Communicative Experiences of Military Youth During a Parent’s Return Home from Deployment

The return home of a service member from tour of duty can be stressful for military families (Bowling & Sherman, 2008), but surprisingly little is known about how military youth communicatively experience a parent’s homecoming (MacDermid Wadsworth, 2010). This study draws on the emotional cycle of deployment model (Pincus, House, Christenson, & Adler, 2001) to examine the reunion period in military youth’s own words. Individual interviews were conducted with 31 military youth (age range = 10 to 13 years old). Participants identified four changes to family life (RQ1), including spending time together, experiencing emotional tranquility, returning to patterns in place before deployment, and having difficulty reintegrating the service member into everyday routines. Some military youth reported that the reunion matched their expectations (RQ2), but others noted that the reunion fell short of their expectations or that they did not expect the returning service member to be so tired or so irritable. Participants also described four issues of uncertainty (RQ3), including questions about the service member’s activities during deployment, reasons for joining and deploying, family life, and the possibility of future deployments. The article concludes by examining the theoretical and pragmatic implications of the findings.     

Quality of life among U.S. Army spouses during the Iraq war

ABSTRACT

During the course of previous military conflicts, attention has been focused on separations experienced by service members and their loved ones. This study utilized the ABC-X model of Family Stress and Resiliency Theory to provide information about specific family and parental stressors, family coping, appraisal of stress and coping abilities, and quality of life for spouses at various stages of a recent military deployment. Three groups of spouses differed primarily for levels of family stress and quality of life. In addition to comparative analysis, path analyses were conducted for each group to determine the influence of stressors, coping, wellbeing, and sense of coherence on quality of life. The model for the group of spouses with service members deployed longest accounted for the greatest amount of variability in quality of life. Implications for family counseling, social work practice, and community policy have been provided.     

Working with Military Families Through Deployment and Beyond

Military families experience considerable stress, periods of long separation, and changes to the family system due to family members planning to enter a war zone, actively living in a war zone, and reuniting after being in a war zone. Anticipation and understanding of the stages of deployment improves family, couple and individual functioning. The issues that the family and the couple are confronting at each stage of deployment: pre-deployment, deployment, and post-deployment are presented. Clinical interventions for the family and the couple are presented at each stage of deployment. Additionally, the impact of the service member’s war time experience on the family, couple, and her/himself is discussed.     

U.S. Army combat operational stress control throughout the deployment cycle: a case study

As military conflicts around the world persist, a comprehensive approach in managing behavioral health issues will continue to be a key component of military healthcare. Deployed military personnel frequently exposed to trauma are well-known to be at high risk for developing behavioral health disorders, including combat stress reactions and posttraumatic stress disorder. In the U.S. Army, members of combat operational stress control (COSC) units have unique skills to assist soldiers and their families not only throughout all phases of a deployment, but also throughout a soldier's entire career. The purposes of this article are twofold, first to describe the role of COSC operations with an emphasis on interventions in a deployed environment. The second purpose is to present a case study from Operation Iraqi Freedom highlighting the efficacy of the COSC approach to meet a Soldier's behavioral health needs in a deployed environment.     

Exploring the deployment and reintegration experiences of active duty military families with young children

Active duty military families are experiencing increased stress as service members deploy to and return from lengthy and repeated deployments to multiple war zones. These deployments have a cumulative impact on the behavioral health and well-being of not only the service member, but also the family, particularly in families with very young children (Lester et al., 2016). Emergent research concerning families with young suggests that greater attention to the military spouse is needed to ensure effective, supportive service provision for these families. The purpose of the present study is threefold: (1) to identify the challenges faced by families with young children during and after deployment, (2) to understand resource utilization by these families, and (3) to explore the strengths and strategies used during these experiences. Data were collected through semi-structured interviews with 19 active duty Marine Corps family members with young children (under 5 years old) and 10 key program providers on or near a large military base in the southeast region of the United States. Findings reveal significant social isolation, which is consistent with the literature, the need for formal and informal social supports as well as self-care for the at-home parent, challenges in co-parenting and utilizing known resources, and a range of strategies used to manage deployment and reintegration. Implications for practice are discussed.     

Military Deployment of an Adult Child: Ambiguous Loss and Boundary Ambiguity Reflected in the Experiences of Parents of Service Members

ABSTRACT

This study explored the experiences of parents of service members, military family members who are often overlooked even though they are likely a vital source of support for their military adult-children. Reflections on deployment of military adult-children were gathered from 21 parents in semistructured group interviews. A framework of ambiguous loss, boundary ambiguity, and ambivalence was used to analyze comments reflecting pre-deployment, deployment, and post-deployment experiences. Pre-deployment anticipation of leave-taking was associated with boundary ambiguity and ambivalence for parents, tempered by safety concerns. During deployment ambiguity in parental role expectations and parameters complicated parents’ attempts to manage physical absence and maintain psychological presence. Post-deployment challenged parents with ambiguous psychological presence and disruption of family boundaries, complicated by changes associated with the effects of war.     

Military‐Related Posttraumatic Stress Disorder and Intimate Relationship Behaviors: A Developing Dyadic Relationship Model

The protracted conflict in Iraq and Afghanistan and an all‐volunteer military has resulted in multiple war zone deployments for many service members. While quick redeployment turnaround has left little time for readjustment for either the service member or family, dealing with the long‐term sequelae of combat exposure often leaves families and intimate partners ill‐prepared for years after deployments. Using a modified grounded theory approach, digitally recorded couple interviews of 23 couples were purposefully selected from a larger sample of 441 couples to better understand the impact of war zone deployment on the couple. The veteran sample was recruited from a randomly selected cohort of men in treatment for posttraumatic stress disorder (PTSD). Overall, it was found when veterans experiencing deployment‐related PTSD reenter or start new intimate relationships they may bring with them a unique cluster of interrelated issues which include PTSD symptoms, physical impairment, high rates of alcohol and/or drug abuse, and psychological and physical aggression. These factors contributed to a dynamic of exacerbating conflict. How these couples approached relationship qualities of mutuality, balanced locus of control and weakness tolerance across six axes of caregiving, disability, responsibility, trauma, communication, and community impacted the couple's capacity to communicate and resolve conflict. This dyadic relationship model is used to help inform implications for clinical practice.     

Associations Between Prior Deployments and Marital Satisfaction Among Army Couples

Although the experience of deployments has been described as devastating to married life, evidence linking deployments directly to poorer marital functioning has been sparse. The analyses described in this article compare associations between prior deployments and current marital satisfaction across four different ways of measuring prior deployment within a large and representative sample of married Army service members and their spouses. Results indicate that the experience of prior deployments is associated with significantly lower current marital satisfaction among military couples. The association is disproportionately strong for first deployments and first cumulative months of deployment and weakens over subsequent deployment experiences. Most of these associations, but not all, can be accounted for by the fact that service members who have been deployed are more likely to have experienced traumatic events and to experience posttraumatic stress disorder symptoms, both of which are independently associated with lower levels of marital satisfaction.     

Military Caregivers

Military caregivers provide essential services for their veteran or military service members who have serious injuries or illness. Of the estimated 39.8 million Americans who provide care for an adult, 1.1 million care for a post 9/11 veteran or service member. Caregivers may experience greater physical or mental health concerns including stress, depression and/or chronic illness, and have greater financial burden than their non-caregiving counterparts. Policy shifts such as the Caregivers and Veterans Omnibus Health Services Act of 2010 (2018) have created and expanded programs to support caregivers. Practitioners working with injured or ill military service members or veterans and their families should include a comprehensive biopsychosocial assessment of the whole family, utilizing several interventions, such as support groups, peer support, psychoeducational programs, training, individual and family counseling, and/or respite care services, to improve family function and reduce caregiver burden.     

“This will help your children”: Service providers’ experiences with military families during cycles of deployment

ABSTRACT

Military families face not only the same challenges as other families, but also unique issues due to their military involvement. Parenting programs for civilian families can be helpful, but they do not generally cover the specific issues faced by military families. The purpose of this qualitative study was to gather information from a focus group of eight service providers about the types of issues that affect military families, such that content and delivery of workshops at a social service agency could be formed to specifically cater to military families. This study utilized a phenomenological approach, and analyses revealed areas for social service involvement around the cycle of deployment. Specifically, social services could be helpful by using psychoeducational and normalization techniques around the five major themes that resulted from this study: (1) the issues of servicemembers psychologically withdrawing before deployment, (2) family cohesion and connectedness during and after deployment, (3) family stability during reintegration of the service member, (4) military families experience many of the same challenges that nonmilitary families do (such as domestic violence and financial issues), and (5) utilizing a military culture framework for all military family programs.     

Using Two Intersubjective Perspectives in Combat Deployment: A Military Mental Health Professional’s Experience

The stress and demands of combat deployment create challenges for a military mental health provider (MMHP) to operate in a helper role in an environment adverse to the helping process. A case is presented featuring the experience of a MMHP while deployed to establish the existence of two types of intersubjective space in a combat environment. Modern attachment theory and interpersonal neurobiology are used as a theoretical framework, and concepts of emotional self-regulation, implicit communication, and attunement are applied to the case. The work of the MMHP is shown within and between the two types of intersubjective space and emphasize the seizing of unexpected clinical moments. The MMHP must remain emotionally regulated to participate in the implicit communicative process and rapidly form a therapeutic relationship. Creative and improvisational methods are demonstrated by the MMHP that challenge rigid adherence to clinical models. Applicability is significant to the specialty field of MMHP’s to improve deployment preparation, clinical skill development, and personal health management. Work with veterans can be enhanced by understanding deployment experiences and recognizing the importance of attunement by regulating affect for both the provider and client.     

“A Fear Like I've Never Felt”: Experiences of Parents Whose Adult Children Deployed to Combat Zones

Despite the increase of research with military families, less is known about the experiences of those parents who have adult children deployed overseas for military operations. This article presents parents’ experiences of having adult children deployed to combat zones. Qualitative data were gathered through an Internet-based survey during 2010. Analyses revealed important themes within the parents’ portrayals expressing strong reactions of fear, worry and concern for their children's safety and well being throughout their experiences. Parents also described frustrations communicating with their deployed children. Support from formal and informal sources was important to their coping, as was assistance from religious and military organizations. Finally, parents reported varied impacts of the adult children's deployment on the parents’ marriages. Implications for future military family research and family life education are provided.     

“Why are you trying to destroy the last good thing men have?” Understanding resistance to women in combat jobs

This article argues that opposition to expansion of women's roles in the US military and peer armed forces, particularly into combat-related military occupational specialties, is based on defending a means of proving masculinity and preserving access to power. Research is based on policies of US, UK, and other NATO countries, public statements made by officials, academic articles, and interviews with current and former members of the US military. The article examines shifting definitions of combat, historical examples of American women’s military service, and common and persistent themes of resistance to women in combat roles. The article argues that resistance to women in combat roles is not only inconsistent with operational realities, but is both counterproductive to mission effectiveness, and may even put lives at risk. The article concludes that in an ever-shifting security environment requiring critical thinking, cross-cultural communication, and civil–military collaboration, rethinking gender roles may be advantageous.     

Intimate Partner Communication From the War Zone: A Prospective Study of Relationship Functioning,Communication Frequency,and Combat Effectiveness

This study examined (a) the association between relationship functioning prior to and during deployment, and the frequency of communication during deployment; and (b) the association between relationship functioning and depression during deployment and their influence on service members’ ratings of duty performance. Participants were 144 partnered Airmen assessed immediately before and during a one‐year high‐risk deployment to Iraq. Results showed an overall high frequency of partner communication during deployment. High relationship distress at predeployment predicted lower frequency of communication during deployment. Changes in relationship distress from before deployment to during deployment independently predicted frequency of communication, above and beyond predeployment distress levels. Level of relationship distress and depression during deployment independently predicted service members’ ratings of impact on duty performance.     

Examining risk,strengths, and functioning of foster families: Implications for strengths-based practice

ABSTRACT

Foster families provide safe and stable homes for children and youth who are removed from their homes due to maltreatment. Despite the stressors associated with bringing children in and out of a family’s home, many maintain healthy family functioning and continue fostering for many years serving an essential function in the child welfare system. This study sought to understand the factors that explained higher levels of family functioning within foster families. Collaborating with one statewide public child welfare agency, 681 licensed foster parents participated in an online survey that examined the association between family functioning with family strengths and risk factors. Findings from this study can inform strengths-based practice including training, assessment, and interventions for new and existing foster families to strengthen families and improve the well-being of children and youth in their care.     

The psychosocial well-being of children from Australian military and fly-in/fly-out (FIFO) mining families

This study investigates the effects of employment-related father absence on children's psychological well-being and home based mothers’ perceptions of family functioning. Ninety primary school aged children and their mothers residing in Perth in Western Australia participated in this study. The sample consisted of three groups: children whose fathers were employed in fly-in/fly-out (FIFO) mining (n =30), children whose fathers were in the military (n =30) and a community sample (n =30) of children, whose fathers’ employment was not military or mining based and who did not have extended periods of absence from home. Children's psychosocial well-being was measured by the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS). Children's and mothers’ perceptions of family function were assessed with the Family Assessment Device (FAD). Results indicated that there were no significant differences between the groups on all measures of child well-being, and all groups were functioning at healthy levels. However, mothers from the FIFO families reported significantly more stress than the military and community groups with respect to communication, support and behaviour control within the family. It was concluded that despite mothers’ perceptions of disruption to family routine, the well-being of children in this small sample was not affected.     

War-related mental health problems of today's veterans: new clinical awareness

1. Veterans of the military conflicts in Iraq and Afghanistan may have been exposed to significant psychological stressors, resulting in mental and emotional disorders. 2. Posttraumatic stress disorder (PTSD) is characterized by symptoms in three domains: reexperiencing the trauma, avoiding stimuli associated with the trauma, and symptoms of increased autonomic arousal. 3. Treatment of PTSD often requires both psychological and pharmacological interventions. 4. In addition to PTSD, other mental disorders may be precipitated or worsened by exposure to combat, including depression, anxiety, psychosis, and substance abuse.