VietNow
National Magazine

By Mary
Tendall
and Jan Fishler
Part One: The Combat
Veteran’s Perspective
Combat
experiences create many unresolved memories
that can lead to feelings of guilt and
shame. What one sees, hears, and does – and
even what one thinks and feels during and
following combat – can
contribute to conscious and unconscious
guilt and shame. The mere act of having
survived leaves many veterans remembering
those who were “more worthy to
live than me.” Other veterans confide
that they live in the hidden world of
shame, where their memories are as devastating
as actual combat experiences.
Intrusive homicidal thoughts following
an altercation, fear of spiritual rejection,
guilt following an overreaction to family
and friends, severe judgment of self and
others, guilt over excessive isolation,
and the feeling of being completely unique
with this burden are some of the ways memories
manifest for combat survivors. Because
each combat experience is unique, it would
be inaccurate to make generalizations.
However, it is safe to say that combat
veterans share certain beliefs and perceptions
that lead to the emotions of guilt and
shame. These include:
Failure of self and others to meet specific
ideals and standards of competence.
Bob described working on projects in his
shop and constantly trying to “get
it right.” He frequently blamed himself
and others in the process, and showed up
irritable and withdrawn when joining family
members later in the evening. Alcohol was
his way of numbing those feelings and avoiding
conversation. He described having no tolerance
for what he perceived as carelessness or
incompetence, which he saw everywhere.
He now realizes that his feelings were
due to the fact that, in combat, incompetence
could be life threatening.
Decreased value of self and others
After
several therapy sessions, Jim said he was
certain he would be going to hell when
he died. He said that he went to church
to please his wife, but he saw others as
hypocrites. He explained that what he did “over there” could
not be forgiven. He refused to allow
others to compliment him or offer him
verbal or physical affection (except
his dog!). His fear of hell actually
saved him from suicide on numerous occasions.
Now he is work-ing hard to find ways
to accept and trust the love of his family,
and finally to accept himself as a devoted
husband.
Defensive responses to shameful memories
These
responses might include increased self-medication
with alcohol and drugs, withdrawal and
isolation, criticism of “everyone
else,” pre-occupation with watching
TV, hours on the computer, or excessive
physical activity.
Wendell drank alcohol to numb his feelings
and memories. When his doctor told him
his body couldn’t take it anymore,
he turned to all-nighters on the computer.
Gradually, with therapeutic help and support
from his family, he substituted some
of his computer time for gardening with
his wife and playing senior softball with
his friends.
Anger and disgust toward self and others
Paul is a gifted and talented artist who
would not let anyone outside of his immediate
family see his work. In his mind, his effort
was never good enough, yet when he went
to exhibitions, he called the work of other
artists garbage, and left within minutes,
feeling angry and disgusted. Although prior
to combat, he was encouraged by his parents
to pursue a career in art, he says that
he has never really enjoyed painting since
combat. At the same time, he feels compelled
to continue. Paul has shown me photos of
his work, which is exceptional enough to
be exhibited in galleries.
Lack of emotional intimacy and sense of
joy and happiness
Although his current wife
loves Michael dearly, he believes that
if she knew his “horrific
thoughts,” she wouldn’t be
with him. “When she is happy and
affectionate with me, I feel like a fraud.” Because
Michael believes he is unworthy of his
wife’s loving nature, he withdraws
and looks for faults “in everything.” He
has stated that he doesn’t deserve
to feel joy. “I’ve seen too
much.”
Thoughts
In each of the cases described
above, the veteran has worked on his trauma
symptoms using neuro-somatic treatment
along with cognitive behavioral work. Creating
new neuro pathways to process sensitive
input as well as having an understanding
of the process, helps the veteran to be
in charge of his reactivity and decrease
it on a continual basis. This gives him
the tools he needs to regulate his reactive
behavior before his symptoms become a problem.
Other veterans have joined support groups
(available at Veteran Hospitals and Vet
Centers), openly shared their feelings,
and found great relief in discovering they
are not
alone. By learning how to self-regulate
their symptoms, veterans are able to decrease
the attack/avoidance syndrome and integrate
the separation of thoughts and feelings.
Part Two: Jan’s Perspective
It has
been 14 years since my husband was diagnosed
with PTSD, and our family continues to
work on healing from the impact of war.
Initially, understanding the behavior associated
with PTSD and mastering the intellectual
aspects of war trauma dominated our efforts.
It was not difficult to understand that
the reactive behaviors resulting from
PTSD are a normal response to a combat
experience.
This was a big first step in developing
compassion. The next hurdle was realizing
that various behaviors like shouting and
reactivity were not personal attacks, but
a need for combat-ready order. Finally,
our family learned techniques and strategies
for avoiding confrontation and keeping
the peace.
In essence, over the years, we found and
employed tools to manage the symptoms,
but beneath the surface, our family’s
emotional pain lingered. The terror, rage,
anguish, guilt, and shame my husband brought
back from combat was like a cold – eventually,
everyone in the household caught it and
passed it on. Awareness of the guilt-shame
cycle is the initial step for integrating
these emotions, and can go a long way in
promoting understanding and compassion
within the family.
The Cycle of Guilt and
Shame
On a very simplistic level, the cycle
of guilt and shame occurs like this:
A man comes back from war carrying guilt
and shame, the raw emotions of combat,
and feeling unworthy, disgusted, and unlovable.
To cope with these nega-tive feelings,
he tries various methods of sedation, such
as drugs, alcohol, sports, television,
work, and sex. When he is not sedated,
he is outraged and angry. Friends and family
quickly learn this, and try to avoid setting
him off, but in spite of their efforts,
situations in daily life occur which propel
(trigger) him into action. Programmed to
win at all cost, he reacts. Those around
him – especially family members – feel
the impact of his emotional reactivity.
As a result, they become hooked and also
react: They fight (argue, call him names,
even hit him); take flight (they move away,
run away); or freeze (become emotionally
numb and detached).
As each side tries to “win,” the
cycle of victor-victim begins, and in time,
everyone is walking on eggshells. Eventually,
this dis-harmony turns into anger and resentment,
and both parties end up with feelings of
guilt and shame.
Wives and Family Members
During a support
group for veterans’ wives,
the women were asked to talk about their
own feelings of guilt and shame. Below
are some of the stories they shared.
Linda’s Story
My family has a lodge
at Lake Tahoe. My grandfather and his brothers
built it, and it’s large enough to
accommodate our entire family, plus friends,
any time we want to use it. When Sam and
I got married a few years ago, I brought
him there for the weekend to go fishing – something
I know he loves to do. My brothers took
Sam out on the boat, and when the guys
came back, everyone had caught their
limit. That night, we cooked up the fish
and sat around the table drinking beer
and wine and telling “fish tales.” I
thought Sam had a good time, but whenever
I suggest going back, he makes up some
lame excuse. His unwillingness to go – especially
when he knows how important it is for
me to spend time with my brothers and
their families – makes me furious.
I’ve gone by myself, but when I
do, I feel guilty about leaving Sam behind.
And I have to make up some story about
why Sam couldn’t come with me.
When I get back, I’m so angry with
Sam, I can barely tolerate him.
Susan’s Story
I’ve been with
my husband, Jesse, for 30 years. When we
first got married, he would have an occasional
beer, but now he has at least a six pack
each day, and last year, he got a prescription
for marijuana “to
help him with back pain.” Every morning
he goes out to his shop to “take
a puff.” I’m sure the pot helps,
but I hate how he acts when he’s
stoned. He talks in circles, is even more
forgetful than usual, and spends the day
doing something that should take only an
hour or so. I was looking forward to our
retirement years, but now I don’t
want to spend time with him. I feel guilty
about the excuses I come up with to avoid
being with him, but I don’t know
any other way to cope. I wish we could
talk, but his altered state makes reasonable
conversation next to impossible.
June’s Story
This incident occurred
several years ago, when our son Randy was
about
8 years old. At the time, I thought my
husband, Tom, was simply impatient and
demanding – always expecting too
much from the boys, but if I look at the
incident again, knowing what I know now,
I see it differently.
Tom wanted Randy to learn how to mow the
lawn, but Randy was anxious about using
the mower, and was reluc-tant to try. After
a five-minute demonstration, Tom passed
the mower to Randy and told him to go ahead.
Tom then left Randy, who was barely able
to reach the handles, alone to do the task.
From the kitchen window, I could see Randy
struggling with the mower. Although I wanted
to go out and help, experience told me
not to intervene, as Tom had often accused
me of pampering the boys, especially Randy,
our youngest. Ten minutes into the task,
Randy was crying in frustration.
Wondering where Tom was and why he wasn’t
providing our son with more instruction
and moral support, I went out to help.
That’s when Tom appeared, looking
angry. We reached Randy at about the same
time. Tom spoke first and demanded, “Why
aren’t you working?” Randy
tried to cough up an explanation, but Tom
didn’t have the patience to listen.
Instead, he grabbed the mower from Randy’s
hands and muttered, “If I want something
done right, I guess I have to do it myself.” Randy,
who wanted to please his dad, was devastated,
and I was furious at Tom for both his lack
of compassion and for setting Randy up
to fail. I sent Randy into the house to
wash his face, and then ap-proached Tom,
who could tell I wasn’t happy. He
turned off the mower and stood with his
hands on his hips, a posture I had come
to recognize as “the battle stance.” Tom
was quick to defend his position. An argument
ensued where he accused Randy of being
a mama’s boy and me of babying him.
This wasn’t the only scenario like
this, but it stood out because it seemed
so unfair.
At the time, I remember thinking that
Tom should be ashamed of himself for treating
his 8-year-old son this way. Of course
I didn’t take Tom’s military
training into account, and it didn’t
occur to me that learning a task quickly
and doing it accurately was the driving
force behind Tom’s actions, the difference
between life and death. While Tom’s
military programming might have worked
in the battlefield, it became emotional
abuse when directed toward his young son.
How do guilt and shame fit in? To this
day, Randy doesn’t like to help his
dad. Now 30, Randy has expressed guilt
about not doing more for his father, but
those old wounds are deep. At the time,
I felt guilty about allowing Randy to be
set up for failure, and I was ashamed of
myself for putting up with my husband’s
accusations and verbal attacks. I used
to argue with my husband, but at some point
I surrendered and withdrew. What I didn’t
realize until now was how badly my husband
must have felt about himself – must
still feel about himself – and how
guilty and ashamed he must have been for
causing Randy and me so much pain. (At
this point in her story, June had tears
in her eyes, and then she said, “For
years, under my breath, I’ve been
calling Tom an asshole. Now, I realize
he was just a victim, too.”)
Maria’s Story
To avoid his anger
and reactivity, I’ve
been lying to Juan for as long as I can
remember – mostly about money, but
other things, too. Juan grew up poor, and
he watches every penny and is always afraid
I’m going to spend too much money.
We’re on a fixed income now, and
he’s worse than ever. At the grocery
store, I’m always careful to buy
food that is reduced or “on special.” But
if I go shopping with my sister or my mom – to
buy clothes or household items I want,
but don’t really need –
I sneak the bag into the house when he’s
not looking. I’m ashamed of myself
for behaving this way, but at this point,
I’ll do anything to avoid confrontations
with him.
Barbara’s
Story
I don’t know
if I’m ashamed
of myself for the affair I had, but I definitely
felt guilty about it at the time. My husband’s
lack of affection drove me to it. I wasn’t
looking for someone else – I loved
my husband and didn’t want to leave
him – but a co-worker and I hit it
off, and one thing led to another.
I don’t think my husband ever suspected
anything, and I never told him. While I
don’t feel guilty about having the
affair any more, I do feel guilty about
keeping it from him; although at this point,
I think honesty would probably do more
harm than good.
Because he has so many issues with trust,
this would just add fuel to he fire.
Summary
Guilt and shame create a vicious,
no-win cycle that carves out a path of
emotional pain that both veterans and family
members carry for years. The resulting
deception, blame, and unhappiness breaks
down communication, establishes a pattern
of unhealthy behaviors, and creates years
of unnecessary stress and tension.
Compassion and understanding can begin
the healing process, but the ultimate goal
for all parties should be clear, honest
communication, mutual understanding, and
self respect.
The veterans and family members featured
in this article are real, but names and
circumstances have been changed.
Mary Tendall has worked for almost
14 years with combat veterans as a licensed
marriage and family counselor, specializing
in PTSD.
Jan Fishler is a freelance writer,
trainer, and video producer who is married
to a Vietnam veteran.
Back to main PTSD page.
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