Good article on the fallout of war.
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Mr. Sepi did not like to venture outside too late. But, plagued by nightmares about an Iraqi civilian killed by his unit, he often needed alcohol to fall asleep. And so it was that night, when, seized by a gut feeling of lurking danger, he slid a trench coat over his slight frame — and tucked an assault rifle inside it.
“Matthew knew he shouldn’t be taking his AK-47 to the 7-Eleven,” Detective Laura Andersen said, “but he was scared to death in that neighborhood, he was military trained and, in his mind, he needed the weapon to protect himself.”
Head bowed, Mr. Sepi scurried down an alley, ignoring shouts about trespassing on gang turf. A battle-weary grenadier who was still legally under-age, he paid a stranger to buy him two tall cans of beer, his self-prescribed treatment for post-traumatic stress disorder.
As Mr. Sepi started home, two gang members, both large and both armed, stepped out of the darkness. Mr. Sepi said in an interview that he spied the butt of a gun, heard a boom, saw a flash and “just snapped.”
In the end, one gang member lay dead, bleeding onto the pavement. The other was wounded. And Mr. Sepi fled, “breaking contact” with the enemy, as he later described it. With his rifle raised, he crept home, loaded 180 rounds of ammunition into his car and drove until police lights flashed behind him.
“Who did I take fire from?” he asked urgently. Wearing his Army camouflage pants, the diminutive young man said he had been ambushed and then instinctively “engaged the targets.” He shook. He also cried.
“I felt very bad for him,” Detective Andersen said.
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Clearly, committing homicide is an extreme manifestation of dysfunction for returning veterans, many of whom struggle in quieter ways, with crumbling marriages, mounting debt, deepening alcohol dependence or more-minor tangles with the law.
But these killings provide a kind of echo sounding for the profound depths to which some veterans have fallen, whether at the bottom of a downward spiral or in a sudden burst of violence.
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“When they’ve been in combat, you have to suspect immediately that combat has had some effect, especially with people who haven’t shown these tendencies in the past,” said Robert Jay Lifton, a lecturer in psychiatry at Harvard Medical School/Cambridge Health Alliance who used to run “rap groups” for Vietnam veterans and fought to earn recognition for what became known as post-traumatic stress disorder, or PTSD.
“Everything is multicausational, of course,” Dr. Lifton continued. “But combat, especially in a counterinsurgency war, is such a powerful experience that to discount it would be artificial.”
Few of these 121 war veterans received more than a cursory mental health screening at the end of their deployments, according to interviews with the veterans, lawyers, relatives and prosecutors. Many displayed symptoms of combat trauma after their return, those interviews show, but they were not evaluated for or received a diagnosis of post-traumatic stress disorder until after they were arrested for homicides.
More at:
http://www.nytimes.com/pages/national/index.html