Showing posts with label PTSD. Show all posts
Showing posts with label PTSD. Show all posts

Saturday, April 9, 2011

04/04 学校再開が心を癒やす 被災地に新学期

2011年4月4日

 東日本大震災や福島第一原発事故で、避難所暮らしを強いられている子どもたちの学校教育の立て直しを急ぎたい。先生や友だちと触れ合える穏やかな日常こそ深手を負った心を癒やしてくれる。

 被災地では教育現場が壊滅的な状況に追いやられ、新学期がいつ迎えられるのかほとんどめどが立っていない。避難所に使われ、被災者が暮らす学校は多い。校舎や体育館が傾いたり、水没したりといった被害は枚挙に暇(いとま)がない。

 教科書や文房具、ランドセルやかばんも流失した。大切な家族や友だち、先生を亡くした子どもたちもたくさんいる。それでも、悲しんだり、悔やんだりしてばかりはいられない。

 三月下旬、宮城県名取市で市立小中学校がいったん再開されたときの光景には心が和んだ。家屋や車などのがれきの山がまだ残る中で、久しぶりに再会した子どもたちは「生きてて良かった」と抱き合って喜んだ。

 学校が生み出す子どもたちの大きな笑顔が、深く傷ついた心の癒やしにつながり、周りのみんなの生きる糧となる。阪神大震災から学んだ貴重な教訓だと、兵庫県教育委員会の担当者は言う。

 学びの場の再開に向けて着実に準備を進めたい。避難所の一角に教室をしつらえたり、校庭や公園に教室を仮設したりする。大事なのは、学校生活と避難所生活とをはっきりと切り分けて大震災前の日常を取り戻すことだという。

 文部科学省は「子どもの学び支援ポータルサイト」を設けている。先生や専門スタッフなどの人材派遣や、学用品や図書、玩具などの物品提供、被災地の子どもの受け入れなどの情報が分かる。学校の立て直しに活用してほしい。

 広島県教委は百六十人ほどの小学校一校を、熊本県人吉市は六十人ほどの中学校一校をそれぞれ丸ごと受け入れるという。子どもたちのホームステイを引き受ける自治体やNPO法人も出てきた。

 学校が再開しても子どもたちの心のケアは欠かせない。住み慣れた故郷や家族と離れ、不安を募らせる子どもたちも多いはずだ。心身の不調を訴えたり、怖がったりするかもしれない。先生は小さな変化を見落とさず、きめ細かく向き合う必要がある。

 スクールカウンセラーや養護の先生を充実させるべきだ。心的外傷後ストレス障害(PTSD)などの深刻な症状があれば、スムーズに専門家につなげる仕組みも確かめておきたい。

Friday, March 18, 2011

15/03 History Is on Japan's Side

March 15, 2011
By PETER FRETWELL and TAYLOR BALDWIN KILAND

Japan’s Prime Minister Naoto Kan came before a press conference over the weekend and made a simple declaration: “I think that the earthquake, tsunami and the situation at our nuclear reactors make up the worst crisis in the 65 years since the war. If the nation works together, we will overcome.”

History, and current research on human resiliency, suggest that he is right. In fact, history and research suggest that Japan will emerge stronger, not weaker, in the years to come.

In recent years, research into post-traumatic stress disorder (P.T.S.D.) has led to a new term and a new area of research: “posttraumatic growth” (P.T.G.). Coined by Dr. Richard Tedeschi, a psychology professor at the University of North Carolina at Charlotte and coauthor of the “Handbook of Posttraumatic Growth,” P.T.G. research suggests that an encounter with severe trauma can actually lead to highly positive changes in individuals.

It can also increase their resiliency to subsequent adversity. Today, some researchers say that posttraumatic growth is far more common than long-term posttraumatic stress disorder. The norm is to adapt and grow following trauma. That phenomenon is, not coincidentally, Japan’s heritage and cultural norm.

Research with former prisoners of war who spent up to eight years in Vietnam’s infamous “Hanoi Hilton” prison confirms two things: Most of them experienced positive growth from the experience (and a P.T.S.D. rate of only 4 percent), and those who experienced the worst trauma — including repeated torture, starvation, solitary confinement and physical injury over many years — reported the most personal growth in the decades since their release. While none of them expressed a desire to go through the experience again, a number have said they are stronger and better men because of it.

In the months and years to come, the world’s third-largest economy, already troubled, will face even more challenges. But Japan’s remarkably well educated, highly productive and uniformly disciplined work force also will have reconstruction projects, recovery and clean-up to unite them. The economic and psychological drive provided by those tasks cannot be underestimated, even as we acknowledge the depth of the tragedy.

Not that long ago, as their cameras showed us the devastation of Hurricane Katrina, television reporters earnestly declared that New Orleans might never return to its previous glory as The Big Easy. A few even declared the city a lost cause.

Today, those predictions seem inane. New Orleans’s centuries of hard living was matched by its hard life — hurricanes, floods, disease and multiple wars, to name a few. Writing off a city with that life experience never seemed a good bet to those who study human resiliency.

After the staggering loss of life (by some estimates, three million deaths) and property in World War II, Japan rebuilt itself into one of the world’s great intellectual, economic and industrial powers.

Without diminishing for a moment the magnitude of the current crisis, or the human tragedies, Japan’s prime minister exhibited one of the hallmarks of leadership in crisis by reminding his countrymen of their heritage.

In invoking Japan’s history of resiliency and determination, Kan tapped into one of the most powerful factors in human resiliency: knowing you have the strength, knowledge and stamina it takes to make it through, because you have made it through other adversity in your life.

In these early stages, it appears that Japan’s cultural norms are providing some of the effective interventions needed following a disaster of this scale.

In 2007, an international panel of experts developed a list of five conditions that need to be created in the early stages of mass trauma: 1. a sense of safety; 2. calm, 3. a sense of self and community efficacy; 4. connectedness; and 5. hope. Watching the videos of Japanese citizens in the aftermath of their calamity, one can observe many of these interventions already at work.

The citizens of Japan have a benchmark for their conduct in the years to come. Ironically, the aging Japanese population may become a strength in the current crisis; the older citizens have the most experience in facing the challenges. Japan should emerge in a few years as a stronger and even more competitive world power.

Peter Fretwell andTaylor Baldwin Kiland are co-authors of a forthcoming book on the resiliency and success of Vietnam-era American prisoners of war.



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