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57 pages 1 hour read

Dave Grossman

On Killing: The Psychological Cost of Learning to Kill in War and Society

Nonfiction | Book | Adult | Published in 1995

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Section II, Chapters 1-8Chapter Summaries & Analyses

Section II, “Killing and Combat Trauma: The Role of Killing in Psychiatric Casualties”

Chapter 1 Summary: “The Nature of Psychiatric Casualties: The Psychological Price of War”

A soldier in combat has a greater chance of becoming a psychological casualty than being killed by the enemy. Indeed, 98% of those who endure sustained combat will develop symptoms of stress. The 2% who can withstand sustained combat have a “predisposition toward ‘aggressive psychopathic personalities’” (44). It was not until the 20th century that physical and logistic capabilities facilitated sustained combat for months at a time.

There are multiple forms of psychological casualties. Grossman cites several examples. Fatigue, an early symptom, causes the soldier to lose interest in activities and ultimately collapse. Soldiers can drift into confused states, in which there is a psychotic disassociation from reality and no awareness of identity or location, or experience “conversion hysteria” during or after combat that prevents them from functioning at all.

Additionally, soldiers can reach a level of anxiety that results in exhaustion and tenseness that cannot be cured by sleep. They can also go into an obsessional and compulsive state, resulting in tremors and hysterical reactions. Finally, soldiers can experience a character disorder in which personality changes can lead to rage, extreme religiosity, and ultimately “degeneration into a psychotic personality” (48). To treat these psychiatric problems, the soldier must be removed from combat. However, commanders fear “evacuation syndrome,” with other soldiers seeking an exit from battle. Since World War I, soldiers have been given treatment near the battlefield and told that their return to said battlefield is expected after a period of rest.

Chapter 2 Summary: “The Reign of Fear”

To understand a soldier’s psychological and physiological state, the forces of fear, exhaustion, guilt and horror, fortitude, and killing must be considered individually and cumulatively (50). Studies have consistently demonstrated that the fear of death and injury is not a major cause of psychological casualties. Indeed, civilians exposed to life-threatening conditions, such as the fire bombings in Germany and the Blitz in London, did not experience high levels of psychological casualties.

Soldiers fear their inability to meet the obligations of combat. Stress results from the combination of the resistance to “overt aggressive confrontation” (53) and the fear of death or injury from a killer whom they look in the face. Grossman cites the lack of psychological casualties among sailors in the Navy, who do not have to kill anyone directly and are not personally targets; patrols behind enemy lines who are typically ordered not to engage the enemy; and non-killing military on the battlefield who are subject to the same danger of death. If fear alone was responsible for mass psychological casualties, then all these groups would experience them.

Chapter 3 Summary: “The Weight of Exhaustion”

Elite troops, such as Army Rangers, undergo brutal training in which they experience a state of “total starvation-enhanced exhaustion” (66). Fewer than half pass this training course. Exhaustion from continuous combat is worse. The weight of exhaustion results from four factors. First, the body is constantly aroused in a fight-or-flight condition. This state causes the body to use all available energy for survival, shutting down other functions like the bladder. Afterward, there is a backlash from the body, and this repeated cycle produces profound exhaustion.

Secondly, cumulative loss of sleep is the norm in combat. Third, there is a reduction in caloric intake from battlefield conditions and a loss of appetite from fatigue. This loss of food is devastating in impact. Finally, exhaustion results from dealing with the elements, such as extreme cold and heat, as well as vermin.

Chapter 4 Summary: “The Mud of Guilt and Horror”

Soldiers are subjected to an onslaught of horror upon their senses. They hear screams, smell death, and taste blood. The psychological impact of these scenes is more impactful on soldiers than non-combatants. Grossman reasons that soldiers feel responsibility for the carnage surrounding them.

Chapter 5 Summary: “The Wind of Hate”

It is not simply exposure to danger that causes stress but also the prospect of facing the aggression and hatred of another human being. People dread depredation and domination and prefer to be liked. Grossman cites the high number of psychological casualties among victims of Nazi death camps. Dominated by psychopathic leaders, victims endured “aggression and death on a highly personal and face-to-face basis” (77).

This “wind of hate” (See: Index of Terms), according to Grossman, is often overlooked as a contributor to a soldier’s stress. Indeed, he observes that the potential for personal hatred and aggression is more likely to cause stress than the actuality of impersonal death and destruction. The military uses boot camps, with soldiers treated contemptibly and then given breaks, as a means to prepare soldiers for this factor.

Chapter 6 Summary: “The Well of Fortitude”

Individuals have a well of inner strength or fortitude that they draw upon to confront stressful events. It is a source of emotional stamina. For 98% of soldiers in sustained combat, this well will have gone dry. A number of stressors will “suck the will and life out of a man and leave him clinically depressed” (83) or a psychological casualty. Great military leaders can sometimes fortify this well of fortitude among their charges. The depletion of fortitude can happen at both an individual and a unit level.

Chapter 7 Summary: “The Burden of Killing”

Soldiers are faced with a Catch-22 in combat. If they kill enemy soldiers, they will have lasting guilt, but if a soldier fails to kill the enemy, that soldier will feel guilt for the death of comrades and face “the shame of his profession, nation, and cause” (86).

When soldiers kill, they have deep and lasting pain. Immediate reactions can include vomiting and a feeling of criminality. Soldiers are typically not motivated to kill by ideology, hatred, or fear but by a regard for their comrades, respect for their leaders, a concern for their reputation, and a desire to contribute to the success of the group (89). Later, most soldiers deny such killing to themselves and others. The de-humanization of the enemy and use of antiseptic language allow for such denial. However, the guilt from killing is a significant source of psychological casualties.

Combat leaders, or officers, must love those under their command yet be willing to give orders that will get some of those soldiers killed. For this reason, social barriers are maintained between officers and soldiers. Officers are also given accolades for their combat decisions to assuage their guilt and communicate societal support for their actions.

Chapter 8 Summary: “The Blind Men and the Elephant”

There is a combination of factors that form the beast of psychological casualties in combat. To fear, exhaustion, and horror, Grossman has added the “wind of hate” and the burden of killing. Particularly in a culture socialized with films, such as Indiana Jones and Rambo, there is a widespread belief that combat and killing can be done easily without lasting impact. Even the field of psychology is not well prepared to help those dealing with the guilt caused by war.

In the American Civil War, a soldier’s first experience in combat was labeled “seeing the elephant” (95). Grossman argues that in the 21st century, the existence of humanity and all life on the planet depend on not just seeing but also “knowing and controlling the beast called war” (95).

Section II, Chapters 1-8 Analysis

Relying upon studies, statistics, interviews with veterans, and his own training experience as an Army Ranger, Grossman depicts the reality of war for soldiers in this section. Far from the sanitized versions seen in media venues, combat is a psychologically traumatizing experience. Ninety-eight percent of soldiers cannot endure sustained combat without becoming psychological casualties.

In detail, Grossman chronicles The Psychological and Emotional Effects of Killing, adding killing to the list of stressors on soldiers in combat. It is his thesis that this is a very significant contributor to psychological stress. However, he elaborates upon the toll that the other sources of stress take upon the soldier in combat. The combination of factors becomes overwhelming, resulting in such high psychological casualty rates.

He downplays the existence of fear as a significant contributor to psychological distress. He does so by comparing the psychological casualty rates in London during the Blitz and Dresden after fire-bombings during World War II. Civilians did not have increased rates of psychological casualties at those times. He details the exhaustion that combat brings about, as soldiers are in high alert physically, deprived of sleep and food, and enduring harsh physical conditions. They feel a responsibility for the carnage and horror around them since they are combatants.

Faced with a close enemy who hates them enough to kill them, soldiers experience trauma. That level of conflict, with its hatred and aggression, is highly stressful. Killing itself is another key source of stress—both the fear of not being able to shoot and letting their comrades down as well as the guilt for killing another human. The soldier is in a Catch-22, with negative repercussions for any decision made.

For most, these high levels of stress lead to serious psychological conditions, beginning with fatigue, continuing into confused states and depression, and for some resulting in character disorders. The effects can be long-term. Soldiers are not prepared for this level of stress; it is not possible for most humans to be so. Psychologists and American society are not prepared to help these soldiers either. Grossman is emphasizing the severity of these effects to emphasize The Importance of Societal Support for Combat Veterans. He additionally wants the military to react to this problem with the same urgency as it did to the low ratio of fire. In increasing the likelihood that soldiers will kill, the military has a responsibility to assist soldiers with the psychological aftermath of that.

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