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Showing papers by "Beverley Raphael published in 1980"


Journal ArticleDOI
TL;DR: The responses to disaster and death vary enormously, but there is much to suggest that they are not confined to those who are directly affected, and it is important that their psychological needs are perceived and met.
Abstract: The responses to disaster and death vary enormously, but there is much to suggest that they are not confined to those who are directly affected. The helpers, too, may be "victims" of the disaster, and it is important that their psychological needs are perceived and met. There is an indication that, if this is done, considerable psychological morbidity may be prevented.

37 citations


Journal ArticleDOI
TL;DR: It is concluded that much work in this field represents a ‘call’ for prevention; that diffuse interventions for diffuse population groups to achieve diffuse outcomes may not lead to demonstrable effects in prevention.
Abstract: This paper is a review of studies oriented to the primary prevention of psychiatric disorder. Difficulties in this field are noted, including current aetiological concepts, outcome measures, techniques and processes, methodological problems, humanitarian and ethical issues and the role of social processes. Studies in several different areas of primary prevention are described. These include projects directed towards parenting processes, vulnerable children, crisis intervention, psychosomatic variables, biological factors, mental health education and community processes. Resistances to preventive work are outlined. It is concluded that much work in this field represents a ‘call’ for prevention; that diffuse interventions for diffuse population groups to achieve diffuse outcomes may not lead to demonstrable effects in prevention. Specific interventions directed towards high risk populations to achieve specific preventive goals have shown that primary prevention may be accomplished in some areas.

26 citations


Journal ArticleDOI
TL;DR: A primary prevention program implemented immediately following a major rail disaster is described and recommendations are made concerning the relevance of such a programme to the personal disasters of life.
Abstract: A primary prevention program implemented immediately following a major rail disaster is described. Because of the high mortality, services were oriented towards the provisions of preventive counselling for bereaved families as well as support for the injured. Emergency counselling services were provided at the City Morque. Subsequently, coordinating consultative and educative programmes were instituted in the affected health region. Counselling bereaved families was continued through appropriate specialised community services. High-risk groups of bereaved were delineated and special emphasis given to individual care of these persons. Recommendations are made concerning the relevance of such a programme to the personal disasters of life.

26 citations