Notes: The following excerpt is a revised and updated version of Chapter 6 from Paula J. Caplan's book, When Johnny and Jane Come Marching Home: How All of Us Can Help Veterans (MIT Press, 2011). It was written and is made public with the kind consent of MIT Press. This excerpt is not to be cited, quoted, or reproduced in any way without specific written permission of the author, which can be obtained by writing to welcomejohnnyandjanehome@gmail.com . This chapter is for both veterans and nonveterans, with some sections primarily for members of one group or the other. Many references are to war veterans, but it is important to keep in mind that it can be helpful to veterans who have never been in combat to have a nonveteran listen to them, and this is why: Military experiences other than war can be traumatizing, and at the very least, going from civilian to military life and back again can create major culture shock as well as major practical problems, such as interruption of one’s work history and relationships with family and friends. Even those veterans who say that their military experiences were mostly or entirely positive have reported benefiting from having a nonveteran listen to them, because then the veteran lives in a community where at least one nonveteran has learned a great deal about how life has been for the veteran. And a huge variety of nonveterans report describe being listeners in the sessions described here as extremely positive. 1 Table of Contents for this chapter The Welcome Johnny and Jane Home Project How Listening Can Help Why Listening Matters Can Nontherapists Really Help? Stereotypes about Veterans and Nonveterans What Veterans Say When They Hear About the WJJH Project Getting Started with the Listening Sessions How Veterans and Nonveterans Connect for the Sessions Finding a Space for the Listening Session The Listening Session: The Guide for Veterans and Listeners Orientation, Purpose, and Five Steps for the Veteran and the Listener Wrapping Up More Details about the Sessions’ Guidelines for Listeners Silence Physical movement and expression Patience Concern about saying the wrong thing Survivor guilt and other strong feelings If the listener feels upset When the veteran gets upset If the veteran mentions suicide Concerns about violence The importance of pacing The two possible exceptions to Your Silence Table: Summary of General Guidelines Opening Hearts A Note about the Military and the VA A Note about Resources for Further Reading, Viewing, and Assistance 3 7 9 14 19 20 22 24 25 25 28 31 32 33 34 35 36 36 37 38 39 41 42 45 47 47 49 49 2 6 What Every Citizen Can Do to Help I thought the point was we were all in this together. --Wendy Wasserstein, “The Heidi Chronicles”1 Only connect. E.M. Forster, Howard’s End2 You’d think for me my War has passed Pay attention! It has not. What troubles me now is a blood-soaked dream, Can’t stop the flow at will. As thousands of Vets, we fear the worst. Mirrored in The Wall for us still. --David E. Jones, “War Drums” (from A Soldier’s Story: The Power of Words)3 The Welcome Johnny and Jane Home Project The Welcome Johnny and Jane Home Project is helpful to veterans and to nonveterans – and reduces what journalist Bob Woodward and Col. (Ret.) David Sutherland call the “epidemic of disconnection between veterans and nonveterans”4 – by having one nonveteran at a time simply listen to a veteran from any era. Listening is “the art and practice of putting someone else’s speaking, thinking feeling needs ahead of our own,” wrote Marc Wong in Thank You For Listening.5 Everyone reading this – both veterans and nonveterans -- can become involved by doing one or more sessions (veterans as the speakers, nonveterans as the listeners), by helping organize others to get involved, or both. Later in this chapter, you will find the very 1 W. Wasserstein. The Heidi Chronicles. New York: Dramatists Play Service, 1998. E.M Forster. Howard’s End. Mineola, NY: Dover, 2002. 3 David E. Jones. “War Drums,” in A Soldier’s Story: The Power of Words. Bloomington, IN: Authorhouse, 2006, p. 61. 4 Woodward was quoted as using it at http://m.mysanantonio.com/opinion/columnists/jonathan_gurwitz/article/U-S-societydisconnected-from-its-warriors-1081269.php Col. Sutherland used the term at http://www.defense.gov/news/newsarticle.aspx?id=67373 and does so frequently. 5 Marc Wong. Thank You For Listening. 2013. 2 3 simple, brief, step-by-step guidelines for the listening session. Every vet deserves help in grappling with the shock of the loss of innocence that comes with the recognition of evil, as well as with the grief, guilt, and shame; sense of betrayal and mistrust; rage; isolation, alienation, and numbing; and moral, spiritual, and existential crises that are often parts of the trauma of war. And every vet deserves help in grappling what they went through if they were sexually abused or exposed to dangerous chemicals or injured in noncombat locations while in the military or if they were mistreated or even abused because of their sex, sexual orientation, race/ethnicity, or other characteristics. Nonveterans helping veterans is about love of humankind, of those who suffer because we as a nation looked the other way as they were sent to risk their lives and forfeit peace of mind, or because we have not truly known them when they returned. It is about the human need to be seen not (or not only) by a professional but by someone with no theory, no framework, no agenda but to see them and bear witness to what they, the vets, have been through. Gary Jacobson, a Viet Nam veteran with a website about Viet Nam, says that until he began to talk about his war trauma, thinking about the memories on his own “didn’t work well…was too painful…too confusing. I didn’t understand it, and could not get a handle on it.”6 But he found that “It is healing to talk about the traumas of war, and to get the demons of combat that we warriors who have stood in battle have buried so deep, out in front of us, out on our terms where we can easier deal with them.” The same is true of those who have suffered in other ways. What Jacobson wrote illustrates the general principle, borne out by high-quality research, that social connection and social support ease people’s pain.7 One’s social environment matters greatly for one’s identity, status, role, well-being, thinking, and emotional functioning. Thus, this chapter is about transforming the social context for veterans, and so it is about community, about the importance of listening to a vet as a step toward helping that person come back into connection with an earlier community or a new one.8 Although in this chapter and this book I have wanted to speak primarily to the many National Public Radio, “PTSD: A Marine’s Story,” November 17, 2010, http:// onpointradio.org/2009/11/ptsd-a-marines-story. Jacobson’s website is http://pzzzz.tripod.com/namtour.html 7 D. Summerfield, “A Critique of Seven Assumptions behind Psychological Trauma Programmes in WarAffected Areas” (Social Science & Medicine 48 [1999]: 1449–1462), notes, “Death rates are two or three times higher in those with poor social connections” (1461), and also that during times of trauma, 95 percent of people in Bosnia and Croatia emphasized the need to be with other people and said that what helped the most were “nonspecific human warmth and acceptance” (1458). 8 E. Watters, “The Americanization of Mental Illness,” New York Times Magazine, January 8, 2010, http://www.nytimes.com/2010/01/10/magazine/10psyche-t.html ?pagewanted=all), writes that many traditional cultures consider the person inseparable from the community, and this can help with healing when the focus is on helping the person get back into that community. 6 4 laypeople who would like to be supportive, everything in this chapter could also be implemented by the military, the VA, and therapists outside the military system. Most of the chapter is about nonveteran citizens asking veterans if they would like to speak; how to locate a vet; how to listen; and how to deal with some matters that sometimes come up as veterans speak. But in considering what interested individuals, groups, and organizations throughout the United States (and indeed elsewhere) can do to help, the fundamental matters to keep in mind are (1) we should do all we can to keep from jumping to label vets mentally ill and treating them as though they were, and (2) the most important first step is to offer them the time and space to speak to us. Before proceeding with the main part of this chapter, I’d like to explain something about its context. Since I began writing books and articles for the general public, some of my professional colleagues have made to me what they intend to be the demeaning statement, “You do pop psychology.” It’s fine with me if they want to call it that, as long as it is clear that I detest jargon and cant, and I detest when what is presented as “science” most definitely is not good science. In my decades as a psychologist and professor, I have never encountered a worthwhile concept in my field that cannot be fairly easily and accurately explained to a twelve-year-old child. There is no need or justification for mystification about psychology and psychiatry. Nevertheless, I have seen enormous harm done because people – patients, their families, even other therapists – have fallen for that mystification and believed they should not question what the authorities asserted to be true. In tandem with this observation, since I graduated from my Ph.D. program in 1973, I have watched society become increasingly shaped by psychiatry, from the ways people raise their children, to the ways they interpret their own feelings, to the nature of friendship and the very limited uses to which friendship is put (such as friends assuming they cannot help each other because they are not therapists). I have seen a society filled with people who have increasingly come to pathologize everyone and everything – themselves, their parents, their children, the problems of their friends, characters in books and movies. And I have seen that same society turn increasingly to labels and solutions that sound scientific, that have fancy or obscuring terms. But as Robert Whitaker documents in exquisite and painful detail in his classic book, Anatomy of an Epidemic,9 these recent decades of “new and better treatment,” especially through chemistry, not only have not helped reduce the amount of suffering and “mental illness” (however one defines the latter) for most people but have actually increased it geometrically. The numbers of cases in which the former has actually been helpful are disturbingly small. There is nothing wrong with applying sound science where it is relevant and helpful. The problem lies with much of what is currently passed off as science and as scientifically9 R. Whitaker, Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America. New York: Crown, 2010. 5 based (the latest catch phrase is “evidence-based practice”) in the traditional mental health world. Furthermore, the overemphasis on science has made many tried-and-true methods for reducing people’s suffering sound downright silly. This pattern carries over into the political realm, where legislators adopt the simplistic and often harmful view that the most important thing they can do for servicemembers and veterans is to provide more “funding for mental health services” through the military and the VA. Nearly every legislator who adopts that view neglects to examine what those “mental health services” consist of and what harm they often cause, and nearly every legislator ignores the fact that servicemembers and veterans are often loathe to avail themselves of mental health services. Were legislators to consider that, they would be more likely to propose bills directing the military and the VA to provide on a massive scale the many nonpathologizing, low-risk approaches, and that, of course, would be a very good thing. Legislators almost universally also fail to consider that the high rates of military and veterans’ suicides and other serious problems constitute compelling evidence that even if every military and VA therapist were terrifically effective, and even if every psychiatric pill they prescribe had only positive effects, clearly more is needed. Fasten your seatbelts, because in this chapter you will not find anything more than your grandmother or your best friend could have told you. I hope that the dissonance of knowing that I am a psychologist, then reading in ordinary language my statements about what I (and of course not only I!) have learned matters most in life – connection, respect, support, and understanding – will not be too unsettling. At three different times in my life, I have gone to therapists with problems I was having, and although all three therapists were kind and intelligent, the best, most useful advice I received came from my parents, several key friends, and my now-grown children. In my four years of graduate school, after being indoctrinated into all kinds of theories, techniques, and approaches that my trainers said were the best, most professional ones for helping people who were suffering, I have consistently been surprised that the simplest, most strength- and healthoriented kinds of action are what end up helping most. That is not to say they always help everybody but rather that they should be the first approaches tried. Even the helpful things that the three therapists said to me were all things that any layperson could have said, such as, “I can see that you’re upset, but it’s not crazy to be upset, given what just happened to you.” When I used to have therapy patients myself, it was clear to me that nothing they found helpful was anything I had learned in my training; some was what I had always known, and some I had learned from living my own life, listening to other people, and reading. My mother was a stay-at-home mother while raising my brother and me, and not only was she good for me to talk with when I had problems, but she was also the person to whom other people’s children would come when they were upset and needed help. After I left home, she began and completed a master’s degree in guidance and counseling and 6 began to counsel people in an office. Recently, as I watched her listen to a vet who was feeling terribly sad and anguished, I saw both that she was more helpful than any other therapist I had ever seen and that nothing she did that helped him was anything she had learned in her training. Increasingly over the years, I have been alarmed to hear – even overhear in restaurants – people describe the way they flee from talking with friends about personal problems: “She was upset when her boyfriend dumped her, but I told her to go see a therapist, because I haven’t been trained to help,” or “I was so sad when my father died, but I didn’t think I should impose on my friends like that. I mean, how often can you expect your friends to listen to you say that now, six months after your father died, you still feel overcome by grief?” What does the professionalizing of the handling of all human problems do to the nature of friendship in our society? This is not to say that there are never reasons to talk with someone other than a friend about one’s troubles. For instance, if you are in a new place and have no close friends yet, or if you are being abused by a family member and don’t feel ready yet to cope with the way that relatives and friends may react when you tell them, you might want to talk with a therapist or spiritual adviser. Of course, friends and relatives also vary greatly in their abilities to help, and they, too, can do harm. The point is simply that wherever one turns for help, it is just not the case that a professional is more likely to help than is a layperson, and professionals are as varied in their ability to help as are members of any other group. As you read this chapter, I hope you will put out of your mind the self-doubts that, because you are not a trained therapist, there is nothing you can do by listening to vets. Listening does not mean you will make no mistakes. We all make mistakes; they are part of life. Later in the chapter, however, I describe some potential pitfalls and bumps in the road and make some suggestions about what to do about them. How Listening Can Help When you want to talk and release the load When you need someone to “hear” Not only the hill that shadows the Soldier But I as well…am near. --David E. Jones, “A Fight Within” (from A Soldier’s Story: The Power of Words)10 10 Jones, from “A Fight Within,” in A Soldier’s Story, 41. 7 It might seem obvious that relationships with others are helpful to people who are suffering, but it is important to know that both solid research and numerous experiences bear this out. For instance, in a recent British Medical Journal article, the authors reported that a review of a large number of studies showed that social connectedness and social support lead to happiness.11 Indeed, there is a great deal of research about this subject, including, for instance, work by Edward Diener12 and J. Coyne and G. Downey.13 Every time a person asks a vet if they wish to speak, that is an important form of reaching out, connecting, expressing interest and support, and showing respect for the vet’s experiences. There is healing power in not only listening but also remembering what the speaker says. In a New York Times Magazine article, Ethan Watters described the ways that people in different cultures help each other cope with trauma differently.14 More communallyoriented cultures regard it as the community’s role to help the traumatized person to feel better and reintegrate. Considering what Watters wrote makes it clear not just how wrong but how very simplistic – and thus disrespectful to the vets – it is for us to decide that what they are experiencing is unequivocally Post-traumatic Stress Disorder (PTSD) or another mental illness and that therefore we know what they need. Watters notes the dangers of imposing assumptions about trauma and healing on others, and he reports that the World Health Organization has begun recommending “psychosocial support” for disaster areas. There used to be something in the United States called friendship, before therapy took over every situation other than those that inspire only happiness. And in many cultures around the world, and even in some subcultures within the United States, friends help each other through terrible times. These are things we ought to do for each other, to help each other through this life. Many years ago I learned something about the power of respectful listening after a woman, without provocation, physically attacked me. I had never been physically attacked, and the episode was not only violent but also bizarre. Never until then had I had flashbacks, and that was when I learned that flashbacks feel so different from memories, because during a flashback one has no sense that the events are not happening now; one is completely immersed in the horror of the original trauma. When I told Rabbi Debra Brin that I could not seem to break free of the upset and that some of those closest to me A. Steptoe and A. V. Diez Roux, “Happiness, Social Networks, and Health,” British Medical Journal 338, no. 7685, 2009. 12 E. Diener, “Subjective Well-Being: The Science of Happiness and a Proposal for a National Index,” American Psychology 55, no. 1 ,2000, 34–43. 13 J. C. Coyne and G. Downey, “Social Factors and Psychopathology: Stress, Social Support, and Coping Processes,” Annual Review of Psychology 42, 1991, : 401–425. 14 E. Watters, “The Way We Live Now: Idea Lab; Suffering Differently,” New York Times Magazine, August 12, 2007, http://query.nytimes.com/gst/fullpage.html?res =9A05EEDD113BF931A2575BC0A9619C8B63&sec=&spon=&pagewanted=1. 11 8 expressed skepticism about how the attack had come about and whether I was describing it accurately, she asked me to invite three very close friends to my house. The first thing she did was have them sit around me and listen, just listen, as I described every detail of the attack. Suddenly I was going through the trauma not alone but with people who cared, and suddenly I was speaking to people who respected me and believed what I said. I felt the healing start, and I never had another flashback to the attack. This story also illustrates that no one is an island. Each of us is embedded in a social context, and each of us is in contact with others who may or may not help us feel good about our identity, our feelings and interpretations of what happens in our lives, our status, our roles, and our functioning. What Rabbi Brin achieved was to change my social context at a crucial time by bringing very close to me the people who would provide respect and support. David Oaks, founder of MindFreedom International, has worked for decades with people who have been harmed in the mental health system. In a recent article about military veterans, Oaks pointed out that when there are problems or scandals in the mental health system, for 200 years “the usual position of caring people” has been, “The system needs more money.” Oaks urged readers to “go deeper” than that and understand that real alternatives that work often go very deep indeed. For instance, consider “peer support.” We all intuitively know that good peer support can help. “It takes a village to heal a mind,” doesn’t it? But WHY? Well, one reason is that we are forming really deep and complex mutual connections between one another, and that can help with recovery and healing. It’s really difficult for the current market system to supply that. You can’t “buy a village” off the shelf. Real healing may take really deep connections between people, real COMMUNITY CHANGE.15 Why Listening Matters To learn these [veterans’] stories is both civilian duty and commemoration. --Caroline Alexander, journalist16 It is healing to talk about the traumas of war, and to get the demons of combat that we warriors who have stood in battle have buried so deep, out in front of us, on our terms where we an easier deal with them. David Oaks. “On military veterans and mental health: Go deeper.” October 23, 2009, http://www.veteransforjustice.com/phpBB3/viewtopic.php?f=32&t=20. 16 C. Alexander. “Back from war but not really home.” New York Times, 2009, p. 9. 15 9 --Viet Nam veteran Gary Jacobson17 Henri J.M. Nouwen says, "To listen is very hard, because it asks of us so much interior stability that we no longer need to prove ourselves by speeches, arguments, statements, or declarations. True listeners no longer have an inner need to make their presence known. They are free to receive, welcome, to accept."18 He says that listening is much more than allowing another to talk while waiting for a chance to respond, listening is paying full attention to others and welcoming them into our very beings. “The beauty of listening is that those who are listened to start feeling accepted, start taking their own words more seriously and discovering their true selves. Listening is a form of spiritual hospitality by which you invite strangers to become friends, to get to know their inner selves more fully, and even to dare to be silent with you.”19 The "astonishing power of listening"20 is clear from the Harvard Kennedy School study we did of The Welcome Johnny and Jane Home listening sessions.21 Each veteran who participated in one of the sessions was asked immediately afterward, “What, if anything, was good about this for you? What, if anything, was bad or negative?” Every veteran – ranging from World War II to the present era -- said something to the effect that they've never been given a chance to just say whatever they wanted to say, without being interviewed or having anybody making comments. They knew the listener was not a therapist and not sitting there thinking, "How am I going to diagnose them psychiatrically?" or fitting them into some theory. That person who was listening was just a member of the community. Everyone has the story of their life, as William Randall writes eloquently in The Stories We Are: An Essay on Self-Creation.22 This is the story we tell ourselves about who we are and how our life has been. Whether we are conscious or unconscious of our story, it helps determine the things we remember and the things we try to forget, as well as how we interpret them. For instance, do we selectively remember the aspects of our childhood that were happy or difficult? Which aspects do we consider part of our main story and which tangential? If we think of our childhood as having pretty much been happy, then “Gary Jacobson” message posted in response to “PTSD: A Marine’s story.” NPR. November 17, 2010. http://onpointradio.org/11/ptsd-a-marines-story 18 H.J.M. Nouwen. Bread for the Journey: A Daybook of Wisdom and Faith. San Francisco: HarperSanFrancisco, 1997. 19 Ibid. 20 P.J. Caplan. The astonishing power of listening. Psychology Today, 2011. http://www.psychologytoday.com/blog/science-isnt-golden/201104/the-astonishing-power-listening 21 P.J. Caplan & H. Milkiewicz. Listening to veterans: The Welcome Johnny and Jane Home Project. Harvard University: Unpublished paper, 2012. http://whenjohnnyandjanecomemarching.weebly.com/uploads/5/9/5/1/5951178/listening_to_veterans_the_welcome_johnny_and_jane_home_project-3-1.pdf 22 William Randall. The Stories We Are: An Essay on Self-Creation. Toronto: University of Toronto Press, 1995. 17 10 the painful or embarrassing times that we recall we regard as exceptions, and vice versa. However we choose or otherwise end up with a particular story, that story is a major part of who we feel we are. If we feel that we are not seen and respected for who we are, in some way we feel we don’t exist. Since so much of life is about connection, about how we relate to other people, if no one sees who we are or understands our experience fully, or if others want to know only a bit of it, then in some important ways we disappear. The assignment of psychiatric diagnoses to veterans distances the person making the diagnosis from the vet and tends to limit what the diagnostician learns other than how well the vet fits the various lists of symptoms in the psychiatric categories. David Jacobs and David Cohen object to this practice, pointing out how important it is to capture information beyond what is in the diagnosis: “[A] personal problem involves someone’s story, a first-person drama-like narrative in which the narrator is the protagonist.”23 In other words, listening to life experiences helps far more than assigning diagnoses when we want to understand the sources and nature of a person’s distress. As Athar Yawar wrote in a 2009 article in the British medical journal Lancet, We would, as a society, achieve a great deal by listening to patients’ demands for good food, companionship, respect, practical support, and gainful activity. As doctors, being with the patient is one of the most powerful healing tools we have. It can sound trite, but the phrase describes receiving the patient’s humanity, allowing it to come through crisis intact and enriched, without the loss of dignity and self almost inherent in labeling.24 The combination of most Americans’ aversion to facing the realities of war, assault, or other trauma and the reluctance of many vets to bring up their experiences has led to the veiling of so much pain. In turn, the hidden nature of many Americans’ war and military experiences has constrained the stories veterans can construct about their lives and whether or not they even feel they can tell anyone about an event, a memory, a feeling, or an image. Secrecy, in and of itself, can intensify upsetting experiences, making them seem as though they ought to be concealed, as though they are too shameful or otherwise horrific to be mentioned. Opening secrets up to daylight in cases like those often takes away at least some of the shame and tends to decrease the isolation of individuals who have kept their experiences under wraps. The fact that secrecy itself can exacerbate problems was brought home to me when I worked in a clinic for children with learning disabilities. We would begin each assessment by calling the parents and child into the room and asking, “What brings you here today?” Often, at least one parent would look shocked and become agitated, casting their eyes in the direction of the child and looking at us as if to say, “Can’t you see that the child is right here?! Surely you don’t want to talk about the problem with the child in the room!” By the time most children have been David Jacobs & David Cohen. “Hidden in plain sight: DSM-IV’s rejection of the categorical approach to diagnosis.” Review of Existential Psychology and Psychiatry 26, 2001, 81-96. 24 Athar Yawar. “The Fool on the Hill.” Lancet 373, 2009,, 621-22, quotation at 622. 23 11 identified as having learning problems, they are old enough to realize that they are struggling more than other children in their class. For the parents not to speak of that struggle in front of the child implies that it is profoundly shameful. In our clinic, then, when parents responded that way, we wanted to remove some of that shame and fear right away, so we immediately turned to the child and said, “Reading is hard for you, right?” In this way, we conveyed the message, “No matter how anyone else acts about your problem, we do not think it is so terrible that we have to shroud it in secrecy.” Simply asking someone – virtually anyone – if they wish to speak about their lives can convey another powerful message: “Your experiences matter. You are important. I want to spend some time listening to you.” My colleague, Karen Glasser Howe, for decades included as a requirement in one of her courses that her students listen to their mothers talk about their lives.25 Often, the mother’s immediate response was, “Oh, well, there’s not much to tell.” But once they got under way, the stories and the emotions that went with them came pouring out. When students in my courses do this kind of listening, they often tell me that a major turning point in their relationships with their mother was the moment they asked to hear about her life. This is especially the case for mothers with histories of having lived through terrible times. Veterans tend to have many intensely disturbing feelings and experiences, but this constellation is too often ignored. As one vet after another has told me, “The only question people ask when they hear you’ve been to war is, ‘Did you kill anybody?’ and people do not want to hear more once they know the answer to that question. To have someone offer to hear them speak is a unique experience for many vets. Sadly common in vets’ experiences are atrocities they saw or even committed themselves, sometimes unknowingly, such as killing an innocent civilian after being misinformed that the person was an insurgent. A different kind of atrocity haunted the vet who told me that as he ended a mission that was legitimate within the parameters defined by his war and involved an attack on people who were clearly about to attack his men, he noticed that a child had been watching the slaughter. The look in her eyes has never left him. Trauma expert Judith Herman has written, “The ordinary response to atrocities is to banish them from consciousness. Certain violations of the social compact are too terrible to utter aloud: this is the meaning of the word unspeakable.”26 But the fact that something is considered too terrible to divulge tends to compound the shame, guilt, and fear. The act of telling a person who will listen and not judge but try to understand what it was like for the vet is a way to begin to reduce the load of what one Viet Nam veteran described to me as the heavy rucksack filled with the jagged rocks of unvoiced memories. Burdens shared are often burdens lightened. Karen Glasser Howe. “Telling our mother’s story.” In Representations: Social Constructions of Gender, R. Unger (Ed.), New York: Baywood, 1989. 26 Judith Herman. Trauma and Recovery. New York: Basic Books, 1997. 25 12 Before hearing someone who has been to war describe an atrocious act that they witnessed or even committed, many people assume that they could not possibly listen to such a thing without bursting out with a judgmental or even accusatory statement. But in a private session in which the veteran describes either why they were unable to stop an atrocity from happening or why they committed it, the speaker’s pain is usually palpable, and seeing that someone remains tormented makes the listener less likely to feel they need to jump in and judge. Furthermore, often veterans make it clear that they are about to divulge something for the first time, and that fact makes clear both their moral anguish and the isolation in which they have lived with that anguish. The importance of such moments is clear to the listener, as is the importance of their bearing of silent witness. As a result, even listeners’ body language is primarily likely at those times to convey the fullness of their attention and their sense of the veteran’s misery. Beyond a certain point, isolation can be dangerous for almost anyone. It deprives people of chances to connect, give and receive support, and check out whether their perceptions, interpretations of events, and feelings match those of anyone else. For veterans to be locked in alone with nightmare memories is all the more difficult. It leads some to question whether their memories are even accurate and many to believe they are crazy. The wholesale pathologizing of war trauma and other kinds of trauma by assigning its sufferers one or more psychiatric labels, along with the fact that so many vets know this happens and may even hear it from family and friends, makes it even worse. Speaking often helps vets feel more assured that what they remember is real, not imagined, and the reactions (even respectful silence and a slight nod) of a caring listener can make them feel less crazy. The power of storytelling became clear to a top military psychiatrist, who reported that in the twelve hours after some actors presented a dramatic reading about war experiences, two soldiers and three Marines asked if they could tell what they had been through.27 Transmitting one’s experience to someone else means that person, too, can tell it, and someone who hears it from that teller can tell it forward. Within our Welcome Johnny and Jane Home Project, the listener is asked not to divulge any details that would reveal the veteran’s identity but can convey enough about what military and coming-home experiences are like to ensure that important information is conveyed. Listening, if done enough, can change the culture in ways that are favorable to helping vets by creating a more receptive context, a sense of shared responsibility, a heightened awareness of the horrors of war and other military-related trauma and their impact. We can hope that this social transmission might even change public perceptions and attitudes toward vets and wars. In these ways, and in the same way as does any creation, listening carries whispers of immortality. J. Schogol. “Pentagon hopes stories help troops with PTSD,” Stars and Stripes, February 9, 2009, http://www.stripescom/article.asp?section=104&article=60587 27 13 Can Nontherapists Really Help? At the level of our daily lives, one man or woman meeting with another man or woman is finally the central arena of history. --Athol Fugard, Georgetown University commencement address28 In our Scripture, it is written that when you do not have hope, you look for it in the face of your friend. --James Gordon, Gaza psychologist29 In considering the suggestion for nontherapists to connect with veterans who are suffering emotionally, it is important to look at the practicalities. As reported in chapter 4, the Army acknowledges being “overwhelmed” by the problems of soldiers returning from war, despite its continual announcements that it is trying to hire still more military therapists.30 In chapter 5 we saw a similar pattern for the VA. Furthermore, a 2008 RAND study showed that about half of the veterans of current wars who were suffering from emotional trauma had not even sought treatment.31 We have already discussed some of the reasons for their reluctance to seek treatment, including their fear of breach of confidentiality, fear that seeking treatment will make them appear weak or cowardly or will interfere with their military careers, and fear that they will be considered mentally ill. Many have heard of such things happening to others who went to military or VA therapists. Some of these concerns also apply to seeing a therapist outside the military or the VA. Furthermore, with the heavy use in recent wars of National Guard and Reserve troops,32 many recent vets originally came from small towns, where they are far from therapists if they return. At a purely practical level, even if there were plenty of military or VA therapists available to see all of the suffering vets who seek help, and even if every one of those therapists were 100 percent effective in providing help, many vets simply will not see a professional. This fact alone should make it clear that, as a nation, we need 28 A. Fugard, Georgetown University commencement address, June 1984. J. S. Gordon, “Cases without Borders: For Gaza Psychologist, Hope amid Despair,” New York Times, January 13, 2009, http://tinyurl.com/94vf85. 29 P. Jeninek, “Army Plans to Hire More Psychiatrists,” Associated Press, June 15, 2007. M. Elias, “Post-traumatic Stress Is a War within the Body, for the Military and for Civilians,” USA Today, October 27, 2008, http://www.usatoday.com/news/ health/2008-10-26-PTSD-main_N.htm. 32 J. Kimberlin, “Out of the Darkness: Suicide and the Military,” Virginia Pilot, July 8, 2007. 30 31 14 to draw on the resources of nontherapists and certainly of people outside the military. In chapter 5 we heard about Michelle Dillow, who, after her return from active duty in Iraq, was so haunted by the constant danger in which she had lived and the losses of people she cared about there that she could not sleep. She had felt so anguished and enraged that, for fear of lashing out at or burdening her loved ones, she did not speak to them of her troubles and instead just held everything in. This made her feel increasingly isolated and increasingly ashamed of herself for what she saw as her failure to adjust and stop “being crazy.” Visits with a therapist whom she described as very nice but not helpful got her nowhere. Dillow was asked to give a lecture in a college class about war, and during her talk, a student she had never met made a comment about the soldier seeming to be too hard on herself. Taken totally by surprise by this outreach, which came not from a therapist who spoke in jargon or was paid to talk to her, Dillow slept peacefully that night for the first time in the months since she returned from Iraq. I tell this story about Michelle because it is the kind of story I so often hear from veterans who have spoken to sympathetic listeners from the community. When I spend time with vets as “just a person,” not in my role as a psychologist, and certainly not doing anything I was trained to do, not doing anything beyond listening, I often hear from them later that the night of our first meeting, they begin to be able to sleep. I have also heard a great many such comments from vets who spoke with people who have had no training as therapists. In his classic book, Man’s Search for Meaning, concentration camp survivor Viktor Frankl33 describes how inmates of the camp often stopped believing that liberation would come, so that when it did come, they could hardly register its reality. What helped these victims of extreme torture? [W]hen one of the prisoners was invited out by a friendly farmer in the neighborhood, he ate and ate and then drank coffee, which loosened his tongue, and he then began to talk, often for hours. The pressure which had been on his mind for years was released at last. Hearing him talk, one got the impression that he had to talk, that his desire to speak was irresistible. I have known people who have been under heavy pressure only for a short time…to have similar reactions.34 Related to this, psychiatrist Sally Satel describes her discovery that the treatment of vets at a VA Medical Center was misguided because it took them too much out of their communities.35 Speaking of his own life, Marine Nathaniel Fick has written, “The main lesson of my experience is that the recovery process takes time, and healing only happens 33 V. Frankl, Man’s Search for Meaning: An Introduction to Logotherapy. New York: Washington Square Press, 1959. 34 Ibid. (lines 966–974 on Kindle). 35 S. Satel, “Measuring the Psychic Pain of War,” Slate.com, http://www.slate.com/ id/2148541/. 15 in community” (my italics).36 Numerous experts stress the paramount importance of help from nonprofessionals. In an article in the journal Clinical Psychology, the authors point out that there is no evidence that any particular traditional approach to dealing with trauma is actually helpful (and that there is evidence it may even be harmful), then say, There is consensus…that providing comfort, information, support, and meeting people’s immediate practical and emotional needs play useful roles in one’s immediate coping…. [T]he most appropriate early intervention…should be…supportive and noninterventionist but definitely not as therapy or treatment.37 Some of the authors of The Iraq War Clinician Guide say simply that “the most important initial needs of returning veterans are to be heard, understood, validated, and comforted in a way that matches their personal style…. There is much to be learned by listening carefully and intently.”38 Veteran and psychologist David Collier believes that nonmilitary people who are not therapists can “absolutely” be helpful to vets by listening without judging. World War II war correspondent Ernie Pyle understood this, believing that “the experience of the combat soldier is so terrible that you, the civilian, can never redeem it, but you must at least try to see it and know it.”39 It is not surprising that the psychiatrized nature of our culture makes so many nontherapists feel they are out of their league when they consider connecting with people who have been through as much horror as war veterans and other veterans have. It is true that not every nontherapist, like not every therapist, can help every vet, and some nontherapists, like some therapists, will make mistakes (though The Welcome Johnny and Jane Home Project’s emphasis on just listening helps avoid most of the common mistakes). No approach is free from risk, because all involve interactions between two flawed (because human) beings. But if we consider the pros and cons of outreach from the community compared to those of psychotherapy with someone who is regarded as an expert and with psychotropic drug treatment, perhaps the risks of the first seem not quite so serious. And of course, any vet who speaks to a layperson can always go to a therapist N. Fick, “Coming Home—to What?,” Boston Globe, August 28, 2005, http:// www.boston.com/news/globe/editorial_opinion/oped/articles/2005/08/28/coming _home to_what. See also L. S. Brown, “From Alienation to Connection: Feminist Therapy with Posttraumatic Stress Disorder” (Women & Therapy 5 [1986]: 13–26), about the important role the community plays in helping people move past trauma. 37 B. T. Litz, M. J. Gray, R. A. Bryant, and A. B. Adler, “Early Intervention for Trauma: Current Status and Future Directions,” Clinical Psychology: Science and Practice 9, Summer 2002,: 112–130, quotation at 128. 38 B. L. Litz and S. M. Orsillo, “The Returning Veteran of the Iraq War,” in The Iraq War Clinician Guide, 2nd ed., ed. R. G. Lande, B. A. Marin, J. I. Ruzek, et al. (Washington, DC: National Center for PTSD and the Department of Veterans Affairs, 2004), 21–32, quotation at 21. See also A. Glantz, The War Comes Home: Washington’s Battle against America’s Veterans. Berkeley and Los Angeles: University of California Press, 2009, who reports that veterans groups say that supporting service members “means listening to them when they get home” (153). 39 J. Tobin, Ernie Pyle’s War, Lawrence: University Press of Kansas, 1997, 179. 36 16 and give that a try as well. In principle, there is a huge array of things that might help a veteran, but a concern in this book is why the pool of potential helpers has been largely regarded as restricted to psychiatrists and psychologists. Everyone knows people whose conversations with friends or family members have been helpful, even transformative. The same can be true of vets. Even reading a book, article, or poem can have a major impact. Many adult women in the middle of the twentieth century who were unhappy staying home with their children had been isolated by their silence, each believing herself to be the only unhappy housewife, each considering herself inadequately feminine, insufficiently womanly. Often, those women who read Betty Friedan’s 1963 book, The Feminine Mystique,40 were transformed by learning thereby that huge numbers of women felt the same way. The reason Alcoholics Anonymous and similar twelve-step programs have more beneficial effects than virtually any other approach, whether delivered by mental health professionals or others, is that they rely on the combination of nontherapists helping each other and storytelling, empathic listening, and nonjudgmental support.41 There are several ways in which a nontherapist can convey messages that make a difference to vets in a way that therapists cannot. First, some therapists might try to erase the power differential that exists between themselves and their veteran patients because the former are therapists and thus assumed to know more about patients than the patients know about themselves, to have all the answers. But between a layperson and a vet, this particular power differential does not even rear its head. Laypeople are not being paid to listen to the vet, do not come from a training program in which they learned certain interpretations of people’s experiences, and are not expected to have all the answers. This can create a more comfortable setting for the listener and veteran. When a nontherapist listener clearly respects and simply listens to what a veteran says, the vet does not have to wonder what professional framework of interpretation might be getting in the way. (This is not to say that all therapists are dogmatic, of course.) Related to this, it is widely known that a major activity of therapists is to assign psychiatric labels to people and to treat as illness anything other than serenity and happiness. Although vets might be concerned that laypeople have absorbed these activities from the broader psychiatrized culture, they at least know that nontherapists do not have a professional stake in pathologizing them. Laypeople who listen and respond to vets in a nonpathologizing framework reduce the isolation of vets that comes from their belief that they are crazy or at the very least have reacted weirdly to war or other kinds of trauma, mistreatment, or 40 B. Friedan, The Feminine Mystique, New York: W. W. Norton, 1963. Alcoholics Anonymous, “Pass It On”: The Story of Bill Wilson and How the A.A. Message Reached the World. New York: Alcoholics Anonymous World Services, 1984. A dramatization of the development of Alcoholics Anonymous and its dependence on human connection is the play, BILL W. AND DR. BOB, by S. Bergman and J. Surrey. Samuel French: New York, 2007. 41 17 disorientation. Still another helpful function that nontherapists can serve is related to the phobia about death that pervades our culture. Most people believe there are things one talks about in a therapist’s office that one would probably not discuss in the “real world.” Thus, when a layperson is willing to listen to vets talk about their encounters with death, it helps break through a taboo that keeps vets terribly isolated. As Marcia Hill has written, some healing takes place when a person can speak what was not supposed to be spoken, because this helps make the previously unspoken memories real (instead of feeling to the sufferer as though they are figments of their imagination or “overreactions”).42 Further, Hill suggests, the powerlessness so many people feel when at war can be compounded if they feel powerless to speak up in order to help themselves or anyone else. Speaking of the forbidden, then, can be a way to regain some sense of one’s power and effectiveness. Something similar is true of the phobia in our culture about facing the truth that many forms of violence are alarmingly common, including sexual and other kinds of assault and including emotional violence. Nontherapist civilians can play another important role precisely because they are not veterans themselves. Although veterans, beginning most notably after the Viet Nam War, have often found it helpful to talk with other vets, and such connections are in many ways extremely positive, there is a danger involved in limiting one’s close relationships to other vets only. It is the same kind of danger that one sees in other groups, such as those composed of survivors of child sexual abuse. The identity of group members comes to be, or remains, wholly associated with the trauma.43 Although sharing common or similar experiences and feelings about those experiences can help make vets feel understood and supported by other vets, if their identity does not eventually expand into other realms, serious problems can result. One problem is that associating only with other traumatized vets solidifies their sense of being nothing but a traumatized person, to the extent that they lost sight of their capacities for enjoyment, growth, change, developing connections with others and engaging with the rest of the world. Their feeling of being irretrievably different from those who did not go to war or serve in the military becomes entrenched. They find it harder to break out of the military’s attack-defend mode and its strict hierarchies. Interacting with people who are neither therapists nor vets can help servicemembers experience other perspectives and bring out other parts of themselves, since we discover who we are partly by noticing what various people elicit from us. Another problem that sometimes arises when veterans speak only with other veterans is that they expect complete understanding from each other. Thus, when one veteran tells about an experience they had, it can be a disturbing surprise if the listening veteran says, M. Hill, “Reflections of an Experiential Feminist Therapist,” Women & Therapy 5, no. 1, 1986: 27–32. C. Cole and E. E. Barney, “Safeguards and the Therapeutic Window: A GroupTreatment Strategy for Adult Incest Survivors,” American Journal of Orthopsychiatry 57, 1987,: 601–609. 42 43 18 “No, that’s not how it was.” And veterans who were in the same place at the same time but had divergent reactions or feelings can feel terribly let down if they fail to find common ground with each other. Stereotypes About Veterans and Nonveterans It is common for veterans and nonveterans to have stereotypic beliefs about each other, and these create a divide that is painful for vets but also deprives nonveterans of important information and perspective in their lives. Many veterans believe that nonveterans don’t care about veterans and won’t understand them. Many nonveterans believe that all veterans are mentally ill and violent and that they enlisted because they wanted to go kill people. An important and little-recognized stereotype is reflected in the way that some people speak as though there is a dichotomy of veterans vs. civilians, asking, “Are you a veteran or a civilian?” when in fact veterans are civilians! By definition, if you are currently a servicemember, you are not a veteran; you become a veteran when you leave the armed forces and become a civilian. To use that false dichotomy is to perpetuate the hurtful notion that “You veterans are not part of this community of us civilians.” Stereotypes create and perpetuate disconnection. To a great extent, veterans and nonveterans each seem to have reasons to keep their distance from each other. As discussed at length earlier in this book, few nonveteran Americans want to think about veterans, partly because veterans remind us of war, an unpleasant subject, and given the small percentages of veterans, most Americans do not have a loved one who has served, so they don’t have to think about them. Furthermore, many nonveterans tell me, “I know vets are suffering, and I want to help, but they are all mentally ill, and I am not a therapist, so there is nothing I can do to help, and I would probably say the wrong thing.” They are so mistaken. When I wrote that most nonveterans don’t want to think about vets, I hoped against hope that I would be wrong. Around the time the book was published, in 2011, I began to write a blog for Psychology Today, sometimes writing about various topics related to veterans but more often writing about a wide variety of topics, ranging from personal stories to Supreme Court decisions to women’s issues to psychiatric diagnosis to good and bad science. Psychology Today displays for its writers the numbers of readers who have looked at each of our essays, and what I saw there I found devastating: With one exception, every time I write about anything connected with veterans, those essays get only between 30% and 3% (yes, only three percent) the numbers of readers of any other subject I write about. Right there in black and white is reflected the tragic disconnection between veterans and nonveterans. After I realized that, I decided to do a little experiment the next time I wrote about veterans. Rather than referring to vets in the headline, I called it "Healing without harming," and within two or three days, as many people had looked at that essay as at my essays that are not about 19 veterans. Veterans often tell me that they sense this lack of interest from many nonveterans, and that is one reason they so often keep their distance. Furthermore, they often do not talk about their experiences because they fear burdening or hurting nonveterans; because they worry that if they try to talk, we might not understand; or they fear that we will think they are crazy. Many have been told outright hat they are mentally ill, and many believe they are crazy because they are home and safe but still suffering, so they think they are to blame for not getting over it by now. What Veterans Say When They Hear About the WJJH Project The initial response of some veterans upon hearing about The Welcome Johnny and Jane Home Project is that they feel they shouldn't "need" to have a listening session, and they ask why we are asking if they would like one. But this is not therapy. It is about every person deserving the chance to speak in safety about an important part of their lives. Conveying that goal to them is also what we say in response to their expression of concern that a listener might consider them to be “crazy.” We make it clear that these are nontherapist citizens who do the listening and that there is a millennia-long tradition of people returning from the military and speaking about their experiences to their home communities. Some vets have asked for listening sessions because they want to speak but want to do so without adding to the pressures that are so often already on their loved ones. Often, the vets want to keep reports of their troubling memories and thoughts out of their relationships with those closest to them. Still other veterans consider doing a session to be another way to serve, because every one of us nonveterans ought to know what it is like to serve in our country's military and, for combat veterans, what war is really like. It is not vets' responsibility to educate us, but if they want to, that does provide a significant service. It is the civic responsibility of every nonveteran to overcome their illiteracy about the military and/or war and/or military sexual assault, and veterans are the best possible people to help reduce that illiteracy. Before doing a session, some vets have worried it would be too upsetting to them if they chose to open up. But what they have reported is that this did not happen. In fact, many have used the image of a rucksack, saying something like, “I have felt like I’ve been carrying a rucksack filled with heavy boulders, but now I feel like someone lifted some of those boulders from my pack.” A burden shared is often a burden lightened. 20 To be human is to run the gamut of emotions. This is all the more the case when one has been through terribly painful experiences. That does not make it wrong or sick or a mental disorder. It is deeply human. And keep if you try to restrict yourself to a narrow band of emotions, that makes the world less safe for the rest of us humans to have changes in feelings and to have intense feelings. As for veterans who express concern about “losing it,” the reply is: “You are neither expected nor obligated to ‘lose it’ or not, to cry, not to cry, to stuff your feelings or not to stuff them. You may cry at one moment and not at the next, stuff at one point and not at another. If you were going to be the listener for someone who had had a difficult time, would you think it would make sense to expect them to express or suppress according to preordained rules or to do so consistently? Your only job in the session is to use it as you wish, to be as human as you feel comfortable being. You do not get a grade for the course. You will not be evaluated or judged, not in the least. The time and space are gifts for you to use however you are comfortable from moment to moment. And we hope you will try to refrain from judging yourself during and after the session -- i.e., do not think you should be doing or should have done anything differently.” Some veterans ask what they are expected to do during the session. The answer is: “There are no requirements at all placed on the veteran for the listening session. You are not obligated to be in any particular mood or state of mind or to stick to one in the course of the session. A major aim of the sessions is to allow the veteran the time and space to say and not say whatever they choose, to be silent, to have or express one feeling, then another, then another, or then none, then yet another. There are no rules for you!” Most of the rest of this chapter, from pages 22-47, are specifically for any veteran or nonveteran who wants to know more of the details about how the listening sessions are conducted and who is perhaps considering doing a session. Other readers may wish to skip to the section called “Opening Hearts” on p. 47. 21 Getting Started with the Listening Sessions44 Directions I do not provide with this, you only need a heart. And if you understand a Vet, you’ve made a small…small start. --David E. Jones, “Needless to Say”45 It takes some time to heal the wounds but a good place here to start. Compassion in a trusting voice, that holds an open heart. No one can tell me what I must feel, or when to forget the past. No one can say it’s over now, the memories will last. --David E. Jones, “Endings”46 Anyone who has seen the worst of humankind’s horrors needs and deserves tenderness and understanding. So many veterans have been trained to believe that they do not and should not need either tenderness or understanding and that it is not soldierly, not masculine to accept them when they are offered. And women veterans often feel, as women generally are encouraged to do, that they have no right to ask for anyone’s time or attention, that it is unwomanly and selfish to do so. Before nonveterans ask veterans if they want to speak to us, then, it is good for the prospective listener to take some time alone to focus quietly on this: that listening means that you value their speaking, their feelings, and their struggles at least as much as you value your own time; that even if the vet does not feel they ought to need to speak, you believe it is legitimate and indeed important to give them the opportunity to do this, should they choose to do so; and that you do not consider it weak or inappropriate for them to let you know what plagues them. Be aware every moment of the potential that your listening has to matter to the vet. Recall the point noted above from the VA’s The Iraq War Clinician Guide, that the most important initial needs of returning veterans are to be heard and understood.47 Many servicemembers do not believe that someone who has not been through what they 44 This section, from pages 18-26, is also found at listen2veterans.org David E. Jones, “Needless to Say,” http://webspace.webring.com/people/l1/11bravovet/thoughts.html. 46 Jones, from “Endings,” in A Soldier’s Story, 68. 47 R. G. Lande, B. A. Marin, J. I. Ruzek, et al., eds., The Iraq War Clinician Guide, 2nd ed. (Washington, DC: National Center for PTSD and the Department of Veterans Affairs, 2004), http://www.ptsd.va.gov/professional/manuals/iraq-war-clinician-guide .asp 45 22 went through could possibly understand, and they may try to shut them out.48 But Dr. David Collier, a war veteran and psychologist who has a long history of working with veterans, believes that veterans can often sense which nonveterans they can trust enough to open up to them in a listening session: “You know when you meet somebody the first time and are evaluating, ‘What do I think about the person across from me? Do I think this person is respectful and has qualities of compassion?’”49 Graham Berman, a decadeslong practitioner of healing through listening, notes the power of feeling understood: “When we are being understood, we know we are, and when we are being slightly misunderstood, we know that, too,” and “We learn to trust our own feelings and what is real or not real by having an understanding person react in a way that confirms or disconfirms what we’re feeling.”50 In corresponding with one vet who was speaking to me partly in person and partly by email, the fact that I have never been at war and the question of whether I could fully understand what he told me came up. I responded, When you tell me what war was like, I listen carefully and absolutely believe what you say, and when you are describing tragic or terrifying events, I do think I get that they are tragic or terrifying. Are there details and dimensions and certainly nuances I probably fail to understand? Undoubtedly so. But the same, I think, is true of any two people who have, for instance, each lost their father, because the fathers would not have been identical, nor would their children, nor would the father-offspring relationships. I know that the pain of not being fully understood can be great, but I think that being partly understood by someone who cares can be healing, at least partially so. In this connection, it can be helpful to mention to vets the principle Gloria Steinem has elucidated, that people with different histories can trade abilities, and this “makes our differences into sources of learning from each other.”51 Our Harvard Kennedy School study52 has shown that veterans describe this as helpful, and the listeners say it is wonderfully transformative for them. Most of the listeners said that they started out doing this to do a good deed, to try to help veterans, and many had been apprehensive that they would be upset, but that, to their surprise, it ended up being transformative for them in the most positive ways. Here's why: they talk about that feeling that this was sacred time because of the integrity and honesty of the veterans. It helps them understand more about humanity and more about our common humanity. It S. Danish and B. Antonides, “What Counseling Psychologists Can Do to Help Returning Veterans,” Counseling Psychologist 37, no. 8 (2009): 1076–1089. 49 David Collier, telephone conversation, April 13, 2010. 50 Graham Berman, telephone conversation, March 22, 2010. 51 G. Steinem, “Birthday Wishes,” Ms., Fall 2009, 42. 52 .J. Caplan & H. Milkiewicz. Listening to veterans: The Welcome Johnny and Jane Home Project. Harvard University: Unpublished paper, 2012. http://whenjohnnyandjanecomemarching.weebly.com/uploads/5/9/5/1/5951178/listening_to_veterans_the_welcome_johnny_and_jane_home_project-3-1.pdf 48 23 gives them the chance to form that connection that they otherwise would not have had, and that is very precious. And they hear about matters of tremendous importance, matters of moral anguish, matters sometimes literally of life and death, which results in a feeling of having shared something profound. How Veterans and Nonveterans Connect for the Sessions Any veteran or nonveteran contacting us at welcomejohnnyandjanehome@gmail.com will be connected with someone else with whom to do a session. Or anyone organizing this Project in their area can do the matching up. It is then up to the veteran and nonveteran to schedule a time to meet and do the session. For listeners who wish to locate and contact veterans in your community, you may work in partnership with local veterans’ groups and shelters, civic and community agencies, foundations, clubs, or social, political, or faith-based organizations. Often, word-ofmouth is helpful, just letting friends and neighbors, and clergy know about the Project and asking if they know veterans who might be interested. If you wish, you can start with an email message or bulletin board notice or newsletter item such as the following – but feel free to alter it to suit particular circumstances in your area: If you are a veteran of any era and are interested in talking to a nonjudgmental listener who is not a therapist about your experiences in the military and/or since returning home, please get in touch with us. The Welcome Johnny and Jane Home Project provides veterans the chance to have a nonveteran who is NOT a therapist just listen silently and without judgment to whatever the veteran wishes to say. You may speak as you wish and be silent when you wish, and there is no need to feel you have pulled it all together before or during the session. You may wish to set aside between one and one-half and three hours for this session, because that is the amount of time most veterans have found they wanted to spend at the time of their session. If you have questions or would like to participate, please contact _____________. The very best way to locate veterans is to go where they are – veterans’ organizations and groups, local and state veterans’ service offices, and other places you hear about in the community – and spend time there letting them get to know you and feel comfortable with you. Then let them know about The Welcome Johnny and Jane Home Project. Veterans may be living in the listener’s neighborhood, may be seen in restaurants wearing hats or jackets that identify them as vets, or may be located through community 24 groups, religious organizations, or friends of friends. Some write letters to the editors of print or online media. The VA has a program of foster homes for veterans who do not want to live in institutions.53 Listeners can consider contacting the groups or organizations for vets or their families that are listed at the end of this chapter. Go to the gathering places that many veterans’ organizations provide, and spend time there, allowing people to get to know and trust you. Perhaps more urgently than anything else, go the veterans’ nursing homes or healthcare facilities and hospices, because the suicide rates are even higher among veterans from World War II, the Korean War, and the Viet Nam War than among younger veterans. I cannot count the numbers of adult daughters and sons of veterans from earlier eras who have told me, clearly in great pain, that their veteran parent either never spoke about what they had been through or only began to speak when they knew they were dying. Finding a Space for the Listening Session You will need to find a safe, quiet space where the listening session may be conducted without others coming in and out of the room. Often local community organizations, schools, public libraries, or places of worship will donate space. We recommend such public spaces rather than private homes. As noted, listeners may go to Veterans’ Homes, other nursing homes, hospice facilities, or homeless shelters and ask for permission to visit veterans and offer to do listening sessions right there. The Listening Session: The Guide for Veterans and Listeners Both veterans who are considering asking for a listening session and nonveterans who are considering volunteering to be listeners should read the rest of this chapter carefully. The Welcome Johnny and Jane Home listening sessions are about human connection through the often overlooked but astonishing power of listening. (http://whenjohnnyandjanecomemarching.weebly.com/1/post/2011/03/the-astonishing-). Regardless of the veteran’s politics and the listener’s politics, the sessions are helpful. The reason is that once you truly focus on the listening, the honesty and integrity of most veterans are so striking and so moving. Many of us during listening sessions find that the word “sacred” comes to mind, even for those who are not religious. Why does it feel sacred?" It is because of that honesty and because of that integrity. So, whether what the S. Simon, “Happier Vets, Lower Costs,” Wall Street Journal, April 13, 2010, http://online.wsj.com/article/SB10001424052748703909804575124451841717276.html. 53 25 veteran believes about war in general or a particular war is the same thing as what you believe, it comes not to matter. What matters is that a human being is speaking to you alone, and you are listening. You connect. You bear witness. Before the session begins, the listener hands the veteran the flyer that is shown here below and can be downloaded from listen2veterans.org 26 In most cases, the veteran and volunteer listener will probably meet only once, unless at the end of the session, they mutually decide to continue. So it is a good idea for the volunteer to mention that before the session begins. And a listener who definitely will not be able to do a subsequent session should state that clearly but say that if the veteran requests another session, another listener will be found. This can be done through the welcomejohnnyandjanehome@gmail.com email. The listener assures the veteran that whatever they say will be kept private. Since nontherapists are not bound by rules of confidentiality, it will be up to the vet to decide whether to believe this assurance from a layperson. Needless to say, it is essential to be able to make this promise in good faith.54 Since the listener’s purpose in meeting with the vet is not to get information to give to other people for any reason but solely to help this vet, there should be no reason to tell anyone else. In any case, there is never in fact any airtight guarantee of confidentiality even from professionals, although they are ethically bound to protect it, but some therapists behave unethically. Listeners who wish to do so might let veterans know from the outset that they need not give the listener their real name, though a way of contacting them will be needed in order to set up the session and then send a reminder to fill out a brief (and anonymous, if they wish) online questionnaire one month after the session. Listeners are not therapists, and — except for speaking two very specific sentences during the session — they truly do nothing but listen. However, they do so with 100% of their attention and their whole hearts. 54 Occasionally a therapist or other professional who is a mandated reporter with regard to violence asks to do a listening session. In many states the legal obligation of "mandated reporters" exists only when they are operating in their professional capacity, not when they are acting as volunteers. Any listener in a profession to which mandated reporting laws apply should ensure that as volunteers they are able to promise confidentiality in good faith. 27 Orientation, Purpose, and Five Steps for the Veteran and the Listener Veterans and nonveteran listeners need to know that the Project was created as a way to reduce the isolation of veterans from their wider communities and create connections between veterans and nonveterans. Both need to know that the sessions are not therapy and are not interviews, as well as that the listener is instructed absolutely not to ask questions, not request that the veteran define military terms, not make comments, not even offer compliments, because the listener’s job is to listen with respect and refrain from interfering with what the veteran would like to say…and to allow the veteran to be silent when the veteran so chooses. This does not mean that the listener will be stonefaced and not move a muscle, but they will not speak except to say two sentences that are described later in this section. The reasons we urge that the sessions be done by someone the veteran does not know, or not very well are: (1) there is often already so much pressure on close relationships that veterans have, so we aim to provide them a chance to speak as freely as they wish to someone with whom they do not have an existing relationship and thus with whom there is, in effect, much less to lose; and (2) a major purpose of the Project is to reduce veterans' isolation from their wider community, so part of what we try to do is connect a veteran with someone they do not know or barely know. We can also provide a separate listening session for a veteran’s loved one. Veterans do not need to prepare anything ahead of time unless they choose to jot down any notes of what they might wish to say. They might also read the report of the Harvard University research about how veterans say they are affected by doing the listening session. It is at http://whenjohnnyandjanecomemarching.weebly.com/draft-paper.html Before and during the session, listeners should do the following five things: (1) Before you plan a listening session, watch the two brief 9-minute videos on the home page of the whenjohnnyandjanecomemarching.weebly.com website, read the rest of this chapter that you are reading now, then look at the answers to Frequently Asked Questions (these are questions listeners ask) at listen2veterans.org (2) Also before you schedule your first session, if you wish, read the report about the Harvard University research about the effects of the listening session at http://whenjohnnyandjanecomemarching.weebly.com/draft-paper.html (3) Print the following document, and give it to the veteran. Have them read it, or you read it to them before the session begins, then ask if they have any questions: Veterans from the United States military from every era starting with World War II have told us that it is helpful to them to have nonjudgmental civilians who are not therapists 28 listen silently, confidentially, and with respect to whatever they choose to say. The purpose of this session is to give you a chance to speak in any way you choose about your experiences in the military and since coming home. Because that is the purpose, your listener has been instructed to be almost totally silent the whole time but to listen with 100% of their attention and with their whole heart. This is not an interview, and they are told not to ask you to define military terms or to ask any other question. They are told not to give opinions, make interpretations, or even give you what they might consider a compliment. They are not to interfere with your choice of when to speak and when to be silent and what to say. We hope that you will not worry about telling a neat “story” with a beginning and an end or telling things in chronological order or remembering things exactly. Feel free to report a memory here and there, a thought, a sound or a smell, a feeling in any order in which you feel like doing so. Your session will most likely take between one and three hours. Immediately afterward, you will be asked to report online and confidentially (with or without your name) briefly how the session was for you. One month after your interview, you will be contacted and asked to respond the same questions. This will allow us to evaluate whether such interviews are helpful and whether your views about that change during that month. No recording of any kind will be made of anything that you say in the interview, and what you tell the listener will be kept totally private. Although the listener will listen fully to what you say, the only information that will be collected and saved will be your feedback at the two different times. We hope that, like most veterans who have participated in this kind of session, you will find that there are benefits to you of getting to say whatever you would like, having someone who is there specifically to listen carefully and respectfully to everything you say, and knowing that what you say will be private. If afterward you wish to speak further, your listener will be available or will locate another listener and can also put you in touch with someone who has done hundreds of these listening sessions and will be available to you. If your listener will only be available for this one session, they will inform you of that before you begin. Tell the veteran to feel free to keep that sheet. Make sure that they understand that the listener has been instructed to be silent and to listen with 100% of their attention and their whole heart, as well as with respect. Now you are ready to begin the session. (4) Make a note to be sure to begin the listening session with this sentence: As an American, I take some responsibility for what you experienced in the 29 military and how it has been for you trying to come home, and if you want to talk, I will listen for as long as you wish to speak, and I will not judge. Each element of that introductory statement was purposefully chosen after more than a dozen years of listening to veterans. The sentence makes it clear that the listener considers it an important civic duty to do this work, will put no pressure on the veteran to talk but only provide the opportunity, and will do so in a nonjudgmental way. About 95% of the time, once you say that first sentence, the vet starts talking. Occasionally, one asks, “Are you really not going to interview me? I just say what I want?” and the listener simply nods “Yes” and then waits. That's usually enough. Sometimes, there is a silence while they register that there isn't anything in particular they need to do or are expected to do. That silence is fine, and you just wait. At that point, as throughout the session, the listener’s attention must be totally on the veteran and the fact that their job for the session is to offer the veteran the gift of the time and space to say whatever they want to say, whether it is a coherent story or whether it comes in fragments — as often happens when people talk about painful, traumatic times — and to be silent when they need to be. This is very different from what most of us are used to, but listeners find that with the instruction just to listen, with the goal always in mind, it is remarkably easy to maintain that focus and not to feel the need to fill a silence as we often do in other settings. The instruction that the listener not ask anything or make comments of any kind is because any of those interfere with the primary purpose of the session. The veteran must be unencumbered, freed from the pull to respond to the listener’s curiosity or impulses to speak, which can derail the veteran from the path they most need to follow in the session. Listeners find that when they simply wait quietly yet remain fully attentive at times when the veteran falls silent, the listener’s silence and attentiveness convey respect and maintain connection, as well as making clear that the listener does not feel a need for the veteran to speak nonstop. It is absolutely true that all the listener does is listen, but this does not mean freezing like a statue for the entire session. Of course, we do not suggest that the listener get up and walk around or rock back and forth or tap their foot or fingers. We do not want listeners to inhibit all body or facial movements that show they are listening, but a little goes a long way. It is OK very occasionally to nod one’s head a bit. But the reason we suggest not even nodding your head very often is that we don’t want the veteran to start focusing on when you nod or how much or if you nod at certain kinds of material. Listeners should not try to move their heads or eyes or lips in attempts to signal that they are listening. Just believe — in fact, know — deeply that when you focus completely on the veteran, they will know it. Since listeners do not speak except for the two prescribed sentences, the following is 30 probably obvious, but it is important to emphasize not to speak even in order to say things you might have assumed would be welcomed, such as, “How brave you were!” There are two reasons for this: (1) Again, the session’s purpose is to allow the speakers to say what they want, in whatever order they want, without interference and without having to try to respond to what the listener might say or what they deem to be the listener’s interests or wishes, and (2) The listener has no way to know how the veteran might feel. Thus, for instance, a listener might call brave an action that torments the veteran because they “only” saved two of their buddies rather than five from an Improvised Explosive Device. (5) Listeners should make a note ahead of time of the second sentence they will speak, which should probably be done at least 45 minutes into the session and definitely after – and only if – the veteran has described some upsetting experience and also said how it currently affects them. Then the listener says: If I had experienced what you described, I am sure that, like you, I would be having nightmares, flashbacks [or whatever they say is the effect on them now], and I hope you know that that is a deeply human reaction; it is not a mental illness, and you are not crazy. So many vets have told me over the years that the best thing anyone has ever done for them was to say something along the lines of the above. In fact, Dr. Thomas Burke, an Army psychiatrist, has said that if vets are told they are not crazy, they often get better rapidly.55 You might want to read that sentence again. Being told that one is crazy, is having abnormal responses to a devastating situation or event, can cause torment, shame, fear, and disorientation that lead others to call them crazy. Furthermore, for a nontherapist listener to speak the second sentence given above can reach the vet directly without the vet having to wonder, “Is the therapist saying this because that’s what therapists are supposed to say?” Wrapping Up Nearly always, the veteran initiates the ending of the session, most often between about 1 ½ and 2 ½ hours after they begin. Ideally, the listener waits for the veteran to do this. The listener should set aside three hours in case that amount of time is needed, though it never has been in our experience. But in the unlikely event that the veteran seems to intend to continue beyond about 2 ½ hours, a listener who has a 2-hour time limit should say something around the 2 ½-hour mark such as, “I want you to feel free to continue as you wish but need to let you know that I have to stop after three hours, so that leaves about 55 S. Shane, A Flood of Troubled Soldiers Is in the Offing, Experts Predict, New York Times, December 16, 2004). 31 half an hour more.” If you have to be somewhere at a certain time, then after about, say, 2 and 3/4 hours, you can let them know that we have to stop in about 15 minutes. Immediately following the interview, and then again at least one month later, the listener asks the veteran to go online to the bottom of the page at listen2veterans.org and respond to the three very brief feedback questions there about what was positive, negative, and/or surprising to them about the session. The listener is asked to respond to the same questions about their own experience at the same site both immediately after the session and one month later. The purpose of these questions is to assess the veteran participants’ experiences of the Welcome Johnny and Jane Home Project and simply being listened to without judgment as they tell their military experiences and coming home. We cannot emphasize strongly enough how important it is for the listeners to make sure that both veterans and listeners respond to these questions, so that we can compile information about the effects of the sessions and try to track how many are being done. Whether or not you stay in touch with the vet afterward is totally up to you, as in any other human relationship. If you want to give them your contact information, that's fine. If you don't feel comfortable, that's okay too. Both veterans and listeners should feel free to email us at welcomejohnnyandjanehome@gmail.com with any observations, questions, concerns, or ideas. We are happy to provide support and additional guidance to help people through the process of doing a session themselves or of starting the Project in their area. Please let us know how we can be of service by contacting us at welcomejohnnyandjanehome@gmail.com A backup person, usually a chaplain or counselor, should be available in case volunteers have questions or concerns. In years of doing these sessions, that has not become necessary, but some listeners will wish to have such a person available to them. If you do not have such a person in your area, write to listen2veterans@gmail.com, and we will connect you with someone or be available for you. More Details about the Sessions’ Guidelines for Listeners Dr. Collier talks about the value of loving another person—in the sense of love for humanity—to help that person get through painful times. He believes it is essential to think in those terms and not to limit our thinking to concepts like “empathy,” for it is the broader and deeper feeling for people that he believes leads to recovery. This means, he says, in what describes The Welcome Johnny and Jane Home Project, “I am not trying to 32 get anything from you, just here to affirm that you have value because you are also a human being. It is done genuinely from the heart and makes the other person feel heard.”56 It has been stunning to see how helpful the sessions are described as having been, even as one-time events, in breaking down that divide between a vet and their wider community. Going from no meaningful contact to having had one deeply meaningful one is a huge leap...and then the vet knows forever that there is someone in their community who has listened to them and understands). There is absolutely nothing to prevent a vet and listener from meeting for more than one session, and some have done this, and it has been fine. Silence. The best thing that you can do is to make it safe for the vet to talk and hear themselves talk. You do this by not speaking at all, except for the two sentences described above. (This means that, among other things, you will not give advice, which, although well-meant, can destroy the listener’s sense of being understood.)57 Most vets will be quick to recognize a person who is focused on listening respectfully. Remember that trust develops gradually as one feels understood.58 Some people who are considering volunteering to be listeners express the fear that they will not be able to keep silent and/or to be nonjudgmental for a long period of time. In fact, however, what actually tends to happen to them in the session is that they discover it is extremely easy to do this. To begin with, the listener informs the veteran before the session that the listener will not be speaking but will be focused totally on listening and that the purpose of that is to give the veteran the chance to say whatever they wish. Furthermore, many listeners have used the word “relieved” to describe how they felt once the session was underway, because it was the simplicity of the instruction just to listen relieved them of the usual burden in social gatherings of having to decide when to speak and what to say. It can be helpful for a volunteer listener who remains worried before doing a session to take even a few minutes to practice silent listening with a friend or family member. A college instructor told me this story: She had students who were interested in participating in The Welcome Johnny and Jane Home sessions as listeners but who were certain they could not be silent for long. She divided the class into pairs and told them one of each pair would speak for ten minutes, saying whatever they wished about anything from their lives, and the other would simply listen. Before they began, the speakers said they did not think they could speak extemporaneously for that long, and the listeners said they were sure they could not stay silent. She urged them to give it a try and told them to begin. At the end of the ten minutes, the speakers were reluctant to stop, and the listeners were surprised by how easy it had been just to listen, because it was such an unusual and positive experience to be instructed to do nothing more and to know that it mattered. Through your silence, you help the vet to feel listened to for a long time without feeling 56 David Collier, telephone interview, May 12, 2010. Graham Berman, telephone interview, March 21, 2010. 58 Ibid. 57 33 rushed, and what the vet needs to say is the focus of the session. Feeling understood helps people strengthen their sense of who they are, so it is good to let who they are emerge in the way it tends to come from the speaker. Related to this, your commitment to silent listening keeps you from trying to get the vet to speak in a whole story or even in a coherent form. To push for that can overwhelm the speaker. Be aware of the value of your silence. Silence from a supportive listener can allow veterans to find out who they are now. Many have had to flee from or cut off feelings in order to get through trauma, and your silence now allows them the chance to get back in touch with those feelings without being pressed to do anything but speak, feel, and wait. Try to be comfortable with long silences, even very long ones, and fill them with respect for the veteran’s need for them and the awareness that your silence conveys that you are there for them and do not need them to hurry to speak again. If initially you become uneasy when the vet is silent, you might be tempted to jump in and speak just to break the silence and reduce your own anxiety, but to do so can break the vet’s train of thought or feeling and limit the directions and depth of the conversation. It can make the listening session go where you want it to go rather than where the vet needs it to go. It can convey the wrong messages about the importance of the vet’s perspective and needs by making them seem secondary to yours, and it can put distance between you and the vet. When it seems appropriate, you occasionally might simply nod briefly to indicate that whatever they choose to do is fine, or you could raise your eyebrows in a way that shows you wonder if they are all right. Physical movement and expression. It's almost impossible or inhuman to sit stonefaced and silent, and that is not what we encourage you to do. Although this has not happened so far, the vet may need to take a break and resume the listening session in a few minutes or even some days later. Do not feel that it is your failing or your fault if they cannot speak straight through. Many people who have listened to vets have said that those times of total withdrawal are the times they (the listeners) felt most powerfully what war or other trauma does, the extent to which the servicemember experiences their feelings and to which feelings are sometimes unsayable. Dr. Collier recommends having at the ready the address of the nearest Vet Center or other resources where people are used to working closely with vets in nonjudgmental ways in case the vet is interested in that. Physical touching. A word about physical contact is important. Because of the very personal nature of much of what the vets may tell you—including about losses, the nature of injuries to their bodies, feelings that overwhelm them—and the degree of their suffering, you may feel inclined to take their hand, hug them, or make some other physical contact in an attempt to comfort or reassure them. But when people are suffering, it is a good idea to take your cue from them, letting them indicate whether even a caring hand on a shoulder or forearm will be helpful or whether it might take them out of their speaking, be misinterpreted in its intention, or be in a sense “too much kindness” so that more emotion comes pouring out than they are ready for. If you can think in terms of not making physical contact or at least deferring it until perhaps there is 34 a warm handshake after the session ends, you will probably discover how powerful and comforting are simple, attentive silence and waiting. Usually, listening with all your heart and focusing completely on the speaker, giving silent respect, is the best thing you can offer. Pat Barker describes a vet who is ambivalent about speaking about his experiences and the beneficial effect of his listener’s respectful attention: And so he swayed to and fro: sometimes guarding his knowledge jealously, some- times sharing it freely, sometimes spitting it out with a bitter, angry pride, sometimes almost with gratitude to Rivers, whose obvious interest in what he was being told seemed to confirm its value [my italics].59 Another reason to refrain from physically touching a veteran during the session at a time of greatly intensified feeling is to avoid interfering with their focusing on what they want, so for much the same reason that you don't speak, you don't initiate physical contact. Again, you just listen. Patience. Although military training and war experiences of course do not eliminate vets’ capacities to feel love, compassion, fear, grief, or guilt, for many, they may dramatically reduce the capacity to recognize such feelings in themselves or to allow others to see them. For this reason, it is especially important, when a vet is having any of these feelings or seeming to struggle against having them, for the listener to wait patiently and calmly and to watch for chances to affirm their validity and importance. Playwright Joshua Casteel has said that vets have to [find] words to explain [their] experiences…but [they] can’t have those words imposed on [them]. They have to be self-generated, and I think that means more than anything a willingness to be quiet until they come and friends who are willing to stay with [them] but allow [them] to be quiet so they [the words] come on their own.60 Some vets begin talking right away. Of course, some difficulties in b e gi n ni n g may concern trust, so the vet may start by speaking of relatively easy, neutral subjects. More difficult material may emerge only after such a preliminary stage is set. If vets have worries about opening up about war, it may be because they fear appearing too weak or having been too violent, because they have done things they consider shameful, because they have never been able to resolve moral conflicts or crises of meaning, because they believe that you will not understand or will not respect them, or because they are reluctant to burden or upset you. Just providing a chance for vets to speak their fears about opening up can help take away some of their force and sting. But it may take time for the vet to feel ready to talk very much. Be prepared to wait silently and respectfully and to listen for a long time. Do not feel that you are failing to do the right thing if they do not open up immediately or even in the medium term. 59 P. Barker, The Ghost Road .New York: Plume, 1995, p. 235. Aaron Glantz, The War Comes Home: Washington’s Battle against America’s Veterans, Berkeley and Los Angeles: University of California Press, 2009, pp.14-15. 60 35 Here is another reason the listener’s silence is essential: The speaker cannot possibly convey to you all of the relevant details and context, and it may take you a long time to understand how they have handled and labeled these feelings since their time at war; so if you were to voice a guess about those feelings, you would run a big risk of getting it wrong. It is not that it would always be disastrous to guess wrong, but the focus should be on listening rather than jumping in to shape the way the interaction goes or trying to translate the vet’s language or experience into your own. Best to leave that to the vet. Concern about saying the wrong thing. Some prospective listeners have expressed concerns that they will say the wrong thing in a session. You won't say the wrong thing, because you won't speak. It's amazing to see how people who are doing the listening were so used to feeling that they must always be ready to say something, find it liberating to take seriously the instruction that “You are there just to listen, and listening takes everything you've got.” It is easy if you listen as we say with 100% of your attention and with your whole heart, and you keeping in mind that the reason you're doing that is because that is how you give the veteran the gift of this time and space. Survivor guilt and other strong feelings. It is important for listeners to be aware that they may especially be tempted to speak — but when they absolutely must not — if the veteran reports having survivor guilt. Please do not say to a vet, “You shouldn’t feel guilty that they died, and you lived, because you didn’t make that happen! And look at all you’ve got to live for!” If knowing it was not their fault has not yet taken away their guilt, your telling them that will not help and can make them feel you do not understand or care how devastated they feel. Also, sometimes expressing grief about the deaths of treasured friends in the form of guilt is a way of introducing some sense of control (even though the reality of how they died may not warrant it) over losses about which their powerlessness feels unbearable. And a vet who has not yet found reasons to go on living after loss will not find those reasons from hearing us say they have much to live for. For a listener to say to a vet that they have much to live for runs the risk again of making them feel we do not understand. For those still swamped by survivor guilt or a sense that life is meaningless, the best that we can do at this moment is through our compassionate, respectful silence to make it a bit easier for them to grieve and thereby have at least a chance to move partly through and beyond it over the longer term. Grief, after all, cannot be sidestepped but must be lived through and worked through. What helps people grieve is knowing that one of two things is true: (1) “I have enough inner resources to go into the sorrow and come out at the other end,” or (2) “I have enough support from one or more other people that I feel I can go into the sorrow and come out at the other end.” We can help provide that second condition by allowing them to share their grief. What applies to grief applies in general to other strong feelings the vet has, in that fear, rage, alienation, and other emotions are normal responses to harsh realities of one sort or another, and, as with grief, it may take substantial time for a person to regain some footing by dealing with these feelings. The process varies among individuals but is likely to be helped along when we can reduce vets’ isolation and avoid pathologizing labels 36 and other vehicles of avoidance and distancing. Veterans have lived through much intense feeling, and when they have come back, part of what isolates them is that too many other people run from the intensity of their pain. Breaking down that isolation is part of what the Welcome Johnny and Jane Home Project is about. Just being with them as they talk about or relive their pain, silently bearing witness, not running from their anguish and not telling them that they should be over it by now is helpful to them. Far and away the most crucial and powerful thing the listener can do is just continue to be fully present, 100% attentive, and open with your whole heart to what the speaker is saying, or what they're feeling if they're not speaking right then. This is an eloquent sharing of the burden of their pain. To some veterans, it means a great deal. To some, it means everything. A vet may tell you of having unknowingly and under orders shot a civilian, then accuses you of thinking it was intentional. Vets who felt betrayed by their government or the military during their service or by loved ones since coming home may expect you to betray them by failing to understand what they are saying, by failing to care, by thinking ill of them, by mocking or judging or doubting them, by being fed up with listening to them. Your continued, calm, caring presence will help as much as anything to give them chance to learn that you are not betraying them in any of these ways. Keep in mind Dr. Collier’s confident statement about the importance to vets of “anybody who has a sincere heart and wants to be helpful to someone.”61 If the listener feels upset. Some listeners ask what they should do if they feel uncomfortable, sad, or otherwise upset by the things they hear during the sessions. Don't run from those feelings. Notice them, but keep your focus on this: “My job here is to listen.” And as for those who worry that they might be moved to tears, depending on what you hear, that is probably a natural reaction. It can be a part of sharing the veteran's burden, which they may have carried for a long time all alone. There is nothing wrong with having them see tears come to your eyes. Just focus on the fact that the purpose of the session is, through your respectful silence, to keep the way clear for the veteran to speak as they wish and for you to hear them. Even if you cry, if you concentrate on silently receiving what the veteran says, it will be clear to the veteran that your listening is the main priority even if you're crying. If the veteran offers to stop speaking, try smiling and shaking your head, to indicate that you want them to continue. Although anything might happen, I have not known a listener up to this point to break down completely and be unable to stop weeping during the session. Often, what you hear will feel beyond tears. Some of what a vet tells or shows you may move you deepl y. Extreme conditions cause intense feelings, and that should be cause for neither surprise nor shame. Keep in mind that you are there to clear the path for the veteran to continue to say what they wish, not for them to take care of you. It can be important to the vet to see that you are 61 David Collier, telephone conversation, April 13, 2010. 37 not a stone wall, that their words affect you. When the veteran gets upset. If the veteran starts to cry, of course you let them cry. Realize that this is probably helpful for them and that they are able to do that because you've made them feel safe. Again, be aware of the power that your respectful silence, your clear willingness to go on listening, and the absence of expressions of your disapproval or shock will have to convey the important messages to the vet. This approach is also helpful in counteracting the part of military training that can make servicemembers feel weak and overly dependent for needing or wanting to talk and for needing human connection. In fact, even expressing through speech what you consider to be approval can be counterproductive, because that can convey the message that you consider yourself in a position to judge the vet—and if you can judge something to be positive, you can raise the vet’s concern that you might judge something else to be negative. The better course is simply to keep listening and pay respectful attention, so that vets can find their own way. Be aware that it if a veteran is currently anguished, that may not be solely due to some military-related trauma but rather the interplay with other factors such as problems in primary relationships (for instance, a spouse’s failure to listen in a caring way), financial strain, and physical health problems.62 With regard to problems with life partners, emotions underpinning many fights between returned veterans and their spouses are usually the needs for more love and reassurance of being loved, and that can be the case for both partners.63 Many nonveteran spouses are unable to provide this, either because of their own personal limitations or because they are already having to bear extra burdens, including dealing with children who are thrown by the other parent’s absence and return, caring for the physical injuries of the veteran, supporting the family financially while the vet struggles to find a job. Some partners of male veterans struggle with trying to figure out how to make the vet feel “like a man” even though he may be injured, deeply distressed, or unemployed. For partners of female veterans, one challenge is trying to help the vet avoid feeling guilty or ashamed if she is not able to do as much “womanly” nurturing of others as she feels she should do. Although this is not, strictly speaking, within the topic of this book, it could only be helpful to vets’ loved ones— and thus probably to vets—for communities to focus on creating a supportive network on a massive scale for those who are vets’ spouses, friends, and helpers, as is done for caregivers to the ill, the old, or partners of addicts.) And Welcome Johnny and Jane Home Project listening sessions can certainly be done with a loved one of a veteran as well as with a veteran – that is, with the loved one meeting alone with and doing the speaking to a nonveteran. If the veteran mentions suicide. It is common for people who have suffered to talk Satel, S. Measuring the Psychic Pain of War”; K. Helliker, “You Might As Well Face It: You’re Addicted to Success,” Wall Street Journal, February 11, 2009, http://online.wsj.com/article/SB123423234983566171.html 63 L. Kaufman, “After War, Love Can Be a Battlefield,” New York Times (Sunday Styles section), April 6, 2008, 1. 62 38 about feeling suicidal, but most do not actually kill themselves. But of course it is worrying to be a listener who hears a veteran talk about suicidal feelings. If this happens, first of all, realize that it is a very good thing that they feel they can say that to you. Second, a huge risk factor for actually committing suicide is isolation, and the very act of having the listening session goes either a little or a long way toward reducing that isolation. In fact, we have heard from veterans that having the listening session was at least one major factor in their no longer feeling suicidal. Third, many people who have suicidal thoughts never tell anyone else they are having them, because they are so afraid that instead of the listener hearing that statement as a way of saying, "I am suffering," the listener will leap in and try to order them not to kill themselves, say they must be mentally ill for having such thoughts, or fall apart as though it is just too awful that the speaker feels despair. So respectful listening is often a welcome surprise to the person who voices such feelings. Fourth, as in any setting, the listener needs to know that someone who is intensely determined to kill themselves is not likely to be stopped by someone trying to prevent them, and in fact those people at greatest risk are often very likely to deny that they are in imminent danger of killing themselves; thus, the listener should not expect themselves somehow be able to know what is really going on and be able to stop it, no matter what. Finally, after the session ends, the listener is free to ask if the veteran considers themselves to be currently at risk, and if the answer is "yes," you may give them information about a specific place to call. I do not suggest giving out the number of just any entity that is described as a suicide hotline or crisis line. Let me explain why, and then I will suggest a couple of lines that appear to be good ones to call. The procedures for many such lines consist primarily of rapidly sending the caller to a mental hospital or emergency room, where they are extremely likely to be given a psychiatric label and put on one or more psychiatric drugs. Thoughts of suicide are far more common than some people realize and should not automatically be considered evidence that a person is mentally ill. Beyond that, giving someone a psychiatric diagnosis does not help them get the right kind of help and in fact carries a huge array of risks of harm.64 Furthermore, psychiatric drugs can actually increase the risk of suicide.65 Anyone who is suffering deserves help but also deserves to be informed about the whole range of approaches that can be helpful, rather than automatically being sent down the narrow path of “diagnosis, drugs, and, often, hospitalization.” Often, the most important thing that anyone can do when answering a call from someone who is talking about suicide is to listen and connect with them. This is not to say that the people who answer calls on these hotlines should not find a way to ensure the safety someone in imminent danger but rather that too often, the very mention of suicidal thoughts leads too rapidly to hospitalization and drugging. Good crisis lines train their responders to judge what is needed rather than providing a uniform, knee-jerk response. A couple of years ago, I met with the directors of the suicide prevention program of one of the branches of the military. They informed me that their two major approaches were Caplan, P.J. They Say You’re Crazy: How the World’s Most Powerful Psychiatrists Decide Who’s Normal. Reading, MA: Addison-Wesley, 1995.. 65 Whitaker, 2010. 64 39 (1) to try to convey the message that asking for help is a measure of strength, not weakness, and (2) to run a suicide hotline. The first approach is certainly worthwhile, but the military intensively trains servicemembers to be tough, so that that first approach might work with some but does not work with others. I asked the directors what happens when someone calls their hotline, and they said they are told to get “mental health services.” Those are nearly always the labeling, drugging, and often the hospitalization referred to above. When revising this chapter, I investigated many high-profile hotlines and crisis lines and some that are not well-known. I want to describe the experiences I had when calling to check them out. One of the best-known services, the one most often mentioned by colleagues whom I asked for recommendations, has toll-free numbers and several numbers with various local area codes that turn up in online searches. Over a period of several hours one evening, dialing one of those local numbers constantly elicited nothing but a busy signal. Over those same hours, another of the local numbers in a different location constantly elicited an automated message instructing the caller to dial 911 if it was an emergency and otherwise to call back. A third local number in still another state also rang busy for hours, but a man finally answered. I told him that I was revising this chapter and was looking for a number that people considering suicide could call, and I asked him what they do for such callers. I said I hoped to find a line where people would listen, be supportive, and try to maintain a meaningful and helpful connection with the caller. He replied that what they do is to send people to get "mental health care." I asked whether they have been trained at least to offer callers information about alternative, nonpathologizing, low-risk approaches that have been shown to be helpful -- such as physical exercise, meditation, volunteer work, involvement in the arts, other kinds of human connection, and having a service animal66 -- he said that they have not and that he himself does not suggest them. When I called the main toll-free number for that same crisis line group, the automated answering message immediately gave an option to press 2 if you are a veteran. I pressed 2, and a man answered right away. I told him why I was calling with regard to this chapter. I also told him about a dear friend who is a veteran and who takes three psychiatric drugs and has attempted suicide several times. I said I wondered what the people answering their line would say if I persuaded him to phone them. He told me that he would tell him to go straight to the VA. I expressed dismay, saying that it is well known that at the VA, veterans are often put on psychiatric drugs, even ranging from several to a huge number at once, and that even some of the higher-ups in the system have expressed alarm about the ways the drugs so often lead to deaths.67 I got nowhere. Around the United States and in other countries people who have themselves been through difficult times and who do not rush to recommend psychiatric diagnosis, drugs, 66 See http://www.youtube.com/playlist?list=PL51E99E866B9D735E for 28 different nonpathologizing, low-risk approaches, each described in a five-minute video with contact information for each speaker. These come from the Harvard Kennedy School website for the “A Better Welcome Home” conference held at the HKS’s Ash Center for Democratic Governance in November, 2011. 67 See also Whitaker, 2010. 40 and hospitalization are creating “warm lines” for people who are having suicidal thoughts or other kinds of upset. Many of these lines have small budgets and can only provide people to respond a few hours a day, usually in the evening, but from what I learned by contacting some, they are staffed by compassionate people who respond in helpful ways. These include one in the western part of the U.S. and one in the eastern time zone. But either of these can be called from anywhere. A warmline based in New Mexico is at 866-425-7030, and one based in New Hampshire is called Stepping Stone Warmline and is at 603-543-1388. When providing these numbers to the veteran, it is important to be conscious that veterans are more likely than non-veterans to avoid places that pathologize them. If they believe they are being provided a number for a place that is likely to pathologize them as “crazy” or “mentally ill” they may be unlikely to call. When providing the number, it is important not to overreact to their having mentioned thoughts of suicide. A simple and kind, “Here are some numbers for you if you continue to have thoughts about suicide. They are staffed by warm and caring people who will not rush to recommend psychiatric care, diagnosis, or hospitalization. I am providing them only as a potential resource should you decide you would like someone to speak to about these feelings.” Concerns about violence. The media are filled with stories of veterans being violent and I know that this may be a listener’s worst fear, and it's true that the military trains people to attack and kill, so it's understandable to wonder about it. But I can tell you that we've never had a veteran become violent in one of these sessions, although that doesn't mean it won't ever happen. I suspect that it hasn't happened so far partly because the listener does not speak, and partly because this is such a safe and quiet setting. The listener speaks only two sentences in all, and these are not about war so the speaker has a huge amount of control over what to say and when to say it and when to be silent. The veteran isn't in a position in which the other person will say something that brings up a bad memory, and you're in a quiet room with no distractions, no passersby, not much like likelihood of sudden loud noises. I think the listener's silence makes them feel safer. Beyond that, as several people have said when asked this question, people all over the globe have all through history listened to the stories of those who've returned from war and it's poignant that even with people who've not been to war, in our society we are often so frightened of each other. Of course, as you would in any kind of situation with anyone, if you feel you are in real danger — and again, this has not yet happened in our sessions, but anything is possible anywhere — you should get away or get help. Rachel Yehuda, a professor of psychiatry at Mount Sinai School of Medicine in New York, has described the experience common to many vets of feeling they are both perpetrators and victims of violence in different ways.68 Most people before going to war are decent folk with no experience of killing, maiming, or being killed or maimed, not to mention with the kinds of confusions about who is right and who is wrong that characterize current wars in so many ways. Therefore, it is not surprising for vets to be J. Dao, “Study Suggests Discussion of Killing to Help Veterans Cope with the Stress of War,” New York Times, February 14, 2010, 21. 68 41 reeling from both having killed other human beings and having been in danger of being killed. They may also be reeling from the strange combination of feelings of tremendous power, given that they had actual life-or-death power, and feelings of utter helplessness when they were the ones under attack. This is an arena in which expectations about masculinity can exacerbate the confusion. After all, if men are expected to relish their power, then what is a vet to do if he is shaken by some of the consequences of his power? And how is a woman who has been in this kind of situation to manage the expectations in society for women never to be even aggressive, never mind to commit violence? The impossibility in war of avoiding situations in which one is powerless and helpless may be little comfort to those men who believe that a real man would have remained completely unafraid. Women vets, depending on the extent to which traditional expectations about femininity have shaped them, may have more complicated feelings about their power but have less trouble dealing with powerlessness and helplessness because these are consistent with traditional feminine roles. However, women in the military are under tremendous pressure to prove that they are no different from traditional men. Naturally, however, the reactions of many women and many men are too complex and nuanced to be captured by the above description. The importance of pacing. Be aware that more will be going through the veterans’ minds than they can possibly convey to you. Imagine, for instance: A vet is trying to tell you about their vehicle hitting an IED. The vet cannot portray in words in as little time as it took to hit that IED the perceptions of all five senses and the emotions that went with them at that moment. Furthermore, because trauma is fragmenting, it can be hard for the teller to speak in a way that feels coherent and that conveys the full horror of the experience. So be prepared for the vet to proceed slowly. Sometimes it is in silences that the most important material will come to the speaker’s mind or that the speaker will gather strength to voice what has been unspoken. The importance of silence was referred to earlier, but it is worth stressing here: Do not worry about long silences being uncomfortable. This could not be more different from a cocktail party, since there is no need to keep up the pace and fill in gaps in conversation. Silences can be comfortable, indeed can be supportive and even healing, when they are filled with the listener’s careful attention to what the vet needs to do at the time. Much of this relates to what Dr. Collier describes as the importance of the concept of pacing.69 He says, “If people are going to talk about things that are difficult or traumatic, there is a tendency to think they will open up like you throw up,” that everything will suddenly come pouring out. But, he says, even if that happens, it may not be a good thing. It may not change anything except that “you’ve gotten it out of your system at that moment.” Thus, instead of wondering whether you ought to be doing anything to encourage the vet to produce an entire story about a terrible experience at once, know that your respectful silence can help allow the speaker to tell you bits at a time. Many veterans with whom I have spoken have described the importance of pacing in the way they speak. Recall Michelle Dillow, whose story about her friend’s death from an IED appeared in chapter 2. The first time we spoke, she had told me that no one 69 David Collier, telephone conversation, April 13, 2010. 42 in the Army with her in Iraq showed or spoke about their grief about the death from an IED of a soldier they called “the big guy,” whom they all had loved. Not until our fourth connection, two years after the first one, did she disclose that in all the times she had told anyone about “the big guy”, she had never until very recently been able to tell the most nightmarish fact about his death: The IED had blown his body in half. She had never forgotten that fact but had been unable to report it until she felt generally stronger and more secure about the directions her life was going. So if you feel that the vet to whom you are listening may not be telling you everything, do not regard this as your failure but rather as just what happens when people begin to speak about pain and grief. When the speaker is clearly upset, it can be from various feelings the memories bring back, it can be from frustration about the fragmented nature of the memories or the difficulty the speaker has in conveying them to the listener, or it can be from being flooded and overwhelmed as trauma survivors often become when trying to focus on difficult material. Some vets may become totally silent and go deeply into themselves, so that you may feel they have become unreachable. At that point, the listener can change position a bit or lean forward as a way gently to bring the present time and place back to the vet’s attention. When the vet’s speech comes in fragments, the very consistency of your being there as a listener can help reduce the fragmenting. You become a person whose mind and heart contain the bits of the trauma, and your presence and silent listening can provide some unity, some continuity related to the trauma. Since you were not the one who was traumatized, even though some fragments may be hard for you to put together with others, hard even for you to register or imagine experiencing completely, the fact that you listen to all of the fragments helps the veteran begin to feel less fragmented. As the vet begins to speak what has been unsayable, just listen, be with the person one moment at a time. That is the beginning. The sharing of the fragments breaks the horrible isolation that plagues so many vets, the sense of being locked in a room alone with what has till now been unspeakable. Realize that it may take a long time for the vet to be able to speak about the fragments until they begin to form a coherent narrative, and that might not happen during your session, but that is all right. To speak about trauma can be terrifying for the speaker, because it makes it real, makes it harder to go back to suppressing or distancing oneself from one’s feelings. As with going into feelings of grief, talking about trauma can mean needing to find the strength to face the reality. There is the fear of not being able to turn off intensely negative feelings once one starts to let them come out. That the listener does not fall apart will help, as writing can: Vets can experience in the continuity and wholeness of the listener something beyond the assault from their memories and the powerlessness and loneliness that they have often felt. The combination of the vet speaking in fragments and using words and phrases whose meaning you do not know—military terms, special languages of particular wars—may make it impossible for you to grasp every single detail of their experiences. Do not worry about this, and do continue to listen with full attention. Expect to feel some 43 fragmentation within yourself as in your mind you register a fact here, an intense feeling there, the shock of the losses or moral crises the speaker is describing to you, as you try to keep hold of or pull together the various details the vet tells you. But understand that it will come together bit by bit for you as you cognitively and emotionally integrate the facts and feelings. In fact, as you listen, chances are the vet will become gradually able to do some of this integration. In the words of Tony Stanton, “You just can’t organize yourself without a connection to another human being.”70 Your silence helps you resist the temptation to rush either the speaker or yourself to put the bits together; the human mind and heart were not made for this formlessness, this powerlessness, so it takes time for the trauma’s shape and meaning to become clearer. But above all, have faith that your listening – whether or not you in your own mind or the vet in speaking seems able to any extent to pull the fragments together — is likely to be helpful. You may never be exactly who you were before, in ways that to some degree parallel the ways that vets’ experiences have altered them. Part of the human condition is to be changed by what we hear, especially when we have borne witness to someone's pain and anguish. But also, listeners feel gratitude because of the veteran’s honesty and integrity. They feel that they have been through something very special, so the upsetting things they have heard are balanced somewhat by the most wonderful, positive feelings. If you want to talk after a session with someone who is experienced with this work, we will be glad to do that. It may be someone in your area, but you can also contact me any time through the listen2veterans.org website. Remember, too, this perspective: Know that you have done the great service of bearing witness, of sharing some of the pain, and that the veteran knows that and is very likely to be grateful. You will glimpse a world that you have never imagined. You will likely learn that in ways that never entered your mind, the world is not safe; you will wonder why you didn’t know, and you will find it painful now to know. Like anyone who loses their innocence, in a way you may wish you had gone on not knowing. Knowing that what the vet who sits before you is telling you is what actually happened to them will almost certainly shake you more than learning about that world in any other way, such as by watching a film. What can help after the session ends is first, finding someone you can trust, someone you can expect to be supportive, and telling them what is happening to you. In order to protect the confidentiality you promised the vet, you do not disclose the vet’s name or where the vet served or any specifics that are not necessary to convey what you are finding hard to deal with (and it is hard to think of an instance when such specifics would be necessary). Also, remind yourself of why you are doing this work with vets and why it matters to you and to the wider world (maybe review chapters 1, 2, and 7, as well as this one). Work with only one vet at a time, then take a break for whatever time you need before contacting the next one if you plan to listen to another. And make sure that you have sources of enjoyment and strength in your own life. The Two Possible Exceptions to Your Silence 70 Quoted by R. Whitaker, Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America, New York: Crown, 2010, p.349. 44 Other than the two prescribed sentences (described above) that the listener is definitely supposed to speak, there are two situations in which you might consider speaking, as long as you do so extremely briefly. (1) If the veteran expresses intense or repeated worry about upsetting the listener. If a vet seems extremely worried and asks you what you think about their experiences or if they are upsetting you, say very briefly, “I am here to listen and to concentrate totally on you, and that is the main thing.” If they say something like, “I don’t want to tell you the worst things that happened to me, because I don’t want to hurt you,” you may say, “You will not damage me. You lived through it, and I want to know and understand.” And know in your heart that hearing another person’s experiences can, instead of breaking us, make us stronger because of the connection we form with them and the greater understanding of a part of life we have not known about before. (2) If the veteran has a flashback or is triggered: “You may have heard the word "triggering" used with regard to veterans, although it is applied to others as well. It is sometimes used as though it means something bizarre and dangerous that it must be prevented or stopped at all costs, but the word can refer to anything from feeling somewhat upset to deeply upset to having a full-blown flashback, feeling as though you are reliving a terrible event. And consider this: Our society is so psychiatrized, so accustomed to putting a psychiatric and distancing interpretation on everything, that many people, including even some therapists, mistakenly believe that when another person is deeply upset that there is some technical or magical thing to do that will fix it. However, the listener need not panic and should understand these as common effects of trauma, effects that can result from a reminder of the traumatic events. Sometimes, in the middle of speaking, a vet’s voice suddenly becomes almost unrecognizably rough, the eyes taking on what is sometimes called the thousand-yard stare. Vets who were traumatized may have flashbacks, when they feel that the awful events are actually happening at the moment, reflected in sudden changes of voice, facial expression, or posture. Often traumatized vets try to keep troublesome feelings from becoming overwhelming by going emotionally numb, detaching feelings from their memories, or otherwise managing to block out the trauma. Sometimes, their blocking out goes on for decades. During a listening session, they may have a flashback or pull away from connection with you, shut down emotionally, go numb. They may stop speaking, look away from you, and be silent for a long, long time. Those are times when vets will especially need quiet, patience, and respect. Understand that these states are ways that people cope with what they feel they cannot bear, and you are there in part to bear witness and to make sure that they know they are not alone in their suffering. A troubling phenomenon has arisen, and that is “triggering” has become a scare word, as though it is disastrous and unlike any other human experience, and as though there is nothing that a nontherapist or even a therapist can do about it. This often has kept nonveterans away from veterans. In fact, what is happening at those times is familiar to vets and nonvets who have had traumatizing or even intensely upsetting experiences and who are suddenly reminded of them. At those times, they may feel intense fear or 45 confusion or grief. When this happens without their awareness at the moment that this is a memory, it is called a flashback. Too often, people mistakenly believe that a triggering, a flashback, or the thousand-yard stare, or distancing is cause for panic, for rushing into action. Just having such feelings in the presence of a caring, respectful listener can help vets find ways at least to reduce their effects. One vet told me that children spraying each other with water from a hose triggered his traumatic memory of the spray of tracer rounds from machine guns. When he sees children at play with a hose, he says, “I don’t participate. I don’t squirt them with the hose, and it is time then to go inside or find something or somewhere to go.” Psychiatrist Graham Berman observes that people who are suffering, given adequate support and compassion, are more likely to come up with these sorts of solutions than are other people to do it effectively for them.71 Their long silence is a time during which you can wait patiently, but while continuing to keep some physical distance from the vet, you might consider asking gently, “How can I help?” 71 Graham Berman, telephone conversation, March 21, 2010. 46 Summary of general guidelines Except for the two prescribed sentences, just listen, and bring respect and love of humanity to the listening session. Do not ask questions. Do not give advice. Do not judge or challenge. Do not even speak in order to offer what you believe to be a compliment. Trust the power of pacing: Do not rush the vet even through the timing of your nods or smiles. Allow them to come to trust you gradually. Trust the power of silence. Trust the power of your genuine respect and compassion to come through. Assume that in everyone there is some drive toward emotional health. Be open to hearing about factors other than the war that upset the vet. Listen for signs that the vet feels like both victim and perpetrator of violence. Listen for signs of positive, helpful steps the vet took toward others during the war. Listen for indications the vet could use help with practical matters. If you wish, you can offer help after the listening session ends and after you and the veteran have filled out the online feedback form. Be prepared to take breaks during the session if the vet suggests doing so. Be patient with yourself if you have trouble grasping information or dealing with emotions. Use physical contact not at all or exceedingly sparingly. If you wish, after the listening session ends and you and the veteran have filled out the online feedback form, raise the possibility for them to consider that they feel something other than or in addition to guilt, such as shame or fear. Opening Hearts Virtually every listener in The Welcome Johnny and Jane Project has said that the listening was transformative for them in powerfully positive ways. In the military, the forward observer goes far ahead of the others to locate the enemy, and I have come to think of the veterans who speak in our sessions as the forward observers for the rest of us. Many veterans, having confronted matters of life and death and moral anguish, are thus the forward observers of these matters for that vast majority of us who have not confronted them in these ways. The veterans’ generous speaking to us of their experiences is moving and inspiring. We learn from them. We are moved by them. Listening, we connect with human beings in a profound way that is today too rare. 47 Personally, I have found that – regardless of the veteran’s politics and beliefs and whether or not they are similar to mine – time and again I am struck by their sincerity and integrity, as well as the courage they show in speaking to me. For listeners, these aspects of the experience vastly outweigh the others. Know, however, that once a person who has been at war describes to you having seen someone’s head blown off or having watched a friend’s body catch fire, these images will never leave you. The same is true if the vet describes having been sexually assaulted or otherwise been a victim of violence or humiliation. Before you contact a vet and ask to hear them speak, take many deep breaths, and realize that once you start to listen, you will lose whatever innocence you may have, and your life will never be the same. I remember driving down a desert road in the sun one day and driving down the same road the next day—the difference being that on the first, I did not know how innocent I was, and by the second I did, because I had listened to a veteran. The difference has brought a sadness that at first seemed hard to bear, and I have asked myself hundreds of times how I could have known in some general way about war for sixty-two years but never come close to what those who have been through it have endured. Yet I know how blessed I am not to know with the immediacy with which they know. The change in what the listener knows does matter. It reminded me that the poet Susan Griffin wrote that when she gave birth to a daughter, “my heart opened to myself and all the suffering of women seemed unreasonable to me.”72 In a somewhat similar way, the vets who opened their lives and hearts to me have given me the gift of knowing how much more suffering the world holds than I had ever imagined and how important it is to try to make the suffering stop. The word that has repeatedly come to my mind when listening to vets’ experiences is sacred. Definitions of sacred include words and phrases such as “regarded with great respect,” “reverently dedicated to some person [or] purpose,” “secured against violation,” and “properly immune from violence, interference, etc.”73 The intensity of the original experience the speaker is recounting and of the pain that inhabits the vet while remembering and describing that experience are part of what make the telling and listening sacred. So, too, does the frequent combination of the tenderness, vulnerability, and humanity that underlies the pain and the strengths that have enabled the sufferer to come this far. And the privacy of many vets’ experiences, their reluctance to tell them for fear of being thought weak, cruel, or crazy, or for fear of burdening others, makes their telling all the more sacred when they do begin to speak. Their speaking can also be private in the sense that the traumatic memories can feel impossible to describe fully, in part because most of their listeners will not have been there and do not know how it looked, sounded, smelled, felt, and tasted. This makes the relating of one’s experiences risky, because there is no way to know how much the listener will be able to grasp and appreciate. I often feel awe as vets talk, and I want the time of the telling to be protected from interference, the slightest suggestion of disrespect or distraction, and certainly the infliction of further pain. 72 73 S. Griffin, “On Wanting to Be the Mother I Wanted,” Ms., January 1977, 100. See http://dictionary.reference.com/browse/sacred. 48 A Note about the Military and the VA For the military and the VA, implementing the kinds of suggestions in this chapter would require changing their own cultures (a tough job, admittedly) to incorporate a more honest acknowledgment of the emotional effects of war and a wider repertoire of responses—beyond drugs, pathologizing, and shaming—to those who are suffering. The military and the VA stand to gain much from such an approach. They would, for instance, avoid the rage directed against them for failing to listen, failing to understand the impossible positions in which they put soldiers and vets by setting superhuman standards and ignoring soldiers’ and vets’ needs. In addition to asking to hear soldiers’ and veterans’, the recommendations for therapists both in and out of the military would include depathologizing, at least a more judicious use of psychotropic drugs, individual therapists’ recognition of the limits of what they can do, and encouragement of therapists to incorporate a more community-based approach to helping vets. A Note about Resources for Further Reading, Viewing, and Assistance The original Chapter 6 in When Johnny and Jane Come Marching Home included a very partial list of resources. Rather than delay the distribution and posting of this chapter now, it will be updated over the next couple of months and added to the chapter at listen2veterans.org 49