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The soldier in combat is trapped within this tragic Catch 22. If he overcomes his resistance to killing and kills an enemy soldier in close combat, he will be forever burdened with blood guilt, and if he elects not to kill, then the blood guilt of his fallen comrades and the shame of his profession, nation, and cause lie upon him. He is damned if he does, and damned if he doesn't.
Lt. Col. Dave Grossman, On Killing
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Bullet Proof Mind for the Armed Citizen Seminar
For PTSD, Shepherd Resource Group.