Military Commitment and Identity as Implicit Religion: A Key to Understanding the Loss of Profundity in the Transition from Military to Civilian Life
This article is based on a rare longitudinal interview study on the transition from military to civilian life in which participants shared their experiences over the course of ten years. The challenges of transition included disconnection from a collective life that had previously offered service members identity, community, camaraderie and purpose – experiences that can be understood as the partial loss of something profound. An abductive analysis was conducted which centred on the integrating foci of commitment and the creation of a military identity derived from implicit religion. When viewed through this lens, the significance or strength of implicit religion and belief, in the context of military commitment, can be described as paramount and sacred – worthy of dying for. The findings offer a novel understanding of the profound experiences related to military communal life, purpose, and identity during active service (that is, the conceptualization as implicit religion) as well as the loss of these implicit religious elements during the transition out of military life, and how the participants have thought about and dealt with this loss in various ways.
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.