Psychological responses of rescue workers: fire fighters and trauma


The psychological responses of two groups of fire fighters were examined following the performance of rescue work. Four types of responses were reported: identification with the victims, feelings of helplessness and guilt, fear of the unknown, and physiological reactions. Stress was found to be mediated by availability of social support, type of leadership, level of training, and use of rituals. Implications of these findings for preventive intervention measures are discussed.

Assessment of life stress events: the etiology and measurement of traumatic stress disorder


The impact of stressful life events on health has been of considerable interest from a cross-cultural perspective. Examined herein is the etiology and onset of post-traumatic stress disorder with careful review of the diagnostic criteria, current measures used and clinical dimensions of PTSD. Also examined from a cross-cultural perspective is how psychological trauma may be processed by victims of trauma and subsequent approaches both pharmacological and psychotherapeutic to the treatment of post-traumatic stress disorder.


Psychotraumatic Stress and Anxiety

Psychotraumatic stress and anxiety refers to psychotrauma and psychotraumatic situations and experiences. It is also related to psychotraumatic reactions and disorders...

Lessons for mobile medical teams following the Lockerbie and Guthrie Street disasters


The response of Medic 1 to two recent major incidents is described and the changes adopted as a result of these experiences and the broader implications for national disaster coordination are discussed.

Screening child survivors for post-traumatic stress disorders: experiences from the 'Jupiter' sinking


Twenty-four girls who survived the sinking of the 'Jupiter' in October 1988 were screened 10 days after the accident on the Impact of Events Scale, the Birleson Depression Scale and the Revised Children's Manifest Anxiety Scale. Scores at 10 days were associated strongly with help seeking over the following few months and were highly predictive of scores five months after the accident. Survivors were clearly differentiated from controls on all three measures. The battery seems useful in screening post-traumatic stress disorders in teenage children.

The King's Cross fire. Part 2: The psychological injuries.


This paper describes the experiences of six people who received severe burns in the King's Cross Underground Station fire of 1987. They all developed post-traumatic stress disorder to varying levels of intensity and the problems of psychological intervention as they related to the patients' different mental defence mechanisms are outlined.

Posttraumatic stress disorder after a school shooting: effects of symptom threshold selection and diagnosis by DSM-III, DSM-III-R, or proposed DSM-IV.



The purpose of the study was to investigate the effect of symptom threshold and criteria set selections on the diagnosis of posttraumatic stress disorder (PTSD) in adults and children exposed to a man-made disaster and determine how well DSM-III and its successors agree.