Our lonely society makes it hard to come home from war Sebastian Junger

I worked as a war reporter for 15 years

before I realized
that I really had a problem.

There was something really wrong with me.

This was about a year before 9/11,
and America wasn’t at war yet.

We weren’t talking about PTSD.

We were not yet talking
about the effect of trauma and war

on the human psyche.

I’d been in Afghanistan
for a couple of months

with the Northern Alliance
as they were fighting the Taliban.

And at that point the Taliban
had an air force,

they had fighter planes,
they had tanks, they had artillery,

and we really got hammered
pretty badly a couple of times.

We saw some very ugly things.

But I didn’t really think it affected me.

I didn’t think much about it.

I came home to New York, where I live.

Then one day I went down into the subway,

and for the first time in my life,

I knew real fear.

I had a massive panic attack.

I was way more scared
than I had ever been in Afghanistan.

Everything I was looking at seemed like
it was going to kill me,

but I couldn’t explain why.

The trains were going too fast.

There were too many people.

The lights were too bright.

Everything was too loud,
everything was moving too quickly.

I backed up against a support column
and just waited for it.

When I couldn’t take it any longer,
I ran out of the subway station

and walked wherever I was going.

Later, I found out that what I had
was short-term PTSD:

post-traumatic stress disorder.

We evolved as animals, as primates,
to survive periods of danger,

and if your life has been in danger,

you want to react to unfamiliar noises.

You want to sleep lightly, wake up easily.

You want to have nightmares and flashbacks

of the thing that could kill you.

You want to be angry because it makes you
predisposed to fight,

or depressed, because it keeps you out
of circulation a little bit.

Keeps you safe.

It’s not very pleasant,
but it’s better than getting eaten.

Most people recover
from that pretty quickly.

It takes a few weeks, a few months.

I kept having panic attacks,
but they eventually went away.

I had no idea it was connected
to the war that I’d seen.

I just thought I was going crazy,

and then I thought, well,
now I’m not going crazy anymore.

About 20 percent of people, however,

wind up with chronic, long-term PTSD.

They are not adapted to temporary danger.

They are maladapted for everyday life,

unless they get help.

We know that the people
who are vulnerable to long-term PTSD

are people who were abused as children,

who suffered trauma as children,

people who have low education levels,

people who have psychiatric
disorders in their family.

If you served in Vietnam

and your brother is schizophrenic,

you’re way more likely to get
long-term PTSD from Vietnam.

So I started to study this
as a journalist,

and I realized that there was something
really strange going on.

The numbers seemed to be going
in the wrong direction.

Every war that we have
fought as a country,

starting with the Civil War,

the intensity of the combat has gone down.

As a result, the casualty rates
have gone down.

But disability rates have gone up.

They should be going
in the same direction,

but they’re going in different directions.

The recent wars in Iraq and Afghanistan
have produced, thank God,

a casualty rate about one third
of what it was in Vietnam.

But they’ve also created –

they’ve also produced
three times the disability rates.

Around 10 percent of the US military
is actively engaged in combat,

10 percent or under.

They’re shooting at people,
killing people,

getting shot at,
seeing their friends get killed.

It’s incredibly traumatic.

But it’s only about 10 percent
of our military.

But about half of our military has filed

for some kind of PTSD compensation
from the government.

And suicide doesn’t even fit into this
in a very logical way.

We’ve all heard the tragic statistic
of 22 vets a day, on average,

in this country, killing themselves.

Most people don’t realize

that the majority of those suicides
are veterans of the Vietnam War,

that generation,

and their decision to take their own lives
actually might not be related

to the war they fought 50 years earlier.

In fact, there’s no statistical connection
between combat and suicide.

If you’re in the military
and you’re in a lot of combat,

you’re no more likely to kill yourself
than if you weren’t.

In fact, one study found

that if you deploy to Iraq or Afghanistan,

you’re actually slightly less likely
to commit suicide later.

I studied anthropology in college.

I did my fieldwork
on the Navajo reservation.

I wrote a thesis on Navajo
long-distance runners.

And recently, while
I was researching PTSD,

I had this thought.

I thought back to the work
I did when I was young,

and I thought, I bet the Navajo,
the Apache, the Comanche –

I mean, these are very warlike nations –

I bet they weren’t getting
PTSD like we do.

When their warriors came back
from fighting the US military

or fighting each other,

I bet they pretty much just slipped
right back into tribal life.

And maybe what determines

the rate of long-term PTSD

isn’t what happened out there,

but the kind of society you come back to.

And maybe if you come back
to a close, cohesive, tribal society,

you can get over trauma pretty quickly.

And if you come back
to an alienating, modern society,

you might remain traumatized
your entire life.

In other words, maybe the problem
isn’t them, the vets;

maybe the problem is us.

Certainly, modern society
is hard on the human psyche

by every metric that we have.

As wealth goes up in a society,

the suicide rate goes up instead of down.

If you live in modern society,

you’re up to eight times more likely

to suffer from depression in your lifetime

than if you live in a poor,
agrarian society.

Modern society has probably produced
the highest rates of suicide

and depression and anxiety
and loneliness and child abuse

ever in human history.

I saw one study

that compared women in Nigeria,

one of the most chaotic
and violent and corrupt

and poorest countries in Africa,

to women in North America.

And the highest rates of depression
were urban women in North America.

That was also the wealthiest group.

So let’s go back to the US military.

Ten percent are in combat.

Around 50 percent have filed
for PTSD compensation.

So about 40 percent of veterans
really were not traumatized overseas

but have come home to discover
they are dangerously alienated

and depressed.

So what is happening with them?

What’s going on with those people,

the phantom 40 percent that are troubled
but don’t understand why?

Maybe it’s this:

maybe they had an experience
of sort of tribal closeness

in their unit when they were overseas.

They were eating together,
sleeping together,

doing tasks and missions together.

They were trusting each other
with their lives.

And then they come home

and they have to give all that up

and they’re coming back
to a society, a modern society,

which is hard on people
who weren’t even in the military.

It’s just hard on everybody.

And we keep focusing on trauma, PTSD.

But for a lot of these people,

maybe it’s not trauma.

I mean, certainly,
soldiers are traumatized

and the ones who are
have to be treated for that.

But a lot of them –

maybe what’s bothering them
is actually a kind of alienation.

I mean, maybe we just have
the wrong word for some of it,

and just changing our language,
our understanding,

would help a little bit.

“Post-deployment alienation disorder.”

Maybe even just calling it that
for some of these people

would allow them to stop imagining

trying to imagine a trauma
that didn’t really happen

in order to explain a feeling
that really is happening.

And in fact, it’s an extremely
dangerous feeling.

That alienation and depression
can lead to suicide.

These people are in danger.

It’s very important to understand why.

The Israeli military has a PTSD rate
of around one percent.

The theory is that everyone in Israel
is supposed to serve in the military.

When soldiers come back
from the front line,

they’re not going from a military
environment to a civilian environment.

They’re coming back to a community
where everyone understands

about the military.

Everyone’s been in it
or is going to be in it.

Everyone understands
the situation they’re all in.

It’s as if they’re all in one big tribe.

We know that if you take a lab rat

and traumatize it and put it
in a cage by itself,

you can maintain its trauma symptoms
almost indefinitely.

And if you take that same lab rat
and put it in a cage with other rats,

after a couple of weeks,
it’s pretty much OK.

After 9/11,

the murder rate in New York City
went down by 40 percent.

The suicide rate went down.

The violent crime rate in New York
went down after 9/11.

Even combat veterans of previous wars
who suffered from PTSD

said that their symptoms went down
after 9/11 happened.

The reason is that if you traumatize
an entire society,

we don’t fall apart
and turn on one another.

We come together. We unify.

Basically, we tribalize,

and that process of unifying
feels so good and is so good for us,

that it even helps people

who are struggling
with mental health issues.

During the blitz in London,

admissions to psychiatric wards
went down during the bombings.

For a while, that was the kind of country

that American soldiers came
back to – a unified country.

We were sticking together.

We were trying to understand
the threat against us.

We were trying to help
ourselves and the world.

But that’s changed.

Now, American soldiers,

American veterans are coming back
to a country that is so bitterly divided

that the two political parties
are literally accusing each other

of treason, of being
an enemy of the state,

of trying to undermine the security
and the welfare of their own country.

The gap between rich and poor
is the biggest it’s ever been.

It’s just getting worse.

Race relations are terrible.

There are demonstrations
and even riots in the streets

because of racial injustice.

And veterans know that any tribe
that treated itself that way – in fact,

any platoon that treated itself
that way – would never survive.

We’ve gotten used to it.

Veterans have gone away
and are coming back

and seeing their own country
with fresh eyes.

And they see what’s going on.

This is the country they fought for.

No wonder they’re depressed.

No wonder they’re scared.

Sometimes, we ask ourselves
if we can save the vets.

I think the real question
is if we can save ourselves.

If we can,

I think the vets are going to be fine.

It’s time for this country to unite,

if only to help the men and women
who fought to protect us.

Thank you very much.

(Applause)

在我
意识到自己确实有问题之前,我做了 15 年的战地记者。

我真的有些不对劲。

这大约是 9/11 前一年
,当时美国还没有参战。

我们不是在谈论创伤后应激障碍。

我们还没有
谈论创伤和战争

对人类心理的影响。

当北方联盟
与塔利班作战时,我在阿富汗待了几个月。

那时塔利班
有一支空军,

他们有战斗机,
他们有坦克,他们有大炮

,我们真的被
重创了好几次。

我们看到了一些非常丑陋的东西。

但我真的不认为它影响了我。

我没有多想。

我回到了我居住的纽约的家。

然后有一天我走进地铁

,我有生以来第一次

知道真正的恐惧。

我有一个巨大的恐慌发作。

我比在阿富汗时更害怕。

我所看到的一切
似乎要杀了我,

但我无法解释为什么。

火车开得太快了。

人太多了。

灯太亮了。

一切都太大声了,
一切都进展得太快了。

我靠在一个支撑柱上
,只是等待它。

实在受不了了
,就跑出地铁站

,往哪儿走。

后来,我发现我患的
是短期

创伤后应激障碍:创伤后应激障碍。

我们进化为动物,灵长类动物,是
为了在危险时期生存

,如果你的生命处于危险之中,

你想对不熟悉的噪音做出反应。

你想睡得清淡,容易醒来。

您想对

可能杀死您的事物进行噩梦和闪回。

你想生气是因为它让你
容易打架,

或者沮丧,因为它让你
有点失去活力。

保证您的安全。

这不是很愉快,
但总比被吃掉好。

大多数人
很快就会从中恢复过来。

这需要几个星期,几个月。

我一直有惊恐发作,
但他们最终消失了。

我不知道它
与我所看到的战争有关。

我只是觉得我快疯了,

然后我想,好吧,
现在我不再发疯了。

然而,大约 20% 的人

最终会患上慢性、长期的 PTSD。

他们不适应暂时的危险。

他们不适应日常生活,

除非他们得到帮助。

我们知道,
易患长期 PTSD

的人是小时候受过虐待的人,小时候

受过创伤的

人,教育水平低的

人,
家庭中有精神疾病的人。

如果您在越南服役

并且您的兄弟患有精神分裂症,

那么您更有可能
从越南获得长期的 PTSD。

所以我开始以记者的身份研究这个

,我意识到发生了一些
非常奇怪的事情。

这些数字似乎
朝着错误的方向发展。 从内战开始

,我们
作为一个国家打过的每一场

战争,

战斗的强度都降低了。

结果,伤亡
率下降了。

但是残疾率上升了。

他们应该
朝着同一个方向前进,

但他们朝着不同的方向前进。

谢天谢地,最近在伊拉克和阿富汗的战争
造成

的伤亡率
约为越南战争的三分之一。

但他们也创造了——

他们也创造
了三倍的残疾率。

大约 10% 的
美军积极参与战斗,其中

10% 或以下。

他们向人开枪,
杀人,

被枪杀,
看到他们的朋友被杀。

这是令人难以置信的创伤。

但它只占
我们军队的 10% 左右。

但是我们大约一半的军队已经向政府申请

了某种形式的创伤后应激障碍赔偿

自杀甚至不
符合逻辑。

我们都听说过这个国家
平均每天有 22 名

兽医自杀的悲惨统计数据。

大多数人没有

意识到,这些自杀者中的大多数是那一代
越南战争的退伍军人

,他们自杀的决定
实际上可能

与他们 50 年前的战争无关。

事实上,战斗和自杀之间没有统计上的联系

如果您在军队中
并且

经常参加战斗,那么您自杀的可能性
并不比没有的情况要大。

事实上,一项研究发现

,如果你部署到伊拉克或阿富汗,

你以后自杀的可能性实际上会略低一些

我在大学学习人类学。

我对纳瓦霍保留地进行了实地调查

我写了一篇关于纳瓦霍
长跑运动员的论文。

最近,当
我在研究 PTSD 时,

我有了这样的想法。

我回想起
我年轻时所做的工作

,我想,我敢打赌纳瓦霍人
、阿帕奇人、科曼奇人——

我的意思是,这些都是非常好战的国家——

我敢打赌他们没有
像我们一样患上创伤后应激障碍 .

当他们的战士
从与美国军队的

战斗或相互交战中回来时,

我敢打赌,他们几乎只是
溜回了部落生活。

也许

决定长期创伤后应激障碍

发生率的不是外面发生了什么,

而是你回到什么样的社会。

也许如果你
回到一个亲密、有凝聚力的部落社会,

你可以很快克服创伤。

如果你
回到一个疏离的现代社会,

你可能会终生受到创伤

换句话说,也许
问题不在于他们,而是兽医;

也许问题出在我们身上。

当然,现代
社会在我们拥有的每一个指标上都对人类心理产生了强烈的影响

随着社会财富的增加

,自杀率会上升而不是下降。

如果你生活在现代社会,

你一生中患抑郁症的可能性是

生活在贫穷
农业社会的八倍。

现代社会
的自杀

、抑郁、焦虑
、孤独和虐待儿童的比例可能是

人类历史上最高的。

我看到一项研究

将尼日利亚

(非洲最混乱
、暴力、腐败

和最贫穷的国家之一)

的女性与北美的女性进行了比较。

抑郁症发病率最高的
是北美的城市女性。

那也是最富有的群体。

所以让我们回到美军。

百分之十在战斗中。

大约 50% 的人申请
了 PTSD 赔偿。

因此,大约 40% 的退伍军人
在海外确实没有受到创伤,

但回到家却发现
他们处于危险的疏离

和抑郁状态。

那么他们怎么了?

那些被困扰但不明白为什么的幻影 40% 的人是怎么回事

也许是这样:

也许

他们在海外时,在他们的单位里有过某种部落亲密的经历。

他们一起吃饭,一起
睡觉,

一起做任务和任务。

他们
用自己的生命互相信任。

然后他们回到家

,他们不得不放弃这一切

,他们
回到一个社会,一个现代社会,

这对
那些甚至没有参军的人来说都很难。

只是每个人都很难。

我们继续关注创伤,PTSD。

但对于这些人中的很多人来说,

也许这不是创伤。

我的意思是,当然,
士兵受到了创伤

,而那些
必须为此接受治疗的人。

但他们中的很多人——

也许困扰他们
的实际上是一种疏离。

我的意思是,也许我们只是
用错误的词来形容其中的一些,

而只是改变我们的语言,
我们的理解,

会有所帮助。

“部署后疏离障碍”。

也许甚至只是称它为
其中一些人

会让他们停止想象

试图想象一个
没有真正发生

的创伤,以解释
一种真正正在发生的感觉。

事实上,这是一种极其
危险的感觉。

这种疏离和抑郁
会导致自杀。

这些人处于危险之中。

了解原因非常重要。

以色列军方的创伤后应激障碍发生
率约为 1%。

理论上,以色列的每个人
都应该在军队服役。

当士兵
从前线回来时,

他们不会从军事
环境进入民用环境。

他们正在回到一个
每个人都

了解军队的社区。

每个人都参与其中
或将参与其中。

每个人都明白
他们所处的处境。

就好像他们都在一个大部落中一样。

我们知道,如果你带一只实验室老鼠

并对其进行创伤并将其单独
放入笼子中,

你几乎可以无限期地保持其创伤症状

如果你把同一只实验室老鼠
和其他老鼠放在笼子里

,几周后,
就差不多了。

9/11 之后,

纽约市的谋杀率
下降了 40%。

自杀率下降了。

纽约的暴力犯罪率
在 9/11 之后下降。

甚至
曾遭受过创伤后应激障碍的战争退伍军人也

表示,他们的症状
在 9/11 发生后有所缓解。

原因是,如果你
给整个社会造成了创伤,

我们不会分崩离析
,互相攻击。

我们走到一起。 我们统一。

基本上,我们部落化了

,统一的
过程感觉很好,对我们

来说也很好,它甚至可以帮助

那些在
心理健康问题上苦苦挣扎的人。

在伦敦的闪电战期间,

精神病院的入院率
在爆炸事件中下降。

有一段时间,

那是美国大兵
回归的那种国家——一个统一的国家。

我们一直在一起。

我们试图了解
对我们的威胁。

我们试图帮助
自己和世界。

但这已经改变了。

现在,美国士兵,

美国退伍军人正在
回到一个分裂如此严重的国家,

以至于两个
政党实际上都在指责

对方叛国,
成为国家的敌人

,试图破坏他们的安全
和福利 自己的国家。

贫富差距
是有史以来最大的。

它只是变得更糟。

种族关系很糟糕。

由于种族不公
,街头出现示威甚至骚乱

退伍军人知道,任何
以这种方式对待自己的部落——事实上,

任何以这种方式对待自己的排
——都将永远无法生存。

我们已经习惯了。

退伍军人已经离开
并回来


以全新的眼光看待自己的国家。

他们看到发生了什么。

这是他们为之奋斗的国家。

难怪他们会沮丧。

难怪他们会害怕。

有时,我们会问自己
是否可以拯救兽医。

我认为真正的问题
是我们能否拯救自己。

如果可以的话,

我认为兽医会没事的。

现在是这个国家团结起来的时候了,

即使只是为了帮助
那些为保护我们而奋斗的男人和女人。

非常感谢你。

(掌声)