Military movies can often remind Veterans of their service. They can also bring up painful memories of the past.
Air Force Veteran and Silver Star recipient John Pighini is someone who knows both sides of this issue. He recently worked as a technical adviser on a major motion picture that showcased the bravery of service members, but also brought up a painful past. These movies can sometimes show Veterans dealing with their own struggles: anger, paranoia, edginess, regret and survivor's guilt.
Pighini saw those struggles on the big screen after working on the movie. "It feels like they take post-traumatic stress and they set it right in your lap," he said. "Don't go to this movie and not take a handkerchief or tissues with you. You will not make it through."
PTSD in Veterans
These are the feelings Pighini knows all too well. He served as a pararescueman during Vietnam, which led to his role on the movie as a technical adviser. As members of Air Force Special Warfare, pararescue specialists rescue and medically treat downed military personnel all over the world. These highly trained experts take part in every aspect of the mission and are skilled parachutists, scuba divers and rock climbers, and they are even arctic-trained in order to access any environment to save a life when called.
Dr. Paula Schnurr, executive director for National Center for PTSD in VA's Office of Mental Health and Suicide Prevention, started studying PTSD in 1984. She said Vietnam Veterans are still dealing with effects because the lack of support when they returned from deployment.
"Vietnam Veterans, like Veterans of earlier wars, were expected to come home and get on with their lives," she said. Schnurr added the publicly opposed war made Vietnam Veterans' transition hard to come home.
The National Vietnam Veterans Readjustment Study, completed in 1988 by the Research Triangle Institute, was pivotal for Veterans and the medical community. At the time, it was the most rigorous and comprehensive study on PTSD and other psychological problems for Vietnam Veterans readjusting to civilian life.
The study findings indicated about 30% of all male and 27% of female Vietnam theater Veterans had PTSD at some point during their lives. At the time, that equated to more than 970,000 Veterans. Additionally, about one half of the men and one third of the women who ever had PTSD still had it.
A 2013 National Vietnam Veterans Longitudinal Study showed that 40 or more years after wartime service, 7% of females and 11% of males still had PTSD.
PTSD symptoms may increase with age after retiring from work, or from medical problems and lack of coping mechanisms.
Having a mission
Having a mission can help Veterans deal with PTSD. While working on a recent movie, Pighini recalled the struggles he still deals with–50 years after his Vietnam service.
"The early days, we didn't know what we had," he said. "As we get older, we become more melancholy. We're not busy and we're not out there on the firing line."
While filmed in Thailand, Pighini said the smells from Southeast Asia raised the hairs on the back of his neck. Despite the flashbacks, Pighini said he hopes viewers realize the importance of putting a spotlight on PTSD. He added movies also depict the courageousness of military members. In the movie he worked on, the movie told the story of an Air Force pararescuemen who lived by their motto, "That others may live."
"That means you lay it out," Pighini said. "You do whatever you need to do to save a life. It's the ethos we have. It's what we live by. If you have to lay down your life or one of your limbs or whatever it is, you do it. It means everything."