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PPT presentation on a paper I wrote for Social Work With Children class about deployment, military families, children, and attachment.
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Deployment, Military Families, and Children:
Implications for Social Work Practice
SSS 804: Social Work With Children
National Catholic School of Social Service
Jane Slomski
November 2009
Military Families of Today
• All-volunteer military• No longer only single men• Most do not choose long-term service• 60% of U.S. service members have
children under age 5• Military policies are getting better but still
do not fully reflect the changing needs of its families.
Families Cont.
• Families expected to conform to demands of military lifestyle
• Demands have recently been met with increasing intolerance and dissatisfaction by service members and their families
• Recently recognized need for widespread reevaluation of military policies and procedures as they relate to military families
Unique Stressors in Military Families
• Deployment– Long term separations, sometimes with limited
contact with soldiers/families– War zones: increased risk of injury or death
• Reorganization– Family roles shift to compensate for absence of
soldier– When soldier returns, must reintegrate into family
• Relocation– Frequent moves disrupt networks of social support – Children have difficulty frequently changing schools
and making new friends
Military Children
• Literature suggests that children with deployed parents:– Are aware of the dangers of deployment– Show a greater ability to adapt than civilian
cohorts– Are extremely resilient– Feel a sense of sacrifice and patriotism
Children’s Mental Health During Deployment
• Strongly linked to coping skills and mental health of at-home parent
• If parent exhibits symptoms of distress, depression, or anxiety, children are likely to present with clinically significant symptoms as well
• Among surveyed military spouses, most common concern is fear for solider safety
Satisfaction With Army Life
• In study of factors associated with family’s satisfaction with army life, most important factor was impact of separations
• Impact of separation: Effect that soldier’s absence has on family life cycle
• Absence during important life events: Graduation, marriages, holidays…
• Impact of separation negatively correlated with spouse’s– physical well-being– psychological well-being– marital satisfaction– Army life satisfaction
Attachment and Separation
• Attachment Theory:– Biological attachment system activated at
birth: newborns seek safety, nourishment, comfort, connection.
– Attachment system is active throughout life; humans maintain psychological equilibrium through emotional and physical connections with others
– Separation from attachment figures activates the attachment system and causes psychological distress, anxiety, depression
Attachment Figures
• In childhood– Adult the child depends on to meet basic needs including the
need for physical comfort and emotional closeness (usually parents, not always)
• In adulthood– Moves away from parents; transfers to significant others in life
• In romantic relationships– Attachment style developed in childhood becomes the way we
relate to others as adults
• Primary attachment figure in childhood is usually mother and/or father; focus on quality (not quantity of time) in relationship
Attachment Styles
• Secure– Child: Feels comfortable with parent; turns
to them in times of distress; reacts negatively to separation but is able to regain equilibrium in a safe environment
– Parent: Acts as a “secure base” from which the child can venture forth to explore the world. Assures child of availability for soothing and comfort if needed; allows developmentally appropriate autonomy
Attachment Styles
• Avoidant– Child: Uncomfortable getting close to
attachment figures; do not trust easily; show little distress when separated; uninterested when reunited
– Parent: Emotionally rigid; become angry or reject child’s attempts at closeness;
Attachment Styles
• Anxious– Child: Extremely distressed when separated
from attachment figures but conflicted or ambivalent upon return
– Parent: Does not give consistent responses to child’s bid for closeness; sometimes angry and rejecting, sometimes accepting
Attachment Styles
• Disorganized– Child: Quickly switch from extreme distress to
ambivalence in response to separation; Might display both proximity seeking behaviors (reaching, crawling) and avoidant behaviors (turned back, crying, ignoring)
– Parent: unpredictable behavior; “spaced out,” disorganized; may look frightened or confused when child approaches them*
*May be the result of childhood trauma
Separation & Effects on Children
• Regardless of attachment style, children experience physical and psychological distress when separated from attachment figures for prolonged periods
• Military children may experience not only prolonged separation from primary attachment figures, but also separation from important friends and relatives due to frequent relocations
General Reactions to Separation
• Internalizing behaviors– Fear, anxiety, insomnia, nightmares, clinging
to available attachment figure, fear that the parent who is home will also leave
– Depression (clinical and sub-clinical)• Externalizing behaviors
– Crying, aggression, non-compliance (out of the ordinary)
• Problems in school• Loss of interest in activities/friends
Reactions to Separation by Developmental Level
• Infant (birth -1)– Reactive to emotions of caregiver– Sense depression, anxiety– Parents report changes in eating and sleeping
and increased fussiness, difficult to soothe• Toddler (2 – 3)
– Clinginess– Withdrawal– Depression– Difficulty sleeping
Reactions to Separation by Developmental Level
• Pre-school (3 – 5)– Regression to earlier behaviors
• Bed wetting, fussing, crying for attention, aggression
– Lack understanding of cause and effect and may believe that they caused the parent to go away. May experience guilt.
• Early Elementary (6 – 8)– Basic understanding of cause and effect– Begin to understand danger and war– May experience intense grief
Reactions to Separation by Developmental Level
• Late Elementary (9 – 12)– Experience range of emotions very quickly– Anger, feel abandoned by deployed parent– Boys may feel increased sense of
responsibility for family if father is deployed– Manifest as increased aggression, anti-social
behavior, over-involvement in extra-curricular activities to hide emotions
Reactions to Separation by Developmental Level
• Adolescence (12+)– Understand war and conflict – Feels sadness but understands the concept of
deployment and time-limited deployment which may help with coping.
– Likely to immerse self in extra-curricular activities and friendships
– Is able to discuss feelings and thoughts about deployment
– Feel increased sense of responsibility, especially with younger siblings
Effects of Deployment on Attachment Bonds
• Regardless of age of child, attachment bonds are stressed by prolonged separation/deployment
• Children < 1 year will not recognize the parent when he/she returns from deployment; attachment bonds must be reformed
• If soldier sustained injuries, children may be initially fearful and distant
Effects of Deployment on Attachment Bonds
• Children may initially react with fear and uncertainty under any circumstances
• Amount of contact with soldier during deployment often determines reactions
• Parents who were able to keep in contact regularly during deployment report easier transitions back into family life
• Parents who were not able to keep in contact often have difficulty reestablishing bonds
• Anxious/avoidant attachment patterns may form
Social Work Interventions
• Children with deployed parents often present with clinically significant symptoms of:– Anxiety, depression, anti-social behavior,
school failure, somatic symptoms…• Consequence of hyper-activation of the
biological attachment system• Interventions focus on reassurances of safety,
maintaining bonds with deployed parents, maintaining bonds with home-parent, and repair of attachment bonds when soldier returns home.
Social Work Interventions
• Very young children (1 – 5) – Focus on mental health and emotional
regulation of caregiver– Play therapy
• Clinician/parents should be aware of themes in play:
– War– Violence– Anxiety– Separation– Control – Death
Social Work Interventions
Older children– Direct conversations about thoughts and
feelings related to deployment
Parents– Encourage parents to talk regularly with their
children and let them know that talking about their feelings is accepted and expected
Regular communication
If possible, regular communication with deployed parent via internet, letters, etc
Social Work Interventions
• Rituals– Encourage family to develop predictable
rituals when talking to deployed parent or doing things at home• When deployed parent calls, always say goodbye
the same way• Call around same time of day if possible• Develop routines around waking up in the morning,
going to bed at night, etc. i.e. songs, reading stories, greetings and goodbyes.
Policy Implications
• Military policies around family and child welfare during deployment, although evolving, are still not satisfactory.
• Length of deployment is a major concern• Need increased recognition of multiple
family forms and increasingly diverse needs:– Separation and divorce/ fathers living
separately from children, single parent families, families with two deployed parents…
Resources
Homeward Deployed• www.homewarddeployed.org
National Fatherhood Initiative • www.fatherhood.org
Military One Source• www.militaryonesource.com
Army MWR• www.armymwr.com
Navy MWR• www.mwr.navy.mil
References
• Allen, M. & Staley, L. (2007, January). Helping children cope when a loved one is on military deployment. Retrieved from http://www.naeyc.org/yc/pastissues/2007/january
• Bowlby, J. (1969). Attachment and loss. Basic Books.• Burrell, L.M., Adams, G.A., Durand, D.B. & Castro, C.A. (2006). The impact of military lifestyle demands on well-being,
army, and family outcomes. Armed Forces & Society, 33(1). 43-58.• Cassidy, J. & Shaver, P.R. (Eds.).(1999). Handbook of attachment: Theory, research, and clinical applications. New York:
The Guilford Press.• Chartrand, M.M., Frank, D.A., White, L.F., & Shope, T.R. (2008). Effects of parents’ wartime deployment on the behavior of
young children in military families. Journal of Pediatric and Adolescent Medicine, 162(11). 1009-1114.• Cozza, S.J., Chun, R.S., & Polo, J.A. (2005). Military families and children during Operation Iraqi Freedom. Psychiatric
Quarterly, 76(4). 371-378.• Doyle, M.E. & Petersen, K.A. (2005). Re-entry and reintegration: Returning home after combat. Psychiatric Quarterly, 76 (4).
361-370.• Drummet, A. R., Coleman, M., & Cable, S. (2003). Military families under stress: Implications for Family Life Education.
Journal of Family Relations, 52, 279-287.• Huebner, A.J., Mancini, J.A., Bowen, G.L. & Orthner, D.K. (2009). Shadowed by war: building community capacity to support
military families. Journal of Family Relations, 58, 216-228.• Lemmon, K.M. & Chartrand, M.M. (2009). Caring for America’s children: Military youth in time of war. Pediatrics in Review,
30(6). 42-48.• Mikulincer, M. & Shaver, P.R. (2007). Attachment in adulthood: Structure, dynamics, and change. New York: Guilford Press.• Murray, J.S. (2002). Helping children cope with separation during war. Journal for Specialists in Pediatric Nursing, 7(3). 127-
130.• Ryan-Wenger, N.A. (2002). Impact of the threat of war on children in military families. Journal of Pediatric Health Care, 16,
245-252.