By Metin Basoglu

Mass trauma occasions, equivalent to common failures, conflict and torture, have an effect on hundreds of thousands of individuals each year. at the moment, there isn't any psychological wellbeing and fitness care version with the capability to handle the mental wishes of survivors in an economical approach. This e-book offers any such version, besides suggestions on its implementation, making it necessary for either policy-makers and psychological overall healthiness execs. development on greater than 20 years of intensive study with mass trauma survivors, the authors current a version of hectic rigidity to assist knowing of mass trauma and the way its mental impression might be conquer with control-focused behavioral therapy. this article deals a serious overview of varied arguable matters within the box of mental trauma in gentle of contemporary examine findings. together with based manuals on earthquake trauma, protecting therapy supply and self-help, the e-book should be of use to survivors themselves in addition to care services.

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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

Sample text

The time taken to enter the house for the first time was not associated with the intensity of fear experienced during the initial major shock (the strongest predictor of PTSD), suggesting that the survivors took risks regardless of the severity of their fear and related traumatic stress reactions. We also observed that some survivors, also motivated by the inconvenience of living away from their homes, made attempts to overcome their fear of earthquakes by entering their homes in a graduated fashion.

G. birds making a noise or dogs barking), a particular color of the sea, clear visibility of the stars at night, or an unusually hot and windless day were perceived as signaling danger and their absence signaling safety. Some people sought the company of their close ones or friends during times of heightened fears, feeling safer with them. People visited relatives and friends more often and spent more time with them, particularly when rumors about an impending earthquake were going around. Such behavior was not necessarily motivated by a belief that the presence of others during an earthquake might facilitate survival.

The group with ‘low’ earthquake exposure includes survivors who experienced the earthquakes with no damage to their house, whereas the group with ‘high’ earthquake exposure includes survivors with additional trauma experiences, such as the collapse of their house or being trapped under rubble. Both groups had fairly high rates of anticipatory fear and feelings of helplessness that persisted well beyond the cessation of the aftershocks. The groups did not significantly differ in their mean total scale scores, suggesting that additional trauma events did not contribute to fear and helplessness responses in the long term.

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