Filed under: Resilience
Post-Traumatic Stress Disorder (PTSD) has been one of the military’s top priorities in the past few years, especially after reports of projected rates as high as 30% in veterans. However, a May 2012 Science article points to new findings that might indicate lower PTSD rates currently across all services—between 2.1 and 13.8%. Taking into consideration under-reporting due to stigma, the authors suggest these low rates might be due to the targeted attention that PTSD has received, along with interest in bolstering Warfighter resilience. The article cites the military’s adoption of resilience programs such as “Battlemind” as possible contributors to these low rates. The authors recommend more in-depth research to determine the effectiveness of such programs.
In an April 2012 Times article Dr. Martin Seligman, whose work on “positive psychology” influenced Comprehensive Soldier Fitness, explains his stance that soldiers can enhance their mental toughness through optimistic thinking. By seeing situations as temporary—“It will go away soon”—or specific—“It’s just this once”—or changeable—“I can do something about it”—you can make it through adversity and perform optimally. The training also emphasizes how resisting negative thoughts such as “Maybe I don’t have what it takes to be a soldier” while expressing gratitude—“I made it farther than I did last time”—are part of the puzzle to building resilience and becoming mentally tough. To learn strategies that can help build mental toughness, visit OSOK’s Mind Tactics module in HPRC’s Total Force Fitness domain.
The 2012 Warrior Resilience Conference in March highlighted the importance of the “social domain” to Total Force Fitness. The social domain was defined as relationships in the unit, and family (immediate and extended family and friends). “Family fitness” was defined as the family’s use of physical, psychological, and spiritual resources to prepare, adapt, and grow in challenging times.
The conference was geared towards the line and focused on teaching skills and strategies that participants can instantly apply in their units and families and to bolster individual resilience. The conference highlighted skills that Warfighters and family members are already “bringing to the fight,” how to use them in new ways, and how to add new ones from a holistic perspective. Skills from military programs such as FOCUS, Comprehensive Soldier Fitness, and Combat Operational Stress Control (COSC) were taught in breakout sessions along with information on family physical fitness and nutritional strategies.
HPRC is following up with many of the presenters to see if we can provide their information on the HPRC website, so keep an eye on our Family and Relationships section.
One Shot One Kill: Want to learn how the elite warrior accomplishes optimal performance time after time, under the most challenging conditions? The HPRC now has new program materials for the One Shot One Kill (OSOK) performance enhancement program online for you to use and download—by yourself or with your unit! One Shot One Kill (Integrative Platform version) is a “warrior-centric” performance enhancement program that warriors can set up and manage on their own. OSOK-IP is designed to enhance performance, hardiness, and resilience. By building on the skills that Warfighters already possess, OSOK aims to translate good Warfighter qualities to outstanding ones. OSOK-IP comes in two versions:
OSOK-IP Solo is a step-by-step integrative training plan, with supplemental materials, that enables the individual Warfighter to pursue this method of Total Fitness on his or her own and reach the optimal level of performance in almost all areas of life.
OSOK-IP Train the Trainer enables your unit to train as a group by selecting one member to learn and present OSOK-IP to the rest of the unit. This section of the website has the full curriculum available to download and even customize OSOK-IP content for your own military culture and unit.
We look forward to your feedback, too. Check out OSOK and let us know what you think!
RAND Corporation recently published a report that evaluates studies and programs that promote resilience in the military. The findings by RAND’s military health research group include practices that promote resilience in military families. Below are a few points that can help your family to build resilience together.
- Emotional ties. Bonding time helps family members become closer to one another emotionally. Shared recreation and leisure time could help tighten family bonds.
- Communication. The ability of family members to exchange thoughts, opinions, and information is an essential step in solving problems and helping relationships thrive.
- Support. Knowing that comfort and support are readily available within a family allows members to lean on each other during good and bad times.
- Adaptability. Families that adapt to the changes inherent in military life are more likely to weather challenges together. Allowing some flexibility in family roles may help smooth transitions.
You can download a summary or the full report of “Promoting Psychological Resilience in the U.S. Military” from RAND’s website. RAND’s research was sponsored by the Office of the Secretary of Defense. For even more information on family resilience-building skills, visit HPRC's Family Skills section.
Communicating well is extremely important for family well-being. Being able to speak clearly, listen well, show a range of emotional expression while being respectful and showing regard for family members’ are all aspects of good communication. You can help foster positive family communication by appreciating your loved ones verbally on a daily basis.
Walsh, F. (2006). Strengthening family resilience. NewYork, NY: Guilford.
Walsh, F. (2003). Family resilience: A framework for clinical practice. Family Process, 42(1),1-18.
Walsh, F. (2007). Traumatic loss and major disasters: Strengthening family and community resilience. Family Process, 46(2).
Being in stressful situations activates the body’s physiologic stress response, which is what allows Warfighters the ability to respond to any threat at any time. In the sports world, the stress response is associated with the adrenaline rush that pumps athletes up during competitions, and gives them the edge to win.
Unlike athletes, however, Warfighters are a select group who operate in stressful situations day in and day out. Prolonged exposure to stressful situations has been found to be harmful both physically and psychologically, unless one learns how to successfully manage one’s internal response. To that end, there are programs throughout the uniformed services that teach Warfighters combat stress management techniques. Many use a stoplight system—utlizing the colors green, yellow, and red—to teach Warfighters how to calm the stress response and bring the body back into balance, in order to give it a reprieve. Successful warfighters learn these skills and apply them in theater.
These same skills, which allow one to calm the body’s physiologic response to stress, can also be applied to other areas—most notably, in one’s relationships. The stress response triggered by external threats is the same stress response that is activated during emotionally-charged conflicts with someone you care about (although the degree of stress is different). Conflict between two people creates the same internal stress, coupled with a flood of negative emotions. The techniques learned to manage combat stress are techniques that can also help Warfighters in their personal relationships.
A recent study examined 149 couples in a 15-minute discussion about a marital conflict found that positive emotions helped couples regulate, or calm, their physiologic responses after the conversation. Interestingly, how happy the individual was with their relationship did not impact this finding. This indicates that positive emotions seem to have the ability to “undo” the physiologic arousal of conflict.
The next time you get in a fight with someone you care about, try this: stop, take yourself out of the situation, and start thinking positive thoughts—either about yourself, something else, or your partner. Notice whether you feel calmer, if your body temperature decreased, if your heart rate slowed down, and if your body moved less (we tend to move more when we are upset). You might find this to be an excellent addition not only to your combat stress strategies, but also to your positive relationship strategies.
Source: Yuan, J., McCarthy, M., Holley, S. & Levenson, R. (2010). Physiologic down-regulation and positive emotion in marital interaction. Emotion, 10(4), 467-474.
The way that parents behave under stress, and interact with their children on a daily basis, has a profound influence on a child’s resilience or the ability to bounce back from stress. Parents can improve resilience by teaching the following skills to their children:
- Spiritual: Parents can help children feel a sense of uniqueness, purpose, and perseverance by providing a spiritual foundation, framework, or belief in something bigger than just the child’s universe.
- Emotional: Parents can model and foster positive mood management; discuss feelings with them and help them learn how to deal with emotions, both positive and negative.
- Physical: Parents can practice and teach positive health habits that include healthful food choices and physical activity.
- Behavioral: Parents can model, coach, and teach positive behaviors that help foster their child’s belief that they can behave well and make positive choices.
- Cognitive: Parents can enhance a child’s self-esteem and help them develop cognitive and academic skills by monitoring and checking their homework, and promoting problem solving skills that teach them to proactively solve problems and develop independent thinking skills.
Hooah 4 Health describes the "7 Emotional Cycles of Deployment" for couples - that both the deployed partner and one at home experience. At first, there is anticipation of departure, then detachment and withdrawal. This can lead to feelings of emotional disorganization. Over time, each partner copes with the deployment so that recovery and stabilization occur. Then, anticipation of the partner's return can start the countdown to deployment’s end. Once back home, partners adjust and renegotiate their roles and can be completely reintegrated and stabilized within a few months. These stages are discussed in detail at the Hooah4Health website.