Tag Archives: romeo dalliare

Waiting for First Light at Slaughterhouse Five: PTSD and a Coda to te end of a Military Career


Friends of Padre Steve’s World,

I am checking out of my current command to finish my career attached to Norfolk Naval Shipyard, in Portsmouth Virginia. I am struggling. Not feeling appreciated and feeling like a cast off. This isn’t new, shortly after I was promoted to Commander, the newly appointed Deputy Chief of Chaplains treated me like a potted plant while making her rounds of the Generals and Major Commands. As Kurt Vonnegut noted in Slaughterhouse Five “and so it goes.”  My Problems in the Navy Chaplain Corps began when I went public with my struggles with PTSD. Somehow it seems that Chaplains can care for the wounded and those traumatized by war but if we admit that we are wounded we are expendable.

I read General Romeo Dallaire’s latest book, Waiting for First Light: My Ongoing Struggle with PTSD a couple of years ago. General Dallaire had been the commander of the UN Peacekeepers in Rwanda, men and women who were prevented from stopping genocide, and people who have been forever haunted by what they witnessed.

General Dallaire recounts a story of horror that never ended for him, and he details how difficult and traumatic coming home that neither appreciate nor understood what he had been through, including people in the military. I found so much in his story that was analogous to my own and in light of that I am going to begin writing my PTSD memoir.

It will be hard because I will have to write about things that are deeply traumatic and upsetting, especially how I was received and continue to be received by most of my fellow chaplains. Because I came and publicly discussed my issues with PTSD, the shattering of my faith in so many things, my wilderness experience of being an agnostic for two years, and the change in my faith since then, I experienced the rejection of my former church and many of my peers.

To many of my peers and Chaplain Corps superiors I am simply a broken Chaplain; and broken chaplains or for that matter broken ministers have no place and very few people who they can talk with. I remember my old Commodore at EOD Group Two, the late Captain Tom Sitsch ask me bluntly “Where does a chaplain go for help?”My answer to him was “not to other chaplains.” Sadly, he too was going through his own personal PTSD hell and with his life falling apart he committed suicide in January 2014.

General Dallaire recounts a similar experience, as like Chaplains, Generals and other senior leaders have no place to go, they like us are not supposed to break. General Dallaire wrote: “I received little support from my colleagues and peers; I received only a few messages from my sixty or so fellow generals – a couple of phone calls, and an e-mail from one old friend. The others appeared to be in two camps: those who were too busy to get in touch, and those who didn’t know what to say.” But I would also add, that there are those that do not want to know and others who actually turn their backs on men and women whose injury lies inside their brain, as well as some chaplains and ministers who seem to take a certain perverse joy in inflicting pain.

I still struggle with nightmares, night terrors, insomnia, and hyper-vigilance. After more than a decade I cannot imagine life without them. Like General Dallaire, I still wait for first light.

So pray for me if you do that, if not send some positive thoughts my direction.

Until tomorrow,

Peace

Padre Steve+

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Filed under iraq, mental health, Pastoral Care, PTSD, Tour in Iraq, US Navy

Waiting for First Light: A Reflection on PTSD

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Friends of Padre Steve’s World,

I just finished reading General Romeo Dallaire’s latest book, Waiting for First Light: My Ongoing Struggle with PTSD. Dallaire had been the commander of the UN Peacekeepers in Rwanda, men and women who were prevented from stopping genocide, and people who have been forever haunted by what they witnessed.

General Dallaire recounts a story of horror that never ended for him, and he details how difficult and traumatic coming home that neither appreciate nor understood what he had been through, including people in the military. I found so much in his story that was analogous to my own and in light of that I am going to begin writing my PTSD memoir.

It will be hard because I will have to write about things that are deeply traumatic and upsetting, especially how I was received and continue to be received by most of my fellow chaplains. Because I came and publicly discussed my issues with PTSD, the shattering of my faith in so many things, my wilderness experience of being an agnostic for two years, and the change in my faith since then, I experienced the rejection of my former church and many of my peers.

To many of my peers and Chaplain Corps superiors I am simply a broken Chaplain; and broken chaplains or for that matter broken ministers have no place and very few people who they can talk with. I remember my old Commodore at EOD Group Two, Captain Tom Sitsch ask me bluntly “Where does a chaplain go for help?” My answer to him was “not to other chaplains.” Sadly, he too was going through his own personal PTSD hell and with his life falling apart he committed suicide in January 2014.

General Dallaire recounts a similar experience, as like Chaplains, Generals and other senior leaders have no place to go, they like us are not supposed to break. General Dallaire wrote: “I received little support from my colleagues and peers; I received only a few messages from my sixty or so fellow generals – a couple of phone calls, and an e-mail from one old friend. The others appeared to be in two camps: those who were too busy to get in touch, and those who didn’t know what to say.” But I would also add, that there are those that do not want to know and others who actually turn their backs on men and women whose injury lies inside their brain, as well as some chaplains and ministers who seem to take a certain perverse joy in inflicting pain.

So pray for me if you do that, if not send some positive thoughts my direction.

Until tomorrow,

Peace

Padre Steve+

2 Comments

Filed under faith, leadership, Military, ministry, 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

Revisiting the Demons of PTSD: Returning to Iraq in Virginia a Year and a Half Later

Today I am attending a conference on Caregiver Operational Stress Control.  This brought out my “demons” as I was faced with the stories of others who had been to the same places that I have been in Iraq, and experienced similar things that I experienced on my return.  This is a re-posting of something that I wrote in March at the very beginning of this blog.  At that time I had very few readers.

I am glad to be at this training today.  I needed to take a Xanax when I arrived because I don’t do well with these kind of events anymore.  The intial session and a video of Dr Heidi Kraft talking about her expereinces at Al Taqaduum where I was based out of.  I was scheduled for another meeting but I knew that I needed to be here.  So I asked my Department Head who was going to the meeting if I could stay and he allowed me to do so. God bless him.

I received a note from a new friend in another country’s military, a physician with multiple tours in Afghanistan.  He is dealing with many of the things that I discuss in this essay and had a bad day that took him back to Afghanistan.  I am sure that he is not alone as I deal with many people in my Medical Center who have similar experiences.  Yesterday I was walking down a hallway near our Operating Room and I saw a pretty good sized blood spill on the floor. I was surprised at my reaction as I kept seeing it in my mind the rest of the day and flashbacks to Iraq and the TQ Shock Surgery Trauma platoon where I was pulled into a couple of the last major mass casualty events where 10-15 Marines or soldiers came in at a time. I began to see those wounder Marines on the tables and can visibly see those Marines, their wounds, even tattoos… I hope this helps break the code of silence.  I wrote this on a particularly rough day and will repost some of those early essays as they are still very relevant.  Peace, Steve+

964Trying not to Show my Stress and Exhaustion after 2 weeks out while in between flights at Al Asad

The feeling of abandonment and aloneness, separation and disconnection run deep for those returning from unpopular wars in which the majority of the citizens take no part.  The effects are devastating.  It is estimated that at least 100,000 Vietnam veterans have taken their lives in the years after that war.  Last year the Army had its highest number of active duty suicides ever recorded, January and February of 2009 have been banner months for Army suicides.  Of course as I noted in my previous post these numbers don’t include reservists and Guardsmen who have left active duty or veterans dischaged from the service.  Neither do they include the host of service men and women who died from causes undetermined.

Many veterans attempted to return to “normal life” and family following the war. Many only to have marriages fall apart, continue or leave untreated alcohol and drug addictions acquired in country which often follow them back destroying lives, families and careers.  Most felt cast aside and abandoned by the goverment and society. Many got through and return to life with few visible effects, but the scars live on.  My dad would never talk about his experience in the city of An Loc in 1972 where he as a Navy Chief Petty Officer was among a small group of Americans operating an emergency airstrip in the city which was besieged by the North Vietnamese and Viet Cong for 80 days.  I do know that it affected him, he wasn’t the same when he returned, he was a lot more tense and had some problems initially with alcohol.  He never talked about his time there.

I have seen the effects of this in so many lives,  I remember a Vietnam vet who attempted to kill himself with a shotgun blast to the chin in Dallas during my hospital residency.  He forgot to factor in recoil and blew off his face without hitting his brain or any major arteries.  He survived…talk about having something to be depressed about later.  I have seen the tears as veterans rejected by the country during and after than war begin to seek community with their wartime brothers, men who had experienced the same trauma followed by rejection and abandonment by the people that sent them to Southeast Asia.  One only has to talk to veterans of the Ia Drang, Khe Sahn, Hue City, the Central Highlands and Mekong Delta or read their stories to know what they have gone through.  LTG Hal Moore and Joseph Galloway in We Were Soldiers Once..and Young and We are Soldiers Still have deeply penatrating and soul searching views of Vietnam as does Bing West in The Village. Bernard Fall does the same from a French perspective in Hell in a Very Small Place and Street Without Joy. Alistair Horne’s book A Savage War of Peace discusses and tells the story of many French soldiers in Algeria, who fought a war, won it militarily and had their government abandon them, bringing out a mutiny and coup atempt by French Soldiers who had fought in Indochina, were almost immediately back in action in Algeria with little thanks or notice from thier countrymen.  Abandonment is an ever present reality and “demon” for many of us who have served regardless of our nationality, French, Canadien or American who have fought in wars that have not engaged the bulk of our fellow citizens. Go to the Vietnam Veterans Memorial in Washington DC and tocuh it, trace the outline of a name, look upon the makeshift memorials and tokens of remembrance left by comrades who came home and understand the sorrow and the sacrifice.

Unfortunately we would like to think that this is something out of history that we have learned from and applied the lessons and in doing so no longer have an issue.  Unfortunately this is not the case.  There are many, depending on the study anywhere from8-20 percent of returning Iraq and Afghanistan veterans who suffer from some type of PTSD, Combat Stress reaction or other psychological malady incurred during their tour. Similar numbers are reported by the Israeli Armed Forces in from the 1973 War forward.   The British are seeing the same now as their veterans return from war.  Canadian Forces assigned to the UN command during the Rwanda genocide suffer horribly from PTSD. The mission commander, LTG Romeo Dalliare now a Senator in the Canadian Parliament is a leading spokesman for those who suffer from PTSD. His book Shake Hands with the Devil is a study of how military professionals were exposed to atrocities that they either were forbidden to stop or lacked the combat power to do so even if they wanted to.  These men and women tell their story in a video put out by Canadian Armed Forces.

105Convoy along Route Uranium

I am not going to rehash stories that I have recounted in my other posts dealing with PTSD here, but both I and many men and women that I know are scarred by the unseen wounds of this war.  We gladly recognize, and rightfully so, those who suffer physical wounds.  At the same time those who are dying inside are often ignored by their commands or if they come out are shunted into programs designed to “fix” them.  In other words make them ready for the next deployment.  I am not saying here that there is an intentional neglect of our service men and women who suffer from PTSD and other issues.  I do not think that is the case, but it is a fact of life. The military is shorthanded and stretched to the breaking point. Many Army Soldiers and US Marines have made 3-5 deployments since 2003. The Navy has sent over 50,000 sailors, not including those assigned with the Marines into “Individual Augmentation” billets in support of operations in Iraq, Afghanistan, the Horn of Africa and other fronts in this war.  The Navy personnel, as well as Air Force personnel who perform similar missions often do not have the luxury of going to war and coming home with a particular unit.  We serve often in isolation and incredibly disconnected from our commands, our service is often misunderstood.  Now there are efforts by the services and some commands to do things better to support our sailors, some of these at my own hospital.  However as an institution the military has not fully made the adjustment yet.

Many sailors feel abandoned by the country and sometimes, especially when deployed by the Navy itself.  I have debriefed hundreds of these men and women.  Almost all report anger and use terms such as being abandon, cut off and thrown away by the service and the country.  Those from all services who work in unusual joint billets such as advisers to local military and police forces in Afghanistan and Iraq feel a sense of kinship with each other, often feel a connection to the Iraqis and Afghans but are often not promoted or advanced at the same rate as others who have served in conventional forces in traditional jobs.  There was a film called Go tell the Spartans staring Burt Lancaster about Army advisers in the early stages of Vietnam.  If you see it and have been to Iraq with our advisers you can see some of the same dynamics at work.

At this point we are still engaged in Iraq and Afghanistan.  These wars divided the nation and the veterans, though better treated and appreciated by society than most of thier Vietnam counterparts have no memorial.  Words of thanks uttered by politicans and punits abound, our Vietnam era and other fellow veterans in their latter years come to the airports that we fly in and out of to say thank you, but our numbers are rising, the war rages on both in country and in our minds and lives are being lost long after soldiers have left the battlefield.

not a happy camperNot Doing Well on Leave about 5 months After my Return from Iraq

We have to do a better job of ensuring that those who sacrifice so much do not feel that they have been cut off and abandoned while they are in theater and especially when they return. When it is time we need a memorial on the Capitol Mall for those who served in these wars.  I don’t know when that will be, but I do hope to see it in my day.  Sure it’s only symbolic, but symbols can be healing too, just look at the black granite wall rising up from the ground and going back down into it, filled with the names of those who gave their lives and made the supreme sacrifice in Southeast Asia.  Simply known by most as “the Wall” it has become a place of healing and rememberance.  A place to say thank you, goodbye and amen.

Peace and blessings, Steve+

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Filed under healthcare, iraq,afghanistan, Military, PTSD, Tour in Iraq, vietnam