NYT - Women at Arms: A Combat Role, and Anguish, Too (PTSD in female vets)

[Bozita]

http://www.nytimes.com/2009/11/01/us/01trauma.html?hp=&adxnnl=1&adxnnlx=1257040948-XTRWR0Eq6gJcmgb8BiruNA

November 1, 2009
WOMEN AT ARMS
A Combat Role, and Anguish, Too

By DAMIEN CAVE


For Vivienne Pacquette, being a combat veteran with post-traumatic stress disorder means avoiding phone calls to her sons, dinner out with her husband and therapy sessions that make her talk about seeing the reds and whites of her friends’ insides after a mortar attack in 2004.

As with other women in her position, hiding seems to make sense. Post-traumatic stress disorder distorts personalities: some veterans who have it fight in their sleep; others feel paranoid around children. And as women return to a society unfamiliar with their wartime roles, they often choose isolation over embarrassment.

Many spend months or years as virtual shut-ins, missing the camaraderie of Iraq or Afghanistan, while racked with guilt over who they have become.

“After all, I’m a soldier, I’m an NCO, I’m a problem solver,” said Mrs. Pacquette, 52, a retired noncommissioned officer who served two tours in Iraq and more than 20 years in the Army. “What’s it going to look like if I can’t get things straight in my head?”

Never before has this country seen so many women paralyzed by the psychological scars of combat. As of June 2008, 19,084 female veterans of Iraq or Afghanistan had received diagnoses of mental disorders from the Department of Veterans Affairs, including 8,454 women with a diagnosis of post-traumatic stress — and this number does not include troops still enlisted, or those who have never used the V.A. system.

Their mental anguish, from mortar attacks, the deaths of friends, or traumas that are harder to categorize, is a result of a historic shift. In Iraq and Afghanistan, the military has quietly sidestepped regulations that bar women from jobs in ground combat. With commanders needing resources in wars without front lines, women have found themselves fighting on dusty roads and darkened outposts in ways that were never imagined by their parents or publicly authorized by Congress. And they have distinguished themselves in the field.

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