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ing<br />

hooting Trauma<br />

resulted from his combat experiences.<br />

Finally, after the Viet Nam War, significant<br />

gains were made in the understanding<br />

of the mechanisms and<br />

clusters of symptoms of the condition<br />

we now refer to as Post Traumatic<br />

Stress Disorder (PTSD). [Technically, it<br />

is called Acute Stress Disorder (ASD) if<br />

the symptoms are of less than 30 days<br />

duration.] The PTSD diagnosis provided<br />

a great deal of relief to men and<br />

women who were struggling to make<br />

sense of the internal turmoil they experienced.<br />

They could understand that<br />

they were normal people with normal<br />

reactions to the abnormal conditions of<br />

war. Since that time, treatment methods<br />

for PTSD have progressed to the<br />

point where there is a good chance the<br />

mental wounds of war can be healed in<br />

those who seek treatment.<br />

What does all this have to do with Post<br />

Shooting Trauma (PST) or Post Violent<br />

Event Trauma (PVET)? It seems to me<br />

that PST/PVET is not a separate condition<br />

from PTSD, but rather a handy way<br />

of discussing the psychological effects<br />

of lethal force encounters without having<br />

to mess with the problems of a formal<br />

diagnosis of PTSD. PST is a concept<br />

specific to shooting incidents, whereas<br />

PTSD covers a wide variety of traumatic<br />

events from shootings to rape to traffic<br />

accidents to natural disasters and<br />

more.<br />

At any rate, the great advantage to<br />

identifying and naming what is happening<br />

after a shooting is that the naming<br />

allows a person to get a mental grip<br />

on what’s happening. It provides the<br />

defender with a frame of reference for<br />

their unique internal experiences. The<br />

understanding can then be the starting<br />

point for the person dealing with an otherwise<br />

confusing bunch of distressing<br />

symptoms. Today, the information out<br />

there has helped to normalize the idea<br />

of folks having a psychological struggle<br />

after a life and death struggle, an advantage<br />

for any of us who may deal with the<br />

aftermath of a shooting incident.<br />

It needs to be emphasized that not all<br />

people will experience any particular<br />

symptoms of a post shooting trauma.<br />

The idea of PST and PVET may have<br />

originated in the psychological community,<br />

but the most significant communicator<br />

of the concept is Massad<br />

Ayoob, a well known and highly respected<br />

member of the shooting community.<br />

Ayoob was focused on the sad<br />

fact that the moral climate in America<br />

could often turn a lawful and necessary<br />

use of deadly force in the protection of<br />

innocent life into a community shaming<br />

and shunning event for the lawful<br />

defender. He publicized a number of<br />

symptoms of PST and PVET, including<br />

sleep disturbances, a period of depression<br />

or malaise, eating disturbances,<br />

increased use of alcohol, social isolation,<br />

sexual dysfunction or promiscuity,<br />

pharmacological cascade (use of drugs<br />

and alcohol together which increases<br />

their impact), increased aggression, and<br />

flashbacks.<br />

Perhaps the key feature of PST is the<br />

Mark of Cain, the “killer of my brother”<br />

tag laid on the defender. The mark can<br />

be shaming, as in, “What kind of person<br />

would do such a horrible thing?”<br />

Or the mark can be congratulating the<br />

defender in a way that doesn’t match<br />

their feelings about the event, as in,<br />

“Now that you have shot your man (the<br />

slimy creep, scumbag, goblin...), you’re<br />

awesome!”<br />

While most lawful defenders need to<br />

decide what the event means to them<br />

personally, insensitive comments either<br />

for or against the act tend to increase<br />

the feeling of isolation. Either way,<br />

The problem can come<br />

when we get stuck in<br />

negative emotional<br />

judgments about what<br />

we have done, in spite<br />

of all the evidence<br />

and opinion to the<br />

contrary.<br />

JULY 2008 n CONCEALED CARRY MAGAZINE n <strong>US</strong>CONCEALEDCARRY.COM<br />

37

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