Coping with disaster is an overwhelming and often baffling task for survivors, rescue workers, and clinicians. This volume looks in depth at how people experience trauma and suggests practical strategies for treatment. The authors examine issues ranging from the biological basis of posttraumatic stress reaction to the psychosocial and fictional construction of terror, and disasters ranging from random acts of violence to war. From Chernobyl to Desert Storm, from Kentucky floods to Norwegian avalanches, the authors explore the effects of trauma on adults and children. They find certain commonalities in human response to disasters of all kinds, and hold that by understanding these partially predictable patterns of reaction, mastery of chaos, and finally recovery can occur. Based on their comprehensive analysis, they suggest disaster intervention strategies that emphasize recognition of the psychological effects of trauma, as well as preparedness and prevention.

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Traumas and disasters throw lives into chaos and fill individuals with the terror of the unexpected and the fear of loss, injury and death. Trauma is always a catalyst for change and adjustment; for some it also becomes a life wound. A surprisingly high number of people are exposed to traumatic events each year. The effects of such events extend well beyond the direct victims to include their families, their communities, and those who try to help. All become part of the trauma and disaster community.

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