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SEXUAL INTIMACY CAN BE IMPACTED BY POSTTRAUMATIC STRESS DISORDER AND MORAL INJURY IN VETERANS

The concept of worldview is an individual's perception of reality that guides their behavior and actions. It includes beliefs about morals, values, religion, spirituality, politics, and social norms. After experiencing warfare, these belief systems may be altered or enhanced due to traumatic experiences such as loss, injury, or death. This can lead to difficulties adjusting back into civilian life where pre-combat views are no longer appropriate for new realities. In addition, post-traumatic stress disorder (PTSD) and moral injury may cause long-term challenges when forming relationships with family members, friends, co-workers, and romantic partners.

When individuals return from combat, they experience a wide range of emotions including depression, anxiety, isolation, anger, fear, confusion, and shame. These feelings affect how they interact with others and themselves, leading to communication breakdowns, trust issues, withdrawal, aggression, and other relationship problems.

Someone who was once very sociable but now suffers from PTSD might become withdrawn and avoid all social interactions except work. Similarly, those who were previously intimate might struggle to express affection without feeling guilty or scared.

Worldview shifts after combat can also impact personal goals related to marriage, parenthood, career, hobbies, finances, and community involvement. Individuals may prioritize different aspects of life than before, focusing on safety rather than prosperity or status. They may desire more autonomy or control over their lives, seeking out jobs that offer flexibility, independence, or adventure. Some veterans choose to start businesses or join activist groups while others pursue religious paths for healing.

The effects of warfare on worldview extend beyond the individual to include interpersonal dynamics such as trust, loyalty, commitment, honesty, and vulnerability. Veterans are often skeptical about sharing personal information due to privacy concerns, causing tension in close relationships.

Some may feel betrayed by loved ones who did not support them during deployment, resulting in estrangement or separation.

Those struggling with moral injury may blame themselves for harming innocent civilians, leading to guilt and regret which can be challenging to overcome.

Changes in worldview after combat pose complex challenges when forming long-term relational goals. It is crucial for individuals to seek professional help to process trauma and develop coping strategies. This includes family therapy, group counseling, medication management, and alternative treatments like yoga, meditation, and art therapy. Support from friends, family members, and partners can also provide meaningful aid in rebuilding trust and intimacy. With proper care and attention, veterans can learn to adapt to new realities, maintain healthy relationships, and achieve fulfilling lives.

How do changes in worldview after combat affect long-term relational goals?

The recent studies on post-traumatic stress disorder (PTSD) demonstrate that war veterans who suffered from this condition have significant problems with adjustment in their romantic relationships after they return home (Ariel et al. , 2018; Riggs & Slade, 2015). In addition, their views of themselves as partners and lovers are often influenced by the trauma of war experiences.

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