Healing Combat Trauma

The New Face of Veteran Homelessness

If you asked the average American this Veterans Day to describe a homeless veteran, you’d probably get a description like this: older white male, Vietnam-era, probably single, often with a drug or alcohol problem.

What you might be surprised to learn is that there’s a new face of veteran homelessness, and it is increasingly young, black and female.

Women today represent roughly 15 percent of the U.S. armed forces and about 19 percent of post-9/11 veterans — a population that is projected to grow. While the number of male veterans has been declining over the past few decades, the number of female veterans has doubled since the 1980s. The Department of Veterans Affairs expects female veterans to number more than 2 million, or close to 10 percent of the veteran population, by 2020.

Researchers have known for years that veterans make up a disproportionate share of the homeless population — as many as one in four. But they’ve never been able to identify a clear link between military service and homelessness. Instead, they’ve pinpointed certain factors, like post-traumatic stress disorder, that increase a veteran’s chances of becoming homeless. Still, the root causes remain largely unclear, especially given the protective factors — such as the world-renowned VA health and benefits system — that military service offers.

But welcome to the new 2014 model, in which the fastest-growing segment of the homeless veteran population appears to be women, many of whom have children. Statistically, female veterans are between two and four times as likely as their civilian counterparts to become homeless, according to recent studies. And if they’re young and black, those chances seem only to rise.

Among these “new” homeless veterans, one risk factor stands out: a past history of sexual trauma — whether before, during or after military service, and sometimes all three. In a survey of the roughly 130,000 homeless veterans who used VA outpatient services in 2010, about 40 percent of the females, and 3 percent of the males, said they’d experienced military sexual trauma (MST). In another study that compared homeless female veterans with housed female veterans, over 50 percent of the homeless population reported experiencing MST — twice the rate of their housed counterparts. Suddenly, trauma appears to be linked to homelessness among female veterans, and MST on top of prior trauma may be an even bigger risk factor.

The homeless have always been hard to count accurately, and homeless veterans are no exception. One prominent female veteran who was homeless for years after suffering MST during her Army career said the problem is compounded because “it’s hard to count women who don’t want to be found.” As researchers learn more about trauma among homeless female veterans, the struggle begins to find gender-specific housing facilities that can accommodate these young women and their children. As one national advocacy group said last month in a comprehensive report, female veterans “are being put at risk by a … system designed for and dominated by men.”

As the VA nears the end of its five-year initiative to eradicate veteran homelessness, it’s a good sign that the numbers overall are dropping. But the ranks of homeless female veterans are growing, and that means there’s still work to be done. 

Published originally in the Texas Tribune, linked here: http://bit.ly/1pKBhQq

March with Veterans to Honor Survivors of Military Sexual Trauma

Sometimes it helps to be heard. A "public service announcement" on behalf of the well over 100,000 veterans who have experienced military sexual trauma:

There are opportunities this year to march in veterans' parades to honor those who have suffered military sexual trauma, both active duty and veterans -- whether yourself or someone else.

You can march on your own behalf, or if you're not able to come to one of the parades but would still like to be represented, you can ask a veteran to carry your photo or that of another sufferer. Details follow. 

On the West Coast:

What: The largest veterans' parade West of the Mississippi. The City of Auburn’s 45th annual Veterans Day Parade & Observance is scheduled for Saturday, November 6th. This year’s event is honoring the VFW.

When: Saturday, November 6 · 10:00 a.m. -- 1:00 p.m.

Where: Auburn, Washington

Who: We will be marching with the Vietnam Veterans of America -- as a group behind theirs, early in the parade.

How: We meet up on the 6th on L Street SE and Main about 10:00 in Auburn with the VVA.

Contact person: Kira @ PackParachute.org. 

On the East Coast:

What: The NYC Veterans Day Parade.

When: Thursday, November 11, 2010, 11 a.m. -- 3:30 p.m.

Where: Madison Square Park, 5th Ave and 23rd St. 

Why: Help us make this a historical event by joining Service Women's Action Network (SWAN) and American Women Veterans in the legendary NYC Veterans Day Parade. We march to remind the world of women's incredible contribution to the United States military. SWAN supports, defends, and speaks for all military women. We welcome Military Sexual Trauma survivors and LGBT veterans and servicemembers to join us and to help the nation remember all of those who are otherwise forgotten on this day. 

How: Please RSVP to Kalima (SWAN) at kalima @ servicewomen.org or at 212-683-0015 ext. 324.

PTSD and MST Affect Men, Women Servicemembers and Veterans Alike

A few months ago, I attended the week-long clinical training program in post-traumatic stress disorder (“PTSD”) at the National Center for PTSD in Menlo Park (Veterans Administration) as well as the “Brain at War” conference in San Francisco, put on by the Department of Defense. Both made clear how much money is being spent on research ($500 million) but as for success stories, they can be hard to find. PTSD affects veterans, their families and communities; it can also lead to suicide.

Current statistics show an active duty suicide every 36 hours, and that 18 veterans a day die by their own hand. Suicides are on the rise in every branch of the military that’s seen heavy combat in the current wars -– Marines, Army, National Guard -- and so far this year, there have been more suicides than combat deaths. 

The problem extends to women veterans as well. According to the American Psychiatric Association, “Women veterans are two to three times more likely to commit suicide than nonveteran women” -- and also die at a younger age, “between 18 and 34.” 

Clearly the problem is serious and troubling. But suicide is also the final step on a journey of misery, pain and despair that can potentially be halted earlier, by intervention that increases a veteran’s chances of survival and success.

Five years ago, after writing about integrative medicine for years, I created the nonprofit Healing Combat Trauma, a website devoted to therapeutic resources for veterans with combat-based PTSD. Today, that’s becoming an actual program to lead combat vets with PTSD through, using integrative medicine -- “the best of East and West” -- to help them recover from the scars of war. 

Two years ago last week, a combat vet, Marine, who’d served in Vietnam, and suffered TBI from explosions and a head wound, as well as 40 years of severe, chronic PTSD, flew out to meet me, and together we went around the country, experiencing specific therapeutic modalities in the hands of experienced practitioners that were targeted to address his PTSD. (Watch "A Veteran's Healing Journey," here, for more of his story.)

Initially actively suicidal, once his symptoms receded, so did his threats of suicide. He had gotten his life back, and was eager to stay involved in it. And the cost of helping him reverse his symptoms, and improve his quality of life? Under $10,000, including travel, lodging, and practitioner visits.

As much attention as PTSD receives in the media, military sexual trauma (“MST”) – which frequently leads to PTSD – receives even less. A more taboo subject, MST affects roughly the same number of men and women, approximately 60,000 each, between 2002-2008, despite their disproportional numbers in the services. 

According to the VA, “Approximately 1 in 5 female patients … reports MST,” and MST is associated with “increased risk for mental health conditions including PTSD, depression and substance abuse disorders.” VA reports the prevalence of MST among OEF/OIF veterans is 15.1% among females, but anecdotally the figures are much, much higher, typically under-reported because of shame and fear of reprisal.  And MST leads strongly to PTSD. Among Gulf War veterans, for example, women who suffered MST were at 5x higher risk of contracting PTSD.

But for a sense of the human toll, read how one young woman soldier expressed her misery, after multiple sexual assaults in a single deployment in Iraq, followed by a suicide attempt: 

“I remember so many things I want to forget. I remember once upon a time I was a real person. Then I was a soldier. Now I am a ghost.”

Earlier this summer, another young woman combat veteran, Angela, with whom I’ve become friends, spent time staying out here, around our both attending a local retreat for veterans and their families. Angela has MST and PTSD, and a service dog to help her manage her PTSD symptoms. 

Even in the brief time she visited, taking her to practitioners chosen to help her recovery, she was able to reduce her smoking by half, and said she couldn’t remember when she’d felt so relaxed – certainly not since she’d experienced combat. (A former Army sergeant, she’d been in Baghdad during the surge in 2003.)

A few years earlier, Angela had attended the VA’s “cutting-edge” program for women vets with MST. The program housed the women vets –- all of whom had experienced sexual assault -- in a men’s homeless shelter(!). The stress of that experience was so great, Angela said, that her fellow attendees all relapsed into substance abuse. She credited her own experiences with integrative medicine as what kept her, barely, on the path. Out here this summer, she was able to expand those options further, in positive ways that continued to help her heal. 

Now we want to offer that opportunity to more women veterans (and later, men) in a pilot program. Please help us do that.

---

 

© 2010 by Lily Casura / Healing Combat Trauma. All rights reserved. Use with attribution.

 

Quotable Quotes: The Transition from Real Person to Soldier to Ghost

Every once in a while you run across a quote that just puts everything into perspective. Here's a combat vet, woman, with PTSD and MST, raped multiple times(!) in her deployment -- a form of hazing? A highly intelligent woman, coming to terms with what she's gone through, but it isn't easy, and it did involve unspeakable things. Here's how she describes it: 

"I remember so many things I want to forget. I remember once upon a time I was a real person. Then I was a soldier. Now I am a ghost."

Editor's note: For more on military sexual trauma, also known as MST, which affects equal numbers of men and women, despite their disproportionate numbers serving, click here. For more on PTSD, read the rest of this site :-)

Resources on Military Sexual Trauma: VetWow's Short Podcasts for Survivors, Friends and Family

Military Sexual Trauma, like PTSD another "invisible wound," is unfortunately more prevalent in the military than we would want to believe, though little discussed officially. It's different though when combatants get together who have experienced it. Among female servicemembers in particular, it is all too often a common experience; and whether among male or female servicemembers, the after-effects can be devastating. 

At its root, it is a betrayal of trust -- the military is designed to be a "family unit," so assault within this context can feel to survivors like incest -- and many survivors describe the hazing by their command as more difficult in its own way than the actual assault (ugh). Civilians in particular have a hard time wrapping their brains around how prevalent the problem is, how light or nonexistent the penalties (despite official "policies" to the contrary), and how devastating the aftermath is for those who suffer -- who then have to navigate an often-byzantine system of claims and benefits for their care. (Fortunately, MST survivors are able to access VA in a very direct manner...it's worth watching Susan's discussion, linked here, to understand how.) Family and friends -- who may find themselves supporting the survivor -- also need education about how best to offer support, in ways that are constructive and not counter-productive or further traumatizing.

We've written about military sexual assault on the site before, here. "Military sexual trauma (MST) is the term that the Department of Veterans Affairs uses to refer to sexual assault or repeated, unsolicited, threatening acts of sexual harassment –- that occurred while the veteran was in the military."

Susan Avila-Smith, a former Army linguist who suffered her own sexual assault in the military, is now a formidable MST/PTSD advocate and the founder of VetWow, where she advocates for others who have experienced MST and PTSD, and focuses on resolving their claims. A settled claim can provide the MST survivor with financial independence, which is important also in healing. Avila-Smith does not charge for her services, though she does encourage the male and female survivors to pay this service forward in their own lives, once they have stabilized enough to do so, by contributing to others in various ways. 

Recently I got a chance to work with Avila-Smith on creating a "channel" on YouTube for short, one to three minute podcasts about various aspects of MST for survivors, their families and friends, their advocates and the media. The videos/podcasts are organized into the following categories. Please watch them, and share them with your friends and colleagues. Particularly let those in the military (active duty) and veterans know about this resource. As Avila-Smith herself says, it's important to get the word out about military sexual trauma, because "you can't tell by looking at someone" if they've ever been sexually assaulted. For those who have been, these resources can be tremendously reassuring, constructive and helpful.

For MST survivors:

• Symptoms of MST in Veterans;
  
• What PTSD Feels Like to the MST Survivor;
  
• Difference between "Traumatic Stress Syndrome" and "Post-Traumatic Stress" Syndrome; 
  
• For the MST Survivor: Thoughts of Death and Self-Harm;
  
• Interested in Becoming an MST Advocate?;
  
• For Female MST Survivors, Hoarding Can Be Typical;
  
• For MST Survivors: "Hitting the Wall";
  
• For the MST Survivor: Working with Your Therapist Effectively;
  
• For the MST Survivor: Working with the Veterans Service Officer ("VSO") Effectively;
  
• For the MST Survivor: Achieving Satisfaction with Your Advocate;
  
• MST Survivor May Fit VA's Expanded Definition of "Homeless";
  
• For the MST Survivor: Learn to “Pay it Forward";
  

For male survivors of MST:

• For Male Survivors of MST;
  

Self-care and healing resources:

• For the MST Survivor: Good Self-Care Habits;
  
• Alternative Therapies for PTSD.;
  

For friends and family:

• Welcome Friends and Family!; 
  
• What PTSD Feels Like to the MST Survivor;
  
• For Friends and Family: When an MST Survivor Wants to Share Their Story with You;
  
• For Friends and Family: How to Help and How Not to Help an MST Survivor;
  
• When the MST Soldier Comes Home: Best Practices for a Good Outcome;
  

For active duty:

• Why Active Duty Advocacy is So Important;
  
• Active Duty / Filing a Restricted Report;
  
• Active Duty / Filing an Unrestricted Report;
  
• Filing an Unrestricted Report: What GENERALLY happens;
  
• Filing an Unrestricted Report: What SHOULD happen;
  
• Unrestricted Reports: the Danger of "The McDowell Checklist";
  
• For Active Duty: More on the Administrative Discharge;
  

Dealing with the VA:

• Accessing VA Services as an MST Survivor;
  
• Guide to Navigating the VA;
  
• When You Get a Letter from the VA;

Filing and winning a claim:

• Why Filing the Claim Quickly is in the Veteran's Best Interest;
  
• How to File a Claim for Military Sexual Trauma: The Key Items Needed in Your VA Claim File;
• Winning an MST Claim, Part I;
• Winning an MST Claim, Part II: How Long It Takes, Strategies for Self-Care While You Wait, etc.;

For advocates:

• Interested in Becoming an MST Advocate?;
  

For prospective donors:

• For Prospective Donors;
  

For the media:

• For the Media: When You Want to Interview an MST Survivor;
  
• For Media Who Want to Interview MST Survivors and Veterans;
  

General interest:                                                   

• Why MST is a Problem and Why the Solutions Don't Work;
  
• Explaining a Few of the Myths Surrounding Military Sexual Trauma;
  
• Which is Worse for the MST Survivor: The Rape or the Command?;
  
• Why the Current System Needs an Overhaul;
  
• Strange Facts about MST and the VA: Offenders and Victims;
  
• What I Envision in a Perfect Future: Blue Sky Thinking on MST;
  

Editor's note: For more resources about military sexual trauma, particularly filing and winning a VA claim, head for Susan Avila-Smith's website, VetWow; to support (i.e., donate to) those who advocate for victims of military sexual trauma, go to PackParachute; or to follow the legislative progress on this issue, go to Service Women's Action Network for information on the legislative angle. Remember, this is a problem that affects both men and women in the military. And most of all, watch the videos linked above -- and share those with family, friends and veterans' advocates. Thank you.

Trust Betrayed: Sexual Assault in the Military Gives Rise to Increased Levels of PTSD

"Military sexual trauma ("MST") is the term that the Department of Veterans Affairs uses to refer to sexual assault or repeated, unsolicited, threating acts of sexual harassment -- that occurred while the veteran was in the military."

Some comments to orient you, the reader, to what MST survivors go through/think like:

• "While in (the Middle East) I was gang-raped by fellow soldiers. They told me if I talked they would kill me, and they would always know where to find me. I went to the MP anyway. They asked me what I expected being a female in combat..."
• "I never told anyone about the rape until I started therapy..."
• "I was very aggressive in trying to prove my 'manhood.' I tried in all ways to prove I was not weak and I that I was not homosexual. I did not feel like I was a real man. I carried the shame and guilt with me always. I felt I was at fault. I was weak."
• "I have attempted suicide six times because of the rape."
• "I spent two years attempting to track my perpetrator so I could kill him."

Some facts and figures about Military Sexual Assault, which affects roughly equal numbers of male and female servicemembers (despite the differing percentages of those who serve.)

From a just-released Army report (August, 2010): "One of the more disturbing trends from FY 2001 – FY 2009 is a clear and steady rise in the number of sexual offenses, which have essentially tripled since FY 2003."

From the 2006 Department of Defense Survey of Active Military: Annual incidence rates of sexual harassment: 34% of women; 6% of men; for unwanted sexual contact: 6.8% of women; 1.8% of men. (Of course, anecdotally, the figures are MUCH higher.)

Other statistics from VA: "Approximately 1 in 5 female patients and 1 in 100 male patients report MST." (Source: MST Screening Report, FY 2005.)

Total number of veterans who have reported MST in VA (2002-2008): 61,126 men and 59,690 women. (Source: HEC Eligibility Center National MST Report.)

Consequences, according to VA: "More readjustment problems after discharge; more physical health problems; more anxiety, depression and PTSD; more substance abuse; can exacerbate stress reactions to war-zone exposure." 

MST "is associated with increased risk for mental health conditions including, PTSD, depression, substance abuse disorders." The prevalence of MST among OEF/OIF veterans is 15.1% among females;l 0.7% among males. (These statistics are typically under-reported because of shame and fear of reprisal.)

MST Consequences and PTSD:

Male Gulf War veterans: MST = 6x risk for PTSD; combat = 4x risk for PTSD;

Female Gulf War veterans: MST = 5x risk for PTSD; combat = 4x risk for PTSD;

(Source: Kang, Dalager, Mahan & Ishii, 2005.)

Among VA patients who report MST: 28.1% of women and 18.4% of men report PTSD; 45.6% of women and 28.2% men report depression; 5.9% of women and 9.5% of men report alcohol disorders; 5.2% of women and 7.3% of men report drug disorders." (Source: Kimerling, R., Gima, K., Smith, M.W. et al., 2007.)

VA Rules:

A veteran does NOT need to be "service-connected" nor have previously reported a sexually traumatic event to be eligible for MST services through the VA. Even veterans who do not meet general eligibility requirements for VA health care are treated for health and mental health consequences of MST (coded 'ineligible' or 'humanitarian'). The veteran with a dishonorable discharge may want to consult with the local MST Coordinator.

The VA uses two questions to screen for military sexual assault:

• While you were in the military, did you receive unwanted sexual attention, such as touching, cornering, pressuring for sexual favors or verbal remarks? 
• While you were in the military, did someone ever use force or threats of force or punishment to have sexual contact with you when you did not want to? 

If you have been assaulted while serving, please educate yourself about the problem and go to the VA and get help. Maybe bring a trusted friend with you because the process can be difficult to navigate (VA bureaucracy not specifically MST care) "even for healthy people," according to one veterans' advocate.

Instructions for Making Your Own Fatigues Clothesline Shirt

If you're intrigued -- as many veterans who've suffered Military Sexual Trauma (MST) are -- with Regina Vasquez' great project, "Fatigues Clothesline," which we wrote about, here -- and you're considering making your own shirt to send to the collection, here are Vasquez' instructions on how to do it: 

 My uniform...

I will use my uniform blouse as an example of what to use for the Fatigues Clothesline. You can use any uniform blouse as long as it is military-related.

Vasquez says, "This is the most important part of the project. Our veterans need to do this because a simple T-shirt won't do." Using a uniform shirt makes a much bigger impact -- "a huge statement that this (military sexual trauma) is not right, and creates a whole new level of awareness. No longer a battle of the branches but more of a sense of, "let's help each other heal."

Step 1

Start with a uniform blouse. If you want to use a dress blouse do so; you can use whatever uniform blouse you want. Make sure your name is not on the blouse you decided to use. I will take mine off when I am finished. Remember, we do not want to use any names on our uniform blouse. Our goal is to voice in a discreet manner what had happened to us while serving at the same time educate others. This is a strong tool if we use this wisely. This cause does not merit discrimination against sex, gender, or the branch of service you served. It affects everyone.

Step 2 

Turn your uniform blouse inside out. The reasons why I ask you to turn your uniform blouse inside out: We as Soldiers, Sailors, Airmen, and Marines at one point took pride or are still taking pride in serving our Country. We do so by wearing our uniform, by turning it inside out we are allowing others into our world by reading what affects us today. I cannot stress what a great opportunity it is to voice it in a discreet way by allowing others to read your story.

Step 3 

Write, draw, do whatever you want in order to tell people what happened to you.  

Reminder...

(Vasquez' advice):

It is taking me some time to finish, but I am doing it. Writing my story on a uniform blouse is so much different than on a regular white T-shirt. Just the texture and color alone gives me memories of what happened. Remember when you start, prepare yourself to stop when you start to feel like you can't take it anymore. Take some time out, listen to your favorite music, go for a walk, or simply talk to a friend. When you are finished calming down and you feel ready, start again. The rewards of finally being heard feels amazing. I am here with you 110% spiritually. If you are not able to finish, it is OK. I don't blame you. I blame the person who did this to you. You are not the one at fault. You are a remarkable individual and sometimes it takes more time to talk. It took me 12 years to reach this place I am at. You are not alone.

Editor's note: Send your completed shirt to Vasquez at the following address. The project is open to both male and female veterans.

Fatigues Clothesline

c/o Regina Vasquez

P.O. Box 194

San Marcos, TX 78667-0194

The Fatigues Clothesline Project: One Former Marine Making a Difference on Military Sexual Trauma

In true Margaret Mead spirit -- "“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it's the only thing that ever has" -- meet Regina Vasquez.

Vasquez is a remarkable wife, mother of five(!), college student, and former Marine, with a great project underway that deserves widespread support. (The project is for both men and women veterans.) She writes:

"I am a Marine disabled vet who experienced Military Sexual Trauma along with gender discrimination.

One day while getting ready for college I had an epiphany and now I know what I need to do. For the longest time, for about 12 years I lived with the vision in my head of the two men raping me. About a year ago I got tired of it and decided to get help. I went through group counseling along with individual counseling only to find out that yes I needed to talk to someone and now I'm ready to make it public so I am able to help those who suffered like me move past it all.

I participated in a Clothesline Project for sexual trauma survivors. For this clothesline project we got to write or make art on our T-shirts by telling our story. When we were done we all got to hang it in front our town's courthouse on a clothesline, hence The Clothesline Project's name. 

I didn't mean to take a lot of attention away from the other gals because I felt they need the validation as well but my T-shirt gained so much attention. While standing behind them acting like an observer I heard complete strangers say "I can't believe this kind of things happen in our military" and such. 

This is where my epiphany came from: Why not bring the public in by making a "Fatigues" Clothesline Project for all the women and men who did serve and are still serving our great Nation? It will be discreet, meaning no names, but still be able to have some validation and justice for our souls. I named it "Fatigues" because one fellow veteran pointed out, it is what we were wearing while going through it all and after suffering for so long we feel fatigued. 

What I'm asking from you is to take time and I know how painful it is but well worth it in the end   because for some of us, we were denied our justice due to circumstances. For some of us we may not want to tell people what happened to us. This is a good tool in helping with the process. You will be able to tell your story and no one will know who it came from and still gain the satisfaction of knowing your story is being told and heard. I want you to do this for me, please take a uniform shirt and turn it inside out. Reason for turning it inside out, it's because even though we were raped, harassed, any kind of abuse whether it be verbal abuse or physical we still take pride in serving our nation but what we go through is what we cover up with that pride for our Nation by wearing the uniform. Freedom isn’t free, this is another way of telling the public what we endured for their freedom.

So I’m asking again, no names, your story on a uniform shirt turned inside out about what you experienced while serving our country’s freedom and in return earn validation, justice for your soul and a chance to be heard. 

My goal is to hang all the uniform shirts up in a year or a year and a half in front of our Nation’s White House so that everyone will see what we go through by serving for their freedom. I want to hang them up on a national holiday, Veteran’s Day, by next year or if not, the following year. 

This is a safe way of being heard for all of us. No command getting involved, no anyone but our freedom of speech through our uniform shirts. By doing this it will allow civilians a chance to better understand us and to educate them on the matter. 

Please send your completed shirts to:

Fatigues Clothesline
c/o Regina Vasquez
P.O. Box 194
San Marcos, TX 78667-0194

Says Vasquez, about the shirts: "I will take them, protect them, will not share who they came from and guard them with my heart till it’s time to hang them."

Editor's note: Please share this post (article) with anyone you know who may have experienced military sexual trauma. Not everyone will want to participate in the project, but many will. The outpouring of support from other veterans for this project has been impressive indeed. Said another MST survivor, "(MST) is painful, powerful and more common than people realize. Thank you for being our voice."

Instructions on making the shirts will follow in another blog post, but for more information, see this graphic, which clearly shows the applicability to men and women veterans.  

Honoring Women Veterans Who Served and Suffered

October 12th through 16th is "Military Rape Awareness Week." In observation of that, the story of Colleen Mussolino, as retold by veterans advocate Susan Avila-Smith:

In Memory of Colleen Mussolino, Women Veteran Trailblazer

"I wanted to be an aviation engineer," Mussolino said.  "The recruiter said I could get into the program, but I found out that was closed to women." Instead she became a cook.  Soon the young WAC would find out just how differently women were regarded in the military.  On December 29, 1965, Colleen was raped by four men and left for dead.  She spent one night in the hospital and was sent right back to her barracks.  Colleen was treated like a prisoner of war, interrogated and was blackballed on the post trying to force her to sign a paper that she would not prosecute. Threatened with a dishonorable discharge, Mussolino signed the paper and was honorably discharged in March 1967.

For the next 20 years, Mussolino raised two sons, and lived her life.  But as time went by, the traumatic assault that was supposed to be covered up and forgotten began to take its toll.  "I was getting more and more short-tempered," Mussolino said. "My temper was just bad."  One day, while fishing with a World War II veteran, he told her she was entitled to veterans benefits.  She applied and began to receive benefits. She also joined a women's support group at the Brooklyn, N.Y. VA Medical Center.  "I was looking for other women who went through what I went through," Mussolino said. "Your civilian counterparts have no clue."

Women Veterans of America
With talk of the war breaking out in the Persian Gulf, she realized more women would be involved in combat than ever before.  In response, she co-founded Women Veterans of America to offer support and attention to the issues facing women in the military.  "The transition from military to civilian life is difficult," Mussolino said. "Once the uniform goes on, it never comes off." Their mission: Information and support for women veterans; liaision to government agencies; obtaining veterans' benefits and health care; advocacy in local and national isues affecting women veteran and women serving in the military. Pressure on Congress and the Department of Defense to cahnge the Uniform Code of Military Justice to include a fair avenue for victims of assault and rape to be able to report their cases and get their day in court. Punish those who perpetrate such crimes and offer protection from intimidation and threats for women who report the assaults. "The repercussions from the way the victims are treated only adds to the problem and can cause severe PTSD symptoms," the statement reads. "The UCMJ does not protect the victim, but instead rewards some perpetrators with promotion, and does not punish except with a slap on the wrist and a finger shaken in the face it continues.  It is difficult for many to fathom the emotional and physical turmoil that the men and women of the armed forces are put through.  To add sexual assault to the burden is unconscionable."

In November 1996, reports of sexual harrassment and sexual assault against women at the Army Proving Ground in Aberdeen, M.D., prompted "20/20" to put together an investigative piece on the military's handling of sexual assault.  A member of Women Veterans of America wrote to 20/20 about her own experience. "She was afraid to be interviewed because she had been given death threats," Mussolino said.  Instead, Mussolino agreed to share her own story of sexual assault and cover-up in the military with Peter Jennings. "I figured if anything came out of it, women would know they are not alone, and there is help," Mussolino said.  "Not only women are raped, but men are raped. The story seemed to validate them, too." During the show's airing, the Department of Veterans Affairs made a toll-free number available for women to call in for counseling.  "Over 3,000 women called that night from all diferent wars and branches of service," Mussolino said.  "The Department of Veterans Affairs realized more had to be done for women veterans." "A lot of Vietnam veteran women in this country don't come forward," said Mussolino.  They don't talk about it.  Those are the ones I want to reach. There is help. There is therapy by talking to a brother or a sister."

Despite her disabilities which have put her in a wheelchair, she would be at every significant event for MST and Vietnam vets, and was the primary point of contact for the media since the early 1970s.  Since Colleen's terminal illness, Women Veterans of America "decided that WVA is taking too much time on the issue of MST, and has dropped it from their services."

PTSD from Military Sexual Trauma (MST) is caused by sexual harrassment, rape and intimidation, or any improper sexual behavior.  Perpetrators often go unpunished, and have no "record" in an effort to play down the prevalence of assault and harrassment.

Editor's note: There's a "fan page" for Colleen Mussolino on Facebook, linked here.

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

In the News: Two Articles Worth Reading Recently

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

If 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.

Military Sexual Trauma: A Sexual Violence That Injures the Soul

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 :-) 

Twice Betrayed: Women Veterans and Military Sexual Trauma

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:

"But an occupation that thrives on a unique capacity for aggression among participants runs the risk of being a home for troubled men who cannot contain their rage against the opposite sex." -- Jeff Benedict, author of "Public Heroes, Private Felons"

Preventing Psychological Injury, Betrayal and Trauma: The Real “Costs” and “Treatment” of Military Sexual Trauma

 

Sometimes I think I miss the point on some of these blog posts: I’m too busy trying to set the stage and establish the “milieu” so that a thoughtful person can absorb it all and come away with a new outlook or two on a “same old” problem.  But maybe I’m failing to come right out and say what I’m really thinking, and God knows enough people are floundering around on this topic who shouldn’t be, so maybe I just will.  Here goes the suddenly editorial portion of our program:

 

We heard Jonathan Shay, M.D., Ph.D., pretty much the foremost expert nationally on veterans and PTSD, talk the other day about the “psychological injury” that troops are exposed to from lack of sleep, before and after combat, and how that sets them up for significant problems.  True; agreed; understood.  What we’re talking about here with women in the military and military sexual trauma is a similar thing: preventing and treating what is a grievous psychological injury. It's a situation like the one Shay talks about, something where the proverbial “ounce of prevention” is worth the “pound of cure.”  Shay is remarkable: he’s one of a kind.  There’s probably no better advocate for veterans in the country, although anyone who works with veterans from the heart is worthy of great honor.  It’s a pretty much unsung, undervalued calling.

 

However, we can’t really expect Dr. Shay, as amazing as he is, to come out and have much to say about military sexual trauma.  He’s got his hands full already with what his topics are; and, his main “demographic” has always been Vietnam veterans, most of whom…the vast majority of whom…are men.  That’s who served for the most part in Vietnam. That is not the composition of the military today; or even the contracting world that “supports” (using that term somewhat loosely) the military and the Department of Defense.

 

So we need to find some new experts, and some new paradigms; put in place some new safeguards, establish and deliver some new training; and, in general, get a radically new “outlook” on this problem.

 

That’s why I bothered to link in the passage from Jeff Benedict’s book about pro athletes who commit crimes against women, and how they are protected, in part, by the very environment in which their crimes take place.  So too with the military: it’s as good an analogy as you’re going to get right now, and frankly, we’re in need of one.

 

It’s a crying shame that women victims of military sexual assault are being murdered (they are) by their perpetrators to prevent their coming forward; and killing themselves (they are) because they’ve anticipating a double betrayal: the military that failed to protect them in the first place – and allowed the assault to happen – and the betrayal they expect to take place, when they muster up enough strength, courage or hope to try to “fight the system” and report the crime.  In the clutch – feeling desperate, forsaken and very much alone -- some of these women just give up, and take their own lives, because they’ve so lost hope that the system will get them the justice they deserve.

 

If you read the literature on suicide – something that plagues veterans with PTSD, and military sexual assault causes and is associated with PTSD in women – it’s not that hard to see the link.  People kill themselves when they give up hope; and when they anticipate from looking around that their situation isn’t going to be handled any better (any more sensitively, well or effectively) than the last person they heard about who had the same issues.

 

Listen to a world-renowned expert on suicide, Edwin Schneidman, for a moment on this.  A person goes from being troubled (perturbation) to doing something final about it (lethality) when they give up hope.  "Lethality, when coupled with elevated perturbation," writes Schneidman in his book, The Suicidal Mind, "is a principal ingredient in self-inflicted death.  Perturbation supplies the motivation for suicide; lethality is the fatal trigger."  He continues:

 

"Lethality -- the idea that "I can stop this pain; I can kill myself" is the unique essence of suicide.  Anybody who has ever switched off an electric light deliberately to plunge a hideous room into darkness or, with equal deliberation, stopped the action of an annoying engine by turning the key to OFF, has, for that moment, been granted the swift satisfaction the suicidal person hungers for.  After all, the suicidal person intends to stop the ongoing activities [including their highly personal traumas] of life."

 

What's the relationship to this topic?  Do I need to make it explicit?  Well, then, I will: if you set people up in a situation where they will fail (be assaulted) and then furthermore not address their condition compassionately, seriously, effectively or well -- the torment they feel (perturbation) is enough to create a sense that there is truly "no way out" (lethality) and no one who cares.  I think we have all the ingredients here.

 

Said another way, let's turn to Kathie Costos.  Chaplain Kathie Costos, who’s been caring about PTSD issues and the military for years now, signs her personal emails with a great quote, allegedly from George Washington.  It says:

 

"The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive veterans of early wars were treated and appreciated by our nation."  -- George Washington

Well, let’s just snap our fingers and bring that comment current, collapsing it with the material we’re talking about right here.  It still applies:

 

“The willingness with which women who have suffered sexual assaults in the military are to come forward is directly proportional to how they perceive other women veterans who have been victims of military sexual assault have been treated.”

And it seems they would have good reason to be concerned. You see women who came to horrible ends because their predation wasn’t understood for what it was (Maria Lauterbach and Cesar Laurean, but there are plenty more cases like that in the news, not just them); those whose situation was wrongly classified as “suicide” when it was way more clearly murder (see the case of Army Private LaVena Johnson, profiled in Salon and elsewhere, linked here); outrageous sexual assault situations against women contractors (see Jamie Leigh Jones' allegations against KBR, linked here); and well, the list goes on and on. Justice delayed = justice denied. 

 

It's just human nature/common sense: Fewer women come forward to report problems when they can see that the last situations they knew about weren’t handled well by the overarching authority, the military, and represented just more hell for the women involved.  That seriously needs not to happen.

 

(The Sacramento Bee, following up on my lifetime theme about good journalists pushing the culture forward, recently completed an exhaustive, and interesting, investigation about troops with criminal backgrounds, and what the effect on their subsequent service is.  Unfortunately for our purposes it didn't go far enough, because it didn't highlight or single out crimes against women.  If that were studied, and the results were significant -- that's two "if's," we realize -- those findings could go towards screening those potential recruits out of the military.  In a highly-charged aggressive environment with lots of boredom and little oversight, the last thing someone needs is more sexual predators in the midst, in uniform.)

 

In general, though, the focus shouldn’t just be on “reporting” or “treating” women who have suffered military sexual trauma.  It should be on prevention primarily, with a secondary emphasis on the others – or a sense that together, all three of those cords braid into a very strong rope, the kind that women will need to pull themselves up out of a very bad situation.

 

Women who suffer military sexual trauma are twice betrayed: once by the rapist, once by the system.  It’s time to put an end to that problem.

 

Some recommendations?

Create an atmosphere in which military sexual assault is not tolerated.  Where prosecution is expected and justice is swift.  Take women’s concerns seriously.  Raise the standard of investigation and prosecution to be on a par with the civilian world.  Expect, demand, and reward parity with the civilian police departments (good ones) and criminal justice system on this topic.  No more lost rape kits or botched, semi-competent investigations.  If you don’t know how to do this, go learn from the people who do, in the civilian world.  Call them in to be your speakers at your conferences, not the dipsticks who can simply restate the problem to you and offer nothing more than singing “Kumbaya” together as a solution. If you don't have the experts in-house, and my guess is that you heavily don't, go find them, because they are out there: many are specialists in a parallel situation in the civilian world. 

 

Call in some cutting edge thinkers, who can help you re-evaluate the situation as it already stands, and think some new thoughts on it.  People who have some competence in the civilian world, and are sensitive to the issues and concerns that surround women who have been traumatized by aggressive men in a culture that rewards it, but can’t seem to manage mitigating those qualities when they’re not called for – off the field.  The closest analog is actually pro sports: and both Jeff Benedict and Victoria Vreeland (incidentally, both attorneys) who we wrote about the other day on this, if they’re willing, might have copious insights to provide, based on their work with women who have been traumatized by sexual predators.  (Heck, I even know of one combat veteran and ex-cop, ex-police chief, ex-criminal justice teacher, who's getting his Ph.D. in psychology, and intimately understands PTSD, because he has it from combat. He might be willing to help you think through the problem, and create some solutions: or help train the trainers.  That's Rob Honzell.)

 

Want to know the scope of the problem?  Listen to Paul Reickhoff on it, who is once again pushing for change in a key area of importance to veterans.

 

Want to learn how to screen for potential offenders, or protect and keep women secure from it? Get in touch with Gavin de Becker, author of The Gift of Fear, and Protecting the Gift, and have him talk to you about what better security looks like for people who need the assist (women) in a dangerous environment.  A senior consultant to the Rand Corporation, and an international expert on security and threat assessment, he’s very familiar with concepts like unwanted pursuit, and predicting violent behavior – two topics that ought to be of concern to the military infrastructure on this problem.  Thankfully, he’s also very sensitized to the whole topic of women and assault, which is a rarity. 

 

Want to learn how the law and the medical system can work in conjunction to intervene effectively, and bring hope back to survivors?  Study things like the innovative “Passageways” program, a medical-legal partnership between Harvard Law School’s Legal Services Center and Boston’s equally eminent Brigham & Women’s Hospital that offers domestic violence intervention for women. Sarah Boonin is the person who knows most about this program: her bio is linked here. (The Passageways program even has a cool little book that might be helpful for survivors as they work through some of their issues.)  And spend some time thinking about how to keep women warriors safe in an environment where their sexual safety is a) not a priority, and only poorly understood as a need; and b) where prosecution and treatment of offenses can be poorly handled, botched, or doubly victimizing.  Enlarge your minds, call in the real experts, not the supposed experts, ask the good questions, shake up the paradigm; rethink the problem, and come up with better solutions.

 

As good ol’ Albert Einstein is alleged to have said, in some vague quote I’m botching as I paraphrase, “no real problem can be solved at the same level of thinking that was in place when it was created; you always have to go one level up from it.”

 

That is…if you really want it to be solved.

 

It’s always possible – we like to look at every side of a topic, to better understand the 360 of it – that really nobody wants to solve this problem, or they’d be doing a better job of it.  Is it a way to shuffle women out of the military, which some feel they never should have been a part of in the first place?  Would it take too much wise screening of potentially felonious recruits, to start cutting down on the types of potential predators who are donning uniforms?  Is the longtime military focus on just one aspect of “flipping the switch” – the switch that trains men to be killers, but doesn’t help them re-integrate after combat, and resume their ordinary lives – part of the problem?  Men in combat are a finely-tuned killing machine, with women warriors in their midst – and the whole psychology is attuned to the enemy as the opponent.  Sometimes, women inadvertently become the opponent as well.

 

Seriously – who knows?  Certainly not I.  But one thing I do know for sure: this situation cries out for better handling.  And every week that goes by that it isn’t, women are being assaulted, dying and being killed – at their own hand, and at the hands of others.  And worst of all, by the system’s neglect.

 

It’s great that they’re out there – VA programs like the National Women's Trauma Recovery Program for Women Veterans, which we've blogged about here, and the Women's Mental Health Center for Women Veterans, which we've blogged about here -- programs devoted to helping women heal from military sexual assault.  But those programs are in their infancy, there aren’t enough of them, and the women who suffer these invasive tragedies and horrors by those with whom they serve – have a hellaciously tough time putting their lives back together again.  It’s in their honor that I’m even talking about this, which is a little off the topic of the main theme here on this blog, combat trauma and PTSD.  Really, though, military sexual assault of women warriors is just “another form of combat trauma.”

 

In wartime, “betrayal,” which means to have trust broken by one of the parties, in a horrific way that affects the one who relied upon it, and causes them by implication great harm – is a called “treason” – a crime punishable by death.  That is, when it’s the servicemember betraying the military.  When it’s the military betraying the servicemember?  What do we call that?

 

Let’s hope what we don’t call it is...business as usual.

When the Sexual Predator Wears a Uniform: Athletes, Warriors, Women and MST

Editor's Note: This lengthy passage, excerpted with permission of the author, is linked to the previous blog post, "Unchecked Aggression: Women Servicemembers, Contractors and Military Sexual Trauma," linked here.  Read that first to get a sense of why this passage is being introduced.

 

The author introduces the problem that a few athletes (like a few servicembers) are sexually predatory, in a subculture that rewards aggression.  He writes, in the chapter called "When Women Are the Opponent":

Despite the ever-increasing number of sexual assaults and domestic beatings reported to police annually the mainstream press affords little attention to such crimes.  One exception occurs when a prominent individual, particularly an athlete, an unique blend of role model and celebrity, is linked to such an incident.   The increasing frequency of accusations of abuse against sports figures has stirred unprecedented interest in a pervasive social problem that for decades has stirred little.  Although the widespread mistreatment of women clearly transcends the playing field, the attention and popularity enjoyed by sports figures has brought the sports culture under intense scrutiny by researchers looking for links between competitive team sports and the violence that occurs away from the field.  As a result, a perception is growing that the aggressive nature and competitive atmosphere of male athletics can lead to criminal aggression against women.

 

Although the attitudes associated with male sports can reinforce sexist attitudes towards women, the suggestion that sexism is the dominant influence behind the rash of violence by athletes against women both overstates and oversimplifies the relationship.  Participation in athletics does not cause men to abuse women, but it can help to incite transgression in those athletes who are predisposed to such acts.  And certainly the culture of male athletics (using sexist locker room dialogue; rewarding aggressiveness, legitimizing violence) helps to sustain negative attitudes towards women.

 

….

 

“A stronger link between male athletes [sexual predator  servicemembers] and the criminal abuse of women is the socialization process that takes place away from the playing field…”

 

“Operating under an increased sense of power [armed combat] and the mantle of public trust [patriotism, and the unwillingness to question what goes on when we’re fighting a war], athletes [servicemembers] inclined to sexual and physical violence have ample opportunity to exploit women who often misperceive them as respectable citizens [fellow servicemembers; sometimes their superiors].

 

“Among men who harbor violent tendencies toward women, athletic success may accelerate the exhibition of abusive attitudes, increasing the frequency of violent incidents.  Nonetheless, that is less a function of athletics per se than a reflection of the modern athlete’s [warrior’s] status as an icon of pop culture.”

 

…

 

But an occupation that thrives on a unique capacity for aggression among participants runs the risk of being a home for troubled men who cannot contain their rage against the opposite sex.  Because of the physical nature of athletics [combat]; the aggressive, confrontational, super-macho attitudes surrounding them; and the social approval afforded to celebrity-athletes, the sports industry has in effect embraced those men who demonstrate a disdain for women through repeated acts of criminal violence.”

The author then introduces the example of Cincinnati Bengals and Green Bay Packers cornerback Lewis Billup:

“Although he took advantage of his exceptional access to women, Billup’s desire to control them had little to do with his athleticism.  Rather, a much more complex set of factors was contributing to his routine violence.  “It has to do with power and control and hate…a disdain for women,” said Victoria Vreeland, co-counsel for Victoria Alexander, who sued Billup for rape. 

 

As the former president of King County Rape Relief in Seattle, and an assistant to Washington’s Attorney General in drafting the state’s Victim’s Rights Bill, Vreeland was quite familiar with the mentality of men who acted like Billup. “The person [the victim of abuse] isn’t a person anymore, they’re an object.  To that extent, if you  have some societal sense or your grew up with a lack of power or control, or that you weren’t as good, this offers power and control.  “I wanna be in charge.” 

 

It is similar to children who lack a sense of power.  Their feeling of powerlessness somehow gets twisted around in their minds and so the way to be powerful is to pick on somebody else.  If you grow up with crime and objectification, making people objects, then killing them or harming them doesn’t matter.  They are not human.”

---

Then he discusses Mike Tyson's problems with women in depth, writing:

“Greg Garrison, the special prosecutor who successfully prosecuted Mike Tyson for raping [18 year old Desiree] Washington, concluded that Tyson’s violent tendencies toward women, like those of many other abusive athletes, were exacerbated by his sports career.

 

“Professional athletics has become such a megagod that it is sometimes unresponsive to the morals of a community,” said Garrison.  “Sometimes it just doesn’t matter what a superstar does, it’s OK.”  This is a particularly dangerous scenario when men who are prone to violently abuse women get involved and are thrust into an environment where their contact with women increases.”

---

“Professional sports leagues and individual teams are in a more influential position to discipline and deter players from this type of behavior, yet they often decline to do so.  Off-the-field criminal violence is repeatedly tolerated as long as players perform on the field.  Clearly … countless male athletes live and work in a similar environment without ever engaging in criminal mistreatment of women.  Nonetheless, the fact that predators … are playing professional sports demonstrates the degree of indifference exhibited by owners, managers and coaches.”

 

“As in most case of abuse against women, the majority of women who are assaulted by athletes are their acquaintances.  Those few players who are inclined to violate women enjoy almost  limitless opportunity to meet, and ultimately victimize, women.”

 

“Athletes use their celebrity as their billyclub to gain the superior position [with women],” Garrison said.  “Tyson knows he forced Desiree, but he doesn’t care, because that’s what he does.”

 

“One NFL player who has seen the way Tyson interacts with women supported Garrison’s position.  “You can’t imagine,” said the player, on condition of anonymity.  “I’ve been to social functions with him.  He walks in there and goes, “I’ve got to get some pussy, got to get some pussy.”

 

“Now I’ve been around a lot of people, but nobody comes in there with the proudness that they’re that macho that they can just …  It’s like a drink, an item, there’s no feeling behind it.  It’s just something that he’s got to physically conquer.  He’s a product of his environment.”

 

Tyson developed a proclivity toward the abuse of women at a young age – a habit that mushroomed with his rise as a boxer.  As a child he witnessed numerous incidents of violent abuse inflicted on his mother by boyfriends.  As a young teen, demonstrated a disdain for young girls who repeatedly made fun of his high voice and chubby fame.  After the renowned boxing trainer Cus D’Amato rescued Tyson from a life of violent street crime, handlers honed Tyson’s exceptional strength and fury into a relentless fighting machine.  They used his distrust and anger toward others to motivate him and elicit his aggression in the ring.

 

D’Amato once presented Tyson with a baseball bat, prompting Tyson to ask, “What’s this for?”

 

“For the women,” the trainer explained, “When you’re the champion, you’re going to need something to beat them off you.”  Although tactics such as this were designed to strengthen Tyson’s damaged ego, the message they conveyed bolstered an already dangerous attitude toward women.

 

A champion before his twentieth birthday, Tyson indulged in countless sexual liaisons with women.  Yet, his contempt for them only increased.  He confessed to fellow fighter, Jose Torres.  “You know something, I like to hurt women when I make love.  I like to hear them scream with pain, to see them bleed.  It gives me pleasure.”

 

“Well, did it ever occur to you that men who behave that way probably hate women, that deep down they simply don’t like them?” responded Torres.

 

“You may be right,” said Tyson.  “You’re the first person to tell me that.  You know, you may be [expletive] right.”

 

Bitterly aware that women’s interest in him was based solely on his high profile, Tyson nevertheless used that profile to his advantage in his quest to obtain sexual gratification and domination over women.  Through repeated encounters with multiple women, often prostitutes or so-called groupies, Tyson developed an insatiable appetite for sex. …

 

Garrison saw Tyson’s training as a boxer as a lethal trigger mechanism that unleashed his disdain for women. When his sexual advances met with resistance, Tyson approached the unwilling woman much as he would an opponent in the ring. “The wife of every lawyer says, ‘Don’t get into an argument with them [their husbands], because they do it for a living.  You may be right, but you’ll never win,” Garrison said.

 

“What about a boxer?  Boxers are masters of physical deception; at moving in one direction, but actually moving in another; at feigning left and going right; at appearing to be at a disadvantage when in fact they are poised to strike when somebody sees and is sucked into the apparent deception.  Boxing is lying for a living.  You don’t not be a boxer when you leave the ring.  What I wanted to do was to show the jury that this guy will deceive because he’s good at it.”

More on the Tyson assault and ability to accompolish same:

 

“The cordial small talk he had made at the Expo and in the limousine soon turned to sexually suggestive dialogue.  The abrupt change in Tyson’s manner left Washington totally unprepared for what was to follow.  “Desire struggled real hard with, “How could he be like that? He’s Mike Tyson.  My dad idolizes him,” said Garrison.

 

When Washington showed no interest in his sexual advances and tried to flee, Tyson quickly moved to snatch off her clothes and overpowered her with brute force.  Despite her pleas that he stop, Washington became the object of Tyson’s unchecked sexual desires.  “[Tyson’s training as an athlete] certainly plays a role when you realize that any [professional] athlete is possessed of such incredible physical gifts,” said Garrison.  “Guys that get cut from [pro teams] are physical geniuses by comparison to the man on the street. And the players at the top of their profession?  Could O.J. Simpson kill two people with the same knife?  Of course he could, and neither one ever even know what hit them.  You watched him run.  How many guys did you see tackling air?  Laundry was all over the field.  And these men are as good as him.  He was quick as smoke.  Tyson’s the same way.  He looks like he’s going someplace else and bam!  You’re gone.”

Then the author concludes:

A subtle but important distinction is that athletics did not train Tyson to be a rapist; rather, his athletic training became a dangerous weapon in his misguided conception of what qualified as appropriate treatment of women.

“If I want it, I get it,” is the mentality that they’ve trained him to believe,” said Garrison.  “If I want to knock you out, then you’re going to be knocked out.”  Unfortunately, it’s persuasive in many of the wrong directions.  The reason that Mike Tyson won’t admit rape is not because he didn’t do it or because he didn’t think he did it, but because he didn’t think there was anything wrong with it.”

 

The disparaging attitudes toward women held by Billups and Tyson are consistent with those of the small number of athletes who are repeatedly associated with allegations of rape and battery.  While there is no shortage of men who commit crimes of violence against women, few rapists and batterers combine exceptional physical superiority and with an aura of public trust, as deviant athletes do.  Within the confines of the revenue-producing sports, men who are inclined to abuse women are left to inflict their abuse without punishment or the stigma usually attached to sex crimes and domestic battery.”

-- Excerpted with permission of the author, from Public Heroes, Private Felons: Athletes and crimes against women,” by Jeff Benedict.  Boston: Northeastern University Press (1997).

Unchecked Aggression: Women Servicemembers, Contractors and Military Sexual Trauma

The local news today showed another woman servicemember, 34, dead in Iraq of a non-combat wound.  Just days away from a planned, 18 day leave back to the States, she's no longer going home to see her devastated family - or anyone else, for that matter.  The investigation into her unexpected death is still pending, but really -- how many people die accidentally, or worse, kill themselves just before they're liable to get out of hell?  It's a little...ironic, if not completely counter-intuitive (that's, the complete opposite of what you'd normally think, for the non-academic types out there reading this.) It's also particularly tragic, and all the more so if something like military sexual trauma is involved in her death: it has been in a number of others.

---

While I haven't done a count lately of how many women have been dying non-combat deaths in Iraq or Afghanistan, however high or low the number happens to be, a percentage of those deaths will turn out to be murders that are botched or intentional attempts to cover up sexual assault; and another percentage will turn out to be suicides by women who have been sexually assaulted or raped, whether by peers or superiors.  In the "bubble" of living and working for the military, whether as a servicemember or a contractor - women place themselves in an environment where men are the majority, where calculated, strategic violence is the goal (we call that, "combat"), aggression (directed toward the enemy) is the norm, weapons are ubiquitous, and boredom, opportunity, and mixed feelings about being there in the first place create an explosive brew.  Just like KIA versus WIA statistics, for every woman killed or suicided, many more are injured and sexually exploited.

That's the bad news -- but it has to be balanced against the fact that these crimes, and the predators who commit them, are the minority.  Many women pass through the military without becoming victims of sexual harassment or predation; but for those who do, it's often a life and psyche-destroying event.

---

Paul Reickhoff wrote about military sexual trauma today and women in the military in an excellent post, published on the IAVA Blog, linked here.  According to statistics he cites, "Women make up 20% of all new recruits and more than 11% of the forces deployed to Iraq and Afghanistan."  Then he tellingly adds:

"The rates of assault are shocking.  Almost one-third of women veterans say they were sexually assaulted while in the military. (In the general population, one out of every six American women has been a victim of a sexual assault.)  Already, 15 percent of female Iraq and Afghanistan veterans who have gone to the VA for care have screened positive for Military Sexual Trauma.  But even these troubling figures may not be telling the whole story; experts estimate that half of all sexual assaults go unreported..."

All too true.  We've written about Military Sexual Trauma (MST) before on this blog, several times.  It's a hot topic right now, not the least because there just aren't many answers out there about what to do for women who have been affected by it.  What we do know is that it's a potent terror: women who are victims of MST often develop PTSD, the frequent theme of this blog -- and of those who do, the MST is often considered worse than even their usually concomitant PTSD.  Yikes.  That gives you an idea of how horrific the experience is for these tough, trained, formidable and admirable warrior women.

I can also tell from who's searching this blog for answers, and what they're looking for, that there's not much out there that specifically addresses the needs of women veterans who have been sexually traumatized by other servicemembers.  Fortunately, there are a few programs at the VA that are attempting to address this problem, but sometimes I see them searching here, too, for answers.  The answers that would help put these women's broken lives back together may simply be lacking, at present.

In lieu of "answers," what I'd like to offer here is another way of looking at the same problem.  With the permission of Jeff Benedict, I'd like to quote at length from a chapter in his book, "Public Heroes, Private Felons: Athletes and Crimes Against Women," published in 1997 by Northeastern University Press (Boston, Massachusetts).  Benedict, a longtime journalist, is now an attorney in private practice in Connecticut. The chapter is called "When Women Are the Opponent."  As you read the lengthy excerpt from this chapter, try to absorb the great similarities (not perfect as an analogy, but as close as we're gonna get, for the present) between two arenas in which men are systematically trained and rewarded for aggression. 

As Benedict repeatedly points out, and I will have to add as an obvious caveat too, the majority of men who are involved in either pursuit -- professional sports or the military -- can behave appropriately towards women in their midst.  The problem is not with the majority; it's with the minority, who for one reason or another cannot. 

As you read this passage, I've highlighted what I find the biggest issues to be.  Every time Benedict mentions, "athlete" think "warrior" instead, and see if the analogy doesn't work.  Again, we're not talking about MOST men who are in this situation; we're talking about the minority who are the problem.  But the problems these few create are so horrifically soul-destroying to the women who experience them, whether servicemembers or contractors, that much more needs to be done on the part of those who watch over women in the military, to protect them from predation from the few who seek to harm.  The consequences to the women who are affected's lives and psyches are just too great to ignore or overlook or neglect any further.  It's definitely a case where "prevention" of this type of suffering is far more effective than a nebulous "cure" that seems sadly, at this hour, out of reach.

Editor's Note: Given the length of the excerpt, I'll go ahead and create it as a separate blog post, linked here.

Sacramento Bee's Article Series on "Suspect Soldiers" - How and Whether Servicemembers' Criminal Backgrounds Affect Their Military Service

In these days of newspapers downsizing and widespread layoffs, investigative series -- because they chew up so much time and effort -- are getting significantly rarer and less likely to happen.  That's a real shame, because we've learned some great things from deep and wide-ranging investigative pieces over the years -- the work of the Boston Globe's "Spotlight" team comes to mind, as well as that of the Washington Post. On that level, it's great to see that the Sacramento Bee invested major resources in their series being published this week, starting last Sunday with the initial installment, "Suspect Soldiers: Troubled Histories Follow Some Troops to Iraq War," linked here.  (There are multiple other installments -- follow that first link to find the others.)   Here's what the SacBee says it took to pull off their series:

In reporting "Suspect Soldiers," Bee reporter Russell Carollo focused primarily on people entering the military since the Iraq war began in 2003 and on those linked to incidents in Iraq.

He also examined cases of returning veterans whose crimes were believed linked to post-traumatic stress disorder, and found that several had pre-Iraq criminal records that offered another explanation for their subsequent criminal behavior.

His interviews spanned 30 states, including 200 people ranging from police officers and court officials to soldiers and Marines – and their families. He filed more than 100 public records requests, yielding millions of computer records and thousands of pages of courts-martial files, military investigative reports and civilian court and police records.

A prodigious, considerable, commendable effort on the part of the SacBee.  Now here's the part I don't like.  I read the first installment, and as hungry as I am for news on this topic, I don't think I'll go back and read the rest.  Why?  Several reasons:

1.  Not really their fault (the reporters), but what was found, didn't really seem that significant after all, proportionally speaking. A few arrests here and there beforehand, some incomplete disclosures of recruits' backgrounds before enlisting or re-enlisting, a percentage of troubled histories after the fact.  But none of this was super compelling.  Had the offenses been larger, and with a greater link established to the same types of offenses being committed after enlistment -- or a greater percentage of prior offenders re-offending, I would have been more impressed.  Again, not the reporters' fault -- they asked the questions, they mined the data, they're purely dealing with what they found.  No one wants them making things up just to get a better outcome.  However, it does make me wonder -- why exactly weren't those links stronger?  Could be for any number of reasons, but here are two:

     a.  They're actually ahead of the trend they're trying to analyze; and if they're on the right path, it may just be the timing that's off -- and if they check back in a few years or even a year, using later data, they may find stronger linkages or stronger patterns to report.

     b.  The military may not be doing a good enough job of investigating crimes on its watch, so the back end and the front end aren't effectively tied together enough.  There may be -- let's face it, there are -- servicemembers dying and being injured by one another where the crime isn't being investigated for what it is.  If this side of the data is weak, no matter how great and/or thorough a job the SacBee reporting team did, there's a limit to what they're going to find.

2.  There's a different project I wish they'd done instead, now that I've seen the results of the first. One particular issue of concern to me, after reading about the "double whammy" of Military Sexual Trauma (MST) that we've talked about before on this blog -- is whether a different/better study could have been done, restricting the scope to crimes against women servicemembers.  This seems to be a whole subset of crimes committed while in the service that could seriously use deeper, further study.  Just the way that historically medical research dollars were spent almost exclusively on studies on male patients (look it up, it's true) and women were considered, when it came to medical studies, for years to be nothing more than "junior men;" perhaps the same institutional prejudice is happening here.  

There are some very troubling stories in the news -- if you look around, you will find them -- and there certainly are concerned parents, friends and spouses who know the stories as well -- about women servicemembers and contractors who have been greatly harmed or even murdered, and whose deaths or sexual assaults have not been investigated fully, comprehensively or well.  Not "all," but a significant "some" -- where even one is too many.  See cases of Army Private LaVena Johnson, profiled in Salon and elsewhere, linked here; and Jamie Leigh Jones'allegations against KBR, linked here.  And then there are the random cases we learn about in the news -- various creepy guys in the military (hey, they have them too) murdering their often also active duty military girlfriends. (Marine Cpl. Cesar Laurean and fellow Marine Maria Lauterbach, but they're only one example.  There are at least three more in the news just this week; and try a Google search for "soldier murders girlfriend" or words to that effect, and you'll be tripping over results -- it's really unfortunate.)

---

Okay: long buildup for short point: how about just studying in a focused way, crimes against women in the military by other servicemembers?  And then see what relationship, if any, the accused's background has on the likelihood of his committing a crime against women while serving?  I hate to cry gender bias, because it's often so institutional that no one even notices it's there -- but all the more reason to think about it.  The main Sacramento Bee reporters on this series do seem to be men.  One thing we know for sure -- the effects of Military Sexual Traumaare devastating -- worse than PTSD, and often coupled with PTSD, according to reports.  So if the damage is that severe -- can't we work backwards from that and concentrate on prevention?  And part of that might be a good study or three to determine if there IS any relationship between male servicemembers' criminal pasts, where they exist, and crimes against women in the military -- especially crimes of a sexual nature. 

It does seem that some of unexplained deaths of women servicemembers -- which the military sometimes calls suicides, even when faced with evidence that would seem to contradict this claim -- are actually murders to cover up rapes and the like.  Of course men commit sexual crimes against other men in the military, too -- but predominantly, we're talking about women in this instance.  Given the severity of the consequences to the women who are harmed (read up on Military Sexual Traumaif you don't at first agree), it would be well worth investigating better methods for preventing this degree of harm, from one servicemember to another.  Those are some "suspect soldiers" it would really be great to weed out. Women servicemembers signed up to serve their country -- they shouldn't need to worry about harm coming from their fellow servicemembers.

The Double Whammy: Women Combat Veterans with PTSD and Military Sexual Trauma

What's blowing up right now -- on the Web -- in terms of searches, within combat trauma and PTSD: definitely this one. People, the VA included, are looking for resources on treating women combat veterans who are victims of Military Sexual Trauma (MST) (see our index to entries discussing that, linked here). 

That means one of two things (prediction coming): either there's a scandal brewing, and about to hit the news, on this topic; or, the VA and others are fairly well bereft of resources and wondering how best to treat sufferers of this problem, who are apparently reaching the VA in greater numbers.  (One possibility: news items like this that show studies recently have shown an unsurprising but nevertheless unfair disparity in care between men and women veterans.)

Unfortunately, this is another case where civilians have a better situation going for them than the troops do.  In the civilian world, women can take their employers to court for providing a sexual harrassing or otherwise hostile work environment, and their victories in this arena put other employers on notice not to go and do likewise.  Sadly, the troops have no such protection.  It's completely a double whammy: combat trauma AND trauma from rape or other sexual crime.  Women servicemembers who've been affected by it say that in their minds, predominantly, the military sexual trauma is even worse than the PTSD, though they often occur together. 

It's clear we don't have a handle yet on treating PTSD; unfortunately, PTSD concerns even more people; and MST is probably further down the list of where resources are focused right now.  But whether through growing public awareness, better reporting, or for whatever reason, if searches are any indication, the VA is in a quandary about how best to treat MST, and even who the experts / what the resources are.  We wish them, and particularly those who have been injured and mistreated in this manner, all the best, and hope the situation resolves positively, and quickly, for our women veterans, who have been doubly injured.

Homeless Veterans: Still Hidden in Plain Sight

The plight of homeless veterans may not be making the news right now as it did around Thanksgiving -- but one thing's for certain: they haven't stopped being homeless in the meantime.

Recently, Homeless Veteran Provider Technical Assistance Center listed our blog as an excellent resource -- thank you.  Note the wonderful illustration at left, done by veteran activist and artist John Paul Hornbeck, creator of the "Shattered Soldier" lifesize sculpture about PTSD, blogged about earlier, here.  John's revisions to the famous POW/MIA flag says quite kindly about the homeless veterans among us, "You Are Not Forgotten Either."  If only that were really the case -- perhaps over time we as a society can make it so.  (He's also cleverly changed "MIA" to mean, "Missing in America," pretty much the same as, "missing in plain sight" -- since clearly the homeless, and homeless veterans in particular, are everywhere, whether we choose to tune in and notice, or not.  (To see more about John Paul Hornbeck's "Shattered Soldier" sculpture, click here, here or here.) 

If you want to learn more about the plight of homeless veterans in America, start here, with the Homeless Veterans Fact Sheet, produced by the National Coalition for Homeless Veterans.  The fact sheet discusses statistics for both homeless veterans and incarcerated veterans.  And the statistics paint a grim and sorrowful picture.  According to statistics supplied by the U.S. Department of Veterans Affairs (VA), the nation's homeless veterans have been historically mostly males (though those figures are likely to change, with the advent of more women serving in the military). 

The vast majority are single, most come from poor, disadvantaged communities, 45% suffer from mental illness, and half have substance abuse problems. America’s homeless veterans have served in World War II, Korean War, Cold War, Vietnam War, Grenada, Panama, Lebanon, Operation Enduring Freedom (Afghanistan), Operation Iraqi Freedom, or the military’s anti-drug cultivation efforts in South America. Forty-seven percent of homeless veterans served during the Vietnam Era. More than 67% served our country for at least three years and 33% were stationed in a war zone. (Editor's Note: observe the connection between substance abuse and/or mental illness and homelessness. More work needs to be done to study other predisposing factors to homelessness, including PTSD and Military Sexual Trauma.)

The National Coalition for Homeless Veterans also has a good, web-based list of service providers -- programs that are geared towards homeless veterans.  Click here for that link.  They say they periodically update their website by adding more programs as information becomes available, but right now you'll only find organizations listed in the following handful of states: California, Indiana, Massachusetts, Maryland, Minnesota and New York.  (Click on any of those states' names to go right to the information available on their site.)

Women Veterans and Military Sexual Trauma

A study reported in the Journal of General Internal Medicine in 2006 compared rates of Post-Traumatic Stress Disorder (PTSD) in female veterans who had Military Sexual Trauma (MST) with rates of PTSD in women veterans with all other types of trauma.  (The full title of the article is "DSM-IV Diagnosed Posttraumatic Stress Disorder in Women Veterans With and Without Military Sexual Trauma.")

Women subjects were recruited via health appointments and/or a mailing, and completed questionairres about their military service and their health and trauma history.  The results were shocking: Ninety-two percent (92%) reported at least one (1) trauma. Forty-one percent (41%) had experienced MST, either alone or with other trauma, and 90% had other trauma, with or without MST. Overall, 43% of subjects with trauma had PTSD. And most importantly, those women veterans who had endured military sexual trauma had higher rates of PTSD.  Sixty percent (60%) of those with MST had PTSD; 43% of subjects with other traumas (with or without MST) had PTSD. Military sexual trauma and other trauma both significantly predicted PTSD in regression analyses (P = .0001 and .02, respectively) but MST predicted it more strongly. Prior trauma did not contribute to the relationship between MST and PTSD.

The study concluded, "Findings suggest that Military Sexual Trauma (MST) is common and that it is a trauma especially associated with PTSD."  To read the article itself, click here.  (The citation for the study is: J Gen Intern Med.  2006;21(S3):S65-S69.)

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(Quoting from the study):

Rape is a violent crime with long-lasting consequences that is often perpetrated against women. At particular risk are women working within male-dominated environments such as the Armed Services, which, despite a recent influx of women, continue to be composed mainly of men.

National surveys found 13% to 30% of women veterans experienced rape during their military service. What is only beginning to be understood is the long-term impact that military sexual trauma (MST), such as rape, has on the lives of women veterans.

Posttraumatic stress disorder (PTSD) is one of the known consequences of rape. In fact, rape is the trauma most highly correlated with the development of this disorder. Posttraumatic stress disorder associated with rape is long lasting. Further, PTSD itself can cause impaired physical and social functioning. Most of what is known about rape and PTSD comes from the literature on civilian sexual trauma. Much less is known about the relationship between PTSD and MST. Previous studies examining the link between PTSD and MST have identified symptoms suggestive of PTSD or have created models connecting MST with the development of PTSD.

There is only one (1) study, to our knowledge, that examined rates of DSM-IV PTSD diagnoses in women veterans with MST. Suris et al., using a sample of female Veterans Administration (VA) patients, compared rates of PTSD related to 2 types of civilian sexual trauma with PTSD rates related to MST. They found that MST was more frequently traumatizing than civilian assault. Thus, the literature indicates that MST is more predictive of PTSD than are other types of military trauma or civilian sexual trauma.

Women's Mental Health Center ("WMHC") for Women Veterans

The VA Palo Alto Health Care System (VAPAHCS), widely recognized for its innovative treatment and research pograms, introduced the Women's Mental Health Center (WMHC) in October, 2002.

The Center was created in recognition of women veterans and their right to gender-sensitive, high quality mental health care.  The Center's mission, to promote the psychological well-being of women veterans, is advanced via provision of individual and group therapy, and delivery of psychoeducational classes and seminars developed in response to the unique needs of the women we serve.  A few important links:

• The Women's Mental Health Center Home in Palo Alto, CA, linked here.
• A gallery of photos showing the campus and typical attendees, linked here.
• A brochure about the program, downloadable as a PDF, linked here.

National Women's Trauma Recovery Program ("WTRP") for Women Veterans

More than a decade ago, the Department of Veterans Affairs opened the National Women's Trauma Recovery Program (WTRP) as part of the National Center for PTSD at Menlo Park, CA. The WTRP, designed to treat women veterans with post traumatic stress disorder (PTSD), is the first residential program of its kind and is open to women across the country. Many of the women who are referred to the program were sexually assaulted during their military service and suffer what is now referred to as Military Sexual Trauma (MST). The WTRP is intensive 60-day residential program with a strong emphasis on interpersonal skills. The initial two weeks of treatment involve psychological and psychosocial assessments in order to develop comprehensive treatment plans. Women come into the program in classes, or cohorts, and work together to problem-solve, learn effective communication, and better manage their PTSD/MST symptoms.

Here's a list of key links:

• An overview of the Women's Trauma Recovery Program (WTRP), linked here.
• A statement about who's eligible to attend, linked here.
• The application itself, linked here.

The WTRP progam is headed by Darrah Westrup, Ph.D.  She has some positive, uplifting things to say about the program itself, including this quote: "our program is all about helping women reclaim their sense of worth and personal power." For more of her remarks, click here.  For more about Darrah Westrup, Ph.D., click here.

Special VA Programs Geared to Women Veterans

It's a little late for International Women's Day (March 8th) and a little early for Mother's Day (May 11th), but it's time to talk about the special needs and concerns of women warriors, and how they're affected by combat trauma.  The most recent issue of the Disabled American Veterans' magazine has an article on women combat veterans.  The public service poster graphic in particular (see left) is impressive, as is its slogan: "War is Hell: Being a [Woman] Veteran Shouldn't Be."  Click on this link to download the March/April issue as a PDF; the article begins on page 19.

It's good news that the VA is becoming more attuned to the special needs of traumatized women veterans, either through PTSD or sexual trauma, or both.  Here's a section of the main VA website that addresses VA Programs for Women Veterans.  Click here for that link.  The programs cover several important areas, including mental health and sexual abuse counseling; medical services for women veterans; education and training; research; compensation for women veterans; national cemetery administration; and demographic trends.  According to the VA's own website, women veterans should be able to get help by contacting the nearest VA center, and asking to speak to the women's program manager, who will be able to refer them to the right help.  To review the briefly-noted information on the VA website, click here.

There's also a physical facility at the VA Palo Alto Health Care System devoted to women's recovery from trauma, both combat trauma and military sexual trauma (MST).  That program is known as Women's Trauma Recovery Program, or WTRP, and it's housed in a facility, called the Women's Mental Health Center Home.  This program is open to women from all wars, with programs being developed to focus on OEF/OIF veterans.  For more from the VA about women veterans with MST, click here.

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Statistically speaking, according to the VA:

The estimated population of women veterans as of 2001 was 1.6 million, or about 7.2 percent of the total veteran population.  10.26% of the 22.8 million veterans who use VA for healthcare are women.  Currently, women make up 14.8 percent of the active duty military force and approximately 22.8 percent of the reserve force.  By 2010, they are expected to represent over 14 percent of the total veteran population.  Fifty-six percent of women veterans who use VA are less than 45 years of age.  Sixty-two percent of women veterans are less than 45 years of age.

When it comes to women veterans and Military Sexual Trauma, though, the figures are worse.  We've done a blog post about that separately.  To read that, click here.

Making a Fractured Heart Whole Again - Military Sexual Abuse and Women

The Buffalo News has an excellent feature story in today's paper about a residential program at the VA for women who are survivors of military sexual abuse, among other forms of trauma.  The residential program profiled in Batavia, NY is one of four such programs the VA runs in the country.  Others will be profiled in future blog posts.  The article is entitled, "Female Veterans Find Help with Emotional Wounds at Batavia Facility."  Go here and read the story.  For a somewhat generic link to the VA's position on women veterans with military sexual trauma (MST), click here.  For a link to the actual VA residential program for women veterans in Batavia, NY, mentioned above, click here.

On the West Coast, there is the Women’s Trauma Recovery Program (WTRP), opened by the Palo Alto, CA VA in 1992 as part of the National Center for PTSD. It is an intensive 60-day residential program with and emphasis on interpersonal skills and a focus on war-zone related stress as well as MST (Military Sexual Trauma).  For a link to a blog post discussing that in greater depth, click here.

There's also a residential program for women at the VA in Tyler, Texas.  And apparently there is a fourth program as well, but an hour plus surfing the VA's inscrutable website doesn't clarify where that is.  When I find out, I'll include the information.  For a link to the Central Texas program, click here.