Severe polytraumatic injuries sustained in combat operations require intensive rehabilitation and often result in complex, long-term disabilities. Understandably, these significant injuries have a substantial emotional impact on families. In this article, the authors discuss the importance of a family-centered care philosophy, the interdisciplinary team approach, the therapeutic milieu, and two family-systems treatments (medical family therapy and ambiguous loss theory). A case example illustrates the key processes of psychological support and therapy when treating polytrauma patients and their families.
"A lack of a cohesive definition or core training standards compromises the ability to capture outcomes attributable to MedFTs. For example, a recent case study on the application of MedFT with polytrauma rehabilitation defined MedFT as an approach combining biopsychosocial and family systems perspectives with cognitive-behavioral and narrative methodologies (Collins and Kennedy 2008). In this study, the intervention was conducted by a psychologist and social worker where training in MedFT or family therapy was unknown. "
[Show abstract][Hide abstract] ABSTRACT: Medical Family Therapy (MedFT) is a relatively young sub-specialty founded
initially at the intersection of Family Therapy and Family Medicine. The purpose of this
article is to synthesize and review scholarly literature covering almost 30 years of history,
growth, and available research on MedFT. Eighty-two articles that met specific inclusion
criteria were reviewed and the literature was categorized into four distinct themes:
(a) Emergence of MedFT in the literature; (b) Contemporary MedFT skills and applications;
(c) Punctuating the ‘‘family therapy’’ in MedFT; and (d) MedFT effectiveness and
efficacy research. What was learned was that MedFT is growing so rapidly there is now a
need for a current definition, identification of core curriculum standards and competencies
for training, as well as a commitment to produce rigorous research on its effectiveness and
efficacy. Recommendations to advance efforts across the foci are provided.
Contemporary Family Therapy 06/2012; 34(34):156-170. DOI:10.1007/s10591-012-9183-9
"Role reorgani - zation generally takes place within the household while the solider is away on deployment ( Collins & Kennedy , 2008 ) . It can be very stressful for the family while the solider is away for fear that that person may not return home , and while the stress is alleviated from that concern when the soli - der returns , role reorganization and confusion likely occurs ( Collins & Kennedy , 2008 ) . "
[Show abstract][Hide abstract] ABSTRACT: Recently, the impact of deployment, especially war-zone experiences on the well-being of military personnel and veterans, has received much attention. Findings show that combat exposure may be linked to an array of negative health consequences, including posttraumatic stress disorder (PTSD), for the deployed individual and stress that is placed on the family. Married U.S. college students from Camp Lejeune and Fort Bragg, North Carolina, were asked to complete a survey measuring depression, anxiety, social support, and marital satisfaction. Comparisons of means between participants with spouses in the military and participants with a civilian spouse showed no significant differences in depression and anxiety. Participants with a military spouse did report significantly higher social support, and the same group was more likely to report marital discord. Implications for these findings, especially the prevalence of high marital discord associated with lengthy military deployment, are discussed.
The Family Journal 01/2012; 20(1):45-50. DOI:10.1177/1066480711429433
"This number, however, only accounts for those individuals who are serving or have served and fails to include the family members affected by their participation in such services. Unfortunately, family members of military service personnel have a long history of being " the forgotten " by many, including the military institutions themselves, as well as scholars and clinicians (Collins & Kennedy, 2008; Hoshmand & Hoshmand, 2007). "
[Show abstract][Hide abstract] ABSTRACT: Female United States armed services members are among the fastest and most steadily growing in military membership. Despite such advancement, little attention has been accorded to the individual servicewoman, as well as her family, by the marriage/couple and family therapy field. To attend to this identified gap, provided is an overview of the story of women in the military, as well as information on the prevalence of female personnel. Also identified are some of the common problem areas that servicewomen and their families' experience, as well as suggested frameworks and related focused genogram questions for use with such problems and clientele. Future areas worthy of greater scholarly attention are also considered.
Journal of Feminist Family Therapy 07/2011; 23(3-4):263-284. DOI:10.1080/08952833.2011.604533
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