Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-22T14:08:40.907Z Has data issue: false hasContentIssue false

Every Crisis Is an Opportunity

Published online by Cambridge University Press:  07 November 2014

Extract

In the same way that a war mobilizes the creative energies of a nation and often leads to major advances in science, technology, and medicine, the terrorist attacks on the World Trade Center and the Pentagon provided a powerful impetus to advance the traumatic stress field. Stung by our inability to provide policymakers with recommendations on evidence-based, early interventions for survivors of the September 11, 2001, attacks, we have been forced to confront the major gaps in our current knowledge.

These gaps are myriad and include our limited understanding of the natural longitudinal course of psychological consequences from the immediate post-impact phase to months and years later. They also include our inadequate scientific understanding of the psychological and psychobiological mechanisms underlying acute and long-term reactions to traumatic events and sparse empirical literature on which to base decisions concerning best practices for interventions. Questions of vulnerability and resilience have taken on a new urgency as we struggle to determine when to respect natural recovery processes and when to provide a formal intervention. With the recognition that there is little empirical justification for psychological debriefing as a one-stop early intervention panacea for the population-at-large has come intensification of efforts to develop and test a variety of novel early interventions that may be suitable for adults and children during the acute aftermath of catastrophic events.

Type
Introduction
Copyright
Copyright © Cambridge University Press 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Friedman, MJ, Foa, EB, Charney, DS. Toward evidence-based early interventions for acutely traumatized adults and children. Biol Psychiatry. 2003;53:765768.CrossRefGoogle ScholarPubMed
2.Friedman, MJ, Hamblen, JL, Foa, EB, Charney, DS. Fighting the psychological war on terrorism. Psychiatry. 2004;67:123135.Google Scholar
3.Ehlers, A, Clark, DM. Early psychological interventions for adult survivors of trauma: a review. Biol Psychiatry. 2003;53:817826.Google Scholar
4.Watson, PJ, Friedman, MJ, Gibson, L, Ruzek, JI, Norris, F, Ritchie, EC. Early intervention for trauma-related problems. In: Ursano, R, Norwood, AE, eds. Trauma and Disaster Responses and Management [Review of Psychiatry]. vol 22. Washington, DC: American Psychiatric Press; 2003:97124.Google Scholar
5.Friedman, MJ. Towards a mental health approach for survivors of terrorism. In: Danieli, Y, Brom, D, eds. The Trauma of Terror: Sharing Knowledge and Shared Care. New York: Guilford Publications; In press.Google Scholar
6.Norris, F, Friedman, M, Watson, P, Byrne, C, Diaz, E, Kaniasty, K. 60,000 disaster victims speak, Part I: An empirical review of the empirical literature, 1981–2001. Psychiatry. 2002;65:207239.Google Scholar
7.Norris, F, Friedman, M, Watson, P. 60,000 disaster victims speak, Part II: Summary and implications of the disaster mental health research. Psychiatry. 2002;65:240260.CrossRefGoogle Scholar
8.Norris, FH, Murphy, AD, Baker, CK, Perilla, JL. Severity, timing and duration of reactions to trauma in the population: an example from Mexico. Biol Psychiatry. 2003;53:769778.Google Scholar
9.Schuster, M, Bradley, D, Stein, M, et al.A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Eng J Med. 2001;345:15071512.Google Scholar
10.Kessler, RC, Sonnega, A, Bromet, E, Hughes, M, Nelson, CB. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry. 1995;52:10481060.Google Scholar
11.Yehuda, R, McFarlane, AC. Conflict between current knowledge about posttraumatic stress disorder and its original conceptual basis. Am J Psychiatry. 1995;152:17051713.Google ScholarPubMed
12.Caspi, A, Sugden, K, Moffitt, TE, et al.Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science. 2003;301:386389.Google Scholar
13.Schnurr, PP, Lunney, CA, Sengupta, A. Risk factors for the development versus maintenance of posttraumatic stress disorder. J Trauma Stress. 2004;17:8595.Google Scholar
14.Friedman, MJ. Future pharmacotherapy for post-traumatic stress disorder: prevention and treatment. Psychiatr Clin North Am. 2002;25:427441.CrossRefGoogle ScholarPubMed
15.Charney, DS. Psychobiological mechanisms of resilience and vulnerability: implications for the successful adaptation to extreme stress. Am J Psychiatry. 2004;161:195216.Google Scholar
16.Pitman, R, Sanders, KM, Zusman, RM, et al.Pilot study of secondary prevention of posttraumatic stress disorder with propranolol. Biol Psychiatry. 2002;51:189192.CrossRefGoogle ScholarPubMed
17.Bryant, RA, Moulds, ML, Nixon, RDV. Cognitive therapy of acute stress disorder: a four-year follow-up. Behav Res Ther. 2003;41:489494.Google Scholar
18.Bryant, RA. Early predictors of posttraumatic stress disorder. Biol Psychiatry. 2003;53:789795.Google Scholar
19.Cohen, JA. Treating acute posttraumatic reactions in children and adolescents. Biol Psychiatry. 2003;53:827833.Google Scholar
20.Galea, S, Ahern, J, Resnick, HS, et al.Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346:982987.Google Scholar
21.Galea, S, Boscarino, J, Resick, H, Vlahov, D. Mental health in New York City after the September 11 terrorist attacks: Results from two population surveys. In: Manderscheid, RW, Henderson, MJ, eds. Mental Health, United States, 2002. Washington, DC: US Government Printing Office; In press.Google Scholar
22.Galea, S, Vlahov, D, Resnick, H, et al.Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. Am J Epidemiol. 2003;158:514524.Google Scholar
23.Silver, RC, Holman, EA, McIntosh, DN, Poulin, M, Gil-Rivas, V. Nationwide longitudinal study of psychological responses to September 11. JAMA. 2002;288:12351244.CrossRefGoogle ScholarPubMed
24.de Jong, J. Public mental health, traumatic stress and human rights violations in low-income countries: a culturally appropriate model in times of conflict, disaster and peace. In: de Jong, J, ed. Trauma, War and Violence: Public Mental Health in Sociocultural Context. New York, NY: Kluwer/Plenum; 2002:191.Google Scholar
25.Green, BL, Friedman, MJ, de Jong, J, et al.Trauma Interventions in War and Peace: Prevention, Practice, and Policy. Amsterdam, Netherlands: Kluwer Academic/Plenum; 2003.Google Scholar
26.Marsella, AJ. Toward a “global-community psychology:” meeting the needs of a changing world. Am Psychol. 1998;53:12821291.Google Scholar