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This article presents a case of posttraumatic stress disorder (PTSD) in a 30-year-old soldier of the Polish Military Contingent in Iraq who narrowly escaped death three times. The first time occurred when during a change of guard he was unintentionally shot by his colleague. The projectile penetrated the victim's helmet, slid along its internal shell curvature, and left the shell causing only a scratch on the scalp skin. Another traumatic event was experienced by the soldier a month after the first incident. As a guard of honor, he was "shot" in the same rear head area with a cap of a cream tube, inadvertently stepped on by a colleague. The third event occurred a couple of days later, during a rocket attack on the Diwaniyah base. After this incident the soldier was evacuated to the Clinic of Psychiatry and Combat Stress in Warsaw. Multiform PTSDs that developed in this soldier are described in this work. The course of his comprehensive therapy during his two stays, with a total duration of 8 months, in the clinic is discussed. Also, a detailed description of the therapy controlled exposition to combat stressors in virtual reality (VR), supplemented with behavioral training consisting of desensitization of an aversive reaction to contact with a weapon at a shooting range is presented. The comprehensive treatment activities resulted in full remission of the PTSD symptoms. The soldier continues his service in a logistic support unit.

The goal of this study was to assess effectiveness of a short collective stress inoculation training (SIT) conducted according to the methodology of the Virtual Reality Medical Center of San Diego (Training of Physiological Control Exposure to Virtual Stressor while Maintaining Physiological Control). The results obtained indicate a short-term effectiveness of the training as a method of tension reduction. However, in the long-term perspective these results are ambiguous and they suggest a need of further research. In order to extend the analysis effects of temperamental factors on training effectiveness was presented.