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MENTAL HEALTH MOMENT

MENTAL HEALTH MOMENT March 16, 2001

"Fall seven times, stand up eight." - Japanese Proverb ************************************************************************************************* DIVORCE EFFECT ON KIDS DEPENDS ON PARENTS' MARRIAGE Children of couples who fight the most and loudest tend to fare better psychologically and socially after divorce than do the children of couples whose marriage reflects few outward signs of strife, according to research published in the February edition of the Journal of Marriage and the Family. The effects of divorce on children are determined long before a marriage ends and can be either negative or positive depending on the level of conflict between the parents, say Penn State sociologists Alan Booth and Paul Amato. Their research is the first to examine not only how marital conflict shapes the impact of divorce on the long-time well-being of children, but also the personal attitudes and social factors that influence low-conflict couples to end a marriage or remain together. For more, go to http://www.psu.edu/ur/2001/marriage01.html * * * * * * * * * * DECLINING MENTAL SKILLS CAN CATCH YOU UNAWARE Penn State researchers say that we may lose some basic mental skills and not even realize it. In a study of 15 normal, healthy aged men and women that is the first of its kind, the researchers found that the subjects were unable to accurately estimate their prowess at reading maps, remaining attentive and pantomiming tool use. However, subjects were accurate in estimating their memory, or their ability to recall, and several others functions such as mood and vision. Dr. Anna Barrett, assistant professor of medicine and neurology in Penn State's College of Medicine, is the study's principal investigator. She says, if people are unaware of their level of performance, they can't take countermeasures or seek assistance when these skills decline. For more on this study presented at the International Neuropsychology Society, go to http://www.psu.edu/ur/2001/clueless.html *************************************************************************************************

Interventions Following A Disaster

WORKERS The following suggestions may be of use for workers during the first hours, days and weeks following a disaster: 1. Defusing This might occur quite spontaneously. Or it might be an organized staff meeting following an incident or operation. It is an informal debriefing in which personnel can begin to talk about their thoughts and feelings about the incident. It may happen over coffee or cleaning of equipment. The key is to keep the tone positive and supportive. Workers should not be criticized for how they feel or how they functioned. Team members and leaders should check on each other's well being and provide support to those who seem to be hardest hit by the incident. 2. Attend a debriefing if one is offered. Try to get one organized if it is not offered. 3. Talk about feelings as they arise. Listen to each other's feelings. 4. When listening, try to keep war stories to a minimum. It doesn't really help to hear that once-upon-a-time someone went through something worse. It doesn't help to hear "it could have been worse, so quit your complaining". 5. Don't take anger too personally. Anger is a normal feeling after a traumatic event. It sometimes gets vented at co-workers inadvertently. 6. Recognition is important. Co-workers should receive appreciation and positive feedback for a job well done. 7. Eat well and try to get adequate sleep in the days following the event. 8. Relaxation and stress management techniques are helpful. 9. Maintaining a normal routine and "taking care of business" help maintain a sense of order and accomplishment. Returning Home After Disaster Work Until recent years, little attention has been paid to the emotional issues faced by those who work on site following disasters. Homecomings in particular are frequently not as pleasant and rewarding as the worker had hoped and planned. Below are some ideas and suggestions for workers when thinking about and planning for going home: REST * Few workers get enough rest while working on a disaster. They are usually exhausted when they return home. it is very important to catch up on rest. This may take several days. * The need for rest may cause family problems. The family may want and need the worker's attention, time, and energy. Their needs must be considered. Try to anticipate the problem and negotiate your respective needs carefully. PACE * Disaster work is usually fast paced. you may find it difficult to gear down to a normal pace. You might find yourself rushing through tasks, moving quickly to additional tasks, or feeling guilty when you are not actively engaged in something. * Try to be tolerant of others who are moving at a slower pace. They are usually going at a normal pace! Resist the temptation to see others as lazy, slow, or uncommitted. * Before returning, try to anticipate the areas in which problems concerning pace might come up - both at home and at work. Thinking through situations where problems might develop will help you prepare for the actual situation. Discussing The Disaster * You may want to talk a lot about your disaster experience. Others may be interested. However, anticipate that: ~ others may not be interested ~ while they may be interested, they have not gone through the experience and may not feel as intensely as you. ~ others may want to tell you what has been happening to them during your absence. Be tolerant and understanding. What they have been through is as important to them as your experiences are to you. * Remember that just because people seem uninterested in hearing about the disaster, they aren't uninterested in you. The disaster has been so much a part of your life for the last few days and weeks that you may be pre-occupied with your experience when you return home. While others will be concerned about your well-being, they may have little interest in your disaster experience. * You may not want to talk a lot about your disaster experience - especially if the experience was a particularly difficult one for you or if you are very fatigued. Help those around you understand that you are still processing or recovering from your experience and are not ready to talk yet. You may want to reassure them that this is not an effort to exclude them, but that you just need some time. * Understand that you may alternate between wanting and not wanting to talk about your disaster experience. This switching may be disconcerting because you may not be able to predict or control these shifts. You probably heard the same thing from victims who were afraid because they could not control their emotions. Over time, these shifts will become less frequent and surprising. Understand, and help those around you understand, that this is a normal and natural response. Emotional Reactions Most workers, upon returning home, have emotional reactions that surprise and sometimes frighten them. If you can anticipate some of these emotions, you can manage them better. Below are some examples: * Disappointment often results when expectations about returning home do not match the reception. You may have anticipated happy reunions with family and colleagues only to find them angry because of your absence. Try to keep reunion expectations realistic. * Workers sometimes experience frustration and conflict when their needs are inconsistent with the needs of family and colleagues. You often hear of the disaster worker who returns home after weeks of eating hotel food, desperately wanting a home-cooked meal, only to find a spouse who can't wait to go out for dinner! * You may become angry when you are exposed to people's problems that seem minor or even trivial compared to what you have seen at the disaster site. This may happen reading the paper, watching TV, or talking with family and friends. it is important to remember that you can easily hurt people by minimizing their concerns and problems. * Most workers have been introduced to the concept of "victim identification". You have a strong emotional response to some victims because, in some way, they remind you of yourself or someone important to you. The flip side of the same concept occurs when you return home. Thjat is, friends and family members (children, spouse, parents, etc.) may remind you of disaster victims you have seen. This may produce intense emotional reactions that not only surprise you, but also surprise and confuse the unwitting recipient of these emotions. Help others understand this phenomenon. * Mood swings are common upon return home. You may change frequently from happy to sad, tense to relaxed, outgoing to quiet, etc. These mood swings are normal and natural. They are part of the process by which you resolve conflicting and contradictory feelings. As time passes, these mood swings will become less dramatic, less frequent, and less surprising. Children Dealing with children upon returning home deserves some special note. It is important to give children information in ways that help increase their understanding and do not confuse or frighten them. Help young children understand why you were away and what you did. Think in advance about the kind of information they might want and the level of detail you should provide. It is usually not advisable to provide dramatic stories or graphic details of damage that might frighten children and generate fears of their own vulnerability as well as yours. If you have collected newspaper pictures and stories, you may want to share them with older children. Don't forget to encourage children to talk about what happened in their lives during your absence. They will find your interest reassuring. Growth The days and weeks after returning home from working on a disaster provide good opportunities for introspection. You have seen stress, disruption, and destruction. You have seen people at their strongest and at their most vulnerable. You have worked under difficult and stressful circumstances. You have been pulled away, for a variety of motives, from your day-to-day life, worked and lived in strange surroundings, and returned home again. You have undoubtedly gone through some personal growth. To help understand how you may have changed, ask yourself the following questions: * Have you learned anything that can help you grow? * What was rewarding about the experience? * What have you learned about your own abilities? * What have you learned about other people? * Are there things you would like to do differently in the future? ***********************************************************************************************
For further information on this topic and to search for and purchase books online, go to the following search engine and begin your search by trying the following descriptors: Disasters, disasters and children, disasters and defusing, disasters and debriefing, disasters and stress, disasters and emotions, disaster workers and stress, disaster workers and emotions, disaster workers and debriefing, etc. https://www.angelfire.com/biz/odochartaigh/searchbooks.html
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*********************************************************************************************** Contact your local Mental Health Center or check the yellow pages for counselors, psychologists, therapists, and other Mental health Professionals in your area for further information. ********************************************************************************************* George W. Doherty O'Dochartaigh Associates Box 786 Laramie, WY 82073-0786 MENTAL HEALTH MOMENT Online: https://www.angelfire.com/biz3/news