title: Using multidimensional grief theory to explore the effects of deployment, reintegration, and death on military youth and families.
abstract: To date, the US military has made major strides in acknowledging and therapeutically addressing trauma and post-traumatic stress disorder (PTSD) in service members and their families. However, given the nature of warfare and high rates of losses sustained by both military members (e.g., deaths of fellow unit members) and military families (e.g., loss of a young parent who served in the military), as well as the ongoing threat of loss that military families face during deployment, we propose that a similar focus on grief is also needed to properly understand and address many of the challenges encountered by bereaved service members, spouses, and children. In this article, we describe a newly developed theory of grief (multidimensional grief theory) and apply it to the task of exploring major features of military-related experiences during the phases of deployment, reintegration, and the aftermath of combat death--especially as they impact children. We also describe implications for designing preventive interventions during each phase and conclude with recommended avenues for future research. Primary aims are to illustrate: (1) the indispensable role of theory in guiding efforts to describe, explain, predict, prevent, and treat maladaptive grief in military service members, children, and families; (2) the relevance of multidimensional grief theory for addressing both losses due to physical death as well as losses brought about by extended physical separations to which military children and families are exposed during and after deployment; and (3) a focus on military-related grief as a much-needed complement to an already-established focus on military-related PTSD.
authors.affiliation: Department of Psychiatry and Depression Center, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Road, Ann Arbor, MI 48109-5765, USA. julieb@med.umich.edu
authors.forename: Julie B
authors.initials: JB
authors.lastname: Kaplow
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Layne
authors.forename: William R
authors.initials: WR
authors.lastname: Saltzman
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Cozza
authors.forename: Robert S
authors.initials: RS
authors.lastname: Pynoos
mesh_terms: D000293:Adolescent; D005190:Family / Q000523:psychology*; D006117:Grief; D006801:Humans; D008889:Military Personnel / Q000523:psychology*; D011582:Psychological Theory; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D014481:United States