Overview
This chapter examines the various ways in which mental health professionals can assist in the psychological care and rehabilitation of disaster victims. This requires an understanding of the unpredictability and uncontrollability of disasters. It is important to realize that these are situations that require considerable adaptability by the professional, confront many of the usual clinical roles, and test the capacity for empathy. On occasions, dealing with traumatized populations challenges the normal professional impartiality and demands that the clinician take on the role of community activist. In the first instance, assessing the impact of disasters is a critical process because each type of event produces novel problems and an individual profile of trauma. It is useful to conceptualize the needs of a population in the different phases that are associated with disasters, as the range of professional responses required will vary significantly with the passage of time.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Alexander, D. A. (1993). The Piper Alpha oil rig disaster. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 461–470 ). New York: Plenum Press.
American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders ( 3rd ed. ). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed.-revised). Washington, DC: Author.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed. ). Washington, DC: Author.
Berah, E. F., Jones, H. J., and Valent, P. (1984). The experience of a mental health team involved in the early phase of a disaster. Australian and New Zealand Journal of Psychiatry, 18 (4), 354–358.
Best, C. L., Amick, A. E., Veronen, L. J., and Kilpatrick, D. G. (1987). Manual for stress inoculation training treatment for rape victims. Medical University Press: Charleston, SC.
Brom, D., Kleber, R. J., and Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 57 (5), 607–612.
Bromet, E. J., Schulberg, H. C., and Dunn, L. O. (1982). Reactions of psychiatric patients to the Three Mile Island nuclear accident. Archives of General Psychiatry, 39 (6), 725–730.
Cardena, E., and Spiegel, D. (1993). Dissociative reactions to the San Francisco Bay area earthquake of 1989. American Journal of Psychiatry, 150 (3), 474–478.
Derogatis, L. R. (1983). SCL-90-R: Administration, scoring and procedures manual-77 for the revised version ( 2nd ed. ). Towson, MD: Clinical Psychometric Research.
Escobar, J. I., Canino, G., Rubio-Stipee, M., and Bravo, M. (1992). Somatic symptoms after a natural disaster: A prospective study. American Journal of Psychiatry, 149, 965–967.
Foa, E. B., Steketee, G., and Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20 (2), 155–176.
Freedy, J. R., Kilpatrick, D. G., and Resnick, H. (1993). Natural disaster and mental health: Theory, assessment and intervention. Journal of Social Behavior and Personality, 8 (5), 49103.
Freedy, J. R., Saladin, M. E., Kilpatrick, D. G., Resnick, H. S., and Saunders, B. E. (1994). Understanding acute psychological distress following natural disaster. Journal of Traumatic Stress, 7 (2), 257–273.
Freedy, J. R., Shaw, D. L., Garrell, M. P., and Masters, C. (1992). Towards an understanding of the impact of natural disasters: An application of the conservation of resources stress model. Journal of Traumatic Stress, 5, 441–454.
Friedman, M. J. (1993). Psychobiological and pharmacological approaches to treatment. In J. P. Wilson and B. Raphael (Eds.), International Handbook of Traumatic Stress Syndromes (pp. 785–794 ). New York: Plenum Press.
Gist, R., and Stolz, S. B. (1982). Mental health promotion and the media: Community response to the Kansas City hotel disaster. American Psychologist, 37, 1136–1139.
Goldberg, D. P. (1972). The detection of psychiatric illness by questionnaire. London: Oxford University Press.
Green, B. L., Lindy, J. D., Grace, M. C., and Leonard, A. C. (1992). Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster sample. Journal of Nervous and Mental Disease, 180 (12), 760–766.
Herman, J. (1992). Trauma and recovery. New York: Basic Books.
Hobfoll, S. E. (1988). The cology of stress. Washington, DC: Hemisphere.
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44, 513–524.
Horowitz, M. J. (1986). Stress-response syndromes. New York: Jason Aronson.
Horowitz, M. J., Wilner, N., Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41 (3), 209–218.
Jacobs, G. A., Quevillon, R. P., Stricherz, M. (1990). Lessons from aftermath of Flight 232. Practical considerations for the mental health professions response to air disasters. American Psychologist, 45, 1329–1329.
Keane, T. M., Fairbank, J. A., Caddell, J. M., and Zimering, R. T. (1989). Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20 (2), 245–260.
Kilpatrick, D. G., Veronen, L. J., and Resick, P. A. (1979). Assessment of the aftermath of rape: Changing patterns of fear. Journal of Behavioral Assessment, 1, 133–148.
Lindy, J. D. (1986). An outline for the psychoanalytic psychotherapy of post-traumatic stress disorder. In C. R. Figley (Eds.), Trauma and its wake (pp. 195–212 ). New York: Brunner/Mazel.
Lindy, J. D., Green, B. L., Grace, M., and Titchener, J. (1983). Psychotherapy with survivors of the Beverly Hills Supper Club fire. American Journal of Psychotherapy, 37 (4), 593–610.
Marmar, C. R. (1991). Brief dynamic psychotherapy of post-traumatic stress disorder. Psychiatric Annals, 21 (7), 405–414.
Marmar, C. R., Foy, D., Kagan, B., and Pynoos, R. S. (1993). An integrated approach for treating posttraumatic stress. In J. M. Oldham, M. B. Riba, and A. Tasman (Eds.), Review of psychiatry (pp. 239–272 ). Washington, DC: American Psychiatric Press.
McFarlane, A. C. (1986). Posttraumatic morbidity of a disaster: A study of cases presenting for psychiatric treatment. Journal of Nervous and Mental Disease, 174 (1), 4–13.
McFarlane, A. C. (1992). Avoidance and intrusion in posttraumatic stress disorder. Journal of Nervous and Mental Disease, 180 (7), 439–445.
McFarlane, A. C., Atchison, M., Rafalowicz, E., and Papay, P. (1994). Physical symptoms in post-traumatic stress disorder. Journal of Psychosomatic Research, 38, 715–726.
McFarlane, A. C., and Papay, P. (1992). Multiple diagnoses in posttraumatic stress disorder in the victims of a natural disaster. Journal of Nervous and Mental Disease, 180 (8), 498–504.
McFarlane, A. C., and Raphael, B. (1984). Ash Wednesday: The effects of a fire. Australian and New Zealand Journal of Psychiatry, 18 (6), 341–353.
Meichenbaum, D. (1985). Stress inoculation training. New York: Pergamon Press.
Mitchell, J. T., and Dyregrov, A. (1993). Traumatic stress in disaster workers and emergency personnel: Prevention and intervention. In J. P. Wilson andB. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 905–914). New York: Plenum Press.
Napier, M. (1991). The medical and legal trauma of disasters. The Medical and Legal Traumas of Disasters, 59 (3), 157–181.
Pitman, R. K., Orr, S. P., Forgue, D. F., Altman, B., de Jong, J. B., and Herz, L. R. (1990). Psychophysiologie responses to combat imagery of Vietnam veterans with posttraumatic stress disorder versus other anxiety disorders. Journal of Abnormal Psychology, 99, 49–54.
Raphael, B. (1986). When disaster strikes: A handbook for the caring professions. London: Hutchinson.
Raphael, B., Linden, T., and Weisaeth, L. (1989). A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scandinavica [Supplement] 353, 8.
Regier, D. A., Myers, J. K., Kramer, M., Robins, L. N., Blazer, D. G., Hough, R. L., Eaton, W. W., and Locke, B. Z. (1984). The NIMH Epidemiological Catchment Area Program. Archives of General Psychiatry, 41, 934–941.
Resick, P. A., and Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60 (5), 748–756.
Shalev, A., Bleich, A., and Ursano, R. (1990). Posttraumatic stress disorder: Somatic comorbidity and effort tolerance. Psychosomatics, 31, 197–203.
Smith, E. M., North, C. S., McCool, R. E., and Shea, J. M. (1990). Acute postdisaster psychiatric disorders: Identification of persons at risk. American Journal of Psychiatry, 147 (2), 202–206.
Taylor, A.J.W. (1989). Victims of crime as victims of disaster. Australian and New Zealand Journal of Psychiatry, 23, 403–406.
Turner, S. W., Thompson, J., and Rosser, R. M. (1993). The Kings Cross fire: Early psychological reactions and implications for organizing a “phase-two” response. In J. P. Wilson and B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 451–459 ). New York: Plenum Press.
Kolk, B. A. (1987). Psychological trauma. Washington, DC: American Psychiatric Press.
Kolk, B. A., Dreyfuss, D., Michaels, M., Shera, D., Berkowitz, R., Eisler, R., Saxe, G. (1994). Fluoxetine in Posttraumatic Stress Disorder. Journal of Clinical Psychiatry, 55, 517–522.
Veronen, L. J., and Kilpatrick, D. G. (1983). Stress management for rape victims. In D. Meichenbaum and M. E. Jaremko (Eds.), Stress reduction and prevention. New York: Plenum Press.
Weisaeth, L. (1989). The stressors and the post-traumatic stress syndrome after an industrial disaster. Special issue: Traumatic stress: Empirical studies from Norway. Acta Psychiatrica Scandinavica, 80, 25–37.
Yehuda, R., Resnick, H., Kahana, B., Giller, E. (1993). Long lasting hormonal alternations to extreme stress in humans: Normative or maladaptive. Psychosomatic Medicine, 55, 287–297.
Yehuda, R., Southwick, S. M., Mason, J. W., Ma, X., and Giller, E. L. (1992). Urinary catecholamine and severity of symptoms in PTSD. Journal of Nervous and Mental Disease, 180, 321–325.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer Science+Business Media New York
About this chapter
Cite this chapter
McFarlane, A.C. (1995). Helping the Victims of Disasters. In: Freedy, J.R., Hobfoll, S.E. (eds) Traumatic Stress. Springer Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1076-9_12
Download citation
DOI: https://doi.org/10.1007/978-1-4899-1076-9_12
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-1078-3
Online ISBN: 978-1-4899-1076-9
eBook Packages: Springer Book Archive