
Make the Connection
July 27th, 2017 Posted by Dave Smith Multimedia, Organizations No Comment yet
Max Lindenman explores the difficulty for veterans to experience forgiveness.
(The purpose of Soul Care Conversation is to create a place to generate dialogue, initiate thoughtful consideration for the challenges our veterans face each day, share ideas of veteran and family well-being and healing, and spark within all of us a call to be engaged with the veteran and caregiver community. Click here to visit the forum and join the conversation!)
Last week, we concluded our conversation on the spiritual implications of PTSD, Moral Injury, and Soul Wounds. We will now begin to explore the various components of spirituality and how it effects our veterans. This week our conversation will take us to understanding the “why.”
BACKGROUND
I shared in a previous conversation about my first visit to the Marines in Afghanistan, at Regional Command Southwest (RC-SW). Captain Brown, the Navy Command Chaplain for RC-SW took me to visit the Concussion Restoration Care Center, (CRCC). It was at the CRCC wounded warriors would have an opportunity to begin their healing following a trauma event. In 2011, a behavioral health team of a psychologist, psychiatrist, and social worker realized after months of counseling wounded warriors that there were three issues; why, guilt, and fear, that could be better treated by a chaplain. They decided to bring a chaplain on-board as part of the team and sought Captain Brown’s advice.
The chaplain selected had to be the “right” chaplain. Not all chaplains have the temperament to collaborate with a behavioral health team in order to partner with the team and the wounded warrior. From my 30 years of experience in the military chaplaincy, I know many chaplains who would have tried to answer the warrior’s “why”, rather than walk with the warrior through their journey of finding their own answer.
Bringing a chaplain on board as part of the healing team had two important implications. First, this certainly was unusual since the spiritual domain is not a common field for the medical and mental health models for treating the symptoms of combat trauma. All too often the spiritual and the soul are relegated to the purview of the religious counselors and religious leaders as a separate entity of care. The wounds to the soul are not addressed as part of comprehensive whole person care. Also, combat trauma has not been treated traditionally as a spiritual or moral injury.
Second, trauma affects the human capacity to make meaning in life and how meaning-making systems can function as part of the healing process from trauma. The answer to the question “why” most often is complex. The “right” chaplain has the capacity and sensitivity for trauma care in order to journey with the veteran. The chaplain understands that God will not simply step in and by coercive force make things right, and neither should the chaplain. During the veteran’s journey to find an answer to why, a relationship between faith, spirituality, and trauma should be explored.
MEANING MAKING
During my Pathways Program I learned that meaning making is how people understand life, life’s events, relationships and self. However, trauma is the ultimate challenge to meaning making. Trauma rips apart people’s meaning-making processes because it tears them away from the comfort and confidence of their meaning-making systems. Once this occurs, most often the survivor plunges into chaos and volatility in ways that cannot be denied or ignored, but often are hidden except to those closest to them. People of faith are not immune to the effects of trauma.
Meaning and purpose are central in human life, particularly when individuals confront highly stressful and traumatic life experiences. Some researchers have suggested that traumatic events frequently challenge one’s core beliefs about safety, self-worth, and the meaning of life.
For individuals whose core values are spiritually grounded, traumatic events may give rise to questions about the fundamental nature of the relationship between God and humankind, and between God and self. Survivors may question their belief in a loving, all-powerful God when the innocent are subjected to traumatic victimization. In this way, traumatic experiences may become a starting point for discussion of the many ways in which survivors define what it is to have “faith”.
Trauma can shake one’s faith. The veteran wants to understand why? Why did the traumatic event occur? Why did they survive? The journey to understand the why can be a long process for the veteran.
CONSIDERATIONS TOWARD HEALING
Meaning making is a key component in trauma healing. Recovery of meaning in life may be achieved through changed ways of thinking, involvement in meaningful activities, or through rituals experienced as part of worship services or some other spiritual involvement. As we consider the spiritual issues that affect the veteran’s soul, a place to begin is how spirituality provides meaning in life.
Trauma interferes with the practices that embody our systems of belief. The soul of a veteran often demonstrates the ineffectiveness of our prayers, our worship, our scriptures, and our faith. For many of our veterans, their traumatic experiences with which they struggle will affect their understanding of God and faith.
For many people, the presence of a meaning-making system, such as faith, serves as a protective factor when trauma strikes. Paradoxically, faith can be counter-productive as well. The pain and terror of trauma can infuse such doubt in God and God’s faithfulness that the veteran reaches a point of denying God and their faith. The veteran can question God’s ability to intervene in the situation. The veteran can feel that God is punishing them and blame God for the loss. This becomes a way that the veteran may create meaning.
But the opposite can be true as well. Faith and spirituality can assist the veteran in developing a sense that love shapes God’s activity; patient, persevering, and long lasting. It is through love that God responds to a broken world. Also, it is through spirituality and religiosity that the veteran experiences a community with shared beliefs. This becomes another way to create meaning.
What ways have you experienced in creating meaning? How can the faith community become a part of the veteran’s journey to find the answer to “why”?
Holocaust survivor Viktor Frankl writes in his 1946 book, Man’s Search for Meaning, that the primary motivation of a person is to discover meaning in life. Throughout this powerful book Frankl insists that meaning in life can be discovered under all circumstances, even in the most miserable experiences of tragedy and loss. Through his own experience Frankl shared that people can discover meaning through doing a deed, experiencing value, and even by experiencing suffering.
This is a part of the process known as Post-Traumatic Growth. Next week, we will look at spirituality and suffering. Until then, thank you for the conversation…
(The purpose of Soul Care Conversations is to create a place to generate dialogue, initiate thoughtful consideration for the challenges our veterans face each day, share ideas of veteran and family well-being and healing, and spark within all of us a call to be engaged with the veteran and caregiver community. Click here to visit the forum and join the conversation!)
We have been having a conversation for several weeks about the effects of trauma on the whole person. Last week we discussed the impact of trauma on the warrior’s behavior. This week, we will discuss the spiritual impacts of trauma.
Because warriors often experience intense fear, panic, confusion, helplessness and even horror during war, how can one return from war feeling anything but changed? Warriors can experience physical and psychological wounds that can incapacitate them and that can affect their behavior. Additionally, the combat veteran also can exhibit spiritual symptoms.
SPIRITUALITY AND TRAUMA
Each of us hold basic assumptions that give order to our world and can make stress bearable. After one experiences trauma, these assumptions are shattered. Trauma disrupts one’s view of the world, even their spiritual understanding, as suggested by Dr. Schiraldi in his book, The Post Traumatic Stress Disorder Sourcebook.
War’s violence press questions of faith into the lives of those who fight them. When a warrior steps onto the battlefield he or she immediately is confronted by the kinds of horror and hardships that have moved humanity through the centuries to reach for the Holy.
A spiritual person can be characterized having;
Following trauma that same person experiences a loss of these qualities. But the wounding of the soul goes much deeper. Soul wounded persons often exhibit;
For some, the circumstances of the trauma may lead to the questioning of important and previously sustained beliefs. This can lead to a deep spiritual struggle. A key component in considering soul wounds is understanding how spirituality has been affected by trauma, and then, what role spirituality can now provide within the healing journey. For the warrior, these are difficult questions to answer.
EFFECTS OF TRAUMA
The effects of trauma on the person’s spirituality;
Spiritual symptoms can include;
SOUL WOUNDS
Soul wound symptoms reflect something deeper. Soul wounds can result in a diminishment of everything meaningful to the warrior. What may a wounded soul feel like? Countless warriors describe the dark side of their war experience with the word – hell. “War is hell.” “I lived through hell.” Soul wounds feel like hell at the very core of the warrior’s being.
Even people of great faith are changed by trauma. There are numerous stories of chaplains who were so wounded by trauma of war that they lost their faith or adopted destructive behaviors as an escape of war. Many have lingering fear and guilt from their experiences.
Many warriors struggle with ethical and moral challenges that they faced. Transgressions can be from individual acts of perpetrating violence on another or by witnessing the behavior of others committing violence. The moral injuries exhibit similar symptoms as to soul wounds.
I did not understand soul wounds until I read the book, War and the Soul, by Dr. Edward Tick. Dr. Tick revealed to me the importance of healing the wounded soul after combat. This all became real to me when in Afghanistan during my first visit to the Marines, the Command Chaplain for Region South West told me about the Concussion Restoration Care Center (CRCC), where wounded warriors had an opportunity to begin their healing following a trauma event. At the CRCC the psychologist, psychiatrist, and behavioral health specialist realized after months of counseling that there were three spiritual issues they were not able to help the wounded warrior; why, guilt, and fear. They decided to bring a chaplain on-board as part of the team. The whole person concept in treating trauma included the spiritual component.
SPIRITUALITY DEFINED?
But why has spirituality not been institutionalized as a part of the whole person concept in healing? Possibly because spirituality is a complex subject. Spirituality challenges researchers when they attempt to frame it in scientific terms. One reason is that there’s no widely accepted definition of spirituality.
Definitions include;
Yet, some researchers think that measuring spirituality with questions about peacefulness, harmony and well-being is meaningless since it results in spirituality being simply defined as good mental health, so they instead prefer to define spirituality in terms of religious practices and beliefs.
The spiritual domain is not a common field for the medical and mental health models for treating the symptoms of combat trauma. The Department of Defense and the Veterans Administration have made progress in combat veteran care under the rubrics of the physical, emotional, behavioral, psychological, and mental. The area that has been underserved is the spiritual. All too often the spiritual and the soul are relegated to the purview of the religious counselors and religious leaders. Combat trauma has not been treated traditionally as a spiritual or moral injury.
SPIRITUAL INJURIES
What do spiritual injuries look like? They may include;
These symptoms may change as time passes and a person moves further away from the trauma event. Trauma can be associated with loss of faith, diminished participation in religious or spiritual activities, changes in belief, feelings of being abandoned or punished by God, and loss of meaning and purpose for living. Suicide becomes a risk.
Next week we will discuss in more depth moral injury and the effects of wounding the soul. Until then, thanks for the conversation….