Fighting, battle, combat, and war.  These words bring to mind thoughts of .
            
guns, smoke, planes, bombs, and killing.  However, there is another .
            
characteristic of this type of combat, one we rarely consider.  The .
            
psychological effects war has on those who are fighting, or those who know .
            
people who are fighting, adds up to a great cost.  This is one aspect of .
            
fighting that is often overlooked, but there are great probabilities of being .
            
affected, responses to those affected, costs in government and human terms, .
            
and remedies for those who are affected.
            
    A psychiatric casualty is "a combatant who is no longer able to .
            
participate in combat due to mental debilitation.but with proper care, is .
            
able to be rotated back into the line [of war]," (Psychological 2).  These .
            
psychiatric casualties were first discovered in World War 1.  This was .
            
because the wars before that were called "gentlemanly wars,"  in which they .
            
fought during the day, and took breaks at night.  Many of the circumstances .
            
that the soldiers go through are all "found in cultural, geographical, or .
            
social circumstances, and when the ingredient of war is removed, individuals .
            
exposed to these circumstances do not suffer mass psychiatric casualties,"  .
            
(Psychological 4).  With the ingredient of war added, however, they suffer an .
            
"exhaustion of such magnitude that it appears to be almost impossible to .
            
communicate it to those who have not experienced it," (Long 2).
            
    In every major war of  the century, there has been a greater probability .
            
of becoming a psychiatric casualty than of being killed by enemy fire.  This .
            
means that individuals who survive combat may very well end up paying a .
            
psychological cost for a lifetime.   As I am speaking of cost, psychiatric .
            
breakdowns remain one of the most costly items of war when expressed in human .
            
terms, but "rarely do military establishments  attempt to measure the cost of .
            
war in terms of individual suffering," (Psychological 2).