George Carlin observed that what they called “Shell Shock” in World War I, was called “Combat Fatigue” in World War II, “Operational Exhaustion” during the “Korean Conflict” and Post Traumatic Stress Disorder” in Viet Nam.  It’s now called “PTSD.” Carlin also observed that the words we use to describe a thing influence the way we react to it.  “Shell Shock” is vivid.  When you hear someone suffers from “‘Shell Shock” you want to help, provide first aid. The Boy Scout training kicks in. Someone’s in shock. Find a blanket. Keep him or her warm. Elevate their head. When it’s “Combat Fatigue” it’s  like they are tired. They just need some rest. No big deal.  When it’s “Operational Exhaustion” it’s abstract. Tired of the operations. OK, what’s your point? Really tired. OK. What’s your point?  When you hear someone has “Post Traumatic Stress Disorder” your reaction is different.  It’s out of my hands. It’s a disorder. They need a therapist, not first aid. Now of course, it’s “PTSD” and it’s totally devoid of any emotional triggers or context. Which means we don’t have to worry about it. We can let the experts handle it. 

But as Carlin observed, if we still called it “Shell Shock” we would want to treat poeple who have it, and maybe even try to prevent it. Maybe he was on to something. Maybe we should call it what it is. Shell Shock, and try to help people, and prevent it.