The aims of this book are twofold: to improve understanding of the human experience of trauma, whether at the level of the individual or the community, and to help those who are its victims. The range of issues covered is impressive, from the biological basis of post-traumatic stress reactions, through practical strategies for prevention and treatment, to the psychosocial and fictional construction of terror. Wherever possible the editors have sought to impart understanding, order, and predictability to the experience of trauma and disasters in the belief that the way to recovery is through the mastery of chaotic events. This book will serve and inform clinicians, administrators and research workers in psychiatry, psychology, public health and related areas.

In our increasingly dangerous world -- brought into urgent focus by the September 11, 2001, attacks -- the need to manage the psychiatric consequences of traumatic events and disasters has never been greater. The editors of this powerful reference summarize our current understanding of the complex psychological, behavioral, and social responses to disaster, and present a compelling case for intensifying our focus on delivery and intervention efforts. In just five chapters, 16 distinguished contributors examine the impact of trauma from the personal to the community level. This critical book reviews the neurobiologic and neuroanatomic responses to severe traumatic events, focusing on posttraumatic stress disorder to show how an initially adaptive response becomes maladaptive by producing long-term adverse consequences. discusses the psychiatric epidemiology of disaster, presenting a guide for clinicians in identifying and following groups at high risk for developing psychiatric disorders and an empirical blueprint for developing community interventions. details the impact of traumatic stressors on children, using the 9/11 terrorist attacks to illustrate many points and debunking the myth that children are more resilient than adults -- thus reinforcing their assertion that we need to improve the delivery of mental health services to traumatized children. presents material from an international consensus conference on the psychological interventions following mass violence, reviewing the psychological impact of disasters (including risk and protective factors) and acute interventions for trauma (e.g., psychological debriefing, treatment of traumatic grief, pharmacotherapy, cognitive-behavioral therapy, and interventions for children). concludes with the special dilemmas posed by weapons of mass destruction, including chemical, biological, nuclear, radiological, and high-yield explosives, discussing the attributes that make these weapons especially effective as instruments of terror and offering recommendations on how nations can enhance preparedness against these weapons. This volume is a must-read for educators, students, residents, clinicians, and social workers -- in short, anyone interested in helping to heal the psychological fallout from traumatic events and disasters.

First Published in 2000. Routledge is an imprint of Taylor & Francis, an informa company.

This follow-up book to Ursano et al.'s earlier title Individual and Community Responses to Trauma and Disaster expands the focus on terrorism. There is widespread belief among professionals that terrorism (and torture) produce the highest and most diffuse rates of psychiatric sequelae of all types of disaster. This book's international experts assess the lessons learned from the most recent atrocities. They look at prevention, individual and organizational intervention, the effect of leadership, and the effects of technological disasters and bioterrorism/contamination. Also available Individual and Community Responses to Trauma and Disaster 1994 0-521-41633-7 Hardback $135.00M 0-521-55643-0 Paperback $59.00M

Psychological service in the wake of cataclysmic life events has emerged as a prominent and visible component of social response. This has generated a bandwagon of potential service providers, service approaches, and service venues. Where once help was scarce, it has become plentiful enough to engender its own set of conflicts and contradictions along with its intended solace and aid. Response to Disaster reconciles the technical, theoretical, and applied interests represented in these various populations and provides a contemporary treatment that can help define the directions of their increasing interaction.

Trauma and disaster throw lives into chaos and fill people with the fear of loss, injury, and death. Although most individuals experience only transitory posttraumatic symptoms, others experience the effects of the disaster long after the traumatic event when new experiences remind them of the past. Posttraumatic Stress Disorder: Acute and Long-Term Responses to Trauma and Disaster provides clinicians, researchers, and policy makers with an examination of current advances in research and treatment by recognized experts at the cutting edge of innovation. This timely book incorporates DSM-IV criteria and the new diagnostic category acute stress disorder, which emphasizes the breadth of posttraumatic stress symptoms and disorders and the importance of distinguishing between acute and long-term responses to traumatic events. Individual chapters go beyond PTSD to examine other posttraumatic disorders and responses, the mechanisms of transmission of posttraumatic stress, and its effects on behavior and health in natural and societal disasters and traumas, including war. This volume pays particular attention to the array of psychiatric responses to trauma, including PTSD and the unfolding of illness and recovery over time. Posttraumatic responses are considered across individual, group, family, and community perspectives and from the vantage point of developmental systems from childhood to older adult life.

Collective Trauma, Collective Healing is a guide for mental health professionals working in response to large-scale political violence or natural disaster. It provides a framework that practitioners can use to develop their own community based, collective approach to treating trauma and providing clinical services that are both culturally and contextually appropriate. The classic edition includes a new preface from the author reflecting on changes to the field and the world since the book's initial publication. The book draws on experience working with survivors, their families, and communities in the Holocaust, postwar Kosovo, the Liberian civil wars, and post-9/11 lower Manhattan. It tracks the development of community programs and projects based on a family and community resilience approach, including those that enhance the collective capacities for narration and public conversation. Clinicians and community practitioners will come away from Collective Trauma, Collective Healing with a solid understanding of new roles they may play in disasters--roles that encourage them to recognize and enhance the resilience and coping skills in families, organizations, and the community at large.

In the wake of disaster emergency responders are first on the scene and last to leave. They put concern for the lives of others over concern for their own lives, and work tirelessly to recover the bodies of the missing. Their heroic actions save lives, provide comfort to and care for the wounded and inspire onlookers, but at what cost to themselves? We now know that rescue workers who are exposed to mutilated bodies, mass destruction, multiple casualties, and life-threatening situations may become the hidden victims of disaster. The traumatic consequences of exposure can profoundly impact emergency responders, radiate to their families, and permeate the emergency organization. This much-needed new book, based on the authors' original research and clinical experience, describes the consequences of trauma exposure on police officers, fire fighters, and paramedics. Weaving data collected in large-scale quantitative studies with the personal stories of responders shared in qualitative interviews, this much-needed account explores the personal, organizational, and societal factors that can ameliorate or exacerbate traumatic response. Stress theory, organizational theory, crisis theory, and trauma theory provide a framework for understanding trauma responses and guiding intervention strategies. Using an ecological perspective, the authors explore interventions spanning prevention, disaster response, and follow-up, on individual, family, group, organizational, and community levels. They provide specific suggestions for planning intervention programs, developing trauma response teams, training emergency service responders and mental health professionals, and evaluating the effectiveness of services provided. Disaster, whether large-scale or small, underscores our ongoing vulnerability and the crucial need for response plans that address the health and well being of those who confront disaster on a daily basis. In the Line of Fire speaks directly to these emergency response workers as well as to the mental health professionals who provide them with services, the administrators who support their efforts, and the family members who wonder if their loved one will return home safely from work tonight.

Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the US Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.