A Mental Healthcare Model for Mass Trauma Survivors: by Metin Basoglu

By Metin Basoglu

Mass trauma occasions, reminiscent of usual failures, battle and torture, have an effect on thousands of individuals each year. at the moment, there's no psychological healthiness care version with the capability to handle the mental wishes of survivors in a cheap means. This publication provides this sort of version, besides assistance on its implementation, making it helpful for either policy-makers and psychological future health pros. construction on greater than two decades of in depth study with mass trauma survivors, the authors current a version of hectic rigidity to assist knowing of mass trauma and the way its mental influence will be triumph over with control-focused behavioral remedy. this article bargains a severe overview of assorted arguable concerns within the box of mental trauma in mild of modern learn findings. together with established manuals on earthquake trauma, protecting therapy supply and self-help, the publication can be of use to survivors themselves in addition to care prone.

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Additional resources for A Mental Healthcare Model for Mass Trauma Survivors: Control-Focused Behavioral Treatment of Earthquake, War and Torture Trauma

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5) The preparedness theory might thus explain why people respond to earthquakes with such intense fear, rapidly acquire conditioned fears and avoidance in relation to a wide range of situations or activities, and why such fear is resistant to extinction in the long term. g. road traffic accidents). This hypothesis seems to be well worth testing in future research. , 1989), another contributing factor might be acquisition of fear through observational learning. Experiments with animal and human subjects showed that observing others experiencing a traumatic event or acting fearfully could lead to the development of Chapter 1: A learning theory formulation of earthquake trauma phobias (Mineka and Öhman, 2002; Mineka and Zinbarg, 2006; Öhman and Mineka, 2001).

Such occasions provide opportunities for testing risk-taking behaviors, which may then lead to the discovery of exposure as an effective method of overcoming fear. In some cases this strategy, once discovered, might even be used to overcome earthquake-unrelated fears. For example, we have seen a woman who told us that, after having successfully utilized exposure to overcome her fear of earthquakes, she went on to treat her snake phobia by searching for snakes in the region. She eventually found some and came back home free of her phobia.

In the full regression model avoidance was the strongest predictor of both PTSD and depression, followed by helplessness. Helplessness measured in the long term was a stronger predictor of PTSD than loss of control during the earthquake, possibly reflecting the cumulative impact of exposures to aftershocks during the first year of the disaster. The impact of stressors in the early aftermath of the earthquake (EESS distress score) was a relatively weak predictor of PTSD and did not relate to depression.

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