Hector Garcia: We train soldiers for war. Let's train them to come home, too
Hektor Garsija (Hector Garcia): Obučavamo vojnike za rat. Hajde da ih osposobimo i da se vrate kući.
Hector A. Garcia has spent his career as a frontline psychologist delivering evidence-based psychotherapies to veterans with posttraumatic stress disorder (PTSD). Full bio
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and got shot up in every one.
i svakog puta bio ranjavan.
iz medicinskih razloga
shrapnel in his body
previše šrapnela u telu
he suffered from nightmares,
stresni poremećaj (PTSP).
to help mitigate human suffering,
u smanjenju ljudske patnje
has been the suffering caused by PTSD,
uzrokovanim PTSP-om,
kao što je Karlos.
just wasn't there.
naučnih podataka o PTSP-u.
smo tretirali jakim lekovima.
u standardnu grupnu terapiju,
and gave generic group therapy,
about your experiences."
svoja neprijatna iskustva.“
wilderness retreats --
terapiju sa psima, terapiju u prirodi,
temporarily relieve stress,
privremeno smanjiti stres,
PTSD symptoms over the long term.
ne eliminišu simptome PTSP-a.
that we can now eliminate PTSD,
u potpunosti eliminisati PTSP,
has been able to show,
su uspela da pokažu,
get rid of symptoms and which do not.
a koji to ne mogu.
many of the very same training principles
koriste mnoge slične principe obuke
in preparing its trainees for war.
prilikom pripreme vojnika za rat.
since before we were even fully human.
i pre nego što smo zaista postali ljudi.
from using stone and sinew
od upotrebe sirove snage i kamenja
and devastating weapon systems imaginable.
i razarajućih oružanih sistema.
da koriste ovakva oružja,
to use these weapons,
training methods.
our warriors to fight.
naših vojnika da se bore.
of the modern-day combat veteran,
iskustvo ratnih veterana modernog doba,
have not been as good
immersed in conflict,
gde su i živeli.
in our evolutionary history,
da znamo kako da se vratimo iz rata
how to come home from war,
u mnogo mirnijim društvenim zajednicama,
in far more peaceful societies,
we, especially in the United States,
mi, naročito u SAD-u,
our warriors through advanced training,
naše vojnike naprednim treninzima,
anywhere on the globe
what this must feel like.
kako ovo zaista izgleda.
bili u ekstremnim borbama u Avganistanu
firefight in Afghanistan
they found themselves
su se našli u situaciji
to their kid's soccer game.
na fudbalskim utakmicama svoje dece.
da se koristi za opis takvog iskustva.
I've heard to describe that experience.
spend countless hours training for war,
pripremajući se za rat,
kako da se vrate u normalan život.
on how to return to civilian life.
PTSD treatments require repetition.
PTSP-a zahtevaju ponavljanje.
Mark-19 automatic grenade launchers
jednostavno minobacače Mark-19
evo ti municija i srećno.“
here's some ammo and good luck."
and in specific contexts,
u specifičnim uslovima,
and engaging their target
u njihovu mišićnu memoriju
without even thinking,
conditions you can imagine.
koje možete da zamislite.
for training base treatments.
baziranu na treninzima.
is cognitive therapy,
je kognitivna terapija,
of mental recalibration.
mentalne rekalibracije.
the world is calibrated
more dangerous environment.
onto a peacetime environment,
takav način poimanja na mirno okruženje,
about dangers that aren't present.
o opasnostima koje nisu prisutne.
svojoj porodici i prijateljima,
dangers in civilian life; there are.
u civilnom životu; ima ih.
susretanja tih opasnosti
of encountering them
to turn off caution completely.
da sasvim odbace oprez.
to adjust caution
kako da prilagode svoj oprez
in a bad neighborhood,
da budu veoma racionalni,
the actual statistical probability
realnu statističku verovatnoću
improvizovanom eksplozivnom napravom
here in peacetime America.
those recalibrations stick.
takve rekalibracije deluju.
is exposure therapy,
je terapija izlaganjem,
effective treatments out there.
delotvornih tretmana.
by giving him exercises,
going to a restaurant,
odakle bi mogao da osmatra prostoriju,
where he could scan the room,
da isplanira plan bekstva,
on a makeshift weapon.
nekog improvizovanog oružja.
in the Marine Corps,
his anxiety ratcheted down a little bit,
njegova anksioznost se umanjila,
and then a little bit more,
how to sit in a public space
kako da sedi na javnom mestu
of his combat experiences,
snimke iz svojih borbi
no longer generated any anxiety.
više nisu uzrokovala anksioznost.
to return to those experiences
da se vraća na ta sećanja tokom spavanja.
a year after treatment had finished,
godinu dana nakon završenog tretmana,
u proteklih 43 godine
than erasing a memory.
their traumatic experiences,
svojih traumatičnih doživljaja,
or as painful as they once were.
i bolna kao što su nekada bila.
like they just happened yesterday,
kao da se to juče dogodilo,
better place to be.
it may not work for everybody.
možda neće delovati na svakoga.
how can you help me?"
kako mi možete pomoći?“
to civilian life,
o povratku u civilni život,
somebody who's been there.
for operations on the battlefield;
za operacije na bojnom bolju;
o tome kako da se vratite kući.
that you can imagine,
koje možete da zamislite
where I have just felt my heart break
da mi se srce slama
treatments work so well,
deluju toliko dobro
it puts back even more,
on mi čak i više vraća,
with his grandchildren,
u izlascima sa svojim unucima,
with his own children.
čak ni sa svojom decom.
is that after 43 years of suffering,
je da mu je posle 43 godine patnje
of intense training to get his life back.
intenzivne obuke da povrati svoj život.
sa njim, rekao mi je:
da vratim te godine nazad.
that I have left on this Earth,
da mi je ostalo na zemlji,
younger veterans don't wait
da mlađi veterani neće čekati
to have survived war
to live your life well.
sa obukom koja vam je potrebna
to get the training you need
human suffering caused by war
ljudska patnja uzrokovana ratom
yet as a species.
in our sons and in our daughters
kod naših sinova i kćerki
the energy level, the value
da nauka, količina energije, vrednosti
to come back home to us.
da nam se vrate kući.
ABOUT THE SPEAKER
Hector Garcia - PsychologistHector A. Garcia has spent his career as a frontline psychologist delivering evidence-based psychotherapies to veterans with posttraumatic stress disorder (PTSD).
Why you should listen
Hector A. Garcia is a psychologist with the Valley Coastal Bend Veterans Health Care System and a clinical assistant professor in the Department of Psychiatry at UT Health Science Center at San Antonio.
In his work as a researcher, Garcia examines barriers to PTSD care, masculine identity and its impact on PTSD treatment-seeking, and how occupational burnout impacts PTSD care providers, who daily hear detailed accounts of trauma. As a teacher and scientist, he explores how evolutionary psychology and biology have influenced human tendencies toward violence in religion.
Garcia's groundbreaking book, Alpha God: The Psychology of Religious Violence and Oppression, reveals how human evolutionary history has left us prone to religiously inspired bloodshed. In particular, he explains how men's competition over evolutionary resources -- especially sexual primacy and territorial control -- has too often been projected onto notions of God, resulting in religious warfare, the oppression of women and ecological devastation. His regular blog on Psychology Today examines the evolutionary psychology of violence, politics, religion and our everyday lives.
Hector Garcia | Speaker | TED.com