Ukraine and the Human Cost of the Conflict

By Norbert Frejek, SJ

October 12, 2026

La Civiltà Cattolica

 

There is a profound dissonance to grapple with when describing the current situation of

Ukraine, which has been resisting Russian invasion for nearly five years. The nation is

fighting to preserve its independence against a threat to its sovereignty and national

identity, while at the same time the state apparatus and public services continue to

function as normally as possible. Outside the occupied areas or border zones regularly

hit by airstrikes, state institutions and agencies strive to carry out their duties with as

much continuity as the situation allows: you can make a doctor’s appointment, go to the

movies or the theater, buy a train ticket, open a bank account, or start a business. Although there are restrictions on international travel for men over the age of 22, international movement remains part of daily life, as evidenced by the numerous Ukrainian passengers departing from the nearby airports of Rzeszów, Kraków, Chișinău, and the long lines at customs checkpoints at road and rail border crossings.

 

Observing phenomena that, in peacetime, would likely go unnoticed – such as the

number of luxury cars with Ukrainian license plates parked in front of elegant

restaurants in Warsaw – can, in the context of the ongoing war, create a sense of

dissonance and raise questions about the very perception of the conflict, revealing how

one grapples not only with the reality of war but also with one’s own image of how it

might unfold. Many residents of Central Europe associate war with permanent

occupation, frequent airstrikes, public executions, and forced labor. This imagery stems

from the legacy of World War II, which ended eighty years ago. Added to this are

scenes from the conflicts in Gaza and the Middle East, which follow their own dynamics:

conflicts that, while reflecting real aspects, do not necessarily determine how the

Russian-Ukrainian conflict is destined to unfold. The representations of war that we

perceive – whether linked to the memory of World War II or to contemporary conflicts –

reflect authentic aspects, but they do not imply that the Russian-Ukrainian conflict must

follow familiar patterns.

 

Since the start of the Russian invasion, statements have been made by politicians who

were influential at the time, such as Viktor Orbán, who as early as 2023 claimed that

Ukraine was no longer a sovereign country. At the same time, despite the armed

conflict and its consequences, the country has seen significant progress in the

digitization of many aspects of daily life: in Kyiv alone, since the start of the war,

approximately 500 foreign IT companies have opened offices. It should also be noted

that some of the habits of Ukrainians currently residing abroad have been the subject of

criticism, including in Poland: criticism that understandably concerns crimes actually

committed, but also the use of luxury cars.

 

Rumors based both on facts documented in police records and those fueled by envy

often boil down to a generalized judgment: “Ukrainians in Ukraine are fighting the war,

while those living abroad drive luxury cars and act as if they were back home.” In this

way, Ukrainians who live legally abroad – working, paying taxes, not committing crimes,

and leading modest lives – are lumped together with those who break the law or lead a

lavish lifestyle. This sentiment of dissatisfaction is often exploited by politicians seeking

to bolster their presence in the public sphere.

 

A first point to consider is that the image of Ukrainians living abroad has very little to do

with the situation in their homeland and the fate of their families. The passage of time

also marks a turning point in the course of the war in Ukraine, as it gradually brings the

consequences of the conflict into sharper focus, not only in terms of events or the state

of the country’s economy, but also on an existential level.

 

Many of these effects have not yet been adequately described, because it is easier to

focus on military operations or – even though the conflict is not yet over – on plans to

establish a logistics hub on the Polish border, rather than addressing the deeper

implications of the war. This is also due to the fact that many of these consequences are

not immediately apparent. Against this backdrop, some studies document phenomena

that have become, or are becoming, an integral part of the lives of numerous Ukrainian

families marked by the experience of the conflict. These are not merely physical injuries,

but above all psychological suffering that manifests itself in the form of depression,

anxiety, post-traumatic stress disorder, or even more serious conditions.

 

A Tenacious Nation

 

A key point that can be used to counter the argument that Ukraine has lost its

sovereignty is that Ukrainians constitute a nation characterized by remarkable

resilience. If Ukraine had been a defeated country stripped of its independence, the

Russian army would likely have conquered the entire territory, or a substantial part of it,

and we would probably be facing a guerrilla war. A portion of the population would

almost certainly have collaborated with the occupier, while another portion would have

chosen to remain silent, as is the case in most conflicts. A significant portion, however,

would have gone underground, and European historical experience shows that guerrilla

wars are complex for those waging them, but even more burdensome for the occupying

forces.

 

Resilience can also be viewed from a different perspective: it is not a quality that, in a

general sense, guarantees positive outcomes. However, in this specific case, it serves

as a resource that enables people to withstand close-range airstrikes or to survive a

particularly harsh winter without electricity or heating. This resilience is rooted in the

complex history of Ukraine, a country that has had to fight for its independence and was

marked by the Great Famine of the 1930s, when the Soviet regime systematically left

several million people to starve to death across the vast territories of the Ukrainian

Soviet Socialist Republic. The Ukrainian SSR, along with the Baltic states, was among

the Soviet republics that sought to take full advantage of the collapse of the Soviet

Union and quickly establish an independent state.

 

Excluding the territories occupied by Russia since 2014, the Russian military has

captured only about 3 percent of Ukrainian territory from February 2022 to the present

(since 2014, this amounts to a total of about 20 percent of Ukraine’s territory, including

Crimea). Assessing the course of the conflict both in terms of military strategy and the

number of casualties on both sides is a task for experts in the field; however, it is clear

that the current war is one of the first conflicts in which the use of unmanned aerial

vehicles has reached such a large scale.

 

The escalation of drone and missile attacks is intended to wear down the Ukrainian

civilian population and, ultimately, to demoralize it. This is a significant point, because

the Russian-Ukrainian war is not being fought only on the front lines, but also in cities

and near civilian infrastructure. The residents of the affected areas, as well as many

others, continue to demonstrate remarkable inner strength and the aforementioned

tenacity, with no signs of imminent collapse. However, such a close-up experience of

war inevitably takes a psychological toll: while they maintain their resilience and

endurance, Ukrainians are already showing signs of severe psychological fatigue.

Psychological Fatigue

 

Many people in Ukraine suffer primarily from anxiety caused by constant stress. Local

authorities are working to ensure that the population does not lose access to cultural

and sports centers, public transportation, museums and libraries, so that, as much as

possible, a sense of normalcy is maintained. Citizens themselves are also committed to

maintaining a connection with culture, trying to live in a way that does not completely

disrupt their routines. However, life in a country affected by war is not without

psychological consequences, and visiting cafes, museums, or libraries is not an attempt

to pretend that “nothing is happening,” but rather a way to regain, at least in part, a

sense of normalcy.

 

In addition to the anxiety caused by frequent – sometimes daily – drone and missile

attacks, many people in Ukraine also suffer from post-traumatic stress disorder (PTSD).

The most common victims, understandably, are soldiers serving on the front lines;

however, the current war has shown that PTSD also affects mothers and wives awaiting

the return of their sons and husbands, as well as the family members of those who will

never return. PTSD is a form of response to trauma, that is, an extremely stressful

event, that exceeds a person’s ability to cope with and adapt to the situation. In other

words, the person is no longer able to process such a painful experience.

 

Typical symptoms of PTSD include anxiety-related tension, fatigue, disorientation and

the occurrence of recurrent, sudden and involuntary memories of the traumatic event.

Other symptoms include flashbacks, hallucinations and nightmares related to the

content of the trauma. The experience of PTSD can be effectively summarized by a

question and an answer: “What happens in your mind? The mind has forgotten it, but

the body, unfortunately, has not.” Trauma, in fact, manifests itself primarily through the

body.

 

When post-traumatic stress disorder affects soldiers, their family members report, above

all, episodes of aggression and violent behavior. These manifestations are often

associated with alcohol or drug abuse. The soldiers themselves, in group therapy

sessions, frequently describe the feelings of exhaustion and disorientation they

experience as they attempt to reintegrate into the communities they were part of before

the war. To an outside observer, this may seem surprising, since these are the families

in which they grew up and the local communities where they had built their interpersonal

relationships. However, experiences of death and violence – constitutive elements of

war – have a profound impact on the psyche and leave lasting scars.

 

Another group that deserves attention is that of soldiers’ family members: mothers,

wives and partners who await their return from the front, or at least some news, and

who often find themselves facing the reality of their loss. Those who receive word of a

loved one’s death at the front are overwhelmed by a wide range of emotions, even

before the grieving process begins: anger, bewilderment, and the feeling that an

essential part of their life has suddenly been torn away. In this context, it is worth noting

an aspect that reveals a great deal about the influence of the mindset formed during the

Soviet era and reinforced during the most difficult periods of Ukrainian history: many

people believe that problems and challenges – even the most complex ones – must be

faced exclusively within one’s own family, or even alone. The idea of sharing one’s life

story with a stranger arouses mistrust.

 

This behavior should not be criticized: an experienced therapist knows that such

attitudes exist and that it is essential to understand their origins. In fact, this is a legacy

of Soviet-era education, which taught entire generations to be cautious and to be

vigilant about what they communicate to others. For this reason, establishing a positive

therapeutic relationship, whether in individual or group therapy, takes on particular

importance. It is an essential element of any therapeutic process, but in this context it

requires more time and attention.

 

Many patients also suffer from post-traumatic stress disorder, which manifests itself

through painful and intrusive memories of the traumatic event. People often try to avoid

precisely these memories, which they perceive as embarrassing or unbearable. Post-

traumatic stress disorder affects not only soldiers or those who were on the front lines,

with all the consequences that entails, but also their family members who remained at

home. At the heart of this condition, therefore, lies not only the place where the trauma

was experienced, but above all the realm of human emotions and experiences.

Caring for Traumatized Individuals

 

Therapeutic support for traumatized individuals, particularly soldiers, provides a deeper

understanding of why many of them face resistance within their families and social

circles. This is not merely a matter of the “differences” that emerge upon returning from

the front – linked to constant exposure to death and violence, difficulties in finding one’s

place in the community, or the tendency to bring aggression and violent behavior into

the home – but also of what their family members and acquaintances experience.

 

Among the most common feelings among soldiers’ relatives, in addition to fear, is the

perception that these men carry a burden that could crush them. When faced with

people who seem weighed down by such an oppressive burden, we often tend to

distance ourselves, almost as if to flee, to prevent that burden from being transferred to

those close to them. This dynamic is reminiscent, in some respects, of the attitude that

for centuries characterized the relationship with people suffering from leprosy, with the

difference that, in this case, the fear of contagion is replaced by the fear of one’s own

compassion and empathy. Thus, people try to avoid taking on even just a part of their

suffering.

 

This conflict reveals a broad spectrum of behaviors, both among those who have

actively participated and continue to participate in the war, and among their family

members and acquaintances. The aforementioned anxiety neurosis is often among the

symptoms of post-traumatic stress disorder: these are, in fact, stressors that have been

present since the beginning of the invasion, which has now lasted for more than four

years. It is almost certain that, once peace, or even just a ceasefire, is achieved, the

number of diagnoses of neuroses, anxiety disorders, post-traumatic disorders, and

related conditions will increase significantly. This demonstrates that, even as they strive

to lead normal lives and carve out a space of tranquility, the experience of threat or loss

continues to profoundly affect these people’s lives.

 

Because of their stage of development, children often take a long time to understand

that their father has not simply left on a long journey, but that he will never return home.

There is no single, definitive way to talk to young children about the death of their

fathers or older brothers; what is certain is that there is a strong need for psychological

and psychiatric support for the youngest children.

 

A telling example is that of a 15-year-old boy who lost his father and older brother in

quick succession during the conflict. Among the defense mechanisms he developed

was isolation: a direct response to the double loss and the suffering that resulted from it.

This isolation ultimately fueled attitudes of aggression and distrust toward adults. This

is, of course, a simplification of an individual case that could be explored in greater

detail; however, the example clearly shows how the burden of war and the death it

brings can profoundly mark the lives of those who survive.

 

Images of a young widow, a mother, or a teenage son calmly accepting the news of the

death of a loved one who fell on the front lines belong more to cinematic fiction than to

reality. The experience of war, on the other hand, shows just how long and complex the

journey can be from receiving the news of the loss to the true beginning of the grieving

process.

 

Pastoral Care in the Military Context

 

Churches play a significant role in supporting soldiers on the front lines, particularly

through the work of military chaplains from various denominations. According to recent

data, there are approximately 500 chaplains in the Ukrainian army, who hold the rank of

 

deputy regiment or battalion commander, belong to 13 denominations and religious

organizations, and typically operate with the support of a personal assistant and an

armed aide, since they are not permitted to carry weapons. Each religious community

also sets specific limits on the number of chaplains it can make available to the armed

forces.

 

In addition to the work of military chaplains, the Catholic Church actively participates in

humanitarian efforts and offers psychological and spiritual support. The Jesuits in Lviv

have been running the Jesuit Refugee Service (JRS) for years; the organization has

stepped up its activities since the start of the Russian aggression in response to the

influx of internally displaced persons from regions affected by fighting or occupied by

the Russian army. The Jesuits in Chernivtsi, in northern Bukovina, launched a new

project in the fall of 2024, Space of Hope, a center offering psychological and spiritual

assistance to people affected by the war: soldiers and their families, particularly

mothers, children, wives and partners. Although Bukovina is far from the front lines, the

effects of the conflict are felt there as well. The Space of Hope center offers

psychological counseling, individual and group therapy, and organizes aid for internally

displaced persons, especially those from Kharkiv and the surrounding areas.

 

Looking into the eyes of people affected by war and its consequences is a trying

experience: in those gazes, one first recognizes fear and death, and immediately

afterward, anger, aggression and disorientation. As previously noted, people suffering

from post-traumatic stress disorder – particularly soldiers – carry such a heavy burden

that the first reaction of family members and acquaintances is often to keep them at a

distance. Such a response is understandable: one senses the emotional intensity that

accompanies the experience of a soldier returning from the front lines and instinctively

tries to protect oneself. However, this attitude ultimately turns those affected by post-

traumatic stress into victims of a new form of trauma, even without any intention on the

part of those around them.

 

A Turning Point

 

One could debate at length the level of development of the Ukrainian state and the

future that awaits the country. Military assistance, as well as financial and humanitarian

support from various sources, play an essential role in this context. Today’s Ukraine,

however, is undoubtedly the stage on which the geopolitical architecture of Europe and

the world is being redefined. This is not the first time that a transformation of this

magnitude has unfolded through a war in Central and Eastern Europe. In this sense, the

words of Pope Francis ring true: what we are experiencing is not simply an epoch of

changes, but an epochal change.

 

The dissonance we mentioned at the beginning will accompany this conflict and the

period following its conclusion, a dissonance that already existed in the past, because in

countries like Ukraine it was linked first and foremost to the long legacy of real

socialism. The war has only amplified the situation, as is also evident from the views of

many Ukrainians. We must, however, clearly recognize that for nearly five years, this

country has been resisting an enemy far stronger than itself, at enormous cost,

especially in terms of human lives.

 

There are many causes of this war, but our aim is not to explain the origins of the

current conflict. As the Ukrainian scholar Mykola Riabchuk observed many years ago in

his review of Zenon Kohut’s Russischer Zentralismus und ukrainische Autonomie, the

clash between the two political systems was inevitable: the Cossack Republic could not

coexist with autocracy, just as the principles of Roman law could not be reconciled with

Asian despotism.

 

In our work of accompaniment, we find inspiration in two biblical passages. The first,

taken from the Second Letter to the Corinthians: “God of all consolation, who consoles

us in all our affliction, so that we may be able to console those who are in any affliction

with the consolation with which we ourselves are consoled by God” (2 Cor 1: 4). The

second comes from the Book of Isaiah: “By his bruises we are healed” (Isaiah 53:5).

Both passages remind us that God gives comfort and strength so that we may support

others; and, even more, that the story of human life – even its most difficult parts – can

become a source of energy to offer to others.

 

Working with people wounded by war means coming into direct contact with suffering.

Paradoxically, by living alongside suffering, one often experiences forms of joy as well,

whether small or great. But what can be done with pain? The American psychiatrist and

psychotherapist Irvin Yalom, in his collection of essays published under the title Love’s

Executioner, writes: “The death of a child often entails the loss of a sense of life. To lose

a parent or a lifelong friend is often to lose the past: the person who died may be the

only other living witness to golden events of long ago. But to lose a child is to lose the

future: what is lost is no less than one’s life project, what one lives for.” The death of a

loved one, particularly of a child who has fallen on the front lines, but also a brother or

sister, is a painful, everyday reality in today’s Ukraine. In our work with these people, we

strive to help them rediscover a future. This is likely the essential aspect of our

presence and work at the Space of Hope center in Chernivtsi: helping to restore meaning to life.