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Conditioned fear can be extremely difficult to extinguish. It cannot be eliminated through passive deterioration or even active attempts to do so. Even if it seems that it has been extinguished, stress may cause it to reappear. What this means is that giving warriors the experience of losing in a simulation actually begins to condition a risk aversion pathway in the brain to which they may turn during similar experiences in the future--they may actually stop fighting and give up as they were programmed to do in training.
Lt. Col. Dave Grossman, On Combat
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Bullet Proof Mind for the Armed Citizen Seminar
For PTSD, Shepherd Resource Group.