Literature Annotations


Shay, Jonathan
Achilles in Vietnam: Combat Trauma and the Undoing of Character


Genre Treatise (246 pp.)
KeywordsAbandonment, Catastrophe, Chronic Illness/Chronic Disease, Death and Dying, Depression, Disease and Health, Doctor-Patient Relationship, Drug Addiction, Empathy, Grief, Human Worth, Individuality, Literary Theory, Love, Memory, Mental Illness, Mourning, Narrative as Method, Obsession, Pain, Patient Experience, Power Relations, Psychotherapy, Rebellion, Scapegoating, Sexuality, Society, Suffering, Suicide, Survival, Time, War and Medicine
Summary

Shay, a psychiatrist who specializes in post-traumatic stress disorder (PTSD), juxtaposes the narrated memories of his patients who are Vietnam veterans to the story of Achilles in Homer's Iliad. He finds that the roots of their illness, like that of the ancient hero, lie in betrayal of duty by senior officers who failed to do "what's right," in the repression of grief, and in the social limitations imposed on expressions of love between men.

These stressors lead to guilt, wrongful substitution, and dangerous rage, called the "berserk" state. The mental pathology is fostered by an equally wrongful failure to honor the enemy; return to "normal" is never possible. The book concludes medically with recommendations for prevention.

CommentaryShay's work raises the experiences of Vietnam to the heroic proportions of Homer's epic; conversely, he allows Homer's story to illustrate the ancient moral origins of the relatively new disease entity of PTSD. Rich with lengthy quotations both from the Iliad and from recorded conversations with soldiers, this provocative book evokes the timeless dimensions of military ethics and has been acclaimed by those involved in interdisciplinary studies. Although Shay could be accused of distorting PTSD to fit Homer, the exercise reminds us that diseases are constructed, socially and intellectually, to correspond to ethical, as well as cultural expectations.
PublisherAtheneum
Edition1994
Place PublishedNew York
Annotated by Duffin, Jacalyn
Date of Entry 07/08/96
Last Revised 12/10/09