I think the ral dimension of the problem is hidden from the public to give the wars they decide to fight a nicier face. I also think that in an army that is at war and where the personell pool is under stress, the priority in psychological treatement is not towards ehaling but to ensure usability in a combat environment again. In fact over the past years this has been reported in documentaries several times in case oif the US army.
Not everybody seeing the dying and destruction in war or experiencing the sensual environment of battle, suffers immediate PTS. But I am absolutely certain that something in man breaks when seing such things. There is a scar left in the hidden, in the inside. Something breaks, leaves an invisible wound. Makes your turning into a fatalist, or a barbarian dog, or a man having lost his thunder, or having lost his sensuality, sensibility, ability to admire nature and beauty. Whatever it is, the effect inevitably is there.
I am also sure that every man has his personal total, absolute breaking point. Push him beyond that point, and some core of his soul springs into pieces like glass, leaves him diagnosed with PTS or whatever. A German politician who has lived thorugh the war, put it in just two words, in the best way I ever heared it expressed: "Krieg vertiert." (Egon Bahr).
In the end, man is a creature that wants to see meaning and sense in life, and preferrably a pösotive meaning, not just an instrumental explanation. A hunger for meaning. Don't feed that, or disapoint that craving, and you see man loosing himself. Drugs. Fatalism. Barbarism. Blindness. Just consider what Vietnam did to many GIs.
That so many people fall for religions, also is to be xplained bny that: hunger for meaning, for a sense in living, an explanation why we are here. This is imo one of the most fundamental dimensions that define the essence of being human, beside the drives of survial, and sex. And it can overcome both the latter and even can make man sacrificing himself and actively refusing the survival drive.
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If you feel nuts, consult an expert.
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