Military and Veterans Studies Commons^™

Moral Injury, Identity Dissonance, And Reintegration: A Compendium Of Reintegration And Survey Of United States Military Veterans, Thomas Hodges

Doctor of International Conflict Management Dissertations

How do military moral injuries affect reintegration? All service members leave the military eventually, but reintegration can be challenging, bringing changes in career, family life, and friendships, potentially prompting a loss of purpose, drive, and connection. Service members may also struggle with a crisis of identity upon separating from the military, feeling their military identity is incompatible with civilian life. While these difficulties are common for service members in reintegration, they may be worsened by moral injury, the adverse biological, social, psychological, and spiritual effects of experiencing an event that deeply offends a person’s sense of right and wrong. People …

Power Projection And Counter-Terrorism: Strategies For Small States Like Brunei Darussalam, Brice Tseen Fu Lee, Gulshan Bibi Ms

Journal of Terrorism Studies

This study delves into the intricacies of power projection strategies and counter-terrorism measures, emphasizing their relevance to small states, with a specific focus on Brunei Darussalam. Using a dual matrix model, the research categorizes various strategies based on risk-reward parameters, offering a structured insight into potential approaches these states can employ against potential aggressors. The counter-terrorism matrix is the initial focal point, recognizing the contemporary significance of terror threats and their unique challenges for small nations. Subsequently, the power projection matrix offers a broader view of defense tactics beyond counter-terrorism. By synthesizing information from primary academic sources, the study aims …

Stress-Reduction From Positive Support: Impacts Of Receiving Partner Capitalization Support On Veteran Stress/Work Stress, Maryann Dona Samson

Dissertations and Theses

Prolonged stress, a pervasive experience in the United States, has been linked to numerous adverse outcomes. The workplace commonly operates as a source of chronic stressors, in fact 25% of Americans find their job is the most stressful part of life. This tendency is particularly true for military veterans, who reliably experience elevated stress and burnout and low job satisfaction. Inspired by the pervasiveness and seriousness of the chronic stress issue, the current study addresses chronic stress in a veteran sample by examining the stress-protecting effects of social support. Whereas social support has traditionally been conceptualized as providing aid when …

Examining Access To Decent Work Among Women Veterans: A Psychology Of Working Theory Perspective, Rebecca C. Gaines

Electronic Theses and Dissertations

The present study investigated predictors of decent work among a sample of women Veterans (N = 354), grounded in the Psychology of Working Theory (PWT). A structural equation model demonstrated that women Veterans’ experiences of marginalization, economic constraints, work volition, and career adaptability all directly predicted their ability to secure decent work, and economic constraints and marginalization experiences indirectly predicted decent work via work volition. Proactive personality was additionally examined as a moderator variable and did not significantly moderate any model paths; however, it was found to be a unique predictor of decent work and work volition, as well …

The Mediation Effects Of Adaptive Blindness Strategies On The Relation Between Institutional Betrayal From Military Sexual Assault And Mental Health Symptoms, Rachel L. Davies

Psychology Theses & Dissertations

Military sexual assault is a serious and prevalent issue. The frequency with which military sexual assault occurs and the nature of the response to these events within the military system may contribute to institutional betrayal. Institutional betrayal is the failure of an institution, such as the military, to prevent sexual assault from occurring and/or the failure to support a survivor after sexual assault. Adaptive blindness strategies are forms of coping strategies that help individuals navigate a relationship they depend on when there is a betrayal. Two adaptive blindness strategies are self-blame and minimization. Although the adaptive blindness strategies may allow …

The Relationship Between Transformational Leadership And Attachment Theory Among Field Grade Officers In The U.S. Army, Rebecca Ochs

Dissertations

Purpose: The purpose of this quantitative correlational study was to determine what relationship exists between U.S. Army field grade officers’ self-reported scores on the five domains of the Leadership Practices Inventory (LPI) (Kouzes & Posner, 2002) and their self-reported scores on the Experiences in Close Relationships Scale (ECR) (Brennan et al., 1998). Methodology: This study used a correlational approach to collect quantitative data from U.S. Army field grade officers. Using the LPI, a self-report transformational leadership measurement tool developed by Kouzes and Posner (2002), that measures five domains that include: (a) model the way, (b) inspire a shared vision, (c) …

Historical Trauma: Literary And Testimonial Responses To Hiroshima, Mariam Ghonim

Theses and Dissertations

The concept of trauma is controversial in literature. While one may be able to come up with ways to describe trauma in fiction, representing historical trauma is a hard task for writers. Some argue that trauma can not be described through those who did not experience it, while others claim that, provided some elements are added, one can represent trauma to the reader. This thesis focuses on twentieth-century historical traumas related to a nuclear catastrophe and explores the different literary and testimonial responses to the catastrophic man-made event of Hiroshima (1945). In this thesis, Kathleen Burkinshaw’s historical fiction The Last …

Du Undergraduate Showcase: Research, Scholarship, And Creative Works, Caitlyn Aldersea, Justin Bravo, Sam Allen, Anna Block, Connor Block, Emma Buechler, Maria De Los Angeles Bustillos, Arianna Carlson, William Christensen, Olivia Kachulis, Noah Craver, Kate Dillon, Muskan Fatima, Angel Fernandes, Emma Finch, Colleen Cassidy, Amy Fishman, Andrea Francis, Stacia Fritz, Simran Gill, Emma Gries, Rylie Hansen, Shannon Powers, Jacqueline Martinez, Zachary Harker, Ashley Hasty, Mykaela Tanino-Springsteen, Kathleen Hopps, Adelaide Kerenick, Colin Kleckner, Ci Koehring, Elijah Kruger, Braden Krumholz, Maddie Leake, Lyneé Alves, Seraphina Loukas, Yatzari Lozano Vazquez, Haley Maki, Emily Martinez, Sierra Mckinney, Audrey Mitchell, Kipling Newman, Audrey Ng, Megan Lucyshyn, Andrew Nguyen, Stevie Ostman, Casandra Pearson, Alexandra Penney, Julia Gielczynski, Tyler Ball, Anna Rini, Christina Rorres, Simon Ruland, Helayna Schafer, Emma Sellers, Sarah Schuller, Claire Shaver, Kevin Summers, Isabella Shaw, Madison Sinar, Claudia Pena, Apshara Siwakoti, Carter Sorensen, Madi Sousa, Anna Sparling, Alexandra Revier, Brandon Thierry, Dylan Tyree, Maggie Williams, Lauren Wols

DU Undergraduate Research Journal Archive

DU Undergraduate Showcase: Research, Scholarship, and Creative Works

A Mindfulness Intervention For Veterans With Post-Traumatic Stress Disorder, Ashley N. Ries, Steven M. Gerardi Phd, Otd, Mss, Otr, Mary Horne Lcsw

Spring 2023 Virtual OTD Capstone Symposium

Every day, many United States veterans are suffering from the effects of post-traumatic stress disorder (PTSD). Responses to trauma may vary from person to person; however, a diagnosis of PTSD includes the individual experiencing clinically significant distress in their social and occupational areas of functioning. The impact of PTSD on a veteran’s life could impact their ability to carry out activities of daily living, decrease the amount of social participation they have, and limit their ability to perform instrumental daily activities, such as grocery shopping. Mindfulness is the practice of paying full attention to the present moment, without judgment, and …

Change Of Perception And Positive Attitudes Toward Therapy: A Comparative Analysis Conducted On Veterans Of The United States Of America, Hailey Buitrago, Desiree Crevecoeur-Macphail

Student Scholar Symposium Abstracts and Posters

Active duty military members can be subjected to significant amounts of stress, trauma, and physical and mental exhaustion during their service periods. It is vital to recognize the extent of these mental health disorders because they affect 27% of veterans, and when not adequately treated, they can lead to increased functional disability, even more so than physical illnesses (Philips, 2016; Wells et al., 1989). This study aims to examine how different types of information influence the perceptions of therapy for veterans. Veterans of all branches of the United States military between the ages of 18 and 100 were asked to …

Impacts Of Stigma On Female Service Members, Alisha Weatherly-Kershaw

Doctor of Psychology (PsyD)

There are a variety of factors that prevent people from seeking mental health treatment. The stigma associated with mental health disorders or seeking treatment is a primary deterrent. This stigma is particularly impactful within the armed forces when they are assessed for fitness for duty. Because most research examines stigma’s impact on male military members, this study aims to identify the type of stigma that creates the most significant barrier to female service members seeking mental health treatment. Results indicate that stigmatizing perceptions of service members significantly impact female service members holding negative views towards seeking treatment.

Exploring Associations Between Military Identity And Well-Being Outcomes Among Post-9/11 Veterans After Separation, James David Lee

Dissertations and Theses

Approximately 200,000 service members exit the military each year; as of 2016, there were 19 million veterans in the U.S. As service members transition out of the military and acclimate to civilian life, they face a multitude of stressors. For example, estimates vary from 44 to 72% of veterans reportedly experience increased stress during their transition which often entails securing civilian employment, navigating interpersonal difficulties, and adapting to the challenges of civilian life. These stressors have harmful consequences and have been linked to physical and mental health, and suicide risk. Despite these findings, research examining the well-being of veterans following …

Factors Associated With Successful Military-To-Civilian Transition Among Special Forces Veterans, Edward Richter

Theses and Dissertations--Social Work

The purpose of this study was to explore the military-to-civilian transitional experience in a sample of Special Forces veterans. Acknowledging challenges in accessing the veteran population, most existing research on the military-to-civilian transition consolidates military occupations into a single sample. This method fails to address the intricacies that may exist within individual military occupations, especially that of U.S. Army Special Forces soldiers. Special Forces qualified soldiers represent the largest portion of all U.S. Military Special Operations Forces and are responsible for the majority of all Special Operations activities, yet their experience in transitioning out of the Army is largely unknown. …

Trauma Exposure And Transdiagnostic Distress: Examining Shared And Ptsd-Specific Associations, Michael L. Crowe, Sage E. Hawn, Erika J. Wolf, Terence M. Keane, Brian P. Marx

Psychology Faculty Publications

Dimensional models of psychopathology suggest that the causes and consequences of psychopathology are attributable to a combination of syndrome specific and transdiagnostic features. There is considerable evidence that trauma exposure confers risk for a wide range of psychiatric conditions, yet no previous work has specifically examined the higher-order effects of trauma exposure within a structural model. We examined transdiagnostic and PTSD-specific associations with multiple forms of trauma exposure within a nation-wide sample (N = 1,649; 50% female) of military Veterans over-selected for posttraumatic stress disorder (PTSD). A higher-order Distress variable was estimated using PTSD, major depressive disorder (MDD), and generalized …

Ptsd And Alcohol Use Disorders Predict The Pace Of Cellular Aging, Sage E. Hawn, Xiang Zhao, Mark W. Miller, Sara Wallander, Christine Govan, Anjanette Stone, Steven A. Schichman, Mark W. Logue, Erika J. Wolf

Psychology Faculty Publications

Advanced epigenetic age is associated with psychopathology and may help to explain the link between psychopathology and physical health morbidity and mortality. Using a longitudinal sample of 171 trauma-exposed Veterans, we modeled the rate of change in epigenetic age across two time points (averaging 5.58 years apart) using two epigenetic age algorithms (GrimAge and Horvath) and tested associations with posttraumatic stress disorder (PTSD), alcohol use disorder (AUD), and depression. Results showed that PTSD (β = .199) and AUD (β = .186) were associated with a quickened pace of epigenetic aging over time (ps < .021). Results replicate and extend prior work and offer foundational support for identifying interventions that slow the pace of biological aging among those with psychopathology.

With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey

Antioch University Dissertations & Theses

Policy makers are tasked with changing laws and improving systemic processes in response to evolving moral standards. As societal outrage grew regarding sexual assault in the military, those in power sought to balance what was perceived as a system that ignored, retaliated against, or unfairly burdened victims. However, as the pendulum swung toward victims’ rights and privileges, those accused of this crime inherited the burden of an imbalanced system. In the military context, the experience of the accused is impacted by the lack of separation between functional domains of life (e.g., work, home, community), multiple roles of military commanders (e.g., …

Cognitive Effort Avoidance In Veterans With Suicide Attempt Histories, James M. Bjork, Chelsea S. Rooney, Lisa K. Straub, David M. N. Garavito, Andrew Westbrook

Articles

Suicide attempts (SA) are increasing in the United States, especially in veterans. Discovering individual cognitive features of the subset of suicide ideators who attempt suicide is critical. Cognitive theories attribute SA to facile schema-based negative interpretations of environmental events. Over-general autobiographical memory and facile solutions in problem solving tasks in SA survivors suggest that aversion to expending cognitive effort may be a neurobehavioral marker of SA risk. In veterans receiving care for mood disorder, we compared cognitive effort discounting and evidence-gathering in a beads task between veterans with (SAHx+; n = 26) versus without (SAHx-; n = 22) a history …

The Purple Heart And Suicidal Behaviors In Post-9/11 U.S. Army Combat Veterans With A Traumatic Brain Injury: A Mixed Methods Study, Jayna Moceri-Brooks

Electronic Theses and Dissertations

Military suicide rates remain high, despite years of targeted efforts to prevent suicide. Specifically, Army Combat Veterans who sustained a traumatic brain injury (TBI) while deployed in support of the Global War on Terrorism are at the highest risk for suicide. This dissertation highlights possible causes for suicidal behaviors within this unique group and provides specific military suicide prevention recommendations. The dissertation is organized into three publishable manuscripts: The first manuscript (Chapter 1) is a mixed-methods dissertation research proposal written according to the National Institute of Health proposal guidelines. The second manuscript (Chapter 2) is an integrative review of the …

Trans And Genderqueer Military Service Member-Veterans: An Acculturation Phenomenology Of Civilian Reintegration, Joseph A. Galluzzo

Electronic Theses and Dissertations

As United States military policy continues to evolve and affirm the accession and retention of trans and genderqueer (TGQ) service members, more TGQ people will join and ultimately separate from military service. Reintegration is a term that represents the experience of beginning to separate from the military and transitioning into civilian life, and those who encounter it are referred to as military service member-veterans (MSMVs). Though empirical knowledge of reintegration for MSMVs overall continues to improve, cultural relevance has only recently been considered, and no research has investigated the reintegration experiences of TGQ MSMVs specifically. The primary purpose of this …

An Analysis Of Military Service Academies Sexual Harassment And Sexual Assault Through Reports, Research, And Media Coverage, Lisa “Tana” Youn Kyung Sharp

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military Sexual Trauma (MST) at the United States Military Services Academies (MSA) remains at a concerning rate despite the MSAs’ proactive educational steps towards addressing this issue. One of the most influential factors is the very culture of the MSAs. This paper analyzes publicly-accessible governmental research and reports, peer reviewed articles, a legal publication, and media coverage. The analysis shows that there remain significant barriers to change which continue to play a role in the high frequency of MST. These barriers are low rates of accountability, difficulty in access to cadets/midshipmen by outside researchers, and the overall MSA cultural trends …

Mindfulness To Manage Moral Injury: Rationale And Development Of A Live Online 7-Week Group Intervention For Veterans With Moral Injury, Michelle L. Kelley, Megan Strowger, Victoria O. Chentsova, Adrian J. Bravo, Susan A. Gaylord, Elizabeth E. Burgin, Christine Vinci, Kenneth L. Ayers, Erum Agha

Psychology Faculty Publications

BACKGROUND: Military service puts service members at risk for moral injury. Moral injury is an array of symptoms (e.g., guilt, shame, anger) that develop from events that violate or transgress one's moral code.

OBJECTIVE: We describe adaption of in-person mindfulness training program, Mindfulness to Manage Chronic Pain (MMCP), to address symptoms of moral injury to be delivered live via the web. We discuss how we will assess benchmarks (i.e., recruitment, credibility and acceptability, completion rates, and adherence) of the Mindfulness to Manage Moral Injury (MMMI) program.

METHODS: Aim 1: To develop and then adapt the MMCP program based on …

Sleeping With The Enemy: Examining The Relationship Between Sleep And Pain In Post-9/11 Veterans, John L. Schwartz Jr.

Psychology Theses & Dissertations

United States veterans are a diverse group of individuals, yet as a result of their service, they share a unique set of customs, traditions, and values. Post-9/11 veterans are more likely to experience elevated levels of pain and poor sleep quality compared to their civilian counterparts; however, little is known about how beliefs related to veterans’ pain impact their sleep and how levels of pain acceptance influence the sleep-pain association. This study examined relationships between sleep and pain in a sample of 102 post-9/11 veterans. Results support associations between pain and sleep identified in other populations. Positive correlations were found …

Posttraumatic Stress Disorder: Comparing Short-Term, Intensive Therapy To Traditional, Long-Term Therapy, Laura Gonzalez, Sean Kruckenberg

Electronic Theses, Projects, and Dissertations

ABSTRACT

Posttraumatic Stress Disorder (PTSD) is a mental health diagnosis that occurs following a traumatic event, and military veterans are at higher risk of exposure to hazardous or life-threatening situations that may result in psychological trauma. PTSD sufferers experience symptoms such as distressing memories, nightmares, flashbacks, hypervigilance, and heightened arousal. Individuals with PTSD also experience higher rates of depressive and substance use disorders, involvement with the justice system, and self-harm and suicide. Many agencies, such as the Department of Veteran’s Affairs (VA) provide treatment PTSD, however most programs experience dropout rates as high as 36%. Recent studies have shown that …

Motivation For Physical Training In Army Rotc Cadets, Christina Frederick, Stephen Rice, Grace Richards, Keith Ruskin, Kyle Gatrost

Publications

The present study used Self-Determination Theory to study motivation for physical training (PT) in ARMY ROTC cadets (n=139). Results found that length of participation in ROTC lowered cadets’ intrinsic motivation, which then resulted in lower levels of enjoyment for PT. Application of results for future training is discussed.

Exploring Occupational Therapy’S Role In Equine-Assisted Therapy With Veterans, Collin Cooper, Becki Cohill, Susan Macdermott, Karen Park

Spring 2021 Virtual OTD Capstone Symposium

Equine-assisted therapy (EAT) is a treatment that incorporates activities with a horse and the equine environment to reach rehabilitative goals specific to the client's needs and the medical professional's standards of practice (Meregillano, 2004; Path Int, 2021). There are many methods of using a horse in treatment. Therapeutic riding is a component of EAT, as well as horsemanship, groundwork, horse care, and stable management. Hippotherapy is a healthcare professional (OT, PT, SLP) treatment tool that occupational therapists (OT) use the horse's movement to facilitate change (Meregillano, 2004). Some research has demonstrated veterans who work with horses show improvement in quality …

An Examination Of Racial And Ethnic Differences In Internalized Mental Health Stigma And Perceived Mental Health Barriers Due To Stigma Among Women Veterans, Christe’An D. Iglesias

Electronic Theses and Dissertations

The stigma associated with mental illness can serve as a barrier for receiving treatment. Veterans may avoid seeking care due to stigma-related negative beliefs about one’s self or others. Research suggests that the stigma of mental illness can adversely impact service utilization. Although studies have shown that racial and ethnic minoritized individuals are more likely to experience poor mental health outcomes, no studies have examined how mental illness stigma differs across racial groups among women veterans. The objective of this secondary analysis is to examine how internalized mental health stigma and perceived barriers to access to care related to mental …

From Military Service To Diakonia: A Training Program For Clergy Ministering To Veterans, Danielle Xanthos

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Many veterans opt to seek the support of clergy before mental health professionals. Most clergy, however, are unfamiliar with the nuances of the veteran culture and experience. Mental health professionals who specialize in working with the veteran population can collaborate with clergy to bridge this gap of care to mutually develop a better understanding of veteran culture and symptoms of mental health conditions common among the veteran population, and by equipping clergy with basic tools that promote psychological and spiritual wellbeing. Special consideration is given to the concept of moral injury and the application of Acceptance and Commitment Therapy, illustrating …

A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice

Counseling & Human Services Theses & Dissertations

Group therapy is commonly used in the treatment of substance use disorders (SUD). Many studies exist related to the efficacy of group interventions for veterans with SUDs. A meta-analysis and systematic review of the literature addressing the use of group therapy, specifically psychoeducational groups, cognitive behavioral therapy (CBT) groups and support groups, in the treatment of SUDs with veterans was conducted. The following questions guided the research: What are viable treatment outcomes for psychoeducational, CBT, and support groups of veterans with SUDs? and What are the measures that capture outcomes related to psychoeducational, CBT, and support groups of veterans with …

Improving Veterans’ Psychological Well-Being With A Positive Psychology Gratitude Exercise, Clara Im Adkins

Counseling & Human Services Theses & Dissertations

The demand for therapeutic services and effective counseling interventions aimed at rehabilitating veterans has increased exponentially over the past thirty years. Veterans with PTSD symptoms experience several problems including, relationship issues, lower life satisfaction, suicidal ideation, isolation, and comorbid diagnoses. Current research on veterans diagnosed with PTSD suggests integrating wellness and strength-based approaches aimed at developing positive psychology characteristics into clinical services for veterans. Gratitude is a core construct in positive psychology and has been practiced in cultures all over the world. Gratitude journal interventions have been proven to increase well-being, positive affect, social relationships, optimism, life satisfaction, and lower …

The Effects Of Military Sexual Trauma And Depressive Symptoms On Reintegration, Rachel L. Davies

Psychology Theses & Dissertations

Reintegration is a challenge for many veterans returning to civilian roles after military service. Difficulties range from an assortment of issues such as self-care to community participation. Military sexual trauma may be an experience that alters or changes veterans and result in difficulty in reintegration. Specifically, it was predicted that military sexual trauma would indirectly affect reintegration, via depressive symptoms. In addition, locus of control was predicted to play a role in how military sexual trauma impacts reintegration with external locus of control acting as a buffer. Participants were a cross-sectional community sample of both female veterans who reported having …