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This site has consistently stood against the use and abuse of sick, disabled and dying Veterans and ex Servicemembers by any Government. This site is also totally opposed to the use and abuse of the ADF for Party political purposes by any Government. This site stands against using and abusing sick, disabled and dying ex Servicemembers and the ADF by ANY GOVERNMENT !

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They Just Don’t Understand
 

Certain Department of Veterans Affairs officers are charged with deciding whether or not war veterans’ claims for disability pensions are accepted or rejected.

We appreciate that it must be difficult for them, in the absence of adequate training, to understand just what it is like for a soldier on the battlefield.


So we are not surprised when sometimes, determining officers come to stupid conclusions in their Reasons for Decisions.
 
Take the case of a veteran recently downgraded when he applied for a pension increase.
 
The veteran had arrived in Vietnam as a rifleman with one of the battalions. Soon after arriving in Vietnam, his company ran into a heavily fortified Viet Cong bunker system. The company put in an attack. During the assault, the section of which our veteran was a member, came under heavy and accurate enemy automatic and RPG fire which killed the section’s machine gunner.
 
An intense fire fight developed between the section and the enemy in the bunker system, the enemy proving tenacious and determined. It was hard for the members of the section who were in the open to move without attracting accurate fire from the bunkers but even so, our veteran had repeatedly put himself in harms way to fire rockets in an attempt to bust the bunkers. After two hours of continuous fighting, the light began to fade and the order to begin breaking contact was given.
 
Our veteran’s section directed its efforts to recovering the dead machine gunner and his machine gun which lay only five metres from an enemy bunker. Our veteran was ordered to recover or destroy the machine gun. ‘Without regard to his own safety’ he crawled, under intense enemy fire, to the machine gun and dragged it, intact, to safety. The section then broke contact. Later in his tour of duty, our veteran witnessed the worst of all events; two of his own section killed by ‘friendly’ fire.
 
In 2003, our veteran, fearing he was suffering Post Traumatic Stress Disorder, applied for a disability pension. The Department rejected his claim, declaring he was not a PTSD sufferer. On appeal to the Veterans Review Board, the diagnosis of PTSD was confirmed and our veteran was awarded a general rate pension.
 
On two subsequent occasions, our veteran applied for increases due to a worsening of his condition, and they were granted by the Department. Our veteran’s condition worsened again so that he was unable to continue working. In consequence, he applied again for an increase. This time, not only was the increase refused, but the determining officer decided he was not suffering from PTSD. His pension was reduced from 100% to 30%. The determining officer gave as one of his reasons for declaring that our veteran did not suffer PTSD, the following:
 
“…I wish to note a point regarding the post traumatic stress disorder, considering the Statement of Principle concerning this condition. One of the requirements of this Instrument concerning the definition of this condition is that the ‘person has been exposed to a traumatic event in which:

(i) the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others; and
(ii) the person’s response involved intense fear, helplessness, or horror.’ “It is not doubted that [the veteran] was involved in combat, was in danger of his life and saw the deaths of others.

However in none of the psychiatric reports concerned with his experiences in Vietnam is there mention that his reaction to these incidents involved the requisite intense fear, helplessness or horror. Indeed Dr White has advised that although these events were distressing, there was no description of psychiatric symptoms at the time. So the evidence shows that [the veteran] did not exhibit the required reactive emotional distress at the time of these events.”

 

So Dr White said there was no description of psychiatric symptoms at the time. Of course there weren’t. If such symptoms were displayed by soldiers experiencing fear, helplessness or horror on the battlefield there would be such chaotic behaviour as to put the survival of the military unit in very great danger indeed. That is why a great deal of army training is devoted to soldiers suppressing their reactions to fear, helplessness or horror.

 

So what are the natural reactions to fear, helplessness or horror? There are four of them. The most common reaction is to run away. Another is to freeze, unable to move. Another is to be overcome and faint. The fourth, less common, reaction is blind, irrational aggression.

 

Army training replaces these natural reactions to fear, helplessness or horror with alternative reactions. Army training does this by endless repetition of ‘contact drills’ and the continuous inculcation of obedience to orders. If the natural reactions to fear etc were not replaced by these drills and the following-of-orders, the variety of natural reactions by the soldiers would cause the group to disintegrate as a fighting unit and place all its members in grave danger. The suppression of these natural reactions to fear etc, then, is necessary for the survival of the group on the battlefield.

 
So let’s take our veteran for an example.
 

The next question to ask is: ‘Did our veteran experience intense fear, helplessness or horror. Only a fool would suggest that the extremely dangerous and distressing events he endured did not produce these emotions in our veteran. Only a robot would remain unaffected under these extreme circumstances. But our veteran’s army training ensured he responded in ways that did not endanger the survival of the group. Indeed, our veteran’s army training enabled him to suppress his fear to such a degree that he was able to carry out acts of great bravery.

 

So it is indeed stupid of any determining officer to use the fact that a soldier ‘did not exhibit the required reactive emotional distress at the time of these events’ as a reason for declaring he does not suffer from PTSD.

 

Of course, the suppressing of the emotions of fear, helplessness or horror does not eliminate them. They remain suppressed only to emerge later in a variety of destructive ways. This is why there is a diagnosis called Delayed Post Traumatic Stress Disorder. This is why psychiatrists have tried to cure veterans by ‘flooding’ them with horrible images of war in an attempt to release these suppressed emotions. (It should be noted that the results of some attempts of ‘flooding’ have been disastrous with the veterans unable to cope with the intensity of the released emotions). This is why the Vietnam Veterans Counselling Service has a sharp increase in clientele after Anzac Day; the veterans’ suppressed emotions having been triggered by the days events.

 

Soldiers’ army training has proved very successful at enabling them to suppress these emotion so they can carry on fighting effectively. Medical science has not been as successful at preventing these suppressed emotions from doing a great deal of damage, both psychological and physical, to veterans in later life.

 

This flawed reasoning was not the only criticism we have of the decision to declare our veteran does not suffer PTSD. There is the issue of preferring the report of the Department-selected psychiatrist (one who regularly appears for insurance companies) over the report of the veteran’s treating psychiatrist. Of course, the veteran’s treating psychiatrist knows the veteran and his problems much better than a Department-appointed psychiatrist who usually sees the veterans only once. This is an old injustice veterans have always suffered and about which we have continuously complained. There is no doubt that in all fairness the treating psychiatrist’s opinion should carry more weight.

 

We have written to the Department suggesting an injustice has been done ‘our veteran’ for these and other reasons. It can only be hoped the decision is reversed.

It is also hoped the Department realizes there is a need to better train their determining officers.
 
 
 
Vietnam Veterans Federation of Australia
vvfagran@bigpond.net.au
© Copyright 2002-05 by the Vietnam Veterans Federation of Australia Inc.
All rights reserved.
 

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"OUR LIVES BEGIN TO END THE DAY WE BECOME
SILENT ABOUT THINGS THAT MATTER" -- Martin Luther King

I Believe It Is Better To Die On Your Feet Than Live On Your Knees"...John (Blue) Ryan...TPI Federation President and Vietnam Veteran."

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VET AFFAIRS MINISTER NEWS   CLICK LINK
 

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 4 Mayl 2008 

This Site was Originally Published
on 10 March 2002


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