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Someone who has not studied the matter would underestimate the influence of leadership in enabling killing on the battlefield, but those who have been there know better. A 1973 study by Kranss, Kaplan, and Kranss investigated the factors that make a soldier fire. They found that the individuals who had no combat experience assumed that "being fired upon" would be the critical factor in making them fire. However, veterans listed "being told to fire" as the most critical factor.
Lt. Col. Dave Grossman, On Killing
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Bullet Proof Mind for the Armed Citizen Seminar
For PTSD, Shepherd Resource Group.