Abstract
In August 1988 a Swedish schoolbus with 23 children and 11 adult passengers crashed into a tunnel wall in Norway. Twelve children and four parents died, 18 of the passengers survived. The victims' relatives (parents, spouses, siblings, and others) were transported to Norway and given a “confronting” support program at the University hospital in Bergen. The crisis intervention program is described: how the relatives were helped to confront and actively cope with some of the stressful situations from which traumatized families very often are protected. One year later 42 of the relatives answered a questionnaire evaluating the confronting support program that was offered during their stay in Norway. A majority of the respondents did not regret their participation in the program. The answers indicate that passivity and helplessness can be counteracted through a combination of confrontation with reality and emotional support.
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References
Askevold, F. (1976). War sailor syndrome.Psychotherapy and Psychosomatics, 27, 133–138.
Black, J.W. (1987). The libidinal cocoon: A nurturing retreat for the families of plane crash victims.Hospital and Community Psychiatry, 38, 1322–1326.
Bugge, R.G. (1987). Psychological support service in relation to a hotel fire (Eng. abstract),Tidsskrift for Norsk Psykologforening, 24, 164–169.
Carli, A. (1987). Psychological consequences of political persecution: The effects on children of the imprisonment or disappearance of their parents.Tidsskrift for Norsk Psykologforening, 24, 82–93.
Chamberlin, B. (1980). Mayo seminars in psychiatry: The psychological aftermath of disaster.Journal of Clinical Psychiatry, 41, 238–244.
Drabek, T. E. & Key, W. H. (1976). The impact of disaster on primary group linkages.Mass Emergencies, 1, 89–105.
Dyregrov, A. (1983). Diaster psychology. I. Psychological consequences of disaster (Eng. abstract).Tidsskrift for Norsk Psykologforening, 20, 136–145.
Dyregrov, A. (1983). Disaster psychology. II. Psychosocial disaster intervention (Eng. abstract).Tidsskrift for Norsk Psykologforening, 20, 194–202.
Dyregrov, A. (1988).Parental reactions to the death of an infant child. Doctoral dissertation. Psychological faculty, University of Bergen, Norway.
Dyregrov, A. (1989). Caring for helpers in disaster situations: Psychological debriefing.Disaster Management, 2, 25–30.
Dyregrov, A. (1990a). Crisis intervention following the loss of an infant child.Bereavement Care, 9, 32–35.
Dyregrov, A. (1990b). Parental reactions to the loss of an infant child: A review.Scandinavian Journal of Psychology, 31, 266–280.
Dyregrov, A. (1991). Mental health professionals in disasters: An exploratory study.Disaster Management, 3, 123–128.
Dyregrov, A., & Mitchell, J. (1988). Critical incident stress debriefing (Eng. abstract).Tidsskrift for Norsk Psykologforening, 25, 217–224.
Eitinger, L. (1958).Psychiatric investigation among refugees in Norway (Eng. abstract). Oslo, Norway: Oslo University Press.
Eitinger, L. (1964).Concentration camp survivors in Norway and Israel. Oslo, Norway: Oslo University Press.
Eitinger, L., & Strøm, A. (1963).Mortality and morbidity after excessive stress. Oslo, Norway: Oslo University Press.
Epstein, R. S. (1989). Posttraumatic stress disorder: A review of diagnostic and treatment issues.Psychiatric Annals, 19, 556–563.
Erikson, K. T. (1976). Loss of communality at Buffalo Creek.American Journal of Psychiatry, 133, 302–305.
Figley, C. R. (Ed.) (1985).Trauma and its wake: The study and treatment of post-traumatic stress disorder. New York: Brunner/Mazel.
Green, B. L., Grace, M. C., & Lindy, J. D. (1983). Levels of functional impairment following a civilian disaster: The Beverly Hills Supper Club Fire.Journal of Consulting and Clinical Psychology, 51, 573–580.
Halpern, W. I. (1972). Some psychiatric sequelae to crib death.American Journal of Psychiatry, 129, 58–62.
Havik, O., & Maeland, J. G. (1988). Verbal denial and outcome in myocardial infarction patients.Journal of Psychosomatic Research, 32, 145–157.
Hodgkinson, P. E., & Stewart, M. (1991).Coping with catastrophe: A handbook of disaster management. London: Routledge.
Horowitz, M., Wilner, N., Kaltreider, N., & Alvarez, W. (1980). Signs and symptoms of posttraumatic stress disorder.Archives of General Psychiatry, 37, 85–92.
Ingebretsen, R., & Sandsberg, S. (Eds.) (1981). When life ends: Questions about death and mourning (Eng. abstracts).Tidsskrift for Norsk Psykologforening. (Suppl. 1).
KAMEDO report no. XLV (1981). Train collision at Storsund 1980. Katastrofmedicinska Organisaationskommitteen. National Defence Research Establishment. 104 50 Stockholm, Sweden.
Killian, L. M. (1952). The significance of multiple-group membership in disaster.The American Journal of Sociology.LVII (4), 309–314.
Krupnick, J. L., & Horowitz, M. (1981). Stress response syndromes.Archives of General Psychiatry, 38, 428–435.
Lundin, T. (1984). Morbidity following sudden and unexpected bereavement.British Journal of Psychiatry, 144, 84–88.
Lundin, T. (1984). Long-term outcome of bereavement.British Journal of Psychiatry, 145, 424–428.
Lundin, T. (1987). The stress of unexpected bereavement.Stress Medicine, 3, 109–114.
Lundin, T., & Otto, U. (1989). Stress reactions among Swedish health care personnel in Unifil, South Lebanon 1982–1984.Stress Medicine, 5, 237–246.
Maeland, J. G., & Havik, O. (1989). After the myocardial infarction.Scandinavian Journal of Rehabilitation Medicine (Suppl. 22).
Malt, U., & Weisaeth, L. (1989). Traumatic stress: Empirical studies from Norway.Acta Psychiatrica Scandinavica (Suppl. 355). Copenhagen: Munksgaard.
May, H. J., & Breme, F. J. (1982). SIDS Family Adjustment Scale: A method of assessing family adjustment to sudden infant death syndrome.Omega, 13, 59–74.
McCubbin, H. I., & Figley, C. R. (Eds.) (1983).Stress and the family: Coping with catastrophe. Vol. 2. New York: Brunner/Mazel.
Milgram, N. A., Toubiana, Y. H., Klingman, A., Raviv, A., & Goldstein, I. (1988). Situational exposure and personal loss in children's acute and chronic stress reactions to a school bus disaster.Journal of Traumatic Stress, 1, 339–352.
Mitchell, J. M. (1983). When disaster strikes: The critical incident stress debriefing process.Journal of Emergency Medical Services, 36–39.
Parad, H. J., Resnick, H. L. P., & Parad, L. G. (1976).Emergency and disaster management: A mental health sourcebook. Philadelphia: The Charles Press Publishers.
Parkes, C. M. (1972).Bereavement: Studies of grief in adult life. Middlesex, England: Penguin Books.
Parkes, C. M., & Weiss, R. (1983).Recovery from bereavement. New York: Basic Books.
Raphael, B. (1977). The Granville train disaster: Psychological needs and their management.The Medical Journal of Australia, 1, 303–305.
Raphael, B. (1981). Personal disaster.Australian and New Zealand Journal of Psychiatry, 15, 183–198.
Rees, W.D., & Lutkins, S.G. (1967). Mortality of bereavement.British Medical Journal, 4, 13–16.
Singh, B., & Raphael, B. (1981). Postdisaster morbidity of the bereaved: A possible role for preventive psychiatry?Journal of Nervous and Mental Disease, 169, 203–212.
Strøm, A. (Ed.) (1968).Norwegian concentration camp survivors. Oslo, Norway: Oslo University Press.
Terr, L.C. (1985). Psychic trauma in children and adolescents.Psychiatric Clinics of North America, 8, 815–835.
VandenBos, G. R., & Bryant, B.K. (Eds.) (1987).Cataclysms, crises, and catastrophes: Psychology in action. Washington, DC: American Psychological Association.
Weisaeth, L. (1984).Stress reactions to an industrial disaster. Doctoral dissertation. Medical Faculty, University of Oslo, Norway.
Wortman, C. B., & Silver, R. L. (1987). Coping with irrevocable loss. In G. R. VandenBos & B. K. Bryant (Eds.).Cataclysms, crises and catastrophes (pp. 185–235). Washington, DC: American Psychological Association.
Yalom, I., & Vinogradov, S. (1988). Bereavement groups: Techniques and themes.International Journal of Group Psychotherapy, 38, 419–457.
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The study has received financial support from Skandia Insurance Co. (Sweden), Haukeland University Hospital and Norwegian Research Council for Science and the Humanities (377.92/021).
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Winje, D., Ulvik, A. Confrontations with reality: Crisis intervention services for traumatized families after a school bus accident in Norway. J Trauma Stress 8, 429–444 (1995). https://doi.org/10.1007/BF02102968
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DOI: https://doi.org/10.1007/BF02102968