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当父母一方在战斗中受伤或丧生时。

When a parent is injured or killed in combat.

作者信息

Holmes Allison K, Rauch Paula K, Cozza Stephen J

出版信息

Future Child. 2013 Fall;23(2):143-62. doi: 10.1353/foc.2013.0017.

Abstract

When a service member is injured or dies in a combat zone, the consequences for his or her family can be profound and long-lasting. Visible, physical battlefield injuries often require families to adapt to long and stressful rounds of treatment and rehabilitation, and they can leave the service member with permanent disabilities that mean new roles for everyone in the family. Invisible injuries, both physical and psychological, including traumatic brain injury and combat-related stress disorders, are often not diagnosed until many months after a service member returns from war (if they are diagnosed at all-many sufferers never seek treatment). They can alter a service member's behavior and personality in ways that make parenting difficult and reverberate throughout the family. And a parent's death in combat not only brings immediate grief but can also mean that survivors lose their very identity as a military family when they must move away from their supportive military community. Sifting through the evidence on both military and civilian families, Allison Holmes, Paula Rauch, and Stephen Cozza analyze, in turn, how visible injuries, traumatic brain injuries, stress disorders, and death affect parents' mental health, parenting capacity, and family organization; they also discuss the community resources that can help families in each situation. They note that most current services focus on the needs of injured service members rather than those of their families. Through seven concrete recommendations, they call for a greater emphasis on family-focused care that supports resilience and positive adaptation for all members of military families who are struggling with a service member's injury or death.

摘要

当一名军人在战区受伤或死亡时,对其家庭造成的影响可能是深远且持久的。明显的身体战伤往往需要家人适应漫长且压力重重的治疗和康复过程,这些伤可能会使军人留下永久性残疾,这意味着家庭中的每个人都要承担新的角色。无形的身体和心理创伤,包括创伤性脑损伤和与战斗相关的应激障碍,往往要到军人从战场归来数月后才会被诊断出来(如果能被诊断的话——许多患者从不寻求治疗)。这些创伤会改变军人的行为和性格,使养育子女变得困难,并在整个家庭中产生影响。父母在战斗中死亡不仅会带来即时的悲痛,还可能意味着幸存者在必须离开支持他们的军事社区时,失去了作为军属的身份认同。艾莉森·霍姆斯、宝拉·劳赫和斯蒂芬·科扎依次梳理了有关军人家庭和平民家庭的证据,分析了明显的战伤、创伤性脑损伤、应激障碍和死亡如何影响父母的心理健康、养育能力和家庭结构;他们还讨论了在每种情况下能够帮助家庭的社区资源。他们指出,目前大多数服务都侧重于受伤军人的需求,而非其家庭的需求。通过七项具体建议,他们呼吁更加重视以家庭为中心的护理,为所有因军人受伤或死亡而陷入困境的军属提供支持,帮助他们恢复适应能力并实现积极的调整。

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