Serving families who have served: providing family therapy and support in interdisciplinary polytrauma rehabilitation
ABSTRACT 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.
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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
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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
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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; 23:263-284. DOI:10.1080/08952833.2011.604533