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17 Cheshvan 5763 - October 23, 2002 | Mordecai Plaut, director Published Weekly
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Helping Victims of Terror and Their Helpers
by Rabbi Immanuel Yosef Legomsky

Neurotherapist, Director:Save Israel Project-FREE Trauma help for Victims and Witnesses of Terror

Long before we began suffering from a civilian terror war here in Israel, the academic psychology world coined the term "compassion fatigue" and began compiling data. Compassion fatigue is when the helpers of traumatized people take on the very same traumas of the people they are helping. It is not limited to the psychologists, but also prevalent amongst paramedics, police, soldiers, social workers, and anyone who contacts and provides support for terror/trauma victims.

A Hatzolah paramedic worker from the Meron bombing said, "Though I have seen a lot of terror attacks, I don't remember an incident that was this difficult. I can't get the scenes out of my head of the dead and wounded lying next to sifrei kodesh and tefillin." This Hatzolah worker needs immediate treatment for compassion fatigue.

The effects of compassion fatigue can extend to intrusive thoughts, nightmares, avoidance and arousal, as well as changes in their relationships to their selves, their families, friends and communities. Even radio or visual media exposure can evoke serious trauma. A person who has no exposure to the fear- provoking tales and images of terror is much less likely to go into serious trauma if they then experience real terror, than a person who has some previous exposure.

Since the September 11th tragedy in America, many helpers have become traumatized. A major university study of compassion fatigue has identified 25 symptoms of compassion fatigue, and designed a professional, short, intensive Traumatology Certification Program offering licensed degrees. The goal of this training is to enable even non- professionals, like Hatzolah paramedics, to help people be relieved of compassion fatigue and minimize their own danger of falling into trauma.

While training with world class trauma experts, Edward Reese LCSW and Maryann Reese MA, LMFT and International NLP trainers who have specialized in and treated thousands of cases of serious disaster traumas for more than 25 years, I spent several hours with J. Eric Gentry PhD (cand.), MT, CTS, the Co-director and designer of this Traumatology program. He showed evidence that the dangers of becoming traumatized increase with more exposure to trauma. However, the hopeful news was that there are safeguards to protect ourselves in this trauma-full Israel.

First, we must be educated to recognize and then decide to accept the symptoms and their causes. We must follow up by choosing to address and resolve our symptoms. This includes setting goals and making a mission statement, and also seeking any necessary professional and friendly help. Second, we have to avoid the urge to disconnect from our friends, family, and community and focus on self-regulation skills. Those who do not pay attention to this are likely to become involved in pleasure seeking self-destructive behaviors to try to drown their sorrows. The goal is to develop the ability to be a non-anxious helpful viewer in the face of the traumatic experiences.

Some of the expert trauma care techniques I trained in, evoke the ability to disassociate from the trauma, and then reassociate in a way that the victim can feel his strength of having actually survived the trauma. This enables the reintegration of the experience so it can then be used as a source of healing and growth.

Third, self-care is primary if you want to be suitable to offer help to others. This means time off where you share with others, exercise, eat well, and have spiritual meaning and practice. For this, physical relaxation exercises, and spiritual prayer or meditation are invaluable. It is also very important to make time to discuss with peer helpers your feelings about the traumas you are exposed to as a helper, and work them through rather than become traumatized by them.

Physically, diaphragmatic breathing exercises and relaxation of the pelvic floor muscles enables one to develop this healthy and helpful spiritual-emotional posture.

Of course, Torah and mitzvos with a healthy family life and lifestyle makes religious Jews ideal candidates to help in trauma situations. Just as the terrible traumas are from G-d and a lesson to become stronger from having survived, caregivers can be taught to use their symptoms of compassion fatigue to indicate how they need to change and grow to become better caregivers.

These courses supply very necessary knowledge and practical experience to know how to be able to transform the traumas of terror attacks and helping the victims, into strengthening experiences, instead of life-shattering ones.

Based on my personal experience treating many terror victims in the hospitals and their homes for flashbacks and other problems, I believe the problem is worse than we think, and that we need this training, as well as many more people doing this same work. That is why I have almost stopped my private practice to found the nonprofit Save Israel Project to offer FREE treatment for victims and witnesses of terror, and bring training like this course to Israel. We are now working on financing this training in Israel for both professionals and regular people. Its clear that we are all traumatized daily now and in danger of compassion fatigue. Anyone who wants to help please contact me at 054-311-711 or director@save- israel.org, or POB 43277, Jerusalem, Israel.

 

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