead as long as I am alive and haven’t done anything incredibly stupid I will be promoted to Commander on September 1st and continue to be able to serve God’s people in the Navy for years to come. Of course I cannot fail a physical fitness assessment for the next two years but now that I have my diet stabilized and composed of things that I like and live in a place at the Island Hermitage where I love to run, walk and bike I do not expect to ever fail that again. My goal is to get back to the weight that I was when I was commissioned as an Army Officer in 1983, 158 pounds and keep it there. Thus my task is still incomplete.  I have succeeded in my first goal and now it is time to complete the deal and live healthy from here on out.

Today is a new opportunity and I am putting past failures behind.

Peace

Padre Steve+

3 Comments

Filed under faith, healthcare, Military, PTSD, US Navy

The Front Page: Padre Steve talks about a Newspaper Interview on His Battle with PTSD

“Gratitude changes the pangs of memory into a tranquil joy.” Dietrich Bonhoeffer

I was interviewed about a week and a half ago by Hope Hodge a reporter for the Jacksonville Daily News. The paper had discovered me through an article I wrote last September entitled Raw Edges: Are there other Chaplains out there Like Me? The editor assigned Hope to the project. After thinking about the request a number of days I knew that I needed to do the interview and had Hope contact our Public Affairs Officer, Raymond Applewhite. When he secured the permission of my Commanding Officer Captain Daniel Zinder he set up the interview with Hope and photographer Chuck Beckley.  

The interview was a very healing experience and the article was well done and I have nothing but thanks to Hope and those that arranged this. While I have talked extensively about my tour in Iraq and subsequent battles with PTSD, loss of faith and my slow recovery on this site as well as with individuals but I have carefully avoided media until now.  While I write a lot tend to be somewhat reclusive in real life especially since coming home from Iraq with my safe places being Harbor Park in Norfolk and Gordon Biersch Virginia Beach.

I knew that the interview would trigger some memories and I knew that once the article was out in public that there would be varied reactions including some that I knew would be negative.  At the same time the negative has been far outweighed by the positive reactions, especially among those that have gone through similar dark times. As I read the comments I knew despite that any negative reactions or attacks on me that the interview was the right thing to do. I read the stories of those who told about their battles with PTSD, experiences with military and VA healthcare as well as their crisis’s of faith posted in comments section and was touched.  They were telling things that are hard to talk about, especially in a public forum of a local newspaper where people can be quite vicious.  I know that even in that forum when most remain anonymous there is a risk and an emotional cost in posting experiences that in a sense are holy to the people sharing them and should be respected so I am glad to see that for some the article was helpful and encouraging. I was also blessed and even comforted by those that spoke well of me.  The kindness, support and comradeship that one has with such people is amazing, there is a brotherhood of war and we will support each other.

There was one man that was particularly nasty and I do need to deal with his comment here, not because I am upset but rather because I know how war, especially was like Vietnam and the current wars can do to a person.  The man who is an anonymous poster to this and other articles on the Daily News website claims to be a veteran of Vietnam in 1969-1970. I have no reason to doubt him as there are a lot of Vietnam Era combat vets in the local area and since I am a child of a Vietnam combat veteran and remember the shameful way that these men were treated when they returned I would never disrespect his service or even his feelings about how he was treated and the abuses that he saw when he came home.  I am very close to the Marine veterans of the Battle of Hue City and still maintain correspondence with these men who I count as friends.

At the same time I think that this man’s comments need to be addressed, not because of his service or experience following his return but because of the use of character assassination that is so common in our national discourse now days. The last time I experienced an attack on this site of similar invective was when a Neo-Nazi or White Supremacist from East Tennessee went so far as to physically threaten me. That man claimed to be a former paratroop officer. I really don’t know what brings people to launch such attacks on people that they never have even met but it is part of life and I knew that I might get something like this so it is what it is.  This is what this man said:

“This man should never have been in the military as he is too weak-minded. And/or, he, like a surprising number of his fellow officers have found it is best to get out under a disability as it’s a tax free cream puff ride to the bank each month. Imagine if he was one of the thousands of trigger pullers afield and try to pull this off? Pathetic!!” Comment by Your62 on Jacksonville Daily News (This and other posts by this man was removed by the newspaper sometime today 3/30/11)

Needless to say he was pretty nasty to others who commented on the article as well so I cannot take it personally and some of them gave it back to him in spades. As for me I hope that this man finds peace someday.

As for me I figure that since I have been in the military, not only as a Navy chaplain but also an Army Officer for nearly 29 years and that I have volunteered for every combat, humanitarian or contingency mission that I could over the course of my career, much to the chagrin of my wife, family and friends that I am by no means weak or lack courage. I know that I didn’t volunteer to go to Iraq to come out of it with PTSD and all that I have gone through since and what I have put my wife through.

Much to the surprise of this veteran I am not looking for a “tax free crème puff” as I figure that 5-10 years from now when I actually retire that I will have maxed out about every pay scale that there is and probably will have another deployment or two in me before I am done.  I figure that the way things are going in the world I will get a shot in Afghanistan or North Africa before all is said and done.

I certainly do not claim to be anywhere or done anything that I did not do or experience and never claim that I experienced what many other veterans of our current wars or past wars have in any of their wounds.  I see too many young men and women who have suffered grievous wounds to body and soul as a result of war to do such a thing. Likewise the many veterans of previous wars that I know who still suffer their wounds I would never dishonor. I consider it an honor to have served alongside such fine men and women or to met them long after their service in Vietnam, Korea or the Second World War or at the end of their careers when I was a young and idealistic know nothing officer in the early 1980s.

My war was different than others. It was in a lot of places where many never went serving alongside small units of 15-20 American advisers stationed with Iraqi units.  These men were remarkable because they were incredibly exposed to danger and often far from big units that could help them if they ran into trouble. They were the men that help organize and train the Iraqi Army to help turn the tide against Al Qaeda in 2007 and 2008 as much as anyone they were responsible for helping build friendships with Iraqi military officers that will be a cornerstone of our friendship with Iraq in the future.

As for me I did not shrink from danger. I went on foot patrols, night convoys in the badlands and was in a helicopter that was shot at and returned fire. I have had rockets fly over my head and being on a convoy that took some fire. Thankfully I was never in a convoy hit by an IED or big coordinated ambush. Since the convoys that I travelled with usually had three HUMMVs with nothing heavier than a single .50 cal or 240 series machine gun that any such action would have been a battle for life and death and I know what I would have done had such a situation occurred. Since Al Qaeda Iraq had Chaplains as a high value target and since our Iraqis new that I was the “American Imam” and that such word would filter out of the camps the men that I served with took good care of me even in very exposed locations. Likewise even Iraqi officers sought my counsel and asked me to bless or to pray for their soldiers.  I will never forget the Iraqi soldiers that asked me to bless their vehicles on one of our convoys with Holy Water as I did for our advisers as we set off on Route Uranium west of Ramadi.

Through it all I can now say that I am grateful for what I have been through. It still is not easy as even though I continue to see improvement I still on occasion have flashbacks, nightmares and have to make the effort to go into places where I don’t feel safe.  At the same time I would gladly go back to Iraq or to Afghanistan or anywhere else to serve the men and women of the Navy, Marine Corps, Army and Air Force that I love and respect so much.  There is not a day that goes by when I don’t think about serving in combat again, much to the chagrin of my wife and family.  I am not a proponent of war, in fact the more I see I am against it.  I fully agree with General Robert E. Lee who said “It is good that war is so terrible. We should grow too fond of it.” However, I know my place until the day that I retire from the Navy is when my Marines, Sailors, Soldiers and Airmen are in harm’s way.

For those who are silently suffering the ravages of PTSD and moral injury related to their service I know the pressure. I didn’t seek help until the EOD Diving Medical Officer saw me falling apart and got me into the medical system.  Unfortunately there can be and often is a stigma attached to PTSD and for some to suffer in silence is preferable to the stigma of seeking help and being called weak.  I made the choice to get help when I couldn’t do it on my own any longer but have seen others be traumatized by other servicemen and women for seeking help, that whole thing about being “weak.” I got lucky when I was sent for help, not everyone has my experience.

Despite that I encourage those suffering from such injuries to seek help because there are a lot of us out here that really care because we know what it is like. I admit that it is not easy to seek help and sometimes getting it can be problematic simply because of the stress on the medical system, but help is there.

Blessings and Peace

Padre Steve+

7 Comments

Filed under faith, iraq,afghanistan, Military, Pastoral Care, philosophy, PTSD, Tour in Iraq

Survival on the Home Front: Dealing with Other People’s Reactions to My PTSD

081

Being in Iraq  was in Many Ways Less Frightening than Being in the USA

I find it interesting and sometimes painful to see how institutions and some people within the institution will label those of us who have gone to war and came back as gooned up with PTSD.  The biggest tension and issue, and I admit it as my own is that we get stereotyped and sometimes viewed as “broken.”  I admit that I have issues, in fact a lot of frickin’ issues and I have a pretty good awareness of them.  I see Elmer the Shrink to help me through the rough spots but there are times when I bump across those that appear to use my condition as a weapon against me.  Whether it is intentional or not, it is not fun to deal with.  I’ve had it happen a few times since I have started getting help last year and every one of the people involved were people who have not been to combat to use a pejorative term from Vietnam they are REMFs .

I know several others who have experienced this mentality.  We all feel really vulnerable because all of us have opened up to people, or to use the Star Trek analogy to “drop our deflector shields.”  Pulling down shields makes you vulnerable, if you do it because you think you are in a safe area.  When you take “friendly fire” is really sucks. It is actually easier in theater.  If I was sent to Iraq or Afghanistan today I would be back in my element and probably suffer little from PTSD symptoms.  Sometimes I wonder if the Navy would be better off to ship me over again.  Admittedly with the health of my parents and a position at my medical center that is important for me to remain in for the time being, there is something that says at some point I need to go back, maybe not now but later.  See out there the PTSD defensive reactions fit.  There are bad guys and good guys, friend and foe and the body and brains’ reaction to real or perceived danger are natural.  I am wary of people until I figure out if they are friend or foe. When I make a mistake in my IFF it usually bodes ill for me.

When you come back out of that environment you find that even though you are “home” that you have changed and nothing is the same as it was before.  Your body and brain have divided the world into two camps, friend and foe or safe or unsafe or maybe even secure versus dangerous.  In my life I notice this with people as well as situations such as being on the road in our nutty Hampton Roads traffic which by the way even if you don’t have PTSD is quite the adventure I have become a very offensively minded defensive driver with faster reflexes and reaction time than I had before I went to Iraq.  I have to say that I am now a very aware person to perceived threats and actually that is not a bad thing of itself.  In Iraq I was probably operating at a 9 or 10 of ten on my perceptions of and reactions to real and perceived danger.  Since I have returned and gotten some therapy I probably operate at a 3.5 to 4 most of the time and depending on the situation move up higher sometimes being very aware of possible danger and hyper-vigilant .  Before I went to Iraq I probably operated at about a 1-2 on the scale of 10, pretty oblivious to danger and not too worried about it either.  Truthfully I am happy at an increased level of the 3.5-4 and maybe on occasion 5.  I don’t like getting up above 7-8 because it really makes a mess of my nerves and general requires that I take my docile pills.  Recently I’ve had a few of those days.  Trust me it is no fun to have a nervous tremor.  When that happens I feel like Gene Wilder’s character in Blazing Saddle’s Jim the Waco Kid response when Sherriff Bart (Cleavon Little) questions him:

Jim: Look at my hand.
[raises hand and holds it level]
Bart: Steady as a rock.
Jim: [raises his other hand, which is violently trembling] Yeah, but I shoot with this one.

Although I can occasionally find some morbid humor in what is going on with me I can’t say that it is any fun.

There is a perception by some, which I think is often systemic in parts of the military that people with PTSD are “broken.” Some in the system as well as others who have been granted the privilege of knowing your vulnerability consciously or unconsciously sometimes use it against you, I personally think it is intentional when this happens but I try to give the benefit of the doubt to the offender.  Like I said before this has happened to my on a number of occasions and in every instance I have felt attacked, devalued and re-traumatized and I don’t like that feeling and it takes me a while to get back through all the crap.  When it happens to me I get angry, defensive and now as opposed to my pre-Iraq life will shoot back.  I’ve stopped rolling over and letting people get away with this behavior and when I see it happen to others I get equally pissed.  Unfortunately I have a number of friends who have had similar experiences and as we share our stories we realize that some people or even the system in general will write you off as damaged goods.  What is the bad thing is that the worst comes from people who have not been in harm’s way.  Likewise, if they went to a combat zone never left one of the big FOBs and never had to deal with the danger of being outside the wire. Nor have they experienced what many medical personnel who remained on the big FOBs experienced in dealing with never ending trauma of dealing with the death, wounding and suffering of young Marines, Sailors, Soldiers and Airmen.  Another group are the men and women who perform the tasks of getting the fallen back home.  One of my Chaplain friends had this job in Kuwait and had to meet every aircraft with the bodies of the dead leaving theater performing memorials and conducting honors all the time caring for those who cared for the bodies of these Americans and came back in pretty bad shape.

What saddens me is that this still attitude of men and women dealing with PTSD being “broken” or as one called me a “shipwreck” happens even though we have been making the conscious effort since Vietnam to treat people traumatized by war.  The end result is that those who are traumatized are again and again re-traumatized by the system as well as individuals in it.  I have seen enough of this to make me throw up. Thankfully the Navy as a whole does better in this than the Army, Marines or Air Force but there is a lot to be done.   When I have a REMF screw with me or my friends it does get to me and I can say that I get angry and the person moves out of my “circle of trust.”

Likewise I get discouraged and when I see my countrymen from both of the major political parties, elected officials and regular party members tearing themselves and the country apart because of the hatred that they have for each other and each other’s positions on the issues that face our nation.   I came home at the beginning of the 2008 primary season and within a short time became quite disheartened by what I saw on both sides of the line.  There is no civility in the land and no peace at home for those of us coming home from war.  We come back and see our brothers and sisters, fellow Americans all saying and doing things doing things that can only in the long run further divide and destroy the nation.  I can understand the anger that the returning German soldiers and sailors of the First World War came home to in 1918-1919.  It seems that the only thing that we lack to be like Weimar Germany is for right and left wing militias begin fighting in the streets, killing each other and trying to take over power by force.  As it is these are fighting at political rallies and raising the invective to frightening levels.  In the case of one protest men brought semi-automatic assault weapons to protest outside of a venue the President was speaking at.  They said it was a Second Amendment rights protest but all that is needed is for one deranged individual to act on a homicidal urge to blow the whole damned place up.  I have seen the results of such folly in both the Middle East and the Balkans and I just don’t get it, it is frightening to me and the extremists on both sides of the political spectrum seem like they are doing their damnedest to destroy the country that I love so much and went to war to serve. Regardless of what extreme they are on I just say a pox on them all.

I have been asked a number of times why I would open myself up and show my vulnerability on this website.  It is certainly not for fun when I deal with this subject because I am really wound up in it.  When I write I often have to live the experience again. While many times this is emotionally draining it is something is something that I know that I have to do.  I know so many vets from the current wars and Vietnam who struggle with some of the very things that I do and often a lot more but do not have the ability to really share their stories.  The Marines who fought at Hue City are a group that I still have contact with as are people from my last base chapel job, the Vietnam Veterans of America men who man the beer stand at the Church of Baseball Harbor Park Parish, Wayne the Army Chaplain and decorated Vietnam infantry scout who dealt with his own PTSD and helped me in my discernment process to become a Chaplain.  Likewise I have this connection with my brothers and sisters who have served in Iraq and or Afghanistan.  In a sense what I want to do in my articles about PTSD as well as those about my tour in Iraq is to help people who have not been or not experienced this to get some understanding of what happened to me and to many others.  I don’t want guys to fall through the crack like in Vietnam and I think that educating the public is the best way of raising the issue and helping people care for us.  So I guess this is my “cause” and maybe even a crusade.  I hope and pray that those who love and care for our combat veterans who read this will take the time to learn, take the time to care and take the time to be with us as we walk through the often dark places that we walk.

Today was not a good day for me it was very painful but at least I was able in this post to use it to help explain what we who deal with our return from war go through.  I guess that the Deity Herself knew what she was doing today.  Pray for all of us who live in the surreal world of PTSD as we pray for you and our nation.  Pray for me a sinner.

not a happy camper

Peace,

Steve+

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