A Symbolic Interactionist Perspective on the Divide within the Veteran Self
This article focuses a theoretical lens on the veteran self and discusses what this can mean for veterans, their loved ones, and society. Mead’s (1934) generalized other, Cooley’s (1902) looking-glass self, and James’s (1890) and Mead’s division of the self into the I and the Me are central concepts in this discussion. The article embraces a symbolic interactionist understanding, which leads to the suggestion that there is no deeper symbolic consensus between the civilian and military lifeworlds. Military symbols are not shared with and are not meaningful to civilians and therefore are not symbols at all in the civilian lifeworld. The rupture of the veteran self is due to the lack of shared symbolism with the self and civilian society at large. This creates a divide within the veteran self, which is hard to bridge. The article is written with a special address to the deployed veteran.
Abstract: Objectives: Increasing numbers of older adults are reentering community following incarceration (i.e., reentry), yet risk of incident neurodegenerative disorders associated with reentry is unknown. Our objective was to determine association between reentry status (reentry vs never-incarcerated) and mild cognitive impairment (MCI) and/or dementia. Methods: This nationwide, longitudinal cohort study used linked Centers for Medicare & Medicaid Services and Veterans Health Administration data. Participants were aged 65 years or older who experienced reentry between October 1, 2012, and December 31, 2018, with no preincarceration MCI/dementia, compared with age-matched/sex-matched never-incarcerated veterans. MCI/dementia was defined by diagnostic codes. Fine-Gray proportional hazards models were used to examine association. Results: This study included 35,520 veterans, mean age of 70 years, and approximately 1% women. The reentry group (N = 5,920) had higher incidence of MCI/dementia compared with the never-incarcerated group (N = 29,600; 10.2% vs 7.2%; fully adjusted hazard ratio [aHR] 1.12; 95% CI 1.00-1.25). On further investigation, reentry was associated with increased risk of dementia with or without prior MCI diagnosis (aHR 1.21; 95% CI 1.06-1.39) but not MCI only. Discussion: Transition from incarceration to community increased risk of neurocognitive diagnosis. Findings indicate health/social services to identify and address significant cognitive deficits on late-life reentry. Limitations include generalizability to nonveterans.