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This article originally appeared in the July 2007 volume of the Zero To Three Journal on Coping With Separation and Loss. The Young Military Child Our Modern Telemachus Stephen J. Cozza Uniformed Services University of the Health Sciences Alicia F. Lieberman University of California, San Francisco -A combat mindset or what has been referred to as Battlemind can lead to misdirected irritability or aggression that can impact on small children. Irritability, emotional rage, jumpiness, hypervigilance, or overreactivity can all lead to family conflict and misunderstanding on the part of the young child. Social withdrawal or reduced communication because of anxiety about sharing upsetting war-related experiences may cause further withdrawal from family members and lead to a child’s confusion about the meaning of such parental nonavailability. —Postdeployment emotional and behavioral responses can range from more typical short-term distress responses, such as change in sleep, decreased sense of safety, or social isolation, to the development of more serious psychiatric conditions, such as post traumatic stress disorder (PTSD) or depression. Studies conducted by Hoge and colleagues (Hoge et al., 2004; Hoge, Auchterlonie, & Milliken, (2005) at the Walter Reed Army Institute of Research have demonstrated significant postdeployment distress in populations of combat exposed soldiers and marines returning from Iraq. When screened 12 months after return from combat deployment, nearly 20% of service members endorsed symptoms consistent with a mental disorder, most often PTSD or depression. —Studies have demonstrated that the children of parents with depression (Beardslee, Versage, & Gladstone, 1998) evidence significant problems in a wide range of functional areas. Children of Vietnam veterans with PTSD are more likely to evidence symptoms similar to those of their combat-exposed fathers (Rosenheck & Nathan, 1985; Rosenheck & Thompson, 1986).
Developmental Stages and Children’s Expression of Distress PRESCHOOL OR KINDERGARTEN • Clinging to people or favorite toy or blanket • Unexplained crying or tearfulness • Choosing adults over same-age playmates • Increased acts of violence toward people or things • Shrinking away from people or becoming very quiet • Sleep difficulties or disturbances (waking, bad dreams) • Eating difficulties or changes in eating patterns • Fear of new people or situations • Keeping primary care giver in view SCHOOL-AGED CHILDREN • Rise in somatic complaints • More irritable, labile • Problems at school (grades, attendance refusal, fighting) • Anger toward at-home parent, siblings ADOLESCENTS • Acting out behaviors (trouble at school, home, law) • Low self-esteem and selfcriticism • Misdirected anger (over small things, at parent/sibling) • Sudden or unusual school problems • Loss of interest in usual hobbies, activities
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