Help for Wounded Souls

Invisible Wounds
What stress does to the soul.
by Eric Newhouse

Help for Wounded Souls
The Soul Repair Center will help emotional injuries.
Published on June 11, 2012 by Eric Newhouse in Invisible Wounds

There’s new hope for combat vets who have what I’ve been calling “wounded souls.” (See my blogs Wounded Souls I-III.)

Last week, the military newspaper “Stars and Stripes” reprinted an article about a new treatment facility called the Soul Repair Center at the Brite Divinity School at Texas Christian University.

It reflects a growing recognition that post-traumatic stress disorder is a medical diagnosis that’s too broad. Part of PTSD involves the stress of being targeted, shot at, mortared or bombed; warriors have experienced these symptoms for thousands of years. But after observing returning Iraq and Afghanistan vets, some mental-health professionals, military chaplains and civilian ministers now call some of those symptoms "moral injuries."

"In the medical model, all the bad mental-health things that can happen come from PTSD," Brett Litz, a clinical psychologist and professor in Boston who is conducting research funded by the Defense and Veterans Affairs departments, told the Fort Worth Star-Telegram. "That's simplistic thinking. It says that the only harmful aspects of war are about life threats. That's too narrow. Even though it's controversial, it is critically important that we think about other ways that war affects people psychologically, biologically, spiritually and morally."

About 2.6 million men and women have served in Iraq or Afghanistan, including hundreds of thousands of National Guardsmen and reservists. Most of them have served multiple tours of duty in guerilla warfare combat. Roughly 2 million of them have already left military service, and the VA is finding that one vet in three is seeking medical help for emotional injuries such as PTSD, anxiety or major depression.

According to the current DSM-4, PTSD is a medically defined anxiety problem caused by a life-threatening event, with symptoms that include flashbacks, nightmares, hypervigilance and emotional withdrawal.

Moral injuries are different in that they are brought about by "perpetrating, failing to prevent or bearing witness to acts that transgress deeply held moral beliefs and expectations," according to the VA. While an individual can have both PTSD and moral injuries, experts said, the causes of moral injuries are often different.
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