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thedrifter
01-30-09, 09:42 AM
Tyler Boudreau: Troubled minds and Purple Hearts

04:18 PM CST on Thursday, January 29, 2009


The Pentagon's recent decision not to award the Purple Heart to veterans and soldiers suffering from post-traumatic stress has caused great controversy. Historically, the medal has gone only to those who have been physically wounded on the battlefield as a result of enemy action. But with approximately one-third of veterans dealing with symptoms of combat stress or major depression, many Americans are disappointed with the Pentagon's decision; many more are downright appalled.

As a former Marine infantry officer and Iraq war veteran, I would urge the Pentagon to consider a different solution altogether.

When I was in Iraq, the most common wound behind the many Purple Hearts we awarded was the "perforated eardrum," an eardrum punctured by the concussion of a nearby explosion. In the vast majority of cases, no blood was ever shed. Seldom did these Marines ever miss a day of full duty. And yet they were all awarded the coveted medal.

A year later, back at Camp Lejeune, N.C., I was making calls to the families of wounded Marines – a difficult duty even when the wounds are minor. But I noticed during that time that I never once made a call to a family about a Marine's psychological wounds. I never got a casualty report for post-traumatic stress, despite the rising number of veteran suicides. Never once.

Why, I asked myself, if a combat wound is a combat wound no matter how small, shouldn't those people suffering from the "invisible wounds" of post-traumatic stress also receive the Purple Heart? Difficulty of diagnosis is one of the central justifications the Pentagon has given, citing the concern that fakers will tarnish the medal's image. Spilt blood cannot be faked.

But this seems an unconvincing argument not to honor those who actually do suffer from post-traumatic stress. For example, the possibility of fakers has not prevented the Department of Veterans Affairs from awarding disability payments to service members who have received a diagnosis. Why should the military itself be different?

The distinction, I suspect, lies in the deep-seated attitude toward psychological wounds. It is still difficult for many members of the military to truly believe that post-traumatic stress is, in fact, an injury and not the result of a weak or dysfunctional brain. The same culture that demands tough-mindedness also encourages skepticism toward the suggestion that the violence of war can hurt the healthiest of minds.

Sadly, as long as our military culture bears at least a quiet contempt for the psychological wounds of war, it is unlikely those veterans will ever see a Purple Heart. That is too bad, I think, because they do deserve all the honor the physically wounded receive.

But there may be another solution – perhaps a new decoration, a new medal, could be established specifically for those suffering from post-traumatic stress. It would be awarded to those whose minds and souls have been sundered by war.

I urge Gen. Eric Shinseki, the new head of Veterans Affairs and former Army Chief of Staff, to work hand in hand with the Defense Department to bring about some form of official recognition for these wounded veterans. The current stigma of post-traumatic stress would likely prevent many soldiers from wearing the medal initially, but its mere existence would help crystallize in the American – and the American military – consciousness one of the more obscure human costs of war.

I suggest we call this medal the Black Heart. Certainly the hearts of these soldiers are black, with the terrible things they saw and did on the battlefield. Certainly the country should see these Black Hearts pinned on their chests.

Tyler E. Boudreau, a former Marine captain, is the author of "Packing Inferno: The Unmaking of a Marine" and may be contacted through www.tylerboudreau.com.

Ellie