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  • The Evil Hours

    ‘The Evil Hours,’ by David J. Morris

    By JEN PERCY
    The field of psychiatric studies exploded during World War II because of an influx of traumatized soldiers. War is a kind of grand opening for studies of the mind. Historically, interest in trauma studies rises sharply during wartime, then wanes in its aftermath. But this time, even as the wars in Iraq and Afghanistan recede from public attention, rates of post-traumatic stress disorder have continued to increase. PTSD is currently the fourth-most-common psychiatric disorder in America.

    “And yet,” David J. Morris, a journalist and former Marine infantry officer who suffered from PTSD, writes in his stunning new book “The Evil Hours: A Biography of Post-Traumatic Stress Disorder,” “like many mental health disorders, there is a broad disagreement about what exactly PTSD is, who gets it and how best to treat it.” “The Evil Hours” is a provocative, exhaustively researched and deeply moving analysis of traumatic memory and how we make sense of it. This book will teach you that a failure to understand this disorder is a failure “to acknowledge that trauma is part of the human condition,” and that to turn away from its history is to make yourself complicit in a plague of American disengagement. “No other people in history is as disconnected from the brutality of war,” Morris writes, “as the United States today.”

    When Morris returned home for treatment, he discovered that most Veterans Health Administration workers were unfamiliar with the literature from which an awareness of PTSD emerged, “nor did they possess an even rudimentary understanding of the global war on terror.” At one point, Morris gave a copy of Thomas E. Ricks’s “Fiasco” to his therapist to make sure he understood the war in Iraq.

    Without a decade-long campaign led by a group of anguished Vietnam vets, “PTSD as we know it,” Morris writes, “would not exist.” PTSD was not recognized as an official disorder until 1980. And when it did not exist — when it did not have a name — the sufferers were thrown into erroneous categories. During World War I, traumatized soldiers were viewed as cowards, and 306 hysterical soldiers were shot; hundreds more were subjected to electric treatment. During the Vietnam War, such individuals were considered schizophrenics. In the 1970s one V.A. psychiatrist called the idea of PTSD an “insult to brave men.”

    Now is an important time to reflect not only on America’s folly in Iraq and Afghanistan but also on the way the wars have influenced us at home. Just how individuals respond to terror and are cared for by their country is largely a product of culture; the wake of grief is always wider than the individual, and as a nation we ought to engage communally in looking after our own. And, Morris says, when the grief of trauma is experienced by persons with “a lack of ritual and authentic public engagement in the war-making process,” the likelihood of PTSD increases. How can people bear such weight without social support? In the end this is a book not just about the health of the survivor, but also about the health of the entire culture.

    “In retrospect, it seems that PTSD spoke to something in us at the end of the 20th century, as if the diagnostic concept held up a fractured mirror to ourselves, revealed how fragmented human consciousness had become. In time, PTSD would break out of the V.A. clinics and begin to insinuate itself into the dream life of the culture in a distinctly civilian fashion.”

    Though it has taken decades for PTSD to be recognized as an official psychiatric condition, the sharp rise in cases may suggest that “it’s a medical concept that serves (however crudely) a deeper mythic need.” Perhaps these are wounds we fail to heal because PTSD actively destroys a self-preserving narrative. “Soldiers,” Morris writes, “are ultimately vessels and vassals of the state, and they do not go to war of their own accord, so why shouldn’t the state or the community help relieve them of their guilt when they return home?” Morris’s use of the word “guilt” draws on the work of Jonathan Shay, a prominent trauma scholar, who coined the term “moral injury,” expanding on the idea of PTSD to include injuries of the moral conscience. Shay believes PTSD is not an illness but a normal reaction to an abnormal event — and he defines moral injury as a result of the “betrayal of ‘what’s right’ in a high-stakes situation by someone who holds power.” PTSD, Morris comes to believe, “is, in a manner of speaking, a way of institutionalizing moral outrage.”

    Morris takes the reader through several survivor stories: from the mountain climber Joe Simpson to a friend who was raped at 19. He introduces us to modern and archaic theories of trauma and to the “psychological supermarket” of alternative treatments. (One of the most controversial but promising of these is a common heart drug called propranolol, which can reconsolidate and dampen intense emotional memories.) Morris also turns to literature to understand PTSD, going to works as far back as “The Epic of Gilgamesh” and as recent as Alice Sebold’s “The Lovely Bones.” One senior V.A. psychiatrist told Morris that the “central image” of PTSD takes place at the end of “Moby-Dick,” when Ishmael is floating atop Queequeg’s coffin, staring off at the vastness of the ocean. “In a sense,” Morris writes, “nothing has changed, and today’s trauma survivors can take great comfort in knowing that they are confronting the same horrors that Achilles faced 4,000 years ago.”

    But it’s Morris’s personal experience of Iraq and its aftermath that lends “The Evil Hours” its impressive essayistic quality — setting it apart from other clinical literature on the topic and making the book compulsively readable. The narrative is driven by a constant authorial intelligence and a genuine curiosity. We can see Morris’s mind working through questions on the page — and this is a great pleasure because it invites the reader to do the same.

    In 2004, Morris was present as a reporter for bloody battles in Fallujah and Ramadi. “Spooky,” he writes, “is just a word in your mouth until you have heard the sunset call to prayer in a half-rubbled city surrounded by Al Qaeda fighters.” He was shot at, blown up and lost many friends. Back home, the love of his life told him, “You go off into this other place, and it’s like I can’t reach you.”

    In the succeeding years, Morris has continued to feel as if it’s 2004. The past infiltrates the present. And because there is no cure for traumatic memory, Iraq will continue to make itself known. He describes it this way: “Once it enters the body it stays there forever, initiating a complex chemical chain of events that not only changes the physiology of the victims but also the physiology of their offspring.” Morris enters what he calls a “liminal” state, a kind of “underworld” where time warps and dreams are intel briefs from the unconscious. He thinks about apophenia, a coined Greek term for finding patterns where there are none. He becomes “a watcher of night skies, of cloud formations, of shooting stars.”

    “The war had hurt me,” he writes. “I wanted the country to feel some of that hurt.” Yet, at home, he could barely begin to describe what he had seen because no one in America was listening. “I realized that the problem wasn’t just that they didn’t understand the war but that they didn’t want to understand it. What I had to say was not only inconvenient to their peace of mind but a tangible threat to it.”

    “The Evil Hours” is an essential book not just for those who have experienced trauma, but for anyone who wants to understand post-9/11 America. Reading it will make you a better and more humane citizen.


    THE EVIL HOURS
    A Biography of Post-Traumatic Stress Disorder
    By David J. Morris
    358 pp. An Eamon Dolan Book/Houghton Mifflin Harcourt. $27.


  • #2
    Re: The Evil Hours

    Excellent piece, Don. Two quotes fairly jumped out at me:

    “No other people in history is as disconnected from the brutality of war,” Morris writes, “as the United States today.”
    AND

    “The war had hurt me,” he writes. “I wanted the country to feel some of that hurt.” Yet, at home, he could barely begin to describe what he had seen because no one in America was listening. “I realized that the problem wasn’t just that they didn’t understand the war but that they didn’t want to understand it. What I had to say was not only inconvenient to their peace of mind but a tangible threat to it.”
    The mindset is a familiar one and we encounter it nearly every day some idea inconvenient and threatening to peace of mind comes up. "[T]he problem wasn’t just that they didn’t understand ... but that they didn’t want to understand."

    Bought the book on the strength of the review. Can't wait to dive in. Thanks for sharing.

    Comment


    • #3
      Re: The Evil Hours

      Boxing training has helped some of my PTSD comrades-in-arms.

      Looking forward to the book as well.

      Comment


      • #4
        Re: The Evil Hours

        In related news . . .

        ‘Khirbet Khizeh,’ by S. Yizhar

        By DEXTER FILKINS
        Nearly 70 years ago, an intelligence officer with the newly formed state of Israel moved with a group of soldiers into a Palestinian village whose women, children and old people were rounded up, herded into trucks and sent across the border. The village was demolished to make way for the new Jewish state. The deportation was a small piece of the Palestinian exodus — some of it at gunpoint, some of it not — that accompanied the upheavals of the birth of Israel in 1947 and 1948.

        We don’t know the name of the village that the intelligence officer, Yizhar Smilansky, moved into that day, or exactly what he saw. But the events he witnessed so haunted Smilansky that he wrote a novella about his experience and gave it the same name as the fictional place where he set his story: “Khirbet Khizeh.” The book, published in Hebrew in 1949 under the pen name S. Yizhar, became a landmark of Israeli literature, sparking debate over successive generations about the events that attended the formation of the Jewish state; it has been part of the curriculum of Israel’s schools. Remarkably, “Khirbet Khi*zeh” was translated into English only in 2008, and it wasn’t published in Britain until 2011; it has now been brought to the United States for the first time by Farrar, Straus & Giroux. (Smilansky died in 2006.)

        For all the controversy the book has generated, “Khirbet Khizeh” tells a simple story: Under orders from above, a unit of Israeli soldiers expels the Palestinian inhabitants of Khirbet Khizeh. No one, so far as we can tell, is killed; the young men of the village have already fled. The operation is completed in less than a day. We aren’t told precisely why the village is being evacuated, or what is happening in other parts of Israel as the operation *unfolds.

        And yet this narrow focus gives the book its extraordinary emotional force. “Khirbet Khizeh” is told in the first person, by an Israeli soldier who participates in the operation. Over the course of the day, he is swamped by feelings of ambivalence, revulsion, complacency and resignation — even as the soldiers around him carry out their jobs without, apparently, feeling much of anything. The Palestinians, mostly passive and mostly silent, condemn their enemies by glances that will prove unforgettable. As the story moves forward, the operation to deport the inhabitants of Khir*bet Khizeh forms a kind of scar, not just on the narrator’s psyche but, you begin to imagine, on Israel itself. It is difficult to read this book and not feel deeply disturbed.

        The events depicted in “Khirbet Khi*zeh,” though fictionalized, mirror, at least in part, the chaotic events that surrounded the founding of Israel. The war began in 1948, following the departure of the British from the region and its proposed partition by the United Nations into separate Israeli and Palestinian states. With that, the armies of Egypt, Jordan, Iraq and other Arab countries attacked, hoping to eradicate the Jewish state and take the spoils for themselves. The Israelis, fearing extinction (the Holocaust had ended only three years before), struck back; in the course of the fighting, they not only repelled the invading armies but also set the Palestinians — some 700,000 of them — to flight.

        It’s not a pretty picture, but war never is. Israeli historians, most notably Benny Morris, have painstakingly documented the exodus of the Palestinians and, more problematically, the causes of their flight. In his book “The Birth of the Palestinian Refugee Problem Revisited,” Morris lists the dozens of villages from which Palestinian civilians either fled military assault, left because they feared it, or, in more than 40 villages, were expelled outright by Israeli forces. Most historians who have examined the mass departure have found no formal Israeli plan to remove the Palestinians; the expulsions, it seems, grew out of the exigencies of the moment. Still, the actions were sometimes brutal: In the city of Lydda, now known as Lod and the site of Ben-Gurion International Airport, an Israeli unit killed at least 100 civilians. To this day, Palestinians refer to the events of 1948 as “al-Nakba,” i.e., the *Catastrophe.

        Two things give “Khirbet Khizeh” lasting significance. The first is the intimate, personal scale on which it’s composed. In Smilansky’s story, the narrator — as he gathers the Palestinians for expulsion — is tormented by his own actions, but immersed in a group of soldiers who are mostly untroubled, he goes along. Readers get to witness the terrible conversation the narrator is having with himself as he takes part in the expulsion: “Because if it had to be done let others do it. If someone had to get filthy, let others soil their hands. I couldn’t. Absolutely not. But immediately another voice started up inside me singing this song: bleeding heart, bleeding heart, bleeding heart.” Later, and most provocatively, Smilansky suggests that the Palestinians leaving on trucks resemble the Jews being deported to the Nazi concentration camps. The victims, that is, are now the oppressors:

        “I felt that I was on the verge of slipping. I managed to pull myself together. My guts cried out. Colonizers, they shouted. Lies, my guts shouted. Khirbet Khizeh is not ours. The Spandau gun never gave us any rights. Oh, my guts screamed. What hadn’t they told us about refugees. Everything, everything was for the refugees, their welfare, their rescue . . . our refugees, naturally. Those we were driving out — that was a totally different matter. Wait. Two thousand years of exile. The whole story. Jews being killed. Europe. We were the masters now.”

        As Khirbet Khizeh empties, you begin to share the narrator’s feelings of deep loneliness. Having taken part in an action to which he profoundly objects, he realizes that both he and the new country whose establishment he supports will be forever marked. The expulsion of the Palestinians might have been an unavoidable consequence of the establishment of Israel, but that doesn’t make it any easier to bear.

        And that’s the other source of the power of “Khirbet Khizeh”: its connection to the present. Whatever the reasons for the flight of the Palestinians, the government of Israel has not permitted them to return. Smilansky went on to become a longtime member of the Knesset, the Israeli Parliament. The 700,000 Palestinians have become the five million — of Jordan, Lebanon and other places. The main body of land that was left for the Palestinians — the West Bank — is now also home to some 350,000 Israeli settlers, with another 300,000 Israelis living in East Jerusalem, which the Israeli government annexed after the 1967 war.

        At one point in his story, the narrator begins to imagine what will happen to the earth on which Khirbet Khizeh sits, after the Palestinians are gone: “We’d open a cooperative store, establish a school, maybe even a synagogue. There would be political parties here. They’d debate all sorts of things. They would plow fields, and sow, and reap, and do great things. Long live Hebrew Khizeh! Who, then, would ever imagine that once there had been some Khirbet Khizeh that we emptied out and took for ourselves.” Then Yizhar Smilansky offers an answer, one that, over the years, has proved only too accurate. “The people who would live in this village — wouldn’t the walls cry out in their ears?”


        KHIRBET KHIZEH
        By S. Yizhar
        Translated by Nicholas de Lange and Yaacob Dweck
        127 pp. Farrar, Straus & Giroux. Paper, $14.

        Comment


        • #5
          Re: The Evil Hours

          Originally posted by don View Post
          THE EVIL HOURS
          A Biography of Post-Traumatic Stress Disorder
          By David J. Morris
          358 pp. An Eamon Dolan Book/Houghton Mifflin Harcourt. $27.

          As someone who struggles with complex PTSD I'm very much looking forward to reading this. Interesting coincidence that you posted this today, the first Wednesday of March being the fourth anniversary of my husband's death. This year it falls on my birthday. I can't celebrate my birthday anymore. This week and the weeks leading up to it always make me a basket case now.

          Be kinder than necessary because everyone you meet is fighting some kind of battle.

          Comment


          • #6
            Re: The Evil Hours

            Take heart, Shiny. You are in our thoughts in this time.

            Based on what you have written in the past, your life is a powerful testament to values you and your husband shared, and continually honors his memory. That may not make his tragic loss less painful in this week, but I wanted you know that your sharing of his memory has broadened the impact of your husband and his life, by touching many others'.

            You are not alone.

            Comment


            • #7
              Re: The Evil Hours

              Thank you for your kind thoughts, Astonas. It helps.

              Be kinder than necessary because everyone you meet is fighting some kind of battle.

              Comment


              • #8
                Re: The Evil Hours

                Interesting coincidence that you posted this today, the first Wednesday of March being the fourth anniversary of my husband's death. This year it falls on my birthday. I can't celebrate my birthday anymore. This week and the weeks leading up to it always make me a basket case now.
                Shiny: my condolences. Hang in there.



                “The war had hurt me,” he writes. “I wanted the country to feel some of that hurt.” Yet, at home, he could barely begin to describe what he had seen because no one in America was listening. “I realized that the problem wasn’t just that they didn’t understand the war but that they didn’t want to understand it. What I had to say was not only inconvenient to their peace of mind but a tangible threat to it.”
                I also feel that "war" has become too "easy" for us. No war tax, no war bonds, no victory garden, no rationing. The only ones involved are the soldiers. I was so embarrassed when, during 9/11 we took many of our "leaders", and stuck them in underground bunkers to keep them "safe". If you're safe you're not a leader.

                Comment


                • #9
                  Re: The Evil Hours

                  Originally posted by LorenS View Post
                  Shiny: my condolences. Hang in there.
                  Thanks.

                  I also feel that "war" has become too "easy" for us. No war tax, no war bonds, no victory garden, no rationing. The only ones involved are the soldiers. I was so embarrassed when, during 9/11 we took many of our "leaders", and stuck them in underground bunkers to keep them "safe". If you're safe you're not a leader.
                  You're absolutely right. If we were to reinstate the draft these endless wars would suddenly stop being invisible and therefor too easy. The last time we had a draft we had massive, MASSIVE anti-war demonstrations.

                  Be kinder than necessary because everyone you meet is fighting some kind of battle.

                  Comment


                  • #10
                    Re: The Evil Hours

                    There are PLENTY of other countries and cultures as disconnected as the US from the brutality of war.

                    Simply catch a flight from Kabul, Irbil, Nairobi, Tripoli, or Sana'a to Dubai.

                    Having made a few of those trips I'd argue it's a wider, faster sensory and psychological disruption in terms of velocity and scale of change from brutal war to apex opulence.

                    Horrifyingly detached, absurd, surreal, and fast.

                    The "no other" referring to the US is just as silly as "greatest country in the world" Bruckheimer-esque melodrama that much of the 1st world chuckles at.

                    -----

                    The D in PTSD is what I have issue with.

                    Disorder is not an implication, but a direct statement that those effected by trauma are broken or defective.

                    It could be argued that Post Traumatic Stress responses by those exposed to stressors are perfectly logical and understandable akin to a psychological equivalent to Newton's Third Law of Motion.

                    Maybe for every traumatic action, there is an equal and opposite psychological reaction for those whose psyche adhere to mental physics.

                    -----

                    Hopefully the book covers the "psychological decompression sickness or bends".

                    Just as divers need to decompress upon returning to the surface, so do those returning from high tempo complex urban combat operations or any other exposure to very high levels of stress.

                    Vietnam saw the first mass use of high speed, high volume global transport. Taking soldiers from combat operations to home in hours to days, instead of the weeks to months of previous generations. Ask some Vietnam vets.

                    The film Hurt Locker was a terrible mess of a military/war movie. It was Hollywood's ridiculous joke masquerading pretending to be real.

                    But one tiny slice of that film relates to this thread in the scene at the end of the film where the actor is standing in the cereal aisle of an American supermarket. That hits the bullseye of "psychological bends" from high velocity change in environment.

                    Thankfully, large conventional units/formations often have post tour decompression stops in recent years to ease the transition.

                    i've always been strongly attracted like a mozzie to a bug light to the highest contrast and most egregious disparities from the bad places to home(or stops along the way).

                    I've had a ritual of stopping at a particular place for a burger and shake in Dubai and just watching everything in the local orbit that is as distant to where I had just been which was akin to the Dark Ages on planet Mars.

                    -----
                    Shiny! Hopefully you find the ways and means to cope and dull the sharp edges of the trauma if not the good and timeless memories.

                    Comment


                    • #11
                      Re: The Evil Hours

                      Thanks, lakedaemonium.

                      From what I've read, the extent that the adrenal glands are stressed at the time of the traumatic event makes a big difference in outcome. High levels of cortisol make the brain remember- even fixate- on bad memories at the expense of being able to retain good memories. That's probably a self-protective evolutionary mechanism at work.

                      War is hell on the hypothalamic-pituitary-adrenal (HPA) axis. Medicine has been slow to make the connection between adrenal dysfuncton, psychological and physical ailments. They only recognize full-blown adrenal failure (Addison's Disease), but not adrenal exhaustion, when the adrenals are still functioning but sub-optimally.

                      This is a good article from the NIH:
                      Post-traumatic stress disorder: the neurobiological impact of psychological trauma

                      Unfortunately, doctors are way behind the curve when it comes to treating adrenal dysfunction short of Addison's Disease. They don't recognize it. There isn't even a medical code to bill for it! Patients with adrenal dysfunction can often do better by seeing Naturopathic doctors experienced in treating adrenal fatigue.

                      Be kinder than necessary because everyone you meet is fighting some kind of battle.

                      Comment

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