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July 03, 2008

Find the Cost of Freedom, Buried in the Ground

Censored Truth It's an old Crosby, Stills & Nash song, by Steven Stills. Many of us who were there in the 70s still remember the words. I know I can recite them from memory: "Find the cost of freedom, buried in the ground. Mother Earth will swallow you; lay your burdens down."

Tomorrow is the Fourth of July.  Not only my favorite holiday the whole year through -- sorry, I'm a New Englander, we're just born that way -- but also another opportunity - along with Memorial Day, and Veterans Day - to stop and honor the service of those who sacrificed their lives for freedom, or at least, responded to what they saw as the call of duty that they responded to, while others did not. Those whose blood was shed on American soil -- in Lexington, Massachusetts, in the Revolutionary War -- and also, more recently, in the jungles of Vietnam, in the mountains of Afghanistan and in the sands and urban jungles of Iraq.

I'm thinking today about censorship -- and the power of an image to convey, in a single instance, what those of us who labor over our words perhaps never can.  The picture, they claim, is worth 1,000 words -- perhaps because it communicates, in an instant, across barriers of language, space and time -- what human beings instinctively understand, nonverbally.  With war: that there is a price; that it is never really glorious; that those who give their lives often do so -- as the poet W.H. Auden wrote about the famous art masterpiece, the "Fall of Icarus," by the Dutch painter, Brueghel -- in a depressingly inglorious context:

"About suffering they were never wrong,

The Old Masters; how well they understood

Its human position; how it takes place

While someone else is eating or opening a window or just walking dully along...

If you don't remember the Greek myth of Icarus you might need some refreshing.  He's the pre-Wright Brothers son of Daedalus, whose father built him a pair of wings, in order to take flight and escape from the island of Crete.  But the father glued the wing feathers in with wax, and then warned his son not to fly too close to the sun (probably without explaining actually why.)  Icarus partially succeeded in his goal -- he was able to fly, but in flying, did get too close to the sun -- at which point the sun's rays melted the wing feathers' wax and he literally dropped out of the sky, into the ocean -- having succeeded in his fabulous quest and also painfully failed, all at the same time.  That's not the parallel with the armed forces: the parallel worth drawing here is that sometimes death on a glorious "mission" turns out to be a most pedestrian thing, and the rest of us, unless we're apprised of it, don't even notice or celebrate.  On a deeper level, it brings up the question: as Americans, how exactly do we "support the troops," if we're not even really aware of what they're up against?

Unlike Vietnam, where grainy black and white news footage of U.S. soldiers fighting and dying in foreign jungles was often watched during dinner, with Walter Cronkite narrating -- in Iraq and Afghanistan, we're reduced to very little coverage and certainly not much that could "upset" our "overly tender sensibilities."  No flag-draped coffins being offloaded at Dover Air Force Base, instantly communicating that for every loss in combat there's a grieving, distraught family and a hole in the community, left by that veteran, that will never be filled.  Even those, like me, who don't exactly excel at math -- we're more than dimly aware that for every servicemember KIA -- or killed in action -- there are scores more wounded and disfigured for life -- emotionally scarred (invisibly) as well as visibly.  The human costs are staggering: those are daddies and mommies, sons and daughters, brothers and sisters, employees and employers who come home different: maybe unable to work, maybe unable to function - initially or long-term; maybe unable to take care of their families while they struggle with their own wounds of war.  This is the human cost of war: it exists whether we are personally dialed in to it and aware of it, or not.  It is, to use the words of Hedley Peach, a "generic effect of combat."

And while the news media gives scant coverage to what is happening in the conflicts in Afghanistan and Iraq, as surely as the hands of our clock tick daily the minutes and the hours, somebody's sons, daughters, brothers, sisters, fathers, and mothers are dying, and being injured -- somewhere.  We can be for or against the wars -- forget that noise for now -- but at the very least, we ought to be for the veterans.  And their families.  If what happens is fully what they signed up for: so be it.  I'll say this for myself, if no one else: They're better people than I am.  If it's not what they bargained for: even more reason to feel compassion for what they're going through.  But here's a pretty elementary principle: if we don't see it, we can't grasp it -- and we move on with our lives as though nothing were really happening.  No coffins at Dover? No bodies on the news?  I guess this war isn't really costing that much in human terms after all...it's just another blip on our radar, hardly making a difference among the rest of the pronounced concerns of our lives and welfare.  Except that it IS happening -- and men and women are dying, and being injured, often grievously -- and we're, generally speaking, like the villagers in the Icarus poem, above (read the whole thing) pretty unaware of how that affects us, or if it even does.

And THAT is where journalism comes in, and photojournalism -- to convey in a single image, what dozens of column inches can barely touch.  A single image that resourcefully, potently conveys the reality of life and death on the knife edge, on the tip of the spear -- somewhere around the globe, and challenges you, me, us -- the viewer -- to say that it matters, and that we finally understand.

Maybe that's why in every craptastic Third World-ish revolution, they always kill -- um, that would be the military who does the killing -- the intelligentsia -- the artists, the poets, the thinkers, the intellectuals -- first.  Because I guess if you even goad the populace at large to think, why, you're a highly dangerous individual, and should be stopped -- before you can do any more harm (I mean, good.)

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Want a riveting image, that "stops the presses," and conveys for all time the intrinsic truth -- or at least, one powerful truth -- about an experience?  Turn to a photojournalist.  I've read more words than I can think of in my time, but if you want to know what I remember -- it's the images, often Pulitzer Prize-winning, from the eras of our shared experience.  Vietnam? It's the naked young girl, covered in Napalm, running from her burning village.  (We dropped the Napalm, btw...) Famine in Africa?  It's the buzzard, waiting for the tiny dark baby with its protruding ribs to just "hurry up and die, wouldja?!" so the buzzard could eat it.  (The photographer who shot that amazing scene, and won a Pulitzer Prize for it, later killed himself -- perhaps because those who witness tremendous suffering, also suffer tremendously themselves.)

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I'm not going to say who it is, because -- call me a fatalist -- I don't want to wake up tomorrow and find out that he's dead.  ESPECIALLY not on the Fourth of July -- that would be offensive in the extreme.  But the other day, some well-known and ridiculously good photojournalist blogrolled me -- stuck a link to this blog on his blog -- and I checked it out, to see what his stuff was like -- and of course it was riveting.  He's an embedded photojournalist in Iraq, or was, I should say, until the Marine brass apparently got fed up with him, and summarily pulled him out of his embedded assignment and out of the country.  His only offense, from the sounds of things?  Shooting the aftermath of a suicide blast in Ramadi -- you know, the Anbar province -- the Sunni triangle -- the previous hotbed of violence in Iraq -- which if we're to read the mainstream media, why, all that has calmed down considerably from a few years ago, and there's hardly anything brewing there at all.  Well, except for the lives of scores of people who died there, INCLUDING MARINES, in a suicide bombing just last week.  This guy documented it -- as sensitively as one could, given the horrific nature of the scene -- and he expressed the emotional toll it was taking on him, as no other experience had.  And somebody in the Marine Corps upper echelons took offense at what the rest of us call -- oh, I don't know -- the First Amendment -- and took steps to pull him out of there, on the double.

Let's HOPE the guy lives long enough to evacuate safely.  Really.  And then let's hope he still gets to show what he shot, at great personal cost -- because some of the rest of us (it's a refresher course: we're called Americans) want to actually SEE the cost of freedom -- in a way that those of us who don't serve, don't know; and those of us who do, and did -- know only too well.  It's only fair.  If we sanitize the living daylights out of these wars -- for what? -- not only will the American public not "get" the tremendous price paid by those serving AND their families; they won't be as compassionate to the same people afterwards as they need to be.  It's in all of our best interests to actively fight for, and preserve, the freedom of the press.  And that means photojournalists, who document war's horror, sufferings, and triumphs in a way no print journalist could ever begin to approximate.

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For my part, when I saw the photos in question the other day, I had myself a good, therapeutic, and instantaneous cry -- not just for the crumpled bodies of THOSE Marines on the ground -- he was subtle, nuanced and concerned enough not to show their faces, or anything else that identified them -- but for all the others I knew and knew about, who'd fought, been injured, or died there -- or returned home, not quite as intact, in body or soul, as when they'd left.  To deny us, as Americans, the chance through images like this to share the plight of those who are fighting on our behalf elsewhere in the world, is to deny us the chance to share what servicemembers are going through; and to deny them the chance to know that somewhere out there are people who "get," admire and respect the tremendous price they've paid through their service.

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The Marine Corps, which wants to sign more patriotic young sons and daughters up to fight, apparently thinks that by constraining the version of what reality is to just a portion of the whole will keep them happy and us in the dark, and people like this brave guy, the photographer, well, in complete limbo.  Little do they know that the patriots will still fight, but the rest of us could use an education course in compassion, sensitivity and yes, tenderness for those who've fought in battle, that only comes through expanding our horizons, and by facing the whole truth of what they're really going through, as combatants. Don't sugar coat the truth: everyone who goes to war comes back changed -- that's just how it is.  Let's develop a compassion and an understanding for what they go through, not sweep it under the rug.  The death and injury of those with whom they serve is often the most scarring aspect of combat there is.  Just ask those who've never been the same since.

So especially on this Fourth of July, as one extraordinarily talented photojournalist sits in limbo, let's hope still alive, ripped out of the fight for no other reason than that he was getting a little too close to home in showing us what war is really like -- I'm appalled to think that as Americans, we're not being trusted with the whole truth, when it's expressly the whole truth that we need, as Martin Luther King once said, to set us free.  We need to know the human costs of these battles we're in.  And suppressing the images of that just harms our servicemembers and their families, and cripples the compassion of us as a people.

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Until I looked it up just now, I didn't realize that Crosby, Stills and Nash song had other lyrics.  Apparently it does.  Besides the chorus (above), which I remember so well, there's another verse as well:

Daylight again, following me to bed
I think about a hundred years ago, how my fathers bled
I think I see a valley, covered with bones in blue
All the brave soldiers that cannot get older been askin' after you
Hear the past a callin', from Armegeddon's side
When everyone's talkin' and no one is listenin', how can we
decide?

On the behalf of all those "brave soldiers that cannot get older," could we at least not suppress and crush the efforts of those who are trying to get us to see the whole truth?  What truth is that, you may ask?  The very cost of freedom, buried in the ground -- in Iraq, in Afghanistan, and in Vietnam beforehand. Godspeed, Z.  You are a witness on ALL of our behalf, to the price that war really exacts, on those who serve in it.

June 28, 2008

"Disposable Heroes" - Washington Times and ABC News Investigates Drug Testing on Veterans

Disposable Heroes On June 16th, the Washington Times, which has been following the "Chantix harm to veterans" story doggedly, and ABC News, produced an investigative piece called "Disposable Heroes," about the drug testing that takes place on veterans, sometimes with lethal consequences.   That interactive piece is linked here. (Ironically, earlier this week, we posted an entry about veteran' similar exposure, this time from the Vietnam War, that is still coming to light.  That post is linked here.)

Here's the lead from the Washington Times' story, by Audrey Hudson:

The government is testing drugs with severe side effects like psychosis and suicidal behavior on hundred of military veterans, using small cash payments to attract patients into medical experiments that often target distressed soldiers returning from Iraq and Afghanistan...

In one such experiment involving the controversial anti-smoking drug Chantix, the Department of Veterans Affairs (VA) took three months to alert its patients about severe mental side effects.  The warning did not arrive until after one of the veterans taking the drug had suffered a psychotic episode that ended in a near lethal confrontation with police.

If you want to find other entries in the Washington Times' extensive coverage of Chantix and veterans, use this link here, which will produce a list of the articles, or go to their website, linked here, and do a search for "Chantix".  Be forewarned, however. Although the information on the website is well worth learning, the Washington Times has an especially cumbersome user interface, irrespective of browser.  Get ready to enable popups, and then, even so, only be able to pull up the stories with great difficulty.  Someone really needs to improve that...)

Going Frantic over Chantix - Anti-Smoking Drug Causes Problems for Veterans with PTSD

Chantix PTSDAn anti-smoking drug, Chantix, prescribed to veterans, including those with PTSD, has been linked to significant health problems:

The Washington Times reported on February 2, "Government regulators said the connection between Pfizer's anti-smoking drug Chantix [Vanericline] and serious psychiatric problems is "increasingly likely." The Food and Drug Administration said it has received reports of 37 suicides and more than 400 of suicidal behavior in connection with the drug."

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On May 16, the FDA issued a Public Health Advisory, linked here, about the drug, and mentioned -- of particular concern to those with PTSD -- that use of Chantix "may cause worsening of a current psychiatric illness even if it is currently under control and may cause an old psychiatric illness to reoccur." The FDA warned those taking Chantix about the "possibility of severe changes in mood and behavior," as well as about "vivid, strange and unusual dreams" -- problems already for veterans with PTSD. Similarly, the FDA described symptoms that Chantix might cause may include "anxiety, nervousness, tension, depressed mood, unusual behaviors and thinking about or attempting suicide."  Grrrreat.  Apparently, according to the health advisory, problems occurred both while taking Chantix, and during withdrawal.

Approximately a week later, on May 22, the Washington Times again reported that the FAA had banned Chantix for use by its pilots and air traffic controllers, after concerns about its use.

 

Congressman Filner on Health Care for Veterans

Bfportraitsmall Closing remarks of Congressman Bob Filner (D-CA), Chairman of the House Committee on Veterans Affairs, on the momentous passage of the GI Bill.  While the rest of Congressman Filner's remarks addressed education, he also commented on veterans ongoing health care needs and concerns, here:

"Last year, Congress made the largest increase in veterans’ health care funding in American history, when we increased VA funding by 30 percent, successfully adding $12 billion more than the President’s request and $39 billion more over five years. The new GI Bill is an even larger fiscal commitment to our nation’s veterans - providing a quality educational benefit for those to whom we owe so much.

While we have made much progress, new challenges continue to mount. Tens of thousands of service members are being discharged from the military without adequate diagnosis or treatment for post-traumatic stress disorder (PTSD) and traumatic brain injury. Refusing to face this challenge, leaders at the VA have attempted to manipulate suicide data to portray a lesser problem. In addition, the claims backlog for VA benefits now totals well over 600,000. The VA also failed to protect our veterans when they became more involved with research than providing treatment - When Chantix, an anti-smoking drug, was linked to suicidal thoughts and aggressive and erratic behavior, the VA failed to immediately eliminate their testing of veterans, placing them under increased risk.

It is obvious that our work has just begun, and I will continue to fight to hold the VA accountable for their actions and provide the very best care to our nation’s veterans. I will work to transition the VA from Veterans Adversary to Veterans Advocate!"

-- Congressman Bob Filner, Representative for California’s 51st Congressional District, and Chairman of the House Committee on Veterans Affairs, linked here.

Editor's note: Regarding Chantix, we did a post the other day, linked here, which talks about how to learn more about the medications being prescribed for PTSD, and how to learn about possible interactions with other drugs, such as Chantix.

June 20, 2008

The Suicide Profile: Clinically Known Risk Factors for Potential Suicides

The Thinker

I've got an old psychiatry textbook for medical students, written by a professor at Harvard Medical School named Robert J. Waldinger, M.D., and it's been interesting leafing through it and finding out what it has to say about PTSD (not much) and suicide (quite a lot).  The edition I have is the second edition (a third edition is in print), and it goes back almost 20 years, to 1990.  PTSD is covered in less than a page, but suicide has quite a bit of coverage, and much of what it says is interesting.

For example:

"A majority (60-80%) of people who commit suicide carry a diagnosis of depression.  Estimates of the risk of suicide in all mood disorders are as high as 15%, with the greatest period of risk within 5 years after the onset of the disorder.  The risk of suicide among people with mood disorders is 30 times that of the general population."

There's also this longer passage about who's most at risk for suicide.  The passage was written based on data that was available at the time -- 1990 -- and some of the percentages have changed up or down since then. However, as you read these factors, think about how many of them might be in play for combat veterans, in light of the recent rise in veteran suicides. Our observation?  Quite a few. See if you don't agree:

"Suicidologists have long searched for "suicide profiles." They have looked at everything from the phases of the moon to birth order in the family in an effort to solve the mystery of why certain people resort to suicide. The following are the risk factors most consistently identified in recent studies:

  • Age- The risk of suicide ... is greatest for nonwhite males in their 20s and 30s, and rises again (in the elderly).  Nonwhite females have the highest suicide rate in young adulthood to age 40, with a decline thereafter.  In the last 25 years there has been a more than three-fold increase in the rate of suicide among adolescents and young adults (and this figure has only gone up);
  • Sex - Men commit suicide three times more frequently than women.  However, women attempt suicide two to three times as often as men.  Men tend to use knives, firearms and other violent means of suicide, while women show a preference for self-poisoning;
  • Race - The suicide rate is higher for whites than nonwhites. However the rate among young black adults in ghetto areas has recently increased sharply;
  • Marital status - Suicide rates are lowest for married people and higher for those who are separated, divorced, or widowed;
  • Living situation - People who live alone are at a higher risk of suicide than people who live with others;
  • Employment status - People who are unemployed are at a higher risk of suicide than those who are working in or out of the home ...;
  • Physical health - Physical illness, or the perception that one is ill, is more frequent among those who commit suicide.  In particular, there is a high correlation between completed suicide and visits to a physician for medical complaints during the preceding six (6) months.  The risk of suicide is significantly increased among people suffering from cancer and AIDS;
  • Mental health- Among the mental illnesses that have been correlated with a high risk of suicide are depression, manic-depressive illness (bipolar disorder), and schizophrenia.  Non-fatal attempts are more prevalent among people with personality disorders, and adjustment disorders.  In general, the presence of major mental illness should alert the clinician to the possibility of suicide.  More than 90% of adults who commit suicide have an associated psychiatric illness;
  • Alcohol abuse or addiction - Alcoholism markedly increases the risk of suicide;
  • Previous suicide attempts - A history of suicide attempts has been estimated to increase the risk of completed suicide by as much as 64 times that of the general population.  At least 10% of suicide attempters eventually kill themselves;

The following factors, while less easily quantifiable, have also been associated with completed suicides:

  • Hopelessness - Several studies have concluded that the specific symptom of hopelessness about one's life situation is more highly correlated with suicide than is the more general category of depression;
  • Interpersonal loss- There is a high correlation between interpersonal loss and suicide.  Loss is defined as the separation from, divorce from, or death of a significant other, and may include relatives, friends, lovers, and therapists.  The risk of suicide is particularly high among alcoholic individuals who have suffered major interpersonal losses within the previous six (6) weeks;
  • Life stresses - A high frequency of major life events in the previous six (6) months has been found among those who commit suicide.  Such events include job changes, moves, births, graduations, financial reversals, marriage, retirement and menopause.  Such changes are important to identify in assessing both the precipitants of a suicidal crises and the possibilities for therapeutic intervention;
  • Interpersonal conflict - Long-standing intense interpersonal conflict with family members or other important people is associated with a high risk of suicide and has led some observers to characterize suicide as a fundamentally dyadic [definition] event.  Such conflict, if unremitting, may continue to jeopardize the life of the patient after a particular crisis has passed. "

Source: Psychiatry for Medical Students, Second Edition, by Robert J. Waldinger, M.D.  (Instructor in Psychiatry, Harvard Medical School, Director of Training, Massachusetts Mental Health Center, Boston, Massachusetts.)  Washington, DC: American Psychiatric Press, Inc.  (1990).

June 19, 2008

Making an Attempt to "Strip the Fuse" - Initiating Dialogue between Local Police and Veterans

IStock_000000618862XSmall NPR has another great story today, on a few OIF/OEF (Iraq and Afghanistan) combat veterans telling their stories in a public setting, in an attempt to defuse potential conflict with the communities where they live, especially with the police.  The story is called, "Dialogue Bridges Divide between Vets and Police," reported by Libby Lewis, and you can read the story or listen to it, here. It highlights the work being done by Jay White of the Hartford, Connecticut Vet Center, a facility funded by the Department of Veterans Affairs. According to Lewis, "before becoming a counselor, White served two tours in Iraq. The dialogues he moderates are meant to connect veterans with people who have no experience with war, namely people who deal with trouble — like police and emergency rescue personnel. These are the people whom soldiers returning home often find themselves dealing with."  It's great to see necessary, proactive stuff like this.

A surprising statistic, quoted in the story, by Brian Killany, a police crisis negotiator:

"The chances of [veterans] becoming a target group for us to have to deal with as a [police] negotiator is probably better than 50-50.”

Y-I-K-E-S.  Forewarned is forearmed -- no pun intended.  So much better to prepare for this in the way this program is doing, than be surprised by it -- when it's clearly a strong possibililty.

The NPR story also highlights the work of a Connecticut-based group, "Brothers in Arms," which the program says is "run by Iraq veterans with a mission of helping other returning soldiers. They also organize public speaking events to create awareness among civilians about the struggles of war veterans."  Their information is linked here.

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In addition, although not mentioned in the story, there's a great, 10 minute long video available on YouTube, which we blogged about here, by William R. Keating and the Norfolk County (Massachusetts) District Attorney's Office.  It's called "PTSD and Veterans: Beyond the Yellow Ribbon," and part of what it addresses is the re-integration of a combat veteran into his or her community, including the possibility of conflict with the police, and how both sides can manage that.  Well worth watching and bookmarking. The blog post we did about it a year or so ago is linked here, and it includes the video.

(Other counties in Massachusetts and in other states should consider contact William Keating's office and seeing if they can use the video with their constituents.  Information useful for contacting the Norfolk County (Massachusetts) District Attorney's office is linked, here.)

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Recently, we blogged about the similarities that cops and troops share in their exposure to cumulative increments of trauma, which often result -- for either of them -- in PTSD.  Ultimately, cops and trops may find out that they may find out they have more in common than they thought -- in terms of what they've been exposed to in their lines of work -- not just wearing uniforms, working out and carrying guns to work. 

Editor's note: The Hartford, Connecticut Vet Center information is linked here.  The directory lists Jay White but provides no additional contact information for him; undoubtedly, he can be reached the Center.

NPR Local Affiliate KQED's Story about VA Being Sued over Veterans' Healthcare

NPR Logo According to a story aired today on KQED -- a San Francisco public radio and television station, and NPR affiliate -- Berkeley, California's Disability Rights Advocates recently filed a lawsuit "that could affect thousands of veterans returning from Iraq and Afghanistan. They allege that the Department of Veterans Affairs is unable to provide timely mental health treatment for returning veterans. It describes a backlog of 600,000 claims for vets seeking care — some dating all the way back to the Vietnam War." To listen to the approximately five minute story, click here.  (And yes, this is the lawsuit that's produced the incendiary emails that have lately been in the news, including the infamous "shhh..." one about veterans suicides, which we blogged about earlier, here.)

Editor's Note: For more information about the veterans access to healthcare lawsuit in Federal court, as provided by the Disability Rights Advocates website, click here.

May 14, 2008

PTSD - "The War Within" - Claims Another Victim

Travis_twiggs_before_and_after_2How quickly, it would seem, one can go from badass to bad apple, when PTSD is involved.  USMC Staff Sergeant Travis N. Twiggs, please, say it ain't so.   I so want to believe this is a case of mistaken identity, or that somehow out there might be several Travis Twiggs, roaming America, with their country music star-sounding names.  But at this particular moment, that just seems more than a tad unlikely.

Some background.  On January 8th and then again last month, on April 23rd, we wrote about Travis Twiggs on this blog.  (See entries here and here.)  Twiggs is/was a USMC staff sergeant, from the 2nd battalion, 6th regiment, company G, who had served four(!) tours of duty, one in Afghanistan, and three in Iraq, including most recently in Fallujah.  That's a photo of him on the left, from about a year ago, touring a plant in North Carolina, and thanking them for sending his guys specialized socks in Iraq (Thor-Lo).  I've cropped the photo but he's talking with a seamstress at the plant, and he presented the company with a flag that was flown in Iraq to thank them for their support.  All good so far.

His story initially came to my attention because Washington Post columnist and well-known military author Tom Ricks wrote about Twiggs briefly in January.  Twiggs has been forthcoming about his battle with PTSD, and has told his story compellingly, most recently in the Marine Corps Gazette, in January of this year, in an article entitled, "PTSD: The War Within.  A Marine writes about his PTSD experience."  I wanted to secure Twiggs' permission to retell his story in full on this blog, in his words, but although he attached his email address to the article, and other email addresses have surfaced, no reply was forthcoming to my email requests.  Nor did the Marine Corps Gazette respond.  This, and some things he said in his article, both gave me pause, and made me wonder -- was his story really such a resounding success after all?

Fast forward to the tragedy part of this.  (If you do a people search for Travis Twiggs, you really only find one, nationally, who's his age, 36, so it seems pretty clear this is one and the same person.  From the photos, you can tell that there's also more than a slight resemblance.)  Today my blog statistics were spiking high and it made me curious to see what search was being run.  Cut to the chase: people were looking for news about Travis Twiggs.  And why?  Well, it turns out he'sTravis_twiggs_manhunt_underway_2 suspected of carjacking a couple's vehicle in the Grand Canyon, there's a manhunt underway for him and his brother, who's suspected in the same crime, and they're both considered armed and dangerous.  News coverage mentions that he's a ten year military veteran (they don't say he's a Marine), covered with tattoos, who suffers from PTSD and is known to behave erratically.

It is heartbreaking to read this news.  What gave me pause about Twiggs' original story?  Two main things.  He attributed, somewhere I read, a signficant portion of his "cure" to spirituality.  Spirituality, while significant to those who believe in its importance, is really an adjunct to treatment, not the treatment itself.  Seriously.  The other reason was, he credited another significant portion of his improved mental health/recovery essentially to working out.  I left that out of the part I quoted, because it just rang so hollow.  Working out is great.  It's an effective, known way to disperse aggression, create feel-good hormones, and increase positive self-esteem.  But in no way, shape or form is it meant to be a cure for PTSD.  It is, again, a part of an effective personal coping strategy.  These two issues created doubts in my mind; the third doubt was planted by Twiggs and the Marine Corps' completely dead silence in response to requests to reprint his ar