0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Book Reviews   |    
Psychosocial Capacity Building in Response to Disasters

by Joshua L. Miller; New York, Columbia University Press, 2012, 384 pages, $29.50

Reviewed by Allan E. Crandell, M.D.
Psychiatric Services 2012; doi: 10.1176/appi.ps.631001
View Author and Article Information

Dr. Crandell is a staff psychiatrist and medical officer at Four Corners Regional Health Center, Indian Health Service, Teec Nos Pos, Arizona.

text A A A

Under his rather ungainly title, Joshua L. Miller offers a thoughtful and compelling alternative to what he terms “disaster mental health services.” In constructing an almost daunting compendium of approaches and resources, he attempts to construct a “comprehensive model of disaster response” located within an exploration of the social ecology of disaster.

Beginning with the book’s cover photo of a tent city in Haiti, the author establishes his street cred, noting his own extensive experiences beyond the earthquake in Haiti, such as Hurricane Katrina in the United States and other disasters in Sri Lanka, northern Uganda, and Sichuan Province, China. The structure of the book is such that the first six chapters describe the social ecology and phenomenology of disasters, and the remaining six chapters constitute how-to manuals for creating and implementing psychosocial capacity building. Each chapter concludes with a mindfulness exercise that parallels the chapter’s content and offers a specific avenue of self-care to disaster workers, although it seems somewhat unclear how these prescriptive exercises relate to the overall structure of the book.

Miller’s text is heavily referenced, and there are so many parenthetical references that they sometimes impede the flow of an otherwise articulate and clearly written narrative. This volume could serve as a textbook for a course related to disaster planning, a practical platform for informing proposed program development, or as an introduction to a more academic discussion of theories of disaster intervention, such as critical incident stress debriefing (CISD), critical incident stress management, and others.

Several sections of the book allude to the ongoing controversy about CISD, especially criticism leveled post–September 11. Although Miller notes the lack of evidence for inoculation against PTSD, he also argues for the subjective sense of relief which such debriefings deliver and their generally (although not completely) positive reception by disaster workers and victims.

One of Miller’s most consistent interrogations of current disaster relief models is that the models are very often Western and Eurocentric and therefore have limitations as to their universality in both specific locales within the United States (Katrina) and internationally. Moreover, Miller argues that unintended consequences could result in recreation of colonial and neocolonial attitudes, particularly when disaster services are supplied and directed from “other” (read “North American and European”) cultures.

There are some distractions within this text, such as a number of web- and wheel-designed illustrations summarizing Miller’s main points but not necessarily enhancing the text. However, his recurrent emphasis on disaster worker self-care and the role of collective memorializing and his emphasis on human resiliency do much to advance his overall goal of describing how to build psychosocial capacity for dealing with human disasters. If clinicians find themselves interested in vicarious trauma, PTSD, and secondary PTSD, they will be well rewarded with a close reading of this book, in which Miller essentially teaches how to prevent compassion fatigue and promote compassion satisfaction on both a personal and organizational scale.

The reviewer reports no competing interests.

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 33.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 22.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 22.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 22.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 7.  >
Topic Collections
Psychiatric News
PubMed Articles