Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
During stressful events, highly resilient people are able to make use of any opportunity for purposeful action in concert with others, while ordinary people are more easily paralyzed or isolated by terror. The capacity to preserve social connection and active coping strategies, even in the face of extremity, seems to protect people to some degree against the later development of post-traumatic syndromes. For example, among survivors of a disaster at sea, the men who had managed to escape by cooperating with others showed relatively little evidence of post-traumatic stress disorder afterward. By contrast, those who had “frozen” and dissociated tended to become more symptomatic later. Highly symptomatic as well were the “Rambos,” men who had plunged into impulsive, isolated action and had not affiliated with others.
A study of ten Vietnam veterans who did not develop post-traumatic stress disorder, in spite of heavy combat exposure, showed once again the characteristic triad of active, task-oriented coping strategies, strong sociability, and internal locus of control. These extraordinary men had consciously focused on preserving their calm, their judgment, their connection with others, their moral values, and their sense of meaning, even in the most chaotic battlefield conditions. They approached the war as “a dangerous challenge to be met effectively while trying to stay alive,” rather than as an opportunity to prove their manhood or a situation of helpless victimization. They struggled to construct some reasonable purpose for the actions in which they were engaged and to communicate this understanding to others. They showed a high degree of responsibility for the protection of others as well as themselves, avoiding unnecessary risks and on occasion challenging orders that they believed to be ill-advised. They accepted fear in themselves and others, but strove to overcome it by preparing themselves for danger as well as they could. They also avoided giving in to rage, which they viewed as dangerous to survival. In a demoralized army that fostered atrocities, none of these men expressed hatred or vengefulness toward the enemy, and none engaged in rape, torture, murder of civilians or prisoners, or mutilation of the dead.
The experiences of women who have encountered a rapist suggest that the same resilient characteristics are protective to some degree. The women who remained calm, used many active strategies, and fought to the best of their ability were not only more likely to be successful in thwarting the rape attempt but also less likely to suffer severe distress symptoms even if their efforts ultimately failed. By contrast, the women -who were immobilized by terror and submitted without a struggle were more likely not only to be raped but also to be highly self-critical and depressed in the aftermath. Women’s generally high sociability, however, was often a liability rather than an asset during a rape attempt. Many women tried to appeal to the humanity of the rapist or to establish some form of empathic connection with him. These efforts were almost universally futile.
Though highly resilient people have the best chance of surviving relatively unscathed, no personal attribute of the victim is sufficient in itself to offer reliable protection. The most important factor universally cited by survivors is good luck. Many are keenly aware that the traumatic event could have been far worse and that they might well have “broken” if fate had not spared them. Sometimes survivors attribute their survival to the image of a connection that they managed to preserve, even in extremity, though they are well aware that this connection was fragile and could easily have been destroyed. A young man who survived attempted murder describes the role of such a connection:
was lucky in a lot of ways. At least they didn’t rape me. I don’t
think I could have lived through that. After they stabbed me and left me for dead,
I suddenly had a very powerful image of my father. I realized I couldn’t
die yet because it would cause him too much grief. I had to reconcile my relationship
with him. Once I resolved to live, an amazing thing happened. I actually visualized
the knot around my wrists, even though my hands were tied behind my back. I untied
myself and crawled into the hallway. The neighbors found me just in time. A few
minutes more and it would have been too late. I felt that I had been given a second
chance at life.”
Wars cause mental suffering to all of the people this form of violence touches. Except for prisoners of war and concentration camp survivors, combat veterans seem to be the most affected by PTSD. As a general rule, the more combat a veteran was exposed to and the more intense that combat was, the more likely the former soldier is to suffer from PTSD. One Veterans Administration psychiatrist has called PTSD an occupational hazard of war.
Several factors make
wars especially traumatic to the soldiers who fight them:
An estimated 15 percent
of the soldiers who were in Vietnam have PTSD today.
Reflection Exercise #3