Maheshwari Nidhi, Yadav Ravinder, Singh Nirender Pal
Strategic Behaviour Division, Defence Institute of Psychological Research, Drdo, Lucknow Road, Timarpur, Delhi - 110 054, India.
J Pharm Bioallied Sci. 2010 Jul;2(3):267-74. doi: 10.4103/0975-7406.68509.
Management of disaster effects, physical or psychological, has been the subject of considerable research. Though physical rehabilitation of the victims of any disaster, whether natural or man-made, receives immediate attention, the management of psychological trauma often remains a challenge for the disaster management machinery, in general, and mental health professionals, in particular. The magnitude of population affected, on the one hand, and lack of sufficient mental health professionals, on the other hand, often hinders the psychological rehabilitation of a cross section of the affected population. We attempt to present an overview of the literature to bring home the understanding of correlates of psychological effects in the mass disaster affected population in this article. It dwells on the efficacy of group counseling as the most appropriate paradigm of primary prevention to check the onset of severe psychological disorders. The article also presents an overview of two case studies: tsunami disaster (Nagapatanam, Tamil Nadu, India) and victims of bomb blast (Dhimajee, Assam, India) to highlight the silver lining in the psychological management of disaster traumas. It is proposed that group counseling can prove to be a most important mental rehabilitation program to further strengthen the efficacy of individual therapeutic interventions.
对灾难造成的身体或心理影响的管理一直是大量研究的主题。尽管对任何灾难(无论是自然灾害还是人为灾害)受害者的身体康复会立即受到关注,但总体而言,灾难管理机构,尤其是心理健康专业人员,对心理创伤的管理往往仍是一项挑战。一方面,受影响人口的规模,另一方面,心理健康专业人员的不足,常常阻碍了一部分受灾人群的心理康复。在本文中,我们试图概述相关文献,以使人们了解大规模灾难受灾人群中心理影响的相关因素。文章详述了团体咨询作为预防严重心理障碍发作的最适当一级预防模式的功效。本文还概述了两个案例研究:海啸灾难(印度泰米尔纳德邦纳加帕蒂南)和炸弹爆炸受害者(印度阿萨姆邦迪马吉),以突出灾难创伤心理管理中的一线希望。有人提出,团体咨询可能被证明是一个极其重要的心理康复项目,可进一步增强个体治疗干预的效果。