Monday, January 10, 2011

Denial


I have a network of friends who are in my exclusive club. We've talked. We all felt the same way- shaken and vulnerable all over again.

- Joan Peterson, Brady Campaign Director

I don't mean to belittle PTSD. It is a terribly difficult and painful and very real afflicatn. I personally know people who have wrestled with it. If you look at the dictionary definition for PTSD, part of the definition involves this as a critical element:
(1) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others (2) the person's response involved intense fear, helplessness, or horror.
None of us can tell how we will respond at the moment of truth. Even hardened veterans, grizzled cops, or "seen it all" EMTs sometimes are exposed to something so horrifying that they have intesne fear, helplessness, or horror. However, mental preparation and training can reduce the chances of these reactions and improve resiliency. The Army knows this. Mental health professionals know this. Self-defense experts -- including those who train police -- know this.

Avoiding intense fear, helplessness, and horror has two major benefits: first, you probably react better in the crisis. Second, you are at lower risk for developing PTSD-like symptoms.
It is denial that turns people into sheep. Sheep are psychologically destroyed by combat because their only defense is denial, which is counterproductive and destructive, resulting in fear, helplessness and horror when the wolf shows up.

Denial kills you twice. It kills you once, at your moment of truth when you are not physically prepared: you didn't bring your gun, you didn't train. Your only defense was wishful thinking. Hope is not a strategy. Denial kills you a second time because even if you do physically survive, you are psychologically shattered by your fear helplessness and horror at your moment of truth...

Denial is a save-now-pay-later scheme, a contract written entirely in small print, for in the long run, the denying person knows the truth on some level.
- LtC Dave Grossman
Denial does not help you build useful skills. The person who says, "I will never see a car wreck" and avoids taking a Red Cross first aid or CPR class because they fear mortality will, at their moment of truth when they see a bicyclist hit by a car, be more prone to feel extreme "helplessness." If that person had some training -- if they had acknowledge the chance that they might see someone who needed first aid -- then they'd be more likely to spring into action on "autopilot" and do something positive.

Is it any wonder that three of the four citizen first responders who sprung into action in the the Arizona shooting had "bulletproof minds?" One was an Army vet. Another had already made the decision to carry a loaded, deadly weapon. Another had medical training. They are understandably shook up -- some psychological, some physiological (an adrenaline dump takes 24-72 hours to clear out of your system) -- but statistically they are likely to survive this incident relatively intact, psychologically speaking.

3 comments:

  1. Chris, Joan Peterson is participating in this whole thing vicariously by claiming a sort of "associate victim" status. Have you noticed how her recent comments all seem to be laced with triumphalism and a sort of sick glee that finally her side has the upper hand? She's in her element. You can almost hear her crying crocodile tears and then see her peering through the water to see who is watching her.

    She doesn't have PTSD, she never suffered a trauma in the first place. She wasn't there when her sister got shot, and she almost assuredly never saw the scene. Our culture of victim empowerment simply grows more powerful victims. Why would you ever want to stop playing victim when you get fawned over by people for "surviving" such a horrible "trauma?"

    She doesn't have a PTSD problem, she has a narcissism problem. Her blog tag line should be
    "Pay attention to me, I am GRIEVING!!!111eleventy"

    ReplyDelete
  2. Sean,

    Heather and I both commented that her tone seemed to change in the last few days. She seemed almost... manic.

    You may be right. The technical requirement includes...

    A: Exposure to a traumatic event
    This must have involved both (a) loss of "physical integrity", or risk of serious injury or death, to self or others, and (b) a response to the event that involved intense fear, horror or helplessness (or in children, the response must involve disorganized or agitated behavior). (The DSM-IV-TR criterion differs substantially from the previous DSM-III-R stressor criterion, which specified the traumatic event should be of a type that would cause "significant symptoms of distress in almost anyone," and that the event was "outside the range of usual human experience."[57])

    I'm not a shrink. I do know something about battlefield stress (on and off the battlefield). For example, some of the Air Force pred drone operators are developing symptoms that look a heck of a lot like PTSD even though they sit in a room outside Vegas with no loss of physical integrity. I'm not sure what hte diagnosis would be if there was a perception that a loss of physical integrity had occurred. For example, an AF pred drone operator may feel as if he is actually in a convoy even though he obviously isn't; maybe Joan felt violated even though she wasn't in physical danger. Goodness knows, we've seen that she is totally incapable of rationally assessing risks, so it isn't implausible that she felt shattered. It may not be by the book PTSD but it is awfully similar looking in some ways.

    I'm actually kind of giving her the benefit of the doubt here. But if she is suffering from undiagnosed PTSD-like symptoms then as you've said before, her organization should be helping her get treatment -- not parading her pain around for political benefit.

    ReplyDelete
  3. I don't think that she's suffering from PTSD like symptoms, I think she's suffering from narcissism. I mean, if all you want in life is attention, how much easier to get attention does it get? She plays the "woe is me" shtick and everyone fawns over her as if what she says is important or relevant. Most of us would be embarrassed to act like this, but not her.

    She's excited by this shooting. It increases the chances that all of her "friends" will cosset her and pay attention to her as she goes through the "trauma" all over again.

    ReplyDelete