World War 2 vets just come from a generation where you don't talk about things like that. Back in their time no one really understood PTSD and having it was seen more as a liability than a diagnosed disorder. The combat tours were up 3-4 years!!! at a times and only the most debilitating cases of PTSD which was commonly refered to as Operational Exhaustion or Shell Shock were addressed. They saw it more as a temporary issue of the mind "adjusting" to combat. The truth is it can't and many of those vets my grandfather and grandfather-in-law were both full fledged alcoholics to worse degree upon returning until their deaths. I have sat down with Korean, Vietnam, WWII vets and they tell absolute horror stories with a profound sense of duty because they honestly believed in their causes and believed they would be seen as heroes how horrible for them (most Vietnam vets) to come home and be spat on and called baby killers by the people the swore to protect. Just because you can justify in your mind taking another mans life does change the fact that you yourself committed such an act. Watching another man die is something you dream about for the rest of your life. It's not that he isn't bothered by it, he just doesn't chose to talk to people about who don't truly understand.
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