UNITED STATES MARINE CORPS THE BASIC SCHOOL MARINE CORPS TRAINING COMMAND CAMP BARRETT, VIRGINIA 22134-5019 HUMAN FACTORS B120125DXQ-DM STUDENT HANDOUT B120125XQ-DM Human Factors Introduction This lesson focuses on the human factors of fatigue (mental and physical), fear, cohesion, and the will of the commander. All Marines, regardless of military occupational specialty (MOS) will experience these at some point in their career. The goal is to give you a context in which to deal with these factors when they present themselves. Importance Man is the dominant force in warfare and has been since the beginning of time. John Keegan in The Face of Battle articulates beautifully through accounts of Agincourt, Waterloo, and the Somme that regardless of whether you are employing the crossbow, artillery, or the machine gun, man is the central theme; and he is susceptible to human factors of combat. Man and his will on the battlefield will carry the day. This lesson is a formal study of these human factors that Marine officers have to deal with while leading Marines in combat. In This Lesson This lesson gives you a detailed study of how the human factors experienced in combat affect your decision making and how understanding these factors will allow you to better employ your Marines in combat. This lesson covers the following topics: Topic Learning Objectives Human Factors in Combat Physiological Responses to Stress Core Leader Functions to Alleviate Stress Combat Defined Elements and Stresses of Combat Overcoming Fear Dealing with Combat Stress Summary 2 Page 3 4 5 6 8 8 10 11 14 B120125XQ-DM Human Factors Learning Objectives Terminal Learning Objectives TBS-LDR-1019 Given an evaluation, define the role of leadership in overcoming fear without omission. TBS-LDR-1017 Given an evaluation, define core leader functions to alleviate stress without omitting key components. TBS-LDR-1016 Given an evaluation, identify the elements of combat without omitting key components. Enabling Learning Objectives TBS-LDR-1016a Without the aid of references, define combat without error. TBS-LDR-1016b Given a combat scenario, plan to mitigate the impact of the elements of combat on individual Marines to accomplish the mission and take care of Marines. TBS-LDR-1016c Given a combat scenario, strengthen resilience of Marines against the elements of combat to accomplish the mission and take care of Marines. TBS-LDR-1016d Without the aid of references, define the five stresses of combat without omission. TBS-LDR-1017a Without the aid of references, identify actions a leader can take before combat to mitigate the impact of human factors on Marines. TBS-LDR-1017b Without the aid of references, identify actions a leader can take during combat to mitigate the impact of human factors on Marines. TBS-LDR-1017c Without the aid of references, identify actions a leader can take after combat to mitigate the impact of human factors on Marines. TBS-LDR-1019a Without the aid of references, identify ways to foster morale without omission. 3 B120125XQ-DM Human Factors TBS-LDR-1019b Without the aid of references, identify ways to foster discipline without omission. TBS-LDR-1019c Without the aid of references, identify ways to foster esprit de corps without omission. TBS-LDR-1019d Without the aid of references, identify ways to foster proficiency without omission. TBS-LDR-1019e Without the aid of references, identify ways to foster motivation without omission. Human Factors in Combat Human Factors A multitude of factors affect decision making in combat. Researchers have divided them into these categories: Endogenous: Those factors that affect Marines from within. Exogenous: Those factors affecting Marines externally. Transitory: Factors that may be mitigated by training. Enduring: Factors that may be mitigated by education. The table below gives examples of the factors in these categories 4 B120125XQ-DM Human Factors Physiological Responses to Stress Physiological Response to Stress Humans have two systems that help them respond to stress: Sympathetic nervous system (SNS). Parasympathetic nervous system (PNS). The PNS manages your body’s digestive and recuperative energy while the SNS mobilizes your body’s energy for action. Normally these two systems are balanced, but during extremely stressful circumstances, the body’s fight-or-flight response kicks in. The SNS mobilizes all available energy for survival, thus leaving little to no energy left for the PNS, often resulting in non-essential activities such as digestion, bladder control, and sphincter control to shut down. Combatants pay a physiological price for an energizing process this intense. This price has an equally powerful backlash when the neglected demands of the PNS return. This “PNS backlash” occurs as soon as the stressor is removed and takes the form of an incredibly powerful weariness and sleepiness on the combatant’s part. It is important to recognize that the interaction between the SNS and PNS is a physiological response to a psychological stressor. It is not a response to a physiological stress. Physiological stress can cause many of the physical symptoms of SNS activation (heart rate and 5 B120125XQ-DM Human Factors breathing rate increases), without the detrimental physiological effects of a response to a psychological stimulus. Core Leader Functions to Alleviate Stress The Marine Corps established the following core leader functions to assist in alleviating combat stress: 1. 2. 3. 4. 5. Strengthen Mitigate Identify Treat Reintegrate These functions are further outlined below: Strengthen Strengthening individuals, units, and families to enhance their resilience is the first core function for military leaders. Individuals enter military service with a set of preexisting strengths and vulnerabilities based on genetic makeup, prior life experiences, personality style, family supports, belief systems, and a host of other factors. Centuries of experience in military organizations and decades of scientific research have demonstrated that commanders of military units can do much to enhance the resilience of unit members and their families regardless of these pre-existing vulnerabilities. Activities available to commanders to strengthen their troops fall into three main categories: Mitigate 1. Training 2. Social cohesion 3. Leadership. Since no Service member is immune to stress, regardless of strength or preparedness, the prevention of stress injuries and illnesses requires continuous monitoring and alleviation of the stressors to which individuals and units are exposed. Optimal mitigation of stress requires the balancing of competing priorities. There is the need to intentionally 6 B120125XQ-DM Human Factors Identify subject Service members to stress in order to train and toughen them and to accomplish assigned missions while deployed. At the same time, it is necessary to reduce or eliminate stressors that are not essential to training or mission accomplishment and ensure adequate sleep, rest, and restoration to allow recovery from stress between periods of challenge. Since even the best preventive efforts cannot eliminate all stress reactions and injuries that might impact occupational functioning or health, effective application of identification requires continuous monitoring of stressors and stress outcomes. Operational leaders must know the individuals in their units, including their specific strengths and weaknesses and the nature of the challenges they face both in the unit and in their home lives. Leaders must recognize when individuals’ confidence in themselves, their peers, or leaders is shaken or when units have lost cohesion because of casualties, changes in leadership, or challenges to the unit. Most importantly, every unit leader must continuously monitor the stress zones of each unit member. Treat Available tools for the treatment of stress injuries and illnesses exist along a broad spectrum and include: 1. Self-aid or buddy aid 2. Support from a small unit leader, chaplain, or corpsman. 3. Definitive medical or psychological treatment. Reintegrate Although some forms of treatment can only be delivered by trained medical or mental health providers (MHPs), many others require little special training and can be applied very effectively by anyone in almost any setting. The normal course for a stress injury, as for a physical injury, is to heal over time, with most able to do so with or without treatment. Similarly, the normal course for a stress illness, especially if properly treated, is to improve significantly over time or completely remit. Hence, operational commanders face one final challenge in the management of Service members treated for stress injuries or illnesses—to continually monitor their fitness for 7 B120125XQ-DM Human Factors duty, including worldwide deployment, and mentor them back to full duty as they recover. Combat Defined The Marine Corps defines combat as “engaging the enemy with individual or crew served weapons; being exposed to direct or indirect enemy fire; and otherwise undergoing a high probability of direct contact with enemy personnel and firepower, to include the risk of capture.” (MCTP 3-30E) Elements and Stresses of Combat The nine common elements found in the combat environment are: 1. 2. 3. 4. 5. 6. 7. 8. 9. Confusion and lack of information. Casualties. Violent, unnerving sights and sounds. Feelings of isolation. Communication breakdowns. Individual discomfort and fatigue. Fear, stress, and mental fatigue. Continuous operations. Homesickness. All of these common elements cause stress, which manifests in combat. The Marine Corps identifies five stresses of combat: 1. 2. 3. 4. 5. Boredom. Fog of war. Casualties. Discomfort and fatigue. Extreme risk and fear. These stresses of combat are explained further below: 8 B120125XQ-DM Human Factors Boredom Combat has short periods of intense terror followed by long periods of inactivity. Marine leaders must be able to manage these periods of boredom to battle the complacency that can set in during these long periods of inactivity. Fog of War The fog of war (confusion, or the unknown) affects every participant from the newest private to the four-star general. Marine leaders can help mitigate the fog of war by keeping their Marines informed. Casualties Even if leaders do everything correctly, Marines can still get injured or killed. Taking the time to ensure that Marines appropriately deal with “cherry pickers” (simulated casualties) during training helps them to be prepared to deal with casualties in combat. In addition, realistic casualty training develops confidence in your Marines and their unit, so they know that they will be taken care of if they are injured or killed. Discomfort and Fatigue Marines experience some of the most dreadful conditions humans ever have to endure. Sleep deprivation, lack of food, and experiencing the impact of the elements quickly wears on individuals who are not prepared both physically and mentally for the demands of combat. Marine leaders must ensure their Marines endure discomfort and fatigue first in training, prior to experiencing them in a combat zone. Marines must be exposed to these stresses gradually, but leaders must manage this risk through the use of operational risk management (ORM). Extreme Risk and Fear Principles that help overcome fear are: • • • • • • Morale. Discipline. Esprit de corps. Proficiency. Motivation. Training. Ensuring that these factors are ingrained into your unit will ensure that Marines are accustomed to aspects of the fear that they will face in combat. 9 B120125XQ-DM Human Factors Application of principles for overcoming fear are further explored below: Overcoming Fear Morale Listen to your Marines and Sailors, keep unit members informed, set and achieve realistic unit goals Additionally, service level functions can include minimizing the length of deployments and maximizing dwell time between deployments. Discipline Discipline is the means by which leaders at all levels communicate relentlessly to subordinates the entire set of knowledge, skills, and actions they need to absorb and to master in order to answer every threat they will face with an immediate and resounding, “Yes, I can handle this!” Espirit de Corps Military leaders know that individuals with high levels of self esteem are more resilient and capable, especially if their pride and self-esteem are based in large measure on their belonging to a military unit with a high collective pride and esprit de corps. Effective military leaders are highly skilled at developing collective and individual pride in units and unit members. Proficiency Develop a solid base of the technical and tactical skills required to perform the unit’s jobs and tasks through tough, realistic training. Motivation Foster mental strength through: 1. Willpower 2. Fortitude 10 B120125XQ-DM Human Factors Both of these together will contribute which contribute to courage, which is a powerful source of motivation. Fortitude is the ability to encounter danger or bear pain or adversity without faltering; whereas willpower is the motivation to convert that mental strength into courageous behavior. Dealing with Combat Stress Leader Responsibilities Marine leaders always have two primary responsibilities: 1. Mission accomplishment 2. Troop welfare There are certain steps leaders can take before, during, and after deployment to minimize the impacts of combat stress on their units. Before Deployment Some actions that small unit leaders can take to minimize the effects of combat stress before a deployment to a combat zone are 1. Conduct Unit Training a. Hard realistic training is the primary technique for preventing combat stress. b. Marines must have confidence in their leaders, training, unit, and equipment. 2. Educate yourself and your Marines on human factors in combat. 3. Train for casualties – combat first aid builds confidence. 4. Educate Marines on procedures for: a. Notification of next of kin b. MEDEVAC c. Wounded and killed in action 5. Focus your training around building cohesion – every Marine has a place on the team. 6. Prepare Marines for changes in sleep schedules. 7. Avoid overloading responsibilities on Marines before deploying. 11 B120125XQ-DM Human Factors 8. Select the right Marine for each job. Fit the right person to the task based on the requirements and Marines’ talents and abilities. 9. Duplicate critical tasks and cross-train Marines. 10. Develop SOPs. 11. Attend to personal and family matters, ensure Marines have their lives in order. a. Update and make wills. b. Update SGLI and life insurance. c. Ensure all personal goods and property are planned and provided for. 12. Brief Marines and families as a group, leverage deployment readiness coordinators (DRCs) and unit readiness coordinators (URCs) for assistance. During Deployment The key to battling combat stress during deployment is to know what signs to look for in your Marines. Once you have identified Marines who could possibly be suffering from combat stress, you can better take corrective action. Be confident and decisive. Your leadership directly impacts your unit’s morale and combat effectiveness. Encourage and talk to your Marines about non-mission related subjects. Learn to recognize the signs of mild and sever battle fatigue, the signs of various levels of fatigue are outlined below and on the next page: Mild Battle Fatigue Symptoms Physical Signs Emotional Signs • Tears. • Anxious; indecisive. • Cold sweats • Irritable. • Increased heart • Forgetful; unable to rate. concentrate. • Insomnia; nightmares. • Nausea, vomiting, diarrhea. • Grief. • Mild fatigue. • Anger; beginning to • Brief “thousandlose confidence. yard stare”. • Difficulty focusing or communicating. 12 B120125XQ-DM Human Factors Serious Battle Fatigue Symptoms Physical Signs Emotional Signs • Constantly moves • Night terrors around. • Talks rapidly and/or • Flinches or ducks inappropriately. at sudden sound • Is argumentative; acts or movement. recklessly. • Shakes, trembles. • Inattentive to personal • Cannot use part of hygiene. body for no • Indifferent to danger. physical reason. • Memory loss. • Cannot see, hear, • Stutters severely, or feel. mumbles, or cannot • Is physically speak at all. exhausted. • Insomnia; nightmares. • Uncontrolled • Sees or hears things crying. that do not exist. • Freezes under • Rapid emotional shifts. fire or is totally • Socially withdrawn. immobile. • Apathetic. • Stares vacantly • Hysterical outbursts. without response. • Frantic or strange • Staggers, sways behavior. when standing. • Panics; runs under fire. Treat Marines showing battle fatigue using the BICEPS guideline: Brevity: Treatment lasts no more than three days. Those who require further treatment are moved to higher level of care. Immediacy: Provide care as soon as symptoms appear. Centrality: If possible, treat combat stress cases in one location near but separate from the BAS (Battalion aid station). Marines continue to think of themselves as Marines, rather than patients (sick people). Expectancy: The unit and the Marines’ small unit leaders tell Marines that their comrades need and expect them to return and that they will only be off the lines for a couple of days. 13 B120125XQ-DM Human Factors During Deployment Proximity: Care for Marines suffering from battle fatigue that has turned into combat stress as close as possible to the Marines’ parent units. Simplicity: Deep psychoanalytic work is not done. Treatment is kept simple to restore the Marines’ psychic defense mechanisms so that they function and return to duty again. The job is not finished at the conclusion of the deployment. Leaders must continue to take active roles in the welfare of their Marines’ mental health: Warrior Transition: The unit conducts training before returning home. This is vital on the modern battlefield since the Marines can return home within 72 hours of conducting combat operations. Counseling: Prevent/identify combat stress. If you change billets, do not forget about your old Marines. Physical Training: Emphasize unit cohesion. Use it to relieve, not cause, stress. Understand that your Marines will not be in the best PFT shape and need to slowly build back up to a higher level of physical fitness. Small Unit Training: Focus on the basics, individual and fire team skills. Chaplain/Medical Officer: If you suspect your Marines are suffering from combat stress, refer them to the Chaplain. If the Chaplain concurs, your Marines should see the Medical Officer who evaluates each one. If the Medical Officer concurs, the Medical Officer schedules appointments for your Marines to see a psychiatrist who will actually diagnose and treat the Marines’ condition. Summary • Man is subject to human factors that apply equally to the enemy as well as friendly troops. 14 B120125XQ-DM Human Factors • • • Marines can be inoculated against these factors. Marines must face them in training to avoid first exposure in combat. As a leader, you must use physical courage, intellect, and will power to mitigate human factors. As a leader, you must understand the steps you can take before, during, and after deployment to minimize the effects of combat stress on your Marines and your unit. References Reference Reference Title NAVMC 2767 User's Guide to Marine Corps Leadership Training MCCS Handbook Marine Corps Common Skills Handbook, Book 1A, Chapter 8 MCRP 6-11c Combat Stress Axelrod, Allen Patton on Leadership Chang, Iris The Rape of Nanking Ghiglieri, Michael The Dark Side of Man Grossman, Dave On Killing Holmes, Richard Acts of War Marshall, SLA Men Against Fire McCoy, B. P., Colonel Passion for Command Sledge, E. B. With the Old Breed Von Schell, Adolf, Captain Battle Leadership Notes 15 B120125XQ-DM Human Factors 16