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Victor R. Volkman

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Blogs by Victor R. Volkman

Back into the Heart of Darkness (Part VI) - Imaginal Flooding: How to Make a Grown Man Cry
3/8/2004 1:05:29 PM


Tom Joyce presents a gut-wrenching story of courage, tragedy, triumph, and redemption surrounding veterans of Vietnam and their struggle with Post-Traumatic Stress Disorder (PTSD). Part VI of a series.

Imaginal Flooding:  How to Make a Grown Man Cry

Fred Gusman’s concept of “understanding who you really are” was the operating principal behind “focus,” a technique considered by the vets to be the most solemn ritual of the entire program. In Vivio or Imaginal Flooding[i] is an exposure technique used in Cognitive Behavioral Therapy (CBT), and other forms of treatment since the 1960s, but at Club Fed the process seems to have been shrouded in the mystery of a Masonic ritual.

">http://www.authorsden.com/members/blogs/#_edn1" name=_ednref1>[i] is an exposure technique used in Cognitive Behavioral Therapy (CBT), and other forms of treatment since the 1960s, but at Club Fed the process seems to have been shrouded in the mystery of a Masonic ritual.

 

“The focus groups are this hallowed thing,” Pete tells me. “They’re encouraged to eat together, talk together, stay together. The psychologists rarely ran the focus groups; they just sat and looked at you.” Members of a focus group were encouraged to try their hand at gestalting individuals in the hot seat, probing for denial and dissimulation. After relating a few of his gruesome experiences to the group, Pete had been upbraided by his “peers” and told how things really were. “I thought I was going in with combat veterans and it turned out that of my group of twelve, only three of us were. I just knew the rest could not understand.”
 

Pete was subsequently taken into private session and “flooded” by one of the program’s clinical psychologists. “This guy sat me down and told me that he wanted me to relax. ‘Now, Pete, what I want you to recall is that incident you mentioned [in the focus group].’”

 

Pete’s CAP unit had been part of Operation Zippo, in which US troops were ordered to burn villages and force-march the inhabitants to refugee camps in Da Nang. On the banks of a raging river, during a mass-evacuation, pregnant women were miscarrying, wailing, frightened to death, so a human chain of Marines was formed to expedite the crossing. Some of them, according to Pete, had been “in country too long, seen too much death, gotten too numb.” They apparently found sport in holding small children underwater beneath their boots, then watching the corpses float down river, away from sight of their CO. Women were molested in mid-stream, and no baby ever made it across, even though Pete says he helped deliver one on the riverbank.

 

“So the psychologist tells me, ‘Okay, Pete, you know—and I know—that you were the one drowning them.’ And I thought, oh, my God! He must know something I didn’t. He told me to feel those hands scratching at my legs.” Pete chokes and turns away so I won’t see the tears in his eyes. “Well, Christ, I was out of it, bumping into walls, crying, and he says to me, ‘Now, we have to end off here. You come back and see me on Tuesday’—it was Friday afternoon —’and I want you to stay with that feeling. It’s important that you stay with it.’” Pete shakes his head in disbelief. “This dogshit shrink actually convinced me that I had drowned children. That, I know I didn’t do.”

 

“What I’m really trying to do is to help the patient, for the very first time, to get some insight into how they think,” Gusman claimed. “And we want to dispel the myth that everybody is a steely-eyed killer.”

 

“I learned soon enough that you can’t really get into anything because you only have an hour,” Gary told me. “You’re in the middle of stuff and the therapist would say, ‘Hey man, hold that thought, I’ll see you next Monday.’ So I just ended up saying, ‘Look, I’m really sorry, but I haven’t got years and years to spend here doing this.’”

 

“Staying with the feeling” and the “fifty-minute hour”—around which so many therapists construct their practice—is of scant therapeutic value for most veterans suffering from PTSD. Once revivified in a session, the horrors of war can’t wait until the following week to be addressed. These guys have been staying with the feeling for years—and that, precisely, is their problem.

 

[i] Keane, T,M., & Kaloupek, D.G., (1982) “Imaginal Flooding in the Treatment of Post-Traumatic Stress Disorder.”  Journal of Consulting & Clinical Psychology, 50, pps. 138-140.

">http://www.authorsden.com/members/blogs/#_ednref1" name=_edn1>[i] Keane, T,M., & Kaloupek, D.G., (1982) “Imaginal Flooding in the Treatment of Post-Traumatic Stress Disorder.”  Journal of Consulting & Clinical Psychology, 50, pps. 138-140.

 

 

 

Continued in Part VII

You can read the article in its entirety in Beyond Trauma: Conversations on Traumatic Incident Reduction.  See http://www.BeyondTrauma.com



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More Blogs by Victor R. Volkman
• Back into the Heart of Darkness (Part VII) - Traumatic Incident Reduction - Thursday, March 25, 2004
•  Back into the Heart of Darkness (Part VI) - Imaginal Flooding: How to Make a Grown Man Cry - Monday, March 8, 2004  

• Back into the Heart of Darkness (Part V) - Acceptable Losses - Monday, March 1, 2004
• Back into the Heart of Darkness (Part IV) - Gestalting - Friday, February 27, 2004
• Back into the Heart of Darkness (Part III) - The VA: No Man Left Behind - Wednesday, February 25, 2004
• Back into the Heart of Darkness (Part II) - The beginning of PTSD - Friday, February 20, 2004
• Back into the Heart of Darkness (Part I) - Monday, February 16, 2004
• Critical Issues in Trauma Resolution by Frank A. Gerbode, M.D. - Sunday, February 15, 2004