Quotes and Tropes Influencing this Effort

Quotes and Tropes Influencing this Effort

In addition to Natan Sharansky's quote and reference to Abraham Lincoln's "Mystic Cords of Memory," the following have provided civilizations with important sayings that in their reasonablenesses influence much thought, infusing it with meaning. When applied and interpreted metaphorically, they even serve as tropes. They also have influenced this work: The Pretty True Texas Series, and even before knowing of their existences, all that I've done over the past four decades in creating ETM TRT SHOM.

Albert Einstein

"We can't solve problems by using the same kind of thinking we used when we created them."

Sigmund Freud | Brought to my attention from, and thanks to, Eric Kandell's The Age of Insight: The Quest to Understand the Unconscious in Art, Mind, and Brain, from Vienna 1900 to the Present... ; 2012; Chapter Five.

"We cannot do without men with the courage to think new things before they can prove them."

Stephen Hicks | from "Nietzsche and the Nazis;" Paraphrasing my understanding of that author's (Hicks) message:

Us commoners will have to uncommonly learn the elements pertaining to and comprising the epistemology of trouble: the meaning and influence of philosophers' ideas that drive humankind, when it is mostly heading for destruction, and if we, otherwise, would like to head it off.

Aleksandr Solzhenitsyn

"Once I used to hope that experience of life could be handed on from nation to nation, and from one person to another, but now I am beginning to have doubts of this."

Jesse W. Collins II (me) | from The Great Evidenced-Based, Cognitive Behavioral Therapy, Self Help and Government Merger: Monopolistic Cultural Infusions of Pharmacological and Behavioral Whack-o-Mole; and, Combat  Psychological Trauma — Cope or Cure!?

"Had I another five hundred years, I could not have created a more perfect public and organizational management psychopathology than Evidenced-Base's Nosotropically-biased, epistemologically-bigoted, and mass-clinical-duping application to individual and systemic — particularly to include combat-caused — psychological trauma."

Part I: Regret and Consolation

Regret and Consolation

I began telling this story, in part where referenced in the Introduction to this work, as a reunion-styled hobby pertaining to a history of a group of people once known as the Westbury Rebels of Houston, Texas, graduating classes of 1962-1965. From that research, experience and effort, which has encompassed almost a decade, I've had one salient regret, which I express here. Illness precluded me from being able to publish all the stories of extra-, but what was humbly believed virtually by each principal to be "just," -ordinary life produced in the otherwise dramatic reality of that population. But the truth is that not only were they particularly NOT ordinary, at least all of the time, but they were special in their remarkability to meet that which befell them.

It wasn't only the rigors of daily life that confronted those early Westbury Rebels as they graduated into adult reality. But due to the technologically-influenced globalization of the world, these, as would turn out, not-so-ordinaries faced over their time and now most recent half century an ideological and methodological confluence of various and differently conceptualized, planet-rule-configured, and almost always conflict-based, which also made them conflicting, approaches to life. Spawned out of that melee and targeting Western civilization's freedom-bulwark, America, externals comprised of psychological-war-adroit hostiles shortened the threat attack corridor with periodic terror-styled taking of life, and national identity-depreciating words. In this strategically invasive form, the offensive trauma/terrorism-inducing onslaughts would place additional and myriad demands — and often without their even being aware, much less understanding of the destructive mechanizations being waged against them — upon these Texas peoples', that is, the referenced Rebels' character. From and to which such challenges, these folks, who otherwise just wanted to mind what they considered to be the managements of their own lives and business, would  rise to better define and then defend, yes fight in their individual and collective and as well both simple and complex manners for this group's millennially developed, but also new and ever-growing, hallmark: freedom. It would be sustained by this bunch of Rebels who — along with the era's other high schoolers and their decedents from the rest of the great state of Texas, and then entire country, America — would take their turn at the responsibility-for-existence helm, and in so doing save that civilization and its notion of Being from extinction.

Although disappointing that those individual stories could not all be told (by me), I have felt consolation in being privileged to participate in the project as a whole, and thus to contribute an interpretation of these people’s importance to the referenced grander scheme of things ─ survival of the freedom-pursuing element of the species: us.


Appendix C: Glossary

Appendix C:  Glossary


Acronyms represent, respectively,|
Etiotropic Trauma Management
; Trauma Resolution Therapy; Strategic Human Ontological Management

Identification Basics

ETM TRT SHOM is a secular1, drug free2, strategically structured psychodynamic3, Etiotropic/etiology-focused4, and ontologically-based5 approach to management of psychological trauma and its individually-, systemically-, organizationally- and community-/nationally-/civilizationally-presenting influences.
What ETM TRT SHOM is NOT: It is neither a (to reference several competitors) Behavioral, Cognitive Behavioral, Nosotropic/symptom-focused, non-secular/conversion, non-structured psychodynamic (e.g., Analysis or Person Centered), pharmacologically supportive, eclectically-oriented, or Exposure therapy; nor is ETM TRT SHOM a Twelve Step-based, -related, or -configured, or other self-help or general counseling life-coping-based methodology.

Longevity: thirty-six years; but initiated earlier, 1976. TRT’s formal development started in 1979 – completed in 1982. Tested through 1991. Currently extant. See Professional Due Diligence for the First Secular Cure of Psychological Trauma (PTSD).

Concepts and Terms

Cope or Cure?!

That’s the question to ask and answer when contemplating psychological trauma and all its ramifications.

When having to face, confront or otherwise address ─ from any perspective, i.e., either clinically, managerially, or self ─ psychological trauma and its behaviorally identified extension (post-traumatic-stress-disorder), make your evaluation through a lens that either directs you to apply a coping approach (ever-continuing life management) to the trauma, or to, instead, cure it. In this usage, don’t be afraid of the “C” word! It’s for constructive analytical and implementation management, not marketing. In the Etiotropic paradigm, “cure” means to direct all respondent resources to alleviate the condition so that it no longer exists or presents, or is likely to present, within the life cycle. Nothing of the condition remains to be managed. Contrasting that with the Nosotropically7 restricted, and as well encumbered by the more temporary adaptive/coping conceptualization to problem-solving, ongoing, that is, as in ever-continuous, symptom-reduction/-control, or “coping,” skill-sets like those, for example, comprising Cognitive Behavioral, Codependency-based, and other behavioral-monitoring therapies and management devices are not required. They can and do even get in the way of efforts to sustain congruity through complete resolution. ETM TRT SHOM’s thesis asseverates that full (clearly delineated and incrementally sustained) reversal of trauma’s etiology ends the likelihood of behavioral presentations, which include post trauma symptoms, and whether they currently qualify under DSM promulgations as a disorder, or not. Speaking conceptually, metaphorically, and even practically, Behavioral therapy/management and their coping-ordered derivatives are good for air mobile assaults and amphibious landings; ETM TRT SHOM is intended to help us to not have to do those kinds of things in the first place, at least all the time, and particularly as was requred so routinely during the twentieth, and still now at the beginnings of the twenty-first, centuries.

1 “Secular”: Generally speaking, “secular” refers to the use of psychological (Greek version of "soul") as opposed to spiritual (e.g., Hebraic and some Eastern conceptionalizations of the same) variables when attempting to solve problems related to the human consciousness. Sometimes (NOT in ETM), “secular” refers to a policy/philosophy/methodology) that disallows any focus on a God, God, or other supreme Being. In application by ETM, “secular” refers to the first use. Although the primary help in ETM does not come from the application of Conversion, which is one component of a non secular helping remedy, ETM does not preclude the use of that non secular approach in parallel applications.

2 Drug Free: means that the management/therapy-where-required program is applied in non medicated or, again, drug free environs. “Medicated” refers to not just abusive or addictive use to, say for example, Marijuana, alcohol, prescription psychotropic medication, and opiates, but to social, controlled, medicinal, or entertainment use as well. The non-drug use policy attending ETM’s application is not based on moral, religious, addiction-interdiction, systemic prohibition and other behavioral-control rationales, but on the facts related to those both formal and informal medications’ interferences with neuro-molecular learning and unlearning that attends complete resolution, or the cure approach (referenced here as ETM TRT SHOM™), to management of psychological trauma.

3 Strategically structured psychodynamic: This linked phrase represents through summary the differences between ETM TRT SHOM and all other, and particularly psychodynamic-based, Behavioral, Cognitive Behavioral, and Conversion (non secular) social management problem-solving models. Clicking on the link will take you to a detailed explanation of both the phrase's meaning and the referenced differences.

4a Etiotropic/Etiology-Focused: generically refers to problem solving that focuses upon the origin, source, core, or medically speaking, etiology, of a problem or condition. When applied to management and treatment of psychological trauma, “Etiotropic” refers to the focus of problem solving on the identification and reversal of trauma’s etiology ─ i.e., restoration of event-sundered existential identity6. Putting the definition into perspective, “Etiotropic” means the opposite of “Nosotropic,” which in contrast focuses problem solving on thought/behavioral symptomatology.

4b Trauma Etiology, also recognized here as molecular extinction, presents in this epistemology's definition as a neurobiological phenomenon having psychological-to-behavioral consequences. The biology is manifested in synaptic learning theory pertaining to long term potentiation of the synapse (traces) retaining the existential aspects of identity. Imposed change, that is a traumatic event, also manifest in that same substrate as long term depression of the predominating identity-retaining synapse simultaneous with an inhibitation by another synapse (trace) forming the new reality, or also called now decimated or changed original/pretrauma identity. The entire process is called molecular extinction of the synaptic substrate of the referenced and target/attacked identity. And, moving into the Nosotropic aspects of the condition, the morphology is facilitated by the body's HAPA or also termed stress response. It produces the neuromolecular proteins and neurotransmitters (at least Opioid, Noradrenergic, Glutamate systems) to build the new and expanding synaptic base. The change is referenced as synaptic plasticity or morphology. To support that morphology required to augment or otherwise house the new reality created by extinction, the brain engages creation of abstract realities that give cover to and for the ongoing extinction. Those abstractions, which can include denial of the extinction through delusion and so forth, present as thought/behavioral symptoms of the etiology/extinction activity. 

5Ontologically-based: "Human ontology" equates, in general terms, to human essence. So it is in ETM definitional, i.e., specific terms as well, but with some attempt in the presentation of that detail to provide additional clarification to the concept. That is done within its own chapter found here. And, it is necessary in order to strengthen the understanding and remedies against onslaughts upon or into ontology. Summarizing, where human essence/ontology is felt, experienced, understood, known, or intuited as the spirit of a person, in ETM parlance (and without intending to detract from that conceptualization) the description encompasses the neurobiology (to include neuromolecular unlearning and learning) comprising the whole of the organism as it lives and represents itself through its both conscious and unconscious existence, thought, feeling and functioning. Historically, human ontology's configuration has been relegated to and through Greek (psychological), Hebraic or Oriental interpretation (spiritual) of soul or being. A purpose of the use of this term "human ontology" is that the focusing upon this referenced "essence" shifts otherwise error-ridden clinical psychological and social management construences away from more singularly, hard-lined, or myopically focused Behavioral interpretations (that is, we are only what we do and achieve, and which also can be categorized by third-party evaluation) of the human consciousness.    

6 Existential Elements of Identity: Identity configures with lots of elements, thus can receive the same numbers of descriptions and interpretations. Most of them play an important role when Etiotropically addressing trauma etiology. However, existential elements of identity standout as requiring the most focused and assured care response because they retain in the psyche the engineering for continuity of the organism or other entities, like a relationship or multiple ones, e.g., those comprising a family. Without those elements of continuity, ongoingness is lost, and so also sometimes is even the will to survive. So existential elements of identity include retention of such things as value, belief, reality, and image that pertain to or otherwise maintain the continuity core: we need it to continue to exist. Moreover, existential elements of identity provide one of the, say for purposes of emphasis, pylons/foundational-pillers, and also argued here to be core, of the earlier referenced (footnote 5) human ontology.

7Etiotropic Trauma Management: The remedy, therapy, trauma management response, whether individually or systemically applied, directs through ETM TRT SHOM’s strategic and structured application the response to achieve the primary clinical and managerial goal of individual and systemic etiology reversal ─ i.e., restoration of event-sundered existential elements of identity.

8 Nosotropic (Symptom-focused): Problem-solving focuses on the identification and removal or ending of thought/behavioral symptoms emanating from a proposed condition.

9Strategic Human Ontological Management (SHOM): SHOM is a theory and methodology that extends practical applications of Etiotropic Trauma Management (ETM) and Trauma Resolution Therapy (TRT) into a community, particularly one which has defensive (from attack/invasion) responsibilities for a group; for example, nations, states and civilizations. Where ETM TRT is based in several decades of actual application/testing and etc., SHOM (and due to incapacitating illnesses and injuries affecting its authors beginning in the late 1990s) has been created as adjuctive theory and method for achieving its (Etiotropic Management) goals in the broader application. They are published in part here (Author's Message) and more completely here.

10Exogenous Variables in Etiotropic Trauma Management

Exogenous variables refers to those cultural characteristics that influence the resolution or not of trauma. They include medication, other social (controlled) or pathological (uncontrolled) drug/alcohol use, and stringently applied thought/clinical therapy models which may intercede and interfere with the resolution activity referenced herein as TRT. 

The TRT Module Screens For, and Screens Out Exogenous Variables 

The goal of TRT’s application to an individual is to completely resolve that trauma attending a single source. “Complete resolution” is analogized as a “cure” for psychological trauma and its Behaviorally codified manifestation, “PTSD.”  Achievement of that goal depends from the onset on the establishment of a clinical environment which precludes interference by certain exogenous or cultural variables with delivery and thus use of the methodology. In TRT, that environment is called a clinical module. It consist of a set of rules, standards of clinical delivery of the service, and agreements between TRT therapist and patient that when adhered to establish the referenced environment which supports achievement of the noticed goal. Those rules, standards of delivery and agreements preclude: 

  1. 1.parallel application of psychotropic medications and previous applications of the same even though the patient has withdrawn from that use; in the latter instance, a substantial period of time since the use may support TRT’s application in the current period, but not with the expected complete resolution or “cure” level of results.
  2. 2.periodic social drug / alcohol use (not chemical dependency – see “3” next), for example, the patient engages in TRT group on Wednesdays and drinks even only two beers or glasses of wine on every Saturday, and no other alcohol or drug consumption occurs during the week.
  3. 3.co-morbidly occurring issues, such as Bipolar Disorder and Chemical Dependency are not addressed within the module simultaneously with theShould they present parallel or in concert with the source of trauma being addressed or considered at this stage, these additional issues are addressed in separate clinical forums and not in this application of TRT.
  4. 4.non pathological social use is treated herein as an exogenous variable that will preclude reaching the highest completion of resolution (cure) level {see above “2”}; pathological drug / alcohol use is addressed as a primary issue of its own and one of the sources of trauma that should be addressed after the patient attains substantial sobriety within the ETM multiple sources definition and instruction for treatment.
  5. 5.application of TRT for the purpose of controlling or ending symptoms (meaning DON’T do this) rather than for resolving the trauma, that is, reversing the trauma’s etiologies (there are two); do not apply TRT when or if the person is engaged in a rigorous Behavioral control or modification program parallel to TRT’s application.
  6. 6.addressing a traumatic event(s) that occurred before the age of three years (this is not exogenous variable, but a limitation of the therapy; it can, however, possibly and even likely be addressed by TRT if done so within the multiple sources of trauma TRT application guidelines).
  7. 7.traditional application of TRT when a traumatized person is currently being exposed to an ongoing threat to the continuity of life, for example, as is a person who is (currently) living in the role of a battered spouse; specialized - strategic application of TRT is required in order to first protect the person’s life.
  8. 8.psychotropically medicated, social drug / alcohol using, or Chemically Dependent using therapists from attempting to administer TRT.

 11Hysterical: Within ETM TRT SHOM parlance, "hysterical" refers to the creation or adaptation of a continuum of interrelated abstractions (e.g., philosophies or other like attempts to answer "Why" the imposed change — extinction — is occurring.) that are hosted cerebrally and/or in the cortex, and that are intended to assuage actual and prospective trauma-affected discordance in functioning in compliance with the — as different from the location of trauma induced extinction of stored pre trauma elements of identity — narrative/directive/doctrine otherwise previously guiding the targeted/attacked entity's ongoing status: i.e., experience of state of continuity. The conscious adaptations may be temporarily beneficial as apparently much needed healing coping mechanisms, and at the same time paradoxically destructive as blockers of extinction's completion. In this use, "hysterical" doesn't have to be represented by ostensible loss of management control, which in easily recognizable action attends the culminating manifestation, but can be instead at the beginnings of its development the simple adaptation of cliche or the formation of original thought, philosophical in nature, but that always defends the psychology during survival from the onslaught of change to one's, to include where applicable a group's, psycho-basics. I've used this consolidating-of-clinical/management-descriptions approach because, as all TRT clinicians/managers inevitably see, the continuum for the beginnings-to-ending of hysteria occur synonymously with the pertinent professions' ordained culprits of final dissolution: lower level-to-moderate-to-massive denial, confusion-to-disordered-to-chaos of thought, contradiction-to-undermining of conscience, initial shock-to-diminished performance-to-full erosion of the capacity to carry on. They all come from the same start up — intellectual adjustment reaction to trauma etiology — attempts from the first interrogatory to restore the trauma decimated core with loftier philosophical visions promising new, but eventually faux hope: "That the extinction is not occurring."

Linear vs Nonlinear Problem-Solving Applications in
Etiotropic and Competing Trauma Management Paradigms


Behavioral, Cognitive Behavioral, and Rational Cognitive styled therapies and related social management techniques provide examples of linearally influenced — straight line — applications to human problem solving. In this scheme or narrative, "a", if not "the" primary solution for solving thinking related kinds of problems relies primarily upon exposure, that is development by the affected of conscious awareness of the improper functioning. In turn, education through its didatic application in web site activities is applied logically to the most apparently visible variables with the idea that awareness of the malady's behavioral manifestation will remedy the discord, dysruption, failure to act logically or in accordance with the views of those applying the fix.

One example would have it that a target or victim of a traumatic event could be shown that his or her behavior has gone askew following a very difficult event. The remedy would show how to respond to that event's influences more constructively. Control of traditional means of functioning would be restored after the awareness was imparted to or upon the trauma affected person. From interpretation to implementation, the fix is applied over and throughout a straight line of logic: linearally.


Nonlinear means, as it is applied here, that multiple, referring to two or more, processes occur at the same time and may even be presenting as opposites; the thinkings of one entity, either being an individual or system, are evolving out of the expression of intent to achieve goals that are not only not the same, but positioned paradoxically. Achievement of one goal would counter achievement of another perceived as equally important. That prospect would produce a nonlinearally thinking or otherwise functioning entity, individual or systemic. At the same time, the entity is moving in completely different directions where one effort is pitted against the other.

That nonlinear development for a traumatized individual or collective psych epitomizes the problem identification component of the perspective underpinning the Etiotropic approach to trauma management. Hence, the problem solving application is nonlinearally adapted to address the referenced opposites, which otherwise precipiate an apparent division of the psych. From this view, linear remedies, when applied alone, support the division — split in the psychology — by focusing only on one side of the paradox (referring to the born-to-clash opposites) and to the detriment of the other. In linear problem solving, that other is ignored, even excluded from participation in the remedy. In the nonlinear approach, the "other" is equally defined and addressed simultaneously. Because Etiotropic Trauma Management considers and then addresses both elements of the otherwise paradoxically operating phenomenon splitting the psych, or pitting it against itself, ETM functions to the address of that end as both a linear AND nonlinear convention for trauma management. But there is more to that idea.

Historically, before clinical Behaviorism from Victor Pavlov came on to the scene, nonlinear psychic challenges were routinely addressed with psychodynamic-styled remedies like psychoanalysis and, then later at mid century, Person Centered therapies. But psychodynamic models had their problems. Dealing with the unconscious where opposites and their contradictions prevailed didn't just take a while, but were also notorious for lacking in linearly established problem identification, clear cut  establishment of goals, and direct methods for their achievements. That would change, though, beginning in the last quarter of that century. Strategic psychodynamic applications like ETM TRT SHOM provided an approach where the exactness and preciseness qualities attending linear management could be merged with the nonlinear principles formerly used to address "internal processings," i.e., the functionings of the unconscious as it related to dealing with psychic conflict. Nebulous time and lack of remedy direction, not to mention the failure to experience the congruity attending certainty, all negatives formerly attending the nonlinearal-only based psychodynamic approach, could be not just circumvented, but overcome.   

From the ETM TRT SHOM view, psychological trauma can only be partially solved through application of awareness-development, i.e., the otherwise cornerstone of rational cognitive, Cognitive Behavioral, Behavioral Therapy, each being either a derivitive of or adjunct to Behavioral Management techniques. That makes the problem, even, appear incurable. Not so. Instead of just applying awareness-development, the paradoxical manifestation may be addressed strategically through human interaction that allows the division of the entity, whether individually or collectively presenting, to be concluded, and with near or at least a comfortable level of exactness. Hence, ETM TRT SHOM is both a linear  and nonlinear approach to human problem solving when related to matters of psychological trauma.

The internet educational materials and blogs published under the ETM TRT SHOM model accomodate the linear vs nonlinear influences into the presentations.  


The Chirp™ Period

Chirp's Primary Purpose — Convention or Meaning

Before describing Chirp epistemology, its importance to ETM TRT SHOM online education should be considered. That is, its primary purpose of Chirp is to convey the presenter's/author's meaning as accurately as possible. To understand that purpose's relative value, on the one to ten scale, English or, say, Arabic grammar, spelling, paragraph, theme construction and other well formed conventions would rate an eight, and conveying meaning accurately would get the one rating. Morevover, one would be best. Ten would be the worst, or maybe to mean just less important. 

What is Chirp?

"Chirp" denotes the communication change adopted in response to the Internet's influence on expression. Several stages and phases hallmarked the era from early development to its currency, which at the time of this delineation is 2014. Chirp has been in transition, that is transforming itself, since its inception.

Chirp was Originally Comprised out of or from Email's Internetese

Beginning in 1993, Internetese was hallmarked by: anything — any words, any symbols/images — goes when writing in or otherwise sending an electronic note that fit within the screen's inner allotting  frame.

Rules Revolution in Expression

Grammar, spelling, paragraph and theme structure were ignored/absent/incongruous, but at least were turned over to a software for configuration.

Gatekeeper Absconding with the Loot

Races for establishing privately developed technical standards, most used portals, and mass attraction / management made traditional expressions that used to convey full meaning, meaningless. Expression had to fit within the new confines, which then would disappear with the antiquation of the ever changing technology, and sometimes those who owned it.

Frontal Lobe Everything: A New Way of Being

Electronic character restriction first summarized full thought combined with feeling, and then replaced both with fusion into something else not, yet, fully defined. But the development seems, in places, to be a facimille of what used to be termed "kneejerk-like" thought. But that might not be fair, given today's overall standards for being — most everything is short-term.


Statistical interpretation objectified away the fringe, which stunted exploration of both the frivolity of nonsense and depth attending growth through expression of new and even worthwhile ideas.


Benjamin Franklin is said to have stated that freedom of the press was a great thing, for those who could afford one. Now everyone can. So thank God, no matter the challenges brought about by its shortcomings, for the Internet. I always think it's entertaining to watch where it, and in part, we, are going, and thus what we appear as a mass to be becoming, at least for a little while.

Closed Captioned's influences on Chirp Identification, Internet Categorization and Naming 

When watching a streaming movie through one of those services, the closed captions at the bottom of the screen written in the selected language describing peripheral (walking through woods, or an open meadow) content read, even when I couldn't hear the real thing: "Birds chirping." "Crickets chirping." "Insects," and myriad small "bugs," even, "chirping." Every once in a while, emphasizing rarely, a bird will "tweet." It apparently represents a lesser sound element of the otherwise grander whole. Thus, I think the bigger view, the macro, should be symbolized by its actual manifestation. Hence, "Chirp."


Cult Management Principles Tied to Death Clauses
(Applied to these Circumstances)

"Cult" refers, generally speaking in this work, to organizations that exploit their members' individual ontologies for the primary purpose of advancing the overall's political — to include enhancing pecuniary interests — power. Although the term is not applied in these essays, usually, to beat up or otherwise discredit the group referenced as such, it does emphasize as a negative an identifier of collectively administered, doctrinally standardized, stringently conforming, and most probably pathological individual member to correlated public-/masses-management controls. Moreover, they can and often do come with their own systems of logic that get extra external attention when they include into their member psychologically manipulative strictures prospective applications of violence, and even in the extreme for maintenance of that control. For example and among other things, death for apostasy can assure the application of image maintenance controls by and from the collective — zero attrition supports the appearance of near ordination of the whole program, with everybody in it feeling part of the always-thought-to-be-ascending comfort and joy. Death for defamation adds both circumspection and politeness to group interactions. Death for blasphemy strengthens definitional focus on the spirit component, keeping members worshipping the approved words, symbols and philosophical notions which support the program in charge. And, death for psychologically dishonoring one’s family extends cult systemic control management authority for administering overarching organizational principles — everybody watches and attempts constantly to conform everyone else — into that (familial/tribal) core unit. Having said that, those death-based controls are not allowed, in this example application to Islam, in non Islamically managed countries such as those comprising the Anglosphere, and as say where they are so allowed/led in Iran, Sudan or Saudi Arabia. Giving us another perspective, the organization, therein, could certainly be considered non violently cultic in those (Anglosphere or European) vicinities. But if a transnational traveling Muslim, I would be circumspect regarding where I would visit, lest I should find myself subject, all of a sudden, to greater constraints.


Author's Message

 The following essay, entitled "The Author's Message," precedes virtually every publication—usually written to clinical therapists and those having social management responsibilities—that contains ETM TRT SHOM information. Although this series was originally designed and produced for a different audience, the general public, the essay/"Message" still warrants presentation.

Author’s Message
Author’s Thesis and Goals Underpinning ETM TRT SHOM Publications

Having done this work for the past three decades-plus, I’m leaving the next generation of dedicated ETM TRT professionals with this missive. Naming it the “Author’s Message,”

it is the most important statement to be made about ETM TRT by its author, showing its meaning for and importance to humanity and concluding with clarification of the model’s goals set for it to achieve by the end of the twenty-first century.

Restating for emphasis, ETM TRT has endurably, completely and Etiotropically resolved the psychological trauma affecting every case to which it was administered in accordance with its application criteria. As ETM TRT’s author celebrating this thirtieth (plus) anniversary of its initial development (1979-1981), I am stating what I have learned starting with the years just following its inception and continuing thereafter to be true: “Resolution” as I’ve employed it here means that

ETM TRT has cured, stills cures, and will continue to cure immemorially

people affected by psychological trauma and its more recognizable outcome Post-Traumatic Stress Disorder (PTSD). Moreover and in case you have not understood the full meaning of this statement, no other secular-based body of psychological research and study has ever provided the world since the beginning of humankind’s existence a view or experience of this phenomenon’s equal. Imagine the final removal of the deepest, darkest vacuum of devastation that heretofore has hollowed our hearts and minds of their ontological essence, vacating ordinary existence, joy and pleasure from our lives as they have been taken inexorably over the millennia to their endings, never having known without abuse their life’s wonderments. Albeit not intended as an ideological creation for a utopian person, society or world civilization, due to ETM TRT’s applications so far to some members of our generations, for them there’ll be no more sequestered haunting trauma attended by seemingly perdurable loss-causing shock, horror, unyielding anxiety, hurt, shame, sadness, disillusion and everlasting depression.

Psychological trauma has two other functions different from just being the intrapsychic source of individual, family and community life long misery. These variables make psychological trauma the Gordian knot to be untied if anyone other than me, and I know already that there are a few, intends to end pain and suffering that has been reinventing itself as if an infinite part of man for (at least) the last three to five thousand years.

First, psychological trauma provides an inexhaustible fuel supply for that inveterate relic of the once dark ages of mental health, the “cycle of violence.” Traumatized people sometimes traumatize others, including even their loved ones. In that same vein, traumatized people have also been found to be hindered by the same trauma from defending themselves and their loved ones against recurring like events. Second, psychopaths use trauma, for example, created through the killing of innocent citizens as a time responsive intrapsychically implanted manipulation device that systemically controls their political oppositions’ defensive management activities. That is called “terrorism.”

Strategic ETM employs its oft referenced to be daedal structural features in conjunction with TRT’s ability to cure trauma affected individuals and systems in order to expunge and then dispose of that system management debilitating fuel that repeatedly re launches the “cycle.” Removing the fuel interrupts the cycle and then ends it.

Thereafter, what also can we expect to succumb to our cause, determinations, and Strategic ETM strengthened capacities? It will be those perpetrators of perpetual calamity and hysteria. That is, strategic uses of ETM will end not just their hegemonic methods, but also the very existences of those people who would commit the heinous and vile deeds the methods require to traumatize their prey. The days where terrorists so adroitly exploit peace and innocence to advance minority interests are coming to an end. Without any equivocation, ETM TRT is the sword that will cut the Gordian knot of otherwise believed to be human nature-inspired thus ever continuing criminal, as in terrorism, violence.

Imagine, then, even more profoundly if you dare, what our world could be like without that cycle of violence and the ability of psycho-socio-pathic offenders to use trauma to control others; although ending that cycle is not suggested or intended to produce a utopian civilization, it is the intent to create one that operates itself without perpetual heinousness constantly attempting to predominate decision making: that is, how we conduct and otherwise manage ourselves. But at least if our thirty years past, current and near future preparations work, that is, establishing global understanding that trauma as a horrific and sometimes self-perpetuating force can be removed from our planet’s populations’ lives, then our next generation of determined ETM TRT professionals can more easily and readily spend their time just finishing the job of actual implementation: extricating the rest of our civilizations out from under trauma’s now obscenely unnecessary multidimensional burden. After achieving the goals of ridding our citizenry of trauma’s effects and then preventing it from being used by criminality and the insane, who knows what else a world without psychological trauma can do?

I intend to train and certify as ETM TRT SHOM competent and with my authority to administer the model, only those professionals who can and will ascribe to the referenced goals. And please know and remember: Even if you are not the administrator of ETM and SHOM’s strategic functions, it is the clinical TRT incremental work done at the individual cure/trauma-etiology-reversal level that can and will make the more grandeur view become reality.

Appendix D: Preface from the "Whackomole" Book

This preface was originally written for another book which was issued as an OPED protest of media-alleged maltreatment of veteran mental health care at the beginning (2006-2007)of the twenty-first century. The referenced work's title is The Great Evidenced-Based, Cognitive Behavioral Therapy, Self Help and Government Merger: Monopolistic Cultural Infusions of Pharmacological and Behavioral Whack-a-Mole; and, Combat Psychological Trauma; Cope or Cure!? by Jesse W. Collins II.

I've placed this information in this online book because it highlights the relationship of trauma, its Etiotropic management, and application to the problem solving efforts involved in this particular discussion. They are not just how to define and prevent ruination of individual and collective identity in clinical scenarios, but how to stop or otherwise intercede externally generated attacks upon that base of a person's, community's and nation's decision making. This preface, then, summarizes the gist of this body of knowledge, how it came about, and where to direct a search to get the details of its epistemology and implementation.


The entire Etiotropic underpinned work encompassing nearly forty years and referenced in this book (and thus on the ETM TRT SHOM System of Health Care website) was initiated out of default by the psychological and medical professions to define and thus address coherently, congruently and competently the human consciousness as it adapted to psychological trauma-causing events and their human psychological consequences. However, in my role as a founder, CEO and Clinical and Compliance Directors of a national group of licensed Chemical Dependency and Psychological trauma treatment facilities, trainer of psychotherapists of most disciplines and epistemologies and their  counterparts coming from the various theological constructs, and the Certifying Authority for the Etiotropic Trauma Management and Treatment Clinical Therapist and Counselor Training and Certification program, I treated that group of professionals and thus their attendant organizations including academic ones representing myriad disciplines, epistemologies, ideologies and theologies with deference ─ respectful regard, even when those models clashed antagonistically so with other thought constructs, backgrounds and trainings, to include my own. I believed that in the main and as individuals most professionals’, at least at ground implementation levels, hearts and minds were focused upon meeting their responsibilities to their patients ─ no matter my always ongoing managerial requirement to understand and account for the widest perspective possible in order to respond effectively to that increasing potpourri of intellect and learning ─ that those efforts were being encumbered by cultural systemic forces influencing quality of delivery and service performance beyond their individual professional understandings and controls.

Times have changed. Although I’m not making this issue a life crusade, I do intend in this particular book, my fortieth, I think, related to the Etiotropic approach to psychological trauma, to interpret for the reader, the parts of the society needing help related to these contents, and the psychological profession what I consider to be gross negligence if not mal- and misfeasance by its leadership in the management of psychological trauma as it occurs and presents through its host for assistance or other remedy or at least a competent response in and for this culture. 

Summarizing what I’m going to tell you in this book:

1.      Psychological trauma is not a behavioral issue; it is about human identity, to include human ontology in trauma harmed identity’s restoration.

2.      Despite DSM categorizations and promulgation to the contrary, psychological trauma and its behavioral manifestations should not be treated as a disorder; they are a natural phylogenetically-directed integrative neuromolecular process of extinction through the Long Term Potentiation and Long Term Depression inter-hibiting interplays of those neural synaptic processes that provide the substrate for the psychological concept of identity; although Behaviorism takes off on synaptic interplay, its molecular learning and storage variables are different from those representing identity. Worse, they convolute non homogenously. The disorder conceptualization when applied as an integral component ─ as it is in Cognitive Behavioral Therapy ─ within the helping interaction impedes the brain integration effort; the Behaviorists, Cognitive Behaviorists, or whatever they are calling themselves most recently in the current era, are forcing inappropriate learning upon the natural neuromolecular integrative process attending identity extinction.

3.      Behavioral (including the reformative Cognitive-Behavioral delineation) remedies that attempt to alter post-trauma behavior either interfere with molecular extinction or worse exacerbate the consequences of that interference, in the process changing the natural remedy into a life injury, making it impossible to address successfully from both that epistemology (Behavioral) and almost any other. Hence, that group holds the view that the behavioral delineation, PTSD, is incurable. We agree that it is not only incurable from within the Behaviorism model, but that approach, itself, becomes the principal cause of the new and ever continuing both individual and social management problem.

4.      Where pharmacological methods are necessary for schizophrenia and bipolar based illnesses, those approaches can and do impede the referenced natural extinction activity that otherwise end with complete resolution of psychological trauma and its behavioral manifestations; combining pharmacological applications with Cognitive Behavioral Therapy assures trauma’s incurability for life and a concomitant dependence on medical professionals and pharmaceutical corporate organizations for services and products that sustain those vendors with lifetime economic markets and the users with ever continuing ─ but pathetically unnecessary when compared to the Etiotropic catch-and-release-metaphorically-styled (meaning instead of turning a tragedy into a helper’s house in suburbia or automobile payment, to identify the trauma’s etiological influence, cure it as in incrementally facilitating it to complete resolution, and then get out of the victim/target/patient/client’s way) program ─  psychological sustenance.

5.      The Behavioral disorder promulgation stigmatizes those, particularly active duty military personnel and veterans to which the nomenclature is appended, results in systemic management intolerances that impede address of the actual issues involved; the impediments retard organizational efficiency and performance.

6.      Caring about individual citizens influenced by trauma facilitates the brain integrative process for those affected; that caring attribute, particularly when it is focused at the locus during the integrative process, is more important than objectifying the trauma affecteds’ injuries into the scientific lexicon, and to be certain taking the minds of beneficiaries (patients of Behaviorists or other members of the public) of the helping effort in there with you. In fact, that approach underpinned by objectification of the issue through intellectual interpretation of the malady gets in the way of what otherwise is a very simple remedy.

7.      The Behavioral approach to trauma is inherently a hegemonic  thought – management model that itself is produced out of trauma. It will always attempt to dominate its ontological and existential – focused counterparts or competitors, in the process ironically shutting down the very and only capacity of the human being to learn his or her way out of a perpetrator-contrived condition that either causes aggression or allows it to continue systemically.

8.      The conflict between Behavioral- and ontological-based managements is extended into social management or macro government management configurations; when the ontological side wanes, lives are lost in the millions and big money is unnecessarily spent.

9.      Behaviorism is a Nosotropic, that is, symptom-focused remedy. The model I represent is an Etiotropic, meaning etiologically-focused remedy. When applied to psychological trauma, the Nosotropic approach is engineered to always fail at both individual and systemic levels. The Etiotropic approach will always succeed, albeit if the aggressive politics utilized by the Nosotropic system of care do not get in the way; study and subsequent adaptation of the Etiotropic paradigm demonstrates clearly, unequivocally and incontrovertibly the failures that are otherwise invisible for those practitioners operating from within the Behavioral modality’s epistemology and application.

10.  Behavioral models may have positive benefits when applied to certain mental health issues; psychological trauma and Post-Traumatic Stress Disorder (PTSD) are not two of them.

11.  Psychological trauma and PTSD are routinely and wholly curable, depending upon the model employed; politics ─ not science, rational thought or other applications of logic and reason ─ prevent that cure from being made available where needed by individual trauma victims and trauma affected organizations.

12.  One purpose of this book is to change that. Another is to remove the deleterious influences of Behaviorism and its reformation, Cognitive Behavioral Therapy (CBT), on the treatment and management of psychological trauma so that I and others who follow the Etiotropic course can do our jobs: achieve the stated goals of the Etiotropic Trauma Management (ETM) program.

13.  The Nosotropic approach to trauma treatment and management has created and is creating an ever burgeoning to eventually become unwieldy, national identity-changing, and inevitably unmanageable and unfundable government operational national defense quagmire that not just portends, but assures catastrophe for the security of this country and western civilization; the Etiotropic Trauma Management approach can intervene upon that coming calamity and prevent that outcome, although it must be done quickly – soon if those entities as we know them are to be saved.

14.  The Evidence-Based model strengthens - magnifies (makes worse) the natural deficiencies attending the Nosotropic approach to the address of psychological trauma and PTSD and adds the increasing prospects of fraud in its application.

15.  Age and health necessitate this author’s telling this story in a manner where it can be usable by the public in his extended (in perpetuity) absence.

16.  Competing with professional and intellectual inanity in the public management sector can be done with tolerance unless that competitor’s lack is attended by aggressive arrogance, sometimes just arrogance by itself. In some instances, that intellectual ─ or otherwise learning ─ disorder often responds positively attitudinally, albeit not always favorably emotionally, to civil ridicule.

 History: Learning from a Unique Facility Configuration

In the early 1980s, something happened in our industry that would set our facility, and thus me as its primary director, on a learning path that would redefine how differing disciplines from the psychological and substance abuse professions would interrelate or not. The Reagan White House convened a presidential study and advisory group to ascertain and then make recommendations for a model for the treatment of families particularly affected by substance abuse, at the time termed Chemical Dependency. Our consultants, the Johnson Institute in Minneapolis, Minnesota, who in that era were international leaders in that field, participated in that effort. The President and his wife would follow that work with a special public televised message emphasizing the nation’s (America’s) need and thus the Reagans’ admonitions to the culture to focus with treatment, understanding and special care upon so affected families. With the guidance of the consultants and through our own private funding efforts, we initiated that model in Houston, Texas, while the consultants encumbered by their own funding difficulties were unable to do so in Minnesota. Worse, they lost much of their staff who had participated in the development and commission planning activities. And as we were informed, apparently no other organization in the country had followed through to implement the recommendations. We were then on our own to develop the paradigm from the presidential committee ideas based on the premises originating from and influenced by the Minnesota Model for Chemical Dependency treatment.

That Presidential commission’s address of the issue produced a management approach to individual and family treatment that had a much broader and simultaneously detailed view of what such care would entail. It recommended individualized treatment for family members as identified patients instead of as just collateral participants, which latter approach was the norm for the times. And because there was no such treatment system in existence at the time of the design, implementation would entail and include a process of discovery.

Coincident to that learning activity, the State of Texas was initiating a new licensure program for Alcoholism treatment facilities. It established a higher standard for facility operations that closely paralleled that employed by and available from the Joint Commission on Accreditation of Hospitals (JCAH), later to become JCAHO, standing for accreditation of Healthcare Organizations.

To make that recommended model comply with state licensure and JCAHO requirements, each family member would have to and did at our facilities receive an individualized treatment planning and charting system that was directed not just to and upon solitary perspectives of the self, but with a focus on that person’s role in the various relationships comprising a family, and then to include in concert the view of the family as a whole; all stratifications received similar emphasis. That is, all of our patients / clients were formally addressed intrapsychically, interactionally and systemically. Defining true family treatment, we mandated with every Chemically Dependent Person (in that era also termed the CDP) that all family members to age five be required to participate (or we would not accept the CDP for care – referring them out). Thus family treatment was no longer being restricted to the collateral concept that otherwise ruled the inpatient treatment culture where the facility’s focus was primarily if not only upon the CDP. Generally speaking, and I’ve addressed this issue in detail in other documents pertaining to ETM’s development,  everybody else in those schemas might meet with a family therapists once a week, and then be sent to Al Anon, which of course being an independent self-help entity did not provide for charting, thus documented discovery. In some instances thanks to the Minnesota paradigms like St. Mary’s Hospital in Minneapolis, which was then emulated in several other areas of this country, families were invited to participate for a family week. But all total, there was not equal consideration (to the CDP) for the family’s well being in the residential care models of the time.

For those of you who don’t understand what those comparison’s mean, here is the way the new or our family treatment model looked in application. When a family presented, each person was accorded his or her own individual therapist responsible for that person’s progress or not; a relationship specialist whose job it was to facilitate interactional matters in, for example, private settings and couple’s groups (where they were used); and with a family therapist having responsibility for facilitating and charting that unit’s (the family as a whole) progress. It was not uncommon in our health care delivery schema for each age or peer and relational representation to also have a different therapist representing the various focuses. A family would be attended to by as many as five to seven team members. That facility then contracted with families to participate over a two year period, which in the main all did do once completing the initial acute or entry phase of care. And all of this activity was then supervised for congruity and performance by the various government and JCAHO compliance - accrediting organizations.

As I’m sure that you can see, individual practitioners who were trained in the myriad various disciplines were required to function as integral components of a team. The children’s therapists, were scheduled to interface with the individual therapists representing the other family members, as well as with the therapists having interactional (specific relationship responsibilities pertaining to those individuals) and overall family clinical management and other response duties. And of course the CDP was accommodated Alcoholism Counselors by individual address of the bio-psychological issues attending the pathological use as well as how that person’s use affected his or her relationships (like a marriage where the CDP was a married adult) with the other members of the family. Therapists bringing their own epistemologies and trying to apply attendant methodologies without regard for differing meanings and effects than that being applied by other team members who were seeing the same people in the other contexts were required to learn the homogenous model and function accordingly with the overlaying treatment and management system.

Sounds easy; except that it was not. There were and are two primary problematic influences with such management efforts.

Firstly, and unlike ours, therapists traditionally worked in clinics where a single patient or a family was assigned to them, usually seen alone. The type of modality used by the therapist was not an issue as long as it was deemed to have professional merit. But more significantly, the facility’s management was not encumbered or otherwise challenged by the differences employed in the various clinicians’ modalities used. Crossover patients were rare; thus they saw little to no conflict between helping modalities. In this health care delivery mechanism, all qualifying therapies were deemed acceptable, good or equal. Comparison and contrast for patient understanding was not the rule; thus conflict between helping notions did not present either for those patients or the facilities’ managements. In those settings, the final responsibility for the clinical progress or not lay with the single practitioners. Facility managers were and could even be just administrative managers, and not clinical ones. Therefore working in a team schematic as we used where the different epistemologies required homogenation by a central leadership was uniquely different, sometimes burdensome, and always demanding of extraordinary learning: continuous study, focus and research regarding the differences, and necessitating constant reconciliation based discussion.

Secondly, therapists and counselors, particularly those who think of themselves as scientists more so than as helpers, bring methodologies ensconced in personal issues often related in the arena where pathological chemical use is involved to the same issues and dynamics affecting patients. Therapists, therefore, in such a management configuration are not just having to adapt objectively to another methodology, but they come deeply ingrained personally in and thus reliant upon those training models, which may, and in most cases from my experience as a trainer of this population, support their own psychopathologies developed in personal chemical use or familial response scenarios, for definition of themselves as well. Professional training and developmental ramifications from trauma sustained from pathological chemical use, whether affected directly as a user or family member, were convoluted unconsciously as underpinnings of professional epistemologies. And those selves – to include professional mergers of pathological personal and professional constructs – were and are not today where applicable given up easily within the team configuration. Hence, the learning that was attained in meeting that training and management challenge provided by therapists coming from the various mental health or chemical dependency disciplines became integrated into the Etiotropic management modality. That challenge was assiduously objectified and documented therein with the treatment facility manuals for operation, which in turn became subject to annual audits with the compliance processes. As you will see, the lessons learned from those experiences and meeting those management duties also provide one of the two primary influences upon the perspective from which this essay-book was written.

Creating a Cure-based Trauma Module in a Coping-based Community

The next greatest influence on the learning that constructed the Etiotropic model resulted from the development of our psychological trauma treatment module. It was termed Trauma Resolution Therapy (TRT) at the beginnings of the referenced facility operations’ address of clinical and methodological differences.  Relative to the thesis of this book, that model demonstrated the necessity of creation of a cordoned environment (called the TRT module for screening exogenous variables) for its application within both the facility clinical settings, and then with the larger communities’ helping environments. TRT was a structured psychodynamic model that could become encumbered by the conflicts attending the myriad uses of differing thought constructs not only being applied within the communities, but also utilized in the clinical operations. For example, there are times in a chemically dependent person’s progress where strong Behavioral and Cognitive Behavioral Therapy applications are best suited for the individual CDP; at another time, those same fine methods can have deleterious effects on the address of trauma caused by the use. Thus; the referenced trauma module was part of the “structure” which was intended to preclude those interruptions of the model’s logical implementation based upon the integration of its methodology with its problem identification thesis to achieve the model’s and patient’s goals. That module’s creation and the development of the policies and procedures for its use in conjunction with paralleling and sometimes countervailing helping applications was hammered out in the clinical and compliance auditing process over approximately five years. Once the efficacy and principles for administration were established in that initial period, the models were then integrated into most aspects of mental health care and eventually as the model was extended into the communities’ crisis management activities.

As a supportive explanation for those readers who’ve not been privileged to represent their organizations as compliance managers, it might be valuable to note that government and JCAHO  licensure auditors do not come to a facility representing themselves as experts in all the disciplines being used in the mental health care treatment culture. But they DO come to your organizations as experts in system management design with the goal of ensuring operational homogeneity and congruity. And those professional auditors are trained and experienced in assuring that a facility operates under an assiduous application of systems  logic in its address of all patient care variables, and that includes among other things unrelated to this discussion, the reconciliation of prospectively and actually countervailing thought constructs being professionally administered within the delivery system. For managers not used to this level of scrutiny, the process can be both rigorous and even grueling. For me the experience, which as the CEO and Compliance Officer I participated in a minimum of six audits per annum over at least five years, was edifying.  I attribute that experience as one of the cornerstones of the success of the Etiotropic Trauma Management modality as it has been extrapolated to the community for the address of similar issues considered and addressed in our facilities.

The trauma focus raised early on the address not just of trauma caused by chemical dependency, but traumatic events unrelated to the presenting issues. For example, combat, sexual assault, criminal homicide, auto accident, natural disaster and approximately twenty other trauma causes presented routinely; they were addressed as comorbid or what or now called co-occurring issues. As the facility model matured over the next decade, trauma referrals unrelated to chemical dependency were accepted, and the treatment model adapted accordingly. The total of this learning management effort produced the “Etiotropic Multiple Sources of Trauma” assessment, theory and methodology referenced in our literature. That issue has recently (in the last decade) been coined by Behaviorists as complex trauma.

Combining the family intrapsychic, interactional and systemic daedal addresses with the structured trauma resolution or psychological cure as opposed to coping approach produced a vastly different perspective of families affected pathological chemical use than that being described by the psychological profession in the literature. The combination also provided important factual differences for the determination of etiology of the use, itself. Here is a summary of the part of that good news as it relates to the issues drawn in this particular book.

1.      TRT and its precepts’ applications to the intrapsychic, interactional and systemic levels of both the individuals and units involved showed that the primary issue involving this population was psychological trauma resulting from protracted presentation of toxically caused aberrant behavior by the CDP and that the etiology of those trauma influences were harbored at the three levels in each grouping’s identity.

2.      Removal of that etiology at all three referenced stratifications of identity ended what the psychological profession influenced primarily by Behaviorism and then its spin to Cognitive Behaviorism  were beginning at the time (early 1980s) and thanks to and in accordance with the DSM III’s recognition and codification of PTSD to call symptoms of  psychological trauma or certain presentations of it to delineate a formal PTSD.

3.      Removal of the etiology with the trauma resolution model removed any appearances of the Disturbed Personality of spouses of CDPs which hypothesis predominated the psychological profession’s thinking about and views of spouses of Alcoholics; that view presupposed that disturbed personalities attracted into alcoholic relationships to meet the needs engendered by the intrapsychic level disturbances. Reversal of the trauma etiology ended the abstractions related to the attraction theory as well.

4.      Removal of the referenced etiology at the three levels meant that family members did not have to live life trying to cope indefinitely with the so called “family disease,” or also the syndrome called “co-dependency” as was the primary thesis of the competing self-help applications to such family members and as that notion was becoming adapted into the professional treatment community and simultaneously being presented in the media.

5.      Removal of the trauma’s etiology at the three levels removed what Vaillant, the author of A Natural History of Alcoholism, called the “skewed effect” that otherwise precluded families from identifying the origins of the trauma causing events – which when so removed turned out to be the CDP’s toxic behavior.

6.      The removal of the trauma etiologies provided for determination of the beginnings of the toxic influences on offending behavior, in the process giving factual testimony to the documentation of whether Alcoholism in the CDP was etiologically speaking a function of stress or biology in determining the cause.

7.      Removing trauma from the referenced three identity levels had strategic ramifications for interventions on CDP active use; removing the system’s trauma facilitated a so called bottoming process for the pathological user.

8.      The same strategic intervention that facilitated entry into sobriety for the pathological user had similar strategic ramifications for intervening on criminal perpetrators when extrapolating the intervention approach to the culture’s attempts to address violent crime; I have since applied that knowledge to the development of Strategic Human Ontological Management (SHOM)™ as I’ve recommended that it be applied culturally to the address of terrorism and other kinds of illegal violent behavior.

Management Modality Documentation

That system of care’s development and application at both clinical and community levels between the periods 1979 and 1996 (the latter being the year in which my wife and I were fully incapacitated by severe auto and other medical injuries and subsequent illnesses) which eventually encompassed nine licensed and a tenth partially so facilities, has been documented as it proceeded for professionals in print and in online publications for twenty-eight years. It, along with full descriptions of the development of the Etiotropic Trauma Treatment and Management model and its interface with the trauma resolution engine Trauma Resolution Therapy (TRT), has been detailed in several books-works: Due Diligence for the First Secular Cure of Psychological Trauma and Post Traumatic Stress Disorder (1990, 2007); Etiotropic Trauma Management (ETM) Trauma Resolution Therapy (TRT) Training and Certification (1989, 2004); Guerrilla and Terrorism Warfare’s (Terrorism’s)  Pathogenesis and Cure (1991, 2003); and The Etiotropic Trauma Management Patient Educational Series (1983-1986), Trauma Resolution Therapy (TRT); a structured psychodynamic approach to the treatment of post-traumatic stress (1987); The Neurobiology of Psychological Trauma Etiology and Its Reversal with Etiotropic Trauma Management (1992). Prior to those titles’ publications, the first formal description of chemical use’s cause of psychological trauma in family members and its codification ─ previously referenced in this preface as trauma etiology existing in the three stratifications of identity ─ was published in the chemical dependency discipline’s peer review journal, “Alcoholism Magazine” (April, 1985).

Relative to a major point of this book pertaining to public management biases and mistakes currently being made by government administration and supervision of clinical and crisis management operations affecting  veteran’s care and crisis management responses to such issues as terror’s virulent influences on public decision making, all of that information was then published beginning in 1993-1994 for free review on the Internet in one of its first online distance learning programs: The ETM Tutorial. It  is maintained in its original (converted to HTML) hard coded formatat http://etiotropic.com/indextutorial.htm. The electronic publication included not just theory and application of ETM TRT, but sourced comparison and contrast articles that demonstrated and included in the training texts all issues related to the various models’ supports and competitions with each other as they were applied or not to achieve program and patient goals delineated in the treatment planning processes.

Interpreting from the ETM View Complaints with the Psychological Profession: an Impetus of this Essay / Book

As those facilities participated in their various communities, the same challenges requiring comparison and contrast discussions to enhance interface or to reconcile referral conflicts resulting from differing ways of helping presented in those differing societies. I discovered that the study and training that was required to successfully manage the facility was beneficial for addressing the identical issues reflected in the more public arena. Combining these lessons learned with those enjoyed in the treatment centers, the subsequent body of knowledge pertaining to delineating and reconciling for a common purpose the numerous ideas about the manner in which the human consciousness and how it was capable of functioning would underpin a great component of Etiotropic Trauma Management which provides the paradigmatic perspective out of which this book is written.

The essential problem with the referenced profession that I found in my role was not just its inabilities to reconcile modality differences, for example, say those existing between Behaviorism and existential – Rogerian-based, or between drug abstinence and controlled drinking models providing Chemical Dependency – Substance Abuse treatments, thought constructs and methods, but the individual professionals who used those insoluble or oil and water type systems failed to even understand, much less attempt to provide a remedy to end users ─ clients and the public ─ for the consequences of the differences on intrapsychic, interactional and systemic, to include community level problem solving.

Those failures to rationally interpret diametrically opposed ideas regarding the constitution of the human consciousness and how it functions have had catastrophic effects not just upon the lives of individual trauma victims and efficacies of our crisis management systems, but on the efficiencies of mental related health care delivery. Those failures are then built into macro management government bureaucracies having tremendous influences thereafter on how individual members of the culture identify themselves. Worse, where aspects of that delivery deserve applause, the great majority of those in the top gladiator positions imposing and exploiting for personal-career gain or hegemonic advantage for a particular idea the referenced conflicts without mitigating management devices deserve, because of  the harm that they are creating, imprisonment, or more emphatically with some additional hyperbole, the guillotine, not necessarily for criminal negligence ─ I don’t believe that crime by itself warrants capital punishment ─ but for merging arrogance with stupidity. That little get together imposes the greatest sin upon, or otherwise most preeminent impediment to, organizational learning, which when extrapolated to social management encompasses the whole of western civilization. That is, and the reason for my addition of drama to this discussion, is the great crime exposed herein.

Money’s Influences on Thesis, Modality Goals and Development

Moreover, and also related to the discussions in this book, the entire Etiotropically-based system was to be implemented in outpatient settings (ten percent of CDPs required short term in hospital detoxification), digressing then from the predominating long term and primarily influenced psychiatrically controlled intrapsychic-based residential care models attending Alcoholism treatment in that era. Thus, third party payment (and private insurance) did not support the more thorough health care delivery configuration at its initiation. And HMOs had yet to do their social damage to the mental health care industry. Eventually, individualized contracts based on performance between those insurers and companies (through their Employee Assistance Programs) would support the services.

In parallel, at the time federal and state government grants for such work were being curtailed / ended due to changes in political philosophy related to government spending, etc. Plus, I was and am a political conservative when considering government’s role in macro level social management activities; and I didn’t believe that the rest of the culture was responsible for paying for and administering my ideas about how to help the society. Hence, we privately bore that development costs, in the end capitalized at three million six hundred thousand hard dollars over the duration. Soft dollar investment, for example contributions of non-charged professional time would have pushed the amount much higher. My arguments in this piece have been, are and will be that my competitor’s helping trauma management models and the way that they fund their developments through federal and state grants / public money, are unnecessarily dedicated to creating long-term academic oriented career opportunities more so than effective services; thus those funding mechanisms build into their efforts upwardly spiraling costs: non-cure lifetime coping-based remedies mushroom through re presentations of the same client base affected by the same psychological trauma etiologies. The cure-based approach, which comes out of more efficient private economics has developed and proffers a solution that brings the problems being addressed to an end; the academia underpinned competing spiral is unnecessary making government funded academic spending projects our ever politically capitalized competitors.

The Primary Competitor: A Different Notion and thus use of Hysteria

Hysteria, which is used in this work somewhat differently from the dramatic representations exemplified by loss of control, grounds in psychological trauma’s natural propensity and methodology for defending, while simultaneously and paradoxically ending or otherwise reconciling, itself. This paradoxically-based phenomenon originates with the brain’s capacity to create and use abstractions ─ cortex located and of which the preponderance of readers will recognize as traditional thought responses during discourse also traditionally, but not necessarily always logically from an outsider’s perspective, used to figure out, that is, understand, the various meanings of loss, or to make sense of it ─ to divert the psych’s attention from the synaptic extinction which culminates in the rational identification and experience of that referenced loss, and ongoing in the core storage areas of existence.

Our model (ETM TRT SHOM) refers to that consciousness of existence as the existential aspects of identity; they in turn, are exemplified by values, beliefs, images of reality that go to  the continuity of life and its tendency to engage in, usually for advancement, relationships. These activities occurring in the individual brain spin through shared event experience, projection, transference and fusion organizationally (for example, in a military or central command to executive management units) and nationally as both systemic strengthenings and psychopathologies, at least in their behavioral interpretive appearances.

This book further argues that Behavioral (now mostly as CBT) and pharmacological methods facilitate that spin into hysteria. To counter the (when trauma-created and not managed coherently) failed management mess (incongruence in problem solving), the structured psychodynamic elements of ETM TRT SHOM are designed, and do where applied in practice to date (not yet to nation stratifications), hold the diverting abstractions ─ which present in the form of the reasoning out of trauma inspired interrogatories, for example, as do therapies that seek the meaning of an untoward (as in violent) experience, and the adaptation of interpretive philosophies and life-coping mechanisms ─ at bay while and until the process of extinction ongoing in the core synapse (meaning traces) underpinning existential identity has completed itself. When applying all three extinction facilitating strata ─ TRT (incrementally to the individual), ETM (to an organization), and SHOM (to a polity or nation; not yet applied) ─ the abstractions forming the basis of hysteria, again the intellectual process used to obfuscate extinction, are no longer required.

In my view taken from the private sector, which I believe is not just theoretically accurate but also a factual representation of reality, the mental health care industry looks like a hysterical macro managed academic and government enmeshed response to what I’ve also concluded over this era are actually very simple issues to address. And reiterating for effect and as I’ll explain in this text, where over the first thirty plus years my approach to this matter was intendedly courteous, and all my publications, academic and public presentations reflected that politically correct conflict resolution management attitude, in response to the publically noticed mal treatment of veterans in 2006-2007, I began an opinion- and editorially-based Internet blog that allowed me to confront the more controversial issues we experienced.

I’ve consolidated that activity here. I now believe the professional mental health care system has become, and particularly over the decade and a half of injury convalescences that removed me from the more seriously competing elements of this theater, obscene; and thus requires more direct if not harsher measures for righting itself. To that end, I’ve written this particular critical piece to convey that view: the lunacy or sheer nonsensical incompetence of mental health care delivery and its effects upon the otherwise conscientious individual provider, including the preponderance of professionals’ efforts being made to help ourselves, with an emphasis upon our citizenry.

Epistemology and Methodology Upbringing

The background, to include a summary of that referenced so far in this preface, that produced the Etiotropic system, and therefore from which my views and biases are conceived and engineered, took the following and now for over-thirty-years-publically-recorded path: a personal tragedy occurring in a childhood; the rigorous experience shortly thereafter of combat while serving with the United States Marine Corps in the 1960s; the aftermath of re-entry into the American culture of the time; being born into and then again out of the free enterprise system; formidable education provided by the nonpareil University of Texas School of Accounting and Business Management; a professional career in the corporate world of investment banking where among other things  endured was specialization as a statistician; following another family loss (in the mid-1970s), personal therapy with a psychiatrist who interned with Harry Stack Sullivan; career changing training in the 1970s and Texas Certification as an alcoholism / drug abuse / chemical dependency counselor having original training influences by, in and out of the Minnesota Chemical Dependency and social management response model; development and codification of ETM and attendant individual and systemic clinical and crisis management modalities; the lessons learned in pioneering, producing and managing with all final authority and responsibility for client care and their outcomes the first licensed facility programs (nine) by the State of Texas in the early to late 1980s; formal dissemination of ETM through Academia; application for twenty-five years of ETM through supervision of ETM Licensed and Certified practitioners across the culture affected by Chemical Dependency and all facets of psychological trauma;  development and codification of ETM and attendant individual and systemic clinical and crisis management modalities; and the ever continuous study and documented subject-product correlation of pertinent literature required to understand, with an emphasis on psychological trauma,  the epistemologies and governing doctrines affecting mental health professional, crisis manager and legal analyses, judgment and decision making. Moreover, this compendium of work, study and contribution has carried me now twice into fields combatting terror and thus issues pertaining to National Security interests to eventually encompass Etiotropic-based treatment and study of perpetrators of crime and heinous events used to control systems ─ to include early on as a teenager becoming an adult while serving as a Marine PFC in which one capacity was to provide protection to villagers, that is, to prevent the killing of local (small village) community leaders like Buddhists, priests, teachers, farmers, fishermen, children and other quiet beings who lived in the Central Highlands of Vietnam, to addressing the penetration by criminal gangs into school districts and other aspects of our culture, to the treatment of women and children abused by maniacal batterers and sexual assaulters, to the address of the tsunami of death caused by criminal homicides and DWIs and use of perpetrators of heinousness slaughter styled murder of the most innocent men, women and children the world has produced, always and only for the purpose of advancing a particular political ideal or other management control structure, whether it was / is engineered out of Bolshevik-, fascist-,  Nazi-, Islamist- or other Behavioral-based thought configurations.

That journey produced not just an individual cure for psychological trauma, but what I believe to be one that when strategically applied to social management responses to human and organizational contrivance-caused social destruction and despair, a cure for that, too, can be administered. That intended calamity of human-caused death can be stopped, which is one of two purposes - goals of the Etiotropic Trauma Management system of care; the other is to resolve completely, or again to cure psychological trauma as it affects every applicable, meaning individually influenced, human being.

But to do so first requires the address of incongruities in the helping ideologies and other response methods that clash, in that process then interfering with achievement of those final goals. Where there are several such methodological conflicts in Western civilization adversely affecting that interest, the one addressed in this book serves as a microcosm of the relevant issues. That is, the book focuses upon one segment of the mental health profession’s address of veterans affected by combat-caused and otherwise related psychological trauma. I believe this consideration is the core battle to be fought and won before the grander goals ─ reiterating for emphasis the two purposes of the Etiotropic Trauma Management system as a whole ─ of curing psychological trauma and ending criminal violence, can be achieved.

This is my fortieth book level, albeit nineteen of them being small patient educational pamphlets and booklets, publication on the subject of psychological trauma as addressed by Etiotropic Trauma Management. However, where all of that work was narrowly focused on the needs of my constituency ─ both ETM Certified managers, therapists and their patients ─ this is the first effort written to a wider audience, to include anyone who wants to know what I think is wrong with Western civilization’s, and particularly the American Veteran Administration’s and Department of Defense’s address of combat-caused or otherwise related psychological trauma.

The style I’ve used in this particular battle / writing is not mine. I adopted it from Marcus Tullius Cicero’s discussion and recommendations in his brilliant work, On Oratory (translation by May and Wisse), which was written and published in original scroll format just before the author’s head ─ without the body ─ was nailed to the Senate Rostrum in Rome on December 7, 43BC. I referenced the great ancient leader’s influence upon this presentation in conjunction with the way of his demise because I think there are parallel morals. One can do good work, and it still may not be recognized, assimilated and even less likely embraced for a while by a particular political leadership. And, dealing with some ideological adversaries can be tricky business.

I hope this preface has shed some light for you as to who I am ─ that is, the basis from which these views are taken ─ and on that which you are about to receive.