Suchergebnisse

Women are being deployed at increasing rates. This article reviews literature related to the risk and protective factors that explain varied levels of adaptation for servicewomen and their families. Implications suggest that clinicians assess risk factors for female soldiers upon return home such as the number and length of deployments, the presence of mental health challenges, physical injuries including traumatic brain injury, the experience of military sexual trauma, a history of childhood or adult sexual trauma, and the pile-up of additional life stressors that can lead to a cumulative negative effect for women and their families. Clinicians are also encouraged to assess and encourage family strengths that foster resilience such as social support, ongoing communication, family structure that is flexible, and positive appraisal.

The objective of this capstone thesis was to design a 50-minute drama therapy group session that worked within the interdisciplinary treatment model of the National Intrepid Center of Excellence (NICoE) and its Healing Arts Program located on the base of Walter Reed National Military Medical Center in Bethesda, MD. It was grounded in Frydman's (2016) theoretical framework that partners drama therapy with neuropsychology, and considers elements of Landy's (1996) Role Theory, J.L. Moreno's concept of spontaneity (Howie &Bagnall,2016), Developmental Transformations (Butler, 2012) and Sociodrama (Sternberg &Garcia, 2000). It also aimed to further Frydman's (2016) research by applying it to the use of drama therapy with active duty service members diagnosed with TBI. The results of this capstone thesis show drama therapy to be an appropriate form of therapy for active duty service members diagnosed with TBI. Several studies (for examples see, Baumgartner (1986), and Forrester & Johnson, (1996), James & Johnson (1996), Dintino & Johnson (1997)) have been conducted using drama therapy with military veterans and not active duty service members. And while the NICoE's Healing Arts Program has conducted extensive research with active duty service members and art therapy (Walker, Kaimal, Gonzaga, Myers-Coffman, & Degraba, 2017), none of these studies provided information on the use of drama therapy with active duty service members. It is evident that drama therapy should be considered as a form of treatment for active duty service members diagnosed with traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and other psychological issues.

This qualitative study aims to find common themes that may suggest portrayals of former service members' psychological development and their reintegration. We have found their cognitive dissonance from experiencing two very different cultures: the highly structured collective culture of military life and the individualistic culture of civilian life. Former service members tend to develop and maintain the strong ideology of "service to others" in civilian life as their goal or purpose of life. It became clear to us how they have reached to this ideology when we used our ethnic backgrounds and understandings as Japanese researchers who came from a society where collective well-being is highly valued. We came to the conclusion that the macroscopic as well as spiritual views would be beneficial to incorporate when counselors, support organizations, or health care providers are assisting former service members' transition into civilian life.

Civilian dermatologists sometimes provide care to military service members. This article provides an overview of special considerations that are relevant to the dermatologic treatment of members of the U.S. Armed Forces. We provide a review of the potential implications of certain conditions and treatments for medical retention standards and discuss how service-connected disabilities due to skin conditions are rated and compensated. Understanding service members' circumstances and priorities can help guide discussions and decisions about their care.

This qualitative study aims to find common themes that may suggest portrayals of former service members' psychological development and their reintegration. We have found their cognitive dissonance from experiencing two very different cultures: the highly structured collective culture of military life and the individualistic culture of civilian life. Former service members tend to develop and maintain the strong ideology of "service to others" in civilian life as their goal or purpose of life. It became clear to us how they have reached to this ideology when we used our ethnic backgrounds and understandings as Japanese researchers who came from a society where collective well-being is highly valued. We came to the conclusion that the macroscopic as well as spiritual views would be beneficial to incorporate when counselors, support organizations, or health care providers are assisting former service members' transition into civilian life.

In 1946, the ancient wall of sovereign immunity gave way with the passage of the Federal Tort Claims Act (FTCA) opening the courthouse doors to persons harmed by those acting on behalf of the federal government. From the outset, FTCA liability was limited by the expansive discretionary function exception and other express limitations on civil actions. Unresolved in the FTCA was the fate of members of our armed forces injured by actions "incident to service" but outside of armed conflict. Four years later, in Feres v. United States, the Court addressed this question placing dramatic limits on civil tort claims of service members. The limitations were rationalized on the need to maintain order, discipline, and chain-of-command. From Feres forward, most of those injured incident to military service have been denied access to the very system of justice they pledge their lives to defend. That injustice has persisted for seven decades. This Article discusses Feres, the expansion of the "incident to service" prohibition, and recommends overturning Feres, amending the FTCA to allow access to justice in Article III courts for acts neither incident to nor essential for military service. It is time for victims of sexual assault, rape, and medical malpractice to have their day in court. Holding accountable the federal government and those engaged in misconduct will enhance, not undermine, respect for order, discipline, and chain-of-command. It is time for uniformly condemned acts to be subjected to the light of day in Article III courts.