现代城市灾难结构与心理反应特点

城市灾难在给现代城市带来巨大破坏和影响的同时,对人们心理的冲击也是巨大的。本文分析了现代城市灾难的结构、阶段以及与之相对应的群体心理特征,以近年来国内外发生的城市危机案例为佐证,说明了心理干预在灾难应对中的重要作用,并提出3点启示:(1)政府部门要建立一套权威信息预警、发布机制;(2)增强民众素质,减少盲目从众心理;(3)重视社会力量在心理干预中的作用。     

Placing Age Differences in Cultural Context: A Comparison of the Effects of Age on PTSD After Disasters in the United States, Mexico, and Poland

Criterion symptoms of posttraumatic stress disorder (PTSD) were measured 6–12 months after Hurricane Andrew in the United States (non-Hispanic n = 270), Hurricane Paulina in Mexico (n = 200), and the 1997 flood in Poland (n = 285), using English, Spanish, and Polish versions of the Revised Civilian Mississippi Scale. The samples ranged in age from 18 to 88. Linear and quadratic effects of age were tested by using hierarchical multiple regression, with the effects of gender, trauma, and education controlled. Among Americans, age had a curvilinear relation with PTSD such that middle-aged respondents were most distressed. Among Mexicans, age had a linear and negative relation with PTSD such that younger people were most distressed. Among Poles, age had a linear and positive relation with PTSD such that older people were most distressed. Thus, there was no one consistent effect of age; rather, it depended upon the social, economic, cultural, and historical context of the disaster-stricken setting.     

Implementing Skills for Psychological Recovery at a Psychology Training Clinic During COVID-19

The COVID-19 global pandemic has disrupted the routine provision of community mental health services, which is especially concerning given that emerging data suggest a rise in mental health concerns related to the COVID-19 crisis (Xiong et al., 2020). Thus, it seems imperative to provide trauma-informed services that are tailored to clients’ coping with the pandemic and can be effectively delivered via telehealth. The goals of these important services would be to mitigate current distress, help prevent the onset of long-term mental health problems, and facilitate client safety during a public health crisis. The present article provides an overview of adoption and telehealth implementation of the Skills for Psychological Recovery (SPR) secondary prevention program within a psychology training clinic. Initial clinical outcome data supported the program’s success in reducing mental health symptoms among individuals in psychological distress due to the COVID-19 crisis; however, the results were more striking for adults than for youths. The article concludes with recommendations for broader implementation and future directions for clinicians, supervisors, organizations, and researchers.     

Media experiences and associations with mental health among the bereaved of the MH17‐disaster: A latent profile analysis

Research has shown that the amount of media exposure is associated with post‐event mental health problems. Whether bereaved individuals have negative experiences with media reports and whether they are associated with post‐event mental health is unclear. This study evaluated these experiences and associations following the MH 17‐disaster. How media reports were experienced (nine topics, modified MAS ), depression symptoms (QIDS ‐SR ), functional problems (WSAS ) and event‐related coping‐self‐efficacy (CSE ) were assessed about one year post‐disaster (May‐August 2015) among Dutch bereaved (N  = 152). A substantial minority reported negative experiences such as reports made me angry (30%) and made me sad (48%). Latent profile analysis with symptoms, problems and coping self‐efficacy as indicators, identified four classes of post‐disaster mental health: a Well‐functioning^{(class 1)}, 35.1%; a Mild‐problems^{(class 2)}, 30.4%; a Sub‐clinical^{(class 3)}, 27.0%; and a Clinical^{(class 4)}, 7.4%. Differences in symptoms, problems and coping self‐efficacy levels between classes were large according to Cohen's d s. Multivariate logistic regression (MLR ) showed that the Clinical^{(class 4)} compared to the Well‐functioning^{(class 1)}, more often that felt that reports strongly “embarrassed me,” “made me feel sad,” “filled me with fear” and “served as a magnifying glass.” Future research should assess opportunities and effects of limiting media consumption.     

Emergent social identities in a flood: Implications for community psychosocial resilience

Although the mobilization of pre‐existing networks is crucial in psychosocial resilience in disasters, shared identities can also emerge in the absence of such previous bonds, due to survivors sharing a sense of common fate. Common fate seems to operate in sudden‐impact disasters (e.g., bombings), but to our knowledge, no research has explored social identity processes in “rising‐tide” incidents. We interviewed an opportunity sample of 17 residents of York, United Kingdom, who were involved in the 2015–2016 floods. Using thematic and discourse analysis, we investigated residents' experiences of the floods and the strategic function that invocations of community identities perform. We show how shared community identities emerged (e.g., because of shared problems, shared goals, perceptions of vulnerability, and collapse of previous group boundaries) and show how they acted as a basis of social support (both given and expected). The findings serve to further develop the social identity model of collective psychosocial resilience in rising‐tide disasters. Implications for policy and practice are discussed.     

Effects of media information on collective resilience in a disaster—A case study of the crisis of stranded commuters in Tokyo during the 2011 Great East Japan earthquake

This article examines the relations between media information and collective resilience—collective solidarity behaviours that emerge from a crowd—in a disaster. It uses the crisis of stranded commuters in Tokyo during the 2011 Great East Japan Earthquake as a case study with data collected from an original survey. Using a cluster analysis and a multinomial logistic regression, it is found that media information is positively related to the characteristics of collective resilience, such as shared identity and mutual help. Specifically, among those who felt threatened by the disaster, people who had received more information from media, particularly from social media and mobile telephones, were more likely to display higher levels of these characteristics. It is contended that this is because media information can help people to feel more empowered and, thus, more willing to interact with and help others.     

自然灾难后身心反应的影响因素:研究与启示

所有经历自然灾难的人都会出现应激反应。随着时间的推移, 这些反应或消退, 或转化为一种创伤后成长(PTG), 或恶化为创伤后应激障碍(PTSD)等。根据危险因素模型, 这一过程受三类因素影响:(1)前灾难因素, 如性别、年龄等;(2)当下灾难因素, 如创伤暴露程度等;(3)后灾难因素, 如社会支持、复原特征等。其中, 后灾难因素得到了更多的关注。在危险-保护因素模式及机体主动模式的基础上, 分析了后灾难因素的作用机制, 通过研究的整合, 探讨了其对于灾后研究和干预的启示。     

社群、精神性传统和中国社会中的灾难(英文)

本文假定深切的处境观念和社群疗法是受害者"家庭"观念重建的最好途径。本文作者认真响应中国心理学会主席张侃的号召,重视中国的本土资源和精神遗产对于中国人在心理治疗中作用。本文沿袭了沃尔什将重建社群作为缓解创伤和灾难效果的四种方式:分享对创伤事件的认知,分享丧失和存活的经验,社群的重新组织和关系的重新建立。有人认为在灾难之后,精神性也可以在意义和社群的复原中扮演着积极的作用,前提是尊重信仰,鼓励信仰者使用自己的信仰语言,而不是把信仰当作工具来寻求心理健康。文中引用的例子包括俄罗斯乌克兰人中的门诺派教徒在社群/宗教重建中的努力,还有中国人对2008年5月12日汶川大地震中对灾难的回应方式。     

Psychological and health problems in a geographically proximate population time-sampled continuously for three months after the September 11th, 2001 terrorist incidents

Abstract

This study assessed the mental and physical health status and psychological problems related to the September 11th terrorist incidents among a representative sample of adults living near New York City, using continuously time-sampled data collected throughout 2001. Prevalence estimates for poor mental or physical health after September 11th (October through December) were comparable to those for the entire year of 2001 (i.e. approximately 33%). Psychological problems related to the terrorist incidents were reported by more than half of the respondents, and appeared to peak in prevalence approximately two to three months following the incidents, followed by a decline in the next month and subsequent year. Poor mental health, female gender, media re-exposure, and ongoing or increased alcohol use were risk factors for psychological problems, while older age (65+ years old) and being married were protective factors. Risk factors for poor physical and mental health or psychological problems were generally stable over the three-month period following September 11th, but some changes were identified consistent with stage models of post-disaster psychological adjustment. Implications are discussed for using continuous time-sampling as a strategy to research patterns of relatively acute stress-related sequelae of terrorism in populations whose members are affected despite primarily not having been at the disaster epicenter.     

Posttraumatic Stress and Depression Reactions Among Survivors of the Istanbul November 2003 Terrorist Attacks

This study investigated posttraumatic stress and depression reactions among survivors of the Istanbul November 2003 terrorist bombings that destroyed synagogues, an HSBC bank, and the British General Consulate. One hundred and forty-nine survivors completed a questionnaire measuring exposure, current posttraumatic stress, and depression responses 6 months after the blasts. This study showed that the prevalence rate of posttraumatic stress disorder (PTSD) among survivors was 35.6%?and the rate of depression was 23.5%. PTSD was strongly predicted by perceived life threat, whereas depression was strongly predicted by death of a close friend. Overall, female survivors were found to be more vulnerable to developing posttraumatic stress as well as depression after the terrorist bombings.