Abstract
The basic structure of contemporary military biopolitics, in which military bodies and minds are kept alive and allowed to die, entails both an institutional problem of how to shore up life that is exposed to harm and a cultural problem of how to reckon with a routinized trade in life and death that happens not incidentally, but on purpose. Amidst this tension, the military psyche becomes both an inhabited, embodied site and an imaginative point of reference for the question of how to feel about war. This article takes stock of the contemporary landscape of war-related mental affliction via three relatively novel interventions: military suicide prevention, the framing post-traumatic stress as “moral injury,” and resiliency training meant to inoculate soldiers against the stress of the battlefield. Drawing on a range of clinical and media sources and ethnographic research with post-9/11 military personnel, I show how each of these efforts constructs specific forms of war-related psychic destruction as objects of public and institutional concern, normalizes the institutional arrangements that produce it, and informs public perceptions of what war is by constructing figures of what it does to those who fight it.
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Notes
This project included over a year of continuous participant observation in 2007-08 and numerous follow-up visits in the following two years. Over the course of this time, I also conducted approximately 50 interviews with soldiers, military spouses, and military and civilian service providers and advocates. All participants are referred to here by pseudonyms and some identifying information is changed to protect their identities in accordance with an IRB-approved set of privacy and confidentiality practices.
This problematic and widely debated figure originates from a 2012 VA study whose own authors caution against its over-generalization because of the relatively limited data underlying it (Kemp and Bossarte 2013); see Lee 2015 for a thorough critique. A more recent study revises this estimate down to 20 per day (Shane and Kime 2016).
See the DodSER web site at http://t2health.dcoe.mil/programs/dodser; the NIMH-Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) at https://www.nimh.nih.gov/health/topics/suicide-prevention/suicide-prevention-studies/army-study-to-assess-risk-and-resilience-in-servicemembers-army-starrs-a-partnership-between-nimh-and-the-us-army.shtml; and the STARRS Longitudinal Study (STARRS-LS) at http://starrs-ls.org/#/.
References
American Psychiatric Association. 1980. Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, DC: American Psychiatric Association.
American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders: DSM-5, 5th ed. Washington, DC: American Psychiatric Association.
Asad, T. 2007. On suicide bombing. New York: Columbia University Press.
Benjamin, M. 2010. “War on terror” psychologist gets giant no-bid contract [WWW Document]. Salon.com. http://www.salon.com/2010/10/14/army_contract_seligman/. Accessed October 26, 2012.
Bernton, H. 2012. 40% of PTSD diagnoses at Madigan were reversed [WWW Document]. The Seattle Times. http://seattletimes.com/html/localnews/2017801388_ptsd21.html. Accessed 4 April, 2014.
Bourke, J. 1999. An intimate history of killing: Face-to-face killing in twentieth-century warfare. New York: Basic Books.
Brock, R.N., and G. Lettini. 2012. Soul repair: Recovering from moral injury after war. Boston: Beacon Press.
Brown, N.J.L. 2015. A critical examination of the U.S. army’s comprehensive soldier fitness program. The Winnower 4.
Burling, S. 2010. The power of a positive thinker [WWW Document]. Philly.com. http://www.philly.com/philly/sports/20100530_The_power_of_a_positive_thinker.html. Accessed 2 July 2017.
Butler, J. 2004. Precarious life: The powers of mourning and violence. London: Verso.
Casey, G.W. 2011. Comprehensive soldier fitness: A vision for psychological resilience in the U.S. army. American Psychologist 66: 1–3.
Chua, J.L. 2015. Accumulating death: Women’s moral agency and domestic economies of care in South India. In Suicide and agency: Anthropological perspectives on self-destruction, personhood, and power, ed. L. Broz and D. Münster, 147–164. Surrey: Ashgate.
Clausewitz, C. 1982. On war. Translated by J.J. Graham. New York: Penguin Classics
Conan, N. 2009. Army to train soldiers in emotional resiliency. Talk of the nation.
Crawford, N. 2013. Accountability for killing: Moral responsibility for collateral damage in America’s post-9/11 wars. Oxford: Oxford University Press.
Cornum, R., M.D. Matthews, and M.E.P. Seligman. 2011. Comprehensive soldier fitness: Building resilience in a challenging institutional context. American Psychologist 66: 4–9.
Daughtry, J.M. 2015. Listening to war: Sound, music, trauma and survival in wartime Iraq. New York: Oxford University Press.
de Yoanna, M., and M. Benjamin. 2008. I am under a lot of pressure to not diagnose PTSD [WWW Document]. Salon.com. http://www.salon.com/2009/04/08/tape/. Accessed 4 October 2013.
Delori, M. 2014. Killing without hatred: The politics of (non)-recognition in contemporary Western wars. Global Discourse 4: 516–531.
Department of the Army. 2010. Army health promotion/risk reduction/suicide prevention report 2010. Washington, DC: Department of the Army.
Department of the Army. 2012. Army 2020: Generating health & discipline in the force ahead of the strategic reset. Washington, DC: Department of the Army.
Department of the Army. 2014. Comprehensive Soldier and Family Fitness. Washington, DC: Department of the Army.
Douglas, M. 2005. Risk and blame: Essays in cultural theory. Digital Paperback ed., reprint ed. Routledge: London.
Dursa, E.K., M.J. Reinhard, S.K. Barth, and A.I. Schneiderman. 2014. Prevalence of a positive screen for PTSD among OEF/OIF and OEF/OIF-era veterans in a large population-based cohort. Journal of Traumatic Stress 27: 542–549.
Eidelson, R., M. Pilisuk, and S. Soldz. 2011. The dark side of “comprehensive soldier fitness” [WWW Document]. CounterPunch.org. http://www.counterpunch.org/2011/03/24/the-dark-side-of-comprehensive-soldier-fitness/. Accessed 7 January 2012.
Eidelson, R., and S. Soldz. 2012. Does Comprehensive Soldier Fitness Work? CSF Fails the Research Test (No. 1), Coalition for Ethical Psychology Working Paper. Coalition for Ethical Psychology.
Fassin, D. 2011. Humanitarian Reason: A Moral History of the Present. Berkeley: University of California Press.
Fassin, D., and R. Rechtman. 2009. The Empire of Trauma: an inquiry into the condition of victimhood. Princeton: Princeton University Press.
Figley, C.R., and W.P. Nash (eds.). 2007. Combat stress injury: theory, research, and management, Routledge psychosocial stress series. New York: Routledge.
Filkins, D. 2009. The Forever War. New York: Random House.
Finley, E.P. 2011. Fields of Combat: Understanding PTSD Among Veterans of Iraq and Afghanistan. Ithaca, NY: Cornell University Press.
Foucault, M. 2003. Society Must Be Defended: Lectures at the Collège de France, 1975-76. New York: Picador.
Garland, D. 2003. The Rise of Risk. In Risk and Morality, ed. R.V. Ericson and A. Doyle. Toronto: University of Toronto Press.
Graham, L. 2017. Moral injury: restoring wounded souls. Nashville, TN: Abingdon.
Grossman, D. 2009. On killing: The psychological cost of learning to kill in war and society. New York: Little, Brown and Co.
Hacking, I. 1996. Memory Sciences, Memory Politics. In Tense Past: Cultural Essays in Trauma and Memory, ed. P. Antze and M. Lambek, 67–88. New York: Routledge.
Hedges, C., and L. Al-Arian. 2009. Collateral damage: America’s war against Iraqi Civilians. New York: Nation Books.
Herr, M. 1991. Dispatches. New York: Vintage Books.
Horton, A. 2014. American Sniper feeds America’s hero complex, and it isn’t the truth about war [WWW Document]. The Guardian. http://www.theguardian.com/commentisfree/2014/dec/24/american-sniper-real-life-movies-hollywood. Accessed 16 January 2015.
Horwitz, A., and J. Wakefield. 2012. All we have to fear: psychiatry’s transformation of natural anxieties into mental disorders. New York: Oxford University Press.
Howell, A. 2012. The demise of PTSD: from governing through trauma to governing resilience. Alternatives: Global, Local, Political 37: 214–226.
Howell, A. 2013. Madness in international relations: Psychology, security, and the global governance of mental health. New York: Routledge.
Howell, A. 2014. The global politics of medicine: Beyond global health, against securitisation theory. Review of International Studies 40: 961–987.
Howell, A. 2015. Torture as evidence-based policy making? Race, war and science. Duck of Minerva, October 7. http://duckofminerva.com/2015/10/torture-as-evidence-based-policy-making-race-war-and-science.html.
Howell, A., and Z. Wool. 2011. The war comes home: The toll of war and the shifting burden of care, costs of war. Providence: Watson Institute for International Studies.
Jauregui, B. 2014. World Fitness: US army family humanism and the positive science of persistent war. Public Culture 27 (3): 449–485.
Jelinek, P. 2013. Veterans suffer “moral injury” from warfare [WWW Document]. NBC News. http://vitals.nbcnews.com/_news/2013/02/22/17056891-veterans-suffer-moral-injury-from-warfare. Accessed 1 April 2013.
Kang, H.K., T.A. Bullman, D.J. Smolenski, N.A. Skopp, G.A. Gahm, and M.A. Reger. 2015. Suicide risk among 1.3 million veterans who were on active duty during the Iraq and Afghanistan wars. Annals of Epidemiology 25: 96–100.
Kemp, J., and R. Bossarte. 2013. Suicide Data Report 2012. Washington, DC: U.S. Department of Veteran’s Affairs.
Kennedy, K. 2007. Critics: Army holding down disability ratings. Army Times. http://www.armytimes.com/news/2007/02/TNSmedholdmoney070222/. Accessed 12 December 2011.
Khalek, R. 2015. “‘Cut her head off’: The shocking death threats you can receive for mocking eastwood’s ‘American Sniper’ movie.” Sydney: AlterNet.
Kieran, D. n.d. Signature wounds: Mental health, the military, and American culture during the Iraq and Afghanistan wars. New York: New York University Press. Forthcoming.
Kinder, J.M. 2015. Paying with their bodies: American war and the problem of the disabled veteran. Chicago: The University of Chicago Press.
Leard-Mann, C.A., T.M. Powell, T.C. Smith, M.R. Bell, B. Smith, E.J. Boyko, T.I. Hooper, G.D. Gackstetter, M. Ghamsary, and C.W. Hoge. 2013. Risk factors associated with suicide in current and former US military personnel. JAMA 310: 496.
Lee, M.Y.H. 2015. The missing context behind the widely-cited statistic that there are 22 veteran suicides a day. The Washington Post.
Leitch, W. 2014. The minimalist patriotism of American Sniper. Bloomberg Politics. https://www.bloomberg.com/politics/features/2014-12-24/the-minimalist-patriotism-of-american-sniper.
Lentzos, F., and N. Rose. 2009. Governing insecurity: Contingency planning, protection, resilience. Economy and Society 38: 230–254.
Leys, R. 2000. Trauma: A genealogy. Chicago: University of Chicago Press.
Lifton, R.J. 1973. Home from the war: Vietnam veterans—Neither victims nor executioners. New York: Simon & Schuster.
Linker, B. 2011. War’s waste: Rehabilitation in World War I America. Chicago: University of Chicago Press.
Litz, B.T., N. Stein, E. Delaney, L. Lebowitz, W.P. Nash, C. Silva, and S. Maguen. 2009. Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review 29: 695–706.
Livingston, J. 2009. Suicide, Risk, and Investment in the Heart of the African Miracle. Cultural Anthropology 24: 652–680.
Logan, D., and A. Carpenter. 2014. Operation recovery: Fort hood soldiers and veterans testify on the right to heal. San Francisco: Iraq Veterans Against the War, Civilian Soldier Alliance, and Under The Hood Cafe & Outreach Center.
Lupton, D. 1993. Risk as moral danger: The social and political functions of risk discourse in public health. International Journal of Health Services 23: 425–435.
Lutz, C., and K. Millar. 2012. War. In A companion to moral anthropology, ed. D. Fassin. New York: Wiley-Blackwell.
MacLeish, K. 2013. Making war at fort hood: Life and uncertainty in a military community. Princeton: Princeton University Press.
MacLeish, K. 2014. The ethnography of good machines. Critical Military Studies 1: 11–22.
MacLeish, K. 2018. “On ‘Moral Injury’: Psychic fringes and war violence”. History of the Human Sciences 31 (2): 128–146. https://doi.org/10.1177/0952695117750342.
Maguen, S., and B. Litz. 2012. Moral injury in veterans of war. PTSD Research Quarterly 23: 1–3.
Marsh, I. 2010. Suicide: Foucault, history and truth. Cambridge/New York: Cambridge University Press.
Masco, J. 2014. The theater of operations: national security affect from the Cold War to the War on Terror. Durham: Duke University Press.
Mazzarella, W. 2009. Affect: What is it good for? In Enchantments of modernity: Empire, nation, globalization, ed. S. Dube. New York: Routledge.
McKinley, J.C. Jr. 2010. Four suicides in a week take a toll on Fort Hood. The New York Times.
McNally, R.J., and C. Frueh. 2013. Why are Iraq and Afghanistan War veterans seeking PTSD disability compensation at unprecedented rates? Journal of Anxiety Disorders 27: 520–526.
Millar, K.M. 2015. ‘They need our help’: Non-governmental organizations and the subjectifying dynamics of the military as social cause. Media, War & Conflict 9 (1): 9–26.
Miller, C., and P. Bellon. 2012. The U.S. army can’t stop soldiers from killing themselves [WWW Document]. The Atlantic. http://www.theatlantic.com/national/archive/2012/10/the-us-army-cant-stop-soldiers-from-killing-themselves/263540/. Accessed 19 January 2013.
Molendijk, T., E.-H. Kramer, and D. Verweij. 2015. Conflicting notions on violence and PTSD in the military: Institutional and personal narratives of combat-related illness. Culture, Medicine and Psychiatry 40 (3): 338–360.
Morris, D.J. 2015. The evil hours: A biography of post-traumatic stress disorder. Boston: Houghton Mifflin Harcourt.
Münster, D., and L. Broz. (eds.). 2015. “The anthropology of suicide: Ethnography and the tension of agency”. In Suicide and agency: Anthropological perspectives on self-destruction, personhood, and power, 3–26. Surrey: Ashgate.
Neocleous, M. 2012. “Don’t be scared, be prepared”: trauma-anxiety-resilience. Alternatives: Global, Local, Political 37: 188–198.
O’Malley, P. 2010. Resilient subjects: Uncertainty, warfare and liberalism. Economy and Society 39: 488–509.
Peterson, C., N. Park, and C.A. Castro. 2011. Assessment for the U.S. army comprehensive soldier fitness program: The global assessment tool. American Psychologist 66: 10–18.
Priest, D., and A. Hull. 2007. Soldiers face neglect, frustration at army’s top medical facility. The Washington Post.
Pruitt, L.D., D.J. Smolenski, N.E. Bush, N.A. Skopp, T.V. Hoyt, and B.J. Grady. 2016. DoDSER: Department of defense suicide event report calendar year 2015 annual report. Washington, DC: National Center for Telehealth & Technology.
RAND Center for Military Health Policy Research. 2008. Invisible wounds: Mental and cognitive care needs of America’s returning veterans. Santa Monica: RAND Corporation.
Richard, A., and D. Rudnyckyj. 2009. Economies of affect. Journal of the Royal Anthropological Institute 15: 57–77.
Ricks, T.E. 2007. Fiasco: The American military adventure in Iraq. New York: Penguin Books.
Rose, N. 1999. Governing the soul: The shaping of the private self. New York: Free Association Books.
RT News. 2011. US war woe: Suicide kills more soldiers than combat [WWW Document]. RTNews.com. http://rt.com/news/us-soldiers-suicide-combat-487/. Accessed 19 July 2014.
Sagalyn, D. 2012. Health experts question army report on psychological training [WWW Document]. PBS Newshour. http://www.pbs.org/newshour/updates/military/jan-june12/csf_training_01-02.html. Accessed 26 October 2012.
Scandlyn, J., and S. Hautzinger. 2013. Beyond posttraumatic stress: Homefront struggles with the wars on terror. Walnut Creek: Left Coast Press.
Scarry, E. 1987. The body in pain: The making and unmaking of the world. New York: Oxford University Press.
Serlin, D. 2004. Replaceable you: Engineering the body in postwar America. Chicago: University of Chicago Press.
Shane, L., and P. Kime. 2016. New VA study finds 20 veterans commit suicide each day [WWW Document]. Military Times. http://www.militarytimes.com/story/veterans/2016/07/07/va-suicide-20-daily-research/86788332/. Accessed 12 May 2017.
Shatan, C.F. 1972. Post-Vietnam syndrome. The New York Times.
Shay, J. 1995. Achilles in Vietnam: Combat trauma and the undoing of character. New York: Simon & Schuster.
Shay, J. 2002. Odysseus in America: Combat trauma and the trials of homecoming. New York: Scribner.
Shay, J. 2007. Foreword. In Combat stress injury: Theory, research, and management, ed. C.R. Figley and W.P. Nash, xvii–xx. New York: Routledge.
Shay, J. 2011. Casualties. Daedalus 140: 179–188.
Sheline, K.T., and L.A. Rosén. 2017. Posttraumatic growth moderates suicide risk among trauma exposed undergraduates. Journal of College Student Development 58: 402–412.
Shen, Y.-C., J.M. Cunha, and T.V. Williams. 2016. Time-varying associations of suicide with deployments, mental health conditions, and stressful life events among current and former US military personnel: A retrospective multivariate analysis. The Lancet Psychiatry 3: 1039–1048.
Shephard, B. 2001. A War of Nerves: Soldiers and psychiatrists in the twentieth century. Cambridge: Harvard University Press.
Sherman, N. 2015. Afterwar: Healing the moral injuries of our soldiers. New York: Oxford University Press.
Sogn, E. 2014. Throw a survey at it: Questioning soldier resilience in the US Army. Anthropology Now 6: 25–34.
Stahl, R. 2009. Why we “support the troops”: Rhetorical evolutions. Rhetoric and Public Affairs 12: 533–570.
Stevenson, L. 2014. Life beside itself: Imagining care in the Canadian Arctic. Oakland: University of California Press.
Stiglitz, J.E. 2008. The three trillion dollar war: The true cost of the Iraq conflict. New York: W.W. Norton.
Stone, N. 2017. Living the laughscream: Human technology and affective maneuvers in the Iraq war. Cultural Anthropology 32: 149–174.
Swofford, A. 2003. Jarhead: A marine’s chronicle of the gulf war and other battles. New York: Scribner.
Taussig, M.T. 1992. The nervous system. New York: Routledge.
Terry, J. 2009. Significant injury: War, medicine, and empire in Claudia’s case. WSQ: Women’s Studies Quarterly 37: 200–225.
Tick, E. 2005. War and the soul: Healing our nation’s veterans from post-traumatic stress disorder. Wheaton: Quest Books.
Timmermans, S. 2007. Postmortem: How medical examiners explain suspicious deaths. Chicago: University of Chicago Press.
Trainor Jr., D. 2015. The truth is unspeakable”: A real American sniper unloads on “American sniper. Sydney: AlterNet.
Vergun, D. 2012. September Army-wide stand down to support suicide prevention [WWW Document]. Army.mil. http://www.army.mil/article/86213/. Accessed 22 March 2016.
Vogel, S. 2012. Army stands down Thursday to focus on suicide prevention. The Washington Post—Blogs.
Walzer, M. 2006. Just and unjust wars: A moral argument with historical illustrations, 4th ed. New York: Basic Books.
West, L. 2015. The real American Sniper was a hate-filled killer. Why are simplistic patriots treating him as a hero? The Guardian.
Whooley, O., and R.T. Smith. 2015. Dropping the D in PTSD. Contexts 15: 38–43.
Wilmore, L. 2015. The nightly show—Panel— " American Sniper” debate. New York: Comedy Central.
Wood, D. 2014. Moral injury: Healing—Can we treat moral wounds? [WWW Document]. The Huffington Post. http://projects.huffingtonpost.com/moral-injury/healing. Accessed 26 May 2014.
Wood, D. 2016. What have we done: The moral injury of our longest wars, 1st ed. New York: Little, Brown and Co./Hachette Book Group.
Wool, Z. 2015. After war: The weight of life at walter reed. Durham: Duke University Press.
Worth, R.F. 2016. What if PTSD is more physical than psychological? The New York Times.
Wright, E. 2004. Generation kill: Devil dogs, iceman, captain America, and the new face of American war. New York: G.P. Putnam’s Sons.
Yocum, C. 2016. Help for moral injury: Strategies and interventions. Fayetteville, NC: Quaker House.
Young, A. 1995. The harmony of illusions: Inventing post-traumatic stress disorder. Princeton: Princeton University Press.
Young, A. 2014. Resilience for all by the year 20—. In Stress, shock, and adaptation in the twentieth century, ed. D. Cantor and E. Ramsden, 73–95. Rochester: University of Rochester Press.
Zwerdling, D., and M. de Yoanna. 2015. Missed treatment: Soldiers with mental health issues dismissed for “misconduct”. NPR.org. http://www.npr.org/2015/10/28/451146230/missed-treatment-soldiers-with-mental-health-issues-dismissed-for-misconduct.
Acknowledgements
Portions of this work have been presented as conference papers at meetings of the American Anthropological Association, the American Ethnological Society, the Society for Cultural Anthropology, and the Society for the Social Studies of Science, and benefited greatly from the generous input of colleagues in those settings. An early draft was presented at the workshop Contested Global Biopsychiatry: Establishing an International Partnership for Critical and Constructive Global Mental Health, held at Vanderbilt University in February 2015. Research and analysis were supported by a National Science Foundation Graduate Research Fellowship, a National Institute of Mental Health Postdoctoral Traineeship, a Robert Penn Warren Center for the Study of the Humanities faculty fellowship, and research funds from the University of Texas at Austin and Vanderbilt University. Special thanks to Dominique Béhague, Aimi Hamraie, Rachael Pomerantz, Laura Stark, Juliette Wagner, and Zoë Wool for their support and feedback. Thanks to David Kieran for sharing his insights about the Gold Book and to Ellen Wang for research and bibliographic support. And thank you to the editors of Biosocieties and the three anonymous reviewers of this piece. This manuscript is composed of material that is not under review elsewhere. The study on which the research is based was subject to appropriate ethical review by the institutional review boards of the author’s home institutions. The author has no competing financial or intellectual interests in the research described in this manuscript.
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MacLeish, K. How to feel about war: On soldier psyches, military biopolitics, and American empire. BioSocieties 14, 274–299 (2019). https://doi.org/10.1057/s41292-018-0127-y
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DOI: https://doi.org/10.1057/s41292-018-0127-y