Miranda E Worthen

Bio: Miranda E Worthen is an academic researcher from San Jose State University. The author has contributed to research in topics: Sierra leone & Participatory action research. The author has an hindex of 12, co-authored 31 publications receiving 559 citations. Previous affiliations of Miranda E Worthen include University of Oxford & University of California, Berkeley.

The Challenges of Afghanistan and Iraq Veterans’ Transition from Military to Civilian Life and Approaches to Reconnection

Abstract: Afghanistan and Iraq veterans experienced traumas during deployment, and disrupted connections with friends and family. In this context, it is critical to understand the nature of veterans’ transition to civilian life, the challenges navigated, and approaches to reconnection. We investigated these issues in a qualitative study, framed by homecoming theory, that comprised in-depth interviews with 24 veterans. Using an inductive thematic analysis approach, we developed three overarching themes. Military as family explored how many veterans experienced the military environment as a “family” that took care of them and provided structure. Normal is alien encompassed many veterans experiences of disconnection from people at home, lack of support from institutions, lack of structure, and loss of purpose upon return to civilian life. Searching for a new normal included strategies and supports veterans found to reconnect in the face of these challenges. A veteran who had successfully transitioned and provided support and advice as a peer navigator was frequently discussed as a key resource. A minority of respondents—those who were mistreated by the military system, women veterans, and veterans recovering from substance abuse problems—were less able to access peer support. Other reconnection strategies included becoming an ambassador to the military experience, and knowing transition challenges would ease with time. Results were consistent with and are discussed in the context of homecoming theory and social climate theory. Social support is known to be protective for veterans, but our findings add the nuance of substantial obstacles veterans face in locating and accessing support, due to disconnection and unsupportive institutions. Larger scale work is needed to better understand how to foster peer connection, build reconnection with family, and engage the broader community to understand and support veterans; interventions to support reconnection for veterans should be developed.

Building meaningful participation in reintegration among war-affected young mothers in Liberia, Sierra Leone and Northern Uganda

Abstract: When young mothers, formerly associated with armed groups, return to communities, they are typically social isolated, stigmatised, and marginalised. This creates reintegration challenges for themselves, and their communities. Their children face child protection problems such as neglect, rejection a

‘I Stand Like A Woman’: Empowerment and Human Rights in the Context of Community-Based Reintegration of Girl Mothers Formerly Associated With Fighting Forces and Armed Groups

Abstract: This article describes a multi-year participatory action research (PAR) study with young women and girls who were formerly associated with armed groups in Sierra Leone, Liberia, and northern Uganda and had children of their own during the conflict and with young mothers considered by their community to be especially vulnerable. Following a review of the literature on empowerment and human rights, the authors use examples from the PAR study to explore how empowerment and human rights relate in the context of reintegration of the most vulnerable members of society. In this context, the realization of rights and empowerment are inextricably linked as part of an iterative process. However, empowerment has been a necessary starting point for this population to experience improvements in their ability to lead dignified lives and have their rights respected. Implications for child protection and reintegration programmes are discussed.

Community-based reintegration of war affected young mothers: participatory action research (PAR) in Liberia, Sierra Leone and Northern Uganda

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Girls Formerly Associated with Fighting Forces and Their Children: Returned and Neglected

Abstract: This paper outlines the challenges to the successful community reintegration of girl mothers when they leave fighting forces particularly in southern and western Africa. The paper grew out of an invited meeting on girl mothers sponsored by the Rockefeller Foundation and held in Bellagio Italy (April 2005). Following country-specific analyses which were conducted in preparation for the workshop the authors present key issues discussed at Bellagio. Drawing upon these and other sources they analyze some of the dilemmas provoked by the complex cultural social and psychological situations of these young mothers and propose some approaches to working with them. Fuller details of the meeting and discussions amongst participants along with their outcomes can be found in the workshop report. (authors)

I and i

Abstract: There is, I think, something ethereal about i —the square root of minus one. I remember first hearing about it at school. It seemed an odd beast at that time—an intruder hovering on the edge of reality. Usually familiarity dulls this sense of the bizarre, but in the case of i it was the reverse: over the years the sense of its surreal nature intensified. It seemed that it was impossible to write mathematics that described the real world in …

Moral Injury: An Integrative Review

Abstract: Individuals who are exposed to traumatic events that violate their moral values may experience severe distress and functional impairments known as "moral injuries." Over the last decade, moral injury has captured the attention of mental health care providers, spiritual and faith communities, media outlets, and the general public. Research about moral injury, especially among military personnel and veterans, has also proliferated. For this article, we reviewed scientific research about moral injury. We identified 116 relevant epidemiological and clinical studies. Epidemiological studies described a wide range of biological, psychological/behavioral, social, and religious/spiritual sequelae associated with exposure to potentially morally injurious events. Although a dearth of empirical clinical literature exists, some authors debated how moral injury might and might not respond to evidence-based treatments for posttraumatic stress disorder (PTSD) whereas others identified new treatment models to directly address moral repair. Limitations of the literature included variable definitions of potentially morally injurious events, the absence of a consensus definition and gold-standard measure of moral injury as an outcome, scant study of moral injury outside of military-related contexts, and clinical investigations limited by small sample sizes and unclear mechanisms of therapeutic effect. We conclude our review by summarizing lessons from the literature and offering recommendations for future research.

Listening To Young Children The Mosaic Approach

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Sierra Leone's former child soldiers: a follow-up study of psychosocial adjustment and community reintegration.

Abstract: This is the first prospective study to investigate psychosocial adjustment in male and female former child soldiers (ages 10–18; n = 156, 12% female). The study began in Sierra Leone in 2002 and was designed to examine both risk and protective factors in psychosocial adjustment. Over the 2-year period of follow-up, youth who had wounded or killed others during the war demonstrated increases in hostility. Youth who survived rape not only had higher levels of anxiety and hostility but also demonstrated greater confidence and prosocial attitudes at follow-up. Of the potential protective resources examined, improved community acceptance was associated with reduced depression at follow-up and improved confidence and prosocial attitudes regardless of levels of violence exposure. Retention in school was also associated with greater prosocial attitudes.