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Allen D KannerHäftad
Treating Victims of Mass Disaster and Terrorism259
The mental health effects of disasters and terror events can be severe, and are most effectively characterized as differing stress reactions with psychological consequences. Empirical studies show that addressing these consequences requires a staged approach to care. This volume, written by leading experts, provides professionals with practical, evidence-based guidance on diagnosis and treatment following disaster and terrorist events - and does so in a uniquely "reader-friendly" manner. It is both a compact "how-to" reference, for use by professional clinicians, as well as an ideal educational resource for students and professionals and for practice-oriented continuing education. The unique feature of the book is that it outlines a staged approach for post-disaster mental health care, based on empirically supported principles of treatments that work. Practical and reader-friendly, it is a compact and easy-to-follow guide covering all aspects that are relevant in real-life.
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Recent years have demonstrated the uncertainty of the world and theneed to be prepared for disasters. Whether natural disasters hurricanes, tornadoes, or earthquakes) or man-made disasters terrorist attacks or conflict between groups of people), these events result in many people being subjected to mass trauma. The survivors of these occurrences include not only those who directly experience the event but also the first responders and subsequent relief workers. As a result, there is a growing concern among mental health professionals resulting in a desire to determine best practices for treating the survivors of mass trauma.Treating Victims of Mass Disaster and Terrorism makes a significantcontribution to the treatment of survivors of disasters and terrorism and contribution to the treatment of survivors of disasters and terrorism and will likely become a valued resource for those interested in disaster mental health.The contributions of this work include a great deal of informationin a short amount of space for those who want a review or overview ofdiagnosis. There is also a summary of risk factors that is veryinformative and easy to follow. The integration of assessment,evaluation, and treatment into the three stages of postdisaster care is useful in the conceptualization of the experience from the individual's perspective so that the needs of a client can be better anticipated. Much of the information presented is practical, although Section 4.6, Additional Tools for Responders, is likely to be the most useful for those mental health professionals working on the front lines. The many tables and lists provide large amounts of information in a succinct and effective manner. It would be even more helpful to somewhere have a list of the tables and their page numbers included for easier access. Overall, Sections 3 and 4 provide a nice discussion of treatment methods research, the pros and cons of research in the field, and good explanations of the development of the empirically derived guiding principles. These guiding principles are principles of change rather than of a particular therapeutic mode and are used to guide treatment through the threes stages of postdisaster care.There are also limitations. Although the volume is less than 100pages, it is difficult to read and does not flow easily. There areparagraphs that seem repetitive and in places the text appears to be cut and pasted from previous sections with only a word or two edited.Additionally, there seems to be more use of research jargon (quasiexperimental design, variables, etc.) than average therapists want in a how-to-do-treatment guide. This is especially true for one that they would take with them when deployed to work in a disaster area, as suggested by the Housley and Beutler in their self-care section. There is also a seemingly minor discrepancy with the use of terms that may have implications for the reader's subjective interpretation. In the title, the term victim is used, but in the text victim, patient victim, patient, and survivor are all used in reference to the person receiving treatment (term from the title). The individual administering the treatment is called the clinician, provider, and worker. Although these discrepancies may be nothing more than the result of the book's having two authors or of sections being written at different times, the writer's choice of words will influence how the reader perceives those who have been affected by disaster or terrorism. Survivor indicates that a normal person has lived through some bad experience. The term victim indicates someone who is helpless because he or she has experienced some misfortune. Patient is usually reserved for someone receiving medical treatment. In the opening two paragraphs, it is proposed that treatment is defined by the event, not by pathology, and that people areresilient and do not need a diagnosis of a mental disorder. I wouldsuggest, therefore, that survivor is the term most consisten
Preface; Acknowledgments; 1. Description; 1.1 Terminology; 1.2 Definition; 1.3 Epidemiology; 1.4 Courses and Prognosis; 1.5 Differential Diagnosis; 1.6 Comorbidities; 1.7 Diagnostic Procedures; 2. Theories and Models; 2.1 Learning/Cognitive Models of Posttrauma Response; 2.2 Conservation of Resources Model; 2.3 Identifying Research-Based Treatment Methods; 3. Diagnosis and Treatment Indications: Applying Research-Based Principles; 4. Treatment: Applying the 3-Stage Model of Principle-Driven Treatment for Early Intervention Following Mass Casualty Events; 4.1. Methods of Treatment; 4.2. Mechanisms of Action; 4.3. Efficacy and Prognosis; 4.4. Variations and Combinations of Methods; 4.5. Problems in Carrying out the Treatments; 4.6. Additional Tools for Responders; 5. Case Vignettes; 6. Further Reading; 7. References; 8. Appendix: Tools and Resources.