audio version of PTSD by Design
Your first minutes in boot camp are when it begins. You and those with whom you arrived all line up in some semblance of a formation in whatever clothes you made the trip in. Your Drill Instructor though, is resplendent in an immaculate uniform. So is his superior officer and so are his subordinates, all of their uniforms look like a carefully photoshopped advertisement for perfection. You are part of a rag tag, shoddy group of nobodies but they, they are the ruling class and you can immediately see that they are and why. You have barely arrived and your indoctrination has begun with a bang.
You are soon introduced to your "barber". Whether or not he has any real skill at styling hair or any particular barbering abilities is something none of you will ever know or need to know. He is going to cut all of the recruits’ hair off on this visit and on any subsequent visits. After the hair removal, you all line up to be issued "uniforms". Oh no, not uniforms like your Drill Instructor's. Your uniforms will never be described as "resplendent". They are working clothes, drab and functional and quite intentional. You are not now, nor will you ever be the equal of that god-like Drill Instructor in his sartorial perfection or any other way. That is what your indoctrination is telling you and it is a very compelling argument.
Off you go to learn to march. Even though marching has not come in handy in combat for 300 or so years, you learn to march in step with your platoon mates. It is the most obvious indication of the effort to diminish individuality and convert you all into a single machine of many parts. You learn various drill maneuvers and you practice them until you actually do them in your sleep. There is also plenty of instruction in exactly how you are to keep your uniforms and how you are to wear your uniforms. The rank structure is explained to you in excruciating detail over and over and over again. Pretty much everything you are expected to know is explained to you that way and then, you are expected to practice it. All of that knowledge, all of the actions will become as automatic and familiar as the movement of your legs and arms.
There is much more to learn and as you progress, the knowledge you have already acquired is built upon. That is completely normal and predictable. What might not be as obvious is that the indoctrination is following a similar path. You have been taught to do even the simplest things a very specific way to achieve a very specific outcome. You have been taught through military drill to follow orders immediately and without question. You know at a glance who you must show respect and who (if anyone at this early state) is junior to you and must show you respect. You know how you must address anyone you encounter. You have also been taught that you all are a single unit and any failure is a failure of the unit.
By the time you leave boot camp you have acquired an impressive amount of knowledge and habits in a brief time. But you're not done, not by a long shot. The things that you learn in boot are expanded and refined throughout your professional training and indeed, throughout your military career. Every day, every minute you are in your indoctrination continues and is made stronger and more permanent. Regardless of the job you have chosen (been assigned), the unit you join or, the rank you achieve, your indoctrination continues. That is completely by design.
Training is not the only place to receive the indoctrination. Actual operations, doing the job you have been trained for, will continue your indoctrination. Combat in particular is an intense and accelerated aspect of military indoctrination. No matter the activity, in recreation, in recovery from illness or injury, in training or at work, in ways subtle and overt the indoctrination continues.
Until you get out. Then it stops. Cold Turkey. Immediately. You are traumatically separated from that you have been relentlessly trained to identify with. At best it is about like running out of the hot water in the mix to create your nice warm shower. Going from luxuriously warm to harshly cold in a few seconds gets your attention. At worst it is like waking up from a nap with a limb missing. Either way it is a traumatic shock. Sometimes you learn to deal with it. The conditions under which you served, the justness of your cause and other aspects of your service can make your transition a lot less impossible. Still, it is a shock. It is supposed to be. You have trained and lived and eaten, slept and breathed a different way of doing things until the day you no longer did.
The alienness of civilian life - even the things you love, the familiarity of the military - even the things you hate, are different for every service member. The existence of those concepts however, is consistent across the board. Again, it is by design. It is supposed to be that way. You are expected to be 100% committed to your shipmates and job anytime you are assigned to a military command.
I am not a doctor and psychology is not my field of expertise. Still, it is my considered opinion that the conditions I describe above conspire to insure that anyone who makes it more than a couple of weeks into boot camp has some level of PTSD. The longer you are in, the more intense your service, the more sensitive you are, the greater the conflict with your belief system, the more drastic the differences between your life before the military and your time in, can all influence how "bad" your PTSD will be. It may be so mild you think it not worth mentioning but, it is still there.
I used to “wake up” hearing a cryptographic machine alarm and walk into the living room looking for the machine so that I could correct the problem. Of course, there was no machine in the living room and I had been out of Navy for months or years when I heard the alarms. I still occasionally rush to do something that hasn't needed me to do it in 35 years or so, ignoring the fact that the materials I would need and the equipment I would work on could not possibly be around. With decreasing intensity as the years roll on, I still lament the loss of friends and shipmates and feel guilt that I made it when they did not. The closest I ever was to combat was the occasional bar fight. I didn't fly a plane or shoot a big gun (or a small one for that matter). Nothing ever exploded close to me. All of the things the public has been led to expect to be present in PTSD cases have nothing to do with me, except the indoctrination. My indoctrination was as complete as anyone's. My issues, and trust me - the above descriptions are nowhere near a complete inventory, exist because the indoctrination took. PTSD is by design. If we ever decide to honor our debt to those who sign up and serve, as a nation we will fund and create a de-indoctrination program that will have to be a part of every service member's exit. We need to invest in the time and energy it takes to undo SOME of the psychological changes necessitated by being in the military. I am not ashamed or regretful of my service at any level. I have largely readjusted to being a civilian (but boy did it take a while) but my situation was not everyone's. There are men and women coming back who have gone through hells that I quite thankfully, cannot imagine. If I could have benefitted from such a de-indoctrination program as I suggest should be in place, just think of the good that could be done for them.
As is all too frequently the case, PTSD is in the public awareness again because of a tragedy. The deaths of movie subject Chris Kyle and his business partner at the hands of an afflicted individual and the subsequent and ongoing trial, serves to alert distracted citizens that potential problems walk among us. The attention will not last but the problem will. Those who can source their PTSD to military service are everywhere in this nation. They are your neighbors and coworkers, your elected officials and law officers. They are members of your family. If you are lucky, their experience with it is as mild as mine. If you are not lucky, you - or your survivors - may come to agree with me that we need to be as active and intentional and comprehensive in our approach to treating PTSD as we are in instilling it. No, I do not believe that we desire or intend our combat vets to return home “straight up crazy”. The extreme cases have causes all their own. But for an awful lot of us, our PTSD is by design. If our veterans are to ever be free of that malady, it will have to be by design as well.