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Military Sexual Trauma

November 01, 2008

Military Sexual Trauma Increases Likelihood of Mental Health Problems, VA Says

From a press release, this fairly obvious conclusion:

Military Sexual Trauma Associated With Higher Rates of Mental Health Problems.

According to preliminary research results from the VA, approximately 15% of recently returned female veterans utilizing the VA healthcare system report experiencing sexual trauma during military service.

The cross-sectional study, presented at the American Public Health Association’s 136th Annual Meeting & Exposition in San Diego, examined healthcare screening data of over 100,000 veterans of Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom who utilized medical care at any Veterans Health Administration facility during a six-year period.

Along with the more than one in seven women, 0.7% of males also reported having experienced military sexual trauma. Both males and females reporting military sexual trauma were more likely to be diagnosed with a mental health condition than patients who did not report military sexual trauma.

“These data highlight the importance of the VA’s universal screening policy,” said Joanne Pavao, MPH, a VA researcher on the study, “as well as early intervention among veterans who have experienced sexual trauma, to prevent long-term consequences.” Veterans Health Administration policy requires that all male and female veterans are screened for experiences of military sexual trauma and that free treatment for military sexual trauma-related conditions is provided at all VA healthcare facilities.

— Source: American Public Health Association

October 17, 2008

In the News: Two Articles Worth Reading Recently

Newspapers Two articles worth reading that have been in the news recently:

"How the VA Abandons Our Vets," by Joshua Kors, in The Nation, linked here; and the poorly-headlined but otherwise worthwhile"Military Town Newspaper Challenges U.S. Military on Murder of Military Women," by Ann Wright, in TruthOut.org on the Web, linked here

Kors' article talks about the recent veterans' class-action lawsuit against the VA, fought in Federal court, and WHY it was necessary -- and there are some interesting and unexpected points, which didn't show up elsewhere in enough detail.  The biggest one is about the "fuzzy math" the VA employs to calculate claim times, and how this uniformly works against veterans (no pun intended on the "uniformly" thing.) It also confirms a longheld impression on my part that a veteran who struggles intensely with the mammoth difficulty of being his or her own advocate in the process, and ends up committing suicide, is actually counted as a "victory" for the VA, who calls their claim "resolved" in the time it took them to kill themselves.  In other words, fellow veterans killing themselves while waiting for their claims to be resolved actually makes the VA look "better and faster" at resolving claims, if you can believe that.  Yikes.  Talk about a system that needs to be overhauled and addressed...

Another great point Kors makes is that "someone" already attempted -- but was fired for her efforts.  That "someone" is Frances Murphy, M.D., who in 2004, according to Kors, "helped draft the Mental Health Strategic Plan, a blueprint for overhauling the VA.  The plan called for 256 changes to the organization, among them: installing a tracking system to stay in touch with suicidal veterans, creating rehabilitation programs that involved veterans' families, and streamlining the benefits process to resolve wounded veterans' immediate needs."  However, after expressing her frustration in public (to mental health providers) about the barriers the VA erects to veterans' speedy care, and how this causes veterans to suffer additionally and unnecessarily -- she was summarily fired.

Read the Kors piece to understand what wounded veterans have to go through, and how unfair it is; and to get a better picture on the fuzzy math that's employed to make things seem much better than they are.

The Ann Wright piece talks about military wives and women servicemembers murdered recently by other servicemembers, and mainly serves to remind us of how this is a problem that isn't going away.  The "news peg" for her article is a recent editorial in the Fayetteville, NC Observer -- Fayetteville is close to huge Army and Marine bases -- called "Our View: Military Domestic Violence Needs More Aggressive Prevention" (speaking of odd word choices).  That editorial is linked here.  The editorial references a recent vigil to memorialize the murdered women locally.

In conjunction with the Helen Benedict material and the other writings on Military Sexual Trauma, blogged about recently, here -- this is a topic worth keeping in the forefront of our minds.  Collateral damage from combat trauma? Or just crimes committed by otherwise sick individuals who happen to be in the military?  Either way, "more" needs to be done about this terrible problem.  (A similar and related topic is the "non-combat deaths" one we discuss from time to time, which can sadly be what's used to describe what more actually is a victim's suicide or a "domestic violence" type murder, of one servicemember by another.) We're just about to add a series of blog posts about domestic violence, and why it's important to leave when you're at risk, but ideally how to do so in a way that preserves your life.  Look for that shortly.

About the authors:

Joshua Kors is an investigative reporter for The Nation, where he covers military and veterans' issues. He is the winner of the National Magazine Award, George Polk Award, IRE Award, National Headliner Award, Casey Medal, Mental Health Media Award, and the Military Reporters and Editors Award.  He was also a finalist for the Michael Kelly Award, Tom Renner Award, Harvard's Goldsmith Prize for Investigative Reporting, and the American Bar Association's Silver Gavel Award.

Ann Wright is a retired US Army Reserves colonel with 29 years of military service. She also was a US diplomat who served in Nicaragua, Grenada, Somalia, Uzbekistan, Kyrgyzstan, Sierra Leone, Micronesia and Mongolia. She is the co-author of "Dissent: Voices of Conscience," profiles of government insiders who have spoken and acted on their concerns of their governments' policies.

Why Soldiers Rape - Helen Benedict on Military Sexual Assault

Benedict-340-Benedict-finalIf you've been following our recurring coverage on military sexual trauma (MST), here is an important addition to it: Helen Benedict, a professor at Columbia University's Graduate School of Journalism, currently on sabbatical, has a book coming out next year from Beacon Press called "The Lonely Soldier: The Private War of Women Serving in Iraq."  (You can pre-order the book at Benedict's own website, linked here.)

On Memorial Day weekend, she published an OpEd recently on the subject, in the New York Times. The piece, which was entitled "For Women Warriors, Deep Wounds, Little Care," is linked here.

A few months later, in August, she published another OpEd, called "Why Soldiers Rape," in a different outlet, which is linked here. Compared to the NYT piece, this one is more overtly politicized, both in thinking and in language.

While that strategy can have pros and cons, one positive is -- whether you agree with it or not -- that it's a useful stance to take to provoke thinking and/or discussion.  (Although I'd also like to compare the two essays side by side to see how Benedict treats the same material slightly differently, for different audiences.)

Decades ago, feminist authors and filmmakers were able to accomplish traction by taking on topics like rape (Against Our Will: Men, Women and Rape, by Susan Brownmiller) and pornography (Not a Love Story: A Film about Pornography, by Bonnie Klein, with Susan Griffin and others) as aspects of the culture that harm women substantially, yet are frequently overlooked.

(Benedict's website indicates that a previous article published in Salon last year, "The Private War of Women Soldiers," was awarded the James Aronson Award for Social Justice Journalism in 2008. That article is linked here.)

Some of the terms Benedict uses, like "misogyny" (literally, hatred of women) are very strong indeed.  How big a problem is this really? My hunch is less so than what Benedict suggests.  But by using such volatile language to communicate similarly incendiary thinking, Benedict succeeds in drawing greater attention to the problem.  Doubtless what she portrays, however, is not "everywoman" servicemember's experience in the military.  (The comments to the NYT piece make that abundantly clear.) But for those who are harmed by military sexual trauma, no doubt she makes some very good, and thought-provoking points -- even if you don't end up agreeing with everything she says, or how she says it. 

Another difficulty is the topic is so polarizing, based on individuals' own experiences -- that those who have suffered from it tend to see the pervasive nature of it; whereas those who haven't personally experienced also tend to believe their experience is the norm, and shut out the other point of view.  (See the comments section in the NYT piece for examples of this "all or nothing" thinking.) In this way, both sides run their own risk of illustrating the cliche that "when all you have is a hammer, you tend to see everything as a nail."

The following is an excerpt from that piece:

"Rape in civilian life is already unacceptably common. One in six women is raped or sexually assaulted in her lifetime, according to the National Institute of Justice, a number so high it should be considered an epidemic.

In the military, however, the situation is even worse. Rape is almost twice as frequent as it is among civilians, especially in wartime. Soldiers are taught to regard one another as family, so military rape resembles incest. And most of the soldiers who rape are older and of higher rank than their victims, so are taking advantage of their authority to attack the very people they are supposed to protect.

Department of Defense reports show that nearly 90 percent of rape victims in the Army are junior-ranking women, whose average age is 21, while most of the assailants are non-commissioned officers or junior men, whose average age is 28. . . "

Benedict ties rape to misogyny -- literally, hatred of women -- and what she suggests is the systematic, institutionalized degradation of women in the military:

"Two seminal studies have examined military culture and its attitudes toward women: one by Duke University Law Professor Madeline Morris in 1996. . . and the other by University of California professor and folklorist Carol Burke in 2004 . . . Both authors found that military culture is more misogynistic than even many critics of the military would suspect. Sometimes this misogyny stems from competition and sometimes from resentment, but it lies at the root of why soldiers rape. . .

Morris and Burke both show that military language reveals this "unabashed hatred of women" all the time. Even with a force that is now 14 percent female, and with rules that prohibit drill instructors from using racial epithets and curses, those same instructors still routinely denigrate recruits by calling them "pussy," "girl," "bitch," "lady" and "dyke." The everyday speech of soldiers is still riddled with sexist insults. . .

The view of women as sexual prey has always been present in military culture. Indeed, civilian women have been seen as sexual booty for conquering soldiers since the beginning of human history. So, it should come as no surprise that the sexual persecution of female soldiers has been going on in the armed forces for decades. . ."

Benedict then goes on to suggest why rape is under-reported in the military:

"Having the courage to report a rape is hard enough for civilians, where unsympathetic police, victim-blaming myths, and the fear of reprisal prevent some 60 percent of rapes from being brought to light, according to a 2005 Department of Justice study.

But within the military, reporting is much riskier. Platoons are enclosed, hierarchical societies, riddled with gossip, so any woman who reports a sexual assault has little chance of remaining anonymous. She will probably have to face her assailant day after day and put up with resentment and blame from other soldiers who see her as a snitch. She risks being persecuted by her assailant if he is her superior, and punished by any commanders who consider her a troublemaker. And because military culture demands that all soldiers keep their pain and distress to themselves, reporting an assault will make her look weak and cowardly.

For all these reasons, some 80 percent of military rapes are never reported, as the Pentagon itself acknowledges. . . ."

And then Benedict suggests two reasons, not exactly complimentary to recruiting, about how violence is perpetuated in and by the system.  Hmmmn.

"Misogyny has always been at the root of sexual violence in the military, but two other factors contribute to it, as well: the type of man who chooses to enter the all-volunteer force and the nature of the Iraq War.

The economic reasons behind enlistment are well understood. The military is the primary path out of poverty and dead-end jobs for many of the poor in America. What is less discussed is that many soldiers enlist as teenagers to escape troubled or violent homes.

Two studies of Army and Marine recruits, one conducted in 1996 by psychologists L.N. Rosen and L. Martin, and the other in 2005 by Jessica Wolfe and her colleagues of the Boston Veterans Affairs Health Center, both of which were published in the journal Military Medicine, found that half the male enlistees had been physically abused in childhood, one-sixth had been sexually abused, and 11 percent had experienced both. This is significant because, as psychologists have long known, childhood abuse often turns men into abusers. . .

Worse, according to the Defense Department's own reports, the military has been exacerbating the problem by granting an increasing number of "moral waivers" to its recruits since 9/11, which means enlisting men with records of domestic and sexual violence.

Furthermore, the military has an abysmal record when it comes to catching, prosecuting and punishing its rapists. The Pentagon's 2007 Annual Report on Sexual Assault in the Military found that 47 percent of the reported sexual assaults in 2007 were dismissed as unworthy of investigation, and only about 8 percent of the cases went to court-martial, reflecting the difficulty female soldiers have in making themselves heard or believed when they report sexual assault within the military. . ."

(Those last statistics are perhaps most troubling of all...)

Benedict also has an essay on her website that's worth reading, called "For Women Warriors, Deep Wounds, Little Care," which is linked here. (Same title as NYT piece, slightly different content.)  Watch for her book to come out in the Spring of 2009, from Beacon Press.

August 10, 2008

Military Sexual Trauma: A Sexual Violence That Injures the Soul

CIMG2609 The other day a reader wrote to comment on her own experience of military sexual trauma:

"From my sorry experience, military sexual assault is a predatory crime of opportunity. ...  Victims are quite disposable... few perps are ever tried in court.  Yet the victim gets quickly processed out as a defective nuisance.  You suddenly become jobless & homeless for daring to report, no matter how good your daily job performance. The victim is subhuman and utterly alone and reviled, while the predator gets a promotion.  This is probably why military rape creates more PTSD cases percentage-wise than does combat.  In combat at least you are scooped up into the bosom of your band of brothers." 

"A couple of military stats," she continues: "Sexual assault is more likely in a command that encourages/allows harassing/misogynist behavior," and "Fifty percent of perps have a prior history of violence upon entering the military -again OPPORTUNITY to observe and select their prey in close confines."  Yikes.  True? Not true?  Either way, it's a hideous experience for the unwilling victim.

That brought to mind some healing words of Britta Reque-Dragicevic, but first, the bracing truth: "Military sexual trauma is a crime, not a misfortune of war," writes Reque-Dragicevic in her book, Close to Home: A Soldier's Guide to Returning from War.  The e-book is available here for the very affordable price of $10.  Buy it :-)  Because it's a download, you can have it within minutes.The following is Reque-Dragicevic's thoughts on sexual trauma in war. 

As with the rest of her very worthwhile book, they are soothing, sane and reasonable, and will comfort the afflicted.  This book should be a must for veterans and their families; and at its very reasonable price would also make a thoughtful "Welcome Home, Veteran!" gift for veterans in your life or in your community.  She writes:

An increasingly common trauma far less talked [than PTSD] about is military sexual trauma—which is experiencing sexual assault or harassment while you are in the military. This is not just a women’s problem. In fact, the VA reports that fifty-five percent of women and thirty-eight percent of men in the military have experienced military sexual harassment. While military sexual trauma is more common in women, over half of all veterans with military sexual trauma are men.

War has historically seen an increase in sexual assault and rape incidents for both military and war-zone populations. It’s become more publicly recognized in war-zone civilian populations (mass gang rapes were widely reported during the Bosnian war and rape has traditionally been a way to violate an enemy population), but rarely do we hear about sexual assault among our own soldiers.

If you have experienced a sexual violation during war that has left you ‘just not feeling the same’ since, please know that you are not alone. Most victims of military sexual trauma will never report it. Whether or not you call it rape doesn’t matter. What happened to you wasn’t right and it wasn’t your fault; and no, you couldn’t have prevented or stopped it. Rape is always an issue of power, not sex. Unfortunately, rape in war happens too often as people deal with overwhelming feelings of god-like power, lowered inhibitions, excessive anger, lack of usual sexual release and the devaluation of human life—sexual force is often used with little outward consequence to the perpetrator. But the consequences to the victim are life-changing.

If this has happened to you, you may develop PTSD from this alone, but be too embarrassed or humiliated to tell anyone why. This may be the hardest part of your war experience to deal with and one that strangles you in secrecy, shame, and embarrassment. After all, with fellow survivors coming back with missing limbs and mental shock, how can having been sexually violated compare to that? No one would believe you, would they? What would loved ones think? Soldiers are supposed to be tough; how could you ever admit that you weren’t strong enough to keep someone from forcing sex on you? Yet, for you, what happened has become your war. A war that no one will ever know anything about.

Please stop. Stop and take a deep breath. Forget the fact that it was a war environment for a moment and realize that no matter where it happens, when, or to whom, being sexually violated always leaves a person feeling powerless, doubtful of themselves, uncertain, unable to believe it really happened, and feeling very, very small inside. Why? Because sexual assault is about taking away your power. Sex is our most intimate and most powerful interaction with another human being. And when someone overpowers us physically and enters our bodies without our consent, we are deeply ashamed and shocked at how powerless we were.

Sexual violence injures the soul. The shame, humiliation, loss of control, and shaken self-esteem affect both men and women even though each gender experiences them differently because of what we are conditioned to believe about our masculine or feminine roles in life.

Sexual violation impacts our self-image, sexuality, and our future, safe sexual experiences. The overwhelming sense of vulnerability and shame can lead to suicidal thoughts and actions.

For war survivors who have been violated by one of their own, the confusion and uncertainty, not to mention potential repercussions to your military career or even survival, lead most victims to never tell anyone. Keeping your mouth shut may be the only way to survive and get back home. But once you are home, please realize that if this has happened to you, you have been affected and it’s not just going to go away. It takes feeling safe to get yourself to the point where you can admit to someone that it happened. And for a lot of people, finding someone safe seems almost impossible.

Even if you tell no one else in your life, please call the National Sexual Assault Hotline at 1-800-656-4673 or visit them online for an anonymous chat at www.rainn.org. You can remain anonymous, and at least you will be able to talk with someone who deals with this trauma every day and can start to give you the resources you need to find healing. The VA also reports that it has counselors at every hospital trained to assist veterans with this issue. You can also visit www.ncptsd.va.gov, search for “military sexual trauma”—and a number of fact sheets will come up where you can learn additional information.

Remember, what happened to you was a crime, not just a misfortune of war. The person who assaulted you did not have the right to do this to you under any circumstances.

One of the hardest parts about having been sexually traumatized can be sharing that information with a spouse or partner. It’s normal to worry about how they will accept you once they know what has happened and to wonder how it will impact your intimate life together. Even though this trauma may loom large before your eyes, your partner loves you for who you are—not just your ability to have sex. You may find far more love and acceptance than you imagine. You are still attractive, beautiful, desirable, virile, and your partner still longs to experience sexual intimacy with you. You may struggle with feeling that you are not worth loving which is one of the ways sexual violation diminishes your own sense of power. But feelings are not facts. You are a human being worth being loved, enjoyed, and you deserve to experience sexual intimacy in a safe and caring relationship.

Partners of sexual assault survivors may feel a sense of rage, powerlessness, guilt for not having been able to protect your loved one, and a natural reaction to want to get even with the person who has hurt the person you love. Counseling individually and as a couple can be a safe place to express what you are feeling. You can also call the Sexual Assault Hotline—it’s not just for survivors; they can assist family and friends.

Remember, as long as you don’t tell your partner what happened, he or she will have no way of knowing what you are feeling, worried about, remembering, or associating with your current sex life. You may have no desire to have sex because of the trauma, but how will your partner know that? If you don’t share, he or she may assume that they are no longer desirable and that you’ve lost interest. They may easily blame themselves or you. Don’t lose your relationship because you are too ashamed to share what happened. Seek a counselor who can help you decide how to share this information. Don’t shut out what may be the only true source of love and support in your life. Loving partners can be incredibly patient when it comes to sex and trauma, but you have to give them the chance to understand what you are going through.

If you have been sexually traumatized, it may seem that that experience now defines who you are. Shame, guilt, self-blame, denial, rage, depression, lack of self-worth, fear of being intimate again, aversion to being touched or approached without warning, doubts about whether or not you are still desirable, or if having been raped effects your sexual orientation (it doesn’t) are all normal reactions. Just remember the trauma is real and intimate, but you are not defined by what has happened to you. You are a whole person who has experienced vulnerability and powerlessness; but that experience did not change who you really are: still strong, still powerful, still in control and still able to move toward healing. Deciding to move toward healing may be the only justice you ever get for what happened. You owe it to yourself, your partner, and your children to make sure that this trauma does not take you away from them any more than it already has.

Talk to a counselor. Sexual trauma is humiliating, but counselors deal with it everyday. Nothing bad will happen to you by just talking. It doesn’t mean you have to take legal action or that everyone will find out. You are not alone. Don’t let the one who took your power from you keep it.

You deserve a lifetime of being sexually loved and enjoyed.

Reprinted with permission from Close to Home: A Soldier's Guide to Returning from War, by Britta Reque-Dragicevic.  The e-book is available here for the very affordable price of $10.  Buy it :-) 

August 07, 2008

Twice Betrayed: Women Veterans and Military Sexual Trauma

Collage18 It's my deep-seated belief that women veterans who suffer military sexual trauma risk being twice betrayed: once by their perpetrator in uniform, once by the system itself, which should be doing a much better job of protecting them from a problem that's too apparent, widespread, and part of the actual culture to pretend that it doesn't exist.

 

See Jeff Benedict on this: