09.10.2021 Views

Historic Trauma and Aboriginal Healing

by Cynthia C. Wesley-Esquimaux, Ph.D. and Magdalena Smolewski, Ph.D.

by Cynthia C. Wesley-Esquimaux, Ph.D. and Magdalena Smolewski, Ph.D.

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Chapter 2<br />

There is often the feeling of guilt associated with the conflict of saving oneself or saving<br />

others. Maladaptive psychological reactions during a disaster include paralyzing anxiety,<br />

uncontrolled flight reaction <strong>and</strong> group panic (Wig, 2001:3).<br />

Different emotional reactions may occur after a disaster.<br />

In the beginning, many people feel numb. Some may even feel elated or relieved that<br />

they have been saved, but soon the enormity of the tragedy becomes obvious [<strong>and</strong>]<br />

[t]he effects of mental stress start showing. Post-disaster reactions include an intense<br />

feeling of anxiety, accompanied by “flashbacks” or frightening memories of the painful<br />

experience. Nightmares are usual in which the person wakes up with a frightening<br />

dream <strong>and</strong> the feeling of panic. The suffering individual remains tense all the time <strong>and</strong><br />

fearful that something terrible may happen again. He or she tries to avoid any reference<br />

to the events of the disaster. Other common symptoms are the loss of sleep, poor<br />

appetite <strong>and</strong> social withdrawal. Some become very sad <strong>and</strong> depressed, losing interest in<br />

all activities. Various kinds of bodily symptoms also appear (Wig, 2001:3).<br />

In two types of cases, the symptoms can last for many months <strong>and</strong> even years.<br />

These [two types] are: (a) prolonged grief reaction <strong>and</strong> depression after the death of<br />

close relatives; <strong>and</strong> (b) Post-<strong>Trauma</strong>tic Stresses Disorder (PTSD). In the case of PTSD,<br />

a person continues to get “flashbacks” of painful events; the mood is anxious, irritable<br />

<strong>and</strong> depressed. In addition, there may be multiple bodily symptoms like headache <strong>and</strong><br />

giddiness. The patient complains of poor sleep, bad dreams, poor concentration <strong>and</strong><br />

the inability to work. Such symptoms can last for a long time (Wig, 2001:3).<br />

The development of characteristic symptoms following a psychologically upsetting event occurring<br />

outside the range of normal human experience is the key feature of post-traumatic stress disorder<br />

(American Psychiatric Association, 1994). Typically, the traumatic event may be re-experienced in<br />

several ways. Based on the clinical categories listed in the Diagnostic <strong>and</strong> Statistic Manual of Mental<br />

Disorders (DSM-IV), several psychological symptoms may be displayed:<br />

• the person may have recurrent <strong>and</strong> intrusive recollections of the event or recurrent distressing dreams.<br />

There are dissociative states during which the components of the event are relived, <strong>and</strong> the person<br />

behaves as if he or she is experiencing earlier events at that moment;<br />

• there may be intense psychological distress when the person is exposed to events that resemble an<br />

aspect of the traumatic event or that symbolize the traumatic event;<br />

• there may be persistent avoidance of stimuli associated with the trauma, or a numbing of general<br />

responsiveness that was not present before the trauma;<br />

• the person may commonly make deliberate efforts to avoid thoughts or feelings about the traumatic<br />

event <strong>and</strong> about activities or situations that arouse recollections of it; <strong>and</strong><br />

49

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