Incident in Norway leaves a legacy of trauma and stress

While the world’s media focuses on the shocking activities of Anders Behring Breivik and their effect on the people who died, those who escaped, their families and friends, little is being said about the people who were directly involved in responding to the incident and rebuilding the country’s reputation: paramedics, police, decision-makers and leaders including Norway’s prime minister Jens Stoltenberg and the King and Queen of Norway.

What has been said has been extremely critical – specifically of the time it took the Norwegian police to arrive on Utoya, the island where so many young people were killed. Anger is a natural response to bereavement and, in dramatic and unpredictable incidents such as this, it is expected. It is essential, therefore, to be prepared for it – and to cope with that anger while you are also facing a trauma (finding and dealing with the bodies as well supporting and rescuing the distressed people who survived).

The same is true of the paramedics who were called to the scene. Their job means they are constantly under stress – ready to race to someone whose life is at risk, applying knowledge accurately at speed, making quick judgements, giving life-saving advice and treatment. And they face traumas day in and day out as they deal with the sad and tragic outcomes of their work.

Police and paramedics receive intensive training that includes building their resilience so they are better able to cope with stress and trauma. But it is impossible to predict whether an incident will prove too much to cope with and, if a person does reach their coping capacity, when it will happen. Offering support to people in stressful or trauma-filled jobs will reduce the time they are absent from work, help them return to peak performance, and rebuild their resilience.

People who cannot face returning to work might also need help to rebuild their confidence and self-esteem so they can find other work or cope with a life without work.

In addition, some people might be able to cope with the effects of stress and trauma while at work – but find that it is affecting their personal relationships and self-esteem or causing anxiety, addictions, eating disorders. And that could, in turn, begin to have an impact on their performance at work.

As for the prime minister and the king and queen, all leadership roles involve dealing with stress. Making decisions that impact on others, responding to crises, ordering actions or inaction, taking the responsibility and the flak – all require resilience. And they need to make these difficult decisions while remaining outwardly calm and in control. People in positions of authority at the top of organisations also need to build resilience so they can manage their stress, spot stress in others and minimise its impact on the business by offering training or support.

Finally, it isn’t only people who are connected with a traumatic incident who can be affected by it. People not there at the time might identify with aspects of it – or feel more vulnerable as a result. It is important for businesses to be aware of the potential psychological effects on others – and to offer them support and resilience training.

If you or your staff need to manage stress and cope with trauma, or are under-performing or absent because of the effects of stress or trauma, do consider providing courses that build resilience or professional psychotherapeutic support to bring them back up to peak performance. We provide training, coaching, mentoring and counselling specifically geared to people at work who face stress and trauma – including EMDR which is recognised by NICE as particularly effective for treating trauma. Do get in touch.



29/07/2011 | Posted in Trauma, Stress, Resilience, Presenteeism, Performance, Leadership, Counselling, Confidence, Coaching, Absenteeism,


Managing workplace trauma: lessons from the Chilean miners

The world is in awe of the way in which the Chilean government, the mining company, the miners and their families (and, for that matter, the world’s media) have handled this staggeringly unusual crisis. It would be wrong to be complacent while the rescue operation continues but it would be wrong, also, to focus only on the miners' release and the immediate aftermath. The miners who are already above ground are now in medical care; checking their physical health is a priority of course.

So is managing their mental health and the Chilean government has already said it will do all it can to support the miners for the long term which must include understanding and treating their psychological reactions.

What about others? Everyone closely involved in the operation could be affected by this internationally-followed crisis – the rescuers who travel down the mine to assess the health and welfare of the miners before they are transported above ground; the people deciding who should be rescued first, last and in between; the people who built and tested the rescue pod or who created and lined the shaft; the families waiting, uncertain whether the crisis would end in tragedy or joy; wives, partners, mistresses (as reported by the media), children, parents who find their husband, lover, father, child has changed having lived for so long with uncertainty, underground; the head of the mining company; the media observing it all; even the president of Chile. All could be affected by this incident, and in unpredictable ways – or not affected at all and be accused of callousness or indifference. That’s the effect of trauma.

Even the word trauma conjures up dramatic incidents, but a trauma cannot be measured on any scale other than the one by which the person affected measures it. Something others perceive as trivial or inconsequential could have a massive impact for the person experiencing it. No one else should be your judge and jury; if you feel you have experienced a trauma, you’ve experienced a trauma. And that means you could be struggling with post traumatic stress disorder (PTSD).

The effect of trauma can come and go, be ever-present, last for life, or disappear soon after it emerged. The good news is that much more is known, now, about PTSD and the way it can be treated. One particularly effective treatment, recommended by the National Institute for Clinical Excellence (NICE), is EMDR (to continue with the acronyms – this one stands for eye movement desensitisation reprocessing). The effect of EMDR is thought to be similar to REM sleep, during which the brain makes sense of the day’s events, reprocessing the memory and releasing problem emotions and associations.

EMDR could help the Chilean miners and others associated with them, just as it could help anyone who has experienced a trauma, whether the cause of the trauma was obviously dramatic to a wide-eyed world or invisible to everyone but you. The point is to seek help and rebuild your resilience, not suffer in silence believing you ought not to be affected.



13/10/2010 | Posted in Trauma, Stress, Resilience,


 

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