422)."
Amy B. Adler (1996), writing for Military Psychology, points out that soldiers experiencing the highest levels of combat stress were those exposed to dead troops and civilians, but exposure to their own fallen comrades, people with whom they had bonded, resulted in the highest levels of stress (p. 2).
The goals of the study were to identify the extent of PTS symptomatology following redeployment and to identify the relation between such symptoms and rank and type of traumatic exposure. It was hypothesized that soldiers who had been exposed to the most stressful types of combat trauma -- those involving death and wounding -- and soldiers of lower rank would be most at risk for stress reaction symptoms. Previous research found that rank is positively related to psychological well-being (Griffith, 1988) (Adler, 1996, p. 2)."
Adler's contention that stress is found at greater levels amongst those soldiers of lower rank is not contradictory to the findings of the first group, Sutker, et al., since minorities and women often comprise the elements of the lower ranks by virtue of education and economic factors. So, for this reason, the conclusions of both groups of researchers support the findings of the other.
The Scenarios
The subject of the first case study we'll examine here is the case of Jesse, a 1967 Vietnam era veteran, who was involved in the fighting that took place during what has become known as the Tet Offensive. In addition to the Tet Offensive, as a soldier of war, Jesse has experienced the horrors of war: the bloodshed, bonding with his fellow soldiers and experiencing their deaths while in a military capacity that made it difficult to mourn those losses of friendship and camaraderie. By the time Jesse returns home to the U.S., to his family in San Francisco, he is a changed man.
Sometimes, the California terrain triggers memories of places in Vietnam where Jesse experienced traumatic events of war. Jesse struggles to between the flashbacks from Vietnam and his reality at home in San Francisco. The constant need to focus and to work to remain in the moment of the present while at the same time being haunted by the nightmarish scenes of tragedy in Vietnam have taken a toll on Jesse's physicality; he experiences poor sleep habits, disinterest in diet and exercise, and he is wary of the people at work and whom he meets socially. Jesse has no relationship, even though he has attended school to become a lawyer and he would very much like to begin a family. Jesse does not believe he can begin a family until he addresses his problems associated with the war.
Jesse's war time experience is consistent with the study cited by Sutka, et al., wherein Kalka found the high level of PTSD amongst individuals of Hispanic origins who were veterans of the Vietnam conflict. As a participant in the Tet Offensive, an event that caught the United States troops very much off guard, Jesse would have experienced a traumatic event resulting in the loss of life amongst his fellow soldiers.
Even though Jesse rose above his Vietnam level of education, it was only once he was back in the United States and in a familiar setting that he was able to do that. However, a post experience education did not serve to help Jesse past the experiences that caused him to manifest symptoms of PTSD, and his experience caused him to suffer socially in that respect.
Another soldier, Amos, who, like Jesse, was in Vietnam experienced a very different side effect of his experience; when he was at home making love to his wife, he was thinking of the war, and when he was at war, he thought about his wife. This is an avoidance mechanism that turns into a vicious circle for a soldier experiencing PTSD. Felix focused on his wife while at war to avoid the experiences and trauma of war; and vice a versa, because the experience of war, like Jesse, had left Felix affected.
Another solider, a veteran of Operation Iraqi Freedom, experienced the horrifying and traumatic experience of mistaking innocent civilians for insurgents, and killing them, including a child. Upon of return to the States, Felix finds he relieves the experience time and again and is unable to eradicate the memory of the event from his thoughts. He, like Felix and Jesse, is experiencing PTSD.
Each of the three men's cultural ethnic heritage made him both susceptible to the conditions from which they suffer as a result of their war time experiences; and, upon return to their cultural settings, they remain vulnerable because it is not consistent with the Hispanic...
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