Narrating the Sociocultural Experience and Management of Stigma Related to Military Caregiving.

IF 2.7 3区 医学 Q1 COMMUNICATION Health Communication Pub Date : 2025-04-01 Epub Date: 2024-05-31 DOI:10.1080/10410236.2024.2360177
Rikki A Roscoe
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Abstract

Despite accelerating the recovery and rehabilitation of wounded veterans and saving the U.S. substantial sums in avoided long-term care costs, military caregivers (MCs) are an underserved community lacking resources and support. On top of managing a variety of emotional, physical, relational, and occupational challenges, MCs experience stigma. Indeed, caregiving can be a stigmatized task, especially for military-affiliated individuals who may be expected to adhere to cultural norms of personal sacrifice and resilience in the face of adversity. The current study uses narrative inquiry to better understand the unique experiences and characteristics of MCs providing care for veterans experiencing posttraumatic stress. Specifically, this study examined MCs' narratives to uncover the sociocultural experience and management of stigma related to military caregiving. Interviews with 15 military caregivers of veterans experiencing PTS demonstrated that military caregivers experienced stigma for 1) staying in the relationship, 2) enabling the veteran, 3) mismanaging the condition, and 4) flaking on plans and relationships. In response to stigma, MCs often challenged stigma through strategies of denial or evasion of responsibility. This study contributes to communication scholarship by introducing co-stigma management and further interrogating processes related to stigma management communication. In addition, the results can inform Veteran Affairs (VA) healthcare, caregiver assistance programs, health practices, and support-seeking behaviors.

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叙述与军人护理相关的社会文化体验和污名化管理。
尽管军队护理人员(MCs)加速了受伤退伍军人的恢复和康复,并为美国节省了大量可避免的长期护理费用,但他们仍是一个缺乏资源和支持、服务不足的群体。除了要应对情感、身体、人际关系和职业方面的各种挑战外,军事护理人员还会受到歧视。事实上,护理可能是一项被污名化的任务,尤其是对于那些可能被期望遵守个人牺牲和在逆境中坚韧不拔的文化规范的军人而言。本研究采用叙事调查的方法,以更好地了解为经历创伤后应激反应的退伍军人提供护理的军事管理者的独特经历和特征。具体来说,本研究通过对军事护理人员的叙述来揭示与军事护理相关的社会文化经验和耻辱感管理。对 15 名照顾创伤后应激障碍退伍军人的军事护理人员进行的访谈表明,军事护理人员在以下方面遭受了污名:1)保持关系;2)帮助退伍军人;3)处理不当;4)放弃计划和关系。面对成见,军事护理人员往往通过否认或逃避责任的策略来挑战成见。本研究通过引入共同成见管理并进一步探究与成见管理沟通相关的过程,为沟通学术做出了贡献。此外,研究结果还可为退伍军人事务部(VA)的医疗保健、护理人员援助计划、健康实践和寻求支持的行为提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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