Workplace Perceptions of Veterans and Nonveterans in the Department of Veterans Affairs

Much has been written about veterans and their reintegration into civilian society, but little or no information is available about veterans’ workplace perceptions and how these might differ from those of nonveterans. The authors compared veterans’ and nonveterans’ attitudes about work (including job satisfaction aspects, perceptions of coworker interactions, supervisory support, and others) in the U.S. Department of Veterans Affairs (VA) based on responses to the organizational census, VA All Employee Survey (AES; N = 179,271). Based on differences in crude (unadjusted, but controlling for location) item odds ratios (range 0.65–1.08), compared to nonveterans, veterans scored modestly lower on most AES items. The authors show how controlling for demographics changes the relative size and, in some cases, the direction of the differences. This current study is 1 of only 2, to our knowledge, large-scale assessments of veterans’ workplace perceptions and the only 1 which controlled the results for demographic characteristics.     

Posttraumatic Growth in Combat Veterans

Combat veterans and their families face significant challenges not only to their abilities to cope, but often to their fundamental belief systems. Traumatic events represent assaults on core beliefs, yet at times, produce cognitive processing that can ultimately result in personal transformations called posttraumatic growth (PTG). Clinicians can utilize a systematic therapeutic approach to facilitate PTG as they carry out a relationship of expert companionship. PTG in service members is described in this article, as well as the approach to facilitation of PTG.     

Posttraumatic Stress Disorder and Vietnam Veterans

Many unemployed Vietnam veterans may be sufferers of posttraumatic stress disorder (PTSD). Symptoms and behaviors of PTSD are reviewed to assist employment counselors in identifying such individuals, and suggestions for referral are made.     

Neuropsychological Functioning in Danish Gulf War Veterans

Research has shown that Danish Gulf War (GW) veterans reported a significantly higher prevalence of neuropsychological symptoms than did military controls 6 years after GW deployment. To explore the possible central nervous system determinants of these complaints, neuropsychological tests were administered to stratified, random samples of the Danish cohort of 916 GW-deployed veterans and 236 non–GW-deployed participants. Multivariate analyses of covariance were used to analyze neuropsychological test outcomes among the 215 male participants (143 GW-deployed and 72 non–GW-deployed soldiers). No significant differences in neuropsychological test performances were found between the GW-deployed and non–GW-deployed groups. Troops deployed to the GW reported significantly more mood complaints (i.e., fatigue and confusion) than their nondeployed counterparts. Because they were assigned to the Gulf region during the postcombat phase, Danish GW soldiers differed from the majority of American GW-deployed troops in military assignments and possible toxicant exposures.     

The Transition Experiences of British Military Veterans

The aim of the current research was to investigate the transition experiences of British military veterans upon exiting the military and rejoining civilian society, asking the specific research question: What effect does the transition from military to civilian life have on the individual's identity? Interpretative Phenomenological Analysis was employed and seven semistructured interviews were carried out with ex‐military personnel. Analysis of the data revealed three superordinate themes: (1) Several Selves: Identity; (2) Soldier and Society: Separation, and (3) Transition Time: Personal Perspective. Current findings suggest that transition from the military back to civilian life is often problematic, with identity complications, feelings of loss, and disconnection both from the military and from society in general. Individuals with a more salient military identity had more difficult transition experiences. Findings are discussed with reference to theories of identity formation, maintenance, and salience and recommendations for future research are made.     

Military Sexual Trauma in Treatment-Seeking Women Veterans

As the number of women serving in the military continues to grow, it is increasingly important to explore the sequelae of military sexual trauma (MST) among female veterans. The current study included 232 female veterans who sought outpatient mental health treatment at an urban Veterans Affairs hospital. The study's aims were to (a) describe and compare the demographic characteristics, health behaviors, and psychological symptoms of female veterans who have experienced MST to those veterans who do not report this experience; and (b) examine the associations between psychological symptoms and health behaviors in this sample, stratified by MST status. Results indicate that treatment-seeking women veterans who reported experiencing MST endorsed more psychological distress compared to those who did not report experiencing MST. In addition, psychological symptoms were associated with engaging in problematic health behaviors, such as binge eating and infrequent physical exercise among both those women who experienced MST and those who did not.     

Contextual Career Counseling for Transitioning Military Veterans

Military culture is a unique subset of the United States, complete with its own language, writing style, norms, membership, rank structure, values, and laws (Harmon, 2007 ). Using contextual theory for career counseling, counselor educators can assist counselors‐in‐training in understanding the effects of the military environment on clients who are military veterans. This article includes a review of the literature and a call for research.     

Cognitive Impairment and Personality Adjustment in Vietnam Veterans

This study investigated the intellectual functioning and personality characteristics of 81 Australian ex-servicemen, 42 of whom had served in Vietnam. A Cognitive Impairment Model (SCIM) developed by Savage (1978, 1981, 1984) enabled intellectual functioning levels, intellectual deterioration and learning ability in the verbal and performance modalities to be asses. The Clinical Analysis Questionnaire (CAQ) of Krug (1980) based 00 Cattell's theory and personality measurement techniques provided an assessment of normal personality characteristics and clinical factors. The data suggested that the two groups, Australian ex-servicemen and Australian Vietnam veterans, were relatively homogeneous with regard to cognitive functioning and gave no indication of impairment in their intellectual levels or of their learning ability. Significant personality differences were, however, found between the two groups of ex-servicemen. The Vietnam veterans showed significantly more tension, depression, guilt, resentment, alienation and hypochondriasis than their colleagues who had remained in Australia. They were more withdrawn from others and from reality and had more abnormal thought than the ex-servicemen who had not been to Vietnam. The cognitive data do not support the view that Vietnam veterans suffered from any serious cognitive impairment. The personality data, however, suggest a significant “Psycbological Stress Syndrome” in these Vietnam veterans which required professional psychological treatment.     

Trauma Informed Guilt Reduction Therapy With Combat Veterans

Guilt related to combat trauma is highly prevalent among veterans returning from Iraq and Afghanistan. Trauma-related guilt has been associated with increased risk for posttraumatic psychopathology and poorer response to treatment. Trauma Informed Guilt Reduction (TrIGR) therapy is a 4-module cognitive-behavioral psychotherapy designed to reduce guilt related to combat trauma. The goals of this study were to describe the key elements of TrIGR and report results of a pilot study with 10 recently deployed combat veterans.Ten combat veterans referred from a VA Posttraumatic Stress Disorder (PTSD) or mental health clinic completed TrIGR over 4 to 7 sessions. Nine veterans completed the posttreatment assessment.This initial pilot suggests that TrIGR may help to reduce trauma-related guilt severity and associated distress. Changes in trauma-related guilt were highly correlated with reductions in PTSD and depression symptoms over the course of treatment, suggesting a possible mechanistic link with severity of posttraumatic psychopathology.TrIGR warrants further evaluation as an intervention for reducing guilt related to traumatic experiences in combat.     

Religion and the Survival of 1010 Hospitalized Veterans

Objective: To examine the effects of religious affiliation and religious coping on survival of acutely-hospitalized medically-ill male veterans following discharge. Sample and Methods: Between 1987 and 1989, comprehensive psychosocial and physical-health evaluations were performed on a consecutive sample of 1010 patients ages 20–39 and 65–102 years admitted to the general medicine and neurology services of the Veterans Administration (VA) Medical Center in Durham, North Carolina. Religious affiliation and religious coping (the degree to which a patient relied on his religious faith for comfort and strength) were among the variables assessed. Subjects or surviving family members were contacted by telephone in 1996–97 to determine vital status; dates of death were confirmed by the Veterans Administration's Beneficiary Identification and Records Locator Subsystem (BIRLS), death certificate, or the National Death Index. Cox proportional-hazards regression was used to model the effects of religious variables on time to death, controlling for demographic, social, psychiatric, and physical-health covariates. Results: Follow-up was obtained on all 1010 patients. During the observation period, 673 patients died. While a higher proportion of conservative Protestants than members of other religious groups died during this time (70.5% vs. 64.3%, p = .04), the association disappeared once covariates were controlled. Religious coping was unrelated to survival in both bivariate and multivariate analyses (hazard ratio 1.00, 95% CI 0.99–1.01). Conclusions: Neither religious affiliation nor dependence on religion as a coping behavior predicted survival in this sample of medically-ill male veterans. Several reasons for the absence of an effect are explored, notably the fact that the mortality force exerted by age, medical diagnosis, and severity of physical-health problems overwhelmed the weaker effects of psychosocial variables.     

Existential Reflection in Marital Therapy with Vietnam Veterans

The repression of terror by Vietnam veterans is a process which also results in the repression of meaning. Such meaning repression can profoundly disrupt marital bonding and marital intimacy. In this article the method of existential reflection as it can be used with Vietnam veterans in marital therapy to increase meaning awareness is described and is illustrated by case material.     

Comprehensive System Rorschach Data on Vietnam Combat Veterans

To better understand and, therefore, treat Vietnam combat veterans with a diagnosis of posttraumatic stress disorder (PTSD), the Rorschach was administered to 50 patients so diagnosed. The most important findings were that, on average: (a) These patients have a low level of stress tolerance and are, therefore, likely to respond impulsively to stressful situations; (b) this tow stress tolerance appears to be a long-term adjustment problem; and (c) their perception of reality is unconventional and often distorted. A primary therapeutic indication from these data is that the use of structure would be important for successful therapy. Other findings and therapeutic recommendations are also discussed.     

Using Photography to Explore Recovery Themes With Veterans

This author of this study examined if creating photographs to explore a recovery experience could be therapeutic. Veterans from multiple war periods, who were receiving outpatient mental health treatment, voluntarily enrolled in a six-week photography workshop. During the workshop, 31 veterans learned the basics of photography and discussed recovery challenges with peers. For the final class, participants created a six-image portfolio that visually expressed a personal recovery theme. Pre-and post, 10-item Likert scale questionnaires were completed in order to evaluate the benefits of the photography workshop. There was a statistically significant increase in the post test questionnaire score (+0.47 points, p = 0 .001). The findings support the hypothesis that taking photographs while in recovery can improve personal reflection and organization of thinking, as well as promote recovery discussions, communication, social support, and sense of purpose. Recovery themes included dealing with pain, isolation, growth, transformation, and healing.     

Outcomes from Job-Recruiting Efforts To Assist Black Veterans

to ascertain whether the Veteran's Readjustment Program (VRP) brought a significantly larger percentage of Black Vietnam War veterans into the work force at the U.S. Army Missile Command Center than did traditional Office of Personnel Management recruitment procedures.     

Veterans Vocational Rehabilitation: A Program in Transition

The VA has authorization to arrange for virtually any service needed by the disabled veteran to assist in accomplishing the purposes of vocational rehabilitation. This article provides a program overview of the provisions and process of the VA's rehabilitation effort and discusses the implications of training disabled veterans under the G.I. Bill. A number of agency actions are detailed to point out areas of potential improvement in the rehabilitation movement.