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Cynthia Owens

Jo and Marsh, I love this topic! I love the idea of a tortured hero, no matter what time period. In my recent book, Coming Home (Highland Press, April 2011) my hero, Cavan Callaghan, fought with the Irish Brigade in the American Civil War. Although I don't say it outright, I hint at PTSS. Cavan suffers from nightmares in which he relives the battle of Antietem, where he lost his little brother. He's also lost his ability to trust.

I think a large part of why I made Cavan the way he was, is because PTSS isn't dealt with much in romance. And like I said, I love a tortured hero.

Laura Vivanco

"when an evil enemy truly does threaten the lives and communities we care for, I think we all hope for warriors with the ability to do what has to be done and keep doing it until evil is vanquished."

Pacifists wouldn't, and pacifism has been around a long time. For example, last year was:

the 350th anniversary of the Quaker Peace Testimony. [...] It was on 21st of the 11th month 1660 in the old calendar (21st January 1661 in the modern calendar) that a declaration was given to King Charles II from “the harmless and innocent people of God, called Quakers against all plotters and fighters in the world…” [...] it contained the significant words “All bloody Principles and Practices we… do utterly deny, with all outward wars and strife and fightings with outward Weapons, for any end, or under any pretence whatsoever. And this is our testimony to the whole world…” http://www.quaker.org.uk/quaker-peace-testimony-1660-2010-new-exhibition

Tracey Devlyn

Thanks so much for your thoughts on this topic! Such great information.

Jo Beverley

Laura, excellent point about pacifists. I think a pacifist hero would be fascinating in a romance.

I'm very much against war, because so many are pointless and rooted in greed, with powers that be grabbing for a bit of land, or a bit of gold, or wood, or oil, or whatever, but I'm not able to take the stand that I wouldn't defend against active attack such as invasion, or want someone to do that for me.

Jo

Isobel Carr

I think PTSD was probably much rarer for the same reasons so many of the Wenches quoted: life was simply more brutal then, and people had different expectations (and were likely more prepared for the brutal realities than we are today). I liken it to the attitude many people seem to have had to children, the “don’t get too attached when they’re babies, as they may not survive”. The idea of not bonding with your baby, not investing 1000%, not loving it unreservedly is abhorrent today, but pre-20th century it was common sense not to become overly invested before a child survived the rigors and dangers of infancy (though obviously not all parents subscribed to this standoffish practice, e.g. the 5th Duchess of Devonshire was terribly devoted to her children from birth).

Cara Elliott/Andrea Penrose

Thanks, Jo for putting together such a deeply interesting post. The question was such a good one, and I really loved reading the other Wenchly thoughts on the subject. Balancing our modern-day sensibilities and attitudes with what will resonate as true to the period is challenge in many aspects of crafting character, but this one especially relevant right now. For me there are a lot of great thought-provoking points and comments here.

KeciaAdams

Hi Wenches!
An interesting topic, to be sure. I once did some research on PTSD to put together backstory on a contemporary hero (SPEC OPS guy) I wanted to write. What I found most interesting in my research is how PTSD doesn't have its own symptoms per se, but manifests itself in other compulsive or phobic behaviors such as agoraphobia, risk-taking, or even OCD.
The point that the cognitive dissonance would perhaps not be so drastic for people who were more used to violence and death is an interesting one too. For me that begs the question, though: just because we become inured to something through exposure, does that make a specific traumatic event in our lives any less painful for our minds to process. So, for example, is an inner city ER doctor in our own time less susceptible to PTSD?
Having spent some time in the Navy, I felt first hand that there is a sort of male code that "feelings" about the business of killing are not really allowed. Women who enter into those roles, I found, take on that male code too. And I have a personal, anecdotal theory that the more emotions get bottled up like that, the more likely they are to come back and bite you in the booty down the road.
That said, I love Bernard Cornwell's heros, Sharpe specifically, but I do sometimes roll my eyes at his utter competence at killing with little remorse. I keep reading though, because he is almost like a superhero--gets out of all tough spots, is the best of all fellows, oh, and he gets the girl too. :)

Thanks for the discussion, Jo and all the wenches. Write on! Kecia

www.keciaadams.com

Laura Vivanco

I posted a comment about PTSD in the 19th century but it's vanished. Perhaps it went into a spam filter because it was too long or because it included a hyperlink. I've found another source written by one of the authors of the original source I quoted, and this article is available in its entirety online. It's Edgar Jones's "Historical approaches to post-combat disorders": http://rstb.royalsocietypublishing.org/content/361/1468/533.full

Here's the most relevant bit:

Because so many soldiers and sailors died of disease, accidents or the effects of wounds, concern about psychological effects was scarcely on the agenda for the eighteenth-century soldier. Nevertheless, during the Napoleonic Wars cases of ‘cerebro-spinal shock’, typified by tingling, twitching and even partial paralysis, were described in soldiers who had been close to the passage of a projectile or its explosion but not suffered a physical wound. Termed ‘wind contusions’, cases were treated with scepticism by military physicians.

Laura Vivanco

And in the original piece I quoted, Jones and Wessely's Shell Shock to PTSD: Military Psychiatry from 1900 to the Gulf War, it also mentions that:

Discharged servicemen had been a cause for concern after the Napoleonic Wars when their odd behaviour led to the introduction of the Vagrancy Act of 1824. Some veterans may have been flashing but others seem to have exhibited their war wounds either to gain sympathy or even perhaps as a way of expressing a traumatic experience. The legislation prohibited such acts and declared that 'every person wilfully, openly, lewdly and obscenely exposing his person with intent to insult any female ... shall be deemed a rogue and a vagabond' (2)

Quilt Lady

I am pretty much against war myself it just seem so pointless. So many lose their lives and nothing ever comes of it.There has been war since the beginning of time and what is really gained from it but a lot of lives lost. Maybe I just don't understand it.

Isobel Carr

“So, for example, is an inner city ER doctor in our own time less susceptible to PTSD?”

Interesting. I’d say yes (based on the ER nurses I know), but something out of left field and utterly unrelated to their work (esp something they couldn’t fix) could still cause PTSD in them. For example, I don’t think a stranger getting shot in front of my friend would rock her, but I think if she were shot, or raped, or trapped in a pile-up, she’d be just as susceptible to lasting mental trauma as anyone else.

Susanna Fraser

I've heard that what we'd now call PTSD showed up more in the American Civil War and especially more in WWI than in earlier conflicts because there was such an escalation of weapon lethality from around 1850 onward--and also because WWI trench warfare was especially hellish. I can't recall where I heard that, so it's not a solid cite, but it makes sense to me.

Jo Beverley

Jo here. Thanks for the link to that paper, Laura. It does seem to start from the thesis that any problem without a wound is caused by PTSD. We know how many micro organisms can cause debilitating diseases, and the conditions of war, especially trench warfare, or in tropical climates, would enable this. I knew someone made strange and sickly by drinking contaminated milk in a primitive country. I think it's a leap to say if the symptoms occurred after warfare it was because of warfare rather than environment. Sometimes, yes, but not always.

Interesting points, Kecia.

Susanna and Isobel, I think that's a valid point about shock. A man might be braced for war as he understands it, but broken by war that is terrifyingly different. WWI was a very different and very terrible war.

Jo

Dory Codington

This is an excellent topic. I agree with Susanna that the escalation of lethality and the involvement of civilians led to more PTSD. I am reminded of the most famous fictional case of "shell shock" -- Dorothy Sayers' Lord Peter Whimsey, who suffers from it most terribly. Only his gentleman's gentleman, Bunter, can care for him when it overtakes him. She never really tells what happened to Peter, but he did something with diplomacy for the war dept. in WWI.

RevMelinda

A few thoughts:

First, in my work in hospice we frequently run across veterans (mostly from WWII, the so-called "good war") whose wartime memories, long submerged under the work of making a living and raising a family, have "re-emerged" during retirement or old age in the form of depression, dreams, or even full-blown PTSD. I would think this would also be true of historical people--that the struggle for day to day existence after the war would serve to submerge or postpone some of the emotional shock/turmoil of the past war experiences--perhaps for the whole of a life?

Second, I want to mention Drew Faust's EXCELLENT book "This Republic of Suffering: Death and the American Civil War." (If you read the Amazon summary and reviews you will get a good idea of the content.) The book is heartbreaking and enlightening as Faust writes about how "the Civil War introduced America to death on an unprecedented scale and of an unnatural kind—grisly, random and often ending in an unmarked grave far from home." Personally, I was surprised that so many of our current/modern customs and attitudes toward death and burial find their genesis in changes wrought by the Civil War experience. (Which means, of course, that the customs and attitudes of the previous eras were different from what we might assume or expect.)

Thank you Jo, Wenches, and commenters, for making me think!

Elena Greene

When I told a friend that the hero of my work-in-progress is a Waterloo veteran, she immediately asked if he was suffering PTSD. She was surprised when I said no, the war had affected him in many ways but he wasn't suffering PTSD. I feel it's become something of a cliche in historical romance. Not that I would ever tell anyone not to do it, but I've read a lot of journals and memoirs of the period, like John Kincaid's Adventures in the Rifle Brigade and George Simmon's A British Rifle Man, and haven't seen them mention anything like PTSD. It doesn't mean it didn't happen, and they might not have talked about it. I'm just saying it doesn't seem as prevalent as it seems to be in fiction.

Julee J Adams

Thank you so much for this article Wenches and especially Jo. Two of my contemporary heroes and one of my heroines are Marine vets and this explains a lot of what I've been writing.

I appreciate the historical information and the contemporary.

Jo Beverley

Interesting comment, Rev Melinda. That emergence of early memories is very interesting, isn't it, and seems to be some function of the aging brain. If the early memories are pleasant, it's one thing, but if young people go through hell of any kind, it's cruel.

The thing about wars is that they're often fought by very young men. That might not have been quite so much so in the earlier periods because of standing armies of men who didn't have any other life to return to. I don't know. I wonder if anyone's collected data on the age of front line soldiers in the Napoleonic War.

I agree, Elena, I think the PTSD men in Regency historical has become something of a cliche. As I said, it's why most of my ex military heroes are level headed about it.

Jo

theo

I think the rise in PTSS is in direct relation to how antiseptic our society has grown. We 'clean' everything. The food, the surroundings...even our wars are now cleaned after the initial reactions to the first 'live' shots on CNN. Now the war is edited for us by TPTB.

In the eras the Wenches write, life was far from sterile. People went to hangings and beheadings as entertainment as a couple of you stated. You might have to bear nine children to have two who lived. During the plague as with other times, the death toll was so overwhelming, corpses were tossed out like so much garbage and people tried to live. We don't even mourn our dead in our homes anymore. Now a funeral home takes care of everything. I think we've become inured to it and because of this, our reactions are so much bigger than they were during times past.

But that's just my observation.

Laura Vivanco

"I wonder if anyone's collected data on the age of front line soldiers in the Napoleonic War."

This isn't quite what you were wanting, but I found some data on the ages of the "Military Population at Gibraltar –" where

On average there were about four or five regiments of  men each [...] at any one time, plus additional support and supply staff, making a total of  to  average strength throughout the nineteenth century. (78)

The figures regarding their ages are as follows:

In the early portion of the study period, the average age of the men of the garrison was reported as between twenty-six and twenty-eight years of age. The  census shows that  percent of the men were age twenty-five and younger, with a few soldiers as young as fifteen and a few over fifty years, but the majority ( percent) were between twenty and thirty years of age. The census of  shows the same distribution in the younger age categories but shows a reduction of troops above thirty, effectively increasing the proportion (to  percent) of troops between twenty and thirty years. This was a direct and desired result of the introduction of short service in , a reform that reduced the minimum enlistment period to six years from ten. (78-79)


Padiak, Janet. "The Role of Morbidity in the Mortality Decline of the Nineteenth Century: Evidence from the Military Population at Gibraltar –." Journal of the History of Medicine and Allied Sciences 60.1 (2005): 73-95.

Laura Vivanco

Edward James Coss's PhD thesis, All for the King's shilling: an analysis of the campaign and combat experiences of the British Soldier in the Peninsular War, 1808-1814 is available online. I searched inside very briefly and he mentions that:

Boys as young as 14 appear to have been accepted as recruits in 1806 [...] if they were of a minimum height, around five feet tall. The regimental description records on minimum age are sometimes difficult to interpret, as most boys were accepted as drummers and marked as such. Some boys of sufficient height, however, were listed as full recruits in the description books, with 11 being the youngest age in the army sample [...]. A. W. Cockerill estimates that in 1811, at the peak of the Peninsular campaign, there may have been as many as 3,600 boys in the army under age 16. John Fortescue’s numbers from general army returns show that no fewer than 1,497 boys joined the army each year, with a high of 3,806 in 1807. [...] the average age of recruits being between 22 and 23 [...], with the most common age for army enlistment being 18. (80-81)

http://etd.ohiolink.edu/view.cgi/Coss%20Edward%20James.pdf?acc_num=osu1117204657

Laura Vivanco

I'll stop after this last quote, from an article about the 30th Regiment: "in 1815 [...] the veteran 2nd title Battalion, [was] made up of mainly officers and men with an average age of 29 (compared to the 14th Foot's 300 men under the age of 20."

http://www.lep.co.uk/lifestyle/redcoats_against_napoleon_the_30th_regiment_during_the_revolutionary_amp_napoleonic_wars_carole_divall_30_03_09_1_89843

Jo Beverley

Thanks for digging around, Laura. Your info is coming across a little garbled. Typepad's up to some funny stuff, including losing comments. We've put in a complaint about it.

I don't have time today to follow the link, but I'm a bit confused by this. "A. W. Cockerill estimates that in 1811, at the peak of the Peninsular campaign, there may have been as many as 3,600 boys in the army under age 16. John Fortescue’s numbers from general army returns show that no fewer than 1,497 boys joined the army each year, with a high of 3,806 in 1807. [...] the average age of recruits being between 22 and 23 [...], with the most common age for army enlistment being 18. (80-81)"

By the army reforms in, I think, 1805, 16 was the minimum age for a commission, but I can't remember if that applied to enlisted men. The drummer boy might have been a way of getting younger boys in, as the cabin boy was a way of getting boys into the navy.

When I did some military research on the period I remember that the majority of the commissions were between 16 and 20, so the adult males in romance going into the army in their twenties is a bit unrealistic. They would have to start as cornets or ensigns no matter what their age, and do a minimum time at that rank -- I think a year.

Not particularly on topic, but you stirred the dust in the mental filing system.

I do suspect that large scale conscription of men from reasonably ordinary life directly into intense warfare might particularly contribute to PTSD. As in the American Civil War, WW I, Korea, and Vietnam.

Jo

Laura Vivanco

When I did some military research on the period I remember that the majority of the commissions were between 16 and 20, so the adult males in romance going into the army in their twenties is a bit unrealistic.

The stuff I was digging up seemed to be focused on private soldiers, not officers, so could that perhaps explain the differences in ages? Much of the information about privates might not be particularly relevant to a discussion focused on romance heroes because I have the impression that they tend to be officers (and gentlemen).

Susan

I think also the nature of warfare changed in the 20th century which contributes to PTSD. In the Napoleonic wars the men often formed ranks and shot at each other from ranks 3 deep. There was an almost ritual to it.

Contrast that with the almost 100% guerrilla warfare in Vietnam, where you never knew where the fighting was going to come from next.

I think the randomness and constantly being on edge waiting for the next attack is also a contributing factor.

I know there were surprises in the 18th century as well, but it has escalated.

I love to read about war heroes, whether historical or modern. There's just something about a hero who has been tested to the limits and made it through (if not whole).

Barbara Elness

I think I prefer ex-military because if the hero is active military, he will most likely have to leave at some point to go to war. It's no fun to read about the poor heroine pining away for her love, although if she followed him that could get interesting. I like reading about the aftermath of war a bit more though, what they become after the horrors they've been through.

ute

I have just read the word wenches post on PTSD which I found fascinating, given I am trying to write my first attempt at fiction and wanted to use a regency time period with the hero suffering from PTSD!
I have worked with vietnam vets extensively and read about PTSD. "War Neurosis " was described after WW2 and "Shell Shock" was described after WW1.
The question has arisen as to why PTSD was not diagnosed beforehand ie in earlier wars, or was it missed.
Clinical research suggests that after extremely frightening experiences, only about 30% of people develop PTSD and even then, many recover by themselves. The recent approach of sending in "therapists" after any event deemed to be a potential cause for PTSD is actually counterproductive, given the relative small numbers who do develop PTSD . Some research suggests that by asking people do relive the stressful event immediately after it occured, in the mistaken belief that we are assisting them cope, might well be making things worse as we end up retraumatising them every time they recount what happened.
What makes most people resilient and some not? This is being researched extensively and the answer is far from clear but it does seem to be linked to "what message did the person give themselves at the time of the terrifying event." So that if a soldier believed they were defending their county against an evil enemy, and saw their actions in battle being justified, they are less likely to develop PTSD. (Maybe why every side in every battle believes that " god is with us." and every enemy is demonised.)
Taking an different example -a girl who is being sexually molested may not end up with PTSD if she interprets the situation as " this may be terrible and it is happening to me, but because it is happening to me, I am protecting my sisters.."
It was of course also seen as weakness for soldiers to admit to nightmares, panic attacks etc.Most veterans never discussed their symptoms with anyone, or if they did, it would only ever be with another veteran. Amost never with their families.Many dealt with their symptoms through alcohol. In the work I did until recently, we ran group programs for veterans suffering from PTSD.
We ran groups for WW2 veterans until just a few years ago.What was fascinating was that some of the WW2 veterans had never discussed their symtoms with their wives and only by attending a group program, 50 years after the events, did the wives get to hear about their husbands was experiences.
Further questions are being raised about resilience -we have been very protective of our children and the way we raise them in affluent western countries. We have tried to shield them from harm, or from traumatic events. It seems that we might well have gone overboard in this and in the process removed them from the sorts of expereinces that actually help them develop resilience. Clearly we would not want them to experience what children in Regency London might well ahve expereinced! But we may have gone too far the other way.
So thankyou for a timelyand fascinating discussion and I hope this bit of clinical information is helpful.
By way of background, I am a recently retired psychiatrist who spent the last 13 years working with Veterans in a PTSD unit.
Kind regards

Jo Beverley

Ute, thank you so much for your post. It's very insightful. You wrote, "What makes most people resilient and some not? This is being researched extensively and the answer is far from clear but it does seem to be linked to "what message did the person give themselves at the time of the terrifying event."

That makes sense to me.So much of life is about the way we frame the story of it to ourselves. So men fighting in what they see as a noble war could well react differently to those forced to fight in one they saw as pointless or even evil.

Jo

Marsha Bolden

Thank you for all your comments. I still think that romance writers see their women heroes as helping men to get over the horrors of war by describing their experiences. By the way, I also see PTSS in the experiences of young boys sent away to boarding schools and their reaction is to bond with other young boys. Most of your heroes have gone through this experience and it has grounded them in friendships that enable them to put their lives at risk for their school friends.
Marsha

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