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Psychological Trauma in a Relief Worker—A Case Report from Earthquake-Struck Areas of North Pakistan

Published online by Cambridge University Press:  28 June 2012

Muhammad Sami Bilal ,
Mowadat Huassain Rana ,
Sajid Rahim  and
Sohail Ali
Muhammad Sami Bilal*
Affiliation:
Department of Psychiatry, Military Hospital, Rawalpindi, Pakistan
Mowadat Huassain Rana
Affiliation:
Department of Psychiatry, Military Hospital, Rawalpindi, Pakistan
Sajid Rahim
Affiliation:
Department of Psychiatry, Military Hospital, Rawalpindi, Pakistan
Sohail Ali
Affiliation:
Department of Psychiatry, Military Hospital, Rawalpindi, Pakistan
*
Muhammad Sami Bilal Graded Psychiatrist Department of Psychiatry, The Mall Road Military Hospital, Rawalpindi, Pakistan E-mail: [email protected]
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Abstract

Vicarious traumatization is now a well-known entity and may have negative influences on those that are involved in rescue efforts in any disaster or traumatic events. Healthcare workers work with trauma survivors and witness an immense array of gruesome and ghastly images. This work has the potential to cause those engaged in rescue efforts to become affected subconsciously.

Job-related stress may cause psychological symptoms in care providers who provide support and listen to the survivors' account of trauma. A therapist working in disaster situations may become a victim of psychological anguish—undermining their physical and mental well-being as well as their profession, adversely affecting their traumatized patients, and leading to a counter-productive therapist-survivor relationship.

This significant theme of secondary trauma must be recognized in relief workers at early stages and must be addressed at an individual as well as organizational level. The key may lie in turning to social supports, adapting positive coping mechanisms, and subsequently seeking mental health consultation. Further research is required in this area to determine the best resolution.

Keywords

burnoutcare providerscompassion fatiguePakistan Earthquakesecondary traumatraumatic stressvicarious trauma
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 22 , Issue 5 , October 2007 , pp. 458 - 461
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2007

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References

1.Asian Development Bank and World Bank: Pakistan 2005 earthquake: Preliminary damage and needs assessment. Available at http://www.pakistan. gov.pk/divisions/economicaffairs-division/media/MAIN-TEXTNOV-11.pdf. Accessed 25 September 2007.Google Scholar
2.Figley, CR, Kleber, RJ: Beyond the “Victim”: Secondary Traumatic Stress.In: Kleber, RJ, Figley, CR, Gersons, BPR eds,Beyond Trauma.New York: Plenum Press; 1995.CrossRefGoogle Scholar
3.Felton, JS: Burnout as a clinical entity—Its importance in health care workers. Occup Med 1998;48:237–250.CrossRefGoogle ScholarPubMed
4.Fullerton, CS, Ursano, RJ, Wang, L: Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatry 2004;161:1370–1376.CrossRefGoogle ScholarPubMed
5.Pearlman, LA, Mac Ian, PS: Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice 1995;26(6):558–565.CrossRefGoogle Scholar
6.Alexander, DA: Psychiatric sequelae of trauma. In: Greaves, I, Porter, K (eds): Key Topics in Trauma. Bios: Oxford, 1997, pp 249–257.Google Scholar
7.Hesse, AR: Secondary trauma: How working with trauma survivors affects therapists. Clinical Social Work Journal 2002;30(3):293–309.CrossRefGoogle Scholar
8.Alexander, DA, Klein, S: Caring for others can seriously damage your health. Hospital Medicine 2001;62(5):264–267.CrossRefGoogle ScholarPubMed
9.Mitchell, JT, Everly, GS: Critical Incident Stress Debriefing: An Operations Manual for the Prevention of Traumatic Stress among Emergency Services and Disaster Workers. Ellicott City, MD: Chevron. 1995, p 6.Google Scholar
10.Ursano, RJ, Fullerton, CS, Vance, K, Kao, TC: Posttraumatic stress disorder and identification in disaster workers. Am J Psychiatry 1999;156:353–359.CrossRefGoogle ScholarPubMed
11.Howie, JH: General Practitioners, Work and Stress. In: Stress Management in General Practice. London: Royal College of General Practice, 1993, p 28.Google Scholar
12.Phipps, AB, Byrne, MK: Brief interventions for secondary trauma: Review and recommendations. Stress and Health 2003;19:139–147.CrossRefGoogle Scholar
13.Jones, DR: Secondary disaster victims: The emotional effects of recovering and identifying human remains. Am J Psychiatry 1985;142:303–307.Google ScholarPubMed
14.Bramsen, I, Dirkzwager, AJE, van der Ploeg, HM: Predevelopment personality traits and exposure to trauma as predictors of posttraumatic stress symptoms: A prospective study of former peacekeepers. Am J Psychiatry 2000;157:1115–1119.CrossRefGoogle Scholar
15.Alexander, DA, Wells, A: Reactions of police officers to body handling after a major disaster–A before and after comparison. British Journal of Psychiatry 1991;159:547–555.CrossRefGoogle Scholar
16.Beaton, R, Murphy, S, Johnson, C, Pike, K, Cornell, W: Coping responses and posttraumatic stress symptomatology in urban fire service personnel. Journal of Traumatic Stress 1999;12(2):293–308.CrossRefGoogle ScholarPubMed
17.James, A, Wright, PL: Occupational stress in the ambulance service. Work Stress 1991;2:319–326.CrossRefGoogle Scholar
18.Eriksson, CB, Vande Kemp, H, Gorsuch, R, Hoke, S, Foy, DW: Trauma exposure and PTSD symptoms in international relief and development personnel. Journal of Traumatic Stress 2001;14(1):205–212.CrossRefGoogle Scholar
19.Weiss, DS, Marmar, CR, Metzler, TJ, Ronfeldt, HM: Predicting symptomatic distress in emergency service personnel. Journal of Consulting and Clinical Psychology 1995;63(3):361–368.CrossRefGoogle Scholar
20.Ramirez, AJ, Graham, J, Richards, MA, et al. : Mental health of hospital consultants: The effects of stress and satisfaction at work. Lancet 1996;347:724–728.CrossRefGoogle ScholarPubMed
21.Brough, P: Comparing the influence of traumatic and organizational stressors on the psychological health of police, fire, and ambilance officers. International Journal of Stress Management 2004;11(3): 227–244.CrossRefGoogle Scholar
22.Harris, MB, Basoglu, M, Stacks, JR. Mental health of trauma-exposed firefighters and critical incident debriefing. Journal of Loss and Trauma 2002;7:223–238.CrossRefGoogle Scholar
23.McCaslin, SE, Jacobs, GA, Meyer, DL, Johnson-Jimenez, E, Metzler, TJ, Marmar, CR: How does negative life change following disaster response impact distress among Red Cross responders? Professional Psychology: Research and Practice 2005;36(3)246–253.CrossRefGoogle Scholar