Skip to main content
Log in

A Schema Conceptualisation of Psychosocial Functioning Among Transitioned Military Personnel

  • Original Article
  • Published:
Cognitive Therapy and Research Aims and scope Submit manuscript

Abstract

Background

The military to civilian transition process is often associated with a negative impact on psychosocial functioning. Contemporary approaches to understand this are moving away from focussing on posttraumatic stress disorder (PTSD), to examine the military cultural and environmental impacts of service. Schema theory can provide a useful conceptual framework for understanding these issues. The aim of this study was to explore Early Maladaptive Schemas (EMS) across three samples: transitioned military personnel, veterans and first responders with PTSD, and general adults.

Method

This cross-sectional research used a transitioned military sample recruited specifically for this study (N = 94) and two comparison samples of veterans and first responders diagnosed with PTSD (N = 218), and general adults (N = 264) from previous research. Participants completed a Young Schema Questionnaire (YSQ). Independent t-tests were conducted to compare the three samples.

Results

Transitioned military personnel were significantly higher than the general adults on the EMS of Vulnerability to Harm, Entitlement, Emotional Inhibition, Punitiveness and Unrelenting Standards and lower on the schema of Enmeshment. Transitioned military personnel were significantly lower than the PTSD sample on 11 out of the 18 EMS.

Conclusions

The cluster of EMS evident in the transitioned military sample were conceptualised as ‘The Military Mode’. This conceptual framework can be used to understand the psycho-social issues experienced by transitioned military personnel and to inform interventions to promote successful transition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ahern, J., Worthen, M., Masters, J., Lippman, S., Ozer, E., & Moos, R. (2015). The challenges of Afghanistan and Iraq veteran’ transition from military to civilian life and approaches to reconnection. PLoS ONE, 10(7), e0128599. https://doi.org/10.1371/journal.pone.0128599

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ahmadian, A., Mirzaee, J., Omidbeygi, M., Holsboer-Trachsler, E., & Brand, S. (2015). Differences in maladaptive schemas between patients suffering from chronic and acute posttraumatic stress disorder and healthy controls. Neuropsychiatric Disease and Treatment, 11, 1677–1684. https://doi.org/10.2147/NDT.S85959

    Article  PubMed  PubMed Central  Google Scholar 

  • Australian Institute of Health and Well-being. (2021). Serving and ex-serving Australian Defence Force members who have served since 1985: population characteristics 2019. Cat. No.: PHE 289. Australian Government, ACT. https://www.aihw.gov.au/reports/veterans/adf-members-population-characteristics-2019/contents/summary

  • Bauer, A., Newbury-Birch, D., Robalino, S., Ferguson, J., & Wigham, S. (2018). Is prevention better than cure? A systematic review of the effectiveness of well-being interventions for military personnel adjusting to civilian life. PLoS ONE, 13(5), e0190144. https://doi.org/10.1371/journal.pone.0190144

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Binks, E., & Cambridge, S. (2018). The transition experiences of British military veterans. Political Psychology, 39(1), 125–142. https://doi.org/10.1111/pops.12399

    Article  Google Scholar 

  • Brunger, H., Serrato, J., & Ogden, J. (2013). “No man’s land”: The transition to civilian life. Journal of Aggression, Conflict and Peace Research, 5(2), 86–100. https://doi.org/10.1108/17596591311313681

    Article  Google Scholar 

  • Castro, C. A., & Dursun, S. (Eds.). (2019). Military veteran reintegration: Approach, management, and assessment of military veterans transitioning to civilian life. Elsevier.

    Google Scholar 

  • Cockram, D. M., Drummond, P., & Lee, C. W. (2010). Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clinical Psychology and Psychotherapy, 17(3), 165–182. https://doi.org/10.1002/cpp.690

    Article  PubMed  Google Scholar 

  • Cooper, L., Caddick, N., Godier, L., Cooper, A., & Fossey, M. (2018). Transition from the military into civilian life: An exploration of cultural competence. Armed Forces & Society, 44(1), 156–177. https://doi.org/10.1177/0095327X16675965

    Article  Google Scholar 

  • Duel, J., Godier-McBard, L., Maclean, M. B., & Fossey, M. (2019). Challenging missions: Vulnerable veterans leaving the armed forces and promising them avenues to support them. In C. A. Castro & S. Dursun (Eds.), Military veteran reintegration: Approach, management, and assessment of military veterans transitioning to civilian life (pp. 95–134). Academic Press.

    Chapter  Google Scholar 

  • Fry, M. (2021). The military mode: a schema-focussed approach to the military-to-civilian transition. InPsych, 43(4).

  • Grimell, J. (2017). Making dialogue with an existential voice in transition from military to civilian life. Theory & Psychology, 27(6), 832–850. https://doi.org/10.1177/0959354317739164

    Article  Google Scholar 

  • Harris, P. A., Taylor, R., Minor, B. L., Elliott, V., Fernandez, M., O’Neal, L., McLeod, L., Delacqua, G., Delacqua, F., Kirby, J., Duda, S. N., REDCap Consortium. (2019). The REDCap consortium: Building an international community of software platform partners. Journal of Biomedical Informatics. https://doi.org/10.1016/j.jbi.2019.103208

    Article  PubMed  PubMed Central  Google Scholar 

  • Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381.

    Article  PubMed  Google Scholar 

  • Jacob, G. A., & Arntz, A. (2013). Schema therapy for personality disorders—A review. International Journal of Cognitive Therapy, 6(2), 171–185. https://doi.org/10.1521/ijct.2013.6.2.171

    Article  Google Scholar 

  • Mobbs, M. C., & Bonanno, G. A. (2018). Beyond war and PTSD: The crucial role of transition stress in the lives of military veterans. Clinical Psychology Review, 59, 137–144. https://doi.org/10.1016/j.cpr.2017.11.007

    Article  PubMed  Google Scholar 

  • Pease, J. L., Billera, M., & Gerard, G. (2015). Military culture and the transition to civilian life: Suicide risk and other considerations. Social Work, 61(1), 83–86. https://doi.org/10.1093/sw/swv050

    Article  Google Scholar 

  • Pedlar, D., Thompson, J. M., & Castro, C. A. (2019). Military-to-civilian transition theories and frameworks. In C. A. Castro & S. Dursun (Eds.), Military veteran reintegration: approach, management, and assessment of military veterans transitioning to civilian life (pp. 21–50). Academic Press.

    Chapter  Google Scholar 

  • Rafaeli, E., Maurer, O., Lazarus, G., & Thoma, N. C. (2016). The self in treatment frameworks: The self in schema therapy. In M. Kyrios, R. Moulding, G. Doron, S. S. Bhar, M. Nedeljovic, & M. Mikulincer (Eds.), The self in understanding and treating psychological disorders (pp. 59–70). Cambridge University Press.

    Chapter  Google Scholar 

  • Taylor, C. D. J., Bee, P., & Haddock, G. (2017). Does schema therapy change schemas and symptoms? A systematic review across mental health disorders. Psychology and Psychotherapy: Theory, Research and Practice, 90(3), 456–479. https://doi.org/10.1111/papt.12112

    Article  Google Scholar 

  • Truusa, T., & Castro, C. A. (2019). Definition of a veteran: the military viewed as a culture. Military Veteran Reintegration. In C. A. Castro & S. Dursun (Eds.), Military Veteran Reintegration: Approach, management and assessment of military veterans transitioning to civilian life (pp. 6–18). Academic Press.

    Google Scholar 

  • Van Hooff, M., Forbes, D., Lawrence-Wood, E., Hodson, S., Sadler, N., Benassi, H., Hansen, C., Grace, B., Avery, J., Searle, A., Iannos, M., Abraham, M., Baur, J., Varker, T., O’Donnell, M., Phelps, A., Frederickson, J., Sharp, M., & McFarlane, A. (2018). Mental health prevalence and pathways to care summary report. Mental Health and Wellbeing Transition Study, the Department of Defence and the Department of Veterans’ Affairs, Canberra. Department of Veterans’ Affairs, Canberra, Australia. https://www.dva.gov.au/health-and-wellbeing/research-and-development/health-studies/pathways-care-report

  • Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The clinician-administered PTSD scale for DSM-5 (CAPS-5). Retrieved from www.ptsd.va.gov.

  • Yalcin, O., Lee, C., & Correia, H. (2020). Factor structure of the Young schema questionnaire (long Form-3). Australian Psychologist, 55(5), 546–558. https://doi.org/10.1111/ap.12458

    Article  Google Scholar 

  • Yalcin, O., Marais, I., Lee, C. W., & Correia, H. (2023). The YSQ-R: Predictive Validity and Comparison to the Short and Long Form Young Schema Questionnaire. International Journal of Environmental Research and Public Health, 20(3), 1778. https://doi.org/10.3390/ijerph20031778

    Article  PubMed  PubMed Central  Google Scholar 

  • Young, J., Klosko, S., & Weishaar, M. E. (2003). Schema therapy—A practitioner’s guide. Guilford Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

MAF, NWB, MJB and SAM contributed to the study conception and design. Material preparation and data collection (for the transitioned military sample) and analysis were done by MAF with oversight by NWB, MJB and SAM. OY was responsible for material preparation and data collection for the PTSD and general adult samples. The first draft of the manuscript was written by MAF and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Megan A. Fry.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Animal Rights Statement

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Appendix A

Appendix A

The Military Mode Model

See Fig. 2.

Fig. 2
figure 2

The Military Mode Model can be downloaded and accessed for free at https://mfry.com.au/st-for-military-personnel/

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fry, M.A., Boschen, M.J., Morrissey, S.A. et al. A Schema Conceptualisation of Psychosocial Functioning Among Transitioned Military Personnel. Cogn Ther Res 48, 281–291 (2024). https://doi.org/10.1007/s10608-023-10455-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10608-023-10455-9

Keywords

Navigation