The Whale Foundation
Presents—
Acute Stress Disorder on the River
We at the Whale Foundation endeavor to serve the Grand Canyon
guiding community in whatever capacity we can. This may be as diverse
as working person to person with guides who need individual time with
an impartial professional, providing access to financial planners, providing
educational scholarships, aiding in clarifying and resolving transitional
issues through presentations like the first annual Health Fair at the
2004 Spring gts, and introducing topics which may need to be immediately
addressed.
My own wonderfully gratifying experience with river guides (or as I will
always think of you—river runners) is when you see the relevance
of more in-depth examination and knowledge and take action, an exception
being an effort to tough out emotional pain alone. Our hope is that we
can be of assistance earlier to maximize progress and minimize the length
of time people struggle with their issues.
There are three basic stages of change which need to occur for new information
and behaviors to be incorporated and utilized. The three are: Awareness,
Acceptance, and Action.
Awareness that a need exists is usually on a primarily intellectual level.
Acceptance is when the need is moved from the head to the heart. When
these two stages are examined then action can be planned and executed.
A clear example of this process is with the formation of the Whale Foundation.
In response to their own grief and subsequent awareness, close friends
of Whale’s (Curtis Hansen) recognized there was no safety net for
river guides struggling with depression and substance issues. They wanted
guides to have more options other than taking their own life. They recognized
offering choices was only a start—this needed to be backed up by
professionals who specialized in the issues facing the river community.
The stage was now set for action and we began to get the word out that
we’re here as a support system. Through the years, as you have told
us of your concerns, we’ve implemented new programs—the Liaison
Training program, the Kenton Grua Memorial Scholarship program, individual
counseling, as well as the Health Fair. These have been in response to
your requests. In response to recent deaths on the river, this article
will attempt to identify and educate the community on the symptoms of
Acute Stress Disorder (asd). In spite of the consummate professionalism
and highly developed skills of river personnel, accidents can and do happen.
It is a tribute to each of you that so few do occur when thousands of
inexperienced boaters travel through the canyon.
Acute Stress Disorder is a reaction to an event we can’t predict
and can’t control. At that point our systems may become overloaded.
Although we may perform effectively and stabilize the scene as best we
can, the emotional toll can be really detrimental to the guide. In order
to understand and to be able to minimize negative effects following a
highly charged situation, we excerpt the following information from the
Post Traumatic Stress Debriefing Workbook by Mary Beth Williams and Soili
Pojiela, Ph.D’s:
Pre-event Factors
Although there are situations in which exposure to trauma is so great
that these factors are less influential (e.g., surviving a major airplane
disaster in which almost everyone dies), certain pre-trauma factors often
influence how a person reacts to traumatic events. Among them are the
following:
• Previous exposure to severe adverse life events or trauma or childhood
victimization, including neglect, emotional abuse, sexual abuse, physical
abuse, or witnessing abuse.
• Earlier depression or anxiety that is not merely situational and
impacts brain chemistry.
• Ineffective coping skills.
• Family instability, including a history of psychiatric disorder,
numerous childhood separations, economic problems, or family violence.
• Family history of antisocial or criminal behavior.
• Early substance abuse.
• Trouble with authority, even in childhood, including running away
from home, school suspension, academic underachievement, delinquency,
fighting, or truancy.
• Absence of social support to help out in bad times.
• Multiple early losses of people, possessions, home.
• Gender: women seem to be twice as likely as men to develop Post
Traumatic Stress Disorder (ptsd) at some time in their lives.
• Age: young adults under age 25 are more likely to develop the
disorder (Friedman 2000).
• Genetics: members of some families seem less able to withstand
trauma than others (Meichenbaum 1994).
Event Factors
There are also factors related to the victim during the event that contribute
to the possibility of developing ptsd. These may include:
• Geographic nearness to the event.
• Level of exposure to the event: greater exposure leads to a greater
likelihood of developing ptsd.
• The event’s meaning to you.
• Age: being young at the time of the event.
• Being a victim of multiple traumatic incidents.
• Duration of the trauma.
• The existence of an ongoing threat that the trauma will continue
(e.g., war).
• Being involved in an intentional, man-made traumatic event.
• Participation in an atrocity as a perpetrator or witness (an atrocity
is a very brutal, shocking act; for example, purposely killing women and
children).
Post-Event Factors
The final category of ptds risk factors include those that exist after
the traumatic event.
These may include:
• The absence of good social support.
• Not being able to do something about what happened.
• Indulging in self-pity while neglecting yourself.
• Being passive rather than active—letting things happen to
you.
• Inability to find meaning in the suffering.
• Developing acute stress disorder.
• Having an immediate reaction (during the traumatic event or shortly
after) that includes physiological arousal (high blood pressure, a startle
reaction) and avoidant or numbing symptoms.
Before you learn more about yourself and how you and others respond to
traumatic events, it is important for you to have more information about
the numerous possible reactions to trauma. The first of these is called
a normal stress response. In times of stress, people react in a variety
of ways: they may have physical reactions—their pulse may increase,
they may sweat, they may have anxiety, fear, anger or other emotional
responses; they may shut down and freeze; they may go into a rage and
try to fight; or they may run from the situation. These are all normal
responses. Stress that is positive is called eustress. It could involve
life-saving or other positive reactions to an emergency situation; a eustress
reaction would allow you to rescue yourself or someone else from danger.
Negative stress is called distress. It’s debilitating and may cause
you to function poorly in a dangerous situation—or one that feels
dangerous. Stress can impact your body, emotions, thoughts, and relationships.
Researchers believe that there may be personality traits that help a person
cope with adversity. People who are high in extroversion (they seek out
others) and openness, are conscientious in working toward goals, and have
a sense of agreeableness (an ability to get along) are more likely to
draw strength from adversity and trauma as a way to cope with what happened.
Other important factors that might impact how you react include having
an internal locus of control (you are able to reward yourself for behavior
and you believe that control of what happens lies with you, not with sources
outside you); self-efficacy (a sense of confidence in your own coping
ability); a sense of coherence (the recognition that even seriously traumatic
events are understandable, manageable, meaningful); and hardiness or strength.
You may also do better in coping with traumatic events if you are motivated
to do so, if you have an optimistic attitude, if you have an active coping
style, and if you’ve successfully resolved other crises.
So with this information available, check your awareness of yourself and
your emotions, your awareness that you may need to take action in order
not to carry the stressors on into your life.
Thanks for being the great professionals you are and hope to see you down
river.
Sandy Nevills Reiff
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Back of the Boat
First, we would like to thank the Flamme Family for their
heartfelt generosity in donating the Bob Flamme Memorial Fund to The Whale
Foundation. We are truly honored to receive this donation in Bob’s
name and to use it to help the people who live and work on the river and
in the Canyon he loved so much. Thank you Ellie, Robert, Theresa, Julie,
and Cecilia.
This year’s WingDing will be held Saturday, February 5, 2005 from
6–11 pm at the Coconino Center for the Arts, 2300 Ft. Valley Road,
Flagstaff, az 86001. Along with a sumptuous dinner catered by Mosey’s
Kitchen and fabulous collection of local art in the Live and Silent auctions,
this year will feature an acoustic crossroads jam session throughout the
evening by your friends and neighbors. It’s going to be fun, you’re
all invited, and we hope to see you there!
The success of the WingDing and continued generous private donations have
allowed the Whale Foundations outreach programs to strengthen and reach
more members of the Grand Canyon guiding community.
We were also very pleased to award five guides with $1000 each from the
Kenton Grua Memorial Scholarship. Factor would be delighted that river
guides in Grand Canyon are being offered the opportunity to further their
education through this scholarship. Whether for the purpose of rounding
out their education in order to grow as a guide or as a stepping stone
for transitioning out of guiding, the scholarship makes the pursuit of
these goals an attainable reality for many who would otherwise be stymied
by financial impediments. As with any worthwhile endeavor, there are always
some tough decisions to be made, and choosing this year’s recipients
was no exception. To begin with, we had more than twice the number of
applicants that we had last year! Because there were so many outstanding
candidates and because we wanted to be able to do the most possible good
for the greatest number of guides, we elected to increase the number of
scholarships from three to five. So, without further ado, this year’s
scholarships are going to: Trevor Lugers (Western River Expeditions),
Lauren Romley (azra), Jon Hirsh (azra), Alexander (Zander) Brown (CanEx),
and Chris Wright. If you want to apply for financial assistance you can
get an application online at www.whalefoundation.org or write to The Whale
Foundation at P.O. Box 855, Flagstaff, az 86002-0855. The application
submission deadline is June 1, 2005.
A very big thank you goes out to retiring board members Sandy Nevills
Reiff (who will remain on the Mental Health/Liaison outreach committee
and as a provider), Dr. Tom Myers, and Nancy Helin for their tireless
contributions and commitment to the mission of The Whale Foundation and
love of the Grand Canyon guiding community. And we’re thrilled to
welcome to the board Ote Dale, Michelle Starr Grua, Jon Stoner, and Chris
Wright.
A 2005 Whale Foundation calendar makes a great gift and is available from
our website, from any board member or company liaison and from several
retail shops including Mountain Sports and Humphrey Summit Ski in Flagstaff,
Marble Canyon Lodge, Marble Canyon Metal Works and Cliff Dwellers Lodge
in Marble Canyon, and Willow Canyon Outdoor store in Kanab, ut.
Tim Whitney
Michelle Grua
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