An archetypal approach to treating combat post-traumatic stress disorder

Authors

  • Roger Brook Ph.D., head and employee of the Military Psychological Clinic at Duquesne University, Pittsburgh (USA).

DOI:

https://doi.org/10.35774/pis2022.02.135

Keywords:

psychotherapy, warrior culture, combats, post-traumatic stress disorder

Abstract

Jungian model of psychotherapeutic work with veterans is presented. Universal – archetypal – topics evident in the traditions of many warrior cultures are singled out: acceptance of one’s destiny as a warrior, making peace with the dead or killed, restoration of honour to the enemy, etc.; moral and spiritual traumas of war are discussed. A relatively low value of emotional catharsis in the clinical perspective of trauma is stressed – together with the importance of witnessing the experience of trauma from the side of a non-joudgmental and devoted person.  Concentration on a mere eradication of a symptom is shown as a reductionist attidude of a professional and such that is experienced as disrespectful and immoral from the side of a veteran.  The task of a health care professional is described as acceptance of a «shadow» side of a warrior’s drives, of the reality of evil and destruction but beyond the context of epistemologic or psychiatric frames. Meanwhile, being diagnosed with PTSD leads, in the author’s opinion, to social marginalization of a veteran together with civil society impotence as «a psychic disease» is to be treated by health care professionals. Posttraumatic symptoms are viewed in the context of a psychic function that they can play as well as a call to «the warrior’s path», a moral and spiritual journey of a veteran to a deepened and more engaged life. Following Jung, the author offers to use the experience of individuation that includes psychological spaciousness, self-acceptance, greater responsibility for their conduct, and a meaningful position in the wider society. The understandable, but misguided strategy evident in the western society to adoin discussions about war is highlighted. The author warns that undivided traumatic experience may influence the warrior indirectly causing intergenerational breakdown and persistent dissociated trauma. 

References

Best, E. (1903). Notes on the art of war, as conducted by the Maori of New Zealand, with accounts of various customs, rites, superstitions, etc, pertaining the war, as practiced and believed in by the ancient Maori, Part VII. The Journl of the Polynesian Society, 12(3), 145-165.

Bion, W. R. (1962). A thoery of thinking. International Journal of Psychoanalysis, 43: 306-310.

Bracken, P. (1998). Hidden agendas: Deconstructing post traumatic stress disorder. In: P. Bracken & C. Perry (Eds.), Rethinking the Trauma of War (p. 38-59). London: Free Association.

Brim, W. & Riggs, D. (2011). Sleep disorders. In: B. Moore & W. Penk (Eds.), Treating PTSD in Military Personnel: A clinical handbook (p. 270-287). New York: Guilford.

Brooke, R. (1993). Coyote Barks at Prometheus: Archetypacl images of the therapeutic stance. The Humanistic Psychologist, 21(spring): 58-63.

https://doi.org/10.1080/08873267.1993.9976906

Brooke, R. (2012). An archetypal perspective for combat trauma. Bulletin of the American Academy of Clinical Psychology, 13(1):2-7.

Brooke, R. (2015). Jung and Phenomenology: Classic edition. London and New York: Routledge.

https://doi.org/10.4324/9781315766690

Cwik, G. (1991). Active imagination as imaginative play-space. In: M. Stein & N. Schwartz-Salant (Eds.), Liminality and Transitional Phenomena (p. 99-114). Wilmette, IL: Chiron.

Decher, L. (2007). Combat trauma: Treatment from a mystical/spiritual perspective. Journal of Humanistic Psychology, 47: 30-53.

https://doi.org/10.1177/0022167806293000

Edinger, E. (1992). Transformation of the God-image: An Elucidation of Jung's Answer to Job. Toronto: Inner City.

Eigen, M. (1986). The Psychotic Core. Northvale, NJ: Jason Aronson.

Garland, C. (Ed.) (2002). Understanding Trauma: A Psychoanalytical Approach (2nd edn). London: Karnac.

Gornod, R. (1985). Losing and finding: The location of arche¬typal experience. Journal of Analytical Psychology, 30: 117-133.

https://doi.org/10.1111/j.1465-5922.1985.00117.x

Hamner, M. (2011). Psychotic symptoms in posttraumatic stress disroder. Focus, 9(3): 278-285. Available at: http://focus.psychiatryonline.org/article.aspx/articleid=178204 [last accessed 6 August 2016].

https://doi.org/10.1176/foc.9.3.foc278

Hillman, J. (2004). A Terrible Love of War. London: Penguin.

Hoge, C. (2010). One a Warrior Always a Warrior. New York: Guilford.

Hoge, C. (2011). Interventions for war-related post-traumatic stress disorder: Meeting veterans where they are. Journal of the American Medical Association, 306: 549-551.

https://doi.org/10.1001/jama.2011.1096

Jeffries, M. (2014). Clinician's guide to medications for PTSD. Washington, DC: US Department of Veterans Affairs. Available at: www.pstd.va.gov/professional/treatment/overview/clinicians-guide-t-medications-for-ptsd-asp. [las accessed 6 August 2016].

Jung, C. G. (1902). On the psychology of so-called occult phenomena. In: H. Read, M. Fordham, & G. Adler (Eds.), The Collected Works of C. G. Jung: Vol. 1 (trans. R. Hull) (p. 3-88). Executive editor, W. McGuire. Bollingen Series XX, 20 volumes. London: Routledge and Kegan Paul; Princeton: Princeton University Press, 1953-1979. [Henceforward referred to as C. W., with the volume and page numbers.]

Jung, C. G. (1917/43). On the psychology of the unconscious. C. W., 7: 9-119.

Jung, C. G. (1919/48). The psychological foundations of belief in spirits. C. W., 8: 301-318.

Jung, C. G. (1921a). Psychological types. C. W., 6: passim.

Jung, C. G. (1921b). The therapeutic value of abreaction. C. W., 16: 129-138.

Jung. C. G. (1932). Sigmund Freud in historical setting. C. W., 15: 33-40.

Jung. C. G. (1934a). A review of the complex theory. C. W., 8: 92-104.

Jung, C. G. (1934b). The state of psychotherapy today. C. W., 10: 157-173.

Jung. C. G. (1935/53). Psychological commentary on The Tibetan Book of the Dead. C. W., 11: 509-526.

Jung. C. G. (1945). After the catastrophe. C. W., 10: 194-217.

Jung. C. G. (1946). The fight with the shadow. C. W., 10: 218-226.

Jung. C. G. (1948). General aspects of dream psychology. C. W., 8: 237-280.

Jung, C. G. (1963). Memories, Dreams, Reflections. Fontana, CA: Fontana Books, 1967.

Leslie, D., Mohamed, S., & Rosenheck, R. (2009). Offlabel-use of antipsychotic medications in the Department of Veterans Affairs healthcare system. Psychiatric Services, 60(9): 1175-1181.

https://doi.org/10.1176/ps.2009.60.9.1175

Lindsey, S., Carlson, E. & Sheikh, J. (2000). Psychotic symptoms in posttraumatic stress disorder. CNS Spectrums, 5(9): 52-57.

https://doi.org/10.1017/S1092852900021659

Marlantes, K. (2011). What Is It Like to Go to War. New York: Athlantic Monthly.

Papadopoulos, R. (1998). Destructiveness, atrocities, and healing: Epistemological and clinical reflections. Journal of Analytical Psychology, 43(4): 455-477.

https://doi.org/10.1111/1465-5922.00047

Paulson, D. (2005). Walking the Point: Male Initiation and the Vietnam Experience. New York: Paraview.

Paulson, D., & Krippner, S. (2007). Haunted by Combat. Westport, CT: Praeger Security International.

Podvoll, E. (1990). The Seduction of Madness. New York: Harper Collins.

Shay, J. (1995). Achilles in Vietnam: Combat Trauma and the Undoing of Character. New York: Touchstone.

Shay, J. (2002). Odysseus in America. New York: Scribner.

Stein, M. (1985). Jung's Treatment of Christianity. Wilmette, IL: Chiron.

Summerfield, D. (1998). The social experience of war and some issues for the humanitarian field. In: P. Bracken & C. Petty (Eds.), Rethinking the Trauma of War (pp. 9-37). London: Free Association.

Tick, E. (2005). War and the Soul.Wheaton, IL: Quest.

Tick, E. (2014). Warrior's Return: Restoring the Soul After War. Boulder, CO: Sounds True.

Wilmer, H. (1996). The healing nightmare: War dreams of Vietnam veterans. In: D. Barrett (Ed.), Trauma and Dreams (pp. 85-99), Cambridge, MA: Harvard University Press.

https://doi.org/10.4159/9780674270534-008

Winnicott, D. W. (1974). Fear of breakdown. International Review of Psychoanalysis, 1: 103-107.

Young, A. (1995). The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder. Princeton, NJ: Princeton University Press.

https://doi.org/10.1515/9781400821938

Issue

Section

Статті

How to Cite

Brook, Roger. “An Archetypal Approach to Treating Combat Post-Traumatic Stress Disorder”. Psyhology & Society, no. 2, Dec. 2022, pp. 135-49, https://doi.org/10.35774/pis2022.02.135.