Exploring PTSD 1
I’ve been musing on PSTD and its symptoms, and this may turn out to be a multiple-entry thread, hence the no.1 in the title. But this first entry I want to explain a rather obscure symptom described in the DSM as “a sense of foreshortened future”. Now that doesn’t mean that I can’t visualise a tomorrow. But someone once put it this way: suppose you thought that your life would end tomorrow, or the next day, or even in a week’s time, what would you do differently? Ironically, that question is often used by christians to spur them to greater obedience and witnessing activity (though it’s not usually asked as one’s own life ending, but Jesus returning). And the point is not dissimilar. It is this – that your priorities would change. You would do things differently, and you would place emphasis on different things. And that is the reality that PTSD sufferers live with. One might almost say their priorities are skewed, and in a way they are. Some things seem pointless, while others take on a disproportionate urgency.
From this skewed perspective, and looking at one side of its coin – why push yourself to do the vacuuming if you’re not going to be here to enjoy the result (or suffer the consequences)? Why make an effort to keep yourself healthy, or looking good, if in a week’s time it isn’t going to matter? But the second side of the coin is an urgency to getting things done. When a PTSD sufferer thinks that something needs doing (in other words, something moves to the top of their priority list), that sense of foreshortened future compels them to do it NOW.
And that’s what a “sense of foreshortened future” means. On the one hand, it brings a lethargy, an apathy, over doing things that would otherwise be merely part of life’s routine, or part of self-care, because the ongoing sense of purpose in them that would see them done is simply not there. But on the other hand, it brings an urgency to dealing with things – often very small matters – that can push the imbalance even further off-centre, as normal priorities make way for a compulsion that often makes little sense, even to the sufferer themselves.