VietNow
National Magazine

Therapeutic
tools can bring resolution to bad memories
of combat, but there's also a lot a veteran
can do for himself.
By Mary Tendall and Jan Fishler
Photo by Joanna McKasy
When a loved one dies, there is grieving.
Over time, the heavy grief transforms through
many stages, moving on into sadness and
ultimate resolution. Memories of the loved
one become steeped in the past, allowing
a distance to be created between the time
of the death and the present.
That is not the case for most
veterans who have lost brothers in combat.
The
Groundhog Day Effect
Because combat losses
occur in a place of trauma (a combat
zone), the brain records the event in a
much different manner. Following the losses,
many soldiers must operate as usual,
and grieving would mean letting down
the emotional shield necessary for
the protection of self and others.
As a result of the vigilant state of
the brain during the loss, the brain
replays the event over and over as
if it is in the present. Like the movie, “Groundhog
Day,” it repeats
the images with no resolution. Because of this,
many combat veterans relive the deaths
of their brothers on a daily or nightly
basis. Consequently, moods are altered,
and the result is often irritability,
sadness, and a need to isolate. This behavior
is often misunderstood not only by family
and friends, but also by the veteran.
When
the End Is Missing
While there are various
therapeutic tools used to bring resolution
to these memories, there is much a veteran
can do for himself. One effective technique
is to create, symbolically, a beginning,
middle, and end to the event.
Al* had
struggled with constantly reliving the
death of his buddy while
he was in Vietnam. They had been talking
one night, when Al walked 20 yards away
for a cup of coffee. When he returned,
his friend was dead. Al was left with
the vision of his dead buddy, and reported
that it was like an experience he had
to deal with every day. In therapy, Al
learned to relax by doing deep-breathing
exercises, and then use this relaxed
state to recreate the “story.”
The
beginning (their conversation) and middle
(his walking away and returning to see
his friend killed) stayed the same. But
Al added an ending, where he saw his
buddy being carried away, and where he
later attended the imaginary funeral complete
with the grieving family laying his friend
to rest. Al was encouraged to imagine the
full story several times a day for the
first week. Initially, he reported that
he really struggled to add the ending.
When he was finally successful with replaying
the event from the beginning to his created
ending, his anxiety regarding the loss
decreased dramatically. It took about two
weeks, with real dedication on Al’s
part, to complete this process. Finally,
he chose a large tree near his driveway
as a memorial. He sees that tree every
day, and has learned to put the event into
the past and never forget his friend.
A
Memorial as a Means to an End
A self-made
memorial is another symbolic gesture
that helps bring closure to losses. Ted*
said that there were too many names and
faces that he couldn’t remember and
never knew, yet their deaths still haunt
him. He is one of many who experience survival
guilt. Ted designed a memorial for his
combat brothers in the woods near his house.
He used a natural rock outcropping and
added stones around it. Whenever he walked
near it, he added a stone. This symbolic
memorial was his private way to honor the
losses and say good-bye. Ted also received
another benefit: His nightmares began
to decrease in frequency and intensity,
and now he has been free of disturbing
dreams for more than eight months.
Emotional
Closure Takes Courage
In both of these
cases, the veterans had to actively face
their memories of loss and grief while
creating a process that would finally
allow the losses to be put in the past.
Al and Ted both reported that it took a
different kind of courage to create emotional
closure. Al stated, “I had
avoided thinking or talking about
my experiences unless they showed
up uninvited. Now, when I think back,
I still feel sad, but it is a completely
different experience and I do not
have to avoid it at all.”
Symbols
As most of us have heard or personally
experienced, the Vietnam Memorial Wall
in Washington, DC and the Traveling
Wall have served as powerful and often
overwhelming symbols of combat loss. For
many veterans, seeing names on the wall
activates many of the unshed tears. Others
numb out, which is also a survival reaction
to loss. Many cannot face The Wall at all
because of the deep sorrow it represents.
Personal memorials can then be created,
which are often unknown even to family
members.
The symbolism of tombstones, The Wall,
and other memorials, are for those of us
who are still alive and need to honor those
who have left us. The symbols themselves
are a way to pay tribute not only to those
who have died, but also to our own sense
of loss, so that we may move forward
knowing they will never be forgotten.
*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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