Abstract:This systematic review examines qualitative research into the mental health issues encountered by military veteran personnel deployed to a combat zone. A small number of researchers have examined the often information-rich and complex experiences of returning personnel using a qualitative approach to data collection and analysis. However, qualitative studies have not often been appraised or synthesized. Using a qualitative method for conducting systematic review, the objectives of this article are twofold: (a)… Show more
“…Participants described having to learn how to navigate a new environment outside the military, whose social norms and practices were unfamiliar. This may lead to troubled adaption in civilian life because the military community is no longer accessible and the discipline and skills learned to become part of a cohesive military unit are no longer useful for making connections with others in the civilian world (16). Trivializing exposure to surviving Bosnia, for example, or repeated tours of Northern Ireland and Middle East conflicts, and what learning was gained from these tours, were slowly becoming devalued inside service as well as by civilian employers and non-military colleagues alike (72)(73)(74).…”
Section: Discussionmentioning
confidence: 99%
“…More detailed accounts of experience may help with understanding how veterans perceive and integrate the influence of pre-service events and quality of life, for instance (13,14). As countries have and continue to engage in various types of warfare, the interest in and education about veterans and their physical and psychological well-being continues to evolve (15)(16)(17)(18) and as the characteristics and needs of veterans have changed over time, knowledge about this population across the lifespan (and the social network around UK veterans) must evolve also. Veterans' experiences provide a framework for questions of what military identity is in the context of transition, what barriers exist to veterans wanting support for psychosocial challenges, and what adaption means for veterans and their families.…”
“…Participants described having to learn how to navigate a new environment outside the military, whose social norms and practices were unfamiliar. This may lead to troubled adaption in civilian life because the military community is no longer accessible and the discipline and skills learned to become part of a cohesive military unit are no longer useful for making connections with others in the civilian world (16). Trivializing exposure to surviving Bosnia, for example, or repeated tours of Northern Ireland and Middle East conflicts, and what learning was gained from these tours, were slowly becoming devalued inside service as well as by civilian employers and non-military colleagues alike (72)(73)(74).…”
Section: Discussionmentioning
confidence: 99%
“…More detailed accounts of experience may help with understanding how veterans perceive and integrate the influence of pre-service events and quality of life, for instance (13,14). As countries have and continue to engage in various types of warfare, the interest in and education about veterans and their physical and psychological well-being continues to evolve (15)(16)(17)(18) and as the characteristics and needs of veterans have changed over time, knowledge about this population across the lifespan (and the social network around UK veterans) must evolve also. Veterans' experiences provide a framework for questions of what military identity is in the context of transition, what barriers exist to veterans wanting support for psychosocial challenges, and what adaption means for veterans and their families.…”
“…The more important group memberships a person has to draw on, the more psychological resources they can recruit when attempting to deal with trauma (Jetten et al, 2012; Kearns et al, 2017; Walsh et al, 2014). Clearly, though, people are not always able to maintain their social identities when traumatized (Gordon, 2014). Most obviously, people may have to lose or let go of old identities because changed circumstances requires them to give up particular group memberships (Walsh et al, 2014).…”
Section: Leprosy As Psychological Traumamentioning
Objectives: Communities affected by leprosy encounter multiple traumas and adversities and are some of the poorest in the world. A diagnosis of leprosy can have catastrophic implications for peoples social, health, and economic circumstances. In this article, we describe a reciprocal collaboration with a nongovernmental organization (NGO) that supports people affected by leprosy, trauma, and adversity in rural Nepal. We offer a social identity-based empowerment approach for two reasons. We argue this approach is particularly suited to support those impacted by trauma and its psychological aftermath as those affected are disproportionately from disempowered and marginalized groups. Second, we know that people gain strength from others with whom they share experiences. Method: We offer longitudinal data (N = 71) to support this model of a mutually respectful, participatory, and collaborative approach with the Nepal Leprosy Trust (NLT), a social development NGO. Results: Findings of mediation analysis highlight that where a traumatic experience is highly stigmatized and isolating there is value in a group-based, self-help approach that emphasizes empowerment. Conclusion: A group-based approach that focuses on increasing knowledge and collective social resources is empowering for those affected by leprosy and adversity, because these resources build resilience.
Clinical Impact StatementBuilt on the understanding that trauma and resilience are group-based phenomena, we present a groupbased social identity empowerment approach that orients to social position, resources, and power. We describe a reciprocal collaboration with the Nepal Leprosy Trust (NLT), a social development nongovernmental organization working with impoverished, stigmatized, and traumatized leprosy affected communities in rural Nepal. NLT provide community outreach, using self-help groups with participatory, peer-to-peer learning. Our longitudinal research includes efforts to share empowering research capital with NLT. Results show that this group-based approach encourages shared social identity, which is the basis for learning, social participation, and psychological resilience.
“…In our opinion, the specific tasks of psychological rehabilitation carried out in the combat zone should be: diagnosis of the presence, type and level of mental disorder; evacuation of servicemen who need hospitalization to restore mental health; restoration of disturbed (lost) mental functions to a level that allows you to perform combat missions; correction of self-awareness, self-esteem, well-being and combat motivation in servicemen who have received mental disorders, physical injuries; providing assistance to servicemen in their preparation for surgical operations, in relieving pain in the wounded, rapid return of psycho-traumatized servicemen to the combat units, etc. (Albertson, Taylor, Murray, 2019;Gordon, 2014).…”
<p>W artykule przedstawiono istotę zasad teoretycznych związanych z rehabilitacją zawodową, psychologiczną i społeczną żołnierzy, którzy powrócili ze strefy walki we wschodniej Ukrainie. Należy podkreślić, że rehabilitacja psychologiczna jest uważana za rodzaj pomocy psychologicznej, która ma na celu przywrócenie utraconych (lub dysfunkcyjnych) zdolności poznawczych, funkcjonowania emocjonalnego i zdrowia. Przedmiotem rehabilitacji psychologicznej są osoby, które podejmują pokonanie traumy psychicznej, występującej w formie ostrej lub przewlekłej. Opisano następujące zasady rehabilitacji psychologicznej: zasadę zapobiegania, zasadę pilności, zasadę bliskości instytucji rehabilitacyjnych w stosunku do linii walki, zasadę prostoty środków, zasadę ciągłości i indywidualizacji środków. Ponadto wskazano na doświadczenie bezpośredniej rehabilitacji w wojsku; podano zalecenia dotyczące optymalizacji procesu rehabilitacji. Zaakcentowano, że w procesie rehabilitacji jest miejsce zarówno na odblokowanie zasobów osobistych psychologicznych żołnierzy, jak i stworzenie emocjonalnie wspierającej atmosfery grupowej. Proces rehabilitacji może też obejmować wdrożenie psychoterapii indywidualnej i grupowej oraz szkolenie skutecznych umiejętności komunikacyjnych.</p>
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