The best books on the psyche of disabled war veterans

The aftermath of the Great War for wounded and shattered soldiers is carefully examined in this comparative study of two belligerent nations. The great paradox recorded here is how British veterans struggled on the margins of their society, denied legal rights and employment support, while, through state programs, German disabled veterans were more likely reintegrated into their economy. “Disabled veterans,” Cohen concludes in this fascinating study, “were the Great War’s conspicuous legacy.” Tragically, the same might be said of subsequent major armed conflicts. What I got from this book is the absolute importance of decisions following the Great War in shaping the indifference and support toward veterans over the twentieth century and into the twenty-first.  

The development of military neuropsychiatry in the Mediterranean and European theatres of operations in World War II, through the work of the Royal Canadian Army Medical Corps is vividly recounted through interviews and primary documents of those involved. The immediately pressing concepts of battle stress and exhaustion and a soldier’s breaking point are addressed by scientific methods, including personnel selection interviews by psychiatrists to determine the emotional and temperamental stability of recruits and thus their assumed effectiveness as soldiers. Fundamental tensions between military imperatives and clinical practices are particularly revealed. I highly recommend this book for its insights into the tensions between medical intentions and military imperatives at times of intense, sustained combat.

This consummate French philosopher explores the lineage of psychiatry as an intertwined field of knowledge and form of power. For Foucault, moving beyond asylums, in the nineteenth and twentieth century armies called on psychiatry to assert the reality of military power and the functioning of military purposes. A similar relationship has taken place with the family in relation to nation-states and military establishments. The author provides many useful concepts to appreciate the psychiatrization of soldiers as shocked, exhausted, hysterical, neurotic, and traumatized, among other diagnostic categories. From this work, a significant value I gained is a historical understanding of how modern psychiatry developed in relation to armed forces and warfare.

Lieutenant General Roméo Dallaire is the highest-ranking military officer who has come out and publicly talked about his psychiatric struggles with flashbacks, depression, and suicidal thoughts. This is his story as the commander of the United Nations Assistance Mission for Rwanda in 1993-94. Woven into his narrative is an account of the onset of traumatic stress and of his reactions to what psychiatry refers to as PTSD. This is a brutally honest book by a high-ranking military officer about the unspeakable inhumanity of civil war and the terrible vulnerability of international peacemakers. It is a story of one of the walking wounded who survived the genocide as a moral witness.  

As American veterans and academics, both authors personally and professionally know the subject of modern warfare, stress disorders, and military mental health. This book examines the invisible injuries of psychiatric casualties from combat. The authors scrutinize what they call the dark side of military mental health and, in considerable detail, expose this darkness, which they show to be systemic and multifaceted in how it inflicts wounds on military personnel. The book ends with options for changing military mental healthcare and moving toward a resilient and mentally healthy military.  I appreciate this book because it demonstrates from the perspective of insiders how military culture and practices continue to harm those veterans with invisible wounds.