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Trauma

Crises occur quickly and unexpectedly. They comprise of components of threat and surprise, which produce stress and thereby cause subsequent distressing reactions in survivors. Crises are also marked by high levels of potential danger (such as loss of life) and fast actions by public officials to counteract any potential threat that may arise from the crisis. These potential dangers are unanticipated events that throw off the everyday patterns of life. The very nature of crises produces conditions that may lead to physical and/or psychological trauma. Conceptually, trauma is any psychological or physical injury that requires immediate or long-term professional help. Consequently, many individuals who encounter a crisis must seek professional treatment from trained crisis management counselors who have the ability and talent to work effectively with people who have experienced trauma as a result of a crisis.

For individuals affected by a crisis, the events produce a flood of emotions that may cause direct physical harm. Oftentimes, in the aftermath of a crisis, individuals find themselves in a situation that is completely unanticipated and beyond their previous experiences. If such emotional responses are not experienced and managed appropriately, ineffective coping mechanisms may occur, which then manifest themselves in negative long-term consequences that include post-traumatic stress disorder (PTSD) involving depression. The condition of depression may inhibit personal recovery. There are more favorable ways to cope with the uncertainty surrounding disaster situations and crisis that involve acceptance and lead to rebuilding. Therefore, how people cope psychologically immediately following a catastrophic event can influence how well they recover from the event.

Case Study: I-35W Bridge Collapse

On August 1, 2007, at 6:05 p.m., an almost-2,000-foot section of a bridge on I-35W fell into the Mississippi River and onto roadways below in Minneapolis, Minnesota. The collapse killed 13 and injured 145 others. This north-south bridge connected the Minneapolis neighborhoods of Downtown East and Marcy-Holmes. Despite being under renovation, the bridge was packed with rush-hour traffic. With an estimated 100 vehicles on the bridge, the concrete and steel bridge buckled suddenly under the weight of heavy traffic. The high levels of traffic at the time of the collapse resulted in dozens of vehicles falling with the bridge and nearby individuals scrambling for safety. This type of crisis can be classified as a technical-error accident, or a breakdown in infrastructure. Such crises can cause both physical and psychological harm. The media spectacle of the bridge collapse was replayed on television news throughout the evening across the country and for days locally in Minnesota, along with the video of a school bus filled with children that had slid down the embankment as the bridge failed.

Over the course of five days following the bridge collapse, 166 questionnaires were collected from Minneapolis residents. The study examined the coping strategies of individuals and the subsequent results of those strategies. The goal of the study was to examine how people cope in the aftermath of an infrastructure breakdown and to use those results to aid recovery workers and inform emergency practitioners on how to prepare to meet the needs of the general population in such an event. The self-report questionnaire was used to address the emotional state and coping behaviors of local residents. The study found that emotional distress in the period immediately after the collapse was related to the endorsement of a number of coping strategies. Specifically, women reported experiencing higher levels of psychological distress than men and endorsed thinking and seeking information about the event more than men. Regardless of gender, thinking about the crisis was associated with a decrease in feelings of fright between the initial period after the crisis and several days after the event.

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