The book is heavily based on S. L. A. Marshall’s studies from World War II, which proposed that contrary to popular perception, the majority of soldiers in war do not ever fire their weapons and that this is due to an innate resistance to killing. Based on Marshall’s studies the military instituted training measures to break down this resistance and successfully raised soldier’s firing rates to over ninety percent during the war in Vietnam.
Grossman however points out that there are great psychological costs that weigh heavily on the combat soldier or police officer who kills if they are not mentally prepared for what may happen; if their actions (killing) are not supported by their commanders and/or peers; and if they are unable to justify their actions (or if no one else justifies the actions for them).