Being stuck in a box is the central image of Give Me Your Love, both as a metaphor and as a literal attempt by the central character to deal with PTSD from military service. A former member of the Welsh Guards haunted by his experiences in Iraq, Zach hides within and speaks from inside his pockmarked cardboard shelter. This first box is contained within another, the grimy walls of a dilapidated flat, another four walls to keep people out and away from his damage. The voices which intrude from the outside corridor, a wife and a friend, are trying to offer help without adequate support from a government that makes cynical use of its soldiers.
Combat stress, PTSD and other mental health issues are endemic to veterans, compounded today by the nefarious project of austerity and a culture of silence (particularly for men). The turn towards self-medication, like the self-prescribed MDMA cure pursued by Zach, occurs when other effective treatments are unavailable. As mental health services are cut by governments, defunded and under-supported, more and more people are cut adrift, even when their injuries are the result of their national service. MDMA has proved remarkably successful in clinical trials, but such initiatives occupy a bleak confluence of political blindspots – the trauma of war and the scars it leaves, the effectiveness of a drug long demonised and the recognition that what has already been offered has been markedly inadequate.
Whilst men and women are still sent to kill in the name of a nation, they are owed the support and medicine to deal with the after-effects of this responsibility. Whether, as Zach’s delirious monologue suggests, he witnessed a heinous decapitation or is simply traumatised by the lack of action during his tour, clinical innovation through projects like MDMA therapy deserve the support of the countries that sends it citizens to work as soldiers. War is hell, but a purgatory of distress and flashbacks is no acceptable journey home.
- Lewis Church
Links relevant to this diagnosis:
Combat Stress – The Veteran's Mental Health Charity
MDMA for PTSD? – Live Science
War Neuroses: Netley Hospital, 1918 – Wellcome Archive