From Afgantsy: The Russians in Afghanistan 1979-89, by Rodric Braithwaite (Oxford U. Press, 2011), Kindle Loc. 5393-5420:
Though there was no nationwide study, individual regions, local veterans’ organisations, and local newspapers began to set up their own websites about their young men who had served in Afghanistan. The newspaper Voronezhskaya Gazeta reported there were 5,200 Afghan veterans in Voronezh. By the summer of 1996 seventy-five had died, half as a result of accidents, one-third had been struck down by illness, and one in seven had committed suicide. Twelve years later, more than five hundred had died – one-tenth of all those who had returned from the war. The paper claimed that the young men died not so much because of what they had been through in Afghanistan, but because no provision had been made for their psychological rehabilitation, because they had been unable to afford proper medical treatment, because many of them had been unable to find work or a decent place to live.
But the amount of psychological rehabilitation available for the soldiers was limited partly by the lack of resources and partly because the concept of trauma was alien. If the soldiers who fought against Hitler could survive without going to the shrink, why should the Afgantsy be different? ‘Trauma’ was an alien, perhaps an American idea.
Nevertheless, a thin but native Russian tradition did exist. The first work on soldiers suffering from psychological trauma was done in Russia after the Russo-Japanese war in 1904–5 by psychiatrists in the Academy of Military Medicine. The results were largely ignored in the Soviet period and the 40th Army took no psychiatrists with them when they went into Afghanistan. The first specialists went there in the mid-1980s. The symptoms they found among the Afgantsy were much the same as the Americans had identified after Vietnam: a sense of guilt at what they had done, a horror at what they had seen, the same self-reproach that they had survived while their comrades had died. Some specialists reckoned that as many as one in two Afghan veterans needed some sort of help. At first the symptoms were psychological: irritability, aggressiveness, insomnia, nightmares, thoughts of suicide. After five years many would be suffering from physical as well as psychological consequences: heart disease, ulcers, bronchial asthma, neurodermatitis.
The trouble was that, compared with the United States, there were nothing like the facilities available in Russia to treat the traumatised veterans. There were only six specialised rehabilitation centres for the whole of Russia, and these had to deal with people traumatised not only by Afghanistan, but by their experiences of dealing with the nuclear accident in Chernobyl in 1986, and by the fighting in Chechnya, and other places of violent conflict.
One of those who tried to explain the phenomenon scientifically was Professor Mikhail Reshetnikov, the Rector of the East European Institute for Psychoanalysis in St Petersburg. He had himself been a professional military medical officer from 1972 and was posted to Afghanistan in 1986. He sent a paper to the General Staff, based on interviews with two thousand soldiers, which set out the problems from which the 40th Army was suffering: from the inadequacy of the army’s supply system to the moral and psychological training of the soldiers. The report had no effect, and he was asked by his superiors why he had deliberately set out to gather facts which brought shame on the Soviet Army. From 1988 to 1993 he directed several programmes for the Ministry of Defence on the behaviour of people affected by local wars, and man-made and natural catastrophes. After retiring from the military he became a member of the Association of Afghan Veterans.