EtiotropicTM OPED: Just Effective or Cure? Integrity? Only Complete Trauma Management?

Summary and Ending of Marine Funeral Debate

2011-03-09T18:07:00.001-06:00

My comments, which have been and are too long for this discussion, have not been completely reflected due to either Data Base management errors or my own inabilities to use the system correctly. Two third of the response to Mr. Reason for Life were not published and the first third was duplicated. So I've addressed these matters, which deserve much more thoughtful discussion, on my own network. Moreover, these replies inspire additional responses; they also, to be faithful to the profound subject matter discussed here, require much more expression. But I'm only going to summarize what I've said in this post was missing from the last effort.

Adams was not a monarchists. Neither did he run as a Federalist. In fact, the Federalist Hamilton libeled Adams more so than did Jefferson. Dr. Rush is the person that brought Adams and Jefferson back together after almost two decades of separation due to the issues related to the sedition laws. The Sedition Act of 1918, another attempt to control espionage and criticisms of government during War made the 1798 control efforts pale in comparison. Whatever the case, the sedition acts are irrelevant to the core of this issue today, as we have no sedition acts to prosecute antagonists of the particular war policy. Sometimes objection to policy as manifested through free speech is correct and sometimes it is not. What you can be certain about is that the folks fighting ours in the trenches don't care. They just rely upon descent to win their position in the battlefield. We will all keep struggling with this issue, no doubt.o matter Marine's or other service men and women's fierceness or esprit de corps of their units, attacks on their personages hurt them profoundly both personally and professionally. You won't see it on the parade grounds, but their families and the VA will over the decades following the assaults. The systemic effects will also manifest in the barracks and homes of the affected service man or woman. When the attacks are contrived and orchestrated from within a policy of aggression, the effects on morale, also called the will to fight, are devastating. The same attacks, always through free speech, also takes its toll on public opinion, undermining its will to pursue its original goals and objectives. That's been going since Pericles. General Giap proved its value during both the French Indochinese and American Vietnam Wars. And just because this fact is recognized does not translate to the politicization of trauma as referenced here as victimization promotion. That is, exploitation of trauma to achieve a political or other end is not the meaning of trauma's influences in this discussion by me. Too bad - not enough time to go into this.

When evaluating service options in 1964, all branches, excepting the Marines, offered lots of inducements. The Marines gave one promise: "The only thing we'll guarantee you is an honorable military burial." That's been the tradition that no longer holds following this decision. That honor, no matter that you are unaware of its meaning, goes to the heart of a US Marine. Knowing, as we now do given this decision, that that honor has been besmirched by the new right to attack upon our families during the burial service, a time in which they are not only most vulnerable, but when they should be accorded respect, peace, privacy and the security in which to initiate mourning, which is what they must have to eventually to recover from the loss. That's why we have funerals.

The attacks on the families do and are no doubt contrived to cause that damage. Your allowance of those attacks by preventing the father from defending himself and his family and the honor his son as he successfully did through application of a tort in the state courts, abrogates this country's and the United States Marine Corps' oath to that Marine, and to the rest of us who've served accordingly. It's not about spinning their grief into a hysterical claim of political exploitation of victimization. The matter is about what you and the American people, and those eight justices owe that Marine and his family for having died for you all. That funeral, mourning process and duty of this country to that Marine are more important than the hypothetical alternative that if we stop antagonists from humiliating our dead and their survivors we might be over run by all instances of hurtful feelings experience by Islamists, Buddhists, Christians, Hindus, Zoastrians and even followers of Thomas Jefferson. Hurtful feelings from interpersonal dynamics like those are considerably different things than the necessity for people to be able to mourn in freedom and privacy the loss of a loved one in a real life devastating death of son who has given his life for this society. That decision, as do most legal abstractions, minimized that fundamental element of the human consciousness and its import to the definition of not just human ontology, but what it is to be an American.

This will have to end this discussion for me at this location even though there is much more to say. I will do it in another format and for a complete audience. I do appreciate all comments, even those which were personally ill directed toward me, as they spurred considerable feeling, demonstrating the depth of this matter to all Americans.

I donate when I can, by the way, to Geert Wilders legal and political activities. And I have my own anti-Islamist blog where I'm a little rougher on Muhammad than Thomas Jefferson.

Semper Fi,

Jesse W. Collins II

Discussion with the Christian Pacifists

2011-03-04T21:18:00.001-06:00

Thank you for a very fine, well written and taken comment. You also are a kind person. I respect pacifists greatly. But when pacifism is administered aggressively politically in a manner that I believe leads to suicide of our nation, then I will confront such applications vociferously. Moreover, I've written on the issue of peace and the decisions to fight in my own work for 35 years. I've been the CEO of a chain of licensed psychological trauma treatment centers; run 3 database management systems; two distance learning programs, and two professional and patient education tutorials for the Etiotropic address of psychological trauma. I am telling you these things to advance understanding between us so that you hopefully are not too hurt by your understandings of the complete meanings of my comments. I'm the author of 39 professional and patient education books on psychological trauma and its treatment and management, to include one on the pathogenesis of guerilla warfare and terrorism, and its cure when approached Etiotropically. Through the organizations that I've founded and managed, I've provided training and consultation to the department of defense and particularly the Chaplains program for all of the armed services. I'm also the licensing authority for ETM Clinical Counseling and Management Certification program, having trained and certified approximately 2500 government licensed psychotherapists. For your additional information, 30% of those therapists are also licensed by the National Christian Counselor Association. I have seen a "Few Good Men" several times and both enjoyed and agreed with the theme and principles espoused by the film. None of my Marine officers in any way supported the character played by Jack Nickolson. His thesis does not resemble mine in this or usually any matter. And if you still think so after reviewing what I have to say in total, then work needs to be done on conveying the correct notion.

I do not believe that all people are appropriately constructed to serve in the military. I don't support conscription. Military activity can be at times tough stuff. Fighting, killing another human being and nearly dying, in some instances multiple times, is very difficult work. It has lasting or lifetime effects, one of which is to split the soul, regardless of whether the Greek or Hebraic definition is applied, indefinitely, depending upon the process the affected individual or his or her culture incorporates for reconciling that division. I appreciate pacifists. i do not believe that they are epistemologically suited to serve in the armed services, or least in a combat role, albeit Alvin York would belie that notion. I believe and agree with the European charter for the world pacifist organization that was adapted correctly to note that fighting as a defense of one's home and family and near neighbors is a legitimate response. Regrettably, here i cannot and should not reference my publications on these issues. I hope, therefore, that you will be satisfied that I cannot address in detail or other completeness all that you raised in your reply to my editorial. My guess about this part of this difference between us is that where we will not likely agree in the end, I do believe that more discussion between us would mollify some of the differences. i am waiting for approval on a reply to the gentlemen published below you. It is posted in two parts due to length (this piece will require two posts also) and it will likely address some of the issues that you may be raising here. I don't know.

My objection to the protests against the families and this consideration by the current press's address and the supreme court is that I posit that this issue is a national security matter that has not received discussion in the various debates. In particular, one of the placards referenced in both the literature and the photos declares or otherwise exclaims for the death of American "Soldiers." One of my arguments is that such a declaration of principle crosses the line from legitimate protest to an attack upon the armed forces; that becomes treason from this perspective. Thereafter, I do not believe that the protest is advocating any longer for just a particular set of thesis dissemination to the public, but rather is advocating for the overthrow of a system, and in its strategy, is implementing an operational component of that prospective thesis, particularly in this referenced instance through force.

That aggressiveness in not a part of pacifist doctrine and which i know very well. Where I hesitate to notice my own work thoroughly here with links, your criticisms of me go to my identity as a person, professional in the noted field, and former Marine and that it should be couched in their historical terms, not those applied in your comments. You may Wiki Etiotropic Trauma Management and Trauma Resolution Therapy if you would like to know who I am and for what I stand on these related issues. I have also been seriously ill for fifteen years and not operational as I was earlier in my activities.

Returning to the issue in conflict, I believe that the additional reply that I wrote in response to the gentleman's comment below yours will shed additional light on my perspective. Whatever that light, there will always be controversy arising in consensually managed societies between the right and need to speak freely and the prospective harm that that speech may carry to someone else or to the society. We and the Supreme Court are hammering one of those conflicts out here. So far, the issue that i raise has not been given a fair hearing. I'm, striving for that under what i believe are proper rules for debate. I also have published this thesis on one of my blogs. I do not operate any blogs for commercial interests.

I argued at the time for Callie to be imprisoned or worse. in the Marine Corps, any kind of harm to civilians, unless accidental, no matter free fire zones resulted in one's doing time at Portsmouth (the Naval prison). It was a very strictly run war in my unit and all of those to which i attended through the Central Highlands between 1965 and late 1966.

The abuses upon return to my country were not inhuman. But they were attacking of a part of me which had been the best that I had given, or have since in my life to this world. And the calumny and opprobrium applied to me, and the men who I respected so very much and who were killed, did hurt to the extent that my combat injuries were not addressable in that earlier environment, leading me to postpone that activity until the environment was conducive to resolution and proper consideration many years later. Thank you very much for your sensitivity to this issue.

You were polite and courteous in your criticisms of my post. I thank you for your good character and kindness exemplified thereby. And there's no doubt that I'm probably a pretty selfish person. At least i have thought so, too. I'll keep working on it, though, you can be assured.

Forgot: No. I do not think such people are idiots nor do I believe that at any time that I meant or intended to imply that agreement with the justices was accessory or even supportive of treason. That notion sounds preposterous. But I will look again at the writing to see if there is an error in grammar or even prospectively unconscious intent.

Again, thank you for your educational and meaningful response to my comments.

Jesse W. Collins II

Supreme Court Decision: 2nd perspective

2011-03-04T06:42:00.001-06:00

The following is placed here in response to a reply to my posts by Mr. "Reason for Life."

Regarding the reference to Jefferson having to end the Sedition Act: It was passed during Adam's administration, but not promoted or advanced by him, in fact because and while Jefferson surreptitiously as vice president was paying writers and publishers to defame the President with constant and voluminous false information. Jefferson, at the time the Vice President being a competitive office to the Presidency – the VP was elected directly, not chosen as a running mate by the President – paid to have Adam's libeled, defamed publically. Again in fact, the first case brought under the sedition law was against the referenced publisher who during the trial outed Jefferson as his co-conspirator and financier. The rift between Adams and Jefferson was so great, that long time close friend and confident Abigail Adams, the sitting president's wife, wrote to Jefferson and terminated her long and historic relationship with the characterless politician. Furthermore, as Adam's vice president, Jefferson provided confidential information to the French Ambassador regarding strategic American interests, giving undermining advice as to how to delay or otherwise avoid meeting with the peace delegation sent by the American government and which Jefferson had opposed. Jefferson was pro the French components that were instituting the "Reign of Terror" and Adams was not. For your perusal, that information is documented not just fully in (Pulitzer Prize winning author) McCullough's book on Adams, but is available throughout the historic literature. It's no wonder the lofty Jefferson was so on the spot to save America from those mean old sedition laws, which by the way only required the information published be the truth. Following the fall of the Soviet Union, full disclosure of KGB documentations occurring during the Cold War showed that Ted Kennedy did the same thing with the Soviets in 1983, but from the position of Senator of course rather than being part of the Executive as was Jefferson, by sending his correspondences about how to circumvent American foreign policy directly to Andropov. This is in reference to the issue that you, Mr. Reason for Life, raised regarding "Our President Thomas Jefferson" saving us all from government encroachment into 1^st Amendment protections.

Regardless of your theory about Marine immunity to human or emotional processing, that constituency is still dramatically affected by traumatic events, referring to combat deaths of team members or injury, as are all other persons, albeit well trained service personnel use different defenses against the process while in theater. To suppose that they are immune to those processes because of their training, and the Esprit d Corps of their honorable institution would be bad judgment and, again, indicative of poor research. And, for your additional information, combat trauma and victimization are not the same things. Nor does the reference to trauma or its organizational management required in today's armed forces mean the promotion of misguided uses of victimization. In particular, European and Canadian law that prevents saying nasty things that hurt people's feelings, like Islamists' in the case of the Netherlands vs. Geert Wilders, one of my heroes – the only male on that continent with both an independent functioning American styled brain plus great backbone – does not correlate to a contract with a country that guarantees the honorable burial of its armed services personnel killed in action. As a citizen of the United States, no matter if you are a peon or one sitting as a member of the Supreme Court, that contract is to you. Allowing protestors to interfere with the mourning and grieving processes of that dead service person's family during that ceremony for burial abrogates that contract. When I signed up in May 1964, the Marine Corps said son "We'll only guarantee you one thing. That's an honorable military burial." That's been the Marine's motto and promise forever. What happened in Kansas is and was not an honorable military burial. And the Marine's motto now is worthless because all of you flakes in this society who can't keep your promise because of your fears, your cowardice, your terror of confronting a protestor who on the day of our funeral would defame our honor and harm our families. You have to hide from those facts, weaknesses in character and darkly humiliating aspects of and about yourselves by chanting irrelevant and hysterical abstractions.

Irrelevant? "Hurt feelings" because somebody has spoken the truth about Mu or Mohammad, whichever spelling you want to use, or Jesus, or Buddha, or Thomas Jefferson, or Ronald Reagan or any other prize person, deity or idea, or notion like Allah or God, DO NOT correlate, nor are they equivalent to the emotionally incapacitating state attending the mourning process of a funeral where a true and real loved one is being buried, said goodbye to until the end of time. They are not just different, but profoundly so emotional processes. And the latter has been honored by fighters since the Peloponnesian Wars. Following battle, let the other side pickup and bury their dead. It's fundamental to the ontology of the human consciousness. It is based on the interplay of the phylogenetic integrative aspects of the brain. And, mourning and grief are attended during the funeral experience by extraordinary vulnerability that goes to the core of the human being's existence. It's been honored forever, until this piddling group of thinkers sundered it in this disaster. You have said that its ok to dishonor that process because of your frivolous idea that if you insist upon maintaining the honor through the simplicity of funerals and their need for quietude and solace and love, then Americans will all of a sudden not be able to speak freely anymore, and we deep thinkers might get culturally gobbled up by Islamists.

That Lance Corporal's father didn't need you all to defend himself and the rest of his family from intrusion into that vulnerable time. He fought back himself to bury his son with dignity and honor no matter the assault on their selves in the horror story. None of you were running over to Kansas trying to help him by carrying protest placards in front the offending church. None of you were sending money to defray his expenses. None of you were calling your congressman and saying this isn't right that he had to fight that battle by himself. That was America's contract to give his son who died for us an honorable burial. And that's not even enough. You are going to come in now, after he did your job as a caring and obligated American citizen and tell him "No. Not only is your son dead; not only is nobody going to help you; but neither are we going to let defend your family so that they can in peace bury your dead like we get to do, and to include the news and Supreme Court guys, because you are a Marine Corps family. You don't get the same privileges. Why? Because we've a long record of turning human beings into less than that when it fits the delusional abstractions needed to get what we want at any particular deep thinking – heavy duty cerebral moment. You did it to slaves until we had to spend 619,000 dead Americans in the first Civil War here to prove you wrong. Then it took another fifty-five years and a full constitutional Amendment to decide women were human beings also. No more excuses about how Marines are tough and above that emotional or victim stuff. Nobody's talking about victims. We're talking simply about giving a dead human being a funeral in peace, quiet, maybe prayer, and above all things, the goddamn honor he deserves and that we owe him.

Here's some more history and another abstraction for you Y and I deep thinkers. The left, supported by hostile forces - whether socialist, communist or Islamist - routinely plans its guerrilla operations to target their opposition's management structures by exploiting both trauma's individual personal, professional and systemic influences. For those of you who missed it, the Vietnam War was fought by the North based on that strategy; and it was successful. Although the Islamists are not yet smart enough to implement General Giap's approach here, its merger with leftists groups antagonistic to this country's system of governance gives Islamic purists plenty of trauma manipulative capacities. The idea was - under Giap's management- and is today under the Islamic / leftist merger to exploit traditional war trauma experienced in theater by attacking the personages of military personnel at the home front. That is, combat traumatized personnel, no matter their outward appearances to some members of the public, are then made more vulnerable to the attacks received either individually or systemically when returning home. That's what is being applied explicitly in this controversy. The left in America exploited that traditional war trauma by attacking the personages, that is, the motives, morals, values, and beliefs (psychological identity profiles) of American service personnel, demoralizing that army and regardless of the honor codes and toughness of the particular branch of service involved. That same process is initiated in this country today as an attempt to exploit the loss that occurs during this war, although as indicated the strategy has been moderately restrained until now. The reason is not the good will of the radical left, but the fact that they don't have the terror embedded in the hearts and minds of college age school children who may get drafted! There is no danger for that constituency here; so the left doesn't have the great mobs of terrified youth to carry out their directives. They are attack; attack; attack; inner personal ontologies of the American service and combat personnel. The left doesn't just plan, but they orchestrate this activity in conjunction with leaderships of the very forces that our combat personnel have to fight in theater. They suckered our naïve young people, who too were only trying keep themselves alive, by selling them the same cerebral constructs that is sold to those poor protestors of today: "America's a bad place and deserves what it gets, and especially deserves the deaths of those who would defend her." They do all this as matter of application of the trauma exploitation method whether you realize it, accept it, or even consider it, or not. They are going to keep doing this now like 100,000 rockets all fired off and lit up at once because their tactic has backed down the American people, through its Supreme Court and the entire western civilization press, excepting a few remaining free bloggers and websiters, coincidentally like this one: frontpagemagazine.com, which is why I come here from time to time. Only this time, instead of running into the Islamist fighters and a few good men, that is real conservatives who can still think, that I expect to find here, instead I find Vichi America right here at my favorite place to visit. Their trauma exploitation tactic, at least as old as Mohammad, and refined by a few sharpies along the way like Lenin and General Giap, has taken you people to the cleaners. And I don't care how many people today, in this little time warp, are applauding my brothers on airplanes. It's going to be short lived. They'll soon be back to the style that the Americans of 40 years ago embraced where we couldn't WEAR our uniforms on an airplane because of the vituperative attacks of the few million that otherwise intimidated the rest of the common masses into quiet submissive servitude, the earlier makings of today's dhimmitude collective consciousness that now rules Europe, and is coming here with this decision.

Again, although the first amendment is exploited by offensive trauma managers in this country, freedom of speech is not the primary issue in this event. It is national security as manifested by contrivance by the minority to undermine the capacity of the majority to achieve its goals. It uses and exploits individual personal and professional and systemic - to include management structures and the manipulation of the public - aspects of psychological trauma from war to do that. Ignoring that offensive war tactic /methodology supports it implementation by our adversaries. And I'm a big fan of freedom of speech, by the way.

Without intending to hurt your feelings through ridicule of your position, I believe that your reference to the Marine Corps, victims or the process of victimization connote superficial understandings of these issues which all are of strategic importance and upon which you have opined. American either military or public morale and the will to fight are the targets of offensive trauma managers. In this case, this once used-to-be small contingent of church goers from Kansas have and or now going to grow from their fame. They've proved their model's worthiness to the leftists power brokers by taking on and beating the Supreme Court and sanctioning their majority-undermining tactics as the new Law of the Land! That's something that the no doubt now envious Jane Fonda, Noam Chomsky and John Kerry were never able to do.

Trauma when unaddressed depreciates over the long term for significant number of fighters, not all, but eventually the preponderance, the will to fight. It is also called morale. Declaratives as cloaks around deep denial of what is occurring do not will these issues away. instead they leave the country vulnerable to the very forces and processes which allowed the military's goals in the Vietnam War to be subverted. We kicked every Vietcong's butt south of the DMZ until none of them were left. And then the greatest of all Vichi news guys, Walter Cronkite, surrendered for us because it was all just too stress producing watching the carnage on TV. In fact, that is the very purpose of terrorism when used as an adjunct to guerrilla warfare: to use repeated terror induced traumatic events to undermine the management, that is, decision making, processes of the targeted opposition, to include service personnel, executive management, the public and the media. Playing like that is not happening by those of you today fighting this continuing trauma management war modality is the most readily assurable means of supporting that same adversarial method during your lifetime, enhancing its likelihood of success.

The controversy here is about the rollover during war to meet the need for and hear legitimate protests in this society and keep ourselves alive by stopping cold purposeful intent to give aid and comfort to the country's enemies. When a protestor's placard calls for the death of American military personnel, the line between legitimate protest or just hurtful speech and treason has been crossed. But more important than that, having an open mind as the old trope goes does not mean that one's brain has to fall out. Nor during times of war do we have to commit suicide as a society in order to maintain free speech. In this case, interfering with the plaintiff's rights to advance a tort as a remedy for a legitimate grievance is unnecessarily suicidal from a national security perspective; the issue wasn't even entertained in that legal debate. And you can bet the press was not going to bring it up. Linking the hurtful speech analogy as so invaluable to the address of Islamism is nothing more than a defense based on both hysterical and wishful thinking. Reiterating that funeral mourning and grief are different emotional processes than those experienced in the twilight zone of run of the mill hurtful feelings occurring during individual and systemic interpersonal transactions. And, Islam has a few more jihad irons in the fire than that.

By the way, "leaving no men behind" is not a Marine thing. Mostly it belongs to and is hyped by Hollywood and is for people who observe armed forces operations from the fantasy world of the sidelines. And I would like to think that you were not intending to insult me with your comments regarding despicability just because I know a great deal more about the real United States Marine Corps and the related subjects of combat trauma and their manipulations by our adversaries than do you. And no matter your aspersions, I have shown you courtesy in this instance by not employing real Marine Talk; I don't play cards at all when discussing dead Marines. I've carried more of them to graves registration than live ones that you'll ever meet or even see on airplanes or in the movies. Don't make the mistake again.

Semper fi,

Jesse W. Collins II

Gentlemen, Ladies:

This is not about a particular preacher, or any personality that is protesting anything. And it is also not just about the cowardly media. It's worse than that. This is about a group of people who are targeting members of the armed forces with the intent to destroy their abilities to function in their jobs. When they contrive to bring psychological pain to the combatants' families for the purpose of demoralizing combatants by attacking their families under the guise of protest, they are committing treason.

We took the abuse of attacks perpetrated on our personal identities during the Vietnam War. And we bore that burden for the rest of our lives while the rest of you were wondering what was wrong with Vietnam Veterans. "Why are they different." But these attacks are more sophisticated. Through repetitive implementation of the abuse of our service men and women's families during moments of grief, the message to the combatants is "While you are doing battle, we are going to take down your families, not just you." Where personal attacks on the combatant makes doing one's job difficult, that kind of pain is at least endurable; the combatant can function in his or her proscribed capacity. But when the attack is on the combatant's family back here in the supposed to be safe or secure zone, that kind of pain is NOT endurable. It is impossible to do one's job in battle because you are doing that fighting for your family first, your neighbors second, and your country third.

These kinds of actions are not expressions that are intended to call public attention to a policy or war that these people don't like. Rather they are intended to render military personnel psychologically incapable of performing their duties, which is an attack on the armed forces of this country. And that will bring the country down. That is the intent of these activities.

Addressing this particular kind of attack is not the duty of the combatant or his or her family. It is the duty of the management of this society. Those managers, in this instance the federal judiciary, have in their ignorance of what it is like to sit in a fighting hole at night or go on patrol that requires sidestepping landmines, abdicated their responsibilities to do their duty and apply the rules pertaining to treason, which is what this activity is. Nobody in federal management wants to face this issue squarely, just as they didn't want to address Jane Fonda sitting on an NVA anti-aircraft gun turret, because they were afraid they'd have to arrest a few million protestors along with the person committing the treason. So government played and still does play like its not happening, and lays the difficulty for carrying the war off onto the individual combatants: Marines, Soldiers, Sailors and Airmen. All the military wants is that the managers back here do their jobs and in the minimum protect their families.

But these people in suits can't even do that this time. The SC (Supreme Court) has now made it the law of the land that it is open season on the families of newly dying military combatants, which is the vulnerable underbelly of otherwise tough combatants that the traitors couldn't get to before this happened. This ruling is not just cowardice on the part of this management, but it's gross dereliction of duty, misfeasance, and capitulation to the enemy.

All these morons had to do is say to those church people "You don't have any business attacking our armed forces by assaulting their families. We are not going to let you target our combatants. It's against the law! It's called treason! It's not about free speech or the first amendment. And this court is in the business of enforcing that law." Then they could have gotten out of the way and let that poor Marine's father set the traitors who would use this attack modality back on their cowardly jackal butts, while they tried to figure out where to come up with five million bucks.

That precedent would have affirmed the tendency to return to normalcy by the population that before had condoned attacks on veterans during the Vietnam War. Some of the protestors have concluded that attacking the persons of the military would backfire, causing their movement harm. So in the main they've held off from that approach with this generation. Then if the minority wants to object, they would have to find another set of targets to manipulate, something or somebody other than those people who fight and die for us. Their personal beings, particularly that which engages the love of their families and desire to protect them must be shown by the majority's government to be off limits to the attack dogs representing the minority. In this case, the opposite has happened and those dogs are now unleashed with no constraints. They can just sit out there an pick off families of KIA American service men while the press and government play like it's not happening, because after all, they are the ones who caused this horror in the first place. The erosion of will to defend the United States of America will be swift and deadly.

The Supreme Court has just surrendered this country to the next revolution of crazies. It needs to say "Whups. We made a mistake." Otherwise, once this cowardice act of dereliction is figured out by our men and women who defend us, they are just going to say "No thanks. If you don't promise to take care of our loved ones when we are dead, we're not going to take care of you and your loved ones while we are alive." Our once dedicated and completely courageous service men and women will come on home and take care of their own families. The court can then divide itself into two 4 man fire teams with one alternate; and send one down to the Rio Grande River and the other up to the Canadian border in Idaho and dig in; and while they are at it try to think up a new name for this strategy that they've created from the bench. They could call it Isolationism, maybe. Or everybody-take-care-of-themselvesism; or something like that.

Nobody is stupid enough to work for a bunch of sissies who say "Gee, we can't do anything about the abuse caused to your families after you are dead. They'll just have to suffer a hundred fold what they otherwise would have after you are no longer with them, because you were dumb enough to give up your life for something like the country." You can't field an army if you don't have anybody back here at home with either a brain or spine trying to manage the small things, like protecting families from abuse by 5th column, in this instance, retards. You don't have to have both a spine and a brain; either one would do. The American service man and woman can and will take care of the rest.

Summarizing for clarification, you can sell service men the notion that it's ok to be personally abused because after all, "that's what you are fighting for: the minority's right to cause you harm." But the next step down is not such an easy sell - sure thing. "It's ok for your family to be abused after you are dead and gone because that's what you are fighting for: the right of the minority's crazies to beat up on your family which mental destruction will last for the rest of their lives when you are no longer here to protect them. And we are not going to help out because again after all, we are lawyers-judges. We are objective and thus don't get involved at the emotional level. Maybe you could just get counseling. That should work. Now get out there and do your job of defending us, or we'll put you and whole United States Marine Corps in jail."

Jesse W. Collins II

Cowardice

2011-03-03T22:30:00.001-06:00

I've reprinted the comment written in response to an article's support of the Supreme Court's decision to uphold the right of Topeka, Kansas protestors to free speech near the funeral of a Marine who died in theater: a war zone.

Yes. The media does a great job of showing fearlessness when defending hurtful speech against somebody who is assured to not hurt them, like the deceased Marine and his patriotic family. But when it comes to making fun of Muhammad, they walk and toe the line that shows the system's weakness. Cowardice governs the abstract and principled thinkers. The Islamists have censured those all of sudden brave news guys such that they've decided we shouldn't be saying hurtful things about people's religious sensibilities after all. Whatever we do, don't make fun of Muhammad; don't investigate the REAL Islam; but desecrate those who would give their lives for us.
The dissenting judge was right. The court majority was wrong no matter the collective consciousness attending their numbers. All they did for the trillionth time is hold up the left's and traitors' views that military personnel are not human, not deserving of protection from the abstract thinkers and the turncoats who give aid and comfort to the enemy while that Lance Corporal lays dead. But this time, you didn't just hurt this Marine family. You clobbered the morale of every young man and woman who leaves on a mission of prospective death on your behalf. That opprobrium just dealt out by the Supreme Court will roll through hearts and minds attending every fighting hole and squad on patrol in theater. The court just blew this country's national security.

And telling our fighting men and women that this shame and harm is what they die for will not get it this time, as that con was employed by the spineless for the last forty years. Our fighters / defenders of our lives ought to tell you big thinkers "No. I don't want to do this anymore under your conditions. You don't want to protect my family by giving them a decent burial of my remains if I give up my life? Then I don't want to protect your life or your loved ones!" I'm sure then that you'd see the light of rationality, just like you have by giving Islam a pass. "Hmmm. Say the press. Maybe we shouldn't speak harshly about either Muhammad or Marines; do you think?"
They're crucifying our protectors of today just like they did us in the Vietnam War. You didn't see our fighters for free speech storming Uncles Ho's, Po's (Pol Pot), and Mao's beaches with exclamations of intellectual grandeur did we? Same today. Only we don't have to go across the oceans to see their fear this time. It's right here for all of us to witness. Go on Washington Post and Times! Send your reporters to Saudi Arabia and Iran; tell them to publish in those places the views that would hurt those sensitive peoples' feelings about the perfect Messenger, one of the great psychopaths to ever lead a misguided element of humankind.
Marines are fair game for hurt feelings just because they are known to exist and they are easy, even comfortable, targets. You contrarians get off to hurting what's good, something that you can't and will never be. Without the American service man and woman, the cowards from Kansas wouldn't have a free place to express themselves at all. We can at least bury our beloved defenders of our lofty abstractions with dignity, honor and love, the same things they gave us through their service and their deaths.
You want a trope for this issue? Logic born out of terror, trauma and in this instance dhimmitude is not logic or rationality. It's 4F American political correctness management: flakes, fluff, frivolity and fraud paying lip service to their understandings of and disagreements with those bad old Topekian fruitcakes.
Marines are human beings. And if you want to protect somebody's feelings and rights, start with theirs and their families, especially those whose sons and now today even daughters have already died to make you safe so that you can rant your pretensions that you're logical: an erudite thinker, a leader of the under-thinking over-feeling populace. You are only so in your delusions because of that valiant Marine's life that he gave for you. You better find a way to protect his family first, and then concern yourselves with the likes of the Topeka Kansas Baptists, Fondas and Chomskies.
Thanks be to the United States Marine Corps and all the other branches of our military service and all their families for protecting this country for REAL free speech.

Semper Fi Lance Corporal and to your courageous family.

Jesse W. Collins II

The Public – Not Just our Experts - Needs to Identify and Learn How to Manage Combat Trauma

2010-11-23T08:25:00.002-06:00

The following discussion and debate occurred between me and another commenter at Frontpage Magazine in response to an article entitled "The Price of Freedom." I'm republishing it here because it begins to address in the public arena a subject that I believe is strategically important to not just the security of this country, but to Western Civilization, itself. I've entitled my part of the discussion - debate "Learn Trauma Management." Regrettably, I wrote this piece in a rolling conversation. So the article is not developed grammatically or structurally; you should still get the meaning, however.

Congratulations to this veteran for the CMH. Much deserved. And I regret the loss of his men and those also wounded.

The address of psychological trauma, whether it affects combatants, sexual abuse victims in the home, or crime victims is etiologically (source of a problem) the same. And, no matter training to professional levels where the combatant expects - thinks he or she is prepared for - difficult conditions that present during battle, the personal aspects for that consciousness are still vulnerable. That is, the event contradicts core elements of existential personal identity (values, beliefs, images and other reality perceptual and actual components) no matter behavioral inculcations necessary for completing the mission. The contradictions store in memory in Long Term Potentiations and Depressions of the synapse (traces). As the brain attempts to integrate the contradictions, neuronal morphological change is required - the development of additional synaptic processes. That activity is facilitated by the HAPA or biological stress response. It manifest behaviorally as grief. It then can be suppressed or otherwise denied - postponed until the defenses collapse.

As demonstrated in the examples provided by the referenced article engendering this comment, not discussing the event - using stoicism philosophy as the cerebral controller as needed during survival - suppresses and then represses the brain's attempts to integrate the neurological change. Where Stoicism – be strong thought response – is required during and just following the task to get the battlefield job done, an unaddressed event NOT discussed over the following periods without the Stoicism supports can have adverse effects. The event and thus the trauma's etiology will no doubt produce thought and sometimes unconscious feeling sequelae over the years - decades that manifest behaviorally as untoward behaviors and experiences that also depreciate the originally affected consciousness. That behavioral representation of the sequelae is called in the DSM, which guides the clinical mentality and response, post-traumatic stress disorder (PTSD).

Having social consequences – meaning job performance influences - the word "disorder" stigmatizes; due to management prejudices toward prospective impaired mental functioning, personnel must maintain the developing sequelae as hidden from their peers and leaders. For military personnel sustaining such experiences, the term should be changed to read "injury," or post traumatic stress injury. I've been advocating this change since the original DSM diagnosis was configured in 1980. "Disorder" focuses the epistemological elements of the experts' and public's response on the subsequent behaviors instead of the original injury to identity; that focus then diverts attention from the non behaviorally based identity where the malady's resolution – reconciliation can occur.

Shown as hoped for in the leading article, telling the story or "talking about it" is a start, but not the answer. Identifying the event's initial contradictions to identity and attendant loss, all correlated existentially to the original identity elements sundered is the path for facilitation of the sequelae until completed. It is formally called "extinction." That means the brain and other elements of the biology (Endocrine system) will complete the integration of the reality that existed pre trauma with the one that exists post trauma, albeit if not interfered with by exogenous variables: imposition of be strong philosophies that preclude the noted etiology's address and drug - including alcohol use. When extinction and brain integration are done, the trauma is done. No more mystery, drama or unmanageable problem. The trauma's referenced etiology may be expunged, no matter the kind of event.

Learn Trauma Management Part 2 of 2

Behavioral models that skip the existential address and instead teach injured combatants how to live life anew function as enablers to the etiology stored in the neurobiology of memory. They change the subject from what happened to the veteran to how he or she is supposed to live life when back in the USA. Hence, a modality conflict arises which is addressed politically instead of logically, meaning not always with the veteran's best interest at the forefront. That conflict, which exists in the management circles of the VA and DOD, causes bad things to happen for veterans. For example, when those organizations respond behaviorally and pharmacologically, their methods are ineffectual, which produce PTSD in veterans that may not show up at critical levels (a breakdown in life manageability) for 20 to 40 years. The government and the citizenry then escape their liability to their employees - the trauma affected combat veteran.

The public, particularly the conservative thinkers and writers as the left doesn't believe our military should be defending us in the first place, need to get in this battle at the so called "counseling" or otherwise clinical level and manage their responsibilities to veterans. The Dole - Shallala Commission led the way in 2007, and Senator Dole, bless his wonderful veteran's heart and solid conservative thinking judgment did a magnificent job of turning the scandal ridden bureaucracies on their butts, for a while. But that work was eventually eaten up by the clinical bureaucracy. It tries to retain its power, keeping its methodologies intact, and more importantly the careers for its leadership. Those methodologies - cognitive behavioral therapies merged with experiments with always hoped for new and improved psychotropic medications result in assembly-line clinical responses, drug induced warehousing of trauma affected veterans, a military that is stigmatized into not using the medical response system, burnout by otherwise dedicated practitioners, a confused public and its representatives, and a few periodic movie producers who keep wanting every 10 years to create awareness of the plight of returning combat traumatized veterans.

We can do better than this. All can be avoided by approaching trauma etiotropically - address trauma at its heart / etiology locused in identity instead of nosotropically, which means addressing its behavioral symptoms. Pharmacology is not necessary except in the case of comorbidity (simultaneously but otherwise unrelated occurring illnesses) with schizophrenia and bipolar (true) disorders - rarities in veterans because they are screened at the onset for these medical issues.

You may be thinking "Hey. That's not for me. I'll leave the clinical matters to the experts." Don't. The experts are not good enough to get this job done. This management problem needs you! Get in the battle for the recovery of the hearts and minds of traumatized combat veterans. You owe it to them for what they've given you. Not just freedom, but life itself.

Jesse Collins

Next From USMCSniper

When I was a young research scientist-engineer, I had the privilege of working with a semi retired Dr Walter Hess, who caustically said of Pyschiatrists - "In my 40 plus years as Dean of the Georgetown Medical School, I never met or even heard of a single one of these charlatans on the fringes of voodoo who ever cured anybody of anything." I still agree wuth him.

From Jesse Collins

Regardless of who you or that particular M.D. have met, or what prejudices you bring to the issue of human psychology, combat trauma is wholly curable, depending on the modality. It has been for at least 35 years. That is the issue. Not your experience in the field of engineering. Do it now, no matter your meanderings through Western Civ.

From USMCSniper

PTSD fraud is well documented and grew huge roots after Vietnam. Those who practiced PTSD fraud then are largely responsible for the smear of that generation's vets - both with and without PTSD. This will only make it worse for our generation. Make no mistake - there is $$$$$ in PTSD fraud. If you make it easier to practice that fraud - ECON 101 tells you all you need to know. Sure - you may help one; but you create enough fraud to smear thousands.

As a friend put it in correspondence with me yesterday, it DEFINES PTSD as "something a veteran says they have." It follows that legally there can be no such thing as PTSD fraud. (unless someone claims vet status fraudulently.) The fraud is the one the government is perpetrating on the American people. This also separates veterans into two classes - those who admit they have PTSD and those who deny it. I believe Orwell saw this coming. "there is $$$$$ in PTSD fraud" - there is even more money in treating an "epidemic" be it real or not.

Next From Jesse Collins

Thanks for your debate comments USMCSniper; here are mine again in two parts, as this is an important, as in strategic, subject.

Whether fraud exist in PTSD compensation claims or treatment provisions is irrelevant to this discussion. This article was and is about the real, unequivocal, unambiguous Price of Freedom, which employee medical care that stems from combat trauma is a part thereof. Combat trauma does exist and it does cause lifetime damage. If you don't think so, then for purposes of this discussion you are living on Saturn. Moreover, there are better ways of addressing fraud claims pertaining to PTSD than your method, which argues that we don't have a liability because of criminal activity in the ranks. Your changing of the subject to the address of phony claims, although rightly persuadable as another issue, when advanced as the primary subject as you are doing here causes more bigotry and harm to rule against, rather than the caring for, veterans. Those who are affected will not come forward because of such claims and adhomenums. And those aspersions come from a fantasy world comprised of paranoia and ignorant hype, which causes real combat veterans great suffering.

Now if you want to join a crusade to search out all the fraud claims for PTSD, do it, prove it, write an article with a comments section for us conservatives, and save us all a lot of money. But the subject here, which was initiated by the original article, is about those combat veterans who HAVE been affected by combat trauma and their difficulties in addressing it. The original article was bringing only awareness, as usual, to the issue. Are you supposing that the subject of that article, the CMH recipient, was not and is not suffering psychological trauma from combat, or that he may not need assistance? No you are not. Even someone from the engineering profession doesn't sink to that level of intellect.

Every generation with every war tries to bring such awareness (as has this article) to the public. My interest is in extending that effort to another war where the trauma is being addressed: within the management models that are responsible for interdicting trauma in the battle-zone and following it all the way home till the trauma is no more. I've tried to explain the problems inherent to the professional conflict over how to do that affects veterans deleteriously for life; and for your focus and pecuniary interests, it cost trillions more in money to do it the wrong, meaning not my, way. Here it is again for you in terms that maybe an engineer-researcher who's had a conversation with a non mental health medical practitioner can understand.

If the culture takes your approach, which is to rely upon adhomenums – slander and libel an entire class of professionals and their efforts to help just because the contingent liability – combat trauma is difficult to address, and which population by the way I have been debating on a daily basis since Kerry testified to congress in 1971 ─ then you give credit to the left who ridicules the right for empathic deficits and stupidity. As arguments for authority, you claim an engineering and researching background, but write as if you missed the basic courses in logic in undergraduate school. Instead of addressing the problem raised at the beginning, you are employing hysterical management methods in this debate-discussion-conflict arising between you and me by diverting attention to other issues.

Continuing From Jesse Collins

Next 2 of 2

Now back to the issue I raised in support of the article, do your duty as an American citizen and cure or support one for combat trauma for its veterans when it occurs and save the taxpayer the BIG bucks you are crying and whining about. Remove the trauma at its onset - NO CLAIMS!! So not only do you save a lot of money doing it my way, but you provide great care and the return of the true, that is, original mind to those who've been harmed while keeping us alive.

If you don't believe trauma can be cured, then you've joined the ranks of the very treatment industry you are railing against. That is what Behaviorists say. Thereafter, claims for PTSD are based on that modality's supposition. And they make their money, which is hard earned no matter their lacks of success by the way – they a horribly difficult hourly, daily, and forever battle, because the injury and its improperly treated behavioral effects last forever in that and your supporting scenarios.

Whether you like it or not, the facts of combat trauma and their neurobiological substrates are voluminously more documented than are the fraud claims. Moreover and considering your hyper hysterical cries regarding the mental health plagues caused by Vietnam veterans, the sending of an Army of individuals into multiple tours, as we have over the last decade to Afghanistan and Iraq, where both set piece and guerrilla – terrorists styled battles bombard the same people repetitiously, creates the real combat trauma epidemic which you wish wasn't occurring. Regardless of those wishful thinkings, as the article title declares, combat trauma is one of "The Prices of Freedom." And if you want to fight the Islamists as all of you seem to want to do on this site, then you better be prepared to pay for it. I'll promise you one thing, you are not going to leave that price anymore on the backs of combat veterans as you have in WWI, WWII, Korea, Vietnam, Iraq and Afghanistan!

Now one more time. Take your pick USMCSniper. Choose number one: Cure and end trauma - that is instead of squawking about irrelevant variables and demeaning people you don't know nor have ever met, much less studied, find out what curing trauma means, study it like the researcher you propose to be, argue it out in the arena of real debate on the incremental issues - finish it in the hearts and minds of combat veterans when it occurs so that there are no claims, and our men and women come home free of it altogether. Or pick number two, which your response so far has supported, call trauma incurable (you do the same thing when you play like it is not there or divert attention from it) and treat and pay for it forever, setting up the ever-growing system for the very scams to which you are trying to divert attention. There is no basis for a behavioral disorder claim if the underpinnings of that referenced malady can be treated successfully and completely.

There are strategic benefits to addressing trauma forthrightly. They are even more important than caring for and loving the men and women who defend us; because without them, nobody's going to be able to love anybody. It's not allowed by law in the opposition's camp. Offensive Trauma Managers, whether Islamists, Stalinists, Maoists or Uncle Hoists, use unresolved trauma resulting from battle and guerilla-terrorism styled war to turn consensually managed populations against their battle traumatized armies, ala Vietnam ─ both in the case of the French and the Americans ─ which you seem to be an expert on. That's easier for the mind controllers to do if traumatized combatants are required to remain that way by cost cutters and you sharp money savers who play like it isn't happening and that it isn't an expense of doing business. While you are engaged in your armed forces undermining activity from the right, the left targets the onsite (in theater - in country) and returning veteran's character in their personal attacks upon those Soldiers, Marines, Airmen and Navy personnel who otherwise carry out the majority's constitutionally ordained directions. Put those two things together, unresolved individual and systemically experienced trauma and gross personal character attacks from the left, and you will be assured the loss of will - also referenced as a loss of morale - to fight of not just an army, but an entire country. In that process and eventually you are going to lose a civilization along with it if you don't snap to.
Leave trauma of combatants unaddressed and devastation of your capacities to stand against hierarchically control-based managed systems is exactly what you will bring about.

So try to get, as we conservatives would say here at Frontpage Magazine, on the right side of support for our veterans first. Removing the trauma is more important on this page at this time in history than hiring Marvin Zindler, rest in peace, to save your pocketbook, which you are not going to fatten anyway with the military weakening ideology and methods you are trying to employ in the debate ongoing between you and me.

Fall in conservative USMCSniper. Do your job, help your brothers, and save the country and the world. We need to pull together to do that.

Semper Fi,

Jesse Collins

Essay: The Evidenced-Based, Cognitive Behavioral Therapy, Self Help and Government Merger: Monopolistic Cultural Infusion of Behavioral Whack-a-Mole

2009-10-27T02:32:00.001-05:00

This post was republished to Etiotropic TM: "Revolutiona... at 10:07:29 PM 10/26/2009

Essay: The Evidenced-Based, Cognitive Behavioral Therapy, Self Help and Government Merger: Monopolistic Cultural Infusion of Behavioral Whack-a-Mole

Part One

Prologue

"Treating warts on hands by amputating them,"
the hands, that is.

With good reason, this essay criticizes my competitions' encroachments. That competition is not psychiatry. Nor am I "anti-psychiatry" as that formal movement goes. This discussion is about the individual and social effects of the confluence of 4 forces: They are, respectively, Cognitive Behavioral Therapy, self help as in peer led counseling groups, the Evidence-Based modality, and government. Although that merger may generally be having either good or bad influences upon mental health services for the public, the issues to which this exposition is drafted are delimited by psychological trauma, Post-Traumatic Stress Disorder, and their co occurrences with Substance Use Disorder, particularly Alcohol Dependency. The matters drawn can be applied to most populations. However, their applications to veterans motivate this complaint. I tell the story from my experience: the inventor, administrator and disseminator over the last 30 years of an epistemology and treatment methodology that function wholly antithetically from the reference merging arrangement. And "my" symbolizes all therapists and still sane patients who've not yet joined the Vichy tide now rolling across western civilization.

The epistemology and methodology from which I write produce what few if any understand, other than therapists we've trained and their patients, a view of humans shaped by knowing how to resolve completely or ─ to speak more directly if not too sensationally ─ cure psychological trauma and its oft referenced behavioral codification, PTSD. That knowledge of the human consciousness forms another and unique paradigm which collides with those bearing the brunt of this address. They asseverate trauma's incurability, supporting in perpetuity the requirement of life coping models. Too bad about their use of that political - marketing challenge, as it requires an equivalent political competitive response. They are forcing the debate, which I am accepting, but doing so under my terms. After all, I'm the one who discovered - invented - developed the cure for psychological trauma, not them.

Moreover, what the competition of investigators of trauma don't realize is that their modality for study and investigation is the very Wiley Coyote level dilemma that precludes successful address of the issue within the clinical, or for that matter, any environment. Psychological trauma and PTSD can be cured fairly easily. And lifetime coping mechanisms support nothing more than a particular segment of the clinical, research and treatment industry's economic existence. If they were to note a cure as a competing idea with reason, then they would be interpreted out of not just a job, but the entire meaning of their lives: studying people for the purpose of making them act right, or at least better. The referenced "dilemma" dictates that you can't do that to people if you want to cure what ails them, in this instance if it happens to be psychological trauma or PTSD.

Initially, after my wife and I discovered the "complete resolution" approach thirty years ago, I published our work in concert with its natural, ethical and academic determinants of dissemination. Despite that effort, competing coping instruction ─ mostly self help at the time as the opportunists clinician positive thinkers (Rational Emotive Therapy), now just assimilated by the new Borg (the Star trek metaphor for CBTers in charge) had not yet hit their stride ─ therapies and ideologies caused patients difficulties as they adapted back into their environments. It can be challenging to get over something and then coexist where everyone else is still trying to figure it all out, again synthesized not just with simple notions of coping but with formal dictum to suck everything with a brain around them into their always upgrading Rubik's Cube puzzle hurtling through space. Therapists learning our model, which was not based on fun and mind control games, and then returning to apply it where facilities were still teaching those how-to methods, were imposed upon by a supra need to be vigorously and politically resolute in order to replicate our model within those clinics. To quote one of the more profound statements coming from an Alcoholism Counselor attending our class taught by Craig Carson at the University of Houston "To apply this model in this helping culture, you would have to be a member of 'The Dead Poets Society'." Another and slightly more dramatic interpretation by patients opined that the authors "had to function in the helping culture analogous to those comprising the French Resistance," an intended compliment referring to those who fought underground against the WWII Nazi occupation of Paris."

Rather than confront the helping competitions' epistemological and methodological shortfalls, we responded metaphorically. We said to people who had been "treated for warts on hands by amputation" ─ of the hands, not just the warts ─ "We don't treat warts that way." That policy allowed us to do our work, convey the model to others who wanted to use it with their patients, and to keep our heads.

No more. The rationale for dumping political correctness in this later millennium stems from our adjusting view that although CBT by itself and even when denominationally aligned with self help and media therapy is still not an impressive competitor, its strengthening confluences with Evidenced-Based and unfair integration with government make it a formidable opponent. And in this expression not meaning to be overly dramatic at all, if that convergence is not interceded upon through confrontive interpretation now by those who understand this challenge, it will not just invade, demolish and usurp our poor citizenry's individual ways of being uniquely human, but sunder them into a morass of irrational disordered psychobabble so fast that our national identity will never know what hit it.

Thanks to Martina McBride for her performance of "I Promised You a Rose Garden." Using cultural clichés strung together for the song's lyrics, she showed the way for writing to the genre created by the Cognitive Behavioral Therapy ─ also a composition of clichés ─ Evidenced-Based, self help, and government merger now forging its way through the total of West Civ faster than Attila the Hun razed the heart of Italy stopping only at the gates of Rome itself in 452. And he only did that because of the divinely inspired request of the Pope. Thanks be to providence, Attila died only one year later of a hemorrhaging facial component on his wedding night. Significance? He usually destroyed most everything in his path including documentations of humankind's efforts to figure itself out. So the great battle we face today coming out of the ancient's work with thought models, referring to the 1200 years of Greek and Roman thinkers' intellectual reigns, and addressed in this piece was preserved in the end by a nosebleed. Let's see what happens here, going on only a couple millennia later.

Introduction

Written originally as an activist advocacy editorial from within the Etiotropic TMT context, the original title to this piece posed this:

"Is ETM TRT a Participant in the "Evidenced-Based" AKA "Science-Based PTSD Treatment Modality, Organizational Crisis Management, and Political Movements?"

Hard to say "No!" to that question, isn't it? "Evidenced-Based" (EB) and "Science" are lofty terms, ensconced in our traditions of law and reason, science epitomizing rigorous objectivity unfettered by emotion, subjectivity and prejudice. Those words, therefore, are not easily condescended to. Further, there is no doubt that such a negative response would be seen not just as an excuse for prohibiting 3^rd party scrutiny of one's performance, but as a sacrilege in today's psychological trauma and PTSD research, treatment and management worlds. Purveyors of those worlds, that is, those ideologues who function outside of the ETM TRT treatment and training environment, would ask while investigating obvious heresy, "How could anyone object to this kind of dedication to a proof of effectiveness of a mental health application conjured and implemented by our government and major powers of higher learning?" As one brochure on co occurrence principles under the Evidenced-Based construct says, EB concepts "are grounded in the field's best thinking." Hmm, I wonder what that noblesse were thinking when they designed the Iraqi Veterans treatment scandal at Walter Reed, our premier combat medical support center, in the winter of 2006 and again in June, 2007?

Well, in this instance, let me show you how, and why it has to be done, of course as always with me not just in this editorial for the sake of humankind, but for my truly beloved "Band of Brothers," American combat veterans. They get priority of focus in some federal to state grants (from SAMSHA). And they orient participation to operate within the EB modality, which fact has brought me to this subject at this time.

To comply with EB's mandate for treating this particular population, which one of the ETM Counselors in another state wants to do for her veterans, I would have to abandon ETM TRT principles and thus reduce its effectiveness ─ not to mention stop it from achieving its purpose, which is to cure psychological trauma and PTSD ─ to the level of those methodologies and ideology that spawned the need for the Evidenced-Based idea. They include a control ideology that is nothing more than the ancient Greek philosophy of Stoicism: meaning to control one's emotions in the face of adversity. That philosophy is applied through the combinations of various Behavioral and Cognitive-Behavioral therapies ─ Exposure, Rational Emotive, Wand Waiving and a few elements of the old and downtrodden styled Analysis-based methodologies that were becoming oriented toward neurosis symptom reduction.

Those approaches are said not to work, very well anyway. But, their followers keep imposing them on the culture because it fits their underlying or overaching (excuse me, I meant "overarching" as EB proponents employ the term) ideas about humankind. Where Stoicism philosophy is valuable as a control application necessary at the beginning of the trauma address cycle, and although it is an integral, as in the neuromolecular Opioid interactions with the Noradrenergic neurotransmitter systems, that is, referring to the survival component of the brain's phylogenetic integration of changes forced upon the organism, Stoicism's use must eventually be given up to the existential aspects of being human if a helper intends to cure the condition.

The noted accompanying methodology that implements that existential procedure successfully, as opposed to former non structured psychodynamic models that could not, is the Etiotropic TM's clinical component Trauma Resolution Therapy (TRT). It incorporates its structure for the purpose of keeping the focus on trauma's etiology located in identity, as opposed to behavior. To emphasize the differences between psychodynamic and this first structured psychodynamic model, I entitled it when publishing the "How To Do TRT" series and text for University of Houston students in 1987, Trauma Resolution Therapy (TRT); a Structured Psychodynamic Approach to the Treatment of Post Trauma Stress. Please note for purposes of supporting this essay later that the title purposefully omitted the term "Disorder."

Two decades later, the elitist disposition forming the Evidence-Based mental health supra management model produced an opinion that the failure of its attendant therapies or clinical applications resulted from misuse of the science provided by these scholars and implementers. Thus, the Evidenced-Based process was set up recently via the Internet to tie practioners of their helping theories back to the nucleus, the scientific literature provided in peer review psychological studies. Regrettably, the therapies - methodologies that literature supports epistemologically, and which ideologically overwhelm that body of writing, see the world only through the Nosotropic (symptom focused) perspective. To make ETM TRT comply with this new bureaucracy, I would have to adapt, as does everyone else, to the prevailing political Nosotropic way of doing things. That is, I would have to prove a level of performance by measuring the occurrence of symptoms of psychological trauma and PTSD. But if I did that, then ETM, created 30 plus years ago to stand as the only fully, meaning it only evaluated for the damages to identity resulting from the event(s), Etiotropic approach available in the secular world, would no longer be exclusively Etiotropic, which of course was the reason for the distinction by name in the first place.

Etiotropic refers to an approach that cures psychological trauma; Nosotropic refers to the learned coping approach. The latter means to focus on the problem of psychological trauma by identifying and controlling-fixing symptoms. The former does the opposite, focusing only on trauma's etiology enmeshed as an injury – wound into identity and then identifying and reversing it. This difference becomes emphasized when facilitating TRT; patients are asked to not attempt to change or otherwise control symptoms that may present during the trauma resolution process. I'll explain this most important rule later in the section pertaining to the Survivor, a salient component of psychology necessarily-logically, but with countervailing duties and functions, appearing to operate discordantly for the individual's interest, depending on the Survivor's influences by noted exogenous variables also shown later.

The evaluation for trauma's resolution, complete resolution, or cure must continue the non symptom focus if the cure is to be maintained in the appropriate clinical paradigm initiated in the first place to end the trauma's existence in memory, not teach people just to cope with its thought – behavioral manifestations. That requires balancing of all perspectives of the resolution – cure process within the full evaluative capacities available to all human beings involved, including patients, their facilitators and any third party observers. For example, participants, again to emphasize therapists or observers, used both objective and subjective perspectives ─ our criteria developed over 10 years ─ to include specific descriptions of experience of the entire identity restoration process as it proceeded through its address and reconciliation of the sequelae that had formed the etiology of trauma.

That activity is described incrementally in writing, and then shared the same with the facilitator, group members where prevalent, and the observer scientists. Total objectification, as is needed for quantification methodologies like that used by researchers contributing to the EB science, is seen as impossible because of the experiences for all involved. Nevertheless, an adequate measurer of resolution is available within the ETM modality that brings the necessary views together. Even the best auditors from accrediting institutions participated in the subjective – objective evaluation component so as to develop the sensibility required to fully understand the written corroborations and to do their compliance enforcement jobs. Speaking categorically, as in rigidly, scientists who do not have the capacity, wherewithal, opportunity or inclination to participate in the dual objective – experience evaluative process's complete resolution of psychological trauma will never understand what they are missing in their trials, always operating outside the domain of the full acumen needed for research, and thus be subject to prejudging conditions, issues and influences without any knowledge of their handicap.

I've been in this ideological fight since I discovered starting over 30 years ago that the Nosotropic concepts, which were nothing more again than being tough ─ referring again to being Stoic, but augmented with constant intellectually interpreting philosophical tricks as reinforcements, and from which I was delivered from their controlling influences possibly by divine intervention, (described in the second chapter of Due Diligence) were the principal reasons the professional world couldn't cure psychological trauma. Extrapolating it to EB's influence, the combined and now overarching modality's failures have nothing to do with poor implementation of what they should now reference fundamentally, because they don't read books anymore, as their Bible, Torah, or Koran, that is, to mean what this group calls "The Science." Rather, the failure lies in the imposition of the Evidenced-Based philosophical and methodological underpinnings of the EB evaluative theory, itself, onto patients.

The Evidenced-Based construct, which philosophical and methodical stanchions function wholly and unambiguously antithetically from those holding up the Etiotropic side of the mast, is just another experiment by Behavioral Science philosophers to not just continue to avoid doing what's obviously right ─ address the trauma's experience as manifested as a decimation of identity which is what the trauma injury is all about ─ but always and only to try to prove their theories regarding the makeup of the human consciousness and how to transform it with intellectual interpretative gobbledygook into the utopian person, rather than accept the being that is. That means that they refocus the preponderance of the methodological schema upon only what they know how to do: tell people how to act, think, feel and behave. The Behavioral Scientist teaches people how to live life by seeing the sadder parts of the world with enlightened concepts that instill happiness, changing negative feelings by reconfiguring the unnecessary thoughts that cause the hurt, interpreting the intimacy seeking but often collision elements of relationships as indications of their partners' disorders, and thus generally making these folks into better citizens, depending on how the culture sees fit.

That notion has two small complications. First, those intellectual control ideas don't fit the nature of psychological trauma's storage in the substrate of memory, much less the facts determined by trauma's complete, as in full, resolution. I'll cover that later, too. Second, the change your feelings by changing your thoughts model presumes that those doing the teaching know what they are doing, themselves, that is, behaving correctly or at least well in their own lives. Bad idea; a shaky foundation if you watch the leadership scandal headlines on the news.

That social maladaptation, that is, people who don't know how to do something, themselves, teaching others how to do it from an experiment the teacher can watch and learn to see if it might work for himself, would not be such a bad or even a difficult thing to compete against in a society where open expression rules the day. However, this time CBTer's and EBer's together have gone across the line, not just by playing like there isn't another clinical ─ in treatment as opposed to researchers at the University who have to publish something to survive ─ world outside of their particular followers' journals, but by merging their methodology with government, some serious marketing hype, and masterminding another political coup in their ever ongoing attempts to control every and any thing that they can. As my constantly replicated work from the last century no less (denoting longevity in this conversation) supports, I believe that aggressiveness is endemic to its thought and helping model. The prescience or no of that opinion will eventually come, not through shouting in the media, but when my antagonists attempt to show which of us are the true saints by testing the principles discussed ─ as I have always had to do for last 30 years ─ within the always Dracula oxidizing sunshine of complete public exposure and competition for determining truth, not just in behavioral studies where varying statistical formulas are used to razzle and dazzle into hypnotic states graduates of the humanities who didn't find a lot of meaning in the relational facts of numbers or at least the limiting concepts of Profit and Loss Statements and Balance Sheets making up the brains of their counterparts in the business schools. While wandering through that academic environment, I used to wonder, "Wonder why these two groups don't seem to date or at least talk to each other?" Well, they finally did start dating at the turn of the millennium. And today's health care management EB based application to psychological trauma symptoms quality control component disaster to the once erudite Schools for the Humanities is the outcome of the wedding. Time for divorce.

A VA Example

Worse, these social gladiators don't play fair. If you confront them regarding the logic of their notions, then they respond with Machiavelli and, groan, Nietzsche philosophy politically, which power maneuvering has nothing to do with the best interest of the veteran. Nonetheless, it is how they predominate on the scene. "What do you MEAN?!! Isn't that almost, or a little bit, untoward?"

Starting in the early to middle 1980s with newly training (in ETM TRT) counselors who were responding to our model's clinical successes and presentations to academia, such counselors from the Veteran's Affairs Administration showed considerable interest in applying ETM TRT as a prospective helping modality for their patients, most of whom were WWII, Korea and Vietnam veterans suffering the newly being recognized, at first named Post-Vietnam and then in the DSM, 1980, promulgation formally changed to Post Traumatic Stress Disorder, in the process correctly expanding the identified population to everybody who had been beaten up in their lives, not just us obviously shell-shocked combatants. After graduating from our schools in the second half of the 1980s and full 1990s, these counselors roared back to their clinical or academic domains with the greatest enthusiasm for finally bringing PTSD to an end in their institutions. These people weren't neophytes either to the epistemological wars as they were being carried on both within the VA bricks and mortar assemblages and the VA outpatient arenas.

In an attempt to summarize for this document with as few words as possible, here is what they ran in to, not just way back then during the ancient era of combatant treatments, but up to today, only using slightly different word plays. First, VA counselors returning from our professional training schools would try to explain that a cure was available in the form of a simple but extraordinary approach called TRT. The hearts and minds of the leadership of the place froze as their authorities established as biofeedback machine operators ─ then into newer eras where they have become operators of virtual reality helmets where chemical lobotomies are performed on combat veterans, during and after experiments with the new 360° surround-vision and digitized quartriangulated (at least) blaster sound with micro woofers of exciting real battle scenes and morbid carnage, etc., ─ were being challenged. "The more things change, the more they just seem to stay the same." said the African American greatest Blues harmonicist alive, played by Joe Seneca, who was on a hobo styled cross country quest to his likely fatal meeting with Scratch at a Mississippi "Crossroads," which provided the title to that lively and wonderfully entertaining 1986 movie.

Those operators, speaking slightly symbolically, ran the veteran care bureaucracies at the mental health institutions. The challenge attended by all natural counterattacks from that leadership was on. In a conference arranged by the newly trained TRT staff with the leadership of the mental health wards, it was not uncommon for that leader to begin with "I'm not even going to talk to that group (my ETM trainers who had taught the VA staff how to completely resolve combat trauma) because I'm not going to recognize the modality with my great powers inherent to my esteemed position of being in charge of this floor (in the particular hospital)." So that leader would be politely told that the Department of Defense had already done that. Second, the retort would come, "Where is the description of its theory and development?" which 10 years of answers were then immediately stacked on the desk in twelve pounds of 3 three inch thick manuals and one book, each of which included over 620 pages, with pictures no less. In the earlier days, that leadership's authority protecting defenses had not yet been prepped with the word Evidenced-Based. So they just said "Gimme sumpin with some numerals in it!" "Do you mean Roman numerals or empirical data?" our people would ask. Then, the patient educational booklets, nineteen in all, were delicately balanced on top of the pile, followed by the literature reviews with their 273 sources bibliography and attended by complete descriptions of the ideological and epistemological differences. No matter that the now teetering stack had grown to 15 inches in height of single spaced, double sided, 24 lb paper, with a few 3 inch capacity comb and 1 7/8 inch perfect bindings thrown in, and it was attended by 1524 slides in 41 lectures which filled a 5 cubic foot corner of the room ─ they were too heavy for the women to put on the desk and the male biofeedback machine – virtual helmet operators wouldn't help them to do so because the gargantuan space-taking information would increase the size of the career threatening conglomeration now confronting them and bearing only inches from their faces, and some of the materials were even in color ─ the machine operator would ask - exclaim in a voice two octaves above his normal speaking tone "Are you a PhD?" to the nicest most non threatening persons in the world, Craig Carson, MS, LPC, LMFT, LCD counselor, and other naïve TRT counselors who also had every credential and license available and then some required to treat anybody, anywhere, for anything having to do with their psychologies. Asked and answered with the additional caveat that a full 15% of trained ETM TRT counselors carried PhD certificates and that all were licensed better than was he, the operator in charge of the VA's mental health system's address of combat trauma having lost on all his sales objections would scream in glee "But have any of you been in real war combat?!!" The now hyperventilating biohelmet computer expert - operator would be told through gentle expression so as not to cause further hernia to his mind about the ETM author's USMC combat history in Vietnam and who had a VA ordained combat caused 100% disability. That is when they disappeared over the edge. The VA's leader would leap from his chair, run out the door and down the hall, therein hiding in the restroom until the intruders left the premises.

But that was not enough. As the ETM TRT reps departed the floor, shouts ─ in repeating waves of crescendos occurring in unison like the card sections at football games ─ as if each clinical office had its own teleprompter bellowed down the VA hospital's halls "NO NEW STEPS!!!" That, of course following in the tradition of all CBT intellectual limitation, refers to speaking in slogans or quoting others without reference. I mean they took that stanza, sometimes even sung in four part harmony by the CBT choir, from the newspaper headlines of one of Australia's greatest sleepers, Simply Ballroom, depicting a Rocky Balboa styled young lady's linkage as a no chance ballroom dance competitor with the sophisticated virtuoso's addition of the pasadoble during that entertainment genre's national championship. Be inspired! Do something good! Cure Shell Shock for American combat veterans! At least if you don't know how to treat the primary injury, give them real help: that starts with less flak than they got in combat!

That was the traditional VA response for the first 20 or so years and until Dole - Shalala, 2007, where in response to the malfeasance horrors of Walter Reed PTSD treatment exposed by the Washington Post, the President of the United States established the so named commission to find out what was going on with the VA and combat trauma managed by the Department of Defense. After that and by Congress's direction, the new policy at the VA was changed to acknowledge openness to the study of PTSD from the non VA community and other therapies designed and applied in the treatment of psychological trauma, at least at the front door while being interviewed for the 5 o'clock news. But, steering with alacrity the helping suckers around to the back door, they were chilled to death with demands for empirical data: triple binded, meaning quadrupally blinded studies with control groups being conducted out of the University of Ottawa, if there was such a place. Because to be fair, that is, I mean unbiased, they should fill the controls with draft dodgers and deserters who were the same ages of the combatants and who were comprised of differing philosophies about war, inner hostility and aggression and such, not to mention of whom had been traumatized themselves by being forced to abandon their country. "Well," my ETM enthusiasts said, "I guess we'll go on out and try to round those kind of folks up, if they haven't changed all their names by now. We'll be back in 18 years."

And these VA mental health care managers and leaders at the top, being nothing like their dedicated altruist doing the therapy at the lower part of the totem pole, can fly down their hallways faster than roller derby skaters to head off a person from the community trying to respond to the ever sickening veteran attitudes being expressed in the local area regarding VA mental health care. "Are you sure? Do VA CBT Psychiatrists really where roller skates? Have you measured those attitudes?!" Well, at least as well as the EBers measure symptoms of PTSD and SUD. But, before we get sidetracked into issues related to my objectivity in this matter, here is the gripe.

The VA mental health system which is now run by Cognitive Behaviorists ─ who also function as the pharmaceutical industry's wholesale outlets ─ as if no other helping thought model ever existed, is operating on Extremo Churn high speed supporting blender chopped and shredded CBT and polypharmacological autopilot. Veterans see a psychiatrist for meds for 25 consecutive minutes every ninety days. That is how they tie the patient to the program. If the patient is suffering serious suicidal or homicidal ideation(s), the psychiatrist cranks the structured talking part up and into heavy professional interaction, one serious (Still want to harm yourself?) 25 minute session every 30 days. Med dosages are adjusted after blood work analysis and by discussion of those issues causing difficulty ─ assuming they can be remembered through the drug memory immobilizer field since the last visit 3 months past ─ usually as conflict between the vet and family members. After lounging around on an 8 or 9 month waiting list, the veteran gets to go to a group therapy, which is culled in the first hour to weed out non conformers: people who otherwise respond naturally as Person Centered or Rogerian Therapy centric human beings want to talk about their feelings, like anger or sorrow. The remainders, meaning veterans who don't understand CBT group control methods which are intended to make the therapist's job easier, learn about the symptoms of PTSD and how the disorder concept works, in the VA.

That is, the veteran has caught for his or her efforts in combat a psychiatric mental illness which is thought to be manageable by the VA with education, encouragement to control their symptoms, how to fight against the occurrence of flashbacks, what medications are popular for psychotic recurring nightmares, how not to go to war movies even if they are up for best picture, how not to want to kill anyone, but in case one does, better "go grab a doctor in the hallway and tell her about it," how to stop complaining just because the drugs for PTSD make them feel like they are living underwater in the neighbor's swimming pool, how to make sure they don't drink too much because they are at risk for alcoholism, and when they get upset by antiwar protestors who call the veterans bad names, how to recognize that everybody has a right to free speech, and after all, that is what the veteran fought for to protect anyway. And when the country that sent them into the war decides after a few suicide attacks that it has had enough, that whichever war that they fought, were maimed or blown up for, was a big lie or at least a mistake, or imbecilic, or in the minimum was empire aggression that the guys sitting in the group room made possible by following illegal and immoral orders from an evil Commander in Chief whose popularity in the poles dropped a portion of a decimal point ever time one of their partners in combat were killed or are otherwise blown to pieces, vets just wonder if they really are insane, as the diagnosis stipulates. Maybe they should be treated also for having been raised by Schizoid parents: systemic trauma manipulated public opinion.

When the facilitator plays like he or she doesn't smell it, or if he does it doesn't mean anything, then vets are taught not to complain about the high levels of alcohol smell permeating the group therapy process when 2 or 3 members come in loaded. They also learn through non dialogue as in lip sync and eye winking only that they may not want to record on their drivers or hunting firearm license applications a whole lot, if anything at all, pertaining to their new mental illness status received during combat. And they might especially leave off the issue of the medications.

A social worker manages the case in conjunction with the treatment team to help with all things like living arrangements, interfacing with whatever needs interface including the address of other medical issues which are often numerous for this population. Social workers contribute to the best part of the whole care system when that professional case worker does care, which happens in 180% of the time. They are tough, sophisticatedly trained for this population and fine people who are profoundly dedicated to helping veterans. And they apply themselves exhaustively earning every dime they are paid when they work in the trenches ─ carry a full case load. Nevertheless, upper management of this and the other groups can become as in any industry extremely political and career power focused. And there are some doctors at the VA who apply themselves above and beyond within the medical traditions for which we hope provide the standard for professional help.

Because of those good men and women, I have loved the VA in the recent decade no matter the crippling management issues which comprise the basis of this essay, and regardless of the horrible experiences of disregard and abuse incurred in the 1970s. But as the educational sayings go, otherwise used to address these additional compounding trauma issues created by politics and descent, and administered by Cognitive Behaviorists who know nothing whatsoever about what to do to reconcile these additionally profound trauma causing issues, "That's water under the bridge." "What's passed is in the past and stays there!" "No sense crying over spilt milk." Hmm; maybe that is good CBT advice unless, of course, resolution of those unfortunate catastrophes for our veterans' minds tells us to stop it from happening again 40 years later. And thank God for that CBS Republican hating scandal sheet the Washington Post; or we'd probably be giving our Iraqi and Afghanistan brothers and sisters Born on the Fourth of July all over again (autobiography of spinally wounded Ron Kovic and 1989 movie starring Tom Cruise and Willem Defoe).

Non responders (who get worse and even unmanageable and not by schizophrenia) to that level of care, which is considered top notch as compared to the low notch stuff you read about in the papers causing the upheaval, may qualify for residential - inpatient. Depending on the quality (the capacity to care) and mental stability of the psychiatrist running the floor, chemically dependent and PTSD patients may get proper separation from those suffering schizophrenia where it presents. But in low down dirty dog places, the patients are first calmed down, comingled inappropriately, then managed and warehoused polypharmacologically until they are sent back out into their families, if they have any. And everything from the previous 3 paragraphs is just surface stuff as far as complaints go.

After many years of interacting ethically with the VA even while they harmed veterans through those managerial control methods, all functioning copasetically with their philosophical treatment paradigm based on CBT, I gave up that code of honor during the referenced rounds of despair caused by Walter Reed. That tragedy occurred because of the treatment – management modality, not, again and hopefully this time forevermore, a lack of people to re implement their design, which the Secretary of the DoD ordered as a quick fix as soon as the second report broke. All that more therapists and administrators do is increase replication of the same disastrous ideas. Those modalities, always based on CBT because that is the intellectual limitation of upper management, foster conveyer belt treatment, burnout, superficial understandings of combat trauma, misdirected clinical goals, polypharmacological applications for patient control and warehousing, abrogation of the contract tying employer to liability, patient stigmatization, and sometimes general malfeasance by a host of caring clinicians who otherwise would love to do the best for their veterans, just as they are ours.

CBT: The Genghis Kahn of Psychotherapy

Compounding the ideological and methodological problems, the CBT movement's leadership does not advance their cause through caring, empathy, openness, logic and reason ─ the basic tenets of helping ─ as the existential psychodynamic professionals did during their turn to lead the field. In that 60 years of the mid twentieth century, being aggressive within the ranks of therapists was seen as psychopathology. But that concept is gone today, trashed by upbeatedness, money making, and cutbacks. Instead, CBTer's impose not unlike Genghis Kahn did during the thirteenth century. I'm not speaking of the positive attributes of that leadership's establishment of the Mongolian dynasty by the Kahn and his sons, but alternatively of the greed for ideological expansion and control and the resulting deficits forced upon our populations as CBT is pounded into the unaware collective consciousnesses of traumatized people.

And given the really big view, the monopolistic anticompetitive practices of the CBT EB government merger is just another firefight on the battlefront that has existed between the ever usurping imposter therapists, Behaviorists, and their helping caring-existential-based antitheses since Skinner told the poor human race about his box used in his Behavioral experiments, the scientists destroyed the once thought wise Sophists in the times of pre Plato and Socrates in Greece, the established Behavioral-focused disorder killed the caring- love-imbuing Jesus in 33AD, and Islam started wiping out the thought competition in 622, and is still following the same directions today, depending on to whom from their camp you listen. Now there's a fine CBT, with a leaning toward the "B" component, SUD treatment program if ever there was one!

Allah's Messenger laid out the 3 step CBT based approach to Alcoholism recovery in the Al Hadith.

"If a man gets drunk, tell him not to do so."
"If the man gets drunk again, tell him a second time not to."
"If he gets drunk a third time, kill him."

These seemingly irreconcilable conflicts continue even with science's backing when people rely primarily, if not only, on the cerebral - behavioral control components of their human capacities. They must project that system on to contiguous and different ideologies in order to keep the lifestyle and epistemological choice valid for themselves. It would otherwise fall due to constant epiphanies resulting from exposure to more identity- or existential-focused concepts that are introduced, led and inspired by unfettered experience of human feelings, intuition and creativity that provide the path to empathic – based truths threateningly being conveyed to their followers. I mean,

♫"How're we gonna keep them down on the farm♪,
♯♫ after they've seen Chu Lai?♪"

as US Marine Gunnery Sergeant Gratton used to sing to the WWII classic song's melody about American soldiers fighting in Europe, but sardonically substituting for parody while washing his clothes in the monsoon rain and mud, Vietnam's Chu Lai for Pari′. Today, we can just as easily end the same stanza with Fallujah, Najaf, Mosul, or Kabul, except that Fallujah, although the best known, has too many syllables. Not exactly the same metropolises as Paris; and although the Gunny's use of the song and lyrics poked fun at the other war's places for liberty, the point is the same. When one experiences other things, it is hard to remain in the Behaviorist's fold, cult, or . . .

This conflict over the ontology and management of the human consciousness was America's battle when developing its constitution and is still today's principle thought management struggle in this country. It is demonstrated in the interactions and ideological thus political conflicts ongoing in the implementations of our notions of crime and punishment influenced by extenuating circumstances pertaining to the effects of trauma on the human will. The Evidence-Basers have come square down on the behavior focused composition in the human services arena, but a little less squarely by at least calling the antagonist a disorder instead of an irreparable fall from grace, but that they only can fix, or if not going that far, effect an improved outcome anyway. Clearly, this ambiguous and renewed attempt at reconciliation of its epistemological cracks was, without serious question or hyperbole, created as an interpretative accommodating reaction to Victor Hugo's solving of the problem in 19^th Century France when made known to us late 20^th Century illiterates in the adapted musical "Les Miserables," with the finale suicide of its law enforcement focused Javer who didn't know how to think anymore if caring and love were shown, as it was in that monumentally efficacious work, to be more valuable than methodologically correcting behavior, whether done by repeatedly slamming a rock breaking sledgehammer or through attachment of a veteran's chest and head to a biofeedback or virtual reality surroundorama machine as he is required to watch ever enlightening depictions, in color, of real war carnage.

Well now, the Evidenced-Based modality as in a new code of law has been mistakenly, maladaptively, or idiosyncratically adopted by our governments as if the war over identification of the human being's consciousness has never existed. Hence, this essay proposes to change that error in judgment or reverse any political hegemony instigated via Behaviorism philosophers by making a simple name change to its management approach. Call it Nosotropic-Based and everything will be fine. No controversy needed. We Etiotropicers can list our already vetted services under an Etiotropic-Based heading, and then be on our way back out into the U.S. Constitution protected competitive arena controlled only by honor, ethics, recognition of and consideration for others' rights in concert with our own, consumer public image and patient satisfaction.

Part Two

Evidence-Based, Science, Stat Analysis and Symptoms of Disorder

"There are just a whole lot of people walking around who never knew what hit them."

John Updike

The word "evidence" in this discussion is not the rub, but, instead what it stands for to the ideologically suited practitioners and researchers who have borrowed the term for this particular use. They adhere to the expression for the dual purposes of following scholarly - scientific principles on the one hand, and on the little less admirable other squeezing out of competition through political manipulation those who don't agree with ─ actually they don't care about "agreement," just that you go along with what they say and not get in their way ─ their approach to helping. In either case, "evidence," as it is used here means to, among other things described also herein, focus scientifically, as my Gazelle like leaping Black Lab (dog) does on movement in a field full of jumping grasshoppers, upon the measurement of the rise and fall, and to include within that inconsistency the discombobulating effects on objective measurement by omission-based collusion through self and familial denial, and then further encumbered by more invalid observations due to sometimes presentment or no now or 40 years later or somewhere in between, of DSM recognized symptoms.

Despite the indeterminate effects that symptom non recognition, denial and inconsistency have on the degree of reliability of the evidence, changing ratios that record and then provide an interpretation for the levels of symptom presentation that follow the intervention are the determiners of the helping application's influence or no. Hence, symptoms that present or not over certain periods become the primary evidence to which the Evidence-Based (EB) movement is preoccupied. In this trauma management modality, virtually all of the work force is dedicated to proper symptom recognition and thus collection. This means monitoring symptom change with great program resources and dedication to the principle that changes will notify the performers if and when they are following the science (peer reviewed symptom studies and thoughts contained in a easily accessible database) properly and whether or not things are getting better.

Before making further negative comments about this idea, I would like to emphasize my wonderment at the scope of the whole notion, including its attempt to incorporate mathematics into their management efforts. "Evidenced – Based," when applied to recidivism measurement in the criminal justice system, Dentistry, Medical Practice, and in the treatment of severe mental health diseases such as schizophrenia, is very valuable: a bona fide expenditure of both private and community resources and a logical theory having considerable merit. The idea is to add and dictate the kinds of approaches used in the measurement of evidence, not in legal terms, but in program competition or performance of effectiveness.

The EB concept also gets not just good, but extraordinary marks for using stat analysis with computerized data management for quantifying illnesses. That concept has been a part of business schools in our universities and in thousands of corporations for many years, establishing a long track record of success at providing very accurate and rapidly needed information. Its cost and managerial accounting format has been applied in financial researching systems, albeit, not computerized until later, through Standard and Poor's and others forever. Identical measuring devices have been and are responsible for keeping track of all the twisting, entangling and blending of mathematical concepts to make sense of the work force's pension and profit sharing funds; they represent the greatest wealth ever assembled. In those configurations, statistical understanding and application accorded to the public's investors on an economic macro scale what the Evidenced-Based system is doing now in the address of quality control of mental illness. The tremendous range of mathematical computation services can mean make or break existences for fortunes. And now with the Internet, the same model is becoming a savior for personal financial stability and measured growth. The individual investor is becoming his own investment advisor, even stockbroker, but with better information than those groups had just 10 years ago.

In the mental health and other medical fields, the new but already financially tested device reflects how the various interventions, either behavioral or pharmacological, are strengthening with supercomputer speed a machinery that tightens efficacy maintenance controls of the otherwise unreliable symptom presenting data. Insights can be provided into mental health issues that instantly bring thousands of practioners up to currency with a click of a button. There is no doubt that this great advance for humankind will someday be able to solve some of the greatest problems we've faced.

But psychological trauma and PTSD aren't two of them. Having applauded the excellent components of the modality, I return to the very necessary explanation of what is so wrong with Evidenced-Based theory in this application to psychological trauma and PTSD. The statistical formulas being applied to presenting symptoms, then coordinating that correlation to articles that give sources that support its author's logic, serve as the referenced "Evidence-Based" engine. But as I'm opining in this counter to the EB movement, when applied to trauma management and treatment, the stirring of the trauma and mental health disorder symptoms' boiling pot, and even when using the great statistical stirspoon, is just the newest euphemism for Behavioral whack-o-mole.

Comorbid or Co Occurrence: Emphasizing SUD Occurring Coincidentally with PTSD

Symptom unreliability emanating from just one incident of trauma and its prospective symptoms is not the only foundational problem with EB symptom data collection and analysis. PTSD symptoms present comorbid with about a trillion other mental health maladies, with the most misunderstood, misdiagnosed, and constituency battled over being the co occurrence of Alcohol Dependence (AD), Chemical Dependency (CD) or Substance Use Disorder (SUD) with PTSD. The academically trained PTSD professional care givers, referring in this instance primarily to the throngs of new authority-based helpers coming out of graduate level counseling schools, and to even include the self helpers' approaches to PTSD, which are mostly Twelve Step ─ a recovery experienced blend of cognitive-behavioral, moral self analysis, and non secular conversion initiated by survivors of Alcoholism in its program of helping others similarly affected ─ imbued, will initiate the assessment phase within the umbrella assumption that CD's or SUD's pathological use is a symptom or simply a medicator of psychological trauma and PTSD. Except for some of the experienced based individual helpers who first applied their model where it started and faired so well in Alcoholics Anonymous, these thinkers rarely consider, or for some reason have not even heard of (means to have read), much less tried to reconcile with, the CD treatment and Alcoholism research community's antithetical ideas cogently supported, meaning at least enough to where the information should be included in the problem analysis, by substantial research that AD, CD and SUD are caused by biogenetic factors
(select "Chemical Dependency" for a review of the literature, "Commorbidy: Chemical Dependency and PTSD") that induces biological, then turned psychological stress and identity – behavioral change.

The biggest suspected biological culprit among several noted in the literature is the manner in which some people's genetics affect the liver, which effects alter processing of the alcohol molecule in various ways, some of which are represented by rapidly increasing tolerance that is then attended by wild and other uncontrollable chemical use and bizarre behavior. Aversely, other well defined genetic markers for alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) demonstrate genetically coded liver enzymic protections, often even denoted ethnically, for literally hundreds of millions if not now billions of persons living on this planet. For the non protected, thus affected adversely in the other direction, the damaged liver begins, starting in early life (30's) hepatic encephalopathy. That means for you PTSD-causes-AD and "lets treat it all at the same time" thinkers that even in sobriety the brain still isn't going to work cognitively until the liver heals or one gets a transplant, which produces overnight the return of complete cognitive functionings. Before discovering that biological issue, everybody just concluded that the thought processing deficit was indicative of Korsakov's Syndrome. Adding to this knowledge / opinion bank, lots of new psychotherapists believed it to be representative of low self esteem, or retardation, and a little further back in history, well maybe not so far back, just a worthless personality.

When conducting my third literature review (linked above) of the biogenetics of AD 20 years ago, the gene investigative culture was looking for a single marker which would substantiate its findings related to the way different livers metabolized alcohol within the digestive system. In 2009, thirty-four total markers show unchallengeable association of the alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) with AD. And that is just the liver! We are not even talking yet about the lungs, esophagus, or much less the brain! Where are the philosophers who used to plug this kind of stuff into their formulas while trying to figure out the human consciousness? I'll add a well grounded ─ taken from training psychotherapists for 3 decades ─ guess to that later.

Unlike the SUD counselor who frequently comes from the recovering CD treatment arena, and who thinks of the uncontrolled use as a natural manifestation of such biologically affected people given the molecular structure of the alcohol molecule and their livers' particular genetic under codings, the PTSD trained and oriented practitioner will surmise that the disordered use is a characterization of a past trauma's internalized (the Behaviorists' term, not mine) retention. And sometimes also unbeknownst to the new PTSD expert is that that kind of use is preponderantly attended by bizarre behavior that contradicts the original identity that existed prior to the dramatic toxically influenced actions. That contradiction establishes the cause of a separate source of trauma when the CD person becomes sober and is confronted in an awakening nanosecond by what he or she did when using (drunk or in other ways highly drugged) the day or evening before which varies with the way that individual believed he or she should behave or otherwise represent one's self. Behaviorists or choice proponents argue, of course, and ignorantly of the biological factors, that the person puts him or herself upon the barstool without anyone's help, demonstrating choice. How could it be a traumatizing event if it is chosen, they argue? Please. I do not have time to address the full biological intricacies of the issue of choice at this time, as this exposition is going to be long as is.

However, a political brush stroke should provide at least a small highlight. The notion that Chemical Dependence (CD), the older but helpful term representing psychotropic mixes determined by sources and economics of supply, presents as primarily a biogenetic issue having physically caused psychological damage to identity in lieu of people making choices about their use, and one of the rationales for that consumption being psychological stress created by past trauma, upsets the non CD treatment community a little bit; actually, it upsets them a lot. Their training is primarily in mental health, not Alcoholism. Nevertheless, their upsettednesses that academic and discipline shortfall won't predominate unless they are able to change the U.S. Constitution to recognize them as immutable leaders-rulers of mental health care. Although they are making a good stab at it by merging CBT with Evidence-Based controls and government, eventually these Behaviorists - scientists and statisticians will learn that these drug and PTSD issues present comorbid coincidentally.

For one, the so called study correlates that conclude association demonstrates a PTSD causal relationship to CD do not account for the fact that practically everybody in this country has been very highly traumatized at one time or another. And two, drugged and drunk people are constantly causing trauma through toxic behavior, for example, by killing over 24,000 people a year in auto calamities alone, maiming multiple times that figure, and leaving behind untold numbers of surviving family members, friends, business associates, church and school members. At the same time flabbergasting numbers include those drunks being victimized, for example through rape, muggings and every kind of human exploitation, while lesser defended: easy targets for sleaze-based predators.

Although those patients are presenting as extremely harmed persons, which the Cognitive Behaviorists are finally catching on to in this later millennium on the subject, treatments of multiple sources of trauma can be ordered and all etiology completely reversed, as in CURED. The only difficulty is not for the patient, as expunging trauma's multiple etiologies in identity offers an existence of congruity not just meaningfully attended by amelioration of pain, anxiety, depression, stress, and dissociative states, but in fact cures them if trauma related, which Eric Kandel, probably the world's most prolifically published neuroscientist, says is the case in 90% of such presentations (significant loss precedes depression). It's just very difficult for untrained therapists to experience that much devastation of another human being. In this culture, that training must eventually take place as a standard, not an advanced curriculum for those so ideologically inclined, or because of my skills or lack of as a marketer of my product.

To reinforce if not prove the notion of Chemical Dependency's biogenetic likelihood of establishment prior to later occurring events, such as trauma caused by combat, rape or loss of a loved one, to be fact - not opinion or supposition, all the provider has to do is employ a systemic based Chemical Dependency assessment form that recognizes the full delusionary memory system that attends the use. That system is comprised of euphoric recall, repression and blackouts, the latter being an otherwise complete failure of the neuro synapse to record anything that happened, frequently even over long periods, days and weeks. That individual construct of hallucinatory self evaluation is supported by repression of massive amounts of trauma incurred by family members affected by the bizarre while toxic pathological behaviors over the life time of that use by the CDP (Chemically Dependent Person ─ see how much nicer that sounds than the "SUD Person," or "SUDP?").

That individual, relational and systemic trauma etiological compendium protects itself similarly as individual trauma etiology is protected. Family members and the systems while in survival on the one hand try to address the damage done to them, and on the other attempt to keep it in place. That so called duality by some thinkers manifest in numerous ways. But for purposes of assessment of CD or SUD, family members both try to get help with which to solve the problem and at the same time can act like it never happened, and worse, sabotage the assistance activities. Honesty, or lying in the contrary, important moral variables to the Behaviorists in the intrapsychic – based assessment and upon which their extensions, Cognitive Behaviorists, hinge their concepts of the human drugged consciousness and discussions, have nothing to do with the challenges to accurate assessment caused by biological attacks upon the person when toxic and the bizarre behavioral caused traumas' undermining family perspectives of what's happening.

The Johnson Institute, a central figure 40 years past in the development and international professional expression through training of the Minnesota CD treatment and medical-social management model, produced ions ago a system based assessment tool which was and is hailed by every, that is, single facility licensing auditor as absolutely the "best" and most complete approach to determining the facts pertaining to the use that they had seen in the Chemical Dependency and mental health fields. With that program's permission, we've used their design in family systems approaches for 30 years documenting the pathological, meaning obvious problems with, the use back to the first drink on almost every occasion.

Regarding "almost," if in some instance the problems with first use didn't show up at entry (but mid and later life problems triggered treatment), that documentation was continued in our family treatment regimes as a matter of fact, not guesswork, throughout the first 3 months of acute treatment for all family members (with collaborative data from pastors, priests, business associates to eventually include the prospective Chemically Dependent Person's entire universe). "Fact" means that descriptions of problem use are taken and recorded without convoluting philosophical abstractions that explain and excuse why the use was occurring. For example, a family member early on would not report an event that usually would include a full period over which like events occurred, because he or she believed that a significant loss in the family had caused the use; hence, it was understandable to that theoretical perspective. Reporting what happened without the philosophical guesswork as to psychological cause allowed collection of less tainted data. Better than that, the reporting of fact without the defending abstraction set into motion the address of the underlying trauma resulting to the family member from the use by the AD, CD or SUD affected person.

Emphasizing the thoroughness of this approach, but of course with the necessary humilities, each family member was treated for standards compliance purposes as an identified patient (IP), not just as collateral for the AD IP suffering trauma from the aberrant drinking / drug use behaviors. Of course as described below, every such trauma etiology affecting a family member was identified and reversed, giving greater clarification to the systemic assessment process. The full familial or other system member documentation post acute trauma address reveals to the psychological causal theory protagonist a grave view. He or she has not only been dead wrong, but obviously guided by some strange goings on.

How can I be that way? I mean, so curmudgeon like, opinionated, rigid, acerbic, rude, even angry sounding, and the most horrendous of all, uneclectic. Here's how. Our multifaceted and multi-therapists ─ but trauma resolution and sobriety focused and positively synergistically directed ─ facilitated family approach to CD treatment and psychological trauma removed the effects of trauma from everybody in the system, and the system relational components, allowing the data to be joined for analysis without the distortions inherently attending the pathological, more often than not, lifetime traumatizing processes. Better than that, formal treatment at the multiple, that is, intrapsychic, interpsychic and systemic levels of trauma's etiological identification and reversal lasted never less than two years, including for the record children to age 5. Additional trauma resolution activities were provided to those having been affected by traumas not occurring during the defined pathological use period. This information has been properly published since 1984 and as indicated presented in its entirety free for study, research, or reading for pleasure on the Internet since 1994.

Writing on 60 years studies, George E. Vaillant author of the landmark book, A Natural History of Alcoholism, proved beyond anyone's questions or doubts by a sane person that attempting to define pre alcoholism psychological factors after its onset and disaster upon the psychologies of the alcoholic and the family is like trying to shoot fish in a barrel of water. You can't hit them because of the "skewed effect" created by light's deflections. In practice, the deflections present as psychological trauma, which when directly addressed at etiological levels disappear, leaving only a very clear view of the facts pertaining to what happened to everyone involved. The moral is "Yes, Rodney. We can all get along. But in this family, it will only happen with no drug use!"

"Facts are ok." But, say the CBTer's, "What's theoretically or logically wrong with the current rampage for drug abuse being caused by pre, or especially in cases of sexual assault – rape of women when drunk or drugged, psychological factors? Doesn't that work?" To answer it within cognitive behavioral lingo, "Not hardly."

Only two things are important here other than desecration of truth. When pre substance use trauma is seen as the cause of the drug abuse, reconciling the previous trauma, if it can even be done within that spin, follows with "If trauma caused my SUD, and I've reconciled that trauma, then, first, I could not have been traumatized by the later use as it was chosen to meet a natural need!" ─ thus no additional trauma should be necessary to consider, which if not done supports psychological delusions of power over addiction and use behavior never to be identified, much less reconciled, by the CD patient. Second, being successfully treated for the first trauma should mean that "I now have no stressors that might cause further abuse. I can return to enjoyment of recreational drug use like the rest of the responsible social users still do within the community." Good luck America with its new psychological cure for Alcoholism caused by liver metabolism of an ingested foreign substance, just a little strange molecule!

How can these scientists turned practioners miss something this big? When they are our objective finest, why would they just read the wrong evidence? Why? Because psychotropic substance use is not an objective issue for therapists – scientists whose professions are spawned out of a super and now supra with EB ordained drinking culture where responsible alcohol use is considered to be an accepted and natural part of the human existence. Regrettably, that idea results in the assessment by the therapist, at the speed of light by the way before being saved by suppression, of the therapist's own substance use capacities, which allow for, are intended to, and do medicate for stress, not forgetting providing for relaxation and fun, onto the biologically different Chemical Dependent Person.

As the Cognitive Behaviorists live on, and draw the intellect for their theories from, adages, and for which I'm trying to accommodate them in this writing, social drinkers, as in this example of the using therapist or scientist, like to think that they are in control of their party time. The stress causes alcoholism theory supports the social drinker's notions that cognitive erudition and advanced intra and inter personal communication skills gives them immunity from the true risks of drug / alcohol use. They have carte blanch credit to medicate for happy or depressed times, or for no reason other than enjoying a particular lifestyle. And Buddha, Allah and Lord help the patient during evaluation by a therapist who is the mother of a drug addicted teenager or young adult, and especially when neither mother nor child yet know it.

Today, CD and SUD, at least for those in the know like me, should be treated behaviorally and systemically (as in identity lending groups which give a spiritual or bigger view to the formerly toxic Self), with a little once called Person Centered Therapy added with lots of education pertaining to the Disease thrown in, first to establish a non toxic biology. Using "should" here means that deep thinking ─ formerly affected by chronically drug saturated organs that affect the way the brain tries to right itself, and combined with that same brain's neurobiological disabilities occurring through degeneration of synaptic functioning after it has been decimated by the physiological damage done to it by the alcohol solubility of the complete neuron, to include drowning its most important Long Term Potentiations and Long Term Depressions of pre and post synaptic membranes' interactions otherwise scientifically known as the seat of memory and learning in the brain ─ is done for. So entreating such people to just follow directions for awhile, go to a lot of meetings (as in AA) rather than jump right into serious psychodynamic kinds of thinking and feeling that rely upon those formerly submerged synaptic processes for decision making, and supported by some great tools like Cognitive-Behavioral Therapy and of course the Twelve Step program of Alcoholics Anonymous, is really the way to go.

Emphasizing "for a while" to mean only if you want at the appropriate time to get to the trauma etiology attending the pathological use's influence, not to mention any other trauma source's etiology resulting from, say, war. That caveat notices that a bridge is required to allow a non practicing (sober) Chemically Dependent Person rebuilt under standard CDP treatment with CBT, group lent identity, some rigorous basic Person Centered Therapy groups (of course, exclude Rational Emotive Therapy from the bridge as it functions antithetically to Roger's thesis and work) and inculcated with conversion to assist the crossing into trauma's etiologies caused by at least the pathological use and who knows what else, to make the transition into the now more stabilized and consequently existentially capable neurological trauma resolution capacities. Can you identify the life trauma issues while building the bridge to the complete trauma resolution or cure work to come in Etiotropic TMT? Of course you can, but in an orderly way that assures the patient the experience of congruency in concert with the rapidly changing for the better biological realities.

When the new PTSD, but non SUD trained (by the Chemical Dependency field, not Academia's version of SUD) experts catch on to the existence of two animals instead of the one, they'll understand clearly that linking as CD causal early or parallel occurring psychological trauma produces the proverbial squirrel chasing its tail, but set to the finale of Paul Dukas' The Sorcerer's Apprentice, for emphasis of the CBT's application to PTSD as causal of SUD modality's frenetic effect upon the poor patient's mind.

After sobriety has been attained long enough for the brain and liver to at least function fairly well, which takes about 6 months in the minimum, then the extra bright CD counselor gets his or her TRT (Trauma Resolution Therapy) book out and begins to nuke that CD caused psychological trauma etiology. Following the ETM rules for addressing this kind of commorbidy, the issue becomes how and when to address each trauma source's etiological sequelae. Using ETM's Multiple Sources of Trauma formula, instead of the recent CBT mixed up notion of "complex trauma or PTSD," for treating these two sources of presenting psychological trauma, the latest occurring trauma etiology is addressed first, allowing the patient after that task is completed to return in weeks, months or years to address and reverse with TRT trauma's etiology caused by the earlier occurring event. Or if the past trauma presents as the Most Pressing Trauma (MPT) to address, then it can be worked into the milieu, but not so that it demonstrates a causal linkage to the chemical use pathology, which although exacerbated by trauma, is not the cause of the substance use pathology. They co occur as distinct variables for address, at least for those of us who know what is going on in this apparently unrelenting social management disaster.

One more quick comment about really past trauma, but to emphasize as not pertaining to cases involving psychosis as in schizophrenia. Invariably a professional would ask while I was speaking as a visiting or guest lecturer at a particular symposium, as opposed to from within our professional programs, if our formula for resolving trauma could be applied to past lives trauma. The usual case examples offered for discussion from these persons included one patient in her twenties and another in her forties. The first suffered past lives trauma (that the therapist was helping her to work through) from surviving in a life boat while watching her ship, the Titanic, sink in the North Atlantic. She was addressing in that therapy model memories of frostbite and seeing the dead still floating while frozen on debris. The later aged lady was trying, again with her channeling trauma specialist, to get over a snake bite which caused her death while she was the Queen of Egypt close to the year 42 BC. The upshot of the answer was always the same. "If I didn't get third party reimbursement, it never happened." The other answer of course is that once real or this life's trauma is resolved, Karmic needs from a past life of anything, as General Douglas MacArthur said about old soldiers while speaking before congress in his farewell address after being fired by President Truman, "They just fade away."

While mired in a vortex of sucking lava inherent to their epistemology, but thinking they are instead standing on Everest's high ground with the big view, the Behaviorists are still trying to nail down some behaviors as symptoms from something, maybe PTSD, and coming from some place such as, and not respectively stated, combat, sexual child abuse, or battering attending a first violent marriage to or adolescent upbringing by an alcoholic husband, father, brother or mother, wife or sister. It is in the end for Behaviorists somewhat like trying to diagnose the original locations of houses, autos, poor cows (am sincerely sorry for all life lost to these tragic disasters) and their parts comingled within the circulation of a tornado, but not while the scientist is standing back and making his calculations from a safe viewing area. More likely, trying to affix the roots of all those parts to previous ground locations is akin to diagnosing PTSD symptoms comorbid with CD or SUD while just trying to hold on to a windblown clipboard and mini-computer as the houses-, barns-, autos- and horrid livestock-churning cyclone is bearing straight down on our objective observer and the calamity is only 100 yards away. "Send me a sign!?" Said the lust enamored brain surgeon to his deceased wife when seeking from the spiritual world her guidance whether or not to marry the vamp played by the venerable Kathleen Turner. Following psychic howls of "Nooooo! Nooooo!" accompanied by his former wife's spinning wall hanging portrait and hurricane force winds blowing through the living room, the solemn unperturbed doctor, Steve Martin, responded in The Man with Two Brains "Any sign will do."

And that symptom focused obsession imposed by the new (adding education and a little "Interpersonal Therapy") Behaviorists who have crusaded into the psychological trauma treatment domain is, unbeknownst to its creators, followers and advocates, the Nosotropic focused academic's or scientist's downfall in program design from its inception. To wit, as ETM TRT's half gigabyte of literature on this subject emphasizes to the treatment and research worlds a 4 part immutable axiom to PTSD, hopefully to soon be PTI (Psychological Trauma Injury) treatment:

trauma etiology and symptoms are mutually inclusive; you can't have one without the other, and
a) Attempts to change or otherwise prevent symptomatic thought - behavior, which efforts include their interpretation as likely stemming from etiology, and / or b) evaluation by an objective observer for the purpose of improving performance of symptom control functionings, result in c) the strengthening of trauma's etiology within the domain of identity by an amount of protective neuro-molecular activity correlated positively, or better said identically, to that used by the patient to try to control the behavioral- and thought-symptoms in the first instance.
Thus, the key to curing psychological trauma is to remove etiology without interpreting symptoms for patients; meaning, do not explain to the patient the DSM version of PTSD otherwise intended primarily for clinicians to help them to understand patients.
And to achieve number 3, that is, removing, reversing or otherwise expunging trauma's etiology, exogenous variables like psychotropic medicating effects accepted by the culture as human necessities, must be removed (addressed below).

Hence, you don't have to be a doctorate of philosophy, inferring one to be an advocate of logical thinking, to realize that continuation of etiology will always sustain the same amount of symptoms, albeit in differing and sometimes not readily identifiable manifestations. They especially become too difficult to recognize for Behaviorists when PTSD symptoms become enmeshed with the coping teacher's educational - thought - behavioral control models. People go nearly nuts, excuse me, I meant enter a bottomless quagmire, trying to learn to identify their behaviors that they don't like as PTSD related, and as they continue to pop up or pop down, or crash in or fling themselves out for the entire life span. Or, if God forbid the PTSD is attended by CD and SUD as comorbid participants in such a case, then it really does become a trick for the patient to guess accurately whether a hard slamming refrigerator door is a PTSD representation in memory of a combat gunshot, a gamma and violent alcoholic father or husband getting another couple of beers on his way to a hard night of clobbering the populace, or a recovering CD person's quick flashes invoking the need for a cold one.

Summarizing within another axiom for comorbid PTSD with SUD, or telling you something you can hang your hat on, or take to the bank, or whichever saying best fits your needs:

Alcoholism causes PTSD all over the place.
PTSD DOES'T cause Alcoholism!

Get to the Point so that I don't Have
to Read this Whole Thing!

So, "is ETM TRT an Evidenced-Based approach to trauma treatment and management or not?" Sort of! ETM TRT is absolutely based on very solid and easily replicable evidence as provided in the book ETM Professional Due Diligence for the 1st Secular Cure of PTSD, by me. I wrote it 20 plus (as in 10) years ago for the University of Houston 3 month long course on Trauma Resolution Therapy: a structured psychodynamic approach to the treatment of Post Traumatic Stress, also written by me in 1986 and taught by our now Master ETM TRT Trainer and co developer of our professional training programs, Craig Carson, through 1990 and in other academic forums until now. That book's purpose was to show How To Do TRT. It was not to demonstrate efficacious performance. That was already done in conjunction with the patient in the highest acclaimed standards for 3^rd parties from government compliance for their facility licensing mandates and JCAHO facility credentialing and controls of patient problem solving and progress charting, and etc. Instead, I wrote Due Diligence, originally published in the Development chapters of The Integrated Trauma Management System, the first text attending ETM TRT training later (1990-1994), as an accompaniment to the titles to report that evidence in that history and thus provide a solid legal mechanism for transferring from the authors to the implementing Certified TRT Counselor the means and authority to administer ETM TRT to the public. If litigation were to arise in a complaint involving TRT's application, then we did our part as the authors to ensure that everything possible was given to the new TRT Counselor that would show the courts the validity of the model in terms of our having done our due diligence in making ETM TRT available effectively, safely, and ethically to end users, the public. (I never had any such claims to address from this system, now surpassing 3 decades of care.) The students, of whom each was a licensed professional in his or her own right before studying ETM, were to evaluate this material and only apply it to patients if the professional concluded that the model was based on sound evidence and the best of research.

In approximately 2500 instances of student (professionals) course enrollments, participation and graduation, not a single professional declined to agree to administer the ETM TRT model as demonstrated in the ETM Tutorial, and in the process signifying their own due diligence in the adoption of the model. Thus, although we were applying every bit of the evidence legally necessary for the professional dissemination of ETM to consumers, with regards to the meaning of the term "Evidenced-Based" as it is currently being exploited for purposes of dawa (although Arabic, that term is used prolifically in English) by advocates of a competing ideology, the answer regarding ETM's participation in that actually delusional-based programmatic patient and population harming EB mess is an emphatic, unequivocal, non ambiguous, and forever "Not necessarily at this time!"

Actually, I've just decided that for the benefit of ETM TRT Counselors working within government programs to list ETM with SAMHSA with a special request to do so by replacing the Evidenced-Based label with one entitled Focused Caring-Based. In the clinical setting, evidence doesn't get anybody well. Caring does. But there are even better names for righting this government misdirection. Divide the services into two categories: Nosotropic and Etiotropic.

Etiotropic vs. Nosotropic

Behaviorism is a Nosotropic, as in symptom reduction focused, modality. Behaviorism acknowledges that not only has it always failed in the treatment of PTSD, but it proves its underlying and subsequently constantly obviously impoverished theory of the effects of psychological trauma on the human consciousness to the world by repeatedly replicating its failures and discussing them without any idea that something could be wrong with its characterizations and admonitions. That is, they opine, unresolved psychological trauma is an intrapsychic problem, malady or mental health disorder and illness that only science can successfully solve. "Only" justifies supremacy doctrines that aggressively preclude competition through political and exclusionary tactics. Another way of saying that, someone once said during the era attending the turn of the millennium, "It's our way or the highway."

ETM TRT's Etiotropic approach on the other hand, when indulging philosophical characterizations of the issue, views psychological trauma as a very sophisticated phylogenetic brain and perfectly logical integrative process of both psychological and neurological extinction of the identity that existed before the trauma causing event occurred. TRT proves that thesis by recording in writing etiology's acknowledged facts pertaining to the initial trauma causing event. No one makes suppositions about causes of behavior during TRT's facilitation. Thereafter, the recording of fact continues as thoughts and behavior that actually occurred at the moment survival initiated the need for some kind of protection. It, too, is facticed (new word to mean the process of recording fact) with a timely recording of the very necessary survival response. Thereafter, that factual record enlightens a third party observer of a 2nd ETM TRT axiom pertaining to the address of psychological trauma:

Every behavior, no matter its social vulgarity emanating from trauma etiology, occurs exactly as it should given the relationship of etiology to the person as a whole.

"The proof" of that statement "is in the pudding," as someone else also once said. If extinction is disrupted by exogenous variables (see below and available as a mainstay in training texts), then remove them and the extinction will continue until the integration is successfully completed. Existentially oriented caring for the trauma affected person, which one can find throughout the classic and theological literature upon which our lives have been founded, will go a long way in facilitating that process. Although that method will work, it is difficult within a behavioral performance, disorder-sin-control-obsessed, or punitive driven massive drinking and drug using culture to keep the exogenous (this culture's) variables at bay long enough to complete extinction naturally. So apply TRT's Etiotropically and TRT daedally focused written structure to facilitate the extinction naturally, but with a no-nonsense speed that gets to use the cliché "blinding" when compared to the singularly existential oriented natural approach.

When you're done, you'll see it my way no matter how ensconced you are into that natbrain program where you teach or are taught, and constantly led by cheerleaders to interpret thoughts as coming from the disorder. After being TRT cured of psychological trauma, or as another way of framing that concept ─ extirpating trauma's etiology without hypnosis, chemotherapy, rapid fire talk or other draconian modalities, quick guessing interpretations look like gumballs that roll one at a time out of its glass candy holder and drop down onto the lip where you collect your prize, just another interpretation of how one's behavior or ideas come from their incurable PTSD. And your investment is only 5¢, 2 bits, 3 bits, a dollar?! only for a single Cognitive Behavioral Therapy solution, for the moment. And I guarantee you that if you don't have the money for the CBT Gumball machine, somebody from your CBT group or self help program will slide you an after dinner Chinese cookie with the real truth printed as a slogan on a 3 inch long slip of glossy white front and back paper and prefaced with a large bold face type number between 1 to 12 telling you on which of those Steps you should be working.

I'm not hyping my own product just for saving the world and making a couple of billion along the way. Rather, there is something more important here than trivial individual advancement. I'm trying to say to you that there is a logical path that, if followed and given some cognitive support exactly as does TRT follow with parallel facilitation the natural sequelae in trauma etiology's reversal, provides the Holy Grail to the mental health field: a cure for psychological trauma. So don't think of this essay, please, as an advertisement for a money making machine. I am a bonafide altruist, and only here to help you, said the man from the government. But I don't know how to do it without demonstrating that path through the publication of my intellectual property. To that end, I've made that available to you students and experts of psychological trauma to study but not implement without training in a no charge online ETM Tutorial for 16 years. And if in the process of trying to find that free tutorial you run into dvds for sale of ETM TRT, they aren't it ─ just somebody as usual pirating the work.

ETM TRT is an absolute, meaning unequivocally accurate, accounting of the entire address of every etiological element otherwise historically thought to be unavailable for discussion with Behaviorists. Although some Cognitive Behaviorists and a few psychodynamically oriented degriefers provide an intellectual interpretation of those etiological elements, it is lip service. CBT redirects the individual out of there as a principle of theory. And its therapists are not trained with an existential acumen that will allow them to proceed in to that environment of pain and suffering with the experiential processing necessary to make the passage required to cure the trauma. Even as they try to add their latest grudging capitulation, the earlier referenced Interpersonal Therapy, at least they are catching on to the notion that maybe people do need to address the identity destruction issues, they still are only doing it for the purpose of knocking down symptoms, and horribly also now jumping up into the performance ratings, thanks be to EB. Can't wait for the auditing-for-fraud brigade to arrive to save Evidence-Based, year after year, scandal after scandal, decade after decade.

Some Cognitive Behavioral Therapists state, "I know how to do experiential processing. But I don't think it is best for the client. Better to keep them out of all that pain, and move on with the rest of their lives." You don't mean it? Emotional pain interferes with a patient's upbeatedness? Or did I mean to refer to the therapist's?

Scrignar, who according to the literature was trained by the great behaviorist Wolpe, started the rumor relating to impossibility of psychodynamic models to succeed with PTSD way back in 1987 with his infamous but sort of true statement. Therapist and patient become "overloaded" by the internal damage caused by the trauma. Showing how to really address it without all that overwhelming rough stuff, Scrignar recommended the rubberband snapping method. Put a rubberband around the patient's wrist and teach him to snap it every time a symptom pops up into his brain as a thought. Change to another wrist if one gets sore, and then move on to ankles, ears, neck and then round off to unmentionable gender specific erogenous zones, I wondered? Adding for information, TRT Counselors never become "overloaded" and neither do their patients. When confronted by that fact by a TRT Counselor in a conference for which he was the primary speaker, Scrignar is said to have responded "Well, Trauma Resolution Therapy just makes people want to sue the perpetrators."

It doesn't. But so what if it did? People who have sustained lifelong personal injury due to intent, mental illness, or gross negligence of a perp is not a litigable matter? Although that question is philosophically important to the moral definition of the world at large, the changing legal times as they address psychological trauma damages are answering "Apparently not." Legislators have begun through tort reform to write the whole destructive business off to, literally named, "Heart Balm." And they cap pain and suffering damages as if identity to a traumatized individual never existed. The American culture will rue the day for that legislative travesty.

Alternatively, and in deeper respects considering the impunity from prosecution our political and media aristocracy gets, maybe that's what us ordinaries want, too. That is, the free reign to destroy others' lives through a little thing like unilateral abrogation of commitment to agreement, regardless of whether or not it applies to sex, love, marriage or something more intriguing like how to have a relationship with honesty. But we shouldn't make it a legal norm, should we? Let's just keep it around as something that used to be a good idea, contract logic and law be interred. After all, what's wrong with living in France?

TRT further proves the relationship of etiology to non disturbed-sleep survival responses by taking direct testimony from the victim – patient documenting the known facts regarding the relationship. That fete stands in considerable contrast to Nosotropically initiated dependence on statistical correlation analysis as the only evidentiary tool supporting the theoretical link. And they are trying to get above a 62% rating of effectiveness, which I think is hyped from 18%, if that, in most cases. If after exclusion of the cultural interferences like socially medicating with alcohol they can't get a 100%, they should get out of the business. The Behaviorists, with their Nosotropic only methods of making guesswork out of prospective enigmatically presenting symptoms that are supposed to relate back to some conglomeration of destruction not even identified in the modality, except for the referenced few sharp onlookers who have surmised finally that grief has something to do, possibly, with the symptomatic behaviors, are always astonished that there is a more logical method for skinning the PTSD Tarantula? Rattlesnake? Great White? Sorry, but I do love cats, thus find that cliché application to such a fine animal unbearably repugnant for replication. But, back to this piece. Using the cliché style for defaming CBT and EB, that's something else. How about our dragging out "righteous indignation," "outrage" and so forth over fraud, failure to attribute, forming an illegal oligopoly, misrepresentation? Count on it. If I can find somebody to sue on this scam, I will.

Etiotropic TM facilitates the factual discussions of that inherently natural integrative activity by first removing the interfering variables, including the negative influences effectuated by Behaviorism philosophy and its nonsensical debates over the validity of their guesswork modality and its ever continuous proofs of failed thought in the design of their helping but now obviously simultaneously hindering notions of mental health care for trauma affected individuals. The primary and almost only thing that constant guessing game really does is objectify the whole process pertaining to the understanding of pain so that the helper feels comfortable in charging for the advertised "professional" services. It is harder to find logic for such fees when the impetus for the relationship is nothing more than offering unquestionable caring that is focused upon the incremental contradictions and subsequent losses to identity, an otherwise simple mainstay of the etiology's ever sequitur core. It is especially intriguing for the charger when finally finding out that not only is the previously disordered client probably not even mentally ill, but actually was innocent of the whole thing. But thank Moses, catchy slogans save the day again for the CBT professional: "Hey, it wasn't your fault. But it is your problem."

Countering, Cognitive Behaviorists say "Oh no! We have to teach people who've had their bells rung during combat how to live life in a more edified manner." And that erudite epiphany effect hoping Cognitive Behaviorist preacher keeps shouting her Gospels: What CBTers' have learned in college psychology and doing experiments on the student population is wrong with, excuse me again, I meant "aberrant" about, people. That will make them better individuals, that is, as made over in the Behaviorist's own image, not to mention better taxpayers, leaving patients internally traumatized forever be darned.

What a sad joke that is. Know this! Combat veterans don't need anyone to teach them how to be a better person once trauma etiology in identity has been expunged, reversed, removed, reconciled, CURED! In fact, I've never seen a combat veteran whose trauma has been reconciled need anything from anybody other than love and caring and someone for them to give the same. Cognitive Behaviorism is a clinician self flattering concept that happens to provide for a lifetime paying client for the practice, or ever attending self help group where everyone cajoles "There is no cure for PTSD; so keep coming to meetings so that you can learn how to work on yourself." Substituting the CBT disorder interpretive historic terms Family Disease and Co Dependency for PTSD at the time, albeit, they were the same malady, that song was the Al Anon and ACA (Adult Children Alcoholics) meeting ending anthem years ago. It's probably still sung today at the close. Now we have our greatest and most honored constituents, the American veteran, getting the same unnecessary defeatist – join the disordered world forever and live in serenity - altercall 30 years later! So humiliating for these prodigious defenders of the best that we are!

Not only do combat veterans not need to be taught how to live life, they also don't need to grow! They've done all that while Cognitive-Behaviorists were at the University. Just cure them of the trauma caused by combat, which includes that etiology ─ destruction to identity ─ caused in adaptation to the original trauma (as the great Dr. Bruno Bettelheim noted in his analysis of concentration camp murder victims to be while he was in the camp as one of the harrowed), because that is our liability to them as a free people benefiting from those men and women's offerings of themselves. Then, if they want to go to college and study whatever they want about human beings, or join growth groups just for general personality enhancement purposes, or find a spiritually meaningful religion, or be a non edified mechanic who loves to fix things and make the most complex technical machines run smoothly as my good friend Ray Nora, bless his magnificent fighting heart and who took one through the head in his ordered second tour, wanted to be in private civilian life when he got back home.

To make sense of their ideologically created phenomenon, and to keep funders from catching on, Behaviorists have coined and championed the same obfuscating mantra referenced earlier being sung in the Self-help Chemical Dependency Family Disease groups. Restating for emphasis this Cognitive-Behavioral perpetrated misrepresentation and fraud: "There is no cure for PTSD!" And of course that obviously is compounded into truth when treating SUD as a symptom as described above with the thought that once the PTSD is brought under control, that maneuver will also teach people that the resulting obsessive drug use and attendant bad behavior is not good and, too, should be controlled also. What a convoluted and unnecessary to boot mess! Are you PTSD guys trying to take us aging Chemical Dependency fighting gladiators all the way back to controlling documented pathological chemical use as manifested by Alcoholism? Sure you are, referring to the always over shouting contrarian-based bandwagon-jumping Behaviorism marketers' representing the controlled drinking establishment. Good marketing idea, changing the name back to "controlled drinking" from Moderation Management ─ kind of a catchy term, especially given the wonderment the acronym draws upon, or steals from. What a story! The only thing I wanted to source in this essay. See MM's creator, Audrey Kishline's, Dateline interview with Murray.

How do you think we were able to re codify the former Chemical Dependency's complete abstinence from all psychotropic substances approach, which was hallmarked within the helping cultures in the last half century of the previous millennium (from the 1950s until and thru the 1990s) by the disheartening but intrepidly (by the correct side) fought battles ongoing between the mental health Behaviorism-based professional and Alcoholism recovery constituencies as the latter worked their modality requiring a chemically free life into the mainstream of healthcare. Those fights occurred as very substantial conflicts, but have now been abetted into an apparent armistice where the once ferocious Chemical Dependency has been finally disabled down into a multifaceted and always confused behavioral disorder, now just lingering with lesser enthusiasm for the un cool Disease model and as only another part of the DSM. The new name has considerable political overtones pandering to this and the next generation of masters level counselors sanctioned, at least during Spring Break, by this heavy and alcoholic drinking and over drug using culture, thus always constantly producing, and assuring for infinity trauma causing events at a rate equivalent only to the nuclear fission reaction. In the plural form, the newest professional enabling nomenclature is most appropriately called SUDs.

But, what about the flashbacks and psychotic nightmares? No problem! Hit the evidenced-based GO key and up flashes the answers on the screen: Respiradol, Lamotrigine and Paxil. Whoops, there it is again, the number 1 pharmacological cure prescribed to literally thousands of our wonderful but PTSD affected Iraq War veterans on return to America even while a couple of VA psychiatrists in the know were refusing to withdraw anyone from the drug because of the enormous danger otherwise made known as far back as 1999. Oh? Then let's just ease that last little workhorse out to pasture and especially off the monitor until someone figures out how to detoxify veterans after we've made them well (well?). And on top of this potpourri for Evidenced-Basers, if the therapist is dumb enough to let the patient keep drinking during treatment of PTSD, even if not using the polypharmacological supports, then that professional and the attendant group of scientists' studying this Tomfoolery are, as the enlightened humanist and now often quoted philosopher Johnny Lee said to music, "Looking for love in all the wrong places."

The Behavioral Scientists can't see their EB strengthened system as silliness, however, without being able to cure psychological trauma or PTSD completely. From the cured perspective, when one considers the referenced constant failures' effects on individual trauma victims, not to mention the imbecilic braggadocios advertising of their hamster exerciser circular mind interrogation ─ the colloquial expression for "interrogation" or self analysis is although much rougher, also clearer in its meaning, but regrettably is not admissible here ─ treadmill approach to PTSD treatment, it does not seem so funny! The "Evidenced-Based" hegemony motivated cry of the Behaviorist – scientist of today looks, as viewed from the TRT Counselor and the TRT cured patient, not just like malpractice and malfeasance, but more like a 2 word slogan based proselytization model. It makes marketing managers for virtually all religions in the country envious. Why couldn't they, they ask, figure out how to get the taxpayer to pay for their religious-based programs, too, with direct cash no less?

Think that's over the top ranting? Say the words "complete resolution," "cure," or "etiology reversal" at a Behavioral Science leadership controlled professional conference on PTSD, and you'll find yourself trying to sink instead of float when bound and thrown into the Witch's Drowning Pool at Þingvellir. Now that was evidenced-based problem solving at its finest! As a memory refresher for those of you who've studied this precursor of the EB modality, and for those for whom this historic scientific methodology is new, Iceland tested for evidence of witchcraft and adultery by women by tying them up and throwing them into a deep pool. If during the test a woman sank and drowned, the evidence showed she was innocent. Alternatively, if she floated, then the evidence and test proved she was a witch or guilty of adultery, whereas she was then burned at the stake. The most ostensible flaw in the methodology was demonstrated by mostly thin ladies sinking, and fat ones floating, as I am told, unless of course thin women tend to be chaste and mainstream religion believers and the more robust promiscuous and spiritually wicked. That science testing apparatus was no longer usable, however, after the country outlawed capital punishment across the board in 1841. For those not getting this, that means that after the program got rolling in practice, thereafter becoming an established part of the norms and mores of the culture, evidence-baser sheep couldn't address the shortfalls in the science's theory by themselves. It took someone from outside to finally shut them down. I apologize for the slur against sheep.

In the end, psychologically oriented therapists and scholars will discover that Nosotropically based forms of objectification of the process, if carried into the treatment environment for psychological trauma, will disqualify the helper in the most stringent thought defenses deeply imbedded within the etiology protecting components of the trauma affected Survivor, strengthening them in perpetuity. Caring deeply for people at the source of trauma caused devastation to identity, on the other hand, mitigates those defenses, allowing for a cure of psychological trauma and its often enigmatic, that is, hopefully helping but quixotically always hindering symptom-codification-approach-to-human-problem-solving term, PTSD.

But still, say people who don't fight over thought models as assiduously as do Christians, Jews, Hindus, Islamists, Buddhists, Zoastrians and Behaviorists, what's the big deal over a little psychobabble? While doing the intricate logic that formed America's by-laws created during the American Revolution in 1777, a principal architect, first Vice President and 2^nd President of this country John Adams, wrote to his wife, Abigail, his opinion of a formerly illiterate person's endeavors to become educated. Adams, in his time in that congress and during his representations of the revolutionary government worldwide, had held positions of great power and authority, in the process communicating constantly with the finest minds this country and others had available to it. John and Abigail were, themselves, students of the great classics, philosophers and religions of all time.

Mr. Adams, also one of the earlier Harvard graduates and a privately trained attorney, and raised on a farm in Braintree, Massachusetts, was rigorous in his constant admonitions to his children stressing academics in writing, philosophy, logic, science and art. Few people contributed as much to the formation of this country's system of balance between thought models that assured individual freedom would remain equally offset against the collective interests of the population as a whole in its needs to care for individual aspects developed under no government to speak, but simultaneously protect all from wrongdoings, which required some central social controls (employing the rule of law, that is, controls on behavior, but stipulated not to control thought or being). No one had provided more character dedicated to the discipline of objective rational thought no matter the selfish, highly emotional and deeply grieving elements that stressed the logic of the new order during the American Revolution. With that grand compendium of education and experience supporting his philosophy, here is what Mr. Adams said to his wife who was tutoring the man seeking self betterment through academia.

"But let him know that the moral sentiments of his heart are more important than the furniture of his head."

Such is the basis of the Etiotropic as opposed to Nosotropic approach, except with a caveat being that the former has incorporated a discipline into its structured thought that makes safe the total journey into complete understanding of the trauma and its effects on the existential fiber only barely separable from the ontology of the traumatized person. The idea bonds helper and victim at their moral hearts, not in the furniture of their brains, as the incomparable Mr. Adams placed the value on literacy, eventually in academia to become science, and with an extension to the Evidenced-Based concept being vetted by its competitor in this cause.

As the Evidenced-Based system of mental health management becomes established through federal grant and state funding, it will act as a huge grading machine, and not unlike Adam Smith's economic treatise for capitalism's "Invisible Hand" operating over a country graveled road always adding more base-coarse and ground rock and trying to smooth out the bumps and potholes following the last storm, but never fixing the underlying structural problems that, in these two metaphors, plague, desecrate and in the worst instances sunder seemingly completely the heart. It is this most perplexing force that cowers analysis and torpids reason making it even more difficult to mend the potholes descending into our social management models. More egregiously, those repetitiously raked and grinded rock roads and especially the recurring potholes metaphor out, not just as social management deficits, but as us governeds' brains and minds.

Although the extended meaning of that analogy would be better saved for discussion in another forum, I will give you a glimpse into its content. Curing psychological trauma, and I mean with no if, ands or buts, removes both its enabling and disabling characteristics that preclude clear views of cause and effect. That non trauma fettered perspicacity is fundamental for the maintenance of true and full intellect otherwise necessary for judicious management of not just the individual Self, but of a free thinking society as a whole. Symptom management, or in this EB application referenced as Disorder Mania, set into foundational cement as if ordained by a new great authority from the supreme technosphere, is a direct affront to and assault upon individual identity and thought, otherwise constitutionally and magnificently protected in this culture. The elements of our individualized and then collectively shared thought represent both unique and same states of being. They must never accede interpretive power and thus social control to a narrow if not myopically affected polity operating out of an elitist mentality ordered by nothing less than peer revue (not malapropism) journals: when publishing for the Behavioral Sciences, they are in the main the ruminations of psychiatrists, psychologists, scholars and other scientists vying for career advancement and prestige, and who do not as a whole have the faintest idea of the full strengths required to study the complete human condition, including those nasty, subjective, and confusing, but thank God they are only primal, emotions. That last clarifier assures for us more cerebral-based nonpareils that at least our next generations will not be so encumbered as have been we who had to work so hard to overcome them ─ those ever onerously humbling negative feelings, that is.

And even though their titles sound good, these probably fine people in their rights as citizens are more often than not, as also I will explain in another post on this issue, overwhelmingly impaired by the same illnesses – disorders, especially to include those imposed by psychological trauma and pathological chemical use. They, like the constituencies they serve, are still trying to find out what hit them, too. My contention regarding the authoritative sounding Evidenced-Based machinery being constructed by them for managing the more difficult issues harming our society is that we don't need another Supreme Court, especially one comprised of who knows what, and managed by no one who has a little plain public common sense, not to mention having a broader, as well as much more profound understanding of the human consciousness and its functionings than have those followers and advocates of Behaviorism.

Someday, estimating maybe 70 to 125 or so years from now, after psychological trauma's professional address with Nosotropic concepts underpinned by Behaviorism philosophy have been replaced with the Focused Caring-Based paradigm and epistemology that I made up, or possibly something even better might present out of the creativity patch by then, the Behavioral philosophy grafted from nearly several thousands of years old stoicism-only way of living life will be looked back upon as having been nothing more than Behaviorism advocates' needs and stalwart attempts to protect themselves from their experiences of the patients' or trauma victims' destructions to Selves caused by the apparently never ending traumatic events the professional is trying to manage, and in the process protect those kinds of helpers, understandably necessarily for them individually, from having to see similar destruction to their own lives no doubt caused by like events. That slight phenomenon requires seeing people as objects for study, and caring for them as in with a little bit of fusion, as the first professional sin. Thus, the industry is always interpreting itself out of the very and absolutely only capability it has to cure psychological trauma, the number one public enemy for humankind. Now I don't mind if they sit in that mental incubator for life by themselves and with their people with whom they come in contact. I just don't want them to interfere, as they are with mandates for EB participation, with me, my protégés', and whoever else has ascended to this level of care.

Part Three

Etiotropic TMT System Philosophy and Epistemology

That underlying and almost unknown individual devastation, whether sundering identity of laymen or professionals, does not exist in a vacuum. It connects in all and overlapping systems, starting with trauma shared in a single relationship, expanded to the next level – a family, then to neighborhoods, schools, treatment centers, combat units, EMS organizations, local communities, states and nations as a whole. As individual trauma moves down and into its farthest recesses, therein it becomes as in Zen, one with all trauma victims. In that shared world of hurt, and of course that nor any word is adequate to explain what is truly shared, everyone has been destroyed exactly the same. Believe that no matter my competitors' arguments about trauma's unique effects! In that extraordinarily pain-compounded but simple world, trauma becomes a confluence not unlike a thermo-trauma heated underground reservoir of a seemingly ─ to Nosotropicers anyway ─ impenetrable holocaust of human suffering. Regardless of the toughness of individual consciousness, their combining damages to identity flow across but underneath the surface boundaries of abstract intellect, providing the cause that binds damaged souls together and draws trauma affected therapists to their trade.

As always is the case, though, for psychological trauma's defense, and especially in its systemic sense, the unaddressed molten undercurrent precludes the affected and their helpers from knowing the full answers. Disastrously occurring and perdurably recurring bizarre, inimical, duplicitous, odious, pernicious, enigmatic, shocking, senseless and finally fatiguing behaviors exploding on the surface do not change ─ presenting and representing over generations, centuries and millenniums. But always flowing below those outward notions of confused and convoluted lives and events, and even as the edifying Evidenced-Based modality moves in to bring its new controls, in the final analysis they only form a slightly heavier manhole cover which serves to hover atop the fissures that cascade down into that ocean sized cauldron of unresolved trauma so unimaginable that it is describable only in the poet's vision of the Inferno. As long as it exists, as it has since the beginning, that unrequitable hell runs the whole internally fuelled and since before antiquity forever extant, but presenting for the Behaviorist only externally, social pathological shebang: trauma begets trauma. Not deep. But exact.

There is an answer to this: the Etiotropic epistemology. It drills down into that abominable morass, one well at a time, each sending the purest healing waters channeled from the deepest cool clear bottomless aquifer ever known, humankind's capacity to care for and love one another. And it delivers that care precisely on target at the most intense locus of combustibility ever imagined, but as if 10 billion fire hoses each manned by our bravest of firemen closing on the demon pain, pouring all that they have from their hearts into the core, turning that formally thought indomitable unquenchable catastrophe and horror into nothing but steam evaporating as condensation to perpetually refill their strength, the deep lake of human caring. As more wells resolving individual traumas go down, the liquid grace flows over and into that formerly thought to be unfillable hellhole, but now with every individual trauma cure quieting it, soothing it, cooling it, and finally sending it into an oblivion so ethereally pronounced that when the fire is out and gone, no one will even remember that it was ever there in the first place.

But, say those who argue that we can achieve the same ends through some serious education directed as fire extinguishers on the hopping hot surface, and then covering the blow off valves with a ready supply of erudite band-aids to prevent those eruptions from always exploding, at least long enough so that we don't have to think about what's down there all of the time ─ "Why would we do something apparently incongruous as you try to dramatically paint it as so repeatedly ineffectual and causal of more heartache, when we are the elite, the wonderment of men and women philosophers and students of the human being?" After all, they tell us that educating the trauma affected underprived or other bad actors so that they will choose a more edified lifestyle and stop beating up on and killing people has got to be the wave of the future! "Don't you think?" No, I don't! And this answer is very important to this ideology. But I'll have to explain that negative response to our leaders' hopes for education's social problem solving influences in the section below entitled "The Survivor." But first, next is a summary of exogenous variables and why they have to go if curing psychological trauma both individually and collectively is the goal.

Exogenous (Cultural) Variables that Preclude Psychological Trauma's or PTSD's Cure

Exogenous variables interchanges synonymously with "cultural" variables. I used the former during week long trainings because it kept the audience nonplussed until they knew what trauma resolution meant in practice. Otherwise, people think they mean prohibition. They don't.

Regardless of the prejudices carried into the ETM epistemology by professionals who are social drug users, the variables pertaining to social or medicinal use as de-stressors must be removed from the treatment environment, but always by doing so ethically.

For example, one variable that will interfere with the 100% cure expectation is application of pharmacological therapy previous to or in concert with TRT's application. The ethical issue, of course, is to not interfere with a therapy provided by alternative treatment. Consequently, people functioning under medication are referred back to that provider for continuing care. Moreover, we encourage, even require, depending on whether or not we are already involved, that the individual not attempt self detoxification for the purposes of participating in TRT.

Also, I'm presenting this summary in this essay obviously because the noted variables interact with the previously described co occurrence of PTSD and SUD.

Apply TRT after removal of the following variables, and a trauma cure will occur 100% of the time when ETM TRT's criteria for application are strictly adhered to. Certain exogenous variables and one model prospective limitation [e)] can prevent that 100% cure. If not removed from the treatment arena, the exogenous variables that will break the 100% rule are:

A parallel application of psychotropic medications and previous applications of the same even though the patient has withdrawn from that use, but in the latter depending on the extent and kinds of medications used over time.
Periodic social drug / alcohol use (not chemical dependency – see "c)" next), for example, the patient engages in TRT group on Wednesdays and drinks two beers on every Saturday, and no other alcohol or drug consumption occurs during the week. Of course, the non Chemically Dependent social drinker may return to that use after completing the therapy's full application to a particular source of trauma.
Comorbid issues, such as Bipolar Disorder and Chemical Dependency are presenting parallel or in concert with the PTSD (where non pathological social use is treated herein as an exogenous variable that will preclude reaching the cure phenomenon {see above "b)"}, pathological drug / alcohol use is addressed as a primary issue of its own and one of the sources of trauma that should be addressed after the patient attains substantial sobriety within the ETM multiple sources definition and instruction for treatment).
The application is made for the purpose of controlling or ending symptoms rather than for resolving the trauma, that is, reversing the trauma's etiologies, or the person is engaged in a rigorous PTSD Behavioral Modification or Cognitive Behavioral Therapy control program parallel to TRT's application.
The traumatic event(s) occurred before the age of 3 years (not an exogenous variable, but the referenced limitation of the therapy; it can, however, possibly and even likely be addressed by TRT if done so within the multiple sources of trauma TRT application guidelines).
The traumatized person is currently being exposed to an ongoing threat to the continuity of life as in the role of the battered spouse or participation in immediate combat operations by military personnel.
Undefined head injury.
A TRT psychotropically medicated, social drug / alcohol using, or Chemically Dependent using TRT Therapist.

As demonstrated in the ETM TRT literature, some of these variables can be circumvented or mitigated such that the quality of resolution approaches, but usually does not wholly attain the complete resolution or cure goal otherwise available without these variables' interferences with the application. TRT can produce fine results, meaning to increase substantially cognitive clarification of what happened to the person's identity because of the event(s) even when all the exogenous variables are not considered. But those outcomes based just on cognitive understandings are not what reverses trauma's etiology, thus resolving completely or curing the trauma. Instead, that requires application without a variable's interference of TRT's engine, Etiotropic Incremental Fusion Induction (EFI), in concert with the TRT's facilitating structure. In lay terms, that professional naming nomenclature provides the basis for the name we advocate for solving what CBTers call the traumatic event's "internalization" as Focused-Caring. Therefore, not addressing all the variables will not allow the patient to achieve the best that is available had the referenced variables been addressed by ETM's formulas and guidelines.

But there is bad news here also. Not addressing the variables can have in some and not necessarily always predictable application negatives that reduce performance of TRT to the level of Cognitive Behavioral Therapy, or even adversely affect a patient who has already been harmed enough by the initial event(s). Such people do not need the risk of a malfeasant therapy experience when errors can absolutely be avoided by following the directions on the box.

These issues, that is, identifying and addressing the variables that will preclude psychological trauma's optimum address, may tend to dampen one's enthusiasm for becoming a TRT clinician. They should and are placed in this essay with the intension of dissuading from participation with TRT anyone less than is the therapist who is dedicated to helping people by simply identifying the trauma's etiology and in the process removing the pain that attends it.

Incidentally, that pain is not removed by teaching people to intellectualize, condescend to or in other ways control it cerebrally. Cognitive Behaviorists, dating all the way back to the Skinner – Rogers debates, hate this answer. Nevertheless, it must be included briefly here. Emotional pain must be experienced, not as a free floating mass of explosive air bursts coming together in a giant and often hysterical catharsis, called abreaction or for us simpletons, grief. That has nothing to do with anything pertaining to resolving trauma. Instead, each feeling that is attached to each and every loss attending every single trauma intrusion on, decimation to, ripping apart of, or tearing asunder of the existentially based ─ also as beginning to be referenced now as "core" ─ elements of identity, that is, the values, beliefs, images and other realities comprising that person, must be facilitated experientially between therapist and patient and in the best application with all group members. When it is facilitated orderly, which occurs on every single occasion that TRT's structured Matrixes' organizing all that formerly, and hysterically, opined by Behaviorists to be "overload" material in an easily negotiable as in incremental manner, each emotion and its identity contradicted forming loss is identified, experienced with another person or persons through focused empathy, and then dissipated. Gone! That is what TRT does; it removes ALL of that pain when applied within the parameters described here.

From the choir, although putting up with these issues that influence the extraordinarily fine level of output one gets can be onerous in some cultures, I'll assure you that seeing an individual completely cured of a previously thought to be incurable condition, in this instance referring to PTSD occurring from whatever source, and experiencing that outcome as a facilitator of it is well worth the commitment to the discipline required to achieve that cure. That is why my wife, Nancy, Craig Carson and I have applied so much of our lives and personal resources to making this phenomenon available to those who need it. For a little more clarity with a summary of this ideological showdown, our structure, again for advertisement purposes called Trauma Resolution Therapy (TRT), has allowed the plain human sharing accurate empathy preaching Rogers to have kicked the more tightly engineered intellectualizing Skinner's butt in this survival of the fittest battle over who gifted us with the wisest interpretation of the human consciousness.

Educating the Survivor

"So what's wrong with education? That's been humankind's hope for producing better and reformed people forever." Well. It's not enough. The psychological traumatized person's Survivor filters the information in a way that precludes the trauma from being resolved. That's why B.F. Skinner said in a video interview for his latest book, whenever, "I'm disappointed! I thought if people (apparently referring to us plebeians living within the masses) were educated, they would act better." ─ or something pretty close to that.

Can't get much more educated than a psychiatrists working with PTSD and SUD affected combatants at good ole Walter Reed, again, now can we? Maybe he was part of the 200 hundred hired on by the DoD Secretary to quell the controversy after the last scandal.

If the trauma's complete resolution were allowed to proceed undeterred by cultural (interchanges with previously referenced "exogenous") variables, then what purpose would the Survivor who was created when the devastation to original identity took place, serve? None! It was only created when the traditional controller or operational aspects of identity was pretty much smashed during the event ─ then resmashed in successive ones as in repeated exposure to multiple combat traumas over a full or several tours ─ as a temporary and stalwart protector during the brain's integrative process. As the integration proceeds or progresses absent the interfering variables, that Survivor naturally losses its influence. It is needed less as the integration goes forth. To complete that function, the brain has provided copious extinction facilitating neuromolecular interactions between predominantly the Noradrenergic and Opioid neurotransmitter systems. But the Survivor, which has protected the person as needed during this activity and which maintains conscious control, filters all information, erudite education or otherwise, coming in to the organism.

So if a Behaviorist talks some poor soul of a trauma victim into changing his or her behavior before the original destruction is repaired, then the commands to change the behavior threaten not just the Survivor's abilities to the job, but induces the Survivor to conclude that his or her entire life as it is consciously understood will dissipate, leaving the trauma affected person still trauma affected and still vulnerable, the protection from which explains the Survivor's existence. Hence, the Survivor finagles the Behaviorist's shallow if not inane attempts to strengthen controls by effecting behavioral change; the Survivor appears to comply with the entreaties, but in reality only gives appearances of making changes that suggest that they are back in control and adapting changes that are acceptable to the interventionist or self helpers, depending on whom is giving the advice regarding how the trauma affected person should think, feel and act. What better way is available than adapting the model of never ending and obsessive compulsive self analysis of one's thoughts and behavior, always readily supplied by the Survivor who is consistently fueled by the continuingly stored original damage and now which is being added to in the second etiology development's case by the failed and unnaturally controlling Behavioral Modification. "Keep coming back for the rest of your life; it only gets better!"

There is an even more formidable issue for the educational solution to overcome. When a traumatic event occurs, it becomes recorded eidetically in memory. That recording is established by a hyper process of Long Term Potentiation of synaptic traces all modulated by the Hypothalamus Adrenal Pituitary Axis (HAPA) operating in full out blow and go activity simultaneous with inhibition, thus Long Term Depression, of the Synaptic traces housing the original identity existing pre event. Included with the HAPA stress response is the activation of the Noradrenergic and Opioid neurotransmitter systems, also functioning at 150% of capacity. Where they provide the substrate with HAPA of the initial shock and catharsis elements of grief, the Noradrenergic produced neurotransmitters effectuate the plasticity required for new synaptic development and modulation of the old. The intensity for this process operates at the extreme, which the brain phylogenetically provides for its integration of the rapidly imposed change.

When the cognitive component of Cognitive Behavioral Therapy is applied as education at a later time in an attempt to help people to identify and then control their thoughts, feelings and behaviors resulting from the substrate's ongoing movie replaying of the event in memory, and most of the time unconsciously, the supposedly illuminating information enters this system without a comparable HAPA charge for providing new edifying synaptic trace development. Where it is supposed to, at least as hoped for by its theorists, to provide a countervailing synaptic molecular learning experience to overcome the internalized trauma movie, the educational impetus is woefully inadequate to the challenge.

Education to the stored traumatic event is akin to slinging individual particles of bird seed at the alligator hide back of a prehistoric crocodile that is about to eat you. Throw some alcohol, opiate or Cannabis molecules into that substrate and your educational program is whistling Dixie. Worse, you are about to find yourself being rolled underwater like a mincemeat ragdoll in the jaws of a croc that otherwise is so happy and nearly fulfilled that you did not know what you were doing while wandering around in his jungle.

Objectification thru the guise of science, very frequently being administered by similarly affected scientists, which is allowed to only measure what it can see, meaning behaviors, provides a method that allows the scientists to study others without getting too close to the healers' own secrets, most notably kept even from themselves. They try to make other PTSDer's do the work so they can participate fairly closely to the real answers, but not too close. ETM TRT, which precludes any reference to or attempt to change symptomatic behaviors, neutralizes the Survivor in both patient and helping scientist / therapist, in the process providing one no uncertain path out of the negative system synergism created by the newly EB systemically contained and enmeshed horrendous pain and suffering hallmarked by sadness, loss and chaotically perplexing attempts to help, but which simultaneously torpid the polity into exacerbation.

The only helping effort that gets past the Survivor's controls is with respect to Dr. Rogers, not just "accurate empathy," but by focusing therapist and group members caring for the person directly upon ─ that means
without deflection into unrelated issues like learning someone else's notions about living life ─ the depth of the destruction to which they have been subjected. And, that level of caring has to be, if curing psychological trauma is the goal, provided no matter the untoward survival behavior emanating from the trauma's maintenance in etiology. You don't have to motivate the trauma affected to become responsible and take care of themselves, especially as therapists take care of themselves. In the case of our magnificent American veterans, anything less than this level of unqualified caring and gratitude is an affront and patent disservice to those who gave extraordinary, meaning the part of the job that calls for exposure every day to risks of the continuity of life, above and beyond the call of duty service to and for us.

"Where's the Beef?"

Asked the lady presenting her two opened and almost empty of the patty hamburger buns to the hamburger chef. It lies in the issue of control.

At the core of the address of the disorder, as opposed to the injury, is the issue of facilitating a return of thought behavioral control appearing to have been sundered by the initial experience. In CBT, that control is facilitated with the Survivor, again named that because the affected person is still in survival. As the CBT modality is discovering the decimation of identity, it tries to reconstitute it didactically. The patient while in survival listens to these instructions to figure out cognitively what he or she was so that the attending values, beliefs, images and realities can be consciously – cognitively reformed or re decided upon as appropriate individually. Sounds good, doesn't it? But it's not! As long as that conversation about reconstitution is occurring with the Survivor, the new adaptation or coping process is still vulnerable to the deepest incursions upon that identity locused in the unconscious. Thus, cognitive interpretation by the therapist and patient or Survivor in this instance will assure incomplete reconciliation of ALL identity sundered components. This is why CBT or in other terms Nosotropic epistemologies and methodologies cannot completely resolve or cure psychological trauma and especially its more entrenched behavioral manifestation, PTSD.

The beef lies in the clinical or any helping response that facilitates individual passage through that identity's destruction by assisting the person to identify and share with another person or persons, as group process is more adept at this facilitation than is individual therapy, the concomitant experience attending that identification. Don't tell them to reconstitute anything at that critical point in the resolution process (which is a structured component of our approach to this issue). Thereafter, every loss directly resulting from every contradicted or sundered value, belief, image of self or others and reality will present for experiential processing without cognitive interpretation by the facilitator. It is for the patient a passage through a vacuum of nothingness that he or she has become in direct response to the original event. Using our structure, which requires a highly disciplined and directed control of and for the temporary and incremental fusion of lended identities allows that passage through that otherwise "Valley of the shadow . . ." without uncertainty, fear or for certain without the experience of terror. The passage does not just occur once during the clinical moment. But if allowed to proceed as needed for and by the individual doing the processing, the passage will continue for a short while, but always in a time certain.

The structured resolution presents a finite ending of the loss not just at consciously identified levels, but at all those previously stored in the unconscious. For those of you who have uninstalled software on your computers, you know that the operating system only does a partial job of that removal, leaving remnants scattered throughout the system's interior. Although you may not see them in your directories made viewable by the operating system, the partial remnants exist in places like the computer system's registry. Eventually, that area clogs the system's functioning, symptomatically slowing the speed of your system's performance. Eventually you will learn, if you don't know already that special registry cleanup softwares search assiduously for those remnants, removing them as encountered, in the process restoring performance. That analogy is intended to explain how a structured approach such as we use focuses all participants' capacities to care upon that person's most profound and usually hidden locations of destruction to Self. And now you know the meaning of "complete resolution."

If not interceded upon by cognitive behavioral attempts to save the person from that journey, as do people who are still terrified of its prospects within themselves make such attempts with those around them, the brain's natural, meaning phylogenetic, capacities to do its own reintegration will fully do the job, and in accordance with that person's understandings of Self, conscious or otherwise. The previous event caused damage to identity will be gone. The manifestation is the person's complete understanding of who he was prior to the event, who she became during the event and thereafter, and who they both are now that the trauma has been resolved completely. The Survivor fades from existence as its previous underpinnings, again being the decimation to identity caused by the event, have been expunged. The Survivor is no longer needed, and again, simply because the person is no longer operating in survival. The trauma has been resolved. Control that emanates in concert with the established identity representing that individual is fully restored as naturally attends the basic characteristics of non traumatized humankind.

Etiotropic Trauma Management and Treatment is a Strategically Ontological Epistemology

In this section heading, the phrase "Strategically Ontological" is intended to turn an apparent oxymoron into a two word summary of plan, purpose and methodology for ETM TRT. As stated throughout this essay and all of our work, beginning in the late 1970s and early 80s, trauma's etiology was found to be and still is located in existential identity as trauma caused contradictions to values, belief, images and other realities representing identifiable and quantifiable elements of being. Other investigators of psychological trauma, virtually all from the CBT concept of trauma's address, have recently focused on identity, that is, beginning in 1992. But they began to argue for something slightly different as recently as 2009: the complete destruction of identity by trauma. The difference from our view is that the lesser understood aspects of ontology (or being) make available — under structured address — to the human consciousness special and more nebulously defined traits and resources such as creativity, which encompasses the experience of a broader Self or spiritually (ETM TRT is a secular based model). These brain phenomena are also of the core neurological capabilities that produce music, poetry, prose, intuition, other art forms, the capacities for empathy, fusion and other sensibilities, and love. Although these components of ontology are integrated with existential identity's values and etc that are decimated by the trauma, we've long argued that ontology itself is although quashed for long periods subsequent to the traumatic event(s) — still intact and readily available to draw upon for curative, as in epiphanologically presenting in their meaning, strengths when addressing the referenced contradictions to the more obviously sundered identifiable values, beliefs, images and other ideas and ideals. We have found that ontology may be facilitated from which activity the patient may draw upon it to remedy the damage done by the trauma to the noted identifiable components.

We have applied that facilitation at four levels.

Firstly, Trauma Resolution Therapy (TRT) functions as scaffolding, thus a meta therapy, to diffuse the effects of psychodynamic overload by organizing support for and of incremental identification and reconciliation of all intrapsychic, interactional and systemic identity elements' sundrances by an event(s).

Secondly, some cultural influences (in Western Civilization's norms and mores described above under "Exogenous Variables") interfere with the use of ontology to provide that ready address of trauma's damage. Here, ETM adds to its meta therapy more structure declaritively precluding those variables from interfering with the identity's ontologically focused address. That structure acts as an additional meta therapy which strengthens the environment or clinical module where ontology can be tapped for reversing the trauma's intrusions upon existential identity's values, etc.

Thirdly, ETM TRT supports organizational management intervention on trauma's systemic effects upon system decision making with the intent to dissipate those effects, but always through strategic application of the ontologically focused module created by blocking the referenced variables and assiduously following the TRT administration rules.

Fourthly, ETM TRT blocks perpetrator projections onto and thus subsequent exploitation of pathological systemic control dynamics of individuals and systems, the latter to include families, groups, formal organizations and entire cultures.

Hence, the term in this section heading, "Strategically Ontological."

Save the World, and Preferably America First, Now!

Rather than just tearing down the competition, and then leaving our culture with no apparent hope for getting better without the Behaviorist's rabid co contributor system of scientific racketeering styled obfuscation, try this approach. It is real and has been around for 30 years, tested, acclaimed by the highest authorities, and proven to work and in the trenches for nothing more than a few thousand dollars in training employee expense; not the jillions the CBT EB government merger will cost when it really gets off the ground.

Set the ETM epistemological stage or clinical environment: establish your goals to identify and expunge trauma etiology, not teach people to live with it.
Establish your management systems so that they remove the referenced exogenous variables.
Identify with ETM's Multiple Sources of trauma formula every source of trauma, following directions explicitly for which source to address first and so on.
Identify with TRT every trauma causing event (within every source) and its directly implanted etiology on individuals as defined in ETM TRT, and as each affected person and system presents, regardless of whether the events are long or near term in their happenings, and regardless of the number of events or myriad sources of trauma to address, or the degree of psychic devastation caused to any and all persons, and regardless of whether or not symptoms of so called true PTSD are presenting as the trigger for initiating care.
Cure each and every person of all traumas' influences for the near and all time by incrementally identifying the patterns of etiology caused by each event, and then reverse, remove or expunge that hosted cause of so much protracted and previously thought to be immutable pain and suffering.
Apply Strategic ETM to social business management systems, doing the same for them you do for individuals. The effects of the application on organizational functioning to emphasize decision making are also the same. Removing trauma's systemic etiology strengthens management of perpetrators and the causes of those who can be prevented from becoming such a repeating catastrophe for humankind.

"That," as the song asks, "is all there is." Can you imagine? I believe a guy wrote some lyrics about that, too. After the trauma is done, nobody will need to measure anything. No one has to manage anything. There'll be no more humongous bureaucracy that grows with every new war, overlapping drug doped bodies decimated by uncured trauma on top of each other as every new decade passes. And every political persuasion will want to fund it. Why? Because it will with assuredness, the feeling of complete satisfaction that comes with unequalled success, augmented by the congruity attending knowing what is right and doing it, and comforted by the absolute confidence that the traumatic condition once known as Post-Traumatic Stress Disorder will be gone, dissipated, over with. That is to mean, psychological trauma is no longer an unmanageable disaster for humankind, forevermore.

Conclusion
This counterattack by me ─ as the author of another helping paradigm ─ upon which my work has shown to be the bête noir of psychological trauma's cure, would be totally unnecessary if the federal government elevate into its principles, not just giving it "Notes" play, the use of legal definitions, that is, logic and reason as decided by a jury, for evidence of treatment effectiveness instead of those coming out of the application of laboratory styled scientific principles applied in conjuring this kind of Evidence-Based definition. Return the database of truth to the full public and free media through all publications, not that bigoted and prejudiced body of literature called peer review journals. Furthermore, the federal, treatment and academic leaderships who have conjured this bureaucratic systemic psychopathological catastrophe can be intervened upon successfully in an open forum of real discussion. In a fair arena, thanking somebody for the Internet and given that my health allows me the time, I would enjoy addressing in that debate their phony claims to intellectual ascendency. Their arrogant admonitions that they should have the exclusive right to control the time immemorial decisions pertaining to ontological definition of man- and woman-kind must be confronted in order to roll back their calamity in the making. The government's task in this instance should only be one of assuring equal rights to thought via competition of intellect, service and expression.

How can it do that?

Change the identification name from the euphemistically Evidence-Based category to employ it for what it is: a Nosotropic-Based management approach. Then add the Etiotropic-Based nomenclature to the new category at the top. Or, keep "Evidence-Based" as one heading and place Focused Caring-Based alongside as the alternative.
Get out of the referenced one sided "Evidenced-Based" performance measurement business for psychological trauma care and treatment issues.
Don't side with ideologies, unless they are mine. They come out of the U.S. Constitution which already protects individual identity.
Make the treatment trigger psychological trauma etiology (injury to identity) instead of conformance with PTSD nomenclature currently thought to be needed to initiate the helping response.
Lean on the psychiatrists to change the DSM definition of Post Traumatic Stress from a disorder to an injury (Psychological Trauma Injury - PTI).
Adapt Episode-Based billing practices for trauma, submitting claims for the end to end ─ thus conclusion to the ─ reversal and culmination of the existence of each source of trauma. I can tell you exactly how much it will cost per source for every type of trauma influence affecting western culture (I don't predict eastern cultures because getting through Buddhism's influence is somewhat tough).
Give Purple or some other colored Hearts to trauma affected veterans signifying with a clear symbol our understanding of their wound and how proud we are of them for giving so much to our country.
Hold individual providers legally responsible and monetarily accountable for their claims and performances with individual patients and organization trauma management contracts.
Give value determination for treatments back to the market.
Referring to CBT's wide adoption by government agencies, stop dumping "second class therapy on what the culture perceives as second class citizens."
Audit for individual and facility compliance with JCAHO level standards, not the so called overarching principle of Evidence-Based management operating in the hands of our great federal and state bureaucracies.
Invite Academia to participate in its traditional role as observers, reporters and the opining professors that they are, as long as they can show that their often valuable observations are not connected through systems measurement control back to individual patients, thus causing no harm by the superficial understandings and concepts of humankind and learning now representing the preponderance of academic training being provided to counselors.
Institutionally disconnect symptom evaluation theory in the assessment of psychological trauma's effects from disability. Pay them instead for the damages done to identity for however long it took the government to get to their employee and address the injury. Focus upon the facts that the event occurred and may have influenced them profoundly, and that they deserve to have the effects addressed. Don't tie symptoms to the factual address of etiology by the patient, that is, if you want to remove the issue for that individual, his or her family and the community instead of putting people into group therapy for the rest of their lives trying to figure out who they are and what happened to them along the way to being that person.
Don't ask combat veterans stupid questions in assessments such as "Have you had any symptoms of PTSD since you were blown up by the IED?"
Give every American Veteran, before you dope them up, the choice of addressing combat related trauma by helping them to cope with it for life or have it cured immediately and forever. Let the combat veteran decide whether or not his or her trauma was cured.
Make controlled drinking teaching therapists civilly responsible for any deaths or personal property damage caused by their patient when convicted of DUI occurring in concert with the catastrophe.
NEVER again experiment on American Veterans affected by combat trauma without the public's vetting of the project.

Now, who are you going to believe and trust? Government, the whole of mental health academia and its treatment communities, or me, the only person from western civilization who has developed a complete secular cure for psychological trauma?

Where to Read about EB

For the study of the Evidence-Based modality from its advocates' opposing views, here below are some excellent resources. In fact, one of them even refers to itself as a Center for Excellence, which title I never understood even though I read all their principles. By the way, they are the same principles required by JCAHO and state government licensing programs, of which we had 9, every one audited annually for compliance and patient progress by the accrediting organizations. Aside from being the Chairman and CEO of all plant, I was also the compliance officer, a magnificent medical management training and learning experience working at both initializing (authoring each facility's 3 inch spiral bound operations manual comprised of 35 chapters in the original document) macro and micro levels with credentialing auditors. And because of what they taught me, free even except for JCAHO fees, I never met an auditor I didn't like, at least after being converted to their discipline of focusing every iota of teamwork on caring for the patient. But they did not use that gifted organizational management model for trying to prove to non believers from another ideology that trauma could be completely reconciled and resolved. That is irrelevant to the healer's, as of course opposed to the researcher's, task of caring preeminently for the patient instead of science.

COCE; SAMSHA's Co Occurring Center for Excellence

Overarching Principles for addressing Persons with Co Occurring Disorders focus on SUD

Evidence-Based Mental Health Treatments and Services: Examples to Inform Public Policy; Anthony F. Lehman, Howard H. Goldman, Lisa B. Dixon, and Rachel Churchill; June 2004

Competition, Politics and Ethics of a Cure for PTSD, or Not

2009-10-03T16:45:00.001-05:00

I'm told that some counselor certification boards may have promulgated the use of the terms "Cure" and "Guarantee" in advertising as unethical for its members. I've researched those rules and have not found the asseverations to be accurate. However, I acknowledge this rule, if every found to be so written, to have once been a necessary approach to clinical treatment given the modalities historically engineered and vetted by that organization or any others thinking similarly. In addition to that, "cure" and "guarantee" can sound like marketing hype, which might diminish the dignity of not only those using the terms, but their profession as a whole. But, regrettably, all has changed in this culture since we had those good thoughts about our services. Banning words by themselves is not an appropriate concept now, if in fact, so ruled. The meanings of cure and guarantee when applied through competition, politics, and ethics in the counseling field have changed.

Nosotropically ordained (symptom – behavioral focused) scientists, supported by their reigning treatment option Cognitive Behavioral Therapy, claim constantly in workshops and training throughout the landscape, "There is no cure for PTSD!" That public and professional exclamation in turn economically and ideologically supports their own treatment models that only teach people how to cope with the incurable psychological trauma and PTSD, for life, no less. Think of the burgeoning clientele infinitely producible for this industry in this constantly traumatized and traumatizing culture, turning it into the disordering of America.

Now see what happens to that industry when not only is psychological trauma curable in its longer term PTSD configuration, but readily curable just as well in the near term. No industry will develop. America gets to think credibly of its decisions without stigmatizing everyone who has been unfortunately harmed. The "Disorder" industry will dissipate.

In the mean time, these aggressive competitors, trying to grab the neutral mantel of science, have created a political process that must be responded to in kind. PTSD is not only curable, but simply so when removing that competition's failures from the politics of the culture. That is why the formerly eyebrow raising "cure" must now be substituted for the term, heretofore used with Etiotropic TMT's application for its first 30 years, and less ostentatious construct "complete resolution."

Regardless of the words finally selected, "cure" and "complete resolution" both mean that the trauma previously retained in memory has been ended. No more trauma to carry for life. No more symptoms for CBT to control in ever increasing numbers. And especially, no more disordering of America.

Processing Carnage Involving Combat Team Members

2007-10-20T20:24:00.000-05:00

An especially difficult process of reconciling trauma involving carnage of combat team members requires emphasis. When an explosion separates a team member’s body parts, either killing or wounding him or her, the not wounded participant sees in reappearing glimpses (as part of the process) his own body elements removed the same. Here is a simple, that is brief, explanation of how this process works, and TRT's role in ending it.

Fusion has hallmarked the team's development. And it is underpinned by projection of one team member on to the others, and vice versa. As different in the traumatic instance when death is an outcome (as opposed to carnage in wounding) the loss is more obvious (than projection and transference attends carnage by itself). As explained in the ETM professional training course's address of Trauma Resolution Therapy (TRT) theory of combat trauma, loss of the life of a team member is, in the final understanding, equivalent to the loss of one’s own life. A team member dies and the surviving team member eventually realizes that he is grieving at the deepest level of him/herself the death of the partner who has done the projecting onto the deceased. Therein, that surviving person grieves two people’s deaths: the associate's and his - her own.

Carnage's effects are much the same, except that they are rarely noticeable and often only present from the unconscious or otherwise become available for processing in TRT, which never fails to address this issue. That issue will be confusion of the viewer's body parts that are still intact with the team member’s that are not. For example, when a combat partner has been decapitated instantly by explosion or other means, the living associate not only goes into shock due to the beginning of the processing of loss of the head of the partner, but through the projection phenomenon onto that partner the head of himself.

The experience can be represented by apparent confused and indication of destablelizing thoughts which frequently manifest by asking of oneself: “Why is my head still on my body while his is over there in the grass?”; or asked another way, she may say to herself “Why isn’t my head lying over there in the grass?” Here, combat training helps combat functionality with rote and helpfully overlaying thoughts - defenses against slaughter such as “This is war." "This is my job." "People’s heads are supposed to be," or at least "It is natural - normal for an associate's head to be separated from his / her body after an explosion."

Of special note and what you will learn in TRT, the carnage should be addressed first before the loss of the associate's life and the transfering of the death onto the viewer.

When the surviving combatant returns to a secure zone, ETM TRT will (or should) be applied via its near-term method. It, like the longer-term TRT application (when the event occurred from 90 to an infinite number of days out), will apply its laser like incremental efforts to expunge that particular trauma’s etiology. The address by TRT will reverse (remove) that etiology and end the delusional thoughts attending patterns of same constructs (more flash thoughts that transfer the carnage onto the viewer). ETM TRT's reversal of the carnage induced trauma etiology ends the transfer of the carnage onto one’s self.

Dr. Pauline Boss: You can Do Better than Existential Grief Facilitation

2007-09-11T19:41:00.000-05:00

Dr. Pauline Boss, Professor of Social Science in Minneapolis, MN, discussed on this year's 9/11 anniversary her treatment of family members who lost loved ones in the attack on the World Trade Center in New York city. She is a deeply caring social psychotherapist who emphasizes those traumatized in a special way. Their family members' bodies were never recovered, leaving an intangible loss focus rather than the tangible one that attends burial.

My comments in this article do not take exception with the great value that has traditionally attended the basic requirement of at least a component of the existential grief method, nor do I suggest that non burial of the deceased is not accompanied by differences. But I write here to say that ETM's clinical component Trauma Resolution Therapy (TRT) adds a highly focused structure to the method that allows existential grief to be facilitated incrementally at the specific etiology caused by the event. The now common laser focus analogy fits. In so doing, TRT can and does routinely reverse that etiology and resolves the trauma attending it completely, something the general existential application cannot do. That resolution includes complete reconciliation of ALL losses and processing of the correlate emotional chains that are part of the trauma's retention in memory.

Moreover, TRT can be facilitated in a time relatively certain, for example unlike the years that are required to facilitate grief existentially in the cases referenced by Dr. Boss, ETM TRT can do the job and much more thoroughly - completely in about 9 months. And the lack of physical remains does not impede the resolution nor extend the time required. With respectful regard to this Doctor and all who currently work in such demanding cases, the long period attending that simple grief processing method, as in this case referenced for some people as 6 years, is unnecessary to the extent that the now obsolete method (general existential grief facilitation), when compared to ETM TRT's structured capacities, falls into the category of incompetence. That is, why would anybody keep anyone in therapy for 6 years, assuming no monetary reason, when the etiology of the problem can be expunged not just completely so that it doesn't continue to recur in protracted grief cycles, but much more quickly? The only answer could be for ethical professionals is that either they are ignorant of the better approach, or they don't believe my claims and the testimonials that attend this work.

Either way, now that you are informed and fully challenged, ETM TRT is available for study at http://etiotropic.com/. Do so and save your clients years, and most often even lifetimes, of ever continuing horror and what appears to be to the uninformed professional unresolvable loss.

ETM TRT is not just another treatment method. It is a whole new paradigm for the address of psychological trauma. Please evaluate - scrutinize ETM TRT theory and application in the ETM Tutorial's Professional Academic Development section. Also, don't suggests to the public that trauma and loss are not wholly reconcilable and within relatively short periods.

Anti-Cult Legislation and Criminal / Civil Fraud Litigation Against Islam as a Means of . . .

2007-09-05T17:03:00.000-05:00

Introduction

I began a study of Islam when I predicted in the spring, 2003, the guerrilla war that followed the initial set piece battle for Iraq. When I realized America did not recognize what was likely to follow its success, I determined that my skills and knowledge from disseminating ETM TRT to professionals and traumatized organizations were greatly needed. Virtually no one on the planet saw the relationship between trauma management of systems and the uses of Islamic terrorism to destroy our country. The following reading and discussion comes from part of this new work with this group of terrorists, Islamists. And of course as you know if an avid student and presenter of ETM TRT in crisis management environments like the military and schools, that although the original combat component of my thesis was initiated with communists uses of terrorism in Vietnam, the structure and method for ETM TRT intervention on those terrorism theories and methods is pretty much the same today in the middle east.

In the referenced article (Ban Islam?) inspiring my response in this one, Dr. Daniel Pipes made a quick and current survey of new calls for attempts to control Islam. Some included recommendations by western countries to ban the religion / political group and culture. Others, as legislators, were building votes needed to criminalize the Koran, comparing it to Mien Kamp, Adolph Hitler’s 1924 book describing his subsequent attempts to rule the world. Dr. Pipes gave his “take” on the question of what to do with Islam. The following article is mine. I’m publishing it here because in my work, trauma management involving interventions on cult organizational structures was a routine requirement. In fact, I wrote one book, Guerrilla Warfare’s Pathogenesis and Cure, to explain how to disable the use of terrorism used by lesser forces to achieve war and political ends. I’ll write more about this subject at another time and in another blog. But for now, here is my “take” on the subject and what I recommended to do about the infamous and notorious cult, sometimes advertised as a religion, Islam. In its original submission form, the article's audience was very knowledgeable readers of Islamic and anti-radical Islamic literature. Hence, some of the discussion may not be readily understood by those of you with treatment backgrounds only. When I publish the second blog regarding Islam, I'll include the ever growing bibliography supporting that subject.

Anti-Cult Legislation and Criminal / Civil Fraud Litigation Against Islam as a Means of Preventing Incalculable Numbers of Dead in the Accelerating War with that Cult.

Notice please in the title, no use of a Hedge such as Radical Islam, nor in the body proofs of the concept / fact of Islam's cult status. That activity, already written and saved, will be published as a part of my second blog.

Good review, Dr. Pipes. But same traumatized analysis and consequent conclusions. Sort out the general moderate, whoever that is. Talk sense (logic) to him as if he were not a member of a cult where his life is over with the wrong word. Arrest / deport bad thinking Islamists, whoever they are. And convince the left that we have to pull together (not exactly a part of this article's thesis).

Those of us who have read a few Koranic verses plus some good books by non apologist authors, not to mention Bin Laden's and Zawahiri's treatises published in "The Alcaeda Reader" among other good places, know that as you guys keep hanging our security on your abilities to convert Islamic moderates into doing something constructive and lasting from within Islam, you turn us regular citizens into ducks on a pond full of alligators, each of them representing some sort of unidentified Muslim, who at any moment will have his second epiphany (the first being the call to Islam). That second psychic inspiration as you know is lurking in the notion that allah wrote the Koran and it calls for not just defensive but offensive slaughter of infidels, specifically saying that if they (the brothers) don't join the real jihad and help kill their non muslim friends (excuse me, I mean unbelieving significant others. Muslims don't have non believer friends), then the brothers will be killed because they've proved that they are apostates. If they believe in Allah as the true author of Muhammad's organizational management schizoid caused hallucinations, then those Muslim moderates are always sure to be confronted by their Allah - loving peers about doing their true Muslim duty. That is again, giving up backsliding and begin slaughtering people as instructed. Defensively or offensively, it doesn't matter. Given the great psychopathic mind that this Allah has (or had), he has the ever continuing requirement to slaughter humankind covered both ways. And showing his understanding of basic non violent human inclinations, and how easily they can be rattled by a sharp thinker, allah even also interpreted before they (Muhammad's moderates) would that they wouldn't like killing seemingly otherwise innocent people. They might even also detest killing not so innocent people, like unbelievers. But as his prophet (the messenger) said somewhere in the Hadith, and as aptly reminded by the single most UNconfused Muslim in the universe, Dr. Ayman Al Zawahiri, "Somebody's got to do it to keep me (allah) happy."

This thing, whole thing, Islam, is a world class cult intended for the demise of the human species. For 1400 years it's been sending your moderates into contiguous countries so that they could get oppressed, have their feelings hurt, and rise up with the invading Muslim armies to annihilate the previous owners of the now and new for eternity, "Muslim lands."
Listen to me learned people! There NEVER, NEVER, NEVER, EVER will be anything called moderate Islam. Only in your terrorism traumatized dreams and frightened hopes is there such an entity. Surely, the great anti-Islam Word Warrior Dr. Pipes, the indefatigable and perpetually and unjustly accused Islamophobic (but the truest badge of honor and courage) Robert Spencer, and you folks providing commentaries are not going to keep dancing with this moderate Islam mess of a thesis. To survive, you have to shake that trauma caused delusion about Islamic moderation out of your heads and confront the roots of this battle now while we still have the capacity.

Above all, when you deal with split mind cult members and no doubt their rulers, generalities like we have to support moderates somehow through high intellect reasoning and factual information is inadequate and showing only your ignorance of cult functionings. Muhammad had your arguments figured out and stopped a millennium or so before you came on the scene. You all, despite your tremendous bravery and leadership skills, are going to be rolled over as were your quartrillion predecessors when facing the screaming terrifying Muslim hoards of the first and second millennia. Here are 2 specifics that will do the job to put Islam away in its last century on earth, the 21st.

First, we must enact anti-violent cult legislation with Islam as the focus. France and a popular Muslim in Algeria already said that a couple of years ago on MEMRI and some other important places. To that end, we have to initiate through the Congressional Islam study group federal prohibitions against individual rights -stripping and violence-ordained organizations where their bylaws give them their cult definition operational controls and identity. Make Islam the primary focus of the legislation, as its theories and methods are readily available within the Koran and Sunnah for congressional, legal and yes even media exegesis. Identification of a socially based organization as a cult as a political control process as opposed to its being a religion will have no trouble with the religion amendment to the US Constitution. Give your so-called moderates an opportunity to become prideful apostates of the cult and new believers and members in something better, or at least a little less dramatic and clearly Islamic like, but with refinement. For example, it can keep all the harmless and beneficial advice about how and when to pray, and how to clean shoes. It can add some things like "love everybody" not just the oath of Islam takers, and kill nobody just because someone doesn’t think like you (or allah). That new formation will have Federal mandated guidelines for establishment of their new political group's religious parameters. They should and will conform with the International promulgations for all political, to include religious, activities. That is, the declarations may not advocate anywhere, much less demand, violence or anything else that strips members of their basic individual human rights. Call the new religion "Islam II The Sequel", or “Islam Without the Real Satanic Verses: a Violence Free Approach to Arab Religion,” or as one good Muslim leader in North Africa has proclaimed the title, that represents his extremely admirable work in trying to separate Islam from its violent self, “Protestant Islam.” Hammer the anti-cult legislation’s constitutional validity out in the US courts where jive talk doesn't testify to one meaning in English, and its opposite in Arabic.

Second, file suit and charges, respectively, against Islamic organizations including all Mosques in Federal court for civil and criminal fraud and inducement to defraud American citizens. The fraud is the representation of itself, Islam, as a peaceful religion, while trying to hide during prosthelization of new converts the fact, among many, that the bylaws (Koran and Sunnah) require that they (new members) be killed if they should decide to try Buddhism or such for a while, after having joined up. How long do you think Islam would remain the fastest growing religion if they say on their brochure’s front page “If you change your mind and try to leave Islam once committed, you will be killed. So take this decision seriously and be sure!” Islam, following its 1000+ years old marketing model constantly seeks members under that single ploy, not to mention in this comment for lack of space a trillion others. Strengthen the litigation by including as codefendants to the fraud claims Universities like Southern California that sell the peaceful religion representation of Islam by obfuscating in its public education materials the facts of Islamic literature that demonstrate in unequivocal terms the horrendous history and documentation of Islam's intent and record, not to mention leaving the risks inherent in even studying Islam without considering the world social ramifications of reaching a negative conclusion. To meet 2007 advertising and investment (money raising) requirements, full disclosure of ALL prospective negatives MUST be presented forthrightly in full view for a solicitee's study and appraisal.

Prepare to fight the Caliphate that will form worldwide immediately following initiation of cult legislation and fraud criminal charges and civil litigation against Islam and conspiring academia. The ensuing war will be simple to fight and winnable. It will be against a readily identifiable enemy with an unambiguous title, the old "Islam" sticking to its belief in allah ordained jihad, of the slaughtering type, but no longer hidden by its convoluted and mind splitting claims of intended annihilation on the one hand by jihadists, and the whining "We are an oppressed religion of peace" by your moderates. Attending that two pronged and now, since the secular intervention by the American Constitution and its body of laws, clearly delineated scam is an equally unambiguous statement of war upon this country. We will then conduct that war with all of America's undivided strengths accordingly. That conflict will not cost as much in human lives if fought now as it will later (in a couple of years) cost if we don't act immediately. We can save a lot of lives, not to mention a wonderful civilization, with some to-the-point anti cult legislation and equally exacting litigations that tightly target the purveyors of this replicating use of offensive trauma management techniques to undergird its world control scheme called Islam.

Only the bloggesphere with the help of the Pipes, Spencers, the brave authors who've left Islam, the Bostoms, Emersons, Phillips (Britain), Gabriels, Malkins, Ibrahams and other heroes of our time, to include you commentators who've seen this war long before the rest of us started catching on after 9/11, and who with the referenced great authors, can bring these legal changes about, and only if we anti-Islamists pull together. There is no one else but you who can do this. If we beat Islam so that we survive with our lives, and our wonderful civilization prevails and continues to get even better in the centuries to come, it will be because of the work that you have already done, and the great sacrifices of life made by our majestic military service men and women who are keeping, for the time being at least, these wanton killers from the insides of our homes, schools, buidlings that remain, and the places of worship that attend to the individual needs of the hearts and minds of our citizenry.

But no matter these accolades, and my love of and appreciation for you, it's time now for you to move us forward again. Replace "Islamic Moderates" with Islam II The Sequal, underpinned by cut and dry declarations that assure organizational love and caring of fellow men and women and not horror, depravity of intellect, and liquidation of ontology. We can leave what the real Allah wants to those people who derive those kinds of understandings, and who truly believe that it is our nature to solve problems resulting from differences between people with love and caring, and most importantly without the shackling of encumbrances that attend communications from a madman of 1400 years ago, but who is still with us today through his declarations of carnage. New hurt by your take on what you think is Islamophobia, a supposed irrational hatred of Islam? Start your readings, or continue them in the second case with Robert Ibrihim's The Alqaeda Reader. Learn the true power of the cult of Islam on the minds of the human conscience. It no longer exists in that world, which comes closer to us every day that we wait.

Jesse Collins

Currently in study at an unknown location with the Robert Spencer School for Islamophobic Certification and the US Army General George Patton School for the Advance of Martyrdom. For you who are too young to have heard of the latter program, General Patton started it during WWII when he said to his troops "I don't want any of you men saying or thinking that you want to die for your country. I want you to make those dumb son of a bitches on the other side die for theirs."

You Don't have to Reinvent The PTSD Management Wheel: ETM in Schools

2007-08-30T09:07:00.000-05:00

This post follows the previous one regarding the military's study of ETM TRT, 1990-1992.

Craig Carson, the hands on trainer and contact with the study group, and I began to shift our focus to another organization set that had studied ETM TRT in a similar research process starting as early as 1987. It consisted of school districts being overwhelmed by traumatic events and their subsequent controlling effects by perpetrators. I wrote and Craig trained and implemented the nearly same strategic approach to that constituency. Between 1990 and the end of 1995, Craig trained and implemented ETM TRT into approximately 160 of Texas’ 1051 Districts in 5 of its 6 regions, which in that total consisted of approximately 600 schools. During that time, another study group trained and implemented ETM TRT into it’s district in a major metropolitan area in one of the more deeply plagued communities by violence , drug use and illegal drug sales.

That group concluded their research and study of ETM TRT, including its strategic use application against perpetrators who use trauma as a means of controlling systems targeted for takeover, by recommending to and thus from the State’s Texas Education Agency (TEA) at the annual district wide conference on September 4, 1994, that “All principals, counselors and medical personnel and some teachers in special roles, should be trained in ETM TRT!”

That referrenced group totalled approximately 25,000 professionals. As we were implementing that recommendation our health tragedies (referenced in other articles and my first post to this blog), beginning in 1995 ended our capacities to follow through with that commission. Being alone, Craig returned to his career in psychotherapy. But the model was codiefied as the combat model and like it is available today in the Etiotropic TM educational compendium at http://etiotropic.com/.

You Don't have to Reinvent the PTSD Management Wheel: ETM, the DOD and the Military

2007-08-29T07:11:00.000-05:00

Why Etiotropic TM™ is NOT the DOD and Military’s Primary Pristine Psychological Trauma Management System Today and Why Incompetency (as in Walter Reed) Rules: Emphasizing the Gulf War of 1990-1991’s Intercession on DOD Planned Implementation of Etiotropic TM™ Following Research and Study

Department of Defense and Military: Their study and research of ETM TRT 1990-1991

In May 1990, a DOD – military education and research group assiduously studied Etiotropic TM (at the time viewed in the context of the clinical component Trauma Resolution Therapy™ - TRT) theory and application. The group’s members, numbering fifteen senior officers, unanimously recognized ETM TRT’s theoretical, application ethical and performance ascendance over all competing models.(1) It also showed that the model, albeit administered secularly (2) in treatment settings, would not adversely affect spiritual – religious beliefs' relationships existing between Chaplains, combatants and their families.

The group consisted of the senior commanding officers of the educational programs established at the military’s and other most well known and respected PTSD related facilities. They included such prestigious combat and medical programs and institutions at, for example, Fort Campbell’s 82nd Airborne Division, the US Army’s educational facility in New Jersey, the United States Marine Corps, Brooks Burn Unit and Fort Sam Houston Hospital in San Antonio, and the most famous of all, our country’s jewel of treatment for US Army combat veterans, Walter Reed Hospital.

After their original ETM TRT studies, I wrote a document, and then as always presented by Craig, as a special consultation for the DOD. It explained how to administer ETM TRT starting with the address of the trauma at the combat event. Then after identifying the relationship of the combatants to that event, ETM TRT would follow the combatants to more secure zones still in theater where some of the clinical component, for example, its short form address of near term trauma (under 90 days), could be administered. Once begun, ETM TRT provided for the continuing address of the event’s etiological effects to the individual’s home base, or following discharge.

That model had a strategic effect. When perpetrators applied traumatic events to individuals for the purposes of controlling them for the sake of power aggrandizement, removal of the trauma’s etiologies (there are two) would remove those perpetrators' controls. Intervention on perpetrators was the consequence.

That consultation which I wrote for the DOD (it would take high levels of authority to implement this strategic aspect of ETM) is recorded as it was in the ETM Tutorial at Etiotropic.com / ETM Tutorial / Professional / Strategic site location. But the best place to read about the strategic aspects of ETM TRT is in the summary (free eBook) version (with examples for near term application in relatively secure theater) entitled Guerrilla Warfare’s Pathogenesis and Cure found on the Etiotropic Trauma Management Trauma Resolution Therapy home, tutorial and online school pages, and also as an addendum to chapter 12 in the online ETM School’s text. It is entitled Etiotropic Trauma Management (ETM) Trauma Resolution Therapy (TRT) Online Training Certification. That latter book is one of a compendium of school supporting texts and is quite voluminous and published on demand with 680 pages of 8 ½ by 11 page size. Because, as I’m chagrined to say, that text book costs $75.00 (also the sales price - free to combat theater Chaplains and therapists) to build, or hand out as a course text, I recommend reading the free Guerrilla Warfare eBook found on the home page to get the idea if you are just forming an initial interest.

The strategic ETM TRT consultation, theory and application referenced in the just noted books is based on Vietnam combat and my experience in ground combat and helicopter operations where I was directly engaged in the processing of the wounded and killed in action. A summary of that experience is described in the ETM Tutorial’s development section. I did not write the consultation strategic focused document based on my personal traumatic experiences of that duty, for example, as if telling a combat story. Instead, I wrote as a combatant in a unique role that gave me tremendous insights into the traumatization of combatants, first respondents, and supervising managers. Of course, I did not think of trauma management at the time, but did so later when learning about trauma through development of ETM. I was also the body guard in all operations of the Commanding Officer, Colonel William Gentry Johnson, later to be Major General Johnson. Being that he was the TACA (onsite - over and on the battlefield, integration of helicopter and fixed wing combat with infantry activities) of every operation, approximately 1 per week lasting from 3 to 21 days, I saw the war and the various infantry - air (helicopter and fixed wing) and ground support (trucks and jeeps) activities, and then how they were evaluated and appraised by the Colonel when sending the "lesson's learned back to the DOD."

I also made those missions such as troop, reconnaissance insertion, emergency medevac, resupply and strike activities from the perspective of the helicopter combatant role, and often and importantly, being left in zones to accommodate helicopters too full with wounded. That fact is important because not only had I been in my own battle scenes, but I was able to see first hand what a responding trauma manager would see and experience entering a battle just following it or during it, and without having direct duties with the ground infantry (grunt / units). That freed me to observe the process. Later again after becoming a student and author of trauma, those observations underpinned the strategic and humane application recommendations I incorporated into the ETM on site trauma managers' duties.

At another time, I will post an article that shows more capacities to apply ETM starting with the battle scene so that you don't have to read the whole book. But quickly, here, so that there is no theoretical or application confusion with Jeffry Mitchell’s CISD, ETM only calls for identification of the event’s relationship to each combatant at the battle site – no grief therapy or CISD client centered methods are applied at the scene, except of course caring for the psychologically and physically debilitated within the parameters of knowing combatants must be stoic if possible and do their jobs during times of carnage.

On return to their respective commands, the study group’s officers began implementation of Etiotropic TM™. For example, at senior staff meetings, ETM TRT was described from the perspective of its theory and application and the study group officer’s descriptions. Application in treatment settings was to begin in tandem with additional professional training of staff therapists, counselors and chaplains. This was the process employed at all referenced institutions and was ongoing throughout the summer when on August 19, 1990, Sadam Hussein’s Iraq invaded Kuwait, beginning the Gulf War of 1990-1991.

Immediately upon the start of the war, the research group’s members were re ordered to participate directly in the war effort. Duty assignments and commands were changed to accommodate the massive deployments to the Gulf region. ETM TRT implementation was put on hold until the war’s end, at which time it was to restart. Regrettably, when that ending came it was followed by a change in administrations at the Executive (Presidency) level, which then engineered a reduction in military and DOD personnel. Our ETM study group and its recommendations were lost in the ensuing military personnel changes beginning in 1992. We then began to apply the ETM strategic values to school districts engaged nearly in guerrilla warfare with terrorist like gangs. That activity, actually starting in 1989, and lasting until 1997 for Craig, is summarized in another post on this blog.

Hence, Sadam Hussein's unfortunate legacy includes derailing the most progressive stance the US Government took on trauma management. The legacy left us with today's PTSD management mess, exemplified in the Walter Reed Hospital scandal described by the Washington Post in a June 17, 2007 article.

(1) From the DOD – Military Study Group (1 of multiple conclusion testimonials)

“For both personnel and organizations, Etiotropic Trauma Management (ETM) is the most effective and comprehensive crisis and trauma treatment program in the country. My interest in crisis debriefing and trauma treatment dates back to working with soldiers on the battle field in Vietnam, returning prisoners of war, and medical personnel in hospital trauma settings. Since the Vietnam war, I have continuously worked with victims of trauma and their families. My studies in crisis and trauma resolution include: Harvard University, the International Society for Traumatic Studies, the programs of Dr. Jeff Mitchell (author of Critical Incident Stress Debriefing), National Organization for Victim Assistance (NOVA) and others.

Etiotropic Trauma Management is a program with integrity. It provides quality treatment and delivers on all of its claims. Other programs tend to decrease anxiety in the debriefing process and the crisis worker tends to feel better for awhile. Later, issues arise, and trauma symptoms may go unrecognized and unattended. Only Etiotropic Trauma Management provides a method for dealing with the acute trauma manifestations.
This trauma management system greatly reduces the chance of a crisis experience affecting their professional and personal functioning. My thoughts are that this system would minimize the worker's compensation claims from traumatic reactions (PTSD) and the acting out behaviors of traumatic stress symptomatology.
When conferring with several professional colleagues who are well versed in crisis debriefing and trauma treatment, all agreed that Etiotropic Trauma Management offers the only complete program for emergency medical service personnel. I am a career Army Officer and currently assigned to Brooke Army Medical Center, San Antonio, Texas. Etiotropic Trauma Management is the program we are considering for use in our medical center.
We recently trained personnel so that the program can be recommended. ETM does not create victims; it resolves the impact of crisis and trauma. I urge EMS (Emergency Medical Services) organizations to give their personnel the best program possible, Etiotropic Trauma Management (ETM) and Trauma Resolution Therapy (TRT).

Very truly yours,

Gerald W. Conner CH (LTC) US Army”

Etiotropic TM: Author Background as Related to Blog Rationale

2007-08-24T11:56:00.000-05:00

Friday, August 24, 2007
Etiotropic TM: Author Background as Related to Blog Rationale
I'm initiating this blog with a first post that describes both me and the blog's rationales for being. I tried to put this information under "About Me" but no such luck given that this is my first time at using this blog format. Of course, if you've studied ETM TRT for a while, you may know that its professional and patient education tutorial has been provided on the Web since 1994. ETM TRT information was published then as one of the first distance learning programs, and referenced as such in 1997 by Southern Florida University in its 11 million dollar federal grant request as the standard to emulate. So I’m not totally inexperienced with the Internet. But despite my current shortfalls in administering this format, I do want you to have this start up information at least somewhere until it can be placed appropriately upfront as an explanation of my role in ETM TRT for new readers.

Welcome to my blog! It supports Etiotropic TM™.First, please let me give you some quick basic information for scope and legal notification. “Etiotropic TM” ™* is a trademark representing the complete works for the 30 titled Etiotropic Trauma Management Series, which includes Etiotropic Trauma Management (ETM)™, Trauma Resolution Therapy (TRT)™, the free ETM Tutorial with attending professional and patient education instruction, The ETM Online and locally presented Professional Training Certification Schools with attending texts, and the 39 lecture 1500 slide presentation series that supports the locally presented version of the ETM TRT Professional Training and Certification School. The "TM," is the acronym for Trauma Management. Hence, although the trademark is a standin for many components of the ETM TRT system, it specifically translates to “Etiotropic Trauma Management.”

Because ETM TRT is a structured clinical and management model necessitating professional training and certification, the referenced literature is published primarily for professional patient consumption - use, and not for general professional or layman reading interests. That means that publication of materials has been by demand only. But the large texts, which are also intended to support researchers studying ETM TRT, can be special ordered through any bookstore. This approach was necessary over this past 3o years because we did not want laymen attempting to use ETM TRT as a self help program. That might have a tendency to occur more readily in parts of the country where no Certified ETM TRT therapists existed. ETM TRT requires professional ETM TRT training and certification. Telling people about how wonderful the model was without adequate professional resources to use ETM TRT in their communities was an issue of ethics for us. I was in the process of building a global base of certified ETM TRT professional application, before engendering a blanket book publishing process, when health tragedies affected our activities. Those effects are explained below.

As I understand the numbers received from Licensed ETM TRT Trainers, we currently have between 2500 and 3000 professionals available for administering ETM TRT to patients in certain geographical areas of the country. But it is still quite disheartening to receive requests for treatment, even in places like London and Israel, and not being able to respond affirmatively with a properly Certified ETM TRT Counselor - Therapist - Manager for referral in the individual's location. I've worked on this issue for nearly 25 years and will continue until I can consistently fulfill each request, no matter its location.

This article is a lot like the mission statement, except that I focus on me as the author because the blog template recommends such a presentation. As you will see if you become Etiotropic TM certified and then deliver the model to trauma victims or organizations, it is a cause much more than an economic endeavor. Hence, I want you to get the gist of my part and views as the creator of both Etiotropic TM and the cause.

With my wife, Nancy Carson, we began the creation of Etiotropic TM as early as 1978, and formally in 1979, now 30 years ago. On thorough research of the model you will discover that it was created and assiduously researched and developed under extremely strict standards which included overseeing by government and JCAH licensing authorities, which included annual audits which covered pedantically such things as (among many) problem definitions, goals, methods, item progress, and treatment results and conclusions. The development activities lasted until 1985, being administered in 6 predominantly family oriented psychological trauma and chemical dependency treatment centers.Funding is important because it demonstrates our commitment to ETM TRT. They (and the six facilities) were financed originally by Nancy and me with all the resources that we owned. Thereafter, four friends and associates added additional funding of nearly 750 thousand dollars, taking the total equity capitalization to 1.2 million dollars of private contributions (again, including our own). They supported our clinical efforts. Given that we were conservative in our economic social philosophical values and beliefs, this life project has never accepted government or comparable grant funding, other than through training contracts delivered to government employees, etc. My thoughts then and now were that if I constructed an idea for helping lots of people, that it was my responsibility to pay for that effort, not taxpayers who likely did not share my beliefs of the value of our work and our aspirations for its social accomplishments.

You may find partial and full descriptions of me, credentials, history and development of ETM TRT at Etiotropic.com / ETM Tutorial / Overview: author ETM History and (detailed) ETM Tutorial / Professional / Academic / Development. The latter discloses the clinical environment, epistemologies, and as you will see extraordinarily thorough and correct empirical measurement and application processes and under what authorities pertaining to ETM TRT's usage by end clients / patients and the information necessary to ethically pass permission to employ ETM TRT by acceptably credentialed management and clinical professionals.

By virtue of my being the creator of Etiotropic TM, the person having the most complete experience with both its clinical and strategic applications, and by virtue of my copyright and trademark ownership of the models beginning in 1981, and through agreement with my wife, I am the final authority on ETM interpretation, training designs and certification of professionals and organizations.

Of importance to ETM TRT's dissemination since the finality of their development in 1985, Nancy and I withdrew from our leadership activities starting in 1995 due to health tragedies. She sustained breast cancer and then in the same year severe brain damage from a head-on highway accident caused by an overturning out of control truck totaling all automobiles and nearly us. She also has been diagnosed in 2006 with Lymphoma-Leukemia, which is a new encumbrance to my efforts, as taking care of her is my primary task. For myself, I am 100% disabled by combat occurring in 1965 and 1966 with my unit in the United States Marine Corps (1964-1970). I also sustained in 1996 an oral surgery accident where a suction device used inside and above the maxillary sinus to find a possibly lost root tip became entangled in the 5 cranial and infraorbital 2 nerves, hence, damaging for life the trigeminal nerve. Not sufferable chronic pain in the face, right eye and head are lifetime medical issues for me. Coincidentally, I am also disabled 100% by the malady which is diagnosed as Atypical Trigeminal Neuralgia.

As a consequence of her injuries and maladies Nancy has completely removed herself from any work pertaining to the model's applications. I have been incompetent to speak publicly or for that matter in even private relationship settings until just recently, that is, last year, 2006. My rationale for starting this activist like blog as support for the ETM TRT training and patient education sites results from the obviously continuing mal designed and even more horribly applied nosotropic approach which during my sickness I regrettably allowed to gain the upper hand in addressing psychological trauma management and treatment. That model's incompetence was demonstrated saliently in the Washington Post articles of June 17, 2007, that showed the horrific incompetence that regularly attends nosotropically based professional usages and applications, in this description regarding its application by Walter Reed Hospital, apparently supported by the VA. As usual, the defense was that the hospital didn't have enough help, not that their basic models for management and care of combat trauma were incompetent.

Over my years of standing by (or on the sidelines) in medical disarray I’ve seen amazing acts of malfeasance by every level of credentialed professional. Discussions in the media of our capacities to address trauma seemed to come (and still do) from the Freudian or Skinner eras. Freud argued that after catharsis, the locus of trauma etiology lay in childhood sexual issues. Today, where they may have dropped the sexual causation theories, many Nosotropic based trauma experts say that the childhood has to be addressed. Many claim that because of those issues, crisis position job seekers did so for the thrill, the need to reinvent more trauma or life on the edge. That is horrible projections of therapists’ on traumatic event sources onto their patients. As usual, behaviorists interpreted their perspectives as the only perspectives, because they were the true scientists studying human beings. Writing in 1988, Scrignar, a noted disciple of the great behaviorist Wolpe, his treatment for trauma victims as putting a rubber band around their wrists and telling them to snap it every time they had a thought that might be a trauma symptom. Then they were apparently supposed to adjust their thoughts so that they had them no more. I addressed those moronic theories at the time (1980s), Freud’s and Scrignar’s and many nosotropic confusiousist ** theories and applications by simply saying that we didn’t address trauma that way. But now, the Washington Post description of DOD and VA malfeasance at Walter Reed and their responses by their leaderships, the same that occurred at the end of the Vietnam war, became for me the proverbial straw that broke this camel’s back.

I'm dedicating this blog and the rest of my life's public efforts to correcting that unfortunate, for the American public and its leaders, decade long lapse of mine and the consequent harm done by the application of the invalid Nosotropic hamster exercising treadmill approach as an additional lifelong symptom coping therapeutic tragedy put upon trauma victims. Etiotropic TM will eventually win over its competitive Nosotropic paradigm, albeit, likely when I am no longer living (am now working in my later years for my gene pool - but exercise with hope), and bring about a complete end not only to psychological trauma as it is retained in the memories of its victims, but importantly bringing about an end to the unnecessary, as they are preventable, instances of trauma caused by perpetrators of violence. They exploit for pecuniary or political advancement the unresolved trauma as it is implanted into the minds of their targets and their target systems. Etiotropic TM will inevitably, likely delayed into the next century because of the massive denial of trauma etiology by Nosotropic therapists, end criminal violence. But that capacity won't be realized by managers and their public until they grasp the true meanings and profound differences in ideas and perceptions of psychological trauma that currently run their lives from what is possible with Etiotropic TM. It can and will end the use of terrorism for waging war and supporting criminal activities. Consequently, the purpose of this blog is to assert the fraud perpetrated on western civilization by Nosotropic leaders, and bring it to an end, then allowing our people to not be controlled by trauma imposed individual and systemic psychopathologies.Sincerely,Jesse CollinsAuthor: Etiotropic TM, which includes The Etiotropic Trauma Management Series.

*Etiotropic TM™ is ® pending; All materials and titles are copyrighted between 1981 and the current period, 2007.

Copyrights are federally registered with the US Government’s Copyright Registration Agency.

**Confusiousist I made this word up to represent a perpetually confused expert.

Posted by Jesse Collins: Author Etiotropic Trauma Management Series at 11:56 AM 0 comments

Labels: Etiotropic TM Author History and Blog Motivation