Yesterday I attended my second Cognitive Processing Therapy group session. I think I am really going to like this group a lot. Two positive experiences in a row. The doc started by letting those of us who didn't know each other introduce ourselves. We then talked about what had transpired since the last meeting. One of the items that came up was how relating my experiences last meeting had reminded one of the other members so much of himself that he had a lot of issues with his PTSD for the two weeks between sessions. Needless to say, this made me feel really guilty that I had unintentionally caused another veteran distress. I didn't say anything about it at this point, though.
There was a new guy there I hadn't met before and he described how he and his unit had received intel that sent him into a situation that put him and his unit in the blast radius of an IED. This was a new facet I hadn't considered much until yesterday, mostly because it is incredibly painful to think about - intel I provided probably sent guys just like him into similar situations. I know in my heart that some of our boys died as a direct result of intel sent in by me and others like me. Again, I felt really guilty.
It was in this context that we talked about what we all had in common - confrontation with death. An intimate knowledge of death. We discussed the concept of moral injury as a result of this. I know a lot of people don't like this term, but it is really appropriate. We have all been confronted by things that fundamentally violate our moral code. My response to this was to adhere strictly to my morality, getting angry with anyone who did not adhere to my morality. Obviously this caused a lot of problems with other service members over in Iraq. This moral injury is a constant companion and my morality is still just as black and white.
The doc asked to stop the session there and I asked to say one more thing. I wanted to express my guilt to the other two for having caused the one veteran difficulties and for having sent guys just like the other veteran into harm's way. They both jumped on me immediately to let me know I was being an idiot. The one veteran said he was concerned that I may take his regression over the past two weeks as being my fault. He assured me that it was his PTSD that caused the problems. Not me. The other veteran told me that he wished that he would have been sent into a situation backed up by quality intelligence. Then, at least, he wouldn't be going in blind. By the time he was serving in Iraq, intelligence collection efforts were hamstrung so severely that we constantly sent our guys into situations without really knowing what awaited them. He said I was the kind of guy who saved lives with my intelligence. He said I can't hold myself responsible for combat arms guys going into a situation and doing their job. Death in combat is one of the risks that they assume is par for the course. Good intelligence meant less guys got injured or killed.
That was how we ended the session. Whew. What a day. More to follow in the coming weeks.
As I continue my life with PTSD, I will share my challenges and discoveries on this blog.