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"Psychological Effects of Combat"

Physiological Arousal and Fear

The soldier in combat endures many indignities. Among these can be endless months and years of exposure to desert heat, sweltering jungle, torrential rains, or frozen mountains and tundra. Usually the soldier lives amidst swarming vermin. Very often there is lack of food, lack of sleep, and the constant uncertainty that eats away at the combatants' sense of control over their lives and their environment. But, bad as they are, all of these stressors can be found in many cultural, geographic, or social circumstances, and when the ingredient of war is removed individuals exposed to these circumstances do not suffer mass psychiatric casualties.

To fully comprehend the intensity of the stress of combat, we must keep these other stressors in mind while understanding the body's physiological response to combat, as manifested in the sympathetic nervous system's mobilization of resources. And then we must understand the impact of the parasympathetic nervous system "backlash" that occurs as a result of the demands placed upon it. The sympathetic nervous system (SNS) mobilizes and directs the body's energy resources for action. It is the physiological equivalent of the body's front-line soldiers who actually do the fighting in a military unit. The parasympathetic nervous system is responsible for the body's digestive and recuperative processes. It is the physiological equivalent of the body's cooks, mechanics, and clerks who sustain a military unit over an extended period of time.

Usually the body maintains itself in a state of homeostasis, which ensures that these two nervous systems maintain a balance between their demands upon the body's resources. But during extremely stressful circumstances the "fight-or-flight" response kicks in and the SNS mobilizes all available energy for survival. This is the physiological equivalent of throwing the cooks, mechanics, and clerks into the battle. This process is so intense that soldiers very often suffer stress diarrhea due to redirecting of energies from nonessential parasympathetic processes, and it is not at all uncommon to lose control of urination and defecation as the body literally 'blows its ballast" and redirects all available energy in an attempt to provide the resources required to ensure survival. This is reflected in World War II surveys in which a quarter of combat veterans admitted that they urinated in their pants in combat, and a quarter admitted that they defecated in their pants in combat.

A combatant must pay a physiological price for an enervating process so intense. The "price" that the body pays is an equally powerful "backlash" when the neglected demands of the parasympathetic nervous system become ascendant. This parasympathetic backlash occurs as soon as the danger and the excitement is over, and it takes the form of an incredibly powerful weariness and sleepiness on the part of the soldier.

Napoleon stated that the moment of greatest danger was the instant immediately after victory, and in saying so he demonstrated a powerful understanding of the way in which soldiers become physiologically and psychologically incapacitated by the parasympathetic backlash that occurs as soon as the momentum of the attack has halted and the soldier briefly believes himself to be safe. During this period of vulnerability a counterattack by fresh troops can have an effect completely out of proportion to the number of troops attacking.

It is basically for this reason that the maintenance of an "unblown" reserve has historically been essential in combat, with battles often revolving around which side can hold out and deploy their reserves last. Clausewitz understood the danger of reserve forces becoming prematurely enervated and exhausted (and he provides insight into the root cause of the enervation) when he cautioned that the reserves should always be maintained out of sight of the battle.

In continuous combat the soldier roller-coasters through a seemingly endless series of these surges of adrenaline and their subsequent backlashes, and the body's natural, useful, and appropriate response to danger ultimately becomes extremely counterproductive. Unable to flee and unable to overcome the danger through a brief burst of fighting, posturing, or submission, the bodies of modern soldiers in sustained combat exhaust their capacity to enervate. They slide into a state of profound physical and emotional exhaustion of such a magnitude that it appears to be almost impossible to communicate it to those who have not experienced it.

Most observers of combat lump the impact of this physiological arousal process under the general heading of "fear," but fear is really a cognitive or emotional label for nonspecific physiological arousal in response to a threat. The impact of fear and its attendant physiological arousal is significant, but it must be understood that fear is just a symptom and not the disease, it is an effect but not the cause. To truly understand the psychological effects of combat, we must understand exactly what it is that causes this intense fear response in individuals. It has become increasingly clear that there are two key, core stressors causing the psychological toll associated with combat. These stressors are: the trauma associated with being the victim of close-range, interpersonal aggression and the trauma associated with the responsibility to kill a fellow human being at close range.

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Encyclopedia of Violence, Peace, and Conflict, Volume 3, p.159
© 1999 by Academic Press. All rights of reproduction in any form reserved.


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