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Transcript of Presented by Alicia Bogard, MSW, LISW-S, CFLE. Introduction Cultures of War Compassion ...
![Page 1: Presented by Alicia Bogard, MSW, LISW-S, CFLE. Introduction Cultures of War Compassion Communication Conclusion.](https://reader036.fdocuments.in/reader036/viewer/2022062518/5697bf751a28abf838c80623/html5/thumbnails/1.jpg)
Always a Soldier Presented by
Alicia Bogard, MSW, LISW-S, CFLE
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IntroductionCultures of WarCompassionCommunicationConclusion
Outline
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Are you a Veteran?
Loved one a Veteran?
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“I do not want to be dependent on anybody. I developed this belief the day that I joined the Marine Corp. “Once a Marine, always a Marine.” It is important to me to remain stoic. I do not believe in crying and if I have to then it will be in private. I am not sure if it serves a purpose, but feels like it is cowardly to do.” * Vietnam Veteran
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Branch of the Military (Army, Marines, Air Force, Navy and Coast Guard)
Draft vs. Enlisted
Not Stereotyping
Cultures from Each War…
Differences to Consider
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World War II:
◦ Heroes and Praised.
◦ Did not speak about what happened
◦ “Shell Shock”& “Combat Fatigue”
“During the war,
I earned a lot of metals, but did not speak about them because I
did not want people to know
what I did. “* World War II Veteran
Cultures from Each War
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Korean War:
◦ Viewed a “Conflict”
◦ Not supposed to be any wars after WWII
◦ Feel overlooked
“ and when the war was over, the Chinese military puts their guns down and wanted to shake our hands because they called a truce.”
* Korean War Veteran
Cultures from Each War cont.
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Vietnam War:
◦ Media Coverage
◦ Divided Country
◦ No gratitude or appreciation for veterans
“Being in Vietnam, I
believe was a waste and there was no reason. “ * Vietnam Veteran
Cultures from Each War cont.
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Gulf War/Dessert Storm Veterans◦ Exposed to nerve
gas◦ Increased rates of
brain cancer, lung cancer, debilitating chronic diseases and pain, increased risk for Alzheimers
Iraq/Afghanistan Veterans
◦ Struggling when they return to civilian life
◦ Job skills do not translate from military
Cultures from Each War cont.
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Person came home a different/changed person◦ Veterans returned home & their family told
them they did not know or recognize them Veterans worried about their family finding out
what they did/had been through
Rape in Military/Conceiving Children
Substance Use to Cope
Family Dynamics
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Family Dynamics cont.
“ I left my family because I went to get milk and never came back.”
* Vietnam Veteran
Domestic Violence due to still being in “combat mode”
Being military family is a different lifestyle◦ Stoicism◦ Different Lifestyle (traveling/changing roles)◦ Loss of Friends (technology not the same)◦ Concern about Pensions
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Post Traumatic Stress Disorder (affects them in large crowds, ability to keep jobs and relationships, interactions with the law)
Veterans can have a distrust of any authority
Co-morbid conditions are often present (anxiety, depression, substance abuse, social or family issues)
How Does This Effect Us as Professionals?
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Addressing all areas of health: Spiritual, Emotional, Social,
Physical & Cognitive
Looking at possibility that physical pain can be related to underlying pain in other areas
Holistic Approach
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Forgiveness Issues
Isolation
Guilt
Guided Imagery
Use Ritual to help bring healing (memorial rocks, pinning, bracelets, letters to the living or the dead)
Compassion
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EMDR returns information processing to normal, the memory is still there but it is less upsetting, less intense, less stressful
EMDR is a eight-phase integrative treatment approach
EMDR uses bilateral stimulation(eye movements, taps, audio tones) to reprocess information, which appears to be similar to what occurs naturally during dreaming or REMsleep
EMDR
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“There are not documents for
everything I went through, but you do not dream up stuff
like this.” * Vietnam Veteran/P.O.W.
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Communication with Veterans IS different than other patients you serve
Veterans are trained at a young age how to communicate the necessary and hold everything else in
Stoicism
Triggers
Communication
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Do NOT ask if they are veteran. ASK if they ever served in the military.
Do NOT assume- not all veterans view their military experience as negative. ASK THEM.
When asking if they are in pain- ask if they are “uncomfortable” as many veterans will not admit they are in pain.
Ideas when Communicating
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Lead in questions about other topics to develop trust
Some military leaders believe the word “disorder” makes soldiers reluctant to ask for help- they would like to change the name to Post Traumatic Stress Injury
This is a debate if the military environment needs to change and not the disorder.
Be present and have time to listen when Veteran does open up – this may take time
Ideas when Communicating cont.
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Conclusion
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Bolte-Taylor, J. (2008). Stroke of insight.
DMS-IV- Diagnostic & statistical manual of mental health disorders 4th edition.
Grassman, D.L. (2010). Peace at last: Stories of hope and healing for veterans and their families. Vandamere Press: Florida.
References
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Koepell, Barbara. (2015). U.S. Nerve Gas Hit Our Own Troops in Iraq. http://www.newsweek.com/how-us-nerve-gassed-its-own-troops-then-covered-it-317250
McKay, Heather. Dementia Care for America’s Heroes.
Padin-Rivera, Edgardo. Post Traumatic Stress and End of Life Concerns.
The Hospice-Veteran Partnership of Ohio Fact Sheet 2010
References cont.