Early psychological responses to traumatic injury

Arieh Y. Shalev*, Shaul Schreiber, Tamar Galai

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Sixteen injured survivors of a terrorist act, hospitalized in a large medical center, were followed daily by a team of mental-health consultants. The survivors' rapidly changing mental states and the subsequent responses of their care-providers are described. Intrusive recollections of the event were experienced by all, however with various degrees of distress and arousal. Early psychological assistance was aimed at increasing the survivors' sense of self-control and their mastery over secondary stressors. Flexible and skilled therapeutic technique was required to meet the survivors' changing needs. The consultants' own emotional burden was addressed by structuring the interventions and providing opportunities for disclosure.

Original languageEnglish
Pages (from-to)441-450
Number of pages10
JournalJournal of Traumatic Stress
Issue number4
StatePublished - Oct 1993
Externally publishedYes


  • consultation-liason psychiatry
  • physical injury
  • secondary stressors
  • stress management
  • trauma-psychological


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