Rumination, the perseverance of “what if…” thoughts, contributes to the failure to reconcile interminable guilt, widening the discrepancy between the ought self and actual. When returning from combat, the veteran is more apt to become more avoidant and less intimate with their significant other because they hold more negative thoughts about themselves, as a result of their altered self-appraisal. Inefficient memory encoding, rumination and the heightened difference existing between the ought self and the actual self contribute to relationship dissatisfaction and negative self-appraisal. This book will discuss how these factors enhance the salience of guilt, self-blame and hopelessness in combat veterans diagnosed with posttraumatic stress disorder and the implications of such behavior in romantic relationships.