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    Understanding and Promoting Resilience in Military Families

    InroducionTis review o scientic evidence about resilience inchildren and amilies was compiled at the request o the

    Oce o Military Community and Family Policy in the

    United States Department o Deense. Te purpose o

    the review is to examine research conducted in civilian

    and (where available) military settings that may provide

    insights about individual and amily resilience in the

    ace o events that might have impacts similar to deploy-

    ment. Ultimately, such insights may provide guidance

    regarding strategies likely to prove successul in mini-

    mizing any negative eects o deployment on militaryamilies and children.

    Te review begins by considering the denition and key

    characteristics o resilience in children, youth, adults

    and amilies. Te adverse circumstances that might

    particularly apply to military children and amilies are

    then considered. Next, the key eatures o resilience

    in children, youth, adults, and amilies are considered,

    Shlly M. McDrmid

    Ri Smp

    Ron Schwrz

    Jcob Nishid

    Dn Nyrong

    Suppor Lrn Grow Undrsnd

    www.cfs.purdue.edu/mfri

    Military FaMily research instituteat Purdue UniversityPurdue West Down Under 1402 West State Street West Lafayette, IN 47907-2062 765.496.3403

    Rsilinc

    UNDeRStaNDING

    IN MILItaRY FaMILIeS

    nd

    PROMOtING

    July 2008

    ollowed by a consideration o the strategies that have

    proved most eective in supporting the development

    and expression o resilience. In the nal section, utureresearch needs regarding the development o resilience

    in military children, youth, adults and amilies are

    identied.

    Wh is Rsilinc?Over the last several decades, resilience has been studied

    extensively, especially in children and adolescents. Al-

    though much has been learned, a conceptually clear and

    commonly accepted denition is still lacking. Most de-nitions however, include two key elements: 1) exposure

    to adverse or traumatic circumstances; and 2) successul

    adaptation ollowing exposure. For example, Luthar

    (2006) states that, Resilience is dened as a phenomenonor process reecting relatively positive adaptation despite ex-periences o signicant adversity or trauma. Resilience is asuperordinate construct subsuming two distinct dimensions signicant adversity and positive adaptation and thus

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    2Military FaMily research institute

    at Purdue University

    A report prepared or the Oce o Military Community and Family Policy in the Oce o the Secretary o Deense. Preparation o this report wassupported by a contract rom the U.S. Department o Deense (W74V8H-06-P-0557, S. MacDermid, principal investigator), and a grant romthe Lilly Endowment (S. MacDermid, principal investigator). We are grateul or assistance rom Mary Ann Remnet and Candace Best.

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    3Understanding and Promoting Resilience in Military Families

    was infuenced by both genetic actors, such as tempera-

    ment or personality, and environmental actors such as

    maternal warmth. Te most exciting aspect o this work

    is the notion that genetic components can be modied

    by the environment. For example, Koenen, Mott,

    Caspi, aylor, and Purcell (2003) reported that the IQs

    o 5-year-old children exposed to high levels o domestic

    violence were 8 points lower than those o children notexposed to violence. Findings such as this and others

    (Samero, Seier, Zax, & Barocas, 1987; Murray, 1992;

    Sharp et al., 1995; NICHD, 1999; Cicchetti, Rap-

    paport, Sandler, & Weissberg, 2000) consistently show

    that the environment can and does modiy biological

    components. During early childhood, cognitive stimula-

    tion is particularly important because it can enhance the

    physical structure o the still-developing brain. Tus,

    environments that do not provide adequate stimula-

    tion can ultimately reduce childrens cognitive capacity

    (Luthar, 2006). In contrast, improving the environment

    may help to increase young childrens cognitive capacity.

    Resilience develops over timeAs models o resilience have shited in ocus rom solely

    individuals to the interactions between individuals and

    their environments (Teokas et al., 2005), it has become

    clear that resilience is not a static trait. While individual

    characteristics (e.g., hardiness) play a role in resilience,

    they are not the onlyactors to consider. Fergus &

    Zimmerman (2005) state that, resilience is dened bythe context, the population, the risk, the promotive actor,and the outcome(p. 404). For example, research hasshown that having positive relationships later in lie can

    promote healthy outcomes despite the presence o risk

    actors in childhood (Rutter, 1987; Laub & Sampson,

    2003; Conger, Rueter, & Elder, 1999; Vaillant & Davis,

    2000).

    Resilience is inherently strength-based

    Research on resilience was initially rooted in a medi-cal or decits model that sought to identiy, reduce,

    and prevent actors associated with unhealthy develop-

    ment. Such approaches proved limiting, however, and

    recent research has ocused on strengths-based models

    that emphasize identiying and building upon already

    existing strengths to promote healthy developmental

    outcomes (Benson, Mannes, Pittman, & Ferber, 2004).

    is never directly measured, but is indirectly inerred basedon evidence o the two subsumed constructs(p. 742). Inother words, one cannot be deemed resilient in the

    absence o a signicant stressor.

    Early research ocused on identiying decits within

    individuals and how to best identiy and treat those

    decits. Tis approach proved limiting, however, and inrecent years there has been a shit toward assessing as-

    sets or individual strengths (edeschi & Kilmer, 2005),

    as well as ocusing on the contexts in which individu-

    als unction (e.g., communities, schools, etc). aken all

    together, this research yields several key insights about

    resilience, which are discussed below.

    Resilience requires exposure to adversityInherent to most denitions o resilience is that the

    individual is aced with an aversive or potentially

    traumatic situation. Tereore, an individual cannot be

    deemed resilient in the absence o a signicant stressor.

    Although positive adjustment, competence and coping

    are all conceptually related to resilience, they can all be

    exhibited in the absence o adverse or traumatic circum-

    stances (Fergus & Zimmerman, 2005) and without

    condence that resilience would ollow were an aversive

    event to occur.

    Resilience has both environmental and

    biological components, both of which aredynamicInitially, resilience was conceptualized as a stable per-

    sonal trait (e.g., hardiness). Later research made it clear

    that actors in the environment support and constrain

    resilience (e.g., quality o parenting). oday, new re-

    search is revealing complex interactions between in-

    dividual and environmental actors that infuence the

    likelihood o resilience in the ace o challenge (Walsh,

    2003). In the rst study o its kind, Kim-Cohen and

    colleagues (2004) used data rom the EnvironmentalRisk Longitudinal win Study (E-Risk Study; a longitu-

    dinal study o 1,116 twins born to low socioeconomic

    status amilies) to examine the role o both genes and

    environment in childrens cognitive and behavioral

    resilience) (Kim-Cohen, Mott, Caspi, & aylor,

    2004). Results rom the study revealed that cognitive

    and behavioral resilience to low socioeconomic status

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    Consistent with this model, clinically-oriented research-

    ers suggest assessing and promoting strengths in therapy

    in order to promote eelings o competence. Terapists

    point out areas where the individual has coped success-

    ully in the past, and identiy strengths that can be built

    upon over the course o therapy (edeschi & Kilmer,

    2005).

    Resilience is domain-specicAs discussed above, it is now clear that resilience is not

    a static personality trait, but rather is part o a dynamic

    process that includes individuals interactions with their

    surrounding environments. Resilience can be situation-

    specic and thereore, it is unlikely that an individual

    will demonstrate resilience across all situations (Luthar,

    2006). Research has shown, or example, that children

    considered to be resilient may be so in one area, or

    domain (e.g., school), but not another (e.g., conduct)

    (Luthar, Doernberger, & Zigler, 1993). In light o this

    growing body o literature, researchers suggest using

    specic terms to designate domains in which resilience

    is exhibited (Wang & Gordon, 2004; Denny, Clark,

    Flemming, & Wall, 2004).

    Resilience has been studied differently in chil-dren, youth, and adults.Resilience is conceptualized dierently depending on

    the population being examined. In children, resilience

    is most oten looked at rom a developmental perspec-tive and seeks to identiy variables most likely to pro-

    duce positive outcomes (e.g., healthy development and

    adjustment) in the ace o adversity. In contrast, resil-

    ience in adults is conceptualized as actors that allow an

    individual to successully cope with a traumatic event,

    while maintaining a healthy level o unctioning (Bo-

    nanno, 2004). Finally, resilience in adolescents appears

    to combine these two approaches. Available research

    suggests that resilience in youth is determined not only

    by their environment, but also by individual dierences.For example, developmental systems theory recognizes

    the individual and the context as being dynamically

    interactive: youth are seen as active participants in shap-

    ing the environment which in turn increase their own

    individual competencies (Teokas et al., 2005). Tere-

    ore, research in this area usually ocuses on assets and

    resources. Assets are conceptualized as intrinsic actors

    that promote resilience (e.g., coping skills and sel-

    ecacy) while resources are those actors external to the

    adolescent that also promote resilience (e.g., supportive

    parents and communities) (Fergus & Zimmerman,

    2005).

    Resilience can be enhanced

    Individuals who have poor developmental outcomes aschildren are not doomed to a lie o negative outcomes.

    Several studies have shown that the eects o a decient

    environment can be reversed by involvement in a posi-

    tive environment. For example, Rutter (1993) reported

    that Romanian children residing in an orphanage under

    extremely harsh conditions and exhibiting both devel-

    opmental and cognitive delays showed considerable im-

    provement by age 4 ater being adopted into a positive

    and nurturing environment. In a longitudinal study o

    nearly 700 children born into poverty on the island o

    Kauai (Werner, 1993) ndings revealed that one-third

    o those considered to be at the highest risk or negative

    developmental outcomes went on to overcome the risk

    and live ullling and successul lives. At the nal assess-

    ment at the age o 40 all but two o these individuals

    were still living successul lives. Even more important,

    those adolescents who previously had exhibited poor

    unctioning turned their lives around in adulthood and

    reported positive outcomes, which they credited to hav-

    ing developed supportive relationships. Overall, these

    ndings suggest that later positive relationships can helpto reduce or cancel the eects o early decits.

    There are multiple paths to resilienceNo single or specic actor will determine resilience or

    poor unctioning. It is the interaction between numer-

    ous actors that ultimately determines whether an indi-

    vidual or amily will be resilient in the ace o adversity.

    For example, high intelligence and cognitive ability have

    consistently been identied as resilience-promoting in

    children, as has a warm and supportive amily environ-ment (Condly, 2006) and a relationship with at least

    one caring non-parent adult (Benson, 2006). However,

    many dierent combinations o these actors have been

    observed in children who grow up in negative home

    environments but go on to live successul and well-ad-

    justed lives (Plomin, 1989; Rende & Plomin; 1993).

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    5Understanding and Promoting Resilience in Military Families

    Risk does not accumulate monotonicallyIndividuals who experience an accumulation o risk

    actors are at increased risk or negative developmental

    outcomes (Masten & Wright, 1998; Rutter, 1979, 1990

    as cited in Masten, 2001; Seier & Samero, 1987 as

    cited in Masten, 2001). Risk actors oten co-occur, and

    the likelihood o negative outcomes rises at an increas-

    ing rate as risks accumulate. For example, a study o10-year olds examined the cumulative risk o developing

    a psychiatric disorder given the ollowing risk actors:

    severe marital distress, low economic status, large amily

    size, paternal criminality, maternal psychiatric disorder,

    and child entering into oster care. Results revealed that

    among amilies with one or less risk actors the risk o

    developing a psychiatric disorder was 2%. Te risk o

    developing a psychiatric disorder increased to 20% in

    amilies with our or more risk actors (Rutter, 1979 as

    cited in Samero, 2006). In another study, Samero

    and colleagues cluster analyzed data rom the Framing-

    ham Study (a study o risk actors or heart disease that

    reported that no single risk actor alone was enough to

    cause heart disease; Dawber, 1980 as cited in Samero,

    2006) and ound that only amilies with multiple risk

    actors had negative outcomes (Samero, Seier, Ba-

    racos, Zax, & Greenspan, 1987a as cited in Samero,

    2006). Results rom these and other studies (Samero,

    Seier, Zax, & Barocas, 1987b) suggest that risk actors

    should not be considered in isolation rom one another

    (Luthar et al., 2000a; Masten, 2001).

    th Nur of Srss nd trumfor Miliry Childrn nd FmilisEarly research on resilience was stimulated by observa-

    tions o children acing extreme deprivation. In this

    section we consider the aspects o military lie that

    might expose children or amilies to circumstances or

    events that would require them to exercise resilience.

    Stressors may be categorized in many ways, but one key

    dimension along which stressors vary is the degree to

    which they are normative, meaning events that indi-

    viduals might reasonably expect to ace based on the ex-

    periences o amiliar others. For example, the transition

    to high school could be considered a normative stressor

    because almost all children experience it. By this logic,

    regular separations rom parents can be considered nor-

    mative or children in the Navy. Similarly, many o the

    other seminal experiences o military lie are normative

    or military children, including lengthy parental work

    hours, permanent changes o station, deployments or

    a variety o purposes, and exposure to combat-related

    equipment and activities (e.g., training). Tis character-

    ization is more accurate or children o service members

    in the active than the reserve components, however,because reserve component children have ewer op-

    portunities to observe the experiences o other military

    children (o course reserve component children are also

    less likely to move or military reasons or to experience

    requent deployments).

    Even normative or expected stressors may be challeng-

    ing, however, and require eorts to cope. Other charac-

    teristics o stressors also aect the degree to which they

    are challenging. For example, events or circumstances

    that are sudden, serious or unwelcome, that cause

    traumatic losses o persons or relationships, that are

    ambiguous, that involve prolonged suering, that recall

    past traumatic experiences, or that pile up are likely

    more challenging, especially when the skills and abilities

    o the individuals, amilies or communities are poorly

    matched to the demands posed by the stressor (Boss,

    1988; Walsh, 2007). In those circumstances, individu-

    als, amilies or communities will experience crises,

    dened as circumstances which exceed the resources

    available or coping.

    Stressors also vary in the degree to which they consti-

    tute single discrete events, such as a tornado, or ongo-

    ing continuous circumstances. Continuous stressors,

    those emerging rom the demands o daily lie, include

    chronic stressors and daily hassles. Chronic stressors

    are recurrent lie diculties, such as stressul work,

    conficted marriage, or nancial diculties. Tey tend

    to be open-ended, ambiguous in nature, and dicult or

    impossible to resolve. Daily hassles are relatively minorevents, typically unexpected, irregular, and short-lived,

    such as car troubles, breakdowns in child care, or unex-

    pected deadlines.

    In at least one rigorous study, both chronic stressors

    and daily hassles were negatively related to psychologi-

    cal well-being. In addition, chronic stressors increased

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    the likelihood that daily hassles would occur, and

    increased their negative eects on psychological well-

    being. Chronic stressors present an ongoing threat to

    the individual, the ever-present potentialto erupt in waysboth large and small in an individuals daily lie. Daily

    hassles, in contrast, include the vast array o minor

    disruptionsthat actually do occur, orcing the individual

    to act on them. the combined eect o the two typeso stressors is greater than the additive eects o both

    (Serido, Almeida & Wethington, 2004, p. 30).

    Although community resilience has not been discussed

    in this review, the community context o stressors can

    aect the ability o individuals and amilies to respond.

    Jerusalem et al. (1995) have classied levels o com-

    munity eects, where level 1 represents individual levels

    o stress with little community awareness, and level

    3 represents high levels o community awareness and

    mobilization o resources. Like individuals, communi-

    ties may experience stressors that demand more than the

    available resources, generating crises at the community

    level. Tus, when traumatic stressors occur to too many

    individuals in a community, the community may not

    be able to oer sucient support. A combat deploy-

    ment, or example, is a stressor that is oten externally-

    imposed, ambiguous, and can involve a variety o daily,

    chronic and traumatic stressors. When a military com-

    munity is heavily impacted by a large combat deploy-

    ment, so many individuals and amilies may be aectedthat it is dicult or the community to mobilize su-

    cient resources to support them.

    Te role o experience dealing with stressors is not clear-

    cut. On one hand, experience can be considered an

    asset in dealing with stressors, in that individuals know

    what to expect and have been strengthened by their

    past experiences. On the other hand, experience also

    can constitute an accumulation o stressors and thus a

    risk actor. Tis is especially likely when the intervalsbetween stressors are too small to allow adequate replen-

    ishment o resources.

    Rsilinc in ChildrnInterest in resilience was sparked decades ago when

    clinicians and scholars noticed that many children

    whose parents were struggling with mental illness were

    themselves well-adjusted (Condly, 2006; Luthar, 2006).

    Research gradually expanded to consider a variety o

    adverse circumstances including impoverishment, abuse

    separation rom parents, and death or injury o a amily

    member. In this section, we ocus on the individual

    and amily characteristics associated with resilience in

    children.

    Early studies ocused on identiying the sources o in-

    vulnerability, but this notion proved too simplistic and

    was replaced by the construct o resilience. Current

    models o childrens resilience emphasize three elements:

    characteristics o the child (e.g., biological, cognitive,

    social attributes), support rom the amily, and support

    rom larger contexts, such as neighborhoods, schools,

    communities, and societies (Condly, 2006; Luthar,

    2006).

    Children who display resilience ollowing adversity tend

    to share two common characteristics. First, they tend to

    have good cognitive ability, which makes it possible or

    them to recognize, understand, assess, learn rom, and

    react to their experiences (Condly, 2006; Luthar, 2006).

    Second, they tend to have temperaments that acilitate

    good social relationships by, or example, making it

    easier or children to maintain supportive relationships

    and successully seek comort or assistance rom others.

    Tese characteristics intelligence and temperament

    are at least in part genetically determined. However,

    most individual characteristics, even those with strong

    genetic components, can be altered by interaction with

    the environment. For example, a growing body o

    research indicates that the anatomy o childrens brains

    can be compromised by early experiences o depriva-

    according o Condly (p. 219), intelligence

    and temperament interact so as to allow

    [children] to understand a situation well,

    seek out coping mechanisms, not feel sorry

    for themselves (and thus incur a paralyzing

    emotional effect), and persist in their

    attempts to survive and survive well.

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    tion (e.g., Cicchetti & Walker, 2003; Koenen, Mott,

    Caspi, aylor, & Purcell, 2003).

    emperament is a subset o the more general area o

    personality. It includes individual dierences in basic

    psychological process that underlie the core o person-

    ality. For example, Rothbart and Bates (1998) dene

    temperament as constitutionally-based individual difer-ences in emotional, motor, and attentional reactivity andsel-regulation(p.109). emperament is biologicallybased, infuenced by genetic inheritance, maturation,

    and experience. emperamental characteristics have

    demonstrated consistency across situations as well as

    relative stability over time (Bates, 1989; Rothbart &

    Derryberry, 1981 as cited in Rothbart & Bates, 1998).

    Tere is some agreement that the ramework or tem-

    perament includes broad dimensions o positive aect

    and approach, negative aectivity (which can be urther

    divided into earul and irritable distress), eortul con-

    trol (e.g., distractibility and persistence), and possibly

    social orientation. Tese dimensions share similarities

    with our o the Big Five actors o adult personality:

    extraversion, agreeableness, conscientiousness, neuroti-

    cism, and openness (Costa & McCrae, 1994), but they

    are not identical.

    Dicult temperaments in childhood are o great con-

    cern since temperamental diculty during the early

    years has been shown to predict behavioral problems inuture years (Bates, 1987 as cited by Rothbart & Bates,

    1998; Caspi et al, 1995 as cited by Rothbart & Bates,

    1998). For example, 3-year-olds who are unusually

    restless, negative, and prone to emotional overreactions

    have a high risk o attention problems and misbehavior

    in adolescence. By contrast, children with an easy or

    good temperament are less likely to develop behavioral

    problems.

    In addition, which characteristics are associated withresilience depends to some extent on the t between

    the individual childs characteristics and the environ-

    mental demands and resources (p. 84, Beardslee, 2002).

    Tis goodness-o-t hypothesis was rst described by

    Tomas and Chess (1986) who suggested that children

    benet when their temperament matches the type that

    their parents value and are prepared to handle. For

    example, a child who has a highly reactive temperament

    is a bad t with an unresponsive parent and may actu-

    ally train the parent to respond negatively by escalating

    their negative bids or attention (e.g., crying, scream-

    ing).

    Even when children are born with easy temperaments,

    they will ail to benet rom that advantage i they arenot taught to manage how they express their emotions

    (Luthar, 2006). Tus, childrens experiences are always

    a actor in resilience. In act, as argued by Luthar,

    although important, childrens individual attributes

    should be considered ateramily and community sup-port due to their malleability by environmental actors.

    Genetic actors can also modiy the impact o environ-

    ments. For example, there are robust sex dierences in

    risk and resilience. Boys have been ound to be more

    vulnerable than girls to a variety o environmental stres-

    sors (Rutter, 1987). Similarly, in her study o people

    on the Hawaiian island o Kauai, Werner (1989) ound

    that boys were more vulnerable than girls to caregiver

    decits. During adolescence, girls became more vulner-

    able but by age 30, the risk o vulnerability had shited

    back to men. As explained by Condly (2006), several

    actors account or boys vulnerability: the predomi-

    nance o mother-headed amilies without male role

    models; harsher treatment o boys in school and at

    home; and their less mature neurological and biologicaldevelopment.

    Childrens early experiences in their relationships with

    their parents are undamentally important because they

    teach children how to act and what to expect in uture

    relationships with others, and maltreatment by parents

    is one o the most consistent threats to childrens resil-

    ience. Maltreatment may spring rom many sources,

    including parents mental illness, marital problems, pov-

    erty, or violence at home or in the community (Luthar,2006). Such amilies are oten characterized by lack o

    interaction, requent displays o anger and confict, and

    general disorganization o the amily system. Parental

    sensitivity is key: i parents or caregivers acknowledge

    childrens needs or comort, protection, and explora-

    tion, children are likely to develop internal working

    models o themselves as valued and sel-reliant. Con-

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    versely, i parents are insensitive and reject childrens

    bids or comort or exploration, children are likely to

    construct internal working models o themselves as un-

    worthy or incompetent (Bowlby, 1973 as cited by Cic-

    chetti, oth, & Lynch, 1995). In this manner, parents

    who are unresponsive, inconsistent, or requently hostile

    train their children to eel insecure in relationships with

    others, to escalate negative interactions, to expect to betreated with hostility, and to experience stress in rela-

    tionships.

    Te most consistently observed actor or achieving and

    sustaining resilient adaptation in children is high-quality

    parenting. Parenting has traditionally been measured

    along two dimensions: warmth or responsiveness (e.g.,

    support, aection, nurturance, and acceptance) and

    control or demandingness (e.g., supervision, monitor-

    ing, strictness). o promote resilience, there should be

    ample warmth and appropriate control (Luthar, 2006;

    Walsh, 2003). Positive outcomes or children are as-

    sociated with authoritative parenting that combines

    love and support with clear standards and rm control,

    whereas poor outcomes have been linked to parents who

    are permissive and rejecting. For example, children with

    authoritative parents tend to have good relationships

    with peers and adults. Tey are cheerul and sel-reliant.

    In adolescence they show a high level o social com-

    petence, achievement, and psychological adjustment

    (Lamborn, Mounts, Steinberg, & Dornbusch, 1991).Preschoolers with permissive parents show poorer

    psychological adjustment than those with authoritative

    parents. Adolescents with permissive parents have high

    sel-esteem but are also high in drug use and miscon-

    duct at school with misconduct increasing during high

    school (Steinberg et al., 1994).

    Children with authoritarian parents who are demanding

    but not responsive also are less well-adjusted and show

    less independence than those with authoritative parents.At age 4, boys have been ound to be somewhat hostile

    and resistant to authority. Adolescents tend to be high

    in obedience to adults but low in sel-esteem (Lamborn

    et al., 1991). Children and adolescents with rejecting-

    neglecting parents have the poorest psychological prole

    o all. Children exhibit low social competence and in

    adolescence are likely to have problems with drug use

    and delinquency (Baumrind, 1991; Lamborn et al.,

    1991; Steinberg et al., 1994).

    Nurturance and support rom parents encourage close-

    ness, secure attachments, empathy or others, and good

    social skills. Setting expectations or behavior and

    consistently enorcing limits teaches children to regulate

    their emotional expression and to comply with environ-mental demands (Walsh, 2003). Te balance o warmth

    and control will shit over the course o development,

    however, so it is important to match the balance to the

    developmental level o the child.

    One o the reasons that parents are such a powerul pro-

    tective actor is that they model attitude they convey a

    sense o security and condence that helps their chil-

    dren to eel condent and they model eective cop-

    ing, which increases their childrens repertoire o coping

    behaviors. However, only parents who themselves eel

    more able to cope with stressors are likely to transmit

    these behaviors to their children (Walsh, 2007).

    Although the vast majority o research on parenting o

    young children has ocused on mothers, limited avail-

    able evidence suggest that other amily members also

    promote childrens resilience. Fathers, ather-gures,

    and siblings can be especially important to low income

    Arican American amilies. Research also indicates that

    extended kin such as grandparents can oer critical sup-port to at-risk children, particularly when parenting is

    ineective. However, in each o these examples, as with

    mothers, these relationships can promote resilience or

    vulnerability, depending upon the degree to which they

    are supportive (Luthar, 2006).

    Outside o the amily, other aspects o the broader

    community can provide alternative support and help

    shape childrens resilience trajectories both directly and

    indirectly. For example, research has shown that highquality child care is particularly helpul or children in

    the most at-risk amilies (NICHD, 1997, 2002 as cited

    by Luthar, 2006). K-12 schools can also play a major

    role as strong supportive relationships with teachers can

    be highly benecial or school-age children and adoles-

    cents. Peers and social networks can serve as important

    resources and contexts. For example, peers may support

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    9Understanding and Promoting Resilience in Military Families

    the development o appropriate social skills and com-

    petence; social and emotional support; companionship

    and intimacy; nurturance; and a sense o sel-worth

    (Parker & Gottman, 1989). In contrast, there is power-

    ul evidence that aliation with deviant peers can ex-

    acerbate vulnerability among at-risk youth (e.g., Moss,

    Lynch, Hardie, & Baron, 2002; Scaramella, Conger,

    Spoth & Simons, 2002).

    Finally, even though children may lack the cognitive ca-

    pacity to express the meaning they perceive o the events

    around them, they may need to construct this meaning

    later in lie, even o very early events. In the example

    below, William Beardslee, a clinician and researcher,

    describes the meaning constructed by the child o a

    depressed mother over a long period o time ollowing

    the event.

    Promoting Resilience in ChildrenA small set o actors have consistently emerged as

    promoting resilience in children: positive and nurturing

    relationships with parents and other adults; cognitive

    skills; the ability to regulate emotions; and sel- esteem.

    According to Samero (2006), the most successul

    interventions are those that incorporate a multi-system

    approach, are theory driven, and are in place or an ex-

    tended period o time. One example o a program that

    incorporates all three o these characteristics is the Early

    Head Start program. Tis program is an outgrowth othe Head Start Program and targets low SES amilies

    with children under 3-years o age. Te purpose o the

    program is to promote healthy development in children

    and amilies. According to Head Start Program Per-

    ormance Standards, the programs are to provide high-quality, comprehensive child development services deliveredthrough home visits, child care, case management, parent-ing education, health care and reerrals, and amily sup-port(USDHHS, 1995 as cited in Love et al., 2005, p.886). Te program is either home-based, center-based,

    or a combination o home- and center-based depending

    on resources available in, and needs o, the community.

    A recent program evaluation by Love and colleagues

    (2005) showed that compared to a control group, chil-

    dren who were enrolled in the program showed signi-

    cantly more cognitive and language development and

    more positive social development (e.g., demonstrating

    less aggression). Te program also had a positive impact

    on parenting (e.g., enrolled parents were more likely

    to provide stimulating environments or children and

    engage in positive parent-child interactions). Accordingto researchers, the program was most eective when it

    used the combination approach and provided support

    or amilies both in the centers and at home (Love et al.,

    2005).

    Without doubt, the single most infuential actor in

    promoting resilience in children appears to be the pres-

    ence o supportive relationships especially with parents,

    but also with adults outside the home. Tereore in-

    terventions that target parenting practices, improvingparent-child interactions, and ostering additional adult

    relationships may be particularly useul. Programs that

    provide high quality child care, which is usually unavail-

    able to high risk amilies, as well as school interventions

    that oster supportive relationships with teachers, are

    especially benecial since research shows that the ben-

    ets gained rom these positive and supportive environ-

    Jesses understanding taught me how often

    understanding is a vital, interactive process.

    This is above all what needs to be fostered,

    what the long-term aim of breaking the

    silence is. Each time Jesse talked about his

    experience, it helped him through a par-

    ticular stage, and some of what he learned

    stayed with him. This eventually led us bothto an understanding that he could go ahead

    with his own life. The act of asking questions

    and then making sense of things for himself

    being the author of his own story gave

    him control over what had happened. But it

    did not give him control because there was

    a nal answer. Making sense for himself

    became a process that he could use as he

    needed, not just in dealing with his mothersdeath, but in dealing with whatever else life

    might hand him (Beardslee, 2002, p. 182).

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    10Military FaMily research institute

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    ments appear to compensate or lack o quality parental

    relationships (Luthar, 2006). It should be noted that

    research has also shown that interventions that seek to

    reduce specic risk actors are not as eective as inter-

    ventions that target the improvement o larger systems,

    such as amilies, schools, and communities (Masten,

    2001).

    Promoting Resilience in Military ChildrenTe empirical literature on child outcomes as a unction

    o deployment-related experiences is sparse, with ew

    longitudinal studies and little data rom the current war.

    However, a study by Gibbs, Martin, Kupper, & John-

    son (2007) reported that among military amilies with

    children and at least one substantiated report o child

    maltreatment, the risk or child maltreatment was 42%

    greater (risk or moderate to severe maltreatment was

    60% greater) during a combat-related deployment com-

    pared to periods o nondeployment. Presumably, this is

    the result o increased parental stress experienced by the

    nondeployed parent during deployment-induced separa-

    tion. Te authors suggest that increased support or the

    amilies o combat deployed soldiers may be necessary.

    Tese ndings are consistent with the literature and

    suggest that along with other major stressors, childrens

    outcomes depend a great deal on their parents respons-

    es to the stressor. Te most rigorous studies are probably

    those by Jensen during the rst Gul War, where he was

    able to observe dierences between naturally-occurringgroups o children with deployed and non-deployed

    parents. Tese studies and others are summarized in the

    Military Family Research Institute annotated bibli-

    ography on Family Separation and Deployment, in a

    section ocusing on Childrens Outcomes (available at

    www.cs.purdue.edu/mri). aken together, results rom

    studies o military amilies suggest that interventions to

    promote positive parenting practices and parent-child

    interactions, along with strategies to help parents to

    cope with deployment stresses, are well-advised.

    Rsilinc in adolscnsMany aspects o resilience in children apply also to

    adolescents (Luthar, 2006), but because adolescents are

    involved in larger networks o peers and community

    activities, contexts external to the amily eature more

    prominently in the resilience o adolescents (Beardslee,

    2002). Adolescents also have developed more advanced

    cognitive abilities than children, specically more re-

    ned abilities to think about the perspectives o others

    and to understand time as it relates to the uture, and

    thus these abilities also contribute to our understanding

    o resilience. As with children, resilience in adolescents

    has been examined in relation to personal, parental, and

    community actors (Aisenberg & Herrenkohl, 2008).

    Research on resilience during adolescence began with

    studies o risky behavior, delinquency, and teen preg-

    nancy. Early intervention eorts tended to ocus quite

    specically on a single orm o problem behavior, but

    these strategies also proved to be limited in their impact

    More recently, research and intervention have moved to-

    ward broader approaches aimed at improving prospects

    in multiple domains (Benson et al., 2004).

    Adolescents who demonstrate resilience tend to display

    certain personal characteristics. Like children, adoles-

    cents are more likely to demonstrate resilience when

    they are ree rom learning disabilities (Beardslee, 2002)

    and have easy temperaments that allow them to be fex-

    ible. Because adolescents have more advanced cognitive

    abilities, resilience during this period is also associated

    with the ability to engage in sel-refection and under-

    standing, to consider situations rom multiple perspec-

    tives, and to make conscious choices about their actions

    (Beardslee, 2002; Allen & Hauser, 1999; Allen, Hauser,Bell, & OConnor, 1994; Allen, Hauser, Borman-

    Spurrell, 1996; Hauser, 1999).

    For example, Beardslee (2002) observed the ollowing

    characteristics in adolescents who had displayed resil-

    ience despite living with a depressed parent: a) they had

    a well-developed capacity to enter the world o others

    and to see things rom others points o view (p. 78); b)

    they were realistic about what they were dealing with.

    Tey were able to see that the depression would recurand that they could recognize when it did. Tey could

    separate themselves rom it and understand that the ill-

    ness was not their ault; c) they were aware o and could

    articulate strategies and actions they could take to oset

    the eects o the illness on them; and d) psychologi-

    cally, they believed their actions made a dierence and

    they took action based on their understanding. Each

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    1Understanding and Promoting Resilience in Military Families

    o these abilities, however, is strongly aected by the

    nature o their relationships with parents.

    Adolescents who display resilience are also likely to

    unction eectively in domains outside the amily. For

    example, they tend to have well-developed social skills

    and have ormed close relationships with others (Beard-

    slee, 2002; Fergus & Zimmerman, 2005). By success-ully ullling their responsibilities in school, jobs, or

    community activities, they also demonstrate compe-

    tence (Beardslee, 2002, Scales et al., 2000).

    As with children, adolescents parents have a great deal

    to do with the degree to which their children display

    resilience in adverse circumstances (Fergus & Zimmer-

    man, 2005). Parental warmth and closeness appears

    to support the development o resilience, when com-

    bined with reasonable, rm and consistent limit-setting

    (Aisenberg & Herrenkohl, 2008; Luthar, 2006). Be-

    cause adolescents typically spend less time than children

    with their parents, parental knowledge o adolescents

    whereabouts and activities becomes particularly impor-

    tant during this time. Parental knowledge is the joint

    product o adolescents willingness to share inormation

    with their parents, and parents persistence and compe-

    tence at seeking such inormation, also known as paren-

    tal monitoring (Fergus & Zimmerman, 2005; Luthar,

    2006; Stattin & Kerr, 2000).

    For more than two decades, the Search Institute has

    promoted the notion o developmental assets, 40 char-

    acteristics o individuals, amilies, schools, and commu-

    nities that are thought to support and promote positive

    youth development. Developmental assets include

    internal characteristics such as social competence and

    positive values, and external resources such as social sup-

    port and being given boundaries and expectations (Ben-

    son, 2006). Using this ramework, Scales et al. (2000)

    examined the role o developmental assets in predictingpositive outcomes in a sample o 1000 youth rom six

    ethnic groups. In general, youth with more assets had

    more positive outcomes. Assets that predicted multiple

    positive outcomes were time in youth programs, cul-

    tural competence, sel-esteem, personal power, planning

    and decision-making, and achievement motivation.

    Tere were also age and gender dierences, such that

    girls reported more school success, more ability to resist

    dangerous situations and more helping behaviors; while

    boys reported more leadership activities, and more abil-

    ity to overcome diversity.

    In a landmark decade-long study o the processes

    through which external stressors aect the lives o

    adolescents, Conger and Elder (1994) examined theeconomic crisis in Iowas rural economy. A large sample

    o adolescents living in intact amilies provided data

    or the longitudinal analyses. When economic condi-

    tions worsened, parents who themselves as children had

    experienced more distress and rejection were less likely

    to eel condent in dealing with the new stressor and

    in seeking help. As a result, they were more likely to

    develop symptoms o depression resulting in hostility

    toward their marital partners. Hostility in the marital

    relationship led to harsh and inconsistent discipline

    o adolescent children. Subsequently, girls displayed

    reduced sel-condence and psychological well-being

    whereas boys displayed increased antisocial and hos-

    tile behavior. Tis negative spiral was interrupted in

    amilies when spouses were able to support one another

    instead o becoming hostile, and when support rom

    older siblings protected younger children rom parents

    hostility.

    When these arm parents were nurturing and involved,

    even under signicant economic pressure, youth werecondent and well-adjusted in terms o their academic

    and social competence. Tey developed close relations

    with peers and exhibited ewer behavior problems and

    emotional distress (Conger & Conger 2002). Youth

    whose parents displayed warmth, eective management

    and low hostility were less likely to develop conduct

    problems and adolescent girls oten at risk or depres-

    sion experienced lower rates o depression.

    Because adolescents social worlds include both peersand involvement in community activities such as

    education, sports, and public service, resources in these

    settings also can support the development o resilience

    in adolescents. For example, peers, teachers and adult

    mentors can provide emotional and instrumental sup-

    port. Tese outside sources are, however, distal infu-

    ences relative to the proximal infuence o parents and

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    12Military FaMily research institute

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    thus are likely to have less powerul eects (Teokas et

    al., 2005).

    Peer support appears to be helpul in three ways. First,

    peers may be able to provide needed support that

    parents were unable to provide. Second, peers may live

    in well-unctioning amilies that can serve as models to

    troubled amilies. Tird, peers may strengthen chil-drens and adolescents connections to schools and other

    social institutions (Luthar, 2006). However, peers may

    also increase risk. While support rom peers can help

    children and adolescents to be resilient in the ace o

    adverse circumstances (e.g., parental divorce), rejection

    by peers leads to worse outcomes in several domains.

    Despite the resilience oered by individual assets and

    supportive amily and peer relationships, the high risk

    associated with living in disadvantaged and violent com-

    munities can be dicult or youth to overcome.

    Promoting Resilience in AdolescentsEvaluation o interventions or promotion o resilience

    in adolescents has produced mixed results. However, the

    programs discussed here have shown considerable prom-

    ise. Te Lie Skills raining (LS) is a school-based,

    individual-level intervention that has been rigorously

    evaluated and ound to be eective in increasing inter-

    personal and communication skills, decreasing risk-tak-

    ing, and decreasing substance abuse among adolescent

    participants (Botvin & Grin, 2004). LS refects a

    resilience perspective as it ocuses in the development o

    integral individual assets or healthy and eective social

    interaction (Fergus & Zimmerman, 2005).

    Other than individual-level interventions, a number

    o programs enhance resiliency through their ocus on

    building positive relationships (Fergus & Zimmerman,

    2005). Te enhancement o amily relationships is the

    ocus o these programs, as they seek to promote the

    amily as a primary resource o strength or the ado-

    lescent. Preparing or the Drug Free Years (PDFY) as

    well as Iowa Strengthening Families (ISF) are examples

    o programs that ocus both on parental skills as well

    as adolescent prosocial skills. While both are classi-

    ed as brie interventions, both were ound to have

    treatment-control dierences in delayed initiation o

    substance use, current use, and composite use (Spoth,

    Redmond, & Shin, 2001a). Signicant eects were also

    exhibited 4 years later or both interventions (Spoth et

    al., 2001b). Another program that ocuses on building

    individual assets and skills is the Resourceul Adolescent

    Program (RAP). While considered an individual-level

    intervention, the Resourceul Adolescent Program also

    addresses the important role that parents and amilies

    have on the development o adolescent resiliency. TeRAP includes a three-session parallel program or par-

    ents designed to address the risk actors o amily con-

    fict and the protective actors o a responsive and warm

    parent-adolescent relationship (Shochet et al., 2001).

    Te interventions discussed above are examples o the

    types o interventions that have been ound to be e-

    ective in increasing adolescent resiliency. Teir ocus

    on enhancing adolescent assets and resources is in stark

    contrast to the more traditional method o ocusingon the reduction o negative actors in adolescents

    lives (Fergus & Zimmerman, 2005). In the literature

    or adolescent drug prevention, or example, the most

    eective research-based interventions have been those

    that have ocused on psychosocial risk and protective

    actors rather than interventions that provided didactic

    presentations o actual inormation about risks (Botvin

    adolescents are unlikely to thrive when

    they face difcult experiences across mul-

    tiple settings of their lives, even if they pos-

    sess the personal resources, or resilience,

    to deal with a challenging environment.

    under the weight of multiple and chronicstressors, including poverty, racism, maternal

    depression, and low social cohesion within

    neighborhoods, healthy parenting norms and

    positive parent-child bonds may become

    less protective when considering both the

    immediate (proximal) and long-term (distal)

    outcomes of community violence exposure.

    (aisnbrg & Hrrnkoh, 2008, p. 306).

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    13Understanding and Promoting Resilience in Military Families

    & Grin, 2004).

    Promoting Resilience in Military AdolescentsHuebner & Mancini (2005) conducted a qualitative

    research study o adjustment among adolescents in

    military amilies. Results indicated that overall, ado-

    lescents were able to adapt to their parents deployment

    and exhibited resilience. An interesting nding was that

    adolescents varied in regard to seeking social support.

    While some chose to conde in parents, riends, teach-

    ers, or counselors, others preerred to rerain rom dis-

    cussing their eelings about the situation. Not surpris-

    ingly, adolescents who elt supported by others seemed to

    evidence enhanced resiliency, that is, their personal copingskills were complemented by support(Huebner & Man-cini, 2005; p. 5). Tese results are consistent with nd-

    ings rom civilian populations and suggest that the best

    interventions are those that provide development o,

    and involvement in, social support networks. In addi-

    tion, interventions that provide support or the at-home

    parent and educate the community and school ocials

    are perceived as helpul.

    Rsilinc in aduls nd FmilisResearch on resilience in adults has proceeded along a

    somewhat dierent course than research on children

    and adolescents. One dierence is that research on

    adults has ocused more heavily on personal character-

    istics. Another dierence is that resilience in adults has

    been observed mostly in response to traumatic events or

    disasters, while resilience in children and adolescents has

    been understood largely in relation to chronic stressors

    such as parental illness or neglect, impoverishment, or

    community violence (Bonanno, 2005).

    Adults have been studied most oten as parents whose

    behavior aects the resilience o children or adolescents,

    although more recent studies have ocused on adultsas individuals. Research on parents has shown that

    children are more likely to display resilience when their

    parents model a positive attitude, fexibility, taking ini-

    tiative, and eective coping skills (Walsh, 2007).

    Research on adults as individuals has ocused heavily

    on hardiness, a personality trait thought to predict

    resilience in dicult situations. Hardiness comprises

    three elements: a sense o purpose in lie, a sense o

    personal control over situations, and a welcoming at-

    titude toward change (Kobasa, Maddi, & Kahn, 1982).

    Other studies have shown ndings similar to studies o

    adolescents: relevant personal characteristics or adults

    include cognitive ability, fexibility, optimism, eective

    social skills, and the ability to complete tasks.

    Several studies have ocused on hardiness in military

    members as a actor predicting responses to combat

    trauma. For example, Bartone (1999) compared six

    Army National Guard and Reserve medical units, some

    o whom deployed to Operation Desert Storm, some toGermany, and some who remained in the U.S. Stress-

    ul lie events and exposure to combat trauma strongly

    predicted later psychological symptoms, but hardiness

    was also a signicant predictor. Notably, hardiness not

    only predicted symptoms by itsel, but also weakened

    the power o lie events and combat exposure to pro-

    duce later psychological symptoms.

    Because resilience ocuses on responses to adverse

    events, there is considerable overlap between the studyo resilience in adults and the study o coping. Al-

    though it is very common or studies o coping to nd

    that active coping strategies that ocus on solving the

    problem are more eective than strategies that ocus

    on managing emotions, some studies have unexpect-

    edly ound that individuals displaying resilience resist

    expressing negative emotions in avor o more positive

    According to Katz (1997), the key to devel-

    oping resiliency in children is opportunities,

    both plentiful and meaningful. Opportuni-

    ties to rest from resisting a hostile environ-

    ment, opportunities to explore in safety

    and security, opportunities to believe and to

    dream; all these need to be given to at-risk

    children if they are to have any chance at all

    of making it out of their dire circumstances

    successfully (Condly, 2006, p. 228)

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    14Military FaMily research institute

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    ones. While this behavior would sometimes be labeled

    denial and considered problematic, in the atermath o

    adverse events it may be adaptive by reducing personal

    trauma and isolation rom others (Bonanno, 2005).

    Since early studies o resilience ocused on children

    growing up in adverse or impoverished amily circum-

    stances (Walsh, 2003), researchers initially ocused onamilies as sources o risk rather than resilience. As a

    result, there are ewer empirical studies o resilience

    within amilies than among children. But as had oc-

    curred with children, researchers observed that some

    amilies appear to unction eectively despite acing di-

    cult circumstances and sought to identiy the dening

    eatures o those amilies.

    Studies o amily resilience recognize that amilies are

    systems, in which all members are aected by what hap-

    pens to any individual member or the amily as a unit

    (Walsh, 2003). Families are characterized by interaction

    patterns that can ramp up or damp down responses to

    negative events (Walsh, 2003). Tus, amily resilience

    has been dened as, characteristics, dimensions, and

    properties o amilies which help amilies to be resilient

    to disruption in the ace o change and adaptive in the

    ace o crisis situations (p. 247, McCubbin & McCub-

    bin, 1988).

    Te best-known articulation o resilient processes inamilies is that o Walsh (2002, 2003, 2007), who iden-

    tied 9 key processes in the categories o belie systems,

    organizational patterns, and communication/problem

    solving. In a recent review o existing research, Black &

    Lobo (2008) included an additional category o eec-

    tive use o external support rom social and community

    networks.

    Belie systems include the ability to maintain a posi-

    tive outlook, a sense o coherence and to nd ways tolearn and grow despite adverse events (Walsh, 2007).

    Spirituality can help amily members to have a shared

    value system that can help give meaning to challenging

    events. Just as with individuals, when amilies approach

    challenges with a sense o optimism, condence or

    hope, and a positive emotional atmosphere, the evi-

    dence suggests that amilies are likely to do better. For

    example, positive outcomes have been ound in the

    areas o adolescent risky behavior and marital satisac-

    tion (Black & Lobo, 2008).

    Competent execution o key amily tasks also appears

    to be a common characteristic o amilies who display

    resilience. For example, amilies are more likely to be

    resilient when they have clear allocations o roles, butare also able to adjust those allocations when challeng-

    ing circumstances require it. Resilient amilies are also

    more likely to communicate and manage behavior and

    relationships eectively. Specically, they are able to

    share inormation, solve problems together, and manage

    behavior with appropriate use o warmth and limit-set-

    ting. Another skill more likely to be evident in resilient

    amilies is nancial management, comprising sound

    practices and the ability to compartmentalize nancial

    problems so that they do not reduce warmth in amily

    relationships (Black & Lobo, 2008; Walsh, 2007).

    Certain amily behaviors are especially likely to be

    evident in amilies that display resilience. For example,

    resilient amilies are more likely to spend time together,

    and to use that time to support and nurture amily

    relationships, regardless o whether it is leisure time or

    time spent doing tasks. Resilient amilies also tend to

    have routines and rituals that promote closeness, and

    are maintained even in dicult times (Black & Lobo,

    2008).

    One o the most notable studies o amily resilience ol-

    lowed 451 amilies in rural Iowa or more than a de-

    cade as they weathered the economic arm crisis o the

    1990s. One o the major goals o the study was to study

    resilience as a dynamic process, developing and chang-

    ing within amilies over time. Te long period o data

    collection allowed the researchers to study true causal

    infuences (rather than the correlational relationships to

    which most existing studies were limited), and to isolatethe resilience processes that appeared most important

    or later outcomes.

    Te researchers ound that individuals with a strong

    sense o personal mastery and control were less likely to

    experience increases in depressive symptoms as a result

    o economic strain, and were likely to cope more e-

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    15Understanding and Promoting Resilience in Military Families

    ectively. Tey also ound that spouses who understood

    and supported one another, and who could solve prob-

    lems eectively were less likely to experience increases in

    emotional distress (Conger & Conger, 2002).

    Promoting Resilience in FamiliesIn general, interventions that aim to promote resilience

    on a variety o levels and in multiple contexts have beenshown to be more eective than those that target spe-

    cic mechanisms o resilience or seek only to reduce risk

    (Masten, 2001). In the context o amilies, this would

    indicate interventions that seek to improve not only

    parent-child relations (e.g., communication), but also

    marital and overall amily relationships. According to

    Saltzman and colleagues (under review) parents appear

    more likely to participate in interventions where the o-

    cus is on children and improving amily relationships, as

    opposed to the marital relationship. An example o one

    such program is the FOCUS (Families Overcoming and

    Coping Under Stress) Program. Te FOCUS program

    was rst used with military amilies at Camp Pendle-

    ton and has since been used with amilies in Florida

    who suered losses during the 2004-2005 hurricane

    seasons, as well as with amilies in which a child has su-

    ered a medical trauma. Te program has adult/parent,

    child(ren), and amily components and is usually deliv-

    ered in eight sessions, though the length o treatment is

    determined by the needs o the amily. Te goal o the

    intervention is to promote healthy development in chil-dren by increasing positive amily relationships and cop-

    ing skills through the use o psychoeducation, cognitive-

    behavior therapy, and narrative. In addition, in keeping

    with a strengths-based model, amily strengths, adaptive

    coping responses, and available resources are highlighted

    throughout treatment.

    Te FOCUS program is based, in part, on several other

    programs which have produced avorable results. One

    such program is an intervention used with amilies inwhich the mother has been diagnosed with HIV. Tis

    intervention program uses three modules. Te rst

    module is or the mother only and ocuses on emotion

    regulation, promoting a healthy liestyle, and disclosure

    o illness. Te second module integrated both the parent

    and the adolescents; sometimes the sessions included

    both and sometimes sessions were individual. In this

    module the ocus was on the reduction o emotional

    distress and maintenance o positive amily routines or

    the parents and on learning and enhancing coping skills

    or the adolescent. Te overarching ocus o this module

    was to reduce the risk that adolescents would engage

    in high-risk behaviors (e.g., risky sex) as a method o

    coping with the parents illness and eventual death. Te

    third module was only given to those adolescents whoseparents died during the study period. Results rom the

    study showed that adolescents who received the inter-

    vention had better developmental outcomes (e.g., more

    likely to be employed), were less likely to report somatic

    symptoms, better quality intimate relationships, bet-

    ter problem-solving skills, and were less likely to have

    a child out o wedlock (Rotheram-Borus, Lee, Lin, &

    Lester, 2007). Findings such as these show promise or

    promoting both individual and amilial resilience using

    amily-ocused interventions.

    Insighs bou Rsilincin Miliry Fmilis fromMFRI RsrchTe Military Family Research Institute (MFRI) has

    studied resiliency as part o its research program on

    quality o lie or military members and their amilies.

    One aspect o this research program has been a ocus on

    transitions. Family transitions create change and callor amily reorganization and adaptation. ransitions

    can bring changes in structure, shits in amily roles,

    and tensions created by the needs o individual amily

    members, all o which can generate stress.

    Deployment and reunion are examples o especially de-

    manding transitions or military amilies. Unlike other

    studies that document return and reunion experience at

    one point in time, MFRIs research has ocused on the

    reunionprocess how the reunion o amily membersunolds over time. In one project, over seven waves o

    semi-structured interviews conducted with Army reserv-

    ists and their amilies over a 12-month period ollowing

    wartime deployment, MFRI sought to identiy the chal-

    lenges amilies aced and the resources they perceived

    as promoting their resilience during this period in three

    separate studies.

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    Te rst study (Faber, Willerton, Clymer, MacDermid

    & Weiss, 2008) examined the boundary ambiguity

    associated with a amily members presence or absence

    or what Boss (2002) reers to as ambiguous loss. De-ployment was characterized by ambiguous absencethe

    reservists psychological presence but physical absence

    within the amily. During deployment, boundary

    ambiguity was mainly associated with saety and theredistribution o roles and responsibilities. Reunion

    was characterized by ambiguous presencethe reserv-

    ists physical presence but psychological absence. Once

    again, boundary ambiguity centered on redistribution

    o roles and responsibilities. Reunion was more di-

    cult or amilies transitioning rom a closed to an open

    communication system. Factors which were perceived

    as reducing boundary ambiguity and hastening adjust-

    ment included person characteristics (being fexible as

    opposed to controlling), and situation characteristics

    (returning to civilian work, which normalized routines

    and roles).

    Te second study (Karakurt, Christiansen, MacDermid

    & Weiss (under review) examined romantic relation-

    ships and how couples changed over time ollowing

    wartime deployment using the lens o amily stress and

    attachment theories. Four main themes were identi-

    ed: intermittent idealized closeness, transition rom

    independence to interdependence, transitions o social

    support, and ongoing renegotiation o rules. Intermit-tent idealized closeness was experienced shortly upon re-

    turn, fuctuated over time, and was rarely synchronized

    within couples. Te transition rom independence

    to interdependence also emerged early with partners

    reporting more diculty than reservists. Social support

    and role renegotiations suraced later in the reunion

    process. Participants needed time beore relying on each

    other or support; partners reported more support rom

    reservists than vice-versa. Role renegotiation occurred

    throughout the year oten in response to lie events and/or job transitions. As in previous research (Wiens &

    Boss, 2006), fexible gender roles and social support

    served as protective actors.

    Te third study (Wiegand, Bull, Green, MacDermid,

    & Welch, in preparation) explored the return to civilian

    employment and how reservist repatriates work adjust-

    ment unolded over time. A process model was devel-

    oped consisting o our stages: Return Home, Return to

    Work, Activation, and Settling In. Factors such as job

    expectations (anxiety about orgetting previous work de-

    tails, uncertainty about workplace change), infuenced

    early reports o adjustment whereas perceived advance-

    ment opportunities, and career-orientation were more

    important later in the process. Perceived similaritybetween military and civilian jobs, perceived organiza-

    tional support rom coworkers and supervisors, com-

    munication during deployment, and opportunities or

    retraining positively infuenced work adjustment and

    enhanced worker re-socialization. A lack o t between

    the individual and the organization, and poor amily

    adjustment (and work-amily confict) hindered it.

    Moving every ew years represents another type o

    transition that can pose unique challenges to all amily

    members. Similar to deployment and reunion, there

    are challenges and stressors beore, during, and ater

    the physical relocation. Using a conceptual model o

    resilience and risk, MFRI examined the moving experi-

    ence (Schwarz, MacDermid, & Weiss, 2007) to under-

    stand how opportunities and constraints associated with

    schools, workplaces and communities related to chil-

    drens and parents ability to navigate transitions.

    Pre- and post-move data were gathered rom 1,083

    Army and Air Force respondents moving during thesummer and school year via large-scale surveys o

    members, spouses, and children. Te model addressed

    macro-level aspects o demands, appraisals, responses,

    and outcomes. Resilience and risk was measured at

    three broad levels (1) the individual (e.g., traits such as

    intelligence or social skillulness; (2) the amily (e.g.,

    parental warmth or maltreatment); and (3) the commu-

    nity (e.g., neighborhoods and social supports).

    A variety o resilience actors helped adults and chil-dren/individuals cope with the challenges o relocation

    and enhanced psychological well-being. Individuals

    with more human capital(positive sel-evaluations, senseo mastery, optimism, good physical and psychologi-

    cal health; skills acquired rom education, training, and

    experience, high role balance, lie satisaction) and socialcapital(marital satisaction, better amily unctioning,

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    17Understanding and Promoting Resilience in Military Families

    responsive and eective parenting, social competence

    and involvement in group activities) expected and expe-

    rienced easier moves. Our ndings also highlighted the

    importance o measuring both person and situation

    actors (Lazarus & Folkman, 1984) in evaluating de-

    mands or stressors. Persons with external loci o control

    or high negative aect seemed to be at risk not only or

    the more requent occurrence o negative events, butalso the more negative evaluation o events when they

    occurred. For example, members who appraised the

    move as dicult also tended to be pessimistic. In this

    study, individuals who sought the situation and who

    appraised the situation as clear and predictable (Boss,

    2001) ound the move easier; whereas those who were

    anxious about the move and elt that the situation had

    important consequences ound the move more dicult.

    Important coping strategies included remaining posi-

    tive; balancing work and amily; using inormal (i.e.,

    support rom amily, riends, co-workers, unit lead-

    ers, childs teachers) and ormal support (i.e., religious

    organizations); and being engaged with school. Our

    results also indicate that positive adjustment was related

    to child age, parental gender, and time o move. For

    example, moving with older children was more dicult

    than moving with younger children; moving during the

    summer was easier or children but more dicult or

    parents, and indicators o risk/resilience (e.g., physical

    health, amily unctioning, role balance, and anxiety)

    were associated with dierent outcomes or membersand spouses.

    Fuur Rsrch Ndso date, ew studies have been published that docu-

    ment the impact o OIF/OEF deployments on military

    amilies and children, in part because the war is ongoing

    and there has not yet been time to complete the research

    and the manuscripts. Te length o the war and the

    required multiple deployments appear to have createdunique and dicult challenges or all amily members.

    For example, the recent MHA V (2008) ound that

    that multiple deployments exacerbated mental health

    and other problems associated with deployment. Tis

    suggests that we need to improve our understanding

    and knowledge o resources that may help or hinder

    resilience in military children, youth, adults, and ami-

    lies. Te Department o Deense ask Force on Mental

    Health also recommended additional research attention

    to military amilies.

    Longitudinal ResearchLong-term research is urgently needed on the eects o

    multiple wartime deployments on amilies, including

    children. o the best o our knowledge, no long-termstudy o the eects o single or multiple deployments on

    amilies, including children, has ever been conducted.

    Such studies are challenging or many reasons, includ-

    ing expense, the burden o such studies on amilies,

    the high mobility o military amilies, lack o complete

    inormation about which service members have children

    (particularly in the reserve component), and protective-

    ness o military research boards. However, prospective

    longitudinal analyses are necessary i we are to illumi-

    nate trajectories o competence and/or maladjustment

    o military parents and children.

    Critical areas o ocus or such research dier as a

    unction o the ages o the children involved. Young

    children may be more susceptible than older children

    to disruptions in their attachment relationships, which

    may have long-term consequences or their ability to

    regulate emotions and manage their behavior in the

    uture. Te intellectual development o some young

    children also may be threatened by parental separation

    early in lie. Older children may be at special risk oengaging in risky behavior, increasing their chances o

    early pregnancy, drug use, school dropout, or other con-

    duct disorder problems. However, deployment also can

    present positive opportunities or children to grow and

    learn new skills, which are also not well-understood.

    Since quality parenting is among the most robust pre-

    dictors o resilience adaptation (Luthar, 2006) such re-

    search needs to include a ull accounting o those actors

    that have the potential to interere with quality parent-ing including individual attributes, objective demands

    or stressors, appraisals and response to stress, as well as

    amily and relationship unctioning. Although many

    ndings rom the civilian literature are likely to apply to

    military amilies, it is also true that the proles o stres-

    sors and resources among military amilies are distinct

    and thus require study.

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    Research also needs to pay attention to the characteris-

    tics o the wider social environments o military ami-

    lies. For example, we currently dont know how many

    military children are living in dangerous neighborhoods

    or acing other contextual risk actors. Tis is especially

    true among reserve component amilies.

    iming is also an important actor to consider. Evi-

    dence rom the civilian literature indicates that there

    is considerable variability in the timing and nature o

    individual response to trauma. More research is needed

    on how people respond across time (e.g., short-versus

    longer-term response with special attention to the early

    weeks ollowing challenging events, such as the depar-

    ture or return o a parent). Research is also needed

    on the timing and duration o exposure to protective

    actors in order to ascertain the most opportune times

    or intervention (Aisenberg & Herrenkohl, 2008). For

    example, ndings on parental supervision and moni-

    toring o youths activities has been shown to reduce

    or overcome exposure to risk such as peer pressure to

    engage in antisocial activity (Patterson & Stouthamer-

    Loeber, 1984; Steinberg, 1986).

    A promising area or research is identiying best prac-

    tices or building resiliency. Although it is generally

    thought that many personal attributes among individu-

    als exhibiting resiliency may be relatively xed, the latestliterature suggests that those attributes may be opti-

    mized that is resilience can be taught. For example,

    ndings have shown that that trait sel-enhancement

    or the tendency to sel-serving biases may be associated

    with positive coping and healthy unctioning ollowing

    trauma (Bonanno, 2005). Sel-enhancement is a orm

    o pragmatic coping with a particular stressor event.

    However resilience has also been linked to fexible cop-

    ing or fexible adaptation (Block & Block, 1980; Bon-

    nano et al., 2004 as cited in Bonnano, 2005). Sincefexible adaptation can be measured and manipulated

    under dierent stressor conditions, it should be possible

    to determine how and under what conditions it might

    be learned.

    Special populations merit attention. For example, our

    own research indicates that amily care arrangements are

    very dicult to make and execute in time or deploy-

    ment or dual-military and single-parent amilies posted

    overseas. Individual augmentees and their amilies

    are oten orphaned during the deployment cycle,

    overlooked or reintegration training, welcome home

    ceremonies, and quality o lie supports. Young spouses

    in new marriages and oreign spouses are seen as at high

    risk or isolation and poor unctioning during deploy-ment. Single service members experience diculty

    maintaining social relationships and receiving reliable

    logistical assistance during deployment. Tey eel am-

    bivalent about welcome home ceremonies. Supervising

    children during deployment is complicated not only by

    the absence o a parent but also by limited availability

    and accessibility o programs or children.

    o date little research has ocused on amilies in the

    reserve component. Unlike active component amilies,

    reserve component amilies have less access to military

    social support organizations and ewer connections to

    other military amilies. Moreover, as they are less accus-

    tomed to adjusting to deployment than their active duty

    counterparts, they may struggle to nd support within

    their communities. For example, reserve component

    members report psychological concerns three months

    ollowing deployment at substantially higher rates than

    active component members.

    Communication has received little attention in the lit-erature. Previous research suggests that service members

    vary in the amount o time they are able and willing

    to spend communicating with their amilies at home

    (MacDermid, Schwarz, Faber, Adkins, Mishkind, &

    Weiss, 2005). Anecdotal evidence indicates that new

    modes o communication (e.g., e-mail, web cams, in-

    ternet telephone, cellular phones, blogs and videos) are

    now being used in addition to the old ashioned land

    line phones and letters. What role does availability, re-

    quency, content, and quality o communication play instrengthening and sustaining the resilience o spouses,

    children, siblings, and parenting relationships?

    Prehaps most pressing is the urgent need or inorma-

    tion on military amilies where members have sustained

    physical injury or mental health disorders. Such ami-

    lies may incur additional stress rom the point o noti-

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    cation, through the period o acute treatment, reha-

    bilitation, and recovery (Cozza, Chun & Polo, 2005).

    Data indicate that many returning service members may

    suer rom unrecognized psychiatric illness, including

    post traumatic stress disorder (PSD), depression, sub-

    stance use disorders or other conditions (Hoge, Castro,

    Messer et al., 2004). Children may not understand

    the extent o an injury, particularly one without visiblephysical wounds or they may be rightened by their

    parents external wounds. Te nature o the inorma-

    tion that parents share with children may or may not

    be developmentally appropriate. Te impact o these

    conditions on amilies and children is unclear, but is

    likely to be signicant.

    Materials and Programs for FamiliesResearch on the availability and eectiveness o materi-

    als to help amilies respond to extended and multiple

    deployments, reunion, and death or injury is lacking.

    In searching the websites o OneSource, the military

    services, and DoD to look or the availability o materi-

    als on these topics, MFRI ound that, in general, there

    were more materials available or deployment than

    reunion, and more materials regarding reunion than

    death or injury. Most deployment materials did not

    deal specically, however, with extended or multiple

    deployments. Tere was uneven coverage o materials

    or amilies with children o dierent ages. Te largest

    gaps appeared to be: (a) inormation or pre-teen andteenage children with notable absence o inormation

    or blended/step amilies and step siblings who share

    a parent, but not a physical household. Major Keith

    Lemmons work preparing materials or adolescents and

    mobilizing the American Pediatric Association is notable

    here. (b) inormation or children o wounded parents,

    though the new Sesame Street materials will certainly

    be helpul here; and (c) medical discharge due to serious

    wound(s), especially when the service member is a single

    unmarried person.

    Research is also needed on the timing o providing

    inormation and support to amilies o deployed mem-

    bers. Currently there is no research on this topic. We

    are aware, however, o anecdotal suggestions that when

    they occur too close to the actual deployment, the

    impact o pre-deployment briengs may be limited be-

    cause amilies are already anxious and because o limited

    time to carry out all o the necessary activities.

    Tere is also no research on how the dissemination o

    materials to the Armed Forces can be improved. Our

    impression is that Status o Forces Survey data, like

    surveys o civilian workers, tend to show that large per-

    centages o service members and amily members do nothave accurate knowledge o the benets and resources

    available to them. Part o the diculty in the military,

    o course, is the plethora o resources that are oered by

    a complicated patchwork comprising DoD, the services,

    civilian support agencies, and state governments. We

    are impressed, however, with the degree to which Mili-

    tary OneSource has become a well-known brand, and

    its accessibility to active and reserve component amilies

    around the world. Continued and increased eorts to

    grow this brand may be helpul.

    Tere is also no quality-controlled research on the e-

    ectiveness o the training materials or amily support

    proessionals. We also have ound no research on the

    eectiveness o transition programs and policies in iden-

    tiying signs and symptoms o mental health conditions

    or service members and their amilies.

    Conclusions nd ImplicionsMost individuals and amilies experience adverse events

    and circumstances sometime in their lives, and whenthey do, most respond with resilience , going on to live

    well-adjusted lives. Nonetheless, a signicant minority

    o individuals and amilies nd it dicult to adjust ol-

    lowing adversity and suer a variety o negative out-

    comes as a result. Tus, resilience is a relevant concern

    or military policy-makers.

    Because resilience can only be observed as individuals

    and amilies cope with adverse events, it is dicult to be

    certain in advance that someone will be resilient. Tereis evidence to suggest that children with certain char-

    acteristics may lack the skills and abilities necessary or

    resilience, however. In addition, resilience develops over

    a long period o time, supported by a variety o person-

    al, amily and community actors. Tus, while single

    predeployment briengs or written brochures may be

    useul, their impact on resilience is likely limited.

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    While early researchers thought o resilience as a per-

    sonality trait, largely stable and with a large biological

    component, subsequent studies have shown that resil-

    ience is largely a learned capability that is not necessarily

    stable across settings or over time. Te characteristics o

    environments around individuals or amilies can make

    adjustment harder, such as when community resourcesare depleted by poverty, violence, natural disasters, or

    other large-scale events. Tere is evidence that resil-

    ience-related skills and abilities can be systematically

    improved, and that individual and amily resilience can

    be supported in part by community-level action.

    Stressors may be classied along a number o dimen-

    sions. Military children and amilies regularly experi-

    ence several particular types o stressors, including daily

    hassles such as long parental work hours; chronic stres-

    sors such as being dierent rom civilian children; and

    potentially traumatic stressors such as parental absence,

    injury or death. Each o these stressors increases the risk

    o negative outcomes, and the occurrence o one kind o

    stressor may increase the likelihood that others will oc-

    cur. Stressors that pile up are more likely to exceed the

    resources that individuals, amilies or communities can

    marshal to cope. Tus, prior experience with stressors,

    instead o being helpul, may contribute to pile-up i

    coping resources are inadequate and there is insucient

    time or recovery. For example, a combat deploymentpreceded by a lengthy and intensive period o parental

    preparation with long work hours and ollowed very

    shortly by a PCS move is likely to tax amilies more

    than the deployment alone. Given the need or con-

    stant readiness among military amilies, ongoin