Journal of Public Health Policy

, Volume 27, Issue 3, pp 219–245 | Cite as

Viewpoint: Terrorism and Dispelling the Myth of a Panic Prone Public

  • Ben Sheppard
  • G James Rubin
  • Jamie K Wardman
  • Simon Wessely
Article

Abstract

Governments and commentators perceive the public to be prone to panic in response to terrorist attacks – conventional or involving chemical, biological or radiological weapons. Evidence from five such incidents suggests that the public is not prone to panic, although people can change their behaviours and attitudes to reduce the risk of themselves being exposed to a terrorist incident. Behavioural responses may be divided into acts of omission, such as not making unnecessary journeys, and acts of commission, such as taking prophylactic medication despite the inherent risk of side effects. Evidence suggests that the public are aware of these differences, and tend to adopt responses proportionate to the risk. Drawing upon the literature in the social and natural sciences, our discussion encompasses differing risk perceptions of terrorist threats and consequences of attacks. How do fear and anxiety interact with behavioural responses to amplify or attenuate perceptions that can be modified through risk communication undertaken by authorities?

Keywords

biological warfare chemical warfare panic terrorism 

References

  1. Oliver M, Strucke J . Panic as London is hit again. Guardian. 2005; July 21.Google Scholar
  2. Anonymous. Eyewitnesses tell of panic and confusion. Daily Mail. 2005; July 21.Google Scholar
  3. Bonneux L, Van Damme W . An iatrogenic pandemic of panic. BMJ. 2006;332:786–787.CrossRefGoogle Scholar
  4. Karwa M, Currie B, Kvetan V . Bioterrorism: preparing for the impossible or the improbable. Crit Care Med. 2005;33:S75–S95.CrossRefGoogle Scholar
  5. Drury J . No need to panic. The Psychologist. 2004;17:118–119.Google Scholar
  6. Mawson AR . Understanding mass panic and other collective responses to threat and disaster. Psychiatry. 2005;68:95–113.CrossRefGoogle Scholar
  7. Edgar J, Woolven R, Durodié B, Wessely S . Public panic and morale: second world war civilian responses re-examined in the light of the current anti-terrorist campaign. Journal of Risk Research. 2006;9 (1):57–93.CrossRefGoogle Scholar
  8. Keating JP . The myth of panic. Fire J. 1982;57–147.Google Scholar
  9. Guillemin J . Inventing bioterrorism: the political construction of civilian risk. In: Hartman B, Subramaniam B, Zerner C (eds.) Making Threats: Biofears and Environmental Anxieties. Lanham, Md: Rowman & Littlefield Publishers; 2005.Google Scholar
  10. Blendon J, DesRoches PH, Benson J, Herrman M, Taylor K, Weldon K . The Public and the Smallpox Threat. New England Journal of Medicine. 2003;348 (5):426–432.CrossRefGoogle Scholar
  11. Laqueur W . Postmodern terrorism. Foreign Affairs. 1996;75 (5):24–36.CrossRefGoogle Scholar
  12. Kupperman R, Trent D . Terrorism: Threat, Reality, Response. Stanford: Hoover Institution Publication; 1979.Google Scholar
  13. Stern J . The Ultimate Terrorist. Cambridge: Harvard University Press; 1999.Google Scholar
  14. Dishman C . Trends in modern terrorism: review article. Studies in Conflict and Terrorism. 1999;22:361.CrossRefGoogle Scholar
  15. Wilkinson P . Terrorism and The Liberal State. London: Macmillan Press; 1977.CrossRefGoogle Scholar
  16. Slovic P . The Perception of Risk. London: Earthscan; 2001.Google Scholar
  17. Gigerenzer G . Out of the frying pan into the fire: behavioral reactions to terrorist attacks. Risk Analysis. 2006;26:2.CrossRefGoogle Scholar
  18. Dingfelder SF . Curbing risk-taking, protecting the public. American Psychology Association Monitor on Psychology. 2004;35:8.Google Scholar
  19. Hassett A, Sigal L . Unforseen consequences of terrorism: medically unexplained symptoms in a time of fear. Arch Intern Med. 2002;162:1809–1813.CrossRefGoogle Scholar
  20. Petrie KJ, Wessely S . Modern worries, new technology, and medicine. BMJ. 2002;324:690–691.CrossRefGoogle Scholar
  21. Kasperson R, Renn O, Slovic P, Brown H, Emel J, Goble R, Kasperson J, Ratick S . The social amplification of risk: a conceptual framework. Risk Analysis. 1988;8:177–187.CrossRefGoogle Scholar
  22. Fischhoff B . The psychological perception of risk. In: D Kamien (ed.) The McGraw-Hill Homeland Security Handbook. New York: McGraw-Hill; 2006.Google Scholar
  23. Lofstedt RE . Science communication and the Swedish acrylamide “alarm”. J Health Comm. 2003;8:407–432.CrossRefGoogle Scholar
  24. Diesler PF . A perspective: risk analysis as a tool for reducing the risks of terrorism. Risk Analysis. 2002;22 (3):405–413.CrossRefGoogle Scholar
  25. Guillemin J . Bioterrorism and the hazards of secrecy: A history of three epidemic cases. Harvard Health Policy Review. 2003;4 (1):36–50.Google Scholar
  26. Merridale C . The collective mind: trauma and shell-shock in twentieth century Russia. Journal of Contemporary History. 2000;35:39–55.CrossRefGoogle Scholar
  27. Merridale C . Night of Stone: Death and Memory in Twentieth Century Russia. London: Penguin; 2002.Google Scholar
  28. Lofstedt RE . Risk Management in Post-Trust Society. Basingstoke: Palgrave MacMillan; 2005.CrossRefGoogle Scholar
  29. Slovic P . Perceived risk, trust, and democracy. Risk Analysis. 1993;13:675–682.CrossRefGoogle Scholar
  30. Hobson-West P . Understanding vaccination resistance: moving beyond risk. Health, Risk and Society. 2003;5 (3):273–283.CrossRefGoogle Scholar
  31. Stokes J, Banderet L . Psychological aspects of chemical defense and warfare. Military Psychology. 1997;9:395–415.CrossRefGoogle Scholar
  32. Betts R . The new threat of mass destruction. Foreign Affairs. 1998;77:26–41.CrossRefGoogle Scholar
  33. O' Brien L, Payne RG . Prevention and management of panic in personnel facing a chemical threat – lessons from the Gulf. J R Army Med Corps. 1993;139:41–45.CrossRefGoogle Scholar
  34. Holloway H, Norwood A, Fullerton CS, Engel Jr CC, Ursano RJ . The threat of biological weapons: prophylaxis and mitigation of psychological and social consequences. Journal of the American Medical Association. 1997;278:425–427.CrossRefGoogle Scholar
  35. Fullerton C, Ursano R . Behavioral and psychological responses to chemical and biological warfare. Military Medicine. 1990;155:54–59.Google Scholar
  36. Bowler R, Mergler D, Huel G, Cone JE . Psychological psychosocial and psychophysiological sequelae to a community affected by a railroad disaster. Journal of Traumatic Stress. 1994;7:601–624.CrossRefGoogle Scholar
  37. Page LA, Petrie KJ, Wessely S . Psychosocial responses to environmental incidents: a review and a proposed typology. J Psychosom Res. 2006;60:413–422.CrossRefGoogle Scholar
  38. Petrie K, Broadbent E, Kley N, Moss-Morris R, Horne R, Rief W . Worries about modernity predict symptom complaints following environmental pesticide spraying. Psychosom Med. 2005;67:778–782.CrossRefGoogle Scholar
  39. Shusterman D, Lipscomb J, Neutra R, Satin K . Symptom prevalence and odor-worry interaction near hazardous waste sites. Environmental Health Perspectives. 1991;94:25–30.CrossRefGoogle Scholar
  40. Winters WDS, Van Diest I, Nemery B, Veulemans H, Eelen P, Van De Woestijne K, Van Den Bergh O . Media warnings about environmental pollution facilitate the acquisition of symptoms in response to chemical substances. Psychosom Med. 2003;65:332–338.CrossRefGoogle Scholar
  41. Gifford RK, Ursano RJ, Stuart JA, Engel CC . Stress and stressors of the early phases of the Persian Gulf War. Philosoph Trans Roy Soc B. 2006;361:585–591.CrossRefGoogle Scholar
  42. Brewer N, Lillie S, Hallman WK . Why people believe they were exposed to biological or chemical warfare: a survey of gulf war veterans. Risk Analysis. 2006;26:337–345.CrossRefGoogle Scholar
  43. Stuart J, Ursano R, Fullerton CS, Norwood AE . Belief in exposure to terrorist agents: reported exposure to nerve or mustard gas by Gulf War veterans. J Nerv Mental Dis. 2003;191:431–436.CrossRefGoogle Scholar
  44. Murakami H . Underground: The Tokyo Gas Attack and the Japanese Psyche. London: The Harvill Press; 2000.Google Scholar
  45. Asukai N, Maekawa K . Psychological and physical health effects of the 1995 sarin attack in the Tokyo subway system. In JM Havenaar, JG Evelyn, J Bromet (eds.) Toxic Turmoil: Psychological and Societal Consequences of Ecological Disasters. New York: Kluwer Academic/Plenum Publishers; 2002.Google Scholar
  46. Pangi R . Consequence management in the 1995 sarin attacks on the Japanese subway system. Studies in Conflict and Terrorism. 2003;25:421–448.CrossRefGoogle Scholar
  47. Olson KB . Aum shinrikyo: once and future threat? Emerging Infectious Diseases. 1999;5:513–516.CrossRefGoogle Scholar
  48. Durodie W, Wessely S . Resilience or panic? The public and terrorist attack. Lancet. 2002;360:1901–1902.CrossRefGoogle Scholar
  49. Glass A, Schoch-Spana M . Bioterrorism and the people: how to vaccinate a city against panic. Confronting Biological Weapons. 2002;34 (15):217–223.Google Scholar
  50. Dwyer J, Lipton E, Flynn K, Glanz J, Fessenden F . Fighting to live as the towers dies. The New York Times. 2002: 26 May.Google Scholar
  51. Proulx G . Researchers learn from world trade center survivors' accounts. Construction Innovation. 2003;8:1–3.Google Scholar
  52. Huddy L, Feldman S, Capelos T, Provost C . The consequences of terrorism: disentangling the effects of personal and national threat. Political Psychology. 2002;23:485–509.CrossRefGoogle Scholar
  53. Goode E . Now, Fear of Flying is More Than a Phobia. New York: Times; 2002: 29 January.Google Scholar
  54. Hoyle R . A year later, a city is still on edge. New York Daily News. 2002, 1 September.Google Scholar
  55. Schoch-Spana M . Educating, informing, and mobilizing the public. In BS Levy, VW Sidel (eds.) Terrorism and Public Health: A balanced approach to Strengthening Systems and Protecting People. New York: Oxford University Press; 2003.Google Scholar
  56. Blendon RJ, Benson JM, DesRoches CM, Herrmann MJ, Harvard School of Public Health/Robert Wood Foundation survey project on Americans' response to biological terrorism, tabulation report, October 24–28, 2001. Available from: http://www.hsph.Harvard.edu/press/releases/blendon/report2.pdf, [accessed 24 April 2006].
  57. Schaffer D, Armstrong G, Higgins K, Honig P, Coyne P, Boxwell D . Increased US prescription trends associated with the CDC Bacillus anthracis antimicrobial postexposure prophylaxis campaign. Pharmacoepidemiology and Drug Safety. 2003;12:177–182.CrossRefGoogle Scholar
  58. Blendon RJ, Benson JM, DesRoches CM . Using Opinion Surveys to Track the Public's Response to a Bioterrorist Attack. J Risk Comm. 2003;8:88.Google Scholar
  59. Vanderford ML . Communication lessons learned in the emergency operations center during CDC's anthrax response: a commentary. Journal of Health Communications. 2003;8:11–12.CrossRefGoogle Scholar
  60. Logan J. The Impact of Katrina: Race and Class in Storm-Damaged Neighborhoods. Brown University, [http://www.s4.brown.edu/katrina/report.pdf}, accessed 26 May, 2006.
  61. Rubin GJ, Brewin CR, Greenberg N, Simpson J, Wessely S . Psychological and behavioural reactions to the bombings in London on 7 July 2005: cross sectional survey of a representative sample of Londoners. BMJ. 2005;331:606–611.CrossRefGoogle Scholar
  62. Fullerton C, Brandt B, Ursano R . Chemical and Biological Weapons: Silent Agents of Terror in Ursano R and Norwood A. Emotional Aftermath of the Persian Gulf War: Veterans, Families, Communities, and Nations. Washington DC: American Psychiatric Press; 1996.Google Scholar
  63. Cook T . “Against God-inspired conscience”: the perception of gas warfare as a weapon of mass destruction, 1915–1939. War and Society. 2000;18:47–69.CrossRefGoogle Scholar
  64. Haber LF . The Poisonous Cloud, Chemical Warfare in the First World War. Oxford: Clarendon Press; 1986.Google Scholar
  65. Cook T . Review essay: from great war to gulf war: chemical warfare in the twentieth century. Canadian Military Journal. 2001;81–84.Google Scholar
  66. Tu A . Chemical Terrorism: Horrors in Tokyo Subway and Matsumoto City. Fort Collins, Colorado: Alaken; 2002.Google Scholar

Copyright information

© Palgrave Macmillan Ltd 2006

Authors and Affiliations

  • Ben Sheppard
    • 1
  • G James Rubin
  • Jamie K Wardman
  • Simon Wessely
  1. 1.King's Centre for Risk Management, King's College LondonLondonUK

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