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Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues

Keeling, M.; Harcourt, D.; Williams, Victoria; Kiff, James; Williamson, H.

Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues Thumbnail


Authors

Mary Keeling Mary.Keeling@uwe.ac.uk
Occasional Associate Lecturer - HAS HSS

Diana Harcourt Diana2.Harcourt@uwe.ac.uk
Professor in Appearance Research

Victoria Williams

James Kiff

Heidi Williamson Heidi3.Williamson@uwe.ac.uk
Associate Professor in Applied Health Research



Abstract

Combat-related physical injuries not only affect the individual but also close family members. Emerging evidence indicates that injuries that change appearance, such as limb loss and physical scarring, may create additional psychosocial challenges for the injured person and their family. However, to date the impact of appearance-altering combat injuries have not been explored among the partners of those who were injured. Using a qualitative individual interview design, this study aimed to gain experiential insights into the appearance-specific impact on the partners of military personnel who sustained appearance-altering injuries during deployments or training. Reflexive Thematic Analysis of interviews with 11 female partners identified two main themes “The challenges of looking different” and “How our life continues.” The themes reflect challenges experienced by the partners in relation to their injured partner looking “different” from societally accepted appearance ideals, and the impact this could have on their children. Yet, they had found ways for life to continue such as drawing on positive emotions, having gratitude, pride in their partner’s service, and normalizing difference for their children. While the partners found ways to adapt, this study draws attention to unmet needs for appearance-specific support.

Journal Article Type Article
Acceptance Date Apr 6, 2024
Online Publication Date May 8, 2024
Publication Date 2024
Deposit Date Apr 26, 2024
Publicly Available Date May 9, 2025
Journal Military Behavioral Health
Print ISSN 2163-5781
Electronic ISSN 2163-5803
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 12
Issue 2
Pages 155-165
DOI https://doi.org/10.1080/21635781.2024.2342267
Keywords Appearance-altering injuries; combat-injuries; veterans; partners; visible difference; limb loss; scarring
Public URL https://uwe-repository.worktribe.com/output/11922049
Additional Information This is an output from an externally funded grant from the Scar Free Foundation

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Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues (346 Kb)
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Copyright Statement
This is an Accepted Manuscript version of the following article, accepted for publication in Military Behavioral Health. [Keeling, M., Harcourt, D., Williams, V., Kiff, J., & Williamson, H. (in press). Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues. Military Behavioral Health,]. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.”


Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues (180 Kb)
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Licence
http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
This is an Accepted Manuscript version of the following article, accepted for publication in Military Behavioral Health. [Keeling, M., Harcourt, D., Williams, V., Kiff, J., & Williamson, H. (in press). Adjusting to a partners’ changed appearance following military combat-related appearance-altering injuries: The challenges of looking ‘different’ and how life continues. Military Behavioral Health,]. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.”






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