Adolescent vulnerability to posttraumatic stress disorder

This study found that men who developed posttraumatic stress disorder after combat in Vietnam tended to have been adolescents while in combat. They had formed an intense attachment to other men in their combat unit, which had been disrupted by the death of a buddy. This loss generally was followed by acts of revenge and subsequent feelings of a profound lack of control over their destiny. Adolescents use their peer group as an intermediary stage between dependency on their family and emotional maturity, and the army, particularly under battlefield conditions, maximizes the impact of peer group cohesion. For these younger men, the death of a friend was experienced as the dissolution of the once omnipotent group and as a narcissistic injury. Group psychotherapy for Vietnam veterans allows the partial re-creation of the peer group in the context in which the trauma occurred. The sharing and reliving of common experiences may facilitate entrance into the world of adult relationships, a process that was arrested by the trauma.