Major Gen. Dr. Boniface Perera & Dr Ruwan M Jayatunge
Sri Lankan armed forces veterans participated in a lengthy and intense conflict known as the Eelam War, culminating in a significant victory in 2009. Despite this achievement, many veterans emerged from the conflict with lasting physical injuries that continue to affect their lives long after their military service has ended. Additionally, numerous veterans were confronted with the harsh realities of war, leading to mental health challenges such as depression and post-traumatic stress disorder (PTSD). Unfortunately, a substantial number of these conditions remain undiagnosed and untreated, which exacerbates their struggles and diminishes their overall quality of life in civilian settings. The psychological and emotional toll of their experiences significantly impacts their well-being, highlighting the urgent need for effective interventions aimed at improving their psychosocial health. Comprehensive support systems must be established to address these issues, ensuring that veterans receive the necessary care and resources to facilitate their transition to post-military life.
The Transition from Military to Civilian Life
Military
personnel transitioning to civilian life, particularly those who have
experienced combat, face a myriad of challenges as they attempt to reintegrate
into society (Misca et al., 2023). This shift from military to civilian life is
fraught with complexities for veterans globally, and the armed forces veterans
in Sri Lanka are no exception. After years of service, discipline, and a strong sense of purpose and
camaraderie, the abrupt shift can lead to crises of identity, social
integration, and economic viability. A truly satisfied post-military life,
therefore, requires a holistic approach that addresses both economic
development and health, physical and mental. It is a new mission that demands
strategy, support, and resilience.
The
shift from a military career to civilian life presents a formidable challenge
for numerous officers, often leading to a range of adjustment difficulties. This
transition can be particularly daunting due to the stark differences in
lifestyle, culture, and expectations between military and civilian
environments. Officers may find themselves grappling with the loss of structure
and camaraderie that characterized their military service, which can result in
feelings of isolation and uncertainty. Additionally, the skills and experiences
gained during military service may not always translate seamlessly into the
civilian job market, further complicating the adjustment process. As they
navigate this new terrain, many veterans must also confront emotional and
psychological hurdles. Consequently, it is essential for support systems,
including family, friends, and community resources, to be in place to assist
these individuals in successfully reintegrating into civilian life.
Physical
Rehabilitation and Support
The
importance of rehabilitation following war cannot be overstated (Eldar &
Jelić, 2003). Access to high-quality prosthetic limbs, maintenance
services, and specialized rehabilitation is essential for disabled veterans, as
it directly impacts their quality of life and ability to reintegrate into
society. While various organizations and government agencies provide crucial
support, including financial assistance for significant surgeries and necessary
equipment, the existing system requires enhancement to ensure that veterans can
receive timely and localized care throughout the island. This improvement is
vital not only for the physical rehabilitation of these individuals but also
for fostering their independence and overall well-being. A more robust
framework would facilitate quicker access to services, thereby addressing the
unique challenges faced by disabled veterans and ensuring they receive the
comprehensive support they deserve.
Preventing Premature Deaths Among Veterans
The
enduring consequences of warfare can lead to significantly elevated mortality
rates (Solomon et al., 2013). War veterans may face premature death even after
their service due to the lasting physical and psychological effects of combat.
These consequences can manifest in various forms, including chronic health
issues and mental health disorders, which significantly impact their overall
well-being and longevity.
In
recent years, there has been a concerning trend regarding the health of
officers and soldiers who served in the Eelam War, as many are succumbing to
premature deaths attributed to cardiac issues, cancer, and various other health
complications. The toll of their wartime experiences is significant; these
individuals endured prolonged exposure to harsh environments, faced relentless
physical stressors, and often suffered from inadequate sleep and poor nutrition
while on the battlefield. Additionally, the psychological burdens they carried,
compounded by maladaptive coping mechanisms such as heavy smoking and excessive
alcohol consumption, have further deteriorated their overall well-being. It is
imperative that we establish a comprehensive health education program tailored
specifically for these veterans, focusing on both their physical and mental
health needs. Such initiatives should aim to provide them with the necessary
resources and support to improve their quality of life and address the
long-term effects of their service.
Addressing the Loss of Identity
The
loss of identity represents a significant challenge for many veterans. During
their time in service, they were celebrated as heroes, receiving accolades and
recognition for their bravery and sacrifices. However, once the conflict
concluded, this admiration often faded, leaving many veterans feeling
overlooked and undervalued. As they transition back into civilian life,
numerous retired service members grapple with a profound sense of disconnection
from society, struggling to find their place and regain the respect they once
commanded. This disorientation can severely impact their self-esteem,
particularly for those who thrived in the structured and purposeful environment
of the military. Upon retirement, they may find themselves in situations where
their skills and experiences are no longer applicable or appreciated, leading
to feelings of frustration and inadequacy. Consequently, many veterans
experience adjustment disorders, and some may even descend into depression as they
confront the stark reality of a peaceful society that seems to have little use
for their unique capabilities.
To
address the issue of identity loss among retired combat veterans, it is
essential to prioritize the establishment of new social and professional
connections. Engaging in meaningful work or volunteer opportunities can provide
a renewed sense of purpose, allowing veterans to discover a new mission that
aligns with their skills and interests. Additionally, reconnecting with fellow
veterans can foster a sense of camaraderie and understanding, which is often
crucial for emotional well-being. Exploring alternative career paths, such as
teaching or mentoring, can also be beneficial, as these roles not only utilize
their experience but also contribute positively to the community. Furthermore,
it is vital to seek professional mental health support to address any
underlying conditions such as PTSD, depression, or anxiety, ensuring that
veterans receive the comprehensive care they need to navigate this significant
transition in their lives.
Addressing Loss of Meaning
The
loss of meaning profoundly affects veterans, often leaving them feeling adrift
and devoid of purpose, as if trapped in a state of limbo. This sense of
emptiness frequently intensifies during the difficult transition from military
to civilian life, where the challenge of translating their military skills and
experiences into a new context can feel overwhelming. Many veterans grapple
with haunting memories of fallen comrades and the psychological scars of their
wartime experiences, which can lead to a pervasive sense of despair. In some
cases, this emotional turmoil can spiral into suicidal ideation, as individuals
struggle to find significance in their post-service lives. It is crucial to recognize
these individuals and offer them the necessary psychosocial support, ensuring
they have access to resources that can help them navigate their feelings of
isolation and hopelessness, ultimately guiding them toward a more fulfilling
existence.
Addressing
the loss of meaning experienced by combat veterans requires a multifaceted
approach that acknowledges their unique experiences and challenges. It is
essential to create supportive environments where veterans can share their
stories and feelings, fostering a sense of community and understanding.
Therapeutic interventions, such as counseling and peer support groups, can help
individuals process their experiences and find new purpose in life.
Difficulties in Community and Family
Reintegration
Demers (2011)
emphasizes that combat veterans frequently face considerable obstacles when
attempting to reintegrate into their families and communities, a process that
is often laden with challenges. The importance of reconnecting with family
cannot be overstated; however, this transition can be particularly stressful
due to the shifts in family dynamics that may have occurred during their
absence. Many veterans have spent extended periods in combat, leading to missed
milestones and experiences, particularly with their children, which can create
a sense of disconnection. Upon returning home, some veterans struggle to
re-establish relationships with family members, feeling a profound sense of
alienation from their communities. The psychological scars of war, including
trauma, can lead to emotional numbing, resulting in behaviors that may appear
cold or distant, further exacerbating family tensions. To address these
challenges, support groups and family counseling programs can play a vital role
in facilitating communication and understanding, helping both veterans and
their families navigate the complexities of their new roles and routines in a
post-service life.
Economic Development and Vocational
Re-Skilling
Upon
retiring from military service, veterans often encounter significant financial
challenges, as their income becomes limited and they must adapt their skills
for civilian employment. Economic stability emerges as a pressing concern for
veterans and their families, as military pensions, while providing a foundational
income, may not suffice to uphold their previous living standards. Many
veterans actively seek new career opportunities not only to ensure financial
security but also to regain a sense of purpose and productivity in civilian
life. The skills they honed during their service—such as leadership,
discipline, crisis management, and teamwork—are invaluable assets that can be
effectively transferred to various civilian roles.
In Sri
Lanka, veterans bring a wealth of technical and administrative expertise gained
throughout their military careers. However, the challenge lies in translating
their military-specific roles, such as signals operator or logistician, into
recognized civilian qualifications. This process necessitates a structured
approach to ensure that their experience is acknowledged and leveraged in the
job market, allowing them to successfully navigate the transition from military
to civilian identity.
Addressing Physical Health Issues
Retired
military veterans frequently contend with a range of physical health
challenges, including diabetes, hypertension, elevated cholesterol levels, and
other related conditions. Many of these individuals also endure chronic pain
stemming from injuries sustained during their service. To effectively enhance their
overall physical well-being, it is essential that veterans receive regular and
thorough health assessments, coupled with ongoing medical treatment tailored to
their specific needs. This systematic approach not only addresses existing
health issues but also plays a crucial role in preventing further
complications, ultimately contributing to a better quality of life for those
who have served their country.
Addressing Mental Health Issues
Research
shows that a significant number of Sri Lankan combatants experience
combat-related PTSD, war-induced depression, and challenges in post-combat
adjustment (Jayatunge, 2013). Veterans often require mental health services to
navigate the complex challenges that arise after their military service. Many
individuals face issues such as sleep disturbances and difficulties in managing
their emotions, which can stem from the trauma experienced during combat.
Research has shown that some veterans may develop post-traumatic stress
disorder (PTSD) symptoms later in life as a delayed response to their wartime
experiences. This struggle is not limited to the veterans themselves; their
family members can also be significantly impacted and may require support to
cope with the changes in their loved ones. It is crucial to address and
dismantle the stigma associated with seeking mental health care, as this can
prevent veterans from accessing the help they need. To effectively support
these individuals, it is essential to provide access to skilled mental health
professionals who can offer tailored services that address their unique
experiences and challenges.
Promoting Positive Lifestyles
Veterans
who have experienced combat stress often find themselves grappling with
negative outlooks and engaging in risky behaviors, which can manifest as
excessive alcohol consumption, high tobacco use, or even substance abuse. To
counteract these tendencies, it is crucial to promote positive lifestyles that
encompass a comprehensive approach to overall well-being. This involves not
only physical health through regular exercise and a nutritious diet but also
mental and emotional wellness, which can be nurtured through adequate sleep and
effective stress management techniques. Essential elements of this holistic
approach include cultivating strong social relationships, practicing
mindfulness and self-compassion, and pursuing enjoyable hobbies. Additionally,
making informed choices that prioritize health, such as reducing exposure to
harmful substances, plays a vital role in fostering resilience and enhancing
the quality of life for veterans.
Conclusion
Ensuring a rewarding post-military life for
veterans of Sri Lanka's Armed Forces is a shared obligation that requires a
multifaceted approach. This mission is rooted in recognizing the sacrifices
made by these individuals and leveraging their invaluable military expertise to
foster success in civilian life. To achieve this, it is crucial to enhance
economic prospects through targeted vocational training and entrepreneurial
initiatives, while also offering comprehensive, accessible, and stigma-free
healthcare services that address both physical and mental health needs. By
creating an environment that not only acknowledges their contributions but also
actively supports their transition, Sri Lanka can empower its veterans to
discover a renewed sense of purpose, security, and overall well-being in their
civilian years. This transition should be perceived not merely as a winding
down of their military careers, but rather as the beginning of a new chapter
filled with opportunities for personal growth and continued service to their
families and the nation.
References
Demers, A. (2011). When Veterans Return: The Role of Community in Reintegration. Journal of Loss and Trauma, 16(2), 160–179. https://doi.org/10.1080/15325024.2010.519281
Eldar R, Jelić M. The association of rehabilitation and war. Disabil Rehabil. 2003 Sep 16;25(18):1019-23. doi: 10.1080/0963828031000137739. PMID: 12944156.
Jayatunge , R.M. (2013). Shell
Shock to Palali Syndrome- PTSD Sri Lankan Experience. Sarasavi Publishers.
Colombo.
Misca G, Augustus J, Russell J, Walker J.
Meaning(s) of transition(s) from military to civilian life at the intersection
with mental health: implications for clinical settings. Front Psychol. 2023 May
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Solomon Z, Greene T, Ein-Dor T, Zerach G, Benyamini Y, Ohry A. The long-term implications of war captivity for mortality and health. J Behav Med. 2014 Oct;37(5):849-59. doi: 10.1007/s10865-013-9544-3. Epub 2013 Oct 29. PMID: 24165831.
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