Reflections on 9/11: Vulnerability and strength in the “new world order”

One year after the tragedy and horror of the events of September 11, 2001, many still struggle to understand their meaning and long‐term impact. This article provides a brief overview of critical stress debriefings and describes the author's work offering disaster mental health services to survivors of the World Trade Center attacks in the immediate aftermath of the 9/11 disaster. The essay considers gaps in mental health services and the toll that such relief work can take on mental health responders. Implications for healing are considered in the context of the government's crackdown on civil liberties and its plans for war with Iraq.     

Predictors of Posttraumatic Growth Among Adult Tsunami Survivors: The Role of Employment,Religion, and Family Attributes

ABSTRACT

This study examined the positive effects of trauma exposure among adult survivors of the 2004 Indian Ocean tsunami and was guided by a bioecological framework. A total of 301 adults from India were assessed for posttraumatic growth and a set of demographic, individual, family, and social capital variables. Hierarchical regression analysis revealed that religion, employment, family type, family flexibility, and family communication were significant predictors of posttraumatic growth. Contrary to expectations, individual factors and social capital did not contribute to posttraumatic growth. Findings imply that helping survivors make meaning out of their traumatic experience may facilitate posttraumatic growth. Intervention to promote increased employment opportunities and family resources is highly recommended for adult trauma survivors. Future trauma research should explore the role of perceived as well as actual familial and community resources, in addition to personal resources, in fostering posttraumatic growth.     

Psychosocial Reaction and Trauma After a Natural Disaster: The Role of Coping Behavior

This study examined the relationship between psychosocial reaction, coping behavior and trauma among natural disaster survivors in West Java, Indonesia. One hundred and one subjects were studied. The roles of coping behavior as a moderating factor were also tested. Psychosocial reaction during disaster and coping behavior were significantly correlated with trauma. Hierarchical regression analysis found that coping behavior was a significant potential moderating variable in terms of correlation between psychosocial reaction and trauma after a natural disaster.     

Coping skills of ritual abuse survivors: An exploratory study

Abstract

This research project was undertaken with survivors of ritual abuse to explore their coping skills at the time of the abuse and in adulthood around the memories of the abuse. In this qualitative study, data were gathered both from 14 therapists who specialize in treating survivors of ritual abuse and from three survivors of ritual abuse. Data gathering utilized semi‐structured interview schedules and structured coping scales.

Principal findings were that the ritual abuse survivors represented in this study used dissociation as the main coping mechanism both during the time of the abuse and in adulthood around memories of the abuse, that there was a developmental progression of coping skills used by these survivors over time, and that they relied on the use of self‐mutilating behaviors as creative means of affect management. Implications and future research are discussed.     

The perception and utilisation of social support in times of cultural change: the case of Arabs in Israel

Arabs in Israel are currently undergoing a modernisation process characterised by a gradual shift from a collectivistic to an individualistic cultural orientation. During such a transition, perceptions and utilisation of social support assume great significance. This article examines perceptions and utilisation patterns of social support networks among Arabs in Israel. The research population consisted of 507 respondents, representative of the Arab population, randomly selected by means of a telephone survey. Findings are discussed within the context of modernisation processes, collectivistic and individualistic cultural orientations, and their association with the perception and utilisation of social support.     

Disaster Outreach Service Provision

ABSTRACT

This article reports preliminary findings on the development of an index that measures outreach workers' perceptions of the provision of services to survivors of natural disasters. Data were collected from a sample of 64 outreach counselors who worked for Project Recovery during the Great Flood of 1993 along the Mississippi River in Illinois. Factor analyses were used to identify a 15 item index. The fifteen items represent five factors which explained 82.2% of the variance among the items. The resulting Disaster Outreach Service Provision (DOSP) Index has acceptable reliability estimates (Alpha = .83) and appears normally distributed. The index represents an important step in filling the need for measurement instruments designed specifically for use in natural disaster situations. Such instruments can be used in evaluating the provision of disaster relief services and in conducting disaster related research.     

How can community-based health organisations play a role in biohazards? A thematic analysis

ABSTRACT

Health professionals respond to biohazards according to international guidelines. However, concerns over the applicability of guidelines do exist since local conditions, as well as cultural traits of communities, tend to differ. Community-Based Health Organisations (CBHOs) are gatekeepers of communities whose roles and responsibilities have been assessed in this study to learn how they can assist health systems in times of biohazards. We conducted a content analysis among directors of CBHOs and disaster authorities. The participants read a hypothetical scenario, followed by a semi-structured interview. The results showed that more investments should be made to improve the functional roles of CBHOs during biological hazards by filling capacity gaps and take advantage of existing capabilities. Therefore, communities need to direct their efforts in the context of social capitals and leading strategies. As long as the state’ policies and strategies limit the power of communities, the CBHOs will experience social exclusion and equality.     

Social Support and Coping in Families Facing Prostate Cancer

ABSTRACT

To date, little research has been conducted to examine the experiences of Asian and Native Hawaiian families in facing prostate cancer. A survey was conducted with 100 participants (including both survivors and family members) of Native Hawaiian, Japanese, Chinese, Filipino, and Caucasian ancestry in Honolulu, HI. Results indicated differences in the ways that survivors and their family members cope with the illness. While treatment-related variables played a significant role in coping among survivors, family members’ experiences were more likely to be predicted by the relationship they maintained with the survivor. Implications for improving current practice and the need for future research to establish effective strategies to assist prostate cancer survivors and their family members will be addressed based on the results of this study.     

Coping and Post-traumatic Stress after Hurricanes Katrina and Rita: Racial Disparities in Social Work Student-Practitioners

ABSTRACT

Recent hurricanes have focused on lives and properties lost, however, additional mental health concerns may emerge in these post-disaster settings. Post-traumatic stress symptoms (PTSS) are particularly problematic for minorities due to pre-disaster disparities. Scholars must thus examine the antecedents of PTSS to support these and other vulnerable individuals and communities. This study examined racial disparities regarding active and avoidant coping, prayer, and subsequent relative contribution of each to PTSS following Hurricanes Katrina and Rita among social work student-practitioners. Using secondary data, results revealed that minority students (n = 233) used coping via prayer more often than their non-minority peers (n = 124; t = 7.18, p < .000; d = 0.76). Moderate, positive relationships emerged between avoidant coping and PTSS for both groups (r = .58–.63, p<.01), though prayer did not emerge as inversely related to PTSS as anticipated. Avoidant coping accounted for the largest variation in PTSS for both groups (β = .35–.51, p<.001). Sampling, survey methods, and PTSS measures limit generalizability and temper findings. Directions for future research include use of PTSS measures that account for severity and cultural context and examination of coping measure psychometrics. Practice implications include enhanced publicity regarding social services available to student-practitioners on college campuses and within the community.     

Challenges of social workers' involvement in the recovery of the 5.12 Wenchuan Earthquake in China

This article explores the challenges of social workers' involvement in recovery work of the 5.12 Wenchuan Earthquake (12 May 2008). Six social workers working in three social work stations in Sichuan, China, were asked to report the challenges they faced in working with disaster survivors. Findings reveal that the social workers faced many challenges. These include lack of government support, low professional status of social work, rapid changes in the social environment in disaster‐affected areas, lack of supervision, lack of cooperation and coordination among social service agencies, and lack of experience and knowledge in working with disaster survivors. The practical, educational and policy implications of the findings are addressed.     

Use of domestic craft for meaning-making post-disaster

Much of the post-disaster research has focused on the vulnerability of affected populations and deleterious effects of such events on mental health, living conditions and employment. Little scholarly consideration has been given to investigating the resourceful activities of everyday living that occupants of disaster-ridden locations use to strengthen coping and aid recovery. This article reports on research conducted after the Christchurch 2010–2011 earthquakes aimed at capturing how people have used crafting as a means of connecting with others and aiding recovery. Using participant voices from five focus group and nine individual interviews, findings from this research show how Cantabrians used the activity of crafting to bring people together, generating a form of healing and recovery. Incorporating symbolism, expressions of compassion and restoring broken materials within their crafting helped participants generate strong and positive responses to a traumatic series of events. The benefits of these crafting efforts were realised on both individual and community levels, signalling the importance of creativity in disaster response work. While reference to domestic crafting has been largely absent from earlier research on disaster recovery we demonstrate how this medium has been powerful in enabling individuals to forge their own recovery after the 22 February 2011 Christchurch earthquake.     

Relationships among financial satisfaction,life satisfaction,and political action: A comparative study of the United States and South Korea

This study explores the potential impact of cultural orientation on the relationship between financial satisfaction, life satisfaction, and political action within the United States and South Korea. The total sample size was 3,432 individuals (United States = 2,232, South Korea = 1,200). 1 confirmatory factor analysis (CFA) model and a path analysis model were assessed using a maximum likelihood estimation. The findings showed a strong positive relationship between financial satisfaction and life satisfaction in both countries. Also, in both countries, more progressive individuals participated in more political actions. When exploring political action, we find an inverse relationship—with greater political action among lower‐income individuals in the United States and greater political action among higher‐income in South Korea. In South Korea (culturally “collectivistic”), middle‐income individuals were also found to participate in political actions that likely benefit larger segments of society. From a cultural dimensions theory perspective, these data suggest political actions in the United States (classified as “individualistic”) were largely conducted by low‐income individuals, potentially as means to enhance their individual well‐being.     

Tangible and Spiritual Relief After the Storm

Abstract

This study assessed the types of social services and spiritual messages that were provided by Baton Rouge area churches following Hurricane Katrina. Church representatives (n = 157) completed a 26-item survey which consisted of open and closed ended questions. The most common resources provided by churches included food, clothing, and financial assistance. Nearly 75% of churches attempted to connect evacuees with outside state and federal resources. The greatest unmet needs reported by churches included evacuee shelter and housing, and on-site computer and internet access. Churches recommend preparedness, triage care, and leadership for other churches that find themselves the first responders following a disaster. Because of their responsiveness to the needs of communities, clergy need to be trained in disaster management. Moreover, government monies could be well-spent in supporting faith-based disaster initiatives .     

Separate and unequal: post-tsunami aid distribution in Southern India

Objective. Disasters are a regular occurrence throughout the world. Whether all eligible victims of a catastrophe receive similar amounts of aid from governments and donors following a crisis remains an open question.Methods. I use data on 62 similarly damaged inland fishing villages in five districts of southeastern India following the 2004 Indian Ocean tsunami to measure the causal influence of caste, location, wealth, and bridging social capital on the receipt of aid. Using two-limit tobit and negative binomial models, I investigate the factors that influence the time spent in refugee camps, receipt of an initial aid packet, and receipt of 4,000 rupees.Results. Caste, family status, and wealth proved to be powerful predictors of beneficiaries and nonbeneficiaries during the aid process.Conclusion. While many scholars and practitioners envision aid distribution as primarily a technocratic process, this research shows that discrimination and financial resources strongly affect the flow of disaster aid.     

Preparing Social Work Students for Working with Disaster Survivors

This paper is an overview of disaster social work and preparing social work students for working with disaster survivors. Disaster has common immediate, and medium‐ and long‐term problems and needs. Experiences from various countries throughout the world suggest a range of helping roles and tasks that social work is suited for. A social work professional has particular expertise in understanding and addressing the immediate, and medium‐ and longer term effects of loss on individuals, families, and communities affected by a disaster. In preparing social work students for working with disaster survivors, social work programs do not introduce enough subject matter or course work about disasters. Practice training, field work, collaboration work, and community service in disaster relief are important academic environments for social work students when learning and practising in disaster settings.     

HIV prevention and sex workers: an international lesson in empowerment

This article examines the impact and influence of advocacy on HIV prevention efforts among sex workers in India. A novel project initiated in Songachi, a red-light district in Calcutta, was instrumental in reducing the rate of new infections among sex workers and increasing the use of condoms to significant levels. The Songachi Project utilised methods and techniques that empowered this stigmatised, exploited and disenfranchised segment of the population. The impact of this World Bank-aided project was far-reaching; a key benefit is that it can be duplicated in developing countries around the world. Social workers involved in harm reduction initiatives and HIV/AIDS prevention efforts with at-risk groups like sex workers can develop their own prevention programmes utilising this model as presented here.     

The mediating role of coping self‐efficacy beliefs on the relationship between parental conflict and child psychological adjustment

The effect of parental conflict on children's psychological adjustment is variable. Coping self‐efficacy refers to a person's perceived ability to self‐motivate and access the required cognitive resources to take control of, or exert their coping efforts in a stressful situation. This study investigated the mediating role of children's coping self‐efficacy beliefs between parental conflict and children's psychological adjustment (internalizing, externalizing, anxiety, and prosocial behavior). The participants were 663 school students in grade 5 (M = 10.17 years, SD = .53) and grade 7 (M = 12.11 years, SD = .52). The ethnic composition of the sample was approximately 72% White, 20% Asian, 4% Middle Eastern, and 4% from other ethnic groups. Coping self‐efficacy for avoiding maladaptive cognitions mediated the effect of parental conflict on children's internalizing symptoms longitudinally. The higher the level of parental conflict, the lower the level of children's coping self‐efficacy for avoiding maladaptive cognitions and in turn the higher their levels of internalizing. These findings support the mediational role of children's coping self‐efficacy beliefs in the context of parental conflict. It is proposed that these beliefs should be considered in designing and implementing preventative interventions for children in the context of parental conflict.     

The unheard and forgotten warriors of pandemic in India

ABSTRACT

This narrative tells the story of two groups: Aanganwadi Group and the Nigrani Group. The former consists of women working under the ICDS (Integrated Child Development Scheme), a flagship program of the Government of India. The latter consists of local youth. The groups’ efforts, during the COVID-19 pandemic, are to ensure food security to migrants and other marginalized people. Despite the high risk of them becoming infected with the coronavirus, the Aanganwadi Group and Nigrani Group are working against all the odds. They are risking their lives to save lives, during the total lockdown in India. My story highlights the value of coordinated efforts between groups to optimize relief efforts for migrant workers during this unprecedented time of forced, sudden lockdown.     

Longitudinal associations between coping and peer victimization: Moderation by gender and initial peer victimization

Stress coping theories suggest that the effectiveness of coping depends on the level of stress experienced. Existing research shows that efforts to cope with high levels of peer victimization may not prevent subsequent peer victimization. Additionally, associations between coping and peer victimization often differ between boys and girls. The present study included 242 participants (51% girls; 34% Black, 65% White; Mage = 15.75 years). Adolescents reported on coping with peer stress at age 16 and on overt and relational peer victimization at ages 16 and 17. Greater use of primary control engaged coping (e.g., problem-solving) was associated positively with overt peer victimization for boys with higher initial overt victimization. Primary control coping was also associated positively with relational victimization regardless of gender or initial relational peer victimization. Secondary control coping (e.g., cognitive distancing) was associated negatively with overt peer victimization. Secondary control coping was also associated negatively with relational victimization for boys. Greater use of disengaged coping (e.g., avoidance) was associated positively with overt and relational peer victimization for girls with higher initial victimization. Gender differences and the context and level of stress should be considered in future research and interventions related to coping with peer stress.     

Disaster Research in Social Work

SUMMARY

Disaster research in social work has deep roots in the profession'S history of disaster relief, social work'S mission to create resources and make them accessible to people, and the profession'S service to vulnerable populations. Social workers have important and unique contributions to make to disaster research through their expertise in ecological approaches, prevention, stress and coping, and promoting change in micro and macro systems. Disaster research in social work borrows primarily from psychology and sociology, and is conducted in clinical, organizational, and community contexts. Further social work research on disaster promises improved theory, measurement, and practice in situations of collective Stress.