Mass traumatic terror in Oklahoma City and the phases of adaptational coping,part I: Possible effects of intentional injury/harm on victims' post-traumatic responses

The bombing in Oklahoma City shook the entire nation from “sea to shining sea.” This tremendous collective sensation was made even worse when available evidence revealed that this act of terrorism had not been committed by some terrorist from the Middle East but one from Middle America. The blast stunned the nation's sense of collective safety, while it raised serious questions about our ability as a nation to manage violence, and the profound feelings of discontent and narcissistic injuries among distressed Americans. Was it this failure to address chronic discontents that led to this tragedy of mass violence? These larger sociocultural and political issues are being debated in public and private forums throughout the nation, an activity that is likely to continue for some time to come. As these issues are debated in the public arena, victims' levels of psychological distress are expected to rise, as they attempt to process the traumatic shock in their minds and bodies. Specifically, this article has two parts and focuses on acute and post-acute psychophysiological traumatic stress responses in victims, as well as issues pertaining to assessment, prevention, and treatment. Part I addresses the nature of disasters, with a special emphasis on the victim's subjective evaluation (meaning) of the reality of a catastrophe caused by intentional human strategy. The article, additionally, discusses issues of epidemiology of stress reactions, post-traumatic stress disorder, co-morbidity, risk factors, and assessment and diagnostic considerations. Part II, to be published in the next of issue of the Journal, will focus on issues of prevention as well as post-disaster intervention. Prevention of chronic post-traumatic stress disorder after the Oklahoma City bombing is a critical objective by debriefers and mental health professionals. A proposed four-phase model called “self-efficacy adaptational coping” will be presented in Phase II as well. The present article is probably the first major discussion on the traumatic effects of the blast on individuals, families, and the communities of Oklahoma City, and the first to offer some broad guidelines to intervention. Since it predates future empirical studies, the author relies on his almost 20 years of experience in the field of traumatic stress, and on a review and integration of pertinent disaster outcome studies in the national and international literature.     

Cognitive styles in the development of medical careers

Recent research has shown that academic choice and achievement may be partly a function of the student's standing on the field-dependence-independence cognitive-style dimension. The results of two longitudinal studies suggest that information about field dependence-independence may be of value for student guidance in the medical setting. The first, a study of college undergraduates who early expressed an interest in medicine, showed that these cognitive styles play a discernible role in determining who will eventually enter medical school. The second, a study of medical students, showed that field-dependent and field-independent students subsequently tend to choose different medical specialties. These results are consistent with cognitive-style theory, which proposes that field-independent people will choose vocations that require cognitive restructuring skills, whereas field-dependent people will choose vocations that require greater social-interpersonal involvement.     

Treatment of handwriting problems utilizing EMG biofeedback training.

The effects of EMG biofeedback training on cursive handwriting were investigated for 4 girls and 5 boys in Grade 4. A significant reduction in EMG between the first baseline session and the last training session was obtained. Four of 5 characteristics of handwriting improved significantly. The need for carefully designed research comparing EMG biofeedback training and relaxation training was indicated. A self-control factor in handwriting was hypothesized.     

CONSEQUENCES OF SOCIAL LIVING, LANGUAGE, AND CULTURE FOR CONFLICT AND ITS MANAGEMENT

Abstract. Human language leads to an open-ended proliferation of human goals and purposes, which make for complex social relationships combining competition and dependence. The resulting ambivalence in social relationships makes the management of frustration and its attendant emotions a central concern of human socialization. The specific loading of emotional problems varies according to how societies are organized, but problems are inevitable. As relations of power and dependence become more complex, human efforts to manage these problems are liable to increasingly explosive and destructive expressions, apparently an inevitable consequence of social and sapient existence.