The experiences of short-term humanitarian aid workers in Haiti

A small group of humanitarian aid workers travelled to Port-au-Prince, Haiti six months after the 2010 earthquake to assist in recovery efforts at an orphanage. This study explores the experiences of these workers and how they coped with the challenges in Port-au-Prince. Participants kept a journal to record their daily experiences. A phenomenological methodology was used to analyse the data in this study. Themes included relationships and connections, faith/perspective, care of self and others, purpose, and perspective. Researchers concluded relief workers need more preparation and support during and after humanitarian trips as experiences significantly impact workers perspective of themselves and others.     

Religious Care in Coping with Terrorism

Abstract

Spiritual care has taken an important role in the aftermath of 9/11. The shattering of numerous basic assumptions by this attack has created many spiritual and existential questions. In this article, we explore different aspects of spiritual care after major disasters and the different roles that clergy can fulfill. As the field of spiritual trauma care is in a rudimentary stage, best practices for spiritual care need to be developed. In the second part of the article, different elements of the training for spiritual caregivers are described. In order to assure appropriate caregiving, guidelines for training of clergy need to be developed.     

Family therapists in trauma-response teams: bringing systems thinking into interdisciplinary fieldwork

Attention to the mental health facets of disaster-preparedness and trauma-response teams has increased considerably over the past decade. As family therapists take part in these efforts, they bring with them a worldview that adds valuable contributions to the nature in which fieldwork is conducted and the manners in which interdisciplinary teams function on the ground. In this article, we present how systems thinking sensitizes trauma workers to a variety of clinical presentations and biopsychosocial complexities inherent in this work. We describe common clinical- and practice-related challenges, alongside practical strategies for effectively dealing with these challenges. We draw upon our experiences as family therapists trained in the field of trauma, and our work as field responders, supervisors and team leaders across a variety of local and large-scale disaster events and contexts.     

SPONTANEOUS REMISSIONS: NORMAN REIDER'S FORGOTTEN PAPER,PART I

Almost sixty years ago, Norman Reider published a paper about spontaneous “remissions” he had observed. He discussed the manner in which psychoanalytic theory provided a way to partially explain these otherwise mysterious remissions or improvements in symptoms, some without benefit of either psychoanalysis or psychotherapy. Especially important were his comments about the negligible role of interpretation or insight in these examples. His conjectures reflected controversies that were current at the time and that remain unsettled. Of special interest is his introduction of some highly original ways to think of applying psychoanalytic ideas to supportive psychotherapy. But few analysts today have heard of this paper. A reconsideration of his paper allows us to be vividly reminded about our enduring and profound confusion about exactly what constitutes a “cure” at all. Spontaneous shifts in the severity of symptoms may be viewed as experiments of nature that we have neglected to investigate as valuable restraints on our immodest therapeutic claims.     

The uses of humor in life,neurosis and in psychotherapy: Part 2

Abstract

The first part of the paper focused on the dynamics of wit in life, literature, and psychoanalysis; the second part of this paper is devoted to the use of humor in therapy. The central concept is Freud's psychoanalytic method, as distinguished from Freud's various theories of disorder, or neurosis, with a further elaboration of Freud's inherently interpersonal conception of the analytic process, already present in the cathartic phase of the therapeutic technique. The cathartic, or discharge, function of humor is connected to reciprocal free association (a term coined by the author) to define the mutual and reciprocal free association in analysand and analyst, playing an essential role in the genesis of insight and interpretation. Humor has its role in loosening repression, facilitating the emergence of unconscious emotions and ideas, bringing to light character defenses, and thus driving the process of analysis.     

Hospital restructuring and nursing staff well-being: The role of perceived hospital and union support

Abstract

This research examined the effects of perceived hospital and union support on work satisfaction and psychological well-being of nursing staff during a period of hospital restructuring and downsizing. Data were collected from 1363 hospital-based nurses using anonymous questionnaires. Respondents reported receiving moderate levels of both hospital and union support during this period. However nursing staff reporting higher levels of perceived hospital support indicated greater job satisfaction, more job security, lower levels of psychological burnout and fewer psychosomatic symptoms, controlling for personal and work situation factors and extent of restructuring and downsizing initiatives. Implications for organizational management during downsizing and reorganization are drawn.     

Impact of Experimentally Induced Positive and Anxious Mood on Alcohol Expectancy Strength in Internally Motivated Drinkers

The effects of musically‐induced positive and anxious mood on explicit alcohol‐related cognitions (alcohol expectancy strength) in 47 undergraduate students who consume alcohol either to enhance positive mood states (for enhancement motives) or to cope with anxiety (for anxiety‐related coping motives) were investigated. Pre‐ and post‐mood induction, participants completed the emotional reward and emotional relief subscales of the Alcohol Craving Questionnaire – Now. The hypothesis that anxiety‐related coping motivated drinkers in the anxious mood condition (but not those in the positive mood condition) would exhibit increases in strength of explicit emotional relief alcohol expectancies after the mood induction was supported. An additional, unanticipated finding was that enhancement‐motivated drinkers in the anxious condition also showed significant increases in strength of explicit emotional relief (but not emotional reward) alcohol expectancies. The hypothesis that enhancement‐motivated (but not anxiety‐related coping motivated) participants would exhibit increases in explicit emotional reward expectancies following exposure to the positive mood induction procedure was not supported. Taken together with past research findings, the current results highlight the importance of distinguishing between subtypes of negative affect (i.e., anxious and depressed affect) in exploring the affective antecedents of explicit alcohol outcome expectancies.     

An Anthropologist at Ground Zero, or How I Applied My Group Perspective to the 9/11 Organizational Relief Effort

This paper, originally presented November, 2001 at the Plenary Session of the Annual Conference of the Eastern Group Psychotherapy Society in New York, describes the application of group psychodynamics to organizations under stress. The presentation illustrates the system sensitivity required of consultants assisting organizations traumatized by the 9/11 terror attacks. The author's comments and recommendations were shaped by his experience overseeing the consulting work provided by EGPS Members to Wall Street in the aftermath of the attacks.     

The practical ethics of linguistic integration: Three challenges

Public debates on linguistic integration as a socially desired outcome often share a prevailing sentiment that newcomers ought to “learn the language.” But the intensity of that sentiment is rarely accompanied by an equally robust understanding of what, precisely, it means in practice. This results in a notion of linguistic integration with an inbuilt tension between a seemingly pragmatic and commonsensical appearance, on the one hand, and a minimal action-guidance capacity, on the other hand. This paper explores this intriguing tension, and it identifies three moral and practical challenges that this challenge presents to the normative theorizing of the practical ethics of linguistic integration: (1) a predicament of arbitrary treatment; (2) the interpersonal structure of social and linguistic learning; and (3) the affective dimension of linguistic integration.     

Helping behavior following a failure experience1

Abstract: A study was conducted to reconcile two conflicting models on the relationship of shame to helping. According to the negative-mood relief model, ashamed people try to help others to relieve a negative mood induced by a shameful experience. The self-esteem maintenance model suggests, however, that people whose self-esteem is threatened utilize helping behavior instrumentally to restore self-esteem. In the present study, 84 male subjects took an alleged intelligence test and received fictitious poor results, and in the next experimental stage, set up by a male experimenter who was not an observer of the subject's failure in the former stage, they were requested to help a person also unaware of subject's failure. On the basis of this paradigm for the shame-helping relation, the “ability” of the target person compared to the subject (superior vs. inferior) and the content of helping (meaningful vs. not meaningful) were manipulated. One level of each experimental variable was supposed to serve as an obstacle to maintaining self-esteem. Besides this 2 times 2 factorial design, subjects were classified as high or low in self-esteem; a control condition (with 16 subjects) was also included. The results provided unequivocal support for the self-esteem maintenance model: ashamed subjects were helpful only in the inferior-target/meaningful-help condition. This result did not interact with the relative levels of self-esteem; the lack of this interaction is explained in terms of self-esteem being trait.