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Re-deployment The re-deployment stage is essentially defined as the month before the Soldier is scheduled to return home.
This stage starts with the "homecoming" of the deployed Soldier. This can be a wonderfully joyous occasion with children rushing to the returning parent followed by the warm embrace and kiss of the reunited couple. The unit then comes to attention for one last time, followed by words of praise from the senior commander present. Lastly, weapons are turned in and duffle bags retrieved and the Family goes home. Homecoming can also be an extremely frustrating and upsetting experience. The date of return may change repeatedly or units may travel home piece-meal over several days. Despite best intentions, the spouse at home may not be able to meet the returning Soldier (short notice, the children might be sick, sitters cannot be found in the middle of the night, unable to get off work, etc.). Soldiers may expect to be received as "heroes" and "heroines" only to find that they have to make their own way home. Typically, a "honeymoon" period follows in which couples reunite physically, but not necessarily emotionally. Some spouses express a sense of awkwardness in addition to excitement: "Who is this stranger in my bed?" For others, however, the desire for sexual intimacy may require time in order to reconnect emotionally first. Eventually, Soldiers will want to reassert their role as a member of the Family, which can lead to tension.6 This is an essential task, which requires considerable patience to accomplish successfully. Soldiers may feel pressure to make up for lost time and missed milestones. Soldiers may want to take back all the responsibilities they had before. However, some things will have changed in their absence: spouses are more autonomous, children have grown, and individual personal priorities in life may be different. It is not realistic to return home and expect everything to be the same as before the deployment. During this period, spouses may report a lost sense of independence. There may be resentment at having been "abandoned" for six months or more. Spouses may consider themselves to be the true heroes (watching the house, children, paying bills, etc.) while Soldiers cared only for themselves. At least one study (Zeff et. al., 1997) suggests that the stay-at-home parent is more likely to report distress than the deployed Soldier. Spouses will also have to adapt to changes. Spouses may find that they are more irritable with their mates underfoot. They may desire their "own" space. Basic household chores and routines need to be renegotiated. The role played by the spouse in the marriage must be reestablished. Reunion with children can also be a challenge. Their feelings tend to depend on their age and understanding of why the Soldier was gone. Babies less than 1 year old may not know the Soldier and cry when held. Toddlers (1-3 years) may be slow to warm up. Pre-schoolers (3-6 years) may feel guilty and scared over the separation. School age children (6-12 years) may want a lot of attention. Teenagers (13-18 years) may be moody and may not appear to care. In addition, children are often loyal to the parent that remains behind and do not respond to discipline from the returning Soldier. They may also fear the Soldier's return: "Wait till Mommy/Daddy gets home!" Some children may display significant anxiety up to a year later ("anniversary reaction"), triggered by the possibility of separation. In addition, the Soldier may not approve of privileges granted to children by the non-deployed parent. However, it is probably best for the Soldier not to try to make changes right away and to take time renegotiating Family rules and norms. Not heeding this advice, the Soldier risks invalidating the efforts of his/her mate and alienating the children. Soldiers may feel hurt in response to such a lukewarm reception. Clearly going slow and letting the child(ren) set the pace goes a long way towards a successful reunion. Post-deployment is probably the most important stage for both Soldier and spouse. Patient communication, going slow, lowering expectations and taking time to get to know each other again is critical to the task of successful reintegration of the Soldier back into the Family.5,6 Counseling may be required in the event that the Soldier is injured or returns as a stress casualty. On the other hand, the separation of deployment - unlike civilian couples - provides Soldier and spouse a chance to evaluate changes within themselves and what direction they want their marriage to take. Although a difficult as well as joyful stage, many military couples have reported that their relationship is much stronger as a result.
There are many challenges for military Families to overcome during the five stages of deployment. Anticipating these challenges is important to minimize the emotional trauma caused by extended deployment.1,5,6 It is important not to over-interpret arguments which are often caused by the pain and loss of separation. Resolving marital issues that precede deployment is very difficult to accomplish over long distances and is probably best left until the Soldier's return. Dates of departure and return often "slip" forwards and backwards. Establishing or maintaining a support network helps Families cope. Rumors are hurtful and are best not repeated. If they cannot be resolved, then contact the chain of command to find out the truth or put a stop to them. Breaking up the time is a useful technique to prevent being overwhelmed. This can include: weekly get-togethers with other Families, monthly outings for the children (a favorite restaurant, the park, a picnic etc.), and a visit to, or from, parents and in-laws around mid-deployment just to name a few. In order to maintain their sanity, parents - now "single" because of the deployment - will need time without their children. Scheduling a regular "Mommy's (Daddy's) day out" can be achieved by daycare or sharing sitting with someone you trust. Overspending or increased alcohol use may provide short-term relief; but in the long-term, they will only exacerbate the stress of deployment. Lastly, and most importantly, Soldier, spouse and children will change and grow during the deployment. It is critical to go slow, be patient and allow several months to reestablish Family bonds.
Discussion Several questions remain to be answered regarding the impact of extended deployments on Soldiers and their Families. Many Family members complain of the emotional distance during the pre-deployment stage. How long is the optimal time for Families to be notified in advance of a deployment? What is the impact on Soldiers who may feel torn between their Family and their unit? How much time do commanders need to get their units ready to deploy? In addition, there are many questions about the remaining stages of deployment. What is the relative impact on Families with four month (most Air Force deployments) versus six-eight months (SFOR, Navy Sea Duty) versus one year (IFOR, the initial Bosnia deployment)? Do Families of different services cope better with separation? Why? What is the minimum recovery time in which a Family needs to be stabilized from moves, military schools or even routine field training, after a Soldier returns home? What is the impact on children? How about their school performance or disciplinary problems? What if a spouse is pregnant or delivers during the deployment? What if the spouse works versus stays at home? How about single parents? What if both spouses are in the military and deploy? What is the impact of extended deployments on marital longevity, spouse and child abuse when compared with civilian Families? What about Soldier retention? What about the Families of Soldiers who have had multiple or back-to-back deployments? How about the Reserves or National Guard who may not have as extensive support as their counterparts on Active Duty? Is there sufficient notice for them to transition from their civilian roles in anticipation of deployment? What about the potential economic dislocation to include: loss of job and loss of income? How about the loss of unit cohesiveness when Reserves or Guard deploy as individual augmentees assigned to other units? A good starting point to begin answering some of these questions is provided by defining the five stages of deployment and challenges they present to Soldiers and their Families. Conclusion Over the past eight years since the Gulf War, Soldiers and their Families have had to adapt to a major shift in U.S. foreign policy and the role of the Army in extended multinational deployments. Now entering its fifth year, the Bosnian experience has provided new insight into the different skills needed to minimize familial trauma. Furthermore, Family well-being is not only essential to mission success with two-thirds of Soldiers now married, but also to the future health of the Army through retention of trained Soldiers.22,23 Health care professionals (including civilian providers accepting TRICARE insurance) and military leaders must be prepared to support Soldiers and their Families through five stages of deployment. Providing information early, about what to expect, will help Families cope with the deployment experience. More research is needed, about the impact of deployment on Soldiers and their Families, to ensure that our forces are better prepared and ready for challenges of the next century.
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6Logan KV. The Emotional Cycle of Deployment. Proceedings, February 1987; 43-47.
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9Black WG. Military-Induced Family Separation: A Stress Reduction Intervention. National Association of Social Workers, 1993; 277.
10Noy S. Stress and personality factors in the causality and prognosis of combat reactions. Presented at the Second International Conference on Psychological Stress and Adjustment in War and Peace, Jerusalem, Israel, June 19-23, 1978.
11Neumann M, Levy A. A specific military installation for the treatment of combat reactions during the war in Lebanon. Military Medicine, 1984; 149:196-199.
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17De Leo WJ. Personal Redeployment Readiness Guide, USAREUR and 7th Army, 1996; 1-47.
18Zeff KN, Lewis SJ, Hirsch KA. Military Family adaptation to United Nations Operations in Somalia. Military Medicine, June 1997; 162(6):384-7.
19Reunion Pamphlet, 1st Infantry Division Mental Health Service, Grafenwoehr, Germany, 1997; 1-2.
20Tam LW. Psychological aspects of pregnancy in the military: a review. Military Medicine, June 1998; 163(6): 408-12.
21Army Reserve: What's Next - A Guide to Family Support. Education Publications, Inc., Jenkintown, Pennsylvannia, 1998; 1-76.
22Schneider RJ, Martin James A. Military Families and Combat Readiness in Textbook of Military Medicine, Part I: Military Psychiatry - Preparing in Peace for War, Borden Institute, Washington, D.C., 1995; 19-30.
23Division of Neuropsychiatry. The Impact of Deployment Separation on Families. Walter Reed Army Institute of Research, Washington, D.C., 1984; 1-14. Read about a new take on this cylce at: A Closer Look for Current Conditions: A Fresh Glance at the Emotional Cycle.
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