Dixon P, Rehling G, Shiwach R
District Psychologist South East Kent Health Authority.
Br J Med Psychol. 1993 Jun;66(2):193-202. doi: 10.1111/j.2044-8341.1993.tb01741.x.
We report on an unexpected phenomenon following the Herald of Free Enterprise disaster. A series of cross-channel ferry workers referred by their GPs to the Folkestone Mental Health Team, during the three years after the disaster, presented with post-traumatic stress disorder, despite having no direct contact with the disaster as survivors, bereaved relatives or helpers. A retrospective case study is described of 14 ferry crew members presenting with PTSD. Thirteen completed the GHQ60. Evidence is presented of severe functional impairment in this group. It is argued that these subjects are indirect victims of the Herald of Free Enterprise disaster. Ways in which the 'ripples outward' of a major marine accident might extend to such peripheral victims are discussed.
我们报告了“自由企业先驱”号灾难后出现的一个意外现象。在灾难发生后的三年里，一系列经全科医生转介至福克斯通心理健康团队的英吉利海峡渡轮工作人员，尽管没有作为幸存者、遇难者亲属或救援人员直接接触灾难，但却出现了创伤后应激障碍。本文描述了一项对14名患有创伤后应激障碍的渡轮船员的回顾性案例研究。其中13人完成了一般健康问卷60项版本（GHQ60）。文中给出了该群体存在严重功能障碍的证据。有人认为这些人是“自由企业先驱”号灾难的间接受害者。文中讨论了重大海难的“向外涟漪效应”可能延伸至这类边缘受害者的方式。
