Patience Mason's PTSD Blog: What PTSD is by Myke Cole

Patience Mason's PTSD Blog: What PTSD is by Myke Cole
Excerpt:
picked that apart with some friends for an hour. I’m not saying that there aren’t people out there for whom PTSD is like that, but it sure as hell wasn’t like that for any of us. As I thought about that spot, as I con­sid­ered the mounting reports of sui­cides, home­less vets, col­lapsing fam­i­lies, I began to get the uneasy feeling that PTSD is a lot like autism: A thing iden­ti­fied, but poorly under­stood. I read about the sup­posed symp­toms, the height­ened alert­ness, the re-experiencing of spe­cific trauma, the going numb. It was all true. Up to a point.
When James Lowder invited me to write an essay for BEYOND THE WALL, we started brain­storming what it would be about. After a few rounds of back and forth, I real­ized that I wanted to write about PTSD, and how I saw it man­i­festing in fan­tasy char­ac­ters. I used the Cooper Color System, talked about how living in the per­petual state of readi­ness known as “Con­di­tion Yellow,” both enfran­chised and hurt people. Con­stant vig­i­lance has its uses, but it is exhausting and, over time, transforming.
After the book was pub­lished I real­ized that I hadn’t gotten close enough to the issue. Arya Stark and Theon Greyjoy aren’t real people, and so addressing their PTSD was tack­ling the issue at a safe remove. It was a toe in the water. It wasn’t good enough.
Because the truth is, I’ve never heard anyone, med­ical pro­fes­sional, spir­i­tual leader or oth­er­wise describe the PTSD I know. What I see are people embracing a def­i­n­i­tion that explains PTSD using the vocab­u­lary of clas­sical pathology. It implies that, like a dis­ease, you can pre­scribe a course of treat­ment and fix it.
But, in my expe­ri­ence, PTSD doesn’t get fixed. That’s because it was never about get­ting shot at, or seeing people die. It was never the snap trauma, the quick moment of action that breaks a person. PTSD is the wages of a life spent in crisis, the slow, the­matic build that grad­u­ally changes the way the suf­ferer sees the world. You get boiled by heating the water one degree each hour. By the time you finally suc­cumb, you realize you had no idea it was get­ting hotter.
Because you kept adjusting.
Because PTSD isn’t a dis­ease, it’s a world view.
War, dis­aster response, police work, these things force a person to live in the spaces where trauma hap­pens, to spend most of their time there, until that world becomes yours, seeps through your skin and runs in your blood. Most of us in indus­tri­al­ized western soci­eties live with feeling that we are safe, that our lives are sin­gular, mean­ingful, that we are loved, that we matter. We know intel­lec­tu­ally that this may not be the case, but we don’t feel it.
PTSD is what hap­pens when all that is stripped away. It is the cur­tain pulled back, the deep and the­matic real­iza­tion that life is fun­gible, that death is capri­cious and sudden. That anyone’s life can be snuffed out or worse, ruined, in the space of a few sec­onds. It is the shaking real­iza­tion that love cannot pro­tect you, and even worse, that you cannot pro­tect those you love. It is the final sur­ren­dering of the myth that, if you are decent enough, eth­ical enough, skilled enough, you’ll be spared. The war­riors that the media ascribes so much power are the first to truly know pow­er­less­ness...