Suffering in the Shadows: Interviews with Wives of Combat Veterans Suffering from Post-Traumatic Stress Disorder and/or Traumatic Brain Injury

The body of research examining issues confronting combat veterans of the Afghanistan and Iraq wars continues to grow. However, this research focuses primarily upon veterans with very less attention given to the challenges confronting their spouses. Using a semi-structured interview methodology and a feminist perspective, this study examines what it means to be a wife of a combat veteran who suffers from post-traumatic stress disorder (PTSD) and/or traumatic brain injury (TBI). Our findings indicate these women—who experience tremendous emotional, financial, and social challenges that arise from being the caregiver for their husbands—feel isolated from and abandoned by both the military community and the civilian community. Furthermore, the social and emotional disconnection of these women experience amplify the stresses they confront in daily life—stresses that are unique to their relationship to being with a combat veteran spouse who has PTSD and/or TBI. We argue future research should build upon this exploratory study to better understand how both the military community and the civilian community impact the subjectivity of these women and their efforts to reintegrate themselves and their families into civilian life.     

The unsilencing of military wives: wartime deployment experiences and citizen responsibility

One of therapists' contemporary moral imperatives is to support American service members and their families regardless of personal position on the Global War on Terrorism. One way therapists can respond to this imperative is by seeking to understand Army wives' experiences during their husbands' wartime deployments. Therefore, this study utilized a combination of individual interviews with Army wives and a reflecting team of military wives and civilians to explore military wives' experiences. Two main themes were identified: the wives' experience was an emotional roller coaster and they felt silenced--and could be unsilenced--in their interactions with civilians. Therapists working with Army wives should (a) normalize the roller-coaster experience; (b) encourage wives to recognize negative and positive influencers and explore their idiosyncratic coping skills; (c) support positive civilian-military connections; and (d) as a civilian and as a therapist, seek to be a positive civilian connection by proactively showing support.     

Epidemiology of Partner Abuse Within Military Families

Partner abuse (PA) is a public health problem that affects a significant number of families. Experiencing PA places victims at risk for a variety of negative outcomes, including substance use or abuse, depression, post-traumatic stress disorder, and, in extreme cases, permanent injury or death. Furthermore, children who are exposed to PA are at risk for problems in the areas of cognitive functioning, self-esteem, psychological and emotional well‐being, interpersonal relationships, and behavior. Most of what is known about PA has accrued through studies of civilian families. In this article, the authors report the results of an in depth review of the epidemiology of PA in each branch of the military. Results revealed that most studies of the military have been conducted with Army families. Rates of nonclinically significant PA are higher in military samples than civilian samples. Men and women connected to the military engage in rates of mild to moderate PA at similar rates. Males in the military engage in more violent PA than do women. These findings are discussed within a prevention and risk/resilience framework. Practical suggestions for clinicians working with military personnel and families and ideas for future research are provided.     

Family formation among women in the U.S. military: Evidence from the nLSY

Although female employment is associated with lower levels of completed fertility in the civilian world, we find family formation rates among U.S. military women to be comparatively high. We compare enlisted women with civilian women using the National Longitudinal Survey of Youth (N = 3,547), the only data set to measure simultaneously the nuptiality and fertility of both populations. Using propensity score matching, we show that the fertility effect derives primarily from early marriage in the military, a surprisingly “family‐friendly” institution. This shows that specific organizational and economic incentives in a working environment may offset the more widespread contemporary social and economic factors that otherwise depress marriage and fertility.     

Military spouses speak up: A qualitative study of military and Veteran spouses’ perspectives

ABSTRACT

The purpose of this qualitative study was to examine military family life through the lens of military and Veteran spouses. Twenty-two female, active-duty military and Veteran spouses provided extensive written responses to essay questions as part of an online survey that were analyzed with qualitative data analysis methods. Findings revealed seven main themes: how military life has influenced health care access, spouses’ identities as caregivers, marital relationships, health outcomes, social support, spouses’ educational and career opportunities, as well as their personal growth. In summary, their experiences indicate that military service affects all aspects of their lives. Spouses gave numerous suggestions as to how service providers can address their unique experiences to improve the supports they offer military families, including ensuring the spouse is involved in health care, and providing support programs that focus on the entire family.     

Training Mental Health Professionals in Child Sexual Abuse: Curricular Guidelines

This study explored whether counseling practices with women survivors of child sexual abuse reflect the belief that women do not sexually abuse children. Canadian therapists (n?=?164) who work with women survivors of child sexual abuse were surveyed about their beliefs about what constitutes child sexual abuse, who commits child sexual abuse, and their practices regarding inquiries about abusive behavior. A majority self-reported that they ask women and think it is important to ask but most believe that clients will not spontaneously self-disclose inappropriate sexual thoughts or behaviors. How broadly or narrowly therapists defined child sexual abuse was not related to self-reported therapeutic discussion. Therapists demonstrated differential gender beliefs about child sexual abuse perpetration, but this did not relate to self-reported counseling practices. Implications for therapist education are discussed.     

Holocaust Child Survivors and Child Sexual Abuse

ABSTRACT

This study utilized a qualitative analysis of child survivors of the Holocaust who were sexually abused during World War II. The research study aimed to give this specific group of survivors a voice and to explore the impact of multiple extreme traumas, the Holocaust and childhood sexual abuse, on the survivors. Twenty-two child survivors of the Holocaust who were sexually abused during the war completed open-ended interviews. The data was qualitatively analyzed according to Tutty, Rothery, and Grinnell's (1996) guidelines. Three major themes were found: issues relating to the sexual abuse trauma, survivors' perceptions of the abuse, and survivors' general perspectives towards life. The identity of the offenders, Jewish or non-Jewish, determined the survivors' feelings towards themselves, the perpetrators, and about the worth of life.     

The Resiliency Model of Role Performance for Service Members,Veterans, and their Families: A Focus on Social Connections and Individual Assets

The Road of Life, a life course metaphor, is used as the backdrop for a theoretically anchored model, The Resiliency Model of Role Performance, which has been developed to account for variation in the ability of service members and their families to meet their role responsibilities in the context of military life and duties. This model incorporates a focus on both individual assets and the social context in which individuals and families are embedded. The model provides a conceptual anchor for the Support and Resiliency Inventory—an online assessment tool for service members and the civilian spouses of service members. Implications for testing the model and its further development are discussed.     

An intersectional approach to military sexual violence

Despite over 15 years of targeted prevention efforts in the U.S. military, incidence and prevalence rates of sexual violence have remained consistently high. While there has been an abundance of research on military sexual abuse, most studies have explored the issue through reporting isolated demographic variables that correlate with sexual violence vulnerability. However, intersecting oppressions based on race, gender, immigration status, class, sexuality, and other social locations produce diverse risks, experiences, and responses to sexual abuse. In the military context, factors such as branch, rank, unit, deployment status, and combat experience also shape experiences with and responses to sexual harassment and assault. This article argues for an intersectional approach to understand military sexual violence to better unpack the immensely varied sexual abuse experiences that service members may have. Additionally, prior research on the relationship between the military, masculinity, and sexual violence has often ignored the fluidity of masculinity and the myriad of ways in which gender, violence, and victimization are related. In advocating for an intersectional approach to research on military sexual violence, this article also challenges assumptions of a static military masculinity. Finally, an intersectional perspective can reveal the inadequacy of policies, practices, and research that assume a uniform victim experience.     

Against the odds: the impact of woman abuse on maternal response to disclosure of child sexual abuse

Although the co-occurrence of woman abuse and child sexual abuse is high little research exists exploring the impact of woman abuse on maternal response to child sexual abuse (CSA). Findings from two qualitative studies indicate the form of woman abuse to have differential impact on maternal response. Mothers who were abused in non-physical ways, psychological, or emotional, displayed more ambivalent, less supportive responses. Mothers who were physically abused by their partners more often acted supportively to their children and displayed less ambivalence about separating from the perpetrator. Some survivors reported non-disclosure as children because of their fear of the perpetrator due to the woman abuse they were exposed to while being sexually abused. Practice and research implications are discussed.     

“As Far as They Knew I Came from France”: Stigma,Passing, and Not Speaking about the Holocaust

Today we recognize that storytelling plays an important role in helping survivors of traumatic episodes such as sexual abuse, military combat, or genocide refashion a sense of self and “work through” their traumatic experiences. But before the Holocaust was named and widely acknowledged and the diagnosis of post‐traumatic stress had emerged, survivors of Hitler's genocidal policies struggled to tell their stories in a world that did not particularly wish to hear them. While most accounts of Holocaust survivors’ postwar experiences focus on themes of redemption, adjustment, and integration, my analysis of interviews with Holocaust survivors suggests during their first two decades living in the United States they were often silenced by individuals they encountered. I use Goffman's analysis of stigma to document how and why this silencing occurred, and with what consequences, providing an account of the interactions survivors had with family members, neighbors and acquaintances, and the strategies of identity management that survivors devised.     

Spousal Abuse Among Immigrants From Ethiopia in Israel

This ethnographic study obtains first‐hand information on spousal abuse from Ethiopian immigrants in Israel. Data include 23 interviews with male and female immigrants of various ages and 10 professionals who worked with this community as well as observations and documents. The findings, verified by participants, show that during cultural transition, the immigrants’ code of honor, traditional conflict‐solving institutions, and family role distribution disintegrate. This situation, exacerbated by economic distress, proved conducive to women’s abuse. Lack of cultural sensitivity displayed by social services actually encouraged women to behave abusively toward their husbands and destroy their families. Discussion focuses on communication failures in spousal‐abuse discourse between immigrants from Ethiopia and absorbing society, originating in differences in values, behavior, social representations, and insensitive culture theories.     

Warriors in suits: A Bourdieusian perspective on the construction and practice of military masculinity of Korean men

Within masculinity scholarship, there is a gap about how masculinity carries over from a broad social context to an organizational context. This article explores the construction and capitalization of masculinity through a series of experiences in social fields such as the military and college, and the transfer of militaristic masculinity into the workplace. Drawing on grounded theory methods, we conducted in‐depth interviews with 20 Korean men who completed their mandatory two‐year military service and subsequently joined large corporations in Korea. We uncovered a four‐phase model that depicts how Korean men's masculinity is constructed during military service and transferred to their organizational positions characterizing them as warriors in suits. Informed by a Bourdieusian perspective, this study shows how masculinities are constructed, reinforced and legitimatized by the structural influences of society, and how masculinity becomes the desired image of men at work, which perpetuates the gender and power gaps among organizational members.     

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.     

Culturally meaningful networks: on the transition from military to civilian life in the United Kingdom

This article introduces the Culturally Meaningful Networks (CMN) approach. Following a pragmatist perspective of social mechanisms more broadly, it develops and demonstrates an approach to understanding networks that incorporates both structure and meaning and that leverages time to understand how these aspects influence each other. I apply this approach to investigate a longstanding puzzle about why some of those who leave military service for civilian life fare well, and others badly. In a mixed-methods analysis, I follow a sample of individuals moving through the transition from military to civilian life in the contemporary United Kingdom. I find that the higher the proportion of alters (i.e., “contacts”) with a military background in the networks of leavers before discharge, the worse they fare after discharge. The CMN approach helps me locate a specific structural embedding that explains the presence or absence of durable cultural frames that set the context for the actual experience of the transition and cause problems during it. Attention to the temporal unfolding of network structure and social meaning is essential to bringing out this finding. By re-embedding networks within people’s experiences over time, the CMN approach helps grasp the distinctions by which leavers understand their interactions. I conclude by arguing that the CMN approach has implications for network sociology and cultural sociology that go beyond this substantive case.     

A game of three monkeys: Kadazan Dusun villagers and violence against women

Based on detailed and long-term anthropological research among rural Kadazans, the paper sets out the social history of domestic violence in one Sabah village. In more than 30 per cent of the households, there is a woman who has experienced repeated spousal abuse during her life. Adding those men who abused earlier spouses, and adults who lived through the abuse of their mothers in childhood, it is clear that violence is and has long been part of everyday — yet secret — village experience. For various reasons, researchers appear to have colluded in ignoring the issue. To help those women and their children whose lives are blighted by fear and fearful memories, it would be wise to assume domestic violence is as present in rural as in urban settings.     

The Relationship Between Perceptions of Response to Disclosure of Childhood Sexual Abuse and Later Outcomes

This study assessed whether perceptions of others’ reactions to disclosure are related to psychological and physical outcomes among individuals with a history of child sexual abuse. Eighty-six female undergraduates completed a series of questionnaires assessing child sexual abuse, nonsexual trauma, depression, anxiety, posttraumatic stress disorder, somatic symptoms, disclosure, and social reactions to disclosure. Those who reported child sexual abuse endorsed higher levels of psychological and physical symptoms than those who reported a nonsexual traumatic event. Child sexual abuse survivors who reported more hurtful responses to disclosure had higher levels of posttraumatic stress disorder, anxiety, and physical symptoms than nonsexual trauma survivors. These findings suggest that many survivors of CSA may need psychological services, and an important focus of treatment may be assessing and strengthening social support.     

Stockholm syndrome and child sexual abuse

This article, based on an analysis of unstructured interviews, identifies that the emotional bond between survivors of child sexual abuse and the people who perpetrated the abuse against them is similar to that of the powerful bi-directional relationship central to Stockholm Syndrome as described by Graham (1994). Aspects of Stockholm Syndrome could be identified in the responses of adult survivors of child sexual abuse, which appeared to impact on their ability to criminally report offenders. An emotional bond, which has enabled the sexual abuse of children, has served to protect the offender long after the abuse has ceased. The implications of Stockholm Syndrome could offer valuable insights to those working in the field of child sexual abuse.     

“Basically,I look at it like combat”: Reflections on moral injury by parents involved with child protection services

This study considers any “moral injury” occurring among parents involved with the Child Protection System (CPS). Moral injury refers to the lasting psychological, spiritual and social harm caused by one's own or another's actions in a high stakes situation that transgress deeply held moral beliefs and expectations. The existing literature focuses on military contexts, but moral injury also may play a role in increasing the vulnerability of CPS clients who are threatened with loss of their parental rights and dissolution of their families. We administered a modified version of the Moral Injury Events Scale (MIES) (Nash et al., 2013) to 10 CPS involved parents. We then conducted in-depth, semi-structured, audio recorded individual interviews with parents to elaborate their responses to the MIES. Parents' MIES scores and interview elaborations suggest that some CPS-involved parents do experience moral injury. Moral injury was reported as a result of their own parenting behaviors, but also as a result of parents' involvement with professionals and within social systems that are charged with providing assistance to struggling families. For instance, some parents perceived professionals to be shaming, social services to be harmful and legal proceedings stigmatizing. Parents' reported reactions to morally injurious events included lasting feelings of guilt, shame and anger; and loss of trust in professionals. These responses impeded their perceived abilities to fully engage in services. If involvement in CPS places parents at increased risk of moral injury, then moral injury is a critically important construct for child welfare policy makers and workers to understand and address in the conduct of effective, ethical child welfare practice.