Psychological Effects Of
Terrorism
Can Affect Firefighter Performance
By Terence T. Gorski
January 14, 2001
<Complete
Coverage Of Terrorist Attacks For Firefighters>
The psychological effects of terrorism
can affect the
performance of firefighters
and other emergency professionals. The
attacks of September 11th have
had a
significant effect upon upon many if not
most firefighters across
the country and
around the world.
There are two common psychological
effects to
terrorist violence:
Critical Incident Stress Reactions (CISR),
which occurs during or within 6 - 12 weeks following the critical
incident, and
Post Traumatic Stress Disorder (PTSD), which can
last for months or years following the incident unless proper treatment
is received.
There are clear indicators that at least 80% of fire
and emergency personnel responding large scale disasters experience
moderate to severe symptoms of Critical Incident Stress Reactions (CISR)
during or shortly after the incident. This is a normal response to
an abnormally stressful and dangerous situation. In most cases the CISR symptoms will
diminish by themselves without treatment in about 70% of the
cases. This is especially true if the emergency professionals and
their families have completed pre-incident preparation to deal with the
traumatic effects of large scale disaster. In 30% of the cases, however, the CISR will progress into a
more severe and long-lasting case of Post Traumatic Stress Disorder
(PTSD).
There are several new aspects to the September 11th Terrorist
Attacks that are breaking new ground. The first new aspect is the
overwhelming extent of the death destruction. Even after visiting
Ground Zero in New York it was difficult to imagine the number of people
killed and the amount of property destroyed within a period of several
hours.
The second new aspect is the large number of emergency
services personnel killed in the tragedy. Never before have so
many fire fighter, police officers, and other emergency first responders
been killed in response to a single disaster. This produces both
intense grief at the loss of fellows.
The third factor is the wide spread coverage of the disaster on
television. At least 80% of all Americans watched repeated replays
of the terrorist attacks. About 50% will develop CISR and of those
who develop CISR about 30% will then develop the symptoms of PTSD.
The fourth new aspect is the ongoing risk as the threat of terrorism
continues. Emergency professionals are more likely to be affected by
the ongoing terrorist threat because they are the designated first
responders for future attacks in the communities.
Although uniformed professionals have always known they were high risk
targets, this risk was dramatically dramatically driven home on
September 11th. Every emergency call can trigger those memories as
a bleak reminder of personal and professional vulnerability.
The fifth new aspect is the need to study the terrorist disasters in
depth. Most, if not all, firefighters have not only watched
the terrorist attacks, but have studied them in detail as a part of their
job. As professionals, we all know that there are lessons to be
learned f4rom these horrible disasters. Failure to learn these
lesson can cost more lives in the future. But these lessons must
be learned by looking into the abyss of death and destruction. And
whenever we look into the abyss, the abyss tends to strike back by
causing a deep sense of physical and emotional horror and
revulsion. Reviewing films and detailed accounts of the death and
destruction to learn the lessons necessary to save lives in the future
can trigger critical incident reactions even in experienced
professionals.
All of these factors can create a natural tendency for
emergency professionals to experience anxiety and
flash-back type reactions when responding to calls that activate
memories of the terrorist attacks is normal and common. The
following article illustrates the typical reactions caused by unresolved
Critical incident Stress. There are simple procedures that
firefighters can learn to help them manage and resolve these symptoms.
<Complete
Coverage Of Terrorist Attacks For Firefighters>