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International Journal of Methods in Psychiatric Research logoLink to International Journal of Methods in Psychiatric Research
. 2008 Nov 26;17(Suppl 2):S42–S48. doi: 10.1002/mpr.265

The challenges of purpose in the face of chaos: commentary paper by Professor Beverley Raphael

Beverley Raphael 1,
PMCID: PMC6879085  PMID: 19035437

Abstract

This paper addresses the issues and purposes of psychiatric research into disaster. Purposes include those that are focused on basic scientific questions, such as the role of disaster stressors in contributing to the development of psychiatric morbidity, and research attempting to identify the level of mental health need. There is also intervention research but this is limited in the acute emergency and longer term. These questions and the methodologies to address them, overlap significantly. Many studies use different measures of exposure, disorder and other disaster variables. There is also a wide range of population groups studied, making comparison of findings difficult. Thus, for these large scale events affecting populations, studies may not readily meet either the purposes of affected populations or government funders. Nor are interventions systematically operationalized to promoted replication. Challenges lie in the diversity of researchers, the pluralistic nature of Western society and the rapid development of the field. It is suggested that a set of disaster mental health research standards, based on core principles and data, would facilitate national and international collaboration and the interests of individual researcher. This could lead to comparable studies that could progress the field, while at the same time fostering innovations which could link to these research programmes. Strategic partnerships with government and other funders, as well as affected communities, could strengthen advocacy and commitment for disaster mental health research. Copyright © 2008 John Wiley & Sons, Ltd.

Keywords: disaster stressors, innovative methods, mental health need

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REFERENCES

  1. Fink S (2007). The science of doing good. Scientific American Magazine 297(5): 98–106. [DOI] [PubMed] [Google Scholar]
  2. Goldberg D, Williams P (1988). A User's Guide to the General Health Questionnaire. Windsor: NFER‐Nelson. [Google Scholar]
  3. Henderson S, Andrews G (2008). The yield from national surveys of mental health. Int Psychiatry 5(1): 16–18. [PMC free article] [PubMed] [Google Scholar]
  4. Kessler RC, Andrews G, Colpe L, et al. (2002). Short screening scales to monitor population prevalence and trends in non‐specific psychological distress. Psychol Med 32: 959–76. [DOI] [PubMed] [Google Scholar]
  5. National Institute of Mental Health Report (2002). Mental Health and Mass Violence – Evidence‐based Early Psychological Intervention for Victims/Survivors of Mass Violence: A Workshop to Reach Consensus on Best Practices. Washington, DC: US Department of Defence; US Department of Health and Human Services, the National Institute of Mental Health, the Substance Abuse and Mental Health Services Administration Centre for Mental Health Services; US Department of Justice, Office for Victims of Crime; US Department of Veterans Affairs, National Centre for PTSD; and the American Red Cross; Available: http://www.nimh.nih-gov/research/massviolence.pdf. (Assessed 4 July 2008) [Google Scholar]
  6. Neria Y, Gross R, Marhsall R (2006). 9/11 Mental Health in the Wake of Terrorist Attacks. Cambridge: Cambridge University Press. [Google Scholar]
  7. Norris F (2005). Range, Magnitude, and Duration of the Effects of Disasters on Mental Health: Review Update 2005. Hanover, NH: Dartmouth Medical School and National Centre for Posttraumatic Stress Disorder. [Google Scholar]
  8. Norris F, Friedman M, Watson P (2002a). 60 000 disaster victims speak, part II: summary and implications of the disaster mental health research. Psychiatry 65: 240–60. [DOI] [PubMed] [Google Scholar]
  9. Norris F, Friedman MJ, Watson PJ, Byrne C, Kaniasty K (2002b). 60 000 disaster victims speak, part I: an empirical review of the empirical literature: 1981–2001. Psychiatry 65: 207–39. [DOI] [PubMed] [Google Scholar]
  10. Pynoos RS, Steinberg AM, Brymer MJ (2007). Children and disasters: public mental health approaches In Ursano RJ, Fullerton CS, Weisaeth L, Raphael B. (eds) Textbook of Disaster Psychiatry. Cambridge: Cambridge University Press. Chapter 3. [Google Scholar]
  11. Raphael B (1986). When Disaster Strikes. New York: Basic Books. [Google Scholar]
  12. Raphael B, Lundin T, Weisaeth L (1989). A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scand 80(Suppl. 353): 1–75. [DOI] [PubMed] [Google Scholar]
  13. Raphael B, Martinek N, Wooding S (2004). Assessing traumatic bereavement In Wilson JP, Keane TM. (eds). Assessing Psychological Trauma and PTSD (2nd edition). New York: The Guilford Press, pp 492–510. [Google Scholar]
  14. Raphael B, Stevens G, Taylor M (2008). Secure Against Fear Exposure (SAFE) Research Program. Penrith, NSW: University of Western Sydney. [Google Scholar]
  15. Ursano RJ, Norwood AE, Fullerton CS (eds) (2004). Bioterrorism: Psychological and Public Health Interventions. Cambridge: Cambridge University Press. [Google Scholar]
  16. Ursano RJ, Fullerton CS, Weisaeth L, Raphael B (eds) (2007). Textbook of Disaster Psychiatry. Cambridge: Cambridge University Press. [Google Scholar]
  17. Zatzick D (2007). Interventions for acutely injured survivors of individual and mass trauma In Ursano RJ, Fullerton CS, Weisaeth L, Raphael B. (eds) Textbook of Disaster Psychiatry. Cambridge: Cambridge University Press. Chapter 9. [Google Scholar]

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