The Evolution of PTSD
The Brass Didn’t Buy It
My Mother and Audie Murphy Ch. 60
Everyone knew about General George Patton’s infamous “slapping incidents,” when he physically attacked two soldiers under his command at hospital evacuation centers in August 1943. The episodes became international news — two among several erratic outbursts that may have led to his eventual removal as commander of the Seventh Army in Europe.
The men Patton slapped had been diagnosed with “exhaustion” and “psychoneurosis,” terms then used for what we now recognize as post-traumatic stress disorder (PTSD). During the First World War, it was called “shell shock.”
Patton didn’t believe in shell shock.
In a directive issued to his commanders, he explicitly forbade “battle fatigue” in the Seventh Army:
It has come to my attention that a very small number of soldiers are going to the hospital on the pretext that they are nervously incapable of combat. Such men are cowards and bring discredit on the army and disgrace to their comrades, whom they heartlessly leave to endure the dangers of battle while they, themselves, use the hospital as a means of escape. You will take measures to see that such cases are not sent to the hospital but dealt with in their units. Those who are not willing to fight will be tried by court-martial for cowardice in the face of the enemy.
— Patton directive to the Seventh Army, August 5, 1943
At the time, the Army Medical Department was beginning to study what would later be classified as PTSD, but most of the officer corps still regarded it as cowardice.
Audie Murphy, who saw more front-line combat than almost any other American soldier, witnessed many such breakdowns. As the war dragged on and he watched more men “crack up,” his own understanding and empathy evolved. The first episode he describes in To Hell and Back is met with derision from his men — and from himself:
“Olsen is the first to crack up. He throws his arms around the company commander, crying hysterically, ‘I can’t take any more.’ The harassed captain tries to calm him, but Olsen will not stop bawling. So he is sent to the rear, and we watch him go with hatred in our eyes.
‘If I ever throw a whingding like that, shoot me,’ says Kerrigan.
‘Gladly,’ I reply. ‘In North Africa I thought he was one tough boy.’
‘Yeah, he threw his weight around plenty.’
‘He seemed to be everything the War Department was looking for. He was my idea of a real soldier. Then one night that little Italian, Corrego, came in drunk; and Olsen beat him up.’
‘He should have been shot right then.’”
Later, Murphy watches another man lose his senses and die as a result:
“Staggering with weariness and snarling like wolves, we meet the Germans again… We slip within 200 yards of their lines before they turn the full force of their weapons upon us. Obviously, they intend our complete annihilation.
Under the furious punishment, a man a few yards from me cracks up. He begins with a weeping jag; then, yelling insanely, he rises to his feet and charges straight toward the German lines. A sniper drills him through the head; and a burp gun slashes his body as he falls.”
Near the end of the war, Murphy’s tone shifts. He shows compassion and understanding when a soldier named Anders returns to the front, determined to stay with his comrades despite his shattered nerves:
“Before we have had time to regroup for instructions, the shells fall into our midst. Eight men are knocked out; and Anders cracks up. It is not his fault. He has courage to spare, but body and nerves have taken all they can stand. He has heard one explosion too many; seen one too many die.
As we check the dead and wounded, his voice goes thick. I grab him by the shoulder. He shudders and begins to shake violently.
‘What’s the matter?’
‘I’ve gone all to pieces.’
‘Stay here and wait for the medics. You shouldn’t have come back up.’
‘N-n-no. No. No.’
‘You’re no good in that shape.’
‘I’ll come out of it.’
‘The hell you will. You can’t let the men see you in that condition.’
‘I’ll be quiet. I won’t say anything.’
‘You’re going to tell it to the doctor.’
‘If you think so, maybe I should. Maybe I should.’
He rejoins us the next day. I curse him heartily, but he only grins. When we come under heavy artillery fire, that grin is quickly erased. His nerves collapse again… Whether or not he knows or wants it, he is through. Finished. This time when I send him to the rear, I also send the colonel word to keep him there.”
Murphy himself suffered from PTSD for the rest of his life. After the war, he spoke publicly about it and tried to alert the Army to its dangers — but at the time, the brass didn’t want to hear it.
Meanwhile, during the war, doctors at an airbase hospital in Arizona began recognizing and treating PTSD with compassion rather than punishment or electroshock. Their pioneering work inspired the 1963 film Captain Newman, M.D., starring Gregory Peck, Tony Curtis, Angie Dickinson, Bobby Darin, and other notables. Five stars from me.
Ch. 61: https://medium.com/@tradeswomn/all-the-best-fields-in-germany-bc7aa642c63f
