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There've been a number of studies on the psychology behind heroism in combat. Essentially, they do it to save the people they're with, enabled by a strong sense of responsibility for those who are dependent on them. Confidence has less to do with it as some have gone into those situations expecting to be killed; but, they still had to try. They all know part of it is happenstance, that there are posthumous awards, and that there are comparable unwitnessed acts that never received official recognition.
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