By Metin Basoglu
''Mass trauma occasions, reminiscent of common failures, warfare and torture, have an effect on hundreds of thousands of individuals each year. at present, there is not any psychological healthiness care version with the capability to handle the mental wishes of survivors in an economical method. This e-book offers any such version, besides suggestions on its implementation, making it useful for either policy-makers and psychological health and wellbeing execs. development on extra than two decades of in depth examine with mass trauma survivors, the authors current a version of hectic rigidity to assist figuring out of mass trauma and the way its mental effect may be conquer with control-focused behavioral therapy. this article bargains a serious assessment of assorted arguable matters within the box of mental trauma in gentle of modern study findings. together with dependent manuals on earthquake trauma, masking remedy supply and self-help, the ebook may be of use to survivors themselves in addition to care providers''--Provided by means of publisher. Read more...
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Extra resources for A mental healthcare model for mass trauma survivors : control-focused behavioral treatment of earthquake, war, and torture trauma
In the pooled sample of 4332 survivors from ﬁve ﬁeld surveys, 72% of the survivors who had PTSD also had depression. 001). Thus, the presence of PTSD was associated with more than a 6-fold increase in the risk of depression. In addition, among the survivors with depression, only 14% had ‘pure’ depression without any comorbid anxiety disorder (including PTSD), whereas among the cases with at least one anxiety disorder 53% had ‘pure’ anxiety without depression. This ﬁnding accords with Alloy and colleagues’ (1990) review of the evidence showing that cases of pure depression without concomitant anxiety are rarer than cases of pure anxiety without concomitant depression.
Total acceptance of helplessness in uncontrollable situations reﬂects a particular state of mind described and reinforced by Islamic philosophy, namely ‘tevekkül’ in Turkish or ‘Tawakkul’ in Arabic. ’ The case of the taxi driver described above is an illustrative example of this phenomenon. g. “It was God’s will”). , 2003; Valentine and Feinauer, 1993). Nevertheless, whether this form of thinking has a direct fear-reducing effect remains unclear. , 2005). It might thus well be a cognitive coping process secondary to severe traumatic stress.
Several factors contribute to appraisal of risk of threat and consequent anticipatory fear in earthquake survivors. The initial shock demonstrates the nature and extent of devastation that can be caused by major earthquakes. This is particularly true for developing countries, where earthquakes cause extensive devastation because of poor quality of constructions and lack of preparedness for earthquakes. People whose houses collapse during the earthquake are directly exposed to the devastating impact of the earthquake, while others are indirectly affected by witnessing its destructive effects on other people.