Shell shock to Palaly syndrome

Dr Ruwan M Jayatunge M.D.

“In war, there are no unwounded soldiers.” – Jose Narosky

Palaly is a well-known area in Jaffna and it is famous for the Palaly Air Base. Most of the soldiers go to the Northern Peninsula via Palaly airbase. Therefore, Palaly is a part of them. Palaly is in their memories, sometimes in their intrusions. Palaly syndrome describes various clinical and psychosocial ailments experienced by the Sri Lankan combatants and in the final scores how it affects the society at large.

Shell shock to Palaly Syndrome was a long way for the soldiers.

In the early years of WW1 Shell Shock was believed to be the result of a physical injury to the nerves. Shell Shock term was coined by the British Pathologist Col. Fredrick Mott. He regarded Shell Shock as an organic condition produced by miniature hemorrhages of the brain. Shell Shocked soldiers exhibited symptoms of extreme fear, shaking, psychogenic blindness, psychogenic paralysis and sometimes aphonia.

The Army was less sympathetic to the ordinary soldiers with Shell Shock. Official figures said that 304 British soldiers were court-martialed and executed. Between 1914 and 1918, the British Army identified 80,000 men as suffering from Shell Shock. During the World War 2 traumatic reaction to combat was identifies as War Neurosis or Chronic Fatigue Syndrome. 10% of US Servicemen developed combat exhaustion in the WW2. Nearly 1363,000 soldiers were given medical discharges and 39% had Chronic Fatigue Syndrome.

During the Korean War the term section 8 was widely used to describe causes of psychological combat trauma. Those who had been diagnosed with section 8 were dealt with in a very situational manner. The term PTSD or Post Traumatic Stress Disorder emerged soon after the Vietnam War. PTSD has been found in 15% of 500,000 men who were in Vietnam. There are estimated 50,000 veterans suffering from full blown symptoms of PTSD. At least half a million Vietnam veterans lead lives plagued by serious war related readjustment problems.

A new form of battle stress began in Sri Lanka mainly after 1983. Many Psychiatrists point out that number of psychiatric illnesses have been increased as a result of the Northern Conflict. For a combat soldier in World War 2 who served for 4 years the average time spent in actual combat was approximately 40 days. In Vietnam soldiers spent an average of about two thirds of their 12 or 13 month tours over 250 days in combat. But in Sri Lanka a large number of soldiers have spent 10-15 years in combat with short intervals. For nearly three decades, Sri Lanka experienced a social calamity as a result of an armed conflict and people were deeply traumatized. The echoes of the war trauma will affect Sri Lanka for generations.

Although the origin and the history of this conflict is very complicated and carries many versions and explanations, after all it is a collective trauma for the Islanders indeed. The North and South suffered from this conflict creating a large number of physically and psychologically traumatized people. War trauma is still hounding the

Sri Lankan society rising as social violence, political violence, political extremism, criminal activities, domestic violence, suicides, homicides, alcohol and drug abuse, cruelty to children and various other forms.

Combat Related PTSD in Sri Lanka

PTSD is a relatively newly defined disorder with an old history. According to the Western chronological records the first patients of PTSD were recorded in 1666. These records were based on Samuel Pepy’s diary which describes the bizarre behavior pattern of the survivors of the Great Fire of London. Samuel Pepy vividly portrayed the nightmares, intrusions and flashbacks experienced by these survivors.

In 1876 American Civil War doctor Mandez Da Costa published a paper diagnosing Civil War veterans with PTSD like symptoms which he called Irritable Heart. Although the Western World recorded PTSD in 1666 the King Seethawaka Rajasinghe the 16th century monarch of Sri Lanka believed to be suffered from combat related PTSD. King Seethawaka Rajasinghe (born in 1580 AD) was a great warrior who came to the battle field at the age of 16. He fought against the Portuguese invaders and witnessed many deaths and destructions. He was a fearless fighter who used effectual war tactics and overpowered the fully equipped and fully trained Portuguese war machine. Following the long years of combat he was exhausted and definitely suffered from battle fatigue.

In the later years the King Seethawaka Rajasinghe showed outburst of anger, irritability, deep mistrust, alienation, emotional numbing and various other PTSD related symptoms. There were clear personality changes in him. With these changes the great liberator launched a chain of terror against his own people creating a deep void in the hearts and minds. Hence the King Seethawaka Rajasinghe lost his due respect in the history. But no one can argue his courage and tactics which he demonstrated in the battle field. The invincible 16th century super power was in the verge of a defeat in front of his sward. But what went wrong? Did combat related PTSD affect him?

The history shows that the King Seethawaka Rajasinghe experienced a number of PTSD symptoms. On one occasion, he gathered 100,000 soldiers and attacked the Portuguese Fort in Colombo. The Portuguese were desperate. Fear and famine fell upon them. Despite the attacks, the Portuguese were able to get external naval support from Goa. The battle was a fiasco and the King became furious. He suspected most of his Generals and assassinated them one by one. King Seethawaka Rajasinghe poisoned his right wing man Wicramasinghe Maha Senevi then Weerasundara Bandara. These Generals helped him in numerous battles. He was under a deep suspicion and believed in a conspiracy theory. He acted as a tyrant and used brutal methods to punish people. He never felt any remorse or compassion. The King Seethawaka Rajasinghe even killed his own father Mayadunne which can be interpreted as a reaction following emotional anesthesia. Emotional anesthesia or emotional numbing is a distinctive feature of PTSD. In the later years he turned against the religion (which can be interpreted as avoidance also a cardinal symptom in PTSD). He embraced Hinduism and murdered thousands of his subjects who refused to follow Hinduism. The King Seethawaka Rajasinghe destroyed Buddhist temples and killed Buddhist monks by drowning.

His emotions were unstable. Very often, he acted with sudden rage. Gradually he made him self alienated. He had no close associates and the King became an isolated and a broken man. After many battles, he was physically and mentally worn out. Many aristocrats had left him because they could not stand his false accusations and outrageous behavior. The Great warrior had become another victim of combat stress.

Shell Shocked Sri Lankan Combatants

During the World War 2 a small contingent of Sri Lankan soldiers attached to the British Army served in Italy , Singapore , Egypt and Burma. Some were exposed to active combat or witnessed the horrors of the WW2. Some historical data suggest that a few Sri Lankan veterans suffered from Shell Shock during the WW2. The renowned Sri Lankan novelist Mr. W.A Silva in one of his short stories described the plight of a local soldier who had Shell Shock features.

Is PTSD an American Illness?

Some have expressed the view that PTSD as developed in the West should not be imposed on countries with different cultures. Even though the concept of PTSD came from the West, it was common and could be seen in many countries irrespective of cultural differences. Psychological stress reactions to traumatic events occur in diverse societies and cultures. (Post-Traumatic Stress Disorder: Cross-Cultural Aspects -Padmal De Silva Department of Psychology, Institute of Psychiatry UK). Human response to trauma is universal but the cultural context of the trauma is an imperative dimension. The meaning of trauma is often culturally specific. Cultural factors may also influence the manner in which PTSD symptoms are manifested. Therefore culture based assessment had to be introduced. In addition, the specifications of the Sri Lankan conflict should be taken in to considerations. These specifications were prolonged combat exposure, lack of psychological first aid soon after the combat, lack of social support system and on the other hand as the positive specifications-the usage of traditional healing methods, the impact of religion must not be forgotten.

The US Veteran Administration found 50,000 US servicemen soon after the Vietnam War. For many years, Sri Lankan authorities considered PTSD was an American illness, which could never affect Sri Lankan soldiers. Some expressed the view that we should not dig in to unnecessary issues like combat related PTSD which can lead to litigation and compensation. Therefore deaf and blind policy was adopted for the official convenience. But during this period combat stress increased in large numbers. Most of them were undiagnosed and untreated.

The Echoes of Palaly Syndrome

War is a multi-layered, multi-factorial phenomenon, which is filled with gruesome acts of violence. In a war not only the combatants even the civilians undergo a tremendous amount of combat stress. Stresses are unavoidable in a situation like war. Therefore people who lived in war zones become vulnerable. Their psychological makeup change rapidly. War is a wholly human-made catastrophe, which is a gigantic process of social and self-destruction. As Plato once said “only dead have seen the end of the war. This means the psychological scars following combat can stay behind for many years. It can change the psychological markup of a person making him more dysfunctional. As the Salvadorian psychologist Martin-Baro(1990) wrote of his own country, what was left traumatized were not just Salvadorian individuals , but Salvadorian society. This expression is totally applicable to Sri Lanka.

Many combatants, civilians as well as members of the rebel group have become the victims of Palaly Syndrome. The Country was in an armed conflict for thirty years and during that period the society was severely traumatized and if necessary psychosocial rehabilitation is not provided the war trauma would harm the spirit of the Nation. During the past years, psychological needs of the combatants were not properly addressed. Much attention was paid to the physical injuries rater than psychological damages. Effective rehabilitation was not conducted and the repercussions of the mismanagement of combat trauma are visible even today. Following the Sri Lankan conflict a large number of civilians, members of the Armed Forces and the LTTE carders have been killed. Total deaths estimate over 70,000 lives. Many have become permanently disabled. A large numbers carry psychological scars of the war with them and suffer silently. Some have sublimated their anxiety and stress to the family members and to the society. Hence, war trauma has become a vicious cycle.

The Sri Lankan society has experienced and still experiencing the echoes of the Palaly Syndrome. Many distressing and heartbreaking stores reveal the magnitude of combat trauma in the country.

A Distinguished Officer Turned in to a Serial Murder

Major Anuruddha Wijebahus’s story could be described as one of the horrifying stories of Palaly Syndrome. Anuruddha Wijebahu was a bright student from a leading school in Kandy. After completing his school education, he joined the Kothalawala Military Academy and passed out as an infantry officer. He was attached to the VIR or Vijayaba

Infantry Regiment. Anuruddha Wijebahu served in the operational areas experiencing numerous combat related stresses. Gradually his psychological make up changed and there were clear personality changes in him. Major Anuruddha Wijebahus’s became cold-blooded serial killer and murdered a number of innocent men. His last victim he took to the Manthottam camp and drugged him. Then he chopped off the victim’s body, put the remains in to a barrel, and set fire. Later he was caught and while in the custody, Major Anuruddha Wijebahu committed suicide.

The Story of Army Jine

Army Jine was brave soldier from the Sri Lanka Commando unit who had exceptional combat skills. Affected by the combat stress his conduct became intolerable. Hence, Jine became AWOL. While in AWOL Jine committed highway robberies, murders and rapes. He lived in the jungle and with the survival tactics, which mastered, Jine evaded the law and enforcement authorities for a long time. According to some reports, Jine had committed nearly 27 rapes. Eventually he was gun downed by the Police.

Kadawatha Madura

Madura was a top sportsman in the Army who was mishandled by hissuperiors. Many occasions he was harassed and Madura underwent harshwork related stress. Following unbearable work related atmosphere hebecame AWOL and joined the underworld. Madura organized several armedrobberies and he was engaged in extortions mainly in Kadawatha. Madurawas shot dead in Kadawatha town while he was confronted by the Police.

Wambotta the ex Army Soldier

Kitulgamaralalage Ajit Wasantha alias Wambotta was born inEmbilipitiya. In 1993, he joined the Army, enlisting as a member ofthe 3rd Sinha Regiment. After sometime, he left the Army and formed acriminal, gang, which consisted of over 50 heavily armed militarydeserters. Since Vambotta had the powerful political backing andpolitical patronage, the Police found it extremely difficult to makeany arrests. The gang led by Wambotta had done over ten murders and anumber of extortions. The notorious gangster Wambotta was ambushed andkilled by another underworld gang at Aswatte in Kosgama

A Lady Accountant killed by a Deserter

At Mutwal a lady accountant from a private firm was murdered and her12 year daughter was raped by an army soldier in 2008.

The perpetratorbecame AWOL several months before the crime. He waited near her housethen entered and committed the crime. The victim was assaulted with ablunt weapon to her head and she succumbed to the injuries.

A Lady Doctor was shot by a Disabled Soldier

A lady doctor named Dr Miss Indunil from Bandagiriya CentralDispensary was shot by a disabled soldier from the Commando Regiment.According to the internal sources, the disabled soldier who waswounded in the battle had not received appropriate rehabilitation andpsychological mode of management was affected by posttraumatic stress.Following an argument with the lady doctor he went in to a sudden rageand shot her.

A Brigadier was charged with shooting of his wife

A Brigadier who had served in the North and participated in numerousmilitary operations was arrested by the Police for murdering his wife.According to the investigations, the suspect had used his servicepistol to commit the murder.

The SF Rider who became a Criminal

Lance Corporal Harshana Nuwan was an expert motor cycle rider in theSpecial Forces who participated in SF operations in the North. Heencountered copious battle stress, which he could not cope with. Oftenhe was charged with disciplinary infractions and to evade thepunishments he became an absentee. While hiding from the militarypolice Lance Corporal Harshana Nuwan organized several bank robberiesin which he used his riding skills. He was nick named as Son Baba bythe underworld. He masterminded several contact killings andabductions. The Police took an immense effort to track him down.

An Army Sergeant Plants a Bomb in a School Van

An army explosives expert was arrested for alleged involvement in theKurunegala school van explosion which left one 12-year-old school girldead and 11 injured in 2009. According to the initial investigationsindicated that the army sergeant had smuggled two kilos of C-4explosives out of the Minneriya camp and planted them on the vanaround midnight in an apparent bid to kill the owner-driver, whom hesuspected of having an illicit affair with his wife.

War Trauma and Social Violence

The 30 year armed conflict in Sri Lanka has produced a new generationof veterans at risk for the battle stress.

Over 150, 000 members ofthe armed forces had been directly or indirectly exposed to traumaticcombat stress. There had been nearly 18 major military operationsconducted by the Armed Forces from 1987 to 2001 and when the conflictaggravated in 2006 new military operations were launched. A largenumber of combatants were exposed to hostile conditions. Following thetraumatic combat stress, many combatants suffered from anxietyreactions that could be manifested as social aggression.

Psychosocial Rehabilitation of the Affected Veterans

The magnitude of combat trauma in Sri Lanka cannot be ignored. Most ofthe psychological scars are unhealed and it can affect the person aswell as society. These psychological and emotional traumas wereresulted from witnessed killings, handling human remains, exposing tolife and death situations, and numerous other battle stresses. This isa form of invisible trauma in the military. But it has directimplications on the mental health of the soldiers as well as theirfamily members and the society at large.The combatants gave an enormous contribution to end the war in SriLanka.

Their blood and sweat were used by the politicians for theirglory and at the end of the day the combatants received nothing exceptso called the Ranaviru Upahara which consisted of empty words. Thereshould be an effective rehabilitation for the combatants affected bythe Palay Syndrome. For long years, the veterans did not gain adequaterehabilitation and their battle stresses increased risking not onlythe combatants also their family members. In the final account, thesestresses affect the entire society.

Combat Trauma in the Post War Era

There were many examples from other countries that reveal how combattrauma affected in the post war era. For example soon after theAmerican Civil War, traumatized solders formed an extremist movementthat called KKK which engaged in racial violence. Many Americanvolunteers who participated in the Spanish Civil War engaged in socialviolence and some Lincoln Brigade soldiers became top criminals.

PostVietnam War caused a vast social chaos in USA. Similarly, manyAfghanistan veterans of the Red Army engaged in organized crimesduring the Perestroika era in the former USSR.Soon after a mass conflict like war, there is a tendency of politicalextremism and sometimes fundamentalism to emerge. In a post conflict,society social fabric is fragile, people are traumatized and theybecome easy targets to these extreme and damaging forces. Soon afterthe WW 1, Germany faced such a situation and NAZIS could exploit thecollective trauma experienced by the German people. The Talibanfundamentalists grabbed the power at the end of the Afghan conflict.Hence, there is an impending risk that we face today and theDemocratic forces have an absolute responsibility to restore peace andjustice system in the CountryThe major impact of war includes disintegration of the psychologicalwell-being. Therefore, major psychosocial interventions are requiredto restore the damages caused by the war. Promotion of human rightsand justice are the key way to reinstate the social equilibrium.

Thevictims of war need psychosocial support and rehabilitation.Rehabilitation programs include education, vocational training, incomegenerating projects, loans and housing that is tailored to the needsof the survivors and post disaster situation.Wars represent mental health emergencies. It can affect the mentalwell-being of individuals. Mental health is indispensable to personalwell-being, family and interpersonal relationships, and contributionto community or society. The discovery of delayed reactions of battlestress by Dr Michael Robertson of the Mayo Clinic reveals anotherthreat of combat trauma. Those who are free of any type of combatstress signs today could be a future vulnerable group. Therefore,psycho education and effective combat trauma treatment measures shouldbe introduced to our health system.

4 thoughts to “Shell shock to Palaly syndrome”

  1. Sri Lankan educational system is the best in the world. I studies at the Southlands – Galle.

  2. “””At Mutwal a lady accountant from a private firm was murdered and her12 year daughter was raped by an army soldier in 2008″”” What is this? This is a miner matter in Sri Lanka and it’s part of life. Don’t make a fuss out of it. We Sri Lankan are very well educated. Do not forget Sri Lankan Army saved our nation and stop the war.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.