As the months of wartime hardship ensue, servicemembers in the Canadian Forces continue to serve in combat zones in Afghanistan in considerable numbers, in addition to maintaining a presence in other areas throughout the world. Given the immediacy of active deployment of many troops and their families, attention devoted to military couples is quite timely. In an effort to illuminate central issues facing Canadian military couples, the author outlines her primary goals in the paper titled Clinical Assessment of Military Marriages. They aim to: (1) discuss the impact of is ‘isolation’ and ‘mandate’ on Canadian military marriages and (2) illustrate the value of using several theoretical models (i.e. strengths view, systems theory and attachment theory) to assess the overall functioning and adaptation of these couples. Since space constraints prevented the author from discussing treatment plans and processes, I will also restrict my focus specifically to biopsychosocial assessment with this commentary. Overall, I applaud the efforts demonstrated by this author to approach a complex clinical situation with a synthesis of theoretical models that sheds clarity on a biopsychosocial assessment. She has discussed both the strengths and limitations of each perspective very clearly, yet I will attempt to raise additional questions in relation to each theoretical stance that may promote more textured layers to this already sound analysis. How refreshing to see a paper that approaches a clinical case with a multiplicity of theoretical stances, prompted by the presenting issues at hand. All too often, clinicians rely exclusively on one evidence-based model that may focus solely on the behavioral and cognitive functioning of an individual soldier or veteran. In addition to the questionable validity of treatment approaches that allegedly accommodate all servicemembers, this multi-theoretical approach, in contrast, stresses the importance of individual, intrapersonal, interpersonal, sociocultural and systemic factors to fully understand the couple under consideration. Moving beyond a ‘‘one-size fits all’’ cookie-cutter approach allows us greater freedom to appreciate the complexity of military couples.
Read full abstract