It is not just the man becoming a victim, but it's the society that makes it convenient for him.
There has been a recent increase of suicide in the military, and those returning home from the military are displaying more and more psychological problems. This was true of my patient, whom I will call Mr. Smith for confidentiatlity reasons. Mr. Smith is a 35 year old male with a 27 year old wife and one child, a 4 year old daughter. He was away in Iraq for two years and recently returned home. When he came back, his wife and daughter immediately noticed a change. He did not sleep because of his nightmares, and he was much more angry and violent. Hence, they sought out help because he refused to get help. It was becoming obvious that he had lost his comprehension of himself.
PTSD was "discovered" after the various traumas from the War. It develops mostly after experiences like, combat fatigue, war trauma, rape child abuse. The diagnosis are anxiety, depression, flashbacks of the trauma, hypervigilance, avoidance of things that may trigger to remember the trauma. All of these factors were present in Mr. Smith. PTSD had shifted the attention of the disturbed mental health and psyche of the veteran to the nature of the traumatic war. PTSD has made him a victim of the roles imposed to them by the US military.
After a violent argument with his wife, Mrs. Smith finally called for health. Social workers met with the family in order to assess what could be done. Mr. Smith was very resentful because of this. The pathologization of the psychosocial intervention made by agencies makes the individual's esteem low. The individual sees an outsider coming to help them, and concludes that they do not need it. They have their own coping strategies, their own culture and of course pride. The programmes come in to the community as an outsider and a "better way out" to problems than the locals have. This already makes the relationships between the two not so favorable, especially when the aides have to intrude themselves in to the individual's life. Mr. Smith clearly showed this attitude to the intervening social workers. For some time he refused to speak with any of us. However, eventually his wife and daughter convinced him to progress with the meeting, and he did. As things progressed, we allowed him to open up to us and tell us about some of the atrocities of the war. By listening empathetically and allowing him to tell his stories when he felt comfortable, we were able to break through. Using a caring and sensitive social approach to his issues and reassuring him that his recent difficulties were not his fault seemed to break through to him. We all thanked him for sacrificing his life (and his health) for his country, but reminded him that he could be sacrificing his family life by continuing to act the way he did. Again, we insisted that we understood his actions were not intentional.
When it was explained to Mr. Smith that he was a victim, he began to understand more and more that his behavior was out of control, and that this was through no fault of his own. By giving him a diagnosis and reassuring him that he could be helped, we were able to develop a bond of trust with him. Socially, Mr. Smith became more interested in receiving help