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The family assumes that their experiences at home and the soldier's activities on the battlefield will be easily assimilated by each other at the time of reunion and that the pre-war roles will be resumed.
The fact that new roles and responsibilities may not be given up quickly upon homecoming is not anticipated."(p.31).
Concerns about confidentiality must be acknowledged and steps taken to create the conditions in which patients will feel able to talk openly about their experiences, which may include difficulties with commanders, misgivings about military operations or policies, or possible moral concerns about having participated in the war.
It will be helpful for clinicians to know who will be privy to information obtained in an assessment.
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Here, we highlight some challenges for clinicians, discuss ways in which care of these Veterans may differ from our usual contexts of care, and direct attention to particular methods and materials that may be relevant to the care of the Veteran recently traumatized in war.
Their experience in talking about trauma, educating patients and families about traumatic stress reactions, teaching skills of anxiety and anger management, facilitating mutual support among groups of Veterans, and working with trauma-related guilt, will all be useful and applicable.
There are a variety of differences between the contexts of care for active duty military personnel and Veterans normally being served in VA that may affect the way practitioners go about their business.