Media reports over the past year have highlighted the US military’s lack of attention to soldiers who have returned from Iraq suffering from PTSD (Post Traumatic Stress Disorder). Estimates I’ve read suggest 15 percent of any military force that has experienced a war zone is affected mentally thereafter by the psychologically crippling after-effects of battle. As a result of the increased media interest, however, soldiers are getting help they need – or at least I think and hope so - although some would argue not nearly enough and others would argue that the percentage of those afflicted is far higher than the 15 percent figure while a small minority would argue it’s all “in their heads.”
But what about the civilians who also serve in war zones – under battle or in near combat conditions? Is it also only “all in their heads?” Are some of them also perhaps afflicted by PTSD? And if so, are they getting the help they need?
What have you read about them?
Probably very little - because there are fewer of them and they have not become a major media story.
If you’ve read anything it would have most likely been two May USA Today articles by Barbara Slavin that have subsequently been making their way around the Internet. The first was her interview of Rachel Schneller, a 33 year old State Department economics officer, and one of very few diplomats to have served in Iraq and gone public because of the experience’s psychologically crushing after effects and the State Department’s refusal to help her deal with them.
The second was Slavin’s follow-up article reporting that the State Department had finally agreed to survey the 1,400 US diplomats who have served in Iraq over the past four years to see whether the PTSD problem Rachel reported is, in fact, more widespread – and to provide voluntary support groups for those and other State Department employees suffering from the same syndrome.
Only after concerted pressure by the American Foreign Service Association, the Foreign Service’s professional and labor organization, did State even agree to study the PTSD problem in Iraq. Slavin’s reports probably did not hurt either.
Prior to this, the Department of State had done nothing to think about helping staff cope psychologically with proximity to the battlefield. It is still doing little, if anything – as far as I know - to help people deal with the bunker mentality that pervades our missions in Iraq, Afghanistan and elsewhere. It needs to add this to its employee personnel health agenda as well. And pronto.
According to the private Foreign Affairs Council's June 2007 Task Force Report on the management of State under Condi, the Department now has 750 “unaccompanied” positions overseas. Slavin tells us this is an increase from 200 before 9/11. These positions are classified as “unaccompanied” because they are in places considered too dangerous for employees to bring their families. This means staff is restricted and often kept separate from the local populations and facilities. Living conditions are difficult and life is often downright physically treacherous, medical care and other support inadequate.
To date, the Iraq veterans represent more than 1/5th of the U.S. Foreign Service. Civil servants and Foreign Service retirees have also served in Iraq over the past four years. All have served as volunteers: they receive danger pay and usually one year assignments. Three have been killed while serving there. True three does not equal the 3,500 plus US military who have been killed there thus far – but in terms of percentage of the over all number, it may be higher. The realization of a vague promise of a cushy onward assignment and a promotion to a higher grade has happened for some Foreign Service Iraq vets, but not all.
Please remember, none signed up for the military, for the “thrill and danger” of life in a war zone and none received combat training.
Now maybe combat training was not needed at the early stages of the invasion when the country was relatively subdued and when the “Green Zone” – where most US diplomats served and serve -- had not become the target of opportunity for militias of various stripes as happened this past spring.
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