Department of Psychiatry and Depression Center, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Road, Ann Arbor, MI 48109-5765, USA.
Clin Child Fam Psychol Rev. 2013 Sep;16(3):322-40. doi: 10.1007/s10567-013-0143-1.
To date, the US military has made major strides in acknowledging and therapeutically addressing trauma and post-traumatic stress disorder (PTSD) in service members and their families. However, given the nature of warfare and high rates of losses sustained by both military members (e.g., deaths of fellow unit members) and military families (e.g., loss of a young parent who served in the military), as well as the ongoing threat of loss that military families face during deployment, we propose that a similar focus on grief is also needed to properly understand and address many of the challenges encountered by bereaved service members, spouses, and children. In this article, we describe a newly developed theory of grief (multidimensional grief theory) and apply it to the task of exploring major features of military-related experiences during the phases of deployment, reintegration, and the aftermath of combat death--especially as they impact children. We also describe implications for designing preventive interventions during each phase and conclude with recommended avenues for future research. Primary aims are to illustrate: (1) the indispensable role of theory in guiding efforts to describe, explain, predict, prevent, and treat maladaptive grief in military service members, children, and families; (2) the relevance of multidimensional grief theory for addressing both losses due to physical death as well as losses brought about by extended physical separations to which military children and families are exposed during and after deployment; and (3) a focus on military-related grief as a much-needed complement to an already-established focus on military-related PTSD.
迄今为止,美军在承认和治疗军人及其家属的创伤和创伤后应激障碍(PTSD)方面已经取得了重大进展。然而,鉴于战争的性质以及军人(例如,同单位成员的死亡)和军人家庭(例如,失去在军队服役的年轻父母)的高损失率,以及军人家庭在部署期间持续面临的损失威胁,我们提出也需要类似地关注悲伤,以正确理解和解决许多失去亲人的军人、配偶和子女所面临的挑战。在本文中,我们描述了一个新开发的悲伤理论(多维悲伤理论),并将其应用于探索部署、重新融入和战斗死亡后阶段与军事相关的经历的主要特征,特别是它们对儿童的影响。我们还描述了在每个阶段设计预防干预措施的意义,并以未来研究的建议途径结束。主要目的是说明:(1)理论在指导描述、解释、预测、预防和治疗军人、儿童和家庭适应不良悲伤方面的不可或缺的作用;(2)多维悲伤理论对于解决由于身体死亡以及军人子女和家庭在部署期间和之后所经历的长时间身体分离而导致的损失的相关性;(3)关注与军事相关的悲伤是对已经建立的与军事相关的创伤后应激障碍的急需补充。