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The Threat of Pandemics to Interwoven Material, Social, Health, and Political Resources: Conservation of Resources as a Strategy for Avoiding Repeating Past Failure
Abstract
The COVID-19 pandemic has shown that all emergencies, major incidents and disease outbreaks can have substantial mental health consequences, and it has demonstrated the proven need for additional care for populations in the wake of disasters. This book brings together practice and recent developments in pre-hospital emergency care, emergency medicine and major trauma care with the wellbeing, psychosocial and mental health aspects of preparing for and responding to emergencies, incidents, terrorism, disasters, epidemics, and pandemics. Practical suggestions are included for future planning to provide better care for people caught up in emergencies. Setting it apart from other books on emergency preparedness is its specific focus on the psychosocial demands imposed on staff of healthcare and responding services. Featuring expert contributions from a wide variety of disciplines, this book appeals to people working within mental healthcare, emergency care, pre-hospital medicine, Blue Light services, public health, humanitarian care, emergency planning, and disaster management.
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Psychology has increasingly turned to the study of psychosocial resources in the examination of well-being. How resources are being studied and resource models that have been proffered are considered, and an attempt is made to examine elements that bridge across models. As resource models span health, community, cognitive, and clinical psychology, the question is raised of whether there is overuse of the resource metaphor or whether there exists some underlying principles that can be gleaned and incorporated to advance research. The contribution of resources for understanding multicultural and pan-historical adaptation in the face of challenge is considered. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Major perspectives concerning stress are presented with the goal of clarifying the nature of what has proved to be a heuristic but vague construct. Current conceptualizations of stress are challenged as being too phenomenological and ambiguous, and consequently, not given to direct empirical testing. Indeed, it is argued that researchers have tended to avoid the problem of defining stress, choosing to study stress without reference to a clear framework. A new stress model called the model of conservation of resources is presented as an alternative. This resource-oriented model is based on the supposition that people strive to retain, project, and build resources and that what is threatening to them is the potential or actual loss of these valued resources. Implications of the model of conservation of resources for new research directions are discussed.
The authors conducted a large-scale study of terrorism in Israel via telephone surveys in September 2003 with 905 adult Jewish and Palestinian citizens of Israel (PCIs). Structural equation path modeling indicated that exposure to terrorism was significantly related to greater loss and gain of psychosocial resources and to greater posttraumatic stress disorder (PTSD) and depressive symptoms. Psychosocial resource loss and gain associated with terrorism were, in turn, significantly related to both greater PTSD and depressive symptoms. PCIs had significantly higher levels of PTSD and depressive symptoms than Jews. Further, PTSD symptoms in particular were related to greater authoritarian beliefs and ethnocentrism, suggesting how PTSD may lead to a self-protective style of defensive coping.
Anna Foa's richly innovative history of Jewish life in Europe from the fourteenth through the nineteenth century breaks through the boundaries of traditional narratives. Instead of featuring a long series of catastrophes and cataclysms and the Jews' responses to them, Foa concentrates on the creative aspects of Jewish life, and on continuities and correspondences among very different local Jewish communities. Foa's illuminating overview of the issues and debates that have dominated the study of Western European Jewish society more than justifies her blending of narrative history with thematic investigations. This is, perhaps surprisingly, the story of a stability that underlies and survives change. In a new afterword, prepared expressly for the English edition, Foa talks about the twentieth century's two transforming phenomena, Zionism and the Holocaust, and the ways they have changed Jewish identity and historiography.
Disaster research has increasingly examined how personal characteristics mediate emotional recovery following disaster exposure. We investigated the importance of lost resources, coping self-efficacy, and coping behavior as important variables in acute disaster reaction and medium range disaster recovery following Hurricane Andrew. One hundred and eighty participants living in southern Dade county completed the initial phase of the study (1–4 months post-hurricane), with 135 individuals completing the second wave (8–12 months post-hurricane). Results confirmed that lost resources, coping self-efficacy, and coping behavior are important in understanding psychological reactivity following a natural disaster. These variables together provided the best fitted causal model for describing psychological reactions to the hurricane over time. Results are discussed in relation to how coping self-efficacy may serve as an important intra-personal factor that mediates how lost resources are managed and how effective coping ensues. Implications for clinical interventions are also addressed.
Applied Hobfoll's (1988; 1989) Conservation of Resources (COR) stress theory to the instance of traumatic stress. COR theory posits that stress occurs when resources are threatened, when resources are lost, or when individuals invest resources without gaining adequate resources in return. Traumatic stress is seen as particularly threatening to resources and results in rapid resource depletion when it occurs. The rapidness of resource loss is related to the fact that traumatic stressors (1) often attack people's basic values, (2) often occur unexpectedly, (3) make excessive demands, (4) are outside of the realm for which resource utilization strategies have been developed, and (5) leave a powerful mental image that is easily evoked by cues associated with the event. Results from research on traumatic stress are used to illustrate these points and implications for treatment are discussed.
The current study employed the Conservation of Resources (COR) stress model as a template for understanding short-term adjustment following a natural disaster (Hobfoll, 1989). The following three hypotheses were supported: resource loss was positively related to psychological distress; resource loss was relatively more important in predicting psychological distress than personal characteristics and coping behavior; and, resource loss constitutes a risk factor for the development of clinically significant psychological distress. The theoretical importance of the current findings is discussed, particularly the tendency within disaster literature to confound crisis experiences (e.g., terror) with resource loss experiences (e.g., loss of possessions, loss of social support) when defining degree of disaster exposure. Also, the practical importance of considering resource loss in planning intervention services is highlighted.
Abstract The stress, resource, and symptom levels of 241 residents of southern Dade County, Florida were assessed 6 and 30 months after Hurricane Andrew. Percentages meeting study criteria for depression and PTSD did not change over time. Whereas mean levels of intrusion and arousal decreased, depressive symptoms remained stable, and avoidance/numbing symptoms actually increased. Intrusion and arousal were associated more strongly with pre-disaster factors (gender, ethnicity) and within-disaster factors (injury, property loss) than with post-disaster factors (stress, resources), but the reverse was true for depression and avoidance. Changes over time in symptoms were largely explained by changes over time in stress and resources. The findings indicate that ongoing services are needed to supplement the crisis-oriented assistance typically offered to disaster victims.
Israel has faced ongoing terrorism since the beginning of the Al Aqsa Intifada in September 2000. The authors examined risk and resiliency factors associated with posttraumatic stress disorder (PTSD) among 1,117 Jews and 394 Arab adult citizens of Israel during August and September 2004 through telephone interviews. Probable PTSD was found among 6.6% of Jews and 18.0% of Arabs. Predictors of probable PTSD in a multivariate model for Jews were refusal to report income, being traditionally religious, economic and psychosocial resource loss, greater traumatic growth, and lower social support. For Arabs, predictors were low education and economic resource loss among those exposed to terrorism. Findings for only those directly exposed to terrorism were similar to those for the overall national sample.
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