VietNow
National Magazine

Too
often the suffering of veterans is
increased by their avoidance of pleasure.
Here are some ideas on how to get some
of those good (and important) feelings
back into your life.
By Mary Tendall and Jan Fishler
At
one of the VA support-group meetings,
health became a topic of discussion. Most
of the conversation centered on the various
medical conditions the men were experiencing numbness
from exposure to Agent Orange, high cholesterol,
and heart disease a myriad of
physical problems, all of which had
a negative impact on quality of life.
It was easy to
be empathetic about the various diseases
and medical conditions that many of the
men and their families coped with on
a daily basis, but underlying the medical
issues was a much deeper one one
that was more difficult to articulate,
but manifested itself as the absence
of joy and pleasure in many of the veterans lives.
It soon became apparent that the consequences
of this disease were far-reaching.
Because the concept
of joy and pleasure is so alien to many
of the combat veterans, wives and partners
often admit to feeling guilty about indulging
in such simple pleasures as a facial,
manicure, haircut, or massage. Why are
the men so reluctant to treat themselves
well? Are they punishing themselves for
what was done or not done during the
war? Are they incapable of joyous and
passionate feelings? Are they destined
to remain at the opposite end of the
feeling range, where experiences are
cloaked in fear, grief, depression, despair,
and guilt? Most important, is there a
way to gently cajole them into activities
that they might enjoy?
Avoiding
Pleasure
There
are many reasons why combat veterans deny
themselves pleasurable experiences. Some
do feel that joy given their past
experiences of loss is undeserved,
but most are simply caught up in the pain
and emotional numbness that occurred as a
direct result of their combat experience.
Although the past will never and should
never be forgotten, combat veterans
need to know that the ideal way to reclaim
balance in the nervous system, and to become
more fully oriented to the present, is
through healthy, pleasurable experiences.
In other words,
what combat veterans need most is a prescription
to bring feelings of joy, love, appreciation,
enthusiasm, and pleasure into their lives.
While participation in pleasurable and
relaxing activities is generally a natural
occurrence for the average person, the
combat veteran, on the other hand, needs
to make a conscious decision to choose
activities that result in positive feelings.
At first, to break old habits, it might
be necessary for combat vets to make
an appointment with themselves or to
ask family members or partners to remind
them to keep a plan that involves having
a good time.
Plans for Fun
Go Awry
This may sound like a simple
task, but to a combat veteran, planning
for pleasure is far from simple. Lets
look at a familiar scene.
Ray,* a Marine,
made plans to go to a family members
60th birthday party. At the time the
agreement was made, he was looking forward
to the gathering. He had known Howard*
for 30 years, and he planned to share
a few good stories and help celebrate
this milestone. However, as the date
approached, Ray started feeling uncomfortable
about attending the event. His neck ached,
he had a muscle spasm in his back, and
he was tense all over. His physical discomfort
was matched by negative thoughts and
an anxious mood, and soon he was filled
with dread, wishing he could cancel.
Why does this
happen? When Ray first made his plans,
his defenses were down and his perceptions
of the event were accurate a party
with old friends would be safe and enjoyable.
However, as the event drew closer, Rays
old combat conditioning which
is based on survival and is not oriented
in the present time took over.
His unconscious mind perceived socializing
and being in close proximity to others
as a possible threat, and his defenses
kicked in. The muscle tension in his
body increased and was quickly followed
by negative thoughts and an anxious mood.
Before he knew
it, Ray was questioning his decision
and asking himself, Why did I agree
to this? He convinced himself that, Theyll
have a better time without me. Filled
with dread, Ray felt compelled to wait
until the last minute to cancel, thereby
avoiding any need for justification or
old arguments.
For a combat veteran,
there is often resistance to a new experience,
especially if it involves socializing
or a crowded, enclosed space. Because
adding pleasure and joy to life will
undoubtedly involve new activities, it
is important to understand how old combat
conditioning can trigger the fight,
flight or freeze response and undermine
the best plans and intentions.
Keep in mind that
although the scenario described above
has occurred in the past, it is not necessary
for history to keep repeating itself.
In fact, with a little planning, reclaiming
the happiness and pleasure that are a
natural part of life is actually possible!
Reclaiming
the Happiness
The first step toward taking
the plunge into positive feelings is to
identify what is enjoyable and doing more
of it. Most veterans have regular, positive
interactions with a pet. It is a common
sight to see a dog, My
best buddy and the only one I really trust, sitting
beside his vet owner in a vehicle. That
feeling of openness and trust brings about
a biochemical change to the body that ironically
increases awareness as the unnecessary
vigilance subsides.
One combat vet
we know acquired a duck as a pet. Last
August, his teenage daughter brought
a newly hatched chick home from a county
fair, and the vet, an avid gardener,
soon became its mother. They
now have a unique bond and are rarely
seen apart. Dogs, cats, birds, ferrets,
and ducks can all enhance life in a way
that is pleasurable and enjoyable especially
if there are children around to help
clean up after them!
Playing with grandchildren,
eating a delicious meal, listening to
enjoyable music, or watching a good comedy
can also cause the same kind of feelings
to occur. Other activities that may be
pleasurable include fishing, driving
in a beautiful remote area, hiking (for
those whose backs have survived), outdoor
concerts (lots of optional seating),
and RV and boat shows.
If you are married,
plan a specific, mutually enjoyable activity
once or twice a week, and set a specific
time and day to do it. Make an effort
to agree on an activity that is realistic
and feels good to imagine. For example,
Walter had never been to an outdoor concert
in the park, but he had walked the dog
near the site and he did know the music.
It was easy for him to imagine himself
in familiar surroundings, enjoying familiar
sounds.
Fighting the
Urge to Cancel
When the impulse to cancel
manifests remember,
this is only the old combat conditioning
going on the defensive expect
it as a normal reaction of the past and
go ahead with your plans! When the event
is over, evaluate how you felt while
experiencing it, and make any necessary
changes for the next time. Creating new
habits of pleasure will offer unlimited
benefits and help to improve the quality
of each day.
*Names and some situations
in this article 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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