, Volume 14, Issue 2, pp 274–299 | Cite as

How to feel about war: On soldier psyches, military biopolitics, and American empire

  • Kenneth MacLeishEmail author
Original Article


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.


War US military Biopolitics Moral injury Suicide Resilience 



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.


  1. American Psychiatric Association. 1980. Diagnostic and statistical manual of mental disorders, 3rd ed. Washington, DC: American Psychiatric Association.Google Scholar
  2. American Psychiatric Association. 2013. Diagnostic and statistical manual of mental disorders: DSM-5, 5th ed. Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  3. Asad, T. 2007. On suicide bombing. New York: Columbia University Press.Google Scholar
  4. Benjamin, M. 2010. “War on terror” psychologist gets giant no-bid contract [WWW Document]. Accessed October 26, 2012.
  5. Bernton, H. 2012. 40% of PTSD diagnoses at Madigan were reversed [WWW Document]. The Seattle Times. Accessed 4 April, 2014.
  6. Bourke, J. 1999. An intimate history of killing: Face-to-face killing in twentieth-century warfare. New York: Basic Books.Google Scholar
  7. Brock, R.N., and G. Lettini. 2012. Soul repair: Recovering from moral injury after war. Boston: Beacon Press.Google Scholar
  8. Brown, N.J.L. 2015. A critical examination of the U.S. army’s comprehensive soldier fitness program. The Winnower 4.Google Scholar
  9. Burling, S. 2010. The power of a positive thinker [WWW Document]. Accessed 2 July 2017.
  10. Butler, J. 2004. Precarious life: The powers of mourning and violence. London: Verso.Google Scholar
  11. Casey, G.W. 2011. Comprehensive soldier fitness: A vision for psychological resilience in the U.S. army. American Psychologist 66: 1–3.CrossRefGoogle Scholar
  12. 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.Google Scholar
  13. Clausewitz, C. 1982. On war. Translated by J.J. Graham. New York: Penguin ClassicsGoogle Scholar
  14. Conan, N. 2009. Army to train soldiers in emotional resiliency. Talk of the nation.Google Scholar
  15. Crawford, N. 2013. Accountability for killing: Moral responsibility for collateral damage in America’s post-9/11 wars. Oxford: Oxford University Press.CrossRefGoogle Scholar
  16. 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.CrossRefGoogle Scholar
  17. Daughtry, J.M. 2015. Listening to war: Sound, music, trauma and survival in wartime Iraq. New York: Oxford University Press.CrossRefGoogle Scholar
  18. de Yoanna, M., and M. Benjamin. 2008. I am under a lot of pressure to not diagnose PTSD [WWW Document]. Accessed 4 October 2013.
  19. Delori, M. 2014. Killing without hatred: The politics of (non)-recognition in contemporary Western wars. Global Discourse 4: 516–531.CrossRefGoogle Scholar
  20. Department of the Army. 2010. Army health promotion/risk reduction/suicide prevention report 2010. Washington, DC: Department of the Army.CrossRefGoogle Scholar
  21. Department of the Army. 2012. Army 2020: Generating health & discipline in the force ahead of the strategic reset. Washington, DC: Department of the Army.Google Scholar
  22. Department of the Army. 2014. Comprehensive Soldier and Family Fitness. Washington, DC: Department of the Army.Google Scholar
  23. Douglas, M. 2005. Risk and blame: Essays in cultural theory. Digital Paperback ed., reprint ed. Routledge: London.Google Scholar
  24. 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.CrossRefGoogle Scholar
  25. Eidelson, R., M. Pilisuk, and S. Soldz. 2011. The dark side of “comprehensive soldier fitness” [WWW Document]. Accessed 7 January 2012.
  26. 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.Google Scholar
  27. Fassin, D. 2011. Humanitarian Reason: A Moral History of the Present. Berkeley: University of California Press.CrossRefGoogle Scholar
  28. Fassin, D., and R. Rechtman. 2009. The Empire of Trauma: an inquiry into the condition of victimhood. Princeton: Princeton University Press.Google Scholar
  29. Figley, C.R., and W.P. Nash (eds.). 2007. Combat stress injury: theory, research, and management, Routledge psychosocial stress series. New York: Routledge.Google Scholar
  30. Filkins, D. 2009. The Forever War. New York: Random House.Google Scholar
  31. Finley, E.P. 2011. Fields of Combat: Understanding PTSD Among Veterans of Iraq and Afghanistan. Ithaca, NY: Cornell University Press.Google Scholar
  32. Foucault, M. 2003. Society Must Be Defended: Lectures at the Collège de France, 1975-76. New York: Picador.Google Scholar
  33. Garland, D. 2003. The Rise of Risk. In Risk and Morality, ed. R.V. Ericson and A. Doyle. Toronto: University of Toronto Press.Google Scholar
  34. Graham, L. 2017. Moral injury: restoring wounded souls. Nashville, TN: Abingdon.Google Scholar
  35. Grossman, D. 2009. On killing: The psychological cost of learning to kill in war and society. New York: Little, Brown and Co.Google Scholar
  36. 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.Google Scholar
  37. Hedges, C., and L. Al-Arian. 2009. Collateral damage: America’s war against Iraqi Civilians. New York: Nation Books.Google Scholar
  38. Herr, M. 1991. Dispatches. New York: Vintage Books.Google Scholar
  39. Horton, A. 2014. American Sniper feeds America’s hero complex, and it isn’t the truth about war [WWW Document]. The Guardian. Accessed 16 January 2015.
  40. 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.Google Scholar
  41. Howell, A. 2012. The demise of PTSD: from governing through trauma to governing resilience. Alternatives: Global, Local, Political 37: 214–226.CrossRefGoogle Scholar
  42. Howell, A. 2013. Madness in international relations: Psychology, security, and the global governance of mental health. New York: Routledge.Google Scholar
  43. Howell, A. 2014. The global politics of medicine: Beyond global health, against securitisation theory. Review of International Studies 40: 961–987.CrossRefGoogle Scholar
  44. Howell, A. 2015. Torture as evidence-based policy making? Race, war and science. Duck of Minerva, October 7.
  45. 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.Google Scholar
  46. Jauregui, B. 2014. World Fitness: US army family humanism and the positive science of persistent war. Public Culture 27 (3): 449–485.Google Scholar
  47. Jelinek, P. 2013. Veterans suffer “moral injury” from warfare [WWW Document]. NBC News. Accessed 1 April 2013.
  48. 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.CrossRefGoogle Scholar
  49. Kemp, J., and R. Bossarte. 2013. Suicide Data Report 2012. Washington, DC: U.S. Department of Veteran’s Affairs.Google Scholar
  50. Kennedy, K. 2007. Critics: Army holding down disability ratings. Army Times. Accessed 12 December 2011.
  51. Khalek, R. 2015. “‘Cut her head off’: The shocking death threats you can receive for mocking eastwood’s ‘American Sniper’ movie.” Sydney: AlterNet.Google Scholar
  52. 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.Google Scholar
  53. Kinder, J.M. 2015. Paying with their bodies: American war and the problem of the disabled veteran. Chicago: The University of Chicago Press.CrossRefGoogle Scholar
  54. 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.CrossRefGoogle Scholar
  55. Lee, M.Y.H. 2015. The missing context behind the widely-cited statistic that there are 22 veteran suicides a day. The Washington Post.Google Scholar
  56. Leitch, W. 2014. The minimalist patriotism of American Sniper. Bloomberg Politics.
  57. Lentzos, F., and N. Rose. 2009. Governing insecurity: Contingency planning, protection, resilience. Economy and Society 38: 230–254.CrossRefGoogle Scholar
  58. Leys, R. 2000. Trauma: A genealogy. Chicago: University of Chicago Press.CrossRefGoogle Scholar
  59. Lifton, R.J. 1973. Home from the war: Vietnam veterans—Neither victims nor executioners. New York: Simon & Schuster.Google Scholar
  60. Linker, B. 2011. War’s waste: Rehabilitation in World War I America. Chicago: University of Chicago Press.CrossRefGoogle Scholar
  61. 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.CrossRefGoogle Scholar
  62. Livingston, J. 2009. Suicide, Risk, and Investment in the Heart of the African Miracle. Cultural Anthropology 24: 652–680.CrossRefGoogle Scholar
  63. 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.Google Scholar
  64. 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.CrossRefGoogle Scholar
  65. Lutz, C., and K. Millar. 2012. War. In A companion to moral anthropology, ed. D. Fassin. New York: Wiley-Blackwell.Google Scholar
  66. MacLeish, K. 2013. Making war at fort hood: Life and uncertainty in a military community. Princeton: Princeton University Press.CrossRefGoogle Scholar
  67. MacLeish, K. 2014. The ethnography of good machines. Critical Military Studies 1: 11–22.CrossRefGoogle Scholar
  68. MacLeish, K. 2018. “On ‘Moral Injury’: Psychic fringes and war violence”. History of the Human Sciences 31 (2): 128–146. Scholar
  69. Maguen, S., and B. Litz. 2012. Moral injury in veterans of war. PTSD Research Quarterly 23: 1–3.Google Scholar
  70. Marsh, I. 2010. Suicide: Foucault, history and truth. Cambridge/New York: Cambridge University Press.Google Scholar
  71. Masco, J. 2014. The theater of operations: national security affect from the Cold War to the War on Terror. Durham: Duke University Press.CrossRefGoogle Scholar
  72. Mazzarella, W. 2009. Affect: What is it good for? In Enchantments of modernity: Empire, nation, globalization, ed. S. Dube. New York: Routledge.Google Scholar
  73. McKinley, J.C. Jr. 2010. Four suicides in a week take a toll on Fort Hood. The New York Times.Google Scholar
  74. 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.CrossRefGoogle Scholar
  75. 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.CrossRefGoogle Scholar
  76. Miller, C., and P. Bellon. 2012. The U.S. army can’t stop soldiers from killing themselves [WWW Document]. The Atlantic. Accessed 19 January 2013.
  77. 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.CrossRefGoogle Scholar
  78. Morris, D.J. 2015. The evil hours: A biography of post-traumatic stress disorder. Boston: Houghton Mifflin Harcourt.Google Scholar
  79. 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.Google Scholar
  80. Neocleous, M. 2012. “Don’t be scared, be prepared”: trauma-anxiety-resilience. Alternatives: Global, Local, Political 37: 188–198.CrossRefGoogle Scholar
  81. O’Malley, P. 2010. Resilient subjects: Uncertainty, warfare and liberalism. Economy and Society 39: 488–509.CrossRefGoogle Scholar
  82. 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.CrossRefGoogle Scholar
  83. Priest, D., and A. Hull. 2007. Soldiers face neglect, frustration at army’s top medical facility. The Washington Post.Google Scholar
  84. 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.Google Scholar
  85. RAND Center for Military Health Policy Research. 2008. Invisible wounds: Mental and cognitive care needs of America’s returning veterans. Santa Monica: RAND Corporation.Google Scholar
  86. Richard, A., and D. Rudnyckyj. 2009. Economies of affect. Journal of the Royal Anthropological Institute 15: 57–77.CrossRefGoogle Scholar
  87. Ricks, T.E. 2007. Fiasco: The American military adventure in Iraq. New York: Penguin Books.Google Scholar
  88. Rose, N. 1999. Governing the soul: The shaping of the private self. New York: Free Association Books.Google Scholar
  89. RT News. 2011. US war woe: Suicide kills more soldiers than combat [WWW Document]. Accessed 19 July 2014.
  90. Sagalyn, D. 2012. Health experts question army report on psychological training [WWW Document]. PBS Newshour. Accessed 26 October 2012.
  91. Scandlyn, J., and S. Hautzinger. 2013. Beyond posttraumatic stress: Homefront struggles with the wars on terror. Walnut Creek: Left Coast Press.Google Scholar
  92. Scarry, E. 1987. The body in pain: The making and unmaking of the world. New York: Oxford University Press.Google Scholar
  93. Serlin, D. 2004. Replaceable you: Engineering the body in postwar America. Chicago: University of Chicago Press.Google Scholar
  94. Shane, L., and P. Kime. 2016. New VA study finds 20 veterans commit suicide each day [WWW Document]. Military Times. Accessed 12 May 2017.
  95. Shatan, C.F. 1972. Post-Vietnam syndrome. The New York Times.Google Scholar
  96. Shay, J. 1995. Achilles in Vietnam: Combat trauma and the undoing of character. New York: Simon & Schuster.Google Scholar
  97. Shay, J. 2002. Odysseus in America: Combat trauma and the trials of homecoming. New York: Scribner.Google Scholar
  98. 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.Google Scholar
  99. Shay, J. 2011. Casualties. Daedalus 140: 179–188.CrossRefGoogle Scholar
  100. 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.CrossRefGoogle Scholar
  101. 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.CrossRefGoogle Scholar
  102. Shephard, B. 2001. A War of Nerves: Soldiers and psychiatrists in the twentieth century. Cambridge: Harvard University Press.Google Scholar
  103. Sherman, N. 2015. Afterwar: Healing the moral injuries of our soldiers. New York: Oxford University Press.Google Scholar
  104. Sogn, E. 2014. Throw a survey at it: Questioning soldier resilience in the US Army. Anthropology Now 6: 25–34.CrossRefGoogle Scholar
  105. Stahl, R. 2009. Why we “support the troops”: Rhetorical evolutions. Rhetoric and Public Affairs 12: 533–570.CrossRefGoogle Scholar
  106. Stevenson, L. 2014. Life beside itself: Imagining care in the Canadian Arctic. Oakland: University of California Press.Google Scholar
  107. Stiglitz, J.E. 2008. The three trillion dollar war: The true cost of the Iraq conflict. New York: W.W. Norton.Google Scholar
  108. Stone, N. 2017. Living the laughscream: Human technology and affective maneuvers in the Iraq war. Cultural Anthropology 32: 149–174.CrossRefGoogle Scholar
  109. Swofford, A. 2003. Jarhead: A marine’s chronicle of the gulf war and other battles. New York: Scribner.Google Scholar
  110. Taussig, M.T. 1992. The nervous system. New York: Routledge.Google Scholar
  111. Terry, J. 2009. Significant injury: War, medicine, and empire in Claudia’s case. WSQ: Women’s Studies Quarterly 37: 200–225.CrossRefGoogle Scholar
  112. Tick, E. 2005. War and the soul: Healing our nation’s veterans from post-traumatic stress disorder. Wheaton: Quest Books.Google Scholar
  113. Timmermans, S. 2007. Postmortem: How medical examiners explain suspicious deaths. Chicago: University of Chicago Press.Google Scholar
  114. Trainor Jr., D. 2015. The truth is unspeakable”: A real American sniper unloads on “American sniper. Sydney: AlterNet.Google Scholar
  115. Vergun, D. 2012. September Army-wide stand down to support suicide prevention [WWW Document]. Accessed 22 March 2016.
  116. Vogel, S. 2012. Army stands down Thursday to focus on suicide prevention. The Washington Post—Blogs.Google Scholar
  117. Walzer, M. 2006. Just and unjust wars: A moral argument with historical illustrations, 4th ed. New York: Basic Books.Google Scholar
  118. West, L. 2015. The real American Sniper was a hate-filled killer. Why are simplistic patriots treating him as a hero? The Guardian.Google Scholar
  119. Whooley, O., and R.T. Smith. 2015. Dropping the D in PTSD. Contexts 15: 38–43.Google Scholar
  120. Wilmore, L. 2015. The nightly show—Panel— " American Sniper” debate. New York: Comedy Central.Google Scholar
  121. Wood, D. 2014. Moral injury: Healing—Can we treat moral wounds? [WWW Document]. The Huffington Post. Accessed 26 May 2014.
  122. 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.Google Scholar
  123. Wool, Z. 2015. After war: The weight of life at walter reed. Durham: Duke University Press.CrossRefGoogle Scholar
  124. Worth, R.F. 2016. What if PTSD is more physical than psychological? The New York Times.Google Scholar
  125. Wright, E. 2004. Generation kill: Devil dogs, iceman, captain America, and the new face of American war. New York: G.P. Putnam’s Sons.Google Scholar
  126. Yocum, C. 2016. Help for moral injury: Strategies and interventions. Fayetteville, NC: Quaker House.Google Scholar
  127. Young, A. 1995. The harmony of illusions: Inventing post-traumatic stress disorder. Princeton: Princeton University Press.Google Scholar
  128. 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.Google Scholar
  129. Zwerdling, D., and M. de Yoanna. 2015. Missed treatment: Soldiers with mental health issues dismissed for “misconduct”.

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© Macmillan Publishers Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center for Medicine, Health, and SocietyVanderbilt UniversityNashvilleUSA

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