The (Unsurprising) Psychic Toll of the War in Iraq
By this point, we should not be surprised to realize that the media, after a brief flurry of coverage, quickly dropped the story of John Russell, the Army sergeant being treated for mental issues, who gunned down five colleagues at a stress clinic in Baghdad earlier this month. That's why I was startled to see that Bob Herbert highlighted this episode in his New York Times column today, under the title, "War's Psychic Toll." It was the first mention I'd seen in quite a few days.
The slaughter of five comrades by a "stressed out" U.S. soldier is a true tragedy -- but should not have come as a shock. It's also richly symbolic, with added "poignancy," as Herbert puts it. That's why the story should be fully explored.
Some of us have warned about this kind of thing happening for years, with many in the media ignoring the effects of the war on our soldiers and veterans, or paying attention for just a short while and then moving along. Of course, there are exceptions, such as Salon's Mark Benjamin and Bob Herbert. The latter mirrored my view today when he wrote that he "couldn't have been less surprised" when he learned of the fratricide in Baghdad.
Herbert also observes: "The psychic toll of this foolish and apparently endless war has been profound since day one. And that nation's willful denial of that toll has been just as profound."
Suicides both in Iraq and among vets back home have been unusually high almost from the beginning of the war and have surged in recent months. Also truly shocking is the number of veterans with brain trauma or mental problems. These numbers get reported when a study emerges, then are forgotten. At least President Obama has upped money for treatment.
Nearly one in five American soldiers deployed in Iraq suffer Post-Traumatic Stress Disorder (PTSD), according to an oft-cited RAND Corp. study. Use of anti-depressants in the war zones is widespread, a first in American wars.
Sgt. Russell, 44, was on his third tour in Iraq.
Too often the media treats our presence in Iraq as essentially benign now, ignoring the plight of those serving there, and the travails when they come home.
I have written about soldier suicides for almost six years now. I always have plenty to write about, unfortunately. And now, mass murder.
Paul Rieckhoff, head of the Iraq and Afghanistan Veterans of America, said after the Russell incident: "Unlike during the Vietnam War, today's military is a professional, all-volunteer force. There have been only five cases of intentional fratricide by U.S. service members in Iraq. But these incidents, however rare, draw public attention to an important issue: the enormous stress on our armed forces. Many troops are under great psychological strain and are not receiving the treatment they need. Over 600,000 troops have served more than one combat tour since 9/11. Military suicide rates have hit record highs every year since 2003. Much more must be done to address troops' psychological injuries before they reach a crisis point."
And remember: We still have as many soldiers in Iraq as we did before the surge -- and are sending thousands more to Afghanistan.
*****
Greg Mitchell's book So Wrong for So Long included several chapters on soldier suicides. His latest book is Why Obama Won.





















The only effective, real "treatment" for our soldiers is to end the war as soon as possible and that does not mean keeping 50,000 of them in Iraq forever as the President proposes.
End the war! NOW!
Nothing will change until we do that.
May 19, 2009 1:30 PM | Reply | Permalink
The public that professes such admiration and support for our fighting men and women are not interested [in the] real-life suffering of very real people. Bob Herbert
Well, of course not! We admire heroes -- not some bunch of Section 8 whiners.
May 19, 2009 1:42 PM | Reply | Permalink
So I just caught Rachel Maddow's interview with the Air Force colonel who's getting the boot for being gay. Yes, the 18 year veteran who has air medals and has been cited for heroism for his actions during the invasion in '03.
So; how many air medals have you been awarded, Ellen?
A noticeable stench drifts about you, you f*cking b*tch.
May 20, 2009 1:11 AM | Reply | Permalink
Methinks Ellen was being sarcastic.
May 20, 2009 12:53 PM | Reply | Permalink
MSNBC has the following article than is an identical twin to this ... U.S. military: Heavily armed and medicated. If we're having to sedate soldiers while on tour in Iraq and Afghanistan, what mentally happens to them when they're no long in theater? What happens to them when they return home and they no longer have access to those medications? Since when did we need to pump out troops full of drugs to defend the country? DAMN! What the hell happened in the last 8 years that the public needs to know about before they become victims of a nightmare created by the government to protect them from terrorist?
May 19, 2009 2:21 PM | Reply | Permalink
Greg:
I'm sorry you didn't mention the work that DOD and the Surgeons General are doing to address this problem. They are universally concerned with understanding and mitigating the variables that contribute to the incidence of combat stress requiring treatment. They appeared before a house subcommittee on Friday May 15 and discussed this issue extensively. It is in C-Span’s archives for that date under Defense Health Programs. Their treatment emphasis is not on "traditional" psychiatric medication but on prevention.
For example, they all indicated (and it was emphasized by LTG Schoomaker the army surgeon general) that dwell time is a significant variable that mitigates stress related disorders in personnel rotating out of combat.
I think that sometimes we fail to remember that these issues are of vital importance to the medical personnel with ultimate responsibility for treating these stressed service members and that they are making significant progress in developing effective diagnostic and treatment regimens.
May 19, 2009 2:53 PM | Reply | Permalink
"dwell time is a significant variable that mitigates stress related disorders in personnel rotating out of combat. "
See my post below.
May 19, 2009 2:57 PM | Reply | Permalink
Quite a while ago, I read an article that in turn referred to studies done over the years on combat stress and PTSD. This is stuff that has been known in the military since the days of WWII. I forget the actual number, but the average soldier can withstand only something like 24 months of comabt conditions. And this is a cumulative total, like radiation exposure. Thus you can have him serve for six months, send him on a six month leave, and when he gets back to the war, he'll be good for 18 more months. However you stack it.
I remember that at the time I read the article, soldiers in Iraq had been there at multiples of this time limit. And like I say, this was quite a while ago. There are people in the military that know this and are saying nothing.
The classic stressed out Viet Nam vet is going to be replicated many times over once we have all the troops back. The cost to this nation has only begun.
May 19, 2009 2:54 PM | Reply | Permalink
Talk about a story that doesn't sell but is important nonetheless:
Mother Jones, where I work, published a special package on "Torture Hits Home"last year - here's the link: http://www.motherjones.com/special-reports/2008/03/torture.
Didn't exactly jump off the newsstand, but important to do...
May 19, 2009 2:59 PM | Reply | Permalink
Steve your link went to a main MJ page, perhaps due to the '.' at the end of the link, this may take one directly to the story: MJ link
May 20, 2009 11:26 AM | Reply | Permalink
I know someone who runs a VA PTSD clinic and was denied $2000 to pay moving expenses to a fabulous sounding psychologist they were recruiting for the (shorthanded) clinic.
Needless to say, every time I hear about the Post Office buying some employees $1.2 million home so they can go to the next town over and be postmaster, or the Dept of Ed. paying the rent of some liason in Paris, I am furious.
May 19, 2009 3:10 PM | Reply | Permalink
20 years late.
better late then never??
dont ever expect truth about anything in this country.
certainly never about war.
americans love guns and killing.
the fact is anyone remotely interested in the health of soldiers need only have looked into what happened to them after daddy bushes gulf war.
and you think this war wouldnt have been worse?
there is only one way to prevent most of this.
the draft needs to be brought back with NO way of avoiding service.
dont hold your breath on that, or that anything will change.
expect 100s of more known "incidents" as 50% of the military (ground troops)suffers mental illness.
May 19, 2009 3:57 PM | Reply | Permalink
Thank you for writing this, Greg.
May 19, 2009 4:28 PM | Reply | Permalink
Well, even if with some miracle the war in Iraq and Afghanistan comes to end, there is always going to be somebody else looking to stir things up for the most insane reasons, like Russia, check this out http://walydopts.blogspot.com/2009/05/russia-still-flexing-its-muscles.html
May 19, 2009 10:48 PM | Reply | Permalink