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Just as polio loomed over the 1950s and AIDS stalked the 1980s and 1990s, post-traumatic stress disorder haunts us in the early years of the twenty-first century. Over a decade into the United States' "global war on terror," PTSD afflicts as many as 30 percent of the conflict's veterans. But the disorder's reach extends far beyond the armed forces. In total, some twenty-seven million Americans are believed to be PTSD survivors. Yet to many of us, the disorder remains shrouded in mystery, secrecy, and shame. Now David J. Morris-a war correspondent, former Marine, and PTSD sufferer himself-presents the essential account of this illness. Through interviews with individuals living with PTSD, forays into the scientific, literary, and cultural history of the illness, and memoir, Morris crafts a moving work that will speak not only to those with the condition and to their loved ones but also to all of us struggling to make sense of an anxious and uncertain time.
- Sales Rank: #2201738 in Books
- Published on: 2015-02-17
- Formats: Audiobook, MP3 Audio, Unabridged
- Original language: English
- Number of items: 1
- Dimensions: 7.40" h x .60" w x 5.30" l,
- Running time: 12 Hours
- Binding: MP3 CD
Review
"An eye-opening investigation of war's casualties." ---Kirkus
From the Inside Flap
$27.00
Higher in Canada
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Just as polio stalked the 1950s, and AIDS overshadowed the 1980s and ’90s, post-traumatic stress disorder haunts us in the early years of the twenty-first century. Over a decade into America’s “global war on terror,” PTSD afflicts as many as 30 percent of the conflict’s veterans. But the disorder’s reach extends far beyond the armed forces. In total, some twenty-seven million Americans are believed to be PTSD survivors. Yet to many of us, the disorder remains shrouded in mystery, secrecy, and shame.
Drawing on his own battles with post-traumatic stress, David J. Morris—a war correspondent and former Marine—has written a humane, unforgettable book that will sit beside The Noonday Demon and The Emperor of All Maladies as the essential account of an illness. Through interviews with people living with PTSD; forays into the rich scientific, literary, and cultural history of the condition; and memoir, Morris crafts a moving work that will speak not only to those with PTSD and their loved ones, but to all of us struggling to make sense of an anxious and uncertain time.
From the Back Cover
“David J. Morris invites us into his own heart of darkness in order to deliver an unflinching and compassionate study of post-traumatic stress disorder. This is far more than a biography of a psychological condition, or a memoir of one individual; it is also a cogent analysis of an ever-increasing phenomenon that has changed the landscape of our culture. If one has any hope of coming to grips with what shapes America every day, The Evil Hours is a must read.” —Alice Sebold, author of The Lovely Bones and Lucky
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“‘Trauma destroys the normal narrative of life,’ Morris explains in this impassioned, well-researched, and beautifully written biography of an illness that we’ve only recently realized is an illness. Though he ‘hates the idea of turning writing into therapy,’ reading his book has helped this fellow sufferer. The Evil Hours is a much needed narrative.” —Ismet Prcic, author of Shards
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“Masterful and moving, David Morris’s investigation of this troubling psychiatric disorder asks all the important questions. This book honors suffering while also making room for hope." —Emily Bazelon, author of Sticks and Stones
Most helpful customer reviews
57 of 59 people found the following review helpful.
A powerful work which goes beyond other books and studies on Post-Traumatic Stress Disorder
By Kcorn
While there is no shortage of books and other material on post-traumatic stress disorder, The Evil Hours breaks new ground. As a former marine, author David J. Morris not only has personal experience with post-traumatic stress disorder but also spent an extensive amount of time reviewing previous work in the field as well as interviewing people who currently struggle with PTSD. He also looked at popular culture and the representations of PTSD in movies, literature, etc. In addition to all of this, he added his own perspective. The result is a vivid and gripping work, one which deserves a wide readership.
The individuals Morris met included not only war veterans but rape survivors and those who'd gone through near death experiences. Their personal accounts and statements are extremely moving, revealing the challenges they face daily. Morris discovered that those with PTSD may also be more likely to become violent, suffer from extreme anxiety, a sense of alienation, and loneliness. Without treatment, the effects can be lasting. Those with post-traumatic stress disorder not only face great personal challenges but also may be unable to function well at work, in their marriages - and as members of their communities.
One of Morris's goals in writing The Evil Hours was to understand how the "current war on post-traumatic stress is being waged". He also looked at past information about PTSD. Then he assimilated it all and arrived at his own conclusions. Some of those conclusions were ones I hadn't read before - and I've read quite a bit about PTSD.
Morris acknowledges that he was also partly motivated to write the book for personal reasons, to grasp why his world seemed so different after his return from Iraq and to grapple with his feelings of alienation. But he brings in larger issues as well, including recent treatments and therapies, resulting in a balanced combination of both personal and wider information.
I was surprised and also encouraged by learning of positive change which can (eventually) occur after suffering post-traumatic stress disorder. One individual felt that PTSD "recalibrated" his values and gave him an opportunity to reassess his life and move in a better direction. And Morris found other examples of those who felt that extreme stress had led to both great suffering and - in time- opportunities for personal growth and a new beginning. Unfortunately, he also discovered that society often considered post-traumatic stress disorder sufferers to be "broken", possibly leading to a self-fulfilling prophecy from survivors who accepted others' perceptions as the truth.
Of course a single review can't possibly list all of the topics covered in The Evil Hours but I hope I've included enough here to compel potential readers to obtain a copy of the book. In addition to the introduction, main chapters, and epilogue, there are detailed notes on studies, books, articles, and other material related to each chapter. There is also a bibliography for those who want to seek out more information on PTSD.
24 of 25 people found the following review helpful.
Compassionately Written History and Current Treatment of PTSD
By Lita Perna
This is a compassionate book written from a personal perspective, and includes extensive research, interviews and historical data. The author explores the personal, psychological, social, cultural and political aspects of what we know as PTSD. David J. Morris is a former marine infantry officer and a journalist who was almost killed by a roadside bomb in Baghdad. He writes about his own struggles with PTSD. He says he wrote this book for selfish reasons as an attempt to answer basic questions: Why does the world seem different since he got back from Iraq? Why does he feel out of place? What does one do with the knowledge gleaned from a near death experience?
The Evil Hours: A Biography of Post-Traumatic Stress Disorders really is a biography of PTSD that goes wide and deep into the history, symptoms, treatments, and the valiant fight by group of Viet Nam Vets to have PTSD included as a mental Illness Diagnosis in the DSM III. Morris writes of Shell Shock, Combat Neurosis, Traumatic Neurosis, Combat Fatigue, VietNam Syndrome all being different names for what we call PTSD today. He writes about the trauma of the soldiers in WWI and WWII and VietNam and the trauma of rape and natural and man-made traumas, as well as his own difficulties with PTSD. He includes interviews though out the book.
Morris writes about his own treatments (he dropped out of one) and other treatments: Cognitive Behavioral Therapy-Cognitive Processing Therapy, Psychodynamic Therapy, Prolonged Exposure, Flooding, the drug propranolol and even Yoga. He cites the ineffectiveness and dangers and controversies of some of the therapies and the dropout rates of 54% of therapies with most empirical support. The chapters on therapies and psychologist and psychiatrist infighting is informative and is reason enough to recommend this book.
Author David J. Morris writes that historian and philosopher, Will Durant "calculated that there have been only twenty-nine years in all of human history when there wasn't a war going on somewhere in the world."
Morris writes in the final chapter about suffering and growth from suffering and he quotes psychologist Richard Tedescho who says his research has shown that post-traumatic growth is far more common than post- traumatic stress. Research continues.
This beautifully written factual and philosophical book is rich on many levels. Morris delivers information about PTSD within a broad history of war and social, political and cultural movements and shows us the influences that shape who we are today and who we will be tomorrow.
23 of 24 people found the following review helpful.
Enlightening discussion of the experience, history and treatment of PTSD, particularly combat trauma
By Tracy Marks
THE EVIL HOURS is both a personal exploration of author, war correspondent and PTSD sufferer David Morris' own PTSD experience incurred in Saydia, Iraq, AND an informed discussion of the history of the history of PTSD and various successful and unsuccessful treatment methods. The chapters are titled Saydia, In Terror's Shadow, Toward a Genealogy of Trauma, Therapy, Drugs, Alternatives, and Growth. Also included are an epilogue, extensive, well-research notes, and a select bibliography.
PTSD is now the most common psychiatric disorder diagnosed in the U.S. "Trauma destroys the fabric of time," Morris tells us, describing how the brain keeps reliving unintegrated traumas which appear to have seared themselves in our brain cells. "The more helpless the patient felt, the more likely he was to be traumatized... PTSD survivors are not alive, not dead, but somehow both and neither."
PTSD survivors often live a state of emotional numbing and hypervigilance, interrupted by flashbacks and eruptions of repressed feelings. They may also increasingly isolate themselves in order to protect themselves from exposure to words or events that will potentially trigger the original trauma, "living inside a PTSD bubble, a severely limited range of activities that doesn't trigger their symptoms".
Morris explains that PTSD was not a recognized psychiatric diagnosis until 1980, a result largely of the battle by Vietnam Veterans Against the War to get the disorder officially recognized.
In tracing the known history of PTSD, Morris tells us that an ancient Sumerian text, THE LAMENTATION OF UR (ironically, Ur = Uruk = Iraq) referred to traumatic reactions to war, and that the ILIAD and ODYSSEY have been significant texts in regard to the literary portrayal of PTSD. Having been moved and influenced by Jonathan Shays' ACHILLES IN VIETNAM, I highly recommend Shay's book and related writings, especially since Achilles so thoroughly demonstrates the sudden eruptions of PTSD rage - and the road back to integration within the community.
Morris discusses the traumas experienced by Civil War Veterans, many considered to be cowards, and how they were sometimes regarded as having a mental disease, their symptoms being referred to as nostalgia or heart-ache (in the Greek, nostos=home and algia =pain). A more extensive but still incomplete recognition of the adult-onset disorder occurred during World War I, when thousands of soldiers and veterans were diagnosed with what then was called "shellshock".
Although Morris refers to other kinds of PTSD (such as rape trauma) besides combat trauma, his focus is on the PTSD experienced by veterans, particularly veterans of Vietnam, Afghanistan and Iraq. As a PTSD survivor myself, whose own PTSD was a result of hundreds of small but deeply impactful traumatic incidents in childhood, I wish that Morris had explored in some depth the experience and treatment of non-combat and long-term chronic PTSD.
Nevertheless, much of what he wrote was meaningful to me - especially the sharing of personal experiences of PTSD survivors and the effects of various kinds of treatment.
What might enable the PTSD victim to cope more effectively with his PTSD symptoms? In quoting a VA researcher, Morris tells us that "the major PT factor is whether the traumatized person received social support." "Accept that there are things in this world that can break us," Morris advises readers suffering from PTSD. "Only then can we begin to make meaning out of everything that came after."
The resilience of PTSD survivors is helped by "having a solid moral compass, spiritual faith, having a role model, social support, confronting one's fears, and seeing oneself as having a mission in life. The key predictor of who would bounce back....was a sense of optimism."
One focus of Morris' book is the process by which Vietnam Veterans against the War with such leaders as Robert Jay Lifton actively fought to recognition of PTSD in opposition to the Nixon White House and often the VA itself, which wished to minimize the negative consequences of war.
In his very informative chapters on treatment options, Morris warns us that the focus on pharmaceutical means of treatment and mass-produced treatment programs neglect the important interpersonal dimension of the healing process involved, short-circuiting and ignoring completely the therapist-client relationship. It can also can lead to avoidance in regard to confronting moral issues such as torture that contribute to the onset of PTSD.
"The problem, really, is that while humanity continues to experience huge leaps in technology, we experience no equivalent leaps in our ethical capacity. On the never-ending arms race between technology and ethics, technology always wins."
Morris discusses pharmaceutical treatments (e.g. propranolol, zoloft), psychodynamic therapy (especially helpful for long-term chronic PTSD), flooding and prolonged exposure (PE). The latter he points out is not effective for some PTSD sufferers because it may retraumatize them.
I found myself particularly intrigued by the two last chapters in which Morris explores alternative treatment methods and the possibility of resulting personal growth. Rather than address the trauma, yoga, meditation and other mind-body techniques are particularly helpful to the reintegration process.
Some veterans have also indicated that their PTSD experience has actually had positive as well as negative consequences - that they were able to allow the crisis of PTSD to enable them to change their lives for the better, and in many cases, awaken their compassion and spirituality. This focus, ignored by most treatment plans and by the VA, is certainly one that can enhance the coping ability of PTSD survivors.
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