Journal of Traumatic Stress

, Volume 6, Issue 4, pp 441–450 | Cite as

Early psychological responses to traumatic injury

  • Arieh Y. Shalev
  • Shaul Schreiber
  • Tamar Galai
Article
  • 45 Downloads

Abstract

Sixteen injured survivors of a terrorist act, hospitalized in a large medical center, were followed daily by a team of mental-health consultants. The survivors' rapidly changing mental states and the subsequent responses of their care-providers are described. Intrusive recollections of the event were experienced by all, however with various degrees of distress and arousal. Early psychological assistance was aimed at increasing the survivors' sense of self-control and their mastery over secondary stressors. Flexible and skilled therapeutic technique was required to meet the survivors' changing needs. The consultants' own emotional burden was addressed by structuring the interventions and providing opportunities for disclosure.

Key Words

trauma-psychological physical injury stress management secondary stressors consultation-liason psychiatry 

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Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Arieh Y. Shalev
    • 1
  • Shaul Schreiber
    • 1
  • Tamar Galai
    • 1
  1. 1.Department of PsychiatryJerusalemIsrael

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