This exploratory netnographic study is among the first to investigate military video blogs (milvlogs) posted by Iraq and Afghanistan veterans who self-published stories on military-related trauma to YouTube. Studies have shown that self-published milvlogs provide benefits such as education, social support, and self-management of chronic physical and psychological illness. The aim of this study was to explore combat veterans’ milvlogs and to determine themes that emerged across the videos. We transcribed and analyzed content from 17 milvlogs. Our analysis yielded seven themes: motivation, loss, managing symptoms, help-seeking, guilt and shame, suicide, and connecting to other veterans. We concluded that veterans were initially drawn to vlogging to connect to others. Vlogging also served as a medium for combat veterans to tell their stories, position these stories against others’ experiences, and engage in outreach and advocacy. Finally, milvlogs may provide an easily accessible resource for developing preventive and/or mental health treatment/support links.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
2.
AnthonyL.KimY.FindlaterL. (2013). Analyzing user-generated YouTube videos to understand touchscreen use by people with motor impairments. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 1223–1232). New York: ACM. doi:10.1145/2470654.2466158
3.
BambergM. (2004). “I know it may sound mean to say this, but we couldn’t really care less about her anyway”: Form and functions of “slut-bashing” in male identity construction in 15-year-olds. Human Development, 47, 331–533.
4.
BambergM. (2010). Who am I? Narration and its contribution to self and identity. Theory & Psychology, 21, 1–22.
BettonV.TomlinsonV. (2013). Social media can help in recovery—But are mental health practitioners up to speed?Mental Health and Social Inclusion, 17, 215–219. doi:10.1108/MHSI-06-2013-0021
7.
BlaisR. K.RenshawK. D. (2013). Stigma and demographic correlates of help-seeking intentions in returning service members. Journal of Traumatic Stress, 26, 77–85. doi:10.1002/jts.21772
8.
BryanC. J.MorrowC. E.EtienneN.Ray-SannerudB. (2013). Guilt, shame, and suicidal ideation in a military outpatient clinical sample. Depression and Anxiety, 30, 55–60. doi:10.1002/da.22002
9.
BurgessJ.GreenJ. (2009). YouTube: Digital media and society series. Cambridge, UK: Polity.
10.
CaddickN.PhoenixC.SmithB. (2015). Collective stories and well-being: Using a dialogical narrative approach to understand peer relationships among combat veterans experiencing post-traumatic stress disorder. Journal of Health Psychology, 20, 286–299. doi:10.1177/1359105314566612
11.
ChardK. M.SchummJ. A.OwensG. P.CottinghamS. M. (2010). A comparison of OEF and OIF veterans and Vietnam veterans receiving cognitive processing therapy. Journal of Traumatic Stress, 23, 25–32.
12.
CreswellJ. W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). Thousand Oaks, CA: Sage.
13.
CukorJ.SpitalnickJ.DifedeJ.RizzoA.RothbaumB. O. (2009). Emerging treatments for PTSD. Clinical Psychology Review, 29(8), 715-726. https://doi.org/10.1016/j.cpr.2009.09.001
14.
CurrierJ. M.McCormickW.DrescherK. D. (2015). How do morally injurious events occur? A qualitative analysis of perspectives of veterans with PTSD. Traumatology, 21(2), 106. doi: 10.1037/trm0000027
15.
EftekhariA.RuzekJ. I.CrowleyJ. J.RosenC. S.GreenbaumM. A.KarlinB. E. (2013). Effectiveness of national implementation of prolonged exposure therapy in Veterans Affairs care. JAMA Psychiatry, 70, 949–955. doi:10.1001/jamapsychiatry.2013.36
16.
FletcherE. H. (2016). Dis/Assembling schizophrenia on Youtube: theorizing an analog body in a virtual sphere. Journal of Medical Humanities, 37(3), 257-274. https://doi.org/10.1007/s10912-014-9286-4
17.
FoaE. B.HembreeE. A.RothbaumB. O. (2007). Prolonged exposure therapy for PTSD. New York: Oxford University Press.
18.
FosterC. B.(2013). Mental health on Youtube: Exploring the potential of interactive media to change knowledge, attitudes and behaviors about mental health. (Doctoral dissertation). Retrieved from https://scholarcommons.sc.edu/etd/2346
19.
HarveyJ. H.SteinS. K.ScottP. K. (1995). Fifty years of grief: Accounts and reported psychological reactions of Normandy invasion veterans. Journal of Narrative and Life History, 5, 315–332. doi:10.1075/jnlh.5.4.02fif
20.
HassijaC. M.JakupcakM.GrayM. J. (2012). Numbing and dysphoria symptoms of posttraumatic stress disorder among Iraq and Afghanistan war veterans: A review of findings and implications for treatment. Behavior Modification, 36, 834–856. doi:10.1177/0145445512453735
21.
HawkleyL. C.CacioppoJ. T. (2010). Loneliness matters: A theoretical and empirical review of consequences and mechanisms. Annals of Behavioral Medicine, 40, 218–227.
22.
HoltgraveD. (2015). Broadcasting the stigmatized self: Positioning functions of the YouTube vlogs on bipolar disorder. In BlankT. J.KittaA. (Eds.), Diagnosing folklore: Perspectives on disability, health, and trauma (pp. 175–193). Jackson: University Press of Mississippi.
23.
HuhJ.LiuL. S.NeogiT.InkpenK.PrattW. (2014). Health vlogs as social support for chronic illness management. ACM Transactions on Computer-Human Interaction, 21(4), 23. doi:10.1145/2630067
24.
HundtN. E.RobinsonA.ArneyJ.StanleyM. A.CullyJ. A. (2015). Veterans’ perspectives on benefits and drawbacks of peer support for posttraumatic stress disorder. Military Medicine, 180, 851–856. doi:10.7205/MILMED-D-14-00536
25.
JenkinsH.PurushotmaR.WeigelM.ClintonK.RobisonA. J. (2009). Confronting the challenges of participatory culture: Media education for the 21st century. Cambridge, MA: MIT Press.
26.
KaminskyS. M. (2010). Naked lens: Video blogging & video journaling to reclaim the YOU in YouTube. New York: Organik Media Press.
27.
KangH. K.BullmanT. A. (2009). Is there an epidemic of suicides among current and former U.S. military personnel?Annals of Epidemiology, 19, 757–760. doi:10.1016/j.annepidem.2009.05.004
28.
KerigP. K.BennettD. C.ChaploS. D.ModrowskiC. A.McGeeA. B. (2016). Numbing of positive, negative, and general emotions: Associations with trauma exposure, posttraumatic stress, and depressive symptoms among justice-involved youth. Journal of Traumatic Stress, 29, 111–119. doi:10.1002/jts.22087
29.
KimP. Y.BrittT. W.KlockoR. P.RiviereL. A.AdlerA. B. (2011). Stigma, negative attitudes about treatment, and utilization of mental health care among soldiers. Military Psychology, 23, 65–81. doi:10.1080/08995605.2011.534415
30.
KimP. Y.ThomasJ. L.WilkJ. E.CastroC. A.HogeC. W. (2010). Stigma, barriers to care, and use of mental health services among active duty and National Guard soldiers after combat. Psychiatric Services, 61, 582–588. doi:10.1176/ps.2010.61.6.582
31.
KooK. H.HebenstreitC. L.MaddenE.MaguenS. (2016). PTSD detection and symptom presentation: Racial/ethnic differences by gender among veterans with PTSD returning from Iraq and Afghanistan. Journal of Affective Disorders, 189, 10–16. doi:10.1016/j.jad.2015.08.038
KozinetsR. V. (2002). The field behind the screen: Using netnography for marketing research in online communities. Journal of Marketing Research, 39, 61–72. doi:10.1509/jmkr.39.1.61.18935
34.
KozinetsR. V. (2010). Netnography: Doing ethnographic research online. Thousand Oaks, CA: Sage.
35.
KozinetsR. V. (2015). Netnography: Redefined. Los Angeles: Sage.
36.
LeeK. A.VaillantG. E.TorreyW. C.ElderG. H. (1995). A 50-year prospective study of the psychological sequelae of World War II combat. American Journal of Psychiatry, 152, 516–522. doi:10.1176/ajp.152.4.516
37.
LincolnY. S.GubaE. G. (1985). Naturalistic inquiry. Newbury Park, CA: Sage.
38.
LitzB. T.SteinN.DelaneyE.LebowitzL.NashW. P.SilvaC.MaguenS. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29, 695–706. doi:10.1016/j.cpr.2009.07.003
39.
LiuL. S.HuhJ.NeogiT.InkpenK.PrattW. (2013). Health vlogger-viewer interaction in chronic illness management. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. CHI Conference, 2013, 49–58. doi:10.1145/2470654.2470663
40.
MaguenS.MaddenE.BoschJ.Galatzer-LevyI.KnightS. J.LitzB. T.. . . McCaslinS. E. (2013). Killing and latent classes of PTSD symptoms in Iraq and Afghanistan veterans. Journal of Affective Disorders, 145, 344–348. doi:10.1016/j.jad.2012.08.021
41.
MolyneauxH.O’DonnellS.GibsonK.SingerJ. (2008). Exploring the gender divide on YouTube: An analysis of the creation and reception of vlogs. American Communication Journal, 10(2), 1–14. Retrieved from http://www.it.uu.se/edu/course/homepage/avint/vt09/1.pdf
42.
MonsonC. M.SchnurrP. P.ResickP. A.FriedmanM. J.Young-XuY.StevensS. P. (2006). Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. Journal of Consulting & Clinical Psychology, 74, 898–907. Retrieved from http://psycnet.apa.org/doi/10.1037/0022-006X.74.5.898
43.
OuimetteP.VogtD.WadeM.TironeV.GreenbaumM. A.KimerlingR.RosenC. S. (2011). Perceived barriers to care among Veterans Health Administration patients with posttraumatic stress disorder. Psychological Services, 8, 212–223. doi:10.1037/a0024360
44.
PattonM. Q. (2002). Enhancing the quality and credibility of qualitative analysis. In PattonM. Q. (Ed.), Qualitative research and evaluation methods (3rd ed., pp. 541–588). Newbury Park, CA: Sage.
45.
PendryL. F.SalvatoreJ. (2015). Individual and social benefits of online discussion forums. Computers in Human Behavior, 50, 211–220. doi:10.1016/j.chb.2015.03.067
46.
PietrzakR. H.RussoA. R.LingQ.SouthwickS. M. (2011). Suicidal ideation in treatment-seeking veterans of Operations Enduring Freedom and Iraqi Freedom: The role of coping strategies, resilience, and social support. Journal of Psychiatric Research, 45, 720–726. doi:10.1016/j.jpsychires.2010.11.015
47.
PietrzakR. H.SouthwickS. M. (2009). The importance of four-factor emotional numbing and dysphoria models in PTSD. The American Journal of Psychiatry, 166, 726–727. doi:10.1176/appi.ajp.2009.09010032
48.
RaunT. (2012). DIY therapy: Exploring affective aspects of trans video blogs on YouTube. In KaratzogianniA.KuntsmanA. (Eds.), Digital cultures and the politics of emotion (pp. 165–180). London: Palgrave Macmillan.
49.
RaunT. (2015). Video blogging as a vehicle of transformation: Exploring the intersection between trans identity and information technology. International Journal of Cultural Studies, 18(3), 365-378. doi: 10.1177/1367877913513696
Salzmann-EriksonM.HiçdurmazD. (2017). Use of social media among individuals who suffer from post-traumatic stress: A qualitative analysis of narratives. Qualitative Health Research, 27, 285–294. doi:10.1177/1049732315627364
52.
SayerN. A.Friedemann-SanchezG.SpoontM.MurdochM.ParkerL. E.ChirosC.RosenheckR. (2009). A qualitative study of determinants of PTSD treatment initiation in veterans. Psychiatry: Interpersonal and Biological Processes, 72, 238–255. doi:10.1521/psyc.2009.72.3.238
53.
SolomonZ.MikulincerM. (2006). Trajectories of PTSD: A 20-year longitudinal study. American Journal of Psychiatry, 163, 659–666.
54.
SpoontM. R.NelsonD. B.MurdochM.RectorT.SayerN. A.NugentS.WestermeyerJ. (2014). Impact of treatment beliefs and social network encouragement on initiation of care by VA service users with PTSD. Psychiatric Services, 65, 654–662. doi:10.1176/appi.ps.201200324
55.
TanielianT. L.JaycoxL. H. (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Corp.
56.
UsbeckF. (2012). “My blog is my therapy”: The sense of community and ritual in American military blogs. Journal of Military Experience, 2, 271–286.
57.
UsbeckF. (2014). “Keep that fan mail coming.” Ceremonial storytelling and audience interaction in a U.S. soldier’s milblog. Zeitschrift für Anglistik und Amerikanistik, 6, 149–163. doi:10.1515/zaa-2014-0018
58.
ValensteinM.GormanL.BlowA. J.GanoczyD.WaltersH.KeesM.. . . DalackG. W. (2014). Reported barriers to mental health care in three samples of U.S. Army National Guard soldiers at three time points. Journal of Traumatic Stress, 27, 406–414.
59.
Van OrdenK. A.WitteT. K.CukrowiczK. C.BraithwaiteS. R.SelbyE. A.JoinerT. E.Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600.
60.
van Uden-KraanC. F.DrossaertC. H.TaalE.ShawB. R.SeydelE. R.van de LaarM. A. (2008). Empowering processes and outcomes of participation in online support groups for patients with breast cancer, arthritis, or fibromyalgia. Qualitative Health Research, 18, 405–417. doi:10.1177/1049732307313429
61.
VogtD.FoxA. B.Di LeoneB. A. (2014). Mental health beliefs and their relationship with treatment seeking among U.S. OEF/OIF veterans. Journal of Traumatic Stress, 27, 307–313. doi:10.1002/jts.21919
62.
WestphalR. J.ConvoyS. P. (2015). Military culture implications for mental health and nursing care. Online Journal of Issues in Nursing, 20(1), 1. doi:10.3912/OJIN.Vol20No01Man04
63.
YarvisJ. S. (2011). A civilian social worker’s guide to the treatment of war-induced PTSD. Social Work in Health Care, 50, 51–72. doi:10.1080/00981389.2010.518856
64.
YalomI. D.LeszczM. (2005). The theory and practice of group psychotherapy. New York: Basic Books.
