Erik De Soir

A Phenomenological Analysis of Disaster-Related Experiences in Fire and Emergency Medical Services Personnel

This article explores the experiences of fire and Emergency Medical Services (EMS) personnel during and immediately after a technological event using a phenomenological approach. Personnel engaged in the rescue operations during and immediately after the Ghislenghien gas explosion reflected upon their experiences in their responses to a specially designed, self-reporting questionnaire that included open-ended questions. Firefighters reported more perceived threat and direct exposure to death than did EMS personnel. Qualitative analysis indicates that the central characteristics of this potentially traumatizing event were the suddenness and massiveness of the impact, and the fact that it involved young victims and/or multiple deaths. With regard to emotions, powerlessness, horror, fear, a sense of apocalypse, and grief were experienced by both firefighters and EMS personnel. Firefighters noted that the death of colleagues, the involvement of friends and family, the massive impact, and exposure to the burned victims were most shocking. Emergency Medical Services personnel and in-hospital staff reported the impact, the confrontation with death, the involvement of friends and family, and the pain, suffering, and screaming of burned victims as the most shocking aspects of this event. Qualitative differences in the lived experiences of firefighters, EMS personnel, and in-hospital staff might be explained by differences in life threat, contact with death, and various degrees of training.

Understanding the Core of Psychological Trauma: Trauma in Contemporary French Theory

This chapter examines the usefulness of the conceptualization of trauma in contemporary French theory for a better understanding of the core of organizational trauma. Starting with a short historical background, it investigates the contribution from contemporary French authors to current knowledge on psychotraumatology. The current position of the most influential contemporary French authors is that stress and trauma do not necessarily fit into the same concept. The French clinical description of psychological trauma is based on the concept of frozen fright in the face of death (effroi de la mort) and the repetition syndrome (syndrome de répétition). This may have implications for the analysis of what constitutes an organizational trauma since these clinically relevant but largely unknown theories shed another light on the currently used concepts in mainstream literature. The aim of this chapter is also to bridge conceptual gaps, understanding critical differences in clinical practice and offering a more integrative view of psychological trauma.