The lived coping experiences of South Mississippi and New Orleans clergy affected by Hurricane Katrina: an exploratory study.
Leavell, Kari ; Aten, Jamie D. ; Boan, David 等
Over seventy percent of Americans identify with some faith
community and use their faith as a means to cope with life experiences,
especially following disasters (Weaver, Flannelly, Garbarino, Figley,
& Flannelly, 2003). Clergy have been found to play a significant
role in responding to disaster needs, including providing pastoral
counseling, crisis management, and serving and meeting the overall needs
of others (Darling, Hill, & McWey, 2004; Pector, 2005). Though
clergy play a major role in attending to disaster needs, little is known
about how clergy cope with disasters. The purpose of this qualitative
study is to explore the ways in which clergy in South Mississippi and
New Orleans coped with Hurricane Katrina using a phenomenological
approach.
Hurricane Katrina was one of the most devastating and expensive
natural disasters in American history (Cain & Barthelemy, 2008).
Floodwaters caused multiple levees to break surrounding New Orleans,
which caused roughly 80 percent of the city to flood. Approximately
100,000 homes were destroyed in New Orleans alone. Mississippi
experienced hurricane-force winds and rain that produced 11 tornados and
maximum reported storm surges of 26 to 28 feet that penetrated over six
miles inland (US Department of Commerce, 2006). Every county in
Mississippi was declared a disaster area; almost 60 percent of counties
(49 of 82) received full federal assistance (FEMA, 2005). Estimated
insured losses amount to $34.4 billion (Cain & Barthelemy, 2008) and
total costs of damage to the entire Gulf Coast exceed $200 billion (CNN Reports, 2005). Though over one million people evacuated Hurricane
Katrina (CNN Reports, 2005), more than 1,300 deaths resulted across the
Mississippi-Louisiana Gulf Coast from this catastrophic storm.
Traumatic Effects of Disasters
In addition to the physical devastation of disasters like Hurricane
Katrina, they impose numerous psychological consequences, such as
posttraumatic stress, depression, and anxiety (Smith, Pargament, Brant,
& Oliver, 2000). The most common response to natural disasters is
posttraumatic stress disorder (PTSD; Rogers, 2002). Overall, disasters
have been found to affect survivors' spiritual, emotional,
cognitive, behavioral, and physical functioning. Common reactions to a
catastrophic event include anger, hopelessness, panic, questioning of
core belief systems, confusion, withdrawal, sleep disturbances, fatigue,
and headaches (Roberts & Ashley, Sr., 2008). Harvard Medical School reported that mental health issues continued to worsen two years after
Hurricane Katrina; specifically, individuals experienced delayed-onset
PTSD and reported thoughts of suicide (Kessler, Galea, Jones, &
Parker, 2006).
Religion, Spirituality, and Disasters
For those who experience a traumatic event, turning to faith and
religion may help restore a sense of control that was lost (Meisenhelder
& Marcum, 2004; Spence, Lachlan, & Burke, 2007). Over 70 percent
of Americans identify with a faith community and use their faith as a
means to cope with life experiences (Weaver et al., 2003). Religion is
thought to establish meaning and provide purpose in life, fulfill needs
for relationships, and offer support during illness or suffering
(Darling et al., 2004; Guthrie & Stickley, 2008). People turn to
religion and spirituality for a number of reasons, especially during
times of distress or catastrophe (Lord, Hook, & English, 2003).
Weaver et al. (2003) noted that people in crisis involving the death of
a loved one are five times more likely to seek counsel from a clergy
person. Figley (1989) reports that people often reach out to faith in
order to make sense of why a disaster occurred. In addition to
understanding the "why" questions surrounding life events,
individuals need to trust that the world is just and kind, despite the
specific events that call their beliefs into question (Janoff-Bulman,
1992). Schuster et al. (2001) found that 90 percent of Americans sought
religion as a source of coping after the terrorist attacks on 9/11.
Individuals who turn to faith for coping also frequently seek support
and guidance from clergy (Weaver et al., 2003).
Faith community roles following disasters. Hurricane Katrina
highlighted the important role that faith communities and clergy play
after disasters. Clergy were involved with organizing relief efforts and
aiding the recovery process as soon as Hurricane Katrina hit (Koenig,
2006). Faith communities in Louisiana provided food, financial and
clothing assistance, counseling, transportation, childcare, and housing
to individuals displaced by Hurricane Katrina (Cain & Barthelemy,
2008). Overall, faith communities and clergy helped respond to the
spiritual, physical, and psychological needs of Hurricane Katrina
survivors (Institute for Southern Studies, 2008). A Public Policy
Research Lab survey showed that religious organizations were more
effective than other nonprofit organizations in responding to Hurricane
Katrina (Louisiana Survey, 2005). Almost 87 percent of churches surveyed
in the Baton Rouge area reported that they provided some form of
assistance to Hurricane Katrina evacuees, with food, financial
assistance, and clothing encompassing the largest types of donation
(Cain & Barthelemy, 2008). Most of these churches operated on the
donations provided by their congregants, with little or no aid from
outside organizations or the federal government.
Clergy roles following disasters. More specifically, clergy are
highly called upon during times of crisis and disaster. Weaver, Koenig,
and Ochberg (1996) suggested that clergy are in a unique position to
assist with identifying and addressing mental health issues. Clergy
often have long-term relationships with their congregants making it
easier for individuals to seek pastoral care for trauma. Researchers
found that the amount of time spent in pastoral care and crisis
management significantly increases during a disaster, and for some time
after, even if one's community or congregation is not directly
affected. For example, clergy play an important role in attending to
mental health issues during crisis, often serving as first responders,
consoling the bereaved, calming distressed crowds, and reassuring those
affected by trauma (Darling et al., 2004; Weaver et al., 1996; Weaver et
al., 2003).
Immediately after the 9/11 terrorist attacks, the Northeast Clergy
Group organized a Ground Zero Clergy Task Force to assist the New York
City Mayor's Office of Emergency Management with crisis
intervention at Ground Zero in respite centers for rescue and recovery
workers, family assistance centers, shelters, and morgues
(Davidowitz-Farkas & Hutchison-Hall, 2005; Koenig, 2006). During the
1993 Midwest Flood, clergy turned their faith communities into refuges,
distribution centers, volunteer camps, and places of support, endurance,
and fellowship (Smith et al., 2000). After the Oklahoma City bombing,
emergency medical service personnel reported that clergy were an
important component to the process: as they assisted families during
body identification and locating loved ones who survived (Koenig, 2006,
p. 51).
The Clergy Experience
Members of the clergy are classified in the helping profession,
which is an occupational category that generally involves high
job-related stress (Darling et al., 2004; Horsman, 1989; McMinn et al.,
2005). Under normal conditions, clergy spend a minimum of 10 to 20
percent of their working time helping those in distress (Weaver, 2005).
Stressors commonly associated with work in the ministry include: (a)
broad and undefined job descriptions, (b) low pay, (c) variable daily
routines, and (d) lack of home-work boundaries (Horsman, 1989). Weaver,
Flannelly, Larson, Stapleton, and Koenig (2002) found that United
Methodist clergy work an average of 56.2 hours per week and spend about
12 evenings per month away from home for church-related
responsibilities. Additionally, clergy are among the top 10 percent of
the population in level of education, but rank 325th out of 432
occupations in terms of salary. It would seem that the frequent exposure
to the stress of others associated with pastoral care work and the
nature of the clergy role can put clergy at an exaggerated risk for
burnout.
Clergy experience after disasters. The experiences of clergy
following a disaster are largely misunderstood considering that most
research on clergy examines their job during normal circumstances
uncomplicated by uncommon stressors (e.g., natural disasters). Further,
research regarding the clergy experience in the context of both
survivors of and responders to disasters such as Hurricane Katrina is
nonexistent. Roberts, Ellers, and Wilson (2008) noted that clergy are
susceptible to compassion fatigue given the nature of their daily work
and experience of being "secondarily exposed to trauma and
traumatic events" (p. 217). Clergy have a moderate to high risk for
compassion fatigue from their job in general (27 percent; Roberts,
Flannelly, Weaver, & Rigley, 2003) due to the intense ranges of
emotions that they experience in their daily roles in events such as
weddings, funerals, baptisms, and bedside attention to the sick and
dying (Pector, 2005; Roberts & Ashley Sr., 2008). The risks for
compassion fatigue and burnout increase exponentially for clergy who
have recently experienced a disaster (Roberts et al., 2008), while the
demand for pastoral care increases (e.g., Darling et al., 2004; Weaver
et al., 2003).
As individuals, clergy experienced as much traumatic stress as the
general public in response to the attacks on 9/11 (Meisenhelder &
Marcum, 2004) and clergy volunteers following the September 11th
terrorist attacks suffered both personal and professional psychological
consequences (Davidowitz-Farkas & Hutchinson-Hall, 2005). As a
result of such findings, Koenig (2006) has stressed that clergy who
actively engage in disaster relief work "need support and sometimes
[need] counseling themselves" (p. 43).
The nature of the clergy role including their belief b, system, and
religious practice and teaching (e.g., Pargament, Tarakeshwar, Ellison,
& Wulff, 2001; Proffitt, Cann, Calhoun, & Tedeschi, 2007) seems
to imply that clergy might be better able to cope during times of
crisis. However, these implications do not address the coping strategies of clergy who are simultaneously faced with being victim to disaster on
a personal level, and being expected to supply the demands from others
for spiritual guidance as a professional.
Overall, the research on clergy coping in response to disasters is
limited. The literature available on coping largely focuses on the
stressors directly related to the clergy occupation under normal
circumstances, or the way in which clergy can better assist others
during times of crisis (Frame, 1998; McMinn et al., 2005; Proffitt et
al., 2007). These findings lack applicability to religious leaders and
their well-being after suffering from and coping with disaster as an
individual, and responding on a professional level. Thus, the present
study aims to gain a more in-depth understanding of the personal effects
of clergy and how they coped after Hurricane Katrina.
Method
The purpose of this qualitative study is to explore the lived
coping experience of South Mississippi and New Orleans clergy affected
by Hurricane Katrina. The research questions include: (a) How did clergy
cope with Hurricane Katrina? (b) What were the antecedents to clergy
coping? (c) What were the obstacles to clergy coping?
Qualitative Research
Qualitative research is a non-statistical form of scientific study
that uses language as the tool researchers use to discover meaning that
is unobservable through surveys or other methods of standardized data
collection (Morrow, 2007). Aten and Hernandez (2005) have suggested that
there are several benefits for using qualitative designs in religious
and spiritual research, including an in-depth understanding., of an
often highly individualistic and personal spiritual or religious
experience, as well as highlight the experiences of an underrepresented population (i.e., clergy affected by Hurricane Katrina). Qualitative
methodology is also especially useful for the study of marginalized
groups or times during or after crisis or disaster, which allow unique
themes to emerge that are specific to the culture of the group being
studied (Norris et al., 2001). It provides the phenomenological
understanding that often precedes statistical evaluation.
Participants
The participants were active clergy members from a single
protestant denomination on the Mississippi Gulf Coast and greater New
Orleans area at the time that Hurricane Katrina made landfall or shortly
after, and were directly affected by the storm on a personal level.
Purposeful sampling procedures were used to identify and recruit
participants. Regional denominational leaders made recommendations for
potential participants, and initial contact included a phone call from
the principal investigator and solicitation to participate. After
interviews were concluded, participants were asked to help identify
other potential participants.
The final sample consisted of 17 clergy from a protestant
denomination on the Mississippi Gulf Coast and greater New Orleans area,
four women and 13 men who ranged in age from 38 to 69 with a mean age of
50.6 years. Nine participants were interviewed from Mississippi (two
women, seven men), and eight participants were interviewed from
Louisiana (two women, six men). All 17 participants identified their
ethnicity as Caucasian. Their length of time as clergy ranged from 3.5
years to 27 years, with a mean of 11.7 years.
Instruments
A semi-structured interview guided the data collection and
consisted of a set of demographic questions and open-ended, grand round
questions. The interview questions focused on the coping experiences of
clergy who were personally affected by Hurricane Katrina (e.g., How did
you deal with the stress of the hurricane?). Follow-up prompts were used
to encourage participants to elaborate on their responses (e.g., What
coping skills did you use ?). Participants engaged in individual
interviews, which were conducted over the telephone and tape-recorded.
Data Analysis
The study followed the phenomenological data analysis approach
outlined by Marshall and Rossman (2006), which allowed the researcher to
better understand the meanings that individuals assigned to their
experiences and how their behavior and interactions with others were
impacted. First, data immersion was achieved by reading through
transcripts and field notes numerous times to develop an intimacy with
the themes and stories in the data. Second, phenomenological reduction
guided the coding process, in which the researcher explored each case
for emergent themes in the descriptions of the phenomena. Third, themes
and clusters of similar ideas emerged in each individual transcript,
forming a hierarchy of themes. Fourth, cross-case analysis involved the
comparison of themes from each transcript to each other transcript,
which resulted in emergent themes across all participant responses.
Fifth, opposing themes were also collected and coded, as these
discrepancies provided unique, discriminating views from within
participants, which added richness to the understanding of the
phenomenon. Sixth, findings were evaluated for alternative meanings in
order to ensure the dependability of initial assertions. In the final
step according to Marshall and Rossman (2006), the researcher drafted
the report, which was structured by the themes that emerged from the
participants' perspectives and researcher interpretation.
Enhancing Rigor and Trustworthiness
Rigor enhancing strategies are employed in qualitative research to
reflect the quantitative equivalent of validity and trustworthiness in
research. Lincoln and Cuba's (1985) qualitative standards have
emerged as the "gold standard" (Whittemore, Chase, &
Mandle, 2001, p. 527): (a) credibility represents internal validity, (b)
transferability denotes generalizability, (c) dependability indicates
reliability, and (d) confirmability translates to objectivity. Prolonged
exposure and field notes were used to enhance credibility, as well as
the use of triangulation, which involved multiple researchers, data
sources, methodologies, and rigor enhancing strategies. Rich, thick
descriptions of participants' experiences were used to enhance the
transferability of the study and enable a wide audience to apply the
context and phenomena to their individual circumstances. Dependability
was achieved through detailed record-keeping of research progress,
consistency in collecting data, and having the records audited by
external individuals familiar with qualitative designs. Negative case
sampling occurred during data analysis, which involved searching for
opposing themes and challenging findings for alternative meanings in
order to establish confirmability of the research.
Results
Positive Coping Strategies
Social support. Social support was one of the most commonly
reported positive coping strategies utilized by clergy, with the largest
source of support coming from family and friends, followed by support
from colleagues. A participant from New Orleans stated that he shared
frustrations, anger, and sorrow with a small group of associates,
describing, "we all share with each other to stay psychologically
balanced, so there's deep, active group therapy going on
constantly." Other participants reported receiving support from
individuals higher in their denominational organization, or from their
church's national organization; one participant said, "Being
part of something that was much larger than we were [that] was so
willing and committed and helpful, that was a very positive and strong
reinforce ment. Additionally, participants reported that their
denominational organizations hired a chaplain to work specifically with
the clergy on the coast after Hurricane Katrina, and most identified
this person as a primary source of spiritual and emotional support
across all stages of their disaster experience.
The vast majority of clergy reported extensive losses from the
storm, especially resource losses. Thus, clergy reported seeking
assistance from within their social networks to obtain resources.
Participants also experienced significant damage or destruction of their
homes, and reported that finding housing was difficult, if not
impossible, to secure following the aftermath of Hurricane Katrina.
However, participants reported that members within their social networks
again helped to meet this need, and that the gifts of others helped to
alleviate some of this stress.
Accessing resources. Accessing social network resources was another
positive way clergy coped with Hurricane Katrina. Almost every
participant spoke extremely favorably and were grateful that their
leaders and National Churches continued to provide salary and benefits
for them after Hurricane Katrina. Most also reported that knowing they
were receiving financial resources in these ways allowed them to remain
in the area serving not only their parishes but also their larger
surrounding communities.
Counseling with mental health professionals. Many participants
disclosed that they needed spiritual and emotional support after
Hurricane Katrina, and that they sought professional counseling and
psychological services to work through their hurricane and recovery
experiences. One participant reported how she came to seek counseling:
One of the things that was said very clearly, both when a
psychologist came to talk to the clergy here shortly after the
storm, psychologist came to talk to the clergy here shortly after
the storm, and then when we went down to [a post-hurricane
conference], was that none of us in pastoral ministry had an
business trying to help anyone else through the emotional part of
the loss as we were getting help ourselves. I took that very
seriously and called up one of my psychiatrist friends and said,
'will you take me on?' and the answer was yes. I had someone weekly
to take my anxiety to.
Another participant described his therapy experience after services
returned to New Orleans:
We were very fortunate given the fact that there were so few mental
health professionals in the city. That was my outlet after a while
too. I had somebody unconnected with the church, somebody who
wasn't a friend of mine, somebody I didn't feel like I was unduly
burdening by having them listen to my ranting and ravings, and
sometimes, tears.
On the whole participants reported that professional mental health
services provided the objectivity, anonymity, and outlet that they
needed for working through their disaster experiences and learning how
to regain a pre-hurricane level of functioning.
Establishing a routine. Establishing a routine was an important
feature of being able to cope for many participants. Several
participants expressed that daily structure, schedules, and familiarity
were important features for organizing their lives and surviving the
general chaos as members of the clergy. For example, one participant
shared, "... having church and being able to sing familiar hymns,
to hear a sermon about the faith, to hear scripture and engage in
fellowship with others ..." was crucial to reconstructing normalcy.
The presence of familiar faces, places, and words along with some
expectation for what the following day would hold was a source of peace
that helped participants move forward in their personal coping and
post-disaster lives.
Setting personal boundaries. One way that participants reported
positively coping with their experiences of Hurricane Katrina was
through setting boundaries. These boundaries included recognizing and
admitting personal and professional limitations, both publicly and
privately. For instance, one participant described, "I tried to
pace myself and acknowledge my limitations and do what I could do, and
then when I couldn't do anymore, I was very upfront about
that." Another participant explained:
I was, before the storm, a lone ranger kind of approach to
ministry, and I've learned pretty quickly what I could not do. So,
there was some learning, reaching out asking for help and asking
for advice, and looking for ways people could come in and give you
a hand.
Additionally, a few participants disclosed that recognizing their
boundaries led to them making difficult decisions that ultimately
facilitated coping. One participant reported:
When I moved ... about three weeks after moving here and we set up
the house, I looked at my wife and I said, 'my chest isn't as heavy
anymore, and I feel a little differently, and I don't know why.'
And we both realized that post-Katrina was a difficult thing, and
that leaving the coast was, perhaps, the best selfish thing we did,
because when you're there, you don't realize the stress you're
under.
Self-care. Participants reported taking time off or away to create
space for themselves for self-care. Many participants also indicated
that their denomination helped with self-care by sponsoring seminars and
conferences, and that their superiors expressed that time off was
necessary and normal. One Louisiana participant explained: "We
still took time and made time to take, as my wife referred to it,
'Debris Free Weekends, and we would just leave to go someplace where it was nice and clean and smelled good for a change." While
some individuals were already equipped with the knowledge to take breaks
from the disaster area, it took others longer to realize this need or
appreciate the value in the advice of others. One participant shared:
We learned, as we got further into it, that we needed to take
frequent mini-breaks, to get out of town, get away from time to time
when we could, just because it's a 24/7 deal when you're dealing
with when we could, just because it's a 24/7 deal when you're
dealing with all that stuff.
Some participants reported that another way they positively coped
with Hurricane Katrina was by focusing on their own personal health.
Specifically, participants noted trying to be more intentional in eating
healthy and exercising regularly. One participant commented, "I
jogged 4 days a week, 4 miles a shot, and I jogged religiously, no pun intended." Participants also described using exercise as an
"escape" from the destruction around them.
Perspective seeking and meaning making. Some participants reported
that seeking perspective enabled them to find strength and purpose to
continue recovery work. They reported that they often compared their own
personal suffering to others; or talked to people with similar life
experiences to normalize their own. Though a few participants reported
feeling guilty at times for being or thinking that they were
"better off" than some of those around them, overall,
participants benefitted from such comparisons. A specific way in which
participants reported seeking and shifting perspective was through
learning how to appreciate humor and laughter during the chaos of their
disaster experience. Laughing through the obstacles and challenges of
life post-hurricane prevented participants from dwelling on the
magnitude of their circumstances, and enabled them find meaning from the
truth of their jokes. One participant described:
We were probably there sleeping [in the church nursery] for two
weeks before we realized that the mural on the wall above our army
cots was Noah's Ark, and all the animals going into the ark, so we
laughed about that ...
Participants found humor to be a helpful buffer against the tragedy
of disaster, which provided an often necessary break in the seriousness
and tension of post-hurricane life.
Moreover, some participants reported volunteering above and beyond
their responsibilities as a clergy in order to shift their perspective,
and find some personal meaning and purpose to hurricane recovery. One
participant mentioned, "We volunteered with the Red Cross during
that time, entering data into a computer base and things like that, so
we were able to feel like we were helping out." Volunteer
activities provided participants with a way to realize the impact they
made, both as clergy and as members of their communities, and to shift
their attitudes when they lost momentum for their cause.
Participants reported relying upon their faith and prayer as a way
to cope. They reported that their religious faith and prayer offered
them a sense of peace, meaning, and purpose. Further, clergy stated that
their personal faith and prayer helped them connect with something
larger than themselves and larger than Hurricane Katrina. By relying
upon their faith and prayer, they also reported feeling more connected
to God. Setting aside special times for prayer also provided
participants with a sense of normalcy amidst the chaos of hurricane
relief. A participant from New Orleans recounted:
One of the things I did was, and that I've always found comfort in,
was that I started the day with morning prayer in the chapel there
at was that I started the day with morning prayer in the chapel
there at the church. That was a time for mc to sit quietly and to
listen and to basically give everything over to God. So, morning
prayer was my sort of anchor in the morning.
Some participants reported that prayer was not something they did
for themselves in the beginning, as one participant noted, "...
you're spending all day doing [prayer] for everybody else, and
didn't really stop to do it for yourself ..." By grappling
their way through this time through increased prayer, study, or
fellowship, most stated that they grew stronger in their faith.
Negative Coping Strategies
Denial. The most significant negative coping strategy was not
coping at all. Some participants admitted to blatantly denying the chaos
of life post-Katrina. One participant disclosed, "Quite honestly,
sometimes I just denied there was ever a problem, and just went through
the day as if everything was normal." Many more participants denied
coping through less obvious ways such as concentrating on work, as one
participant described, "I call that first year 'adrenaline
year: and we just worked ceaselessly and fell into bed every
night." Some participants denied themselves the opportunity to
attend retreats and conferences designed specifically for coping with
life post-Katrina, reasoning "I just didn't feel like leaving
the parish for three or four days, a weekend ... I thought I was
supposed to just keep on going, keep pushing through ..." A few
participants recognized their own self-neglect, reporting, "On the
intellectual level, I knew that I was going to burnout sooner than
later, and I chose to do that ... And so, it hit me, perhaps 20 months
out."
Excessive eating and drinking. Some participants reported that they
coped by eating more than they did pre-Katrina. One participant
disclosed, "I'm a stress eater. I ate a lot. I gained a lot of
weight post-Katrina." Also, participants reported that their
consumption of alcohol increased, "We realized that we were
drinking more than we normally did, and I'm sure that that's a
coping mechanism." For one participant, the consumption of alcohol
was a link to social support with church colleagues in the form of
"socializing and drinking after work."
Neglecting to set boundaries. Participants often made themselves
available to their congregations and communities "around the
clock," and adopted the belief that they could not limit their
availability to those in need. Some did not take breaks, recognize their
limitations, or say "no" when they were "worn thin."
Participants continued helping others until their defenses no longer
protected them from the vicarious nature of the trauma of others. Words
such as "hopelessness," "survivor's guilt,"
"spontaneous breakdowns," "vicarious trauma," and
"feelings of isolation" and "uncertainty" were
frequently used to describe their experiences. One participant recalled
how the experiences of others affected their emotions, "I
didn't get hurt as bad as they did and you start running around
feeling guilty because you did not get totally smeared."
Additionally, feeling alone through the emotional struggle of disaster
ministry was a common thread found in the data, as one participant
described, "I would bet all of us down here on the coast probably
felt like sort of the lone ranger in so many different ways."
Participants reported that they eventually became resentful about
the support they showed to others and the lack of reciprocity. One
participant communicated frustration with the absence of deeper, more
emotional processing with other survivors:
So the normal expression of concern among people was 'How did you
make out?' but that was limited to physical, logistical type stuff.
And 'How did you make out' very seldom was to say, 'How are you now
and what effect did this have on you emotionally, psychologically,
spiritually?'
The chaos of disaster ministry was unrelenting, and some
participants did not recognize that they were unable to withstand the
constant physical, emotional, and personal demands until they were
already burnt out.
Many participants also reported feeling that they had to choose
between their roles as a clergy member and their roles at home. This
imbalance of roles and lack of personal boundaries often resulted at the
expense of their families:
My wife and I were both first responders ... and while that was
really good, fulfilling work, it also meant that we were not at
home getting to be with our children as much as we would have like
to have getting to be with our children as much as we would have
like to have been. From a personal standpoint ... you're out there
helping everybody else, you neglect your own family at times.
Participants reported that it was often difficult to set boundaries
because there were so many roles, responsibilities, and people that
depended on them.
Obstacles to Coping
Lack of support. While many participants reported support to be an
antecedent for them to cope, others reported some deficit in support,
which hindered their ability to cope after Hurricane Katrina. For
example, one participant from Louisiana expressed that, "One of the
most frustrating things was the lack of support from family. I
don't think any of them really understood what we were going
through. They had no concept of the scale of disaster." Another
participant reported that because of the damage to road and bridge
infrastructure, "there is not as much camaraderie down here as you
might think; we like each other, but the distances and the travel
[prevent it]." Some clergy were even met with peer criticism,
rather than support, after attending a conference specifically designed
to help disaster responders cope. For example, one participant
recounted, "When I got back, two of our clergy on the coast did not
go and kind of confronted me and told me, 'how dare you leave the
front lines when you're needed here, kind of thine Still, some
participants reported feeling overlooked by the leaders and greater
church organization as one participant noted, "I was told that the
church would help us get back on our feet, and that never
happened."
Some participants discussed the separation of their families during
recovery; thus, these participants experienced an absence of support
they may have received from loved ones had matters of distance and
safety not separated them. Further, two participants explained how their
roles in disaster ministry and commitment to hurricane recovery caused
the dissolution of their marriages. One participant explained:
The most significant way the storm affected me personally was that
my wife, after evacuating from the storm, made the decision that
she was not going to come back to the house or to the parish. It
began the separation that led to our divorce and that kind of
significant stress for our family.
Lack of resources. Resources such as food, money, government
assistance, and media attention were stretched thin across the entire
disaster zone, which caused significant deficits in resources for
communities across the Gulf Coast. One participant disclosed:
You just don't have a lot of resources to help people in those
situations. It brought with it a level of frustration of just not
having enough resources to throw at it that you felt like you're
making any progress or doing any good for people.
Many participants described how the lack of resources and
subsequent feelings of helplessness became a sense of hopelessness in
their ability to make a difference, and even to exercise control over
their own recovery, thus perpetuating despair and the prevention of
coping.
Specifically, housing was a resource that posed an immediate
obstacle to coping, as many clergy experienced personal devastation with
the loss of or significant damage to their homes. Several participants
reported living in church structures that were still standing, with
friends, or in temporary accommodations until alternative arrangements
could be made. Others reported that once permanent housing became
available, costs of rent and living were unaffordable.
Emotional challenges. Most of the participants described their
Hurricane Katrina experience as traumatic, with a few stating that,
"emotional breakdowns were common the first few months: Likewise, a
number of participants described brief periods of time when they
experienced hopelessness as they were faced with what seemed like
unending challenges. A few participants also reported feeling troubled
over the perceived psychological impact of the storm on their children.
For instance, a few participants shared that their young children,
"... are still traumatized by bad weather.
Many participants spoke in detail about the loss of
"normalcy" they experienced as they sought to move forward
after the storm. Participants noted that chaotic and ambiguous daily
life post-Hurricane Katrina was frustrating and prevented adjustment.
The lack of routine resulted in feelings of uncertainty, which prolonged
stress and delayed coping. One participant expressed, "I'm
fairly structured, and there was no plan. You're just kind of
reinventing it every day."
Physical Challenges. Although very few participants reported being
physically injured during the actual passing of the storm, a significant
amount reported experiencing physical problems often stemming from
involvement in recovery related tasks, such as helping with home repair.
One of the most commonly reported health challenges was the concern over
possible exposure to environmental or water toxins that they may have
encountered. Participants reported suffering from fatigue that
accompanied their extended workdays and engaging in physically demanding
work like clearing debris. Several participants stated that they had
sustained chronic injuries such as back and neck pain, or sleep
problems.
Increased responsibilities. Participants described that their
pastoral care and chaplaincy roles increased significantly, and that the
majority of their pastoral care and chaplaincy work focused on crisis
intervention. For example, one participant described that he "...
buried two suicides in one family ... certainly the depths of my
pastoral work was considerably more extensive: In addition to non-crisis
clergy-related duties, participants reported taking over tasks usually
managed by other church leadership, feeling pressure from the national
church leaders to rebuild membership numbers, and perform multiple
duties requested by the larger church organization. Some participants
undertook the responsibility of advocating on behalf of the larger
community.
Many participants discussed that in addition to their obligations
to congregation and community members, "there was also just the
mayhem of entertaining hundreds of volunteers every week." The
participants described carrying and continuing to bear much of the
burden of hosting, organizing, and ministering to thousands of
volunteers, as one participant recollected, "[it] is a great
blessing and also a great curse because it requires a lot of energy
..."
Discussion
Participants were both survivors of and responders to Hurricane
Katrina. Thus, as responders, their clergy roles changed significantly,
which appeared to have affected their personal coping experiences. This
study yielded three dominant themes regarding the coping experiences
among clergy after Hurricane Katrina: positive coping strategies,
negative coping strategies, and obstacles to coping. Participants did
not identify any experiences that served as catalysts or antecedents for
coping as intended by the original research questions. Participants
discussed that their positive coping strategies served to continue their
coping processes. Overall, coping appeared to occur almost on a
continuum in response to the Hurricane Katrina aftermath. Thus, many of
the positive coping strategies that participants endorsed were paired
with an almost opposite negative coping strategy or obstacle that
hindered coping in some way.
Positive Coping Strategies
Whether participants reported a lack of support, an outward reach
for support, or direct offerings of support, social support appeared to
be a major factor in facilitating positive coping. However, a difference
emerged in the way participants obtained support: some clergy were
active about seeking and asking for support, while it appeared that
others waited for support to come to them. The act of coping through
seeking support has been found to contribute to posttraumatic growth
after a stressful life event (Prati & Pietrantoni, 2009). Therefore,
seeking support, rather than passively waiting for support to arrive, is
considered an active form of coping for the purposes of this study.
Researchers suggest that the more an individual seeks support, the more
likely he or she will be to receive many types of support
(Dunkel-Schetter, Folkman, & Lazarus 1987). Also, these researchers
explained that an individual's interpersonal way of coping might
invite or prevent others from offering support. Interestingly, of the
Mississippi participants who endorsed more negative coping strategies
(i.e., denial), half of those participants indicated no social support
seeking, and half of them reported the lack of social support as an
obstacle. Thus, this lack of social support may be attributed to their
usage of negative coping strategies and the implicit message that those
strategies sent regarding their perceived need for support.
Additionally, more participants from Louisiana reported the use of
humor to cope and described it to be especially helpful in coping.
According to Moran and Hughes (2006), humor may further facilitate the
receipt of social support from others since support is often offered to
those who make others laugh. Also, humor has long been found to act as a
buffer against both the cognitive (Dixon, 1980; Martin, Kuiper, Olinger,
& Dance, 1993) and physiological aspects of stress (Shurcliff,
1968).
Counseling emerged as a significant source of positive coping for
participants. The study showed that clergy relied on professional
counseling services from mental health care providers, thus, these
findings highlight a specific opportunity in which clergy can benefit
from counseling with a mental health professional. Also, national church
denominations can benefit from knowing that clergy working in disaster
areas can greatly benefit from psychological services, specifically when
their organizational superiors recommend and suggest that they seek such
services. These findings may begin to break down the barrier that seems
to exist between the ministry and field of psychology, and create
opportunities to better understand how mental health professionals can
help clergy.
Reestablishing or developing a routine produced positive
consequences in participant coping. Reliance on a routine may protect
people from the stress of the things that are unknown in a disaster
situation, as well as provide individuals with a way to gain control
over a chaotic environment. Many participants were displaced from their
homes for several weeks without definitive information regarding the
status of their homes, churches, or congregants. Dass-Brailsford (2010)
suggested that maintaining a routine can serve to alleviate and even
prevent the deleterious affects of responding to a disaster. Thus, the
ambiguity of a disaster environment impedes coping experiences. Further,
establishing some form of routine amidst the chaos can provide disaster
survivors with some sense of stability when everything around them is
unknown.
Many participants reported that setting boundaries buffers against
the constant stress of life post-Hurricane Katrina. McMinn et al. (2005)
found clergy to use strict boundary setting in everyday, nondisaster
situations, which allowed them to focus more on themselves and their
families. Accordingly, participants who reportedly set clear,
professional boundaries were provided with greater opportunity to attend
to personal needs, care for their children, and cope as families.
Setting and adhering to their boundaries enabled participants to
maintain their disaster ministry roles, many of whom continue to serve
the churches they helped to rebuild or repair. The practice of setting
firm boundaries in one's daily life as a clergy may be even more
important during times of mass distress considering clergies'
exposure to the trauma of others, the increase in roles, and the volume
of people who seek and require their time and attention.
Participants reported that they used self-care strategies including
nutritional eating, exercise, and time away from their respective
disaster zones to constructively cope with life after Hurricane Katrina.
Ingledew, Hardy, Cooper, and Jemal (1996) discovered three similar
health behaviors that function as coping strategies: exercise, eating,
and self-care. However, the eating factor, found in Ingledew et al.
(1996), is related more to overindulgent eating habits, which were coded
as a negative coping strategy for the current study since it reportedly
led to additional distress. The eating habits reported by participants
were described as healthy, proportionate, and intentional, which is an
alternative finding than that proposed by the three factors from the
Ingledew et al. (1996) study. Healthy eating, exercise, and self-care
are among strategies that McMinn et al. (2005) identified as everyday
means of coping for clergy outside the context of disaster or trauma.
Also, the physiological drive that results from the adrenaline released
after a disaster may push disaster responders to continue working, but
often diminishes the effectiveness and efficiency of their work. Jones
(2001) explained that practicing self-care during disasters is easier if
clergy made self-care a priority in their vocational lives before the
traumatic event.
Participants endorsed the use of faith or prayer in coping, and one
participant expressed that he discovered prayer as a source of personal
coping after months of praying for others. Given the implied
religiousness of a clergy population, Proffitt et al. (2007) suggest
that clergy would be likely to employ religious coping strategies.
Considering the trends, one would expect that a sample of clergy would
endorse the use of faith and prayer at a relatively high rate. However,
less than half of the clergy interviewed for the current study directly
endorsed the use of faith or prayer as a coping mechanism, which was
endorsed third in frequency to social support and self-care.
Participants may have placed immediate focus on basic needs such as
food, shelter, and physical and emotional support over higher needs such
as spiritual connection. Participants often reported that they neglected
personal needs due to the lack of time that they had for self-care,
which for some, may have demoted prayer and faith on their list of
priorities. Alternatively, the depletion of spiritual resources after
hours of ministering to other survivors, may have been what led
participants to neglect personal faith. Other research found that clergy
who employed some form of religious coping, either positive or negative,
experienced some degree of posttraumatic growth after a significant life
event (Proffitt et al., 2007). In the current study, one clergy
indicated that his prayer practice had deepened. However, it should also
be noted that one clergy disclosed that he found his prayer practice to
suffer. It seems that at some point, prayer becomes less of a coping
strategy for clergy and more of a job task, which may in turn leave
clergy with inadequate coping systems.
Negative Coping Strategies
Some participants reported that excessive alcohol consumption was
used as a means to cope with their hurricane experiences, while others
indicated that light to moderate alcohol consumption facilitated
opportunities for social support. These observations are consistent with
research findings that indicate a positive correlation between social
support and alcohol consumption (Veenstra et al., 2007). The use of
alcohol to facilitate social support may be seen as a functional use of
drinking, and thus may be considered a positive coping strategy for the
purposes of this study. However, Field and Quigley (2009) found that
social drinkers who also use alcohol as a coping mechanism experienced
greater preoccupation for alcohol consumption after a stressful
experience. Thus, this stress-induced, attentional focus towards alcohol
may lead to excessive drinking once the "social" opportunity
arises. Given that extreme life experiences (e.g., disaster) can cause
depression, anxiety, and a variety of other emotions (Milligan &
McGuinness, 2009), the use of alcohol to cope specifically with
depressive or anxious reactions may predispose individuals to drink more
than they normally would. While alcohol can serve to facilitate
opportunities for positive coping, it may also act as a substitute for
more constructive forms of coping; thus it is considered a negative
coping strategy for the current study.
Many participants reported that they used denial as a coping
strategy, which they felt had long-term negative effects (e.g.,
fatigue-related injuries that resulted chronic pain, burnout) on their
recovery from Hurricane Katrina. In the current study, denial was
characterized as neglecting to cope and, at times, refusing to admit any
problems post-Hurricane Katrina. The current study illustrated that
denial may allow an individual to move beyond the immediate effects of a
disaster, but that prolonged exposure to such an environment due to an
unwillingness to psychologically examine the situation can have adverse
outcomes.
Obstacles to Coping
Two participants described that their commitment to disaster
ministry resulted in the dissolution of their marriages, which further
complicated their coping to Hurricane Katrina. This is consistent with
research showing that stressful life events can cause severe emotional
consequences and significant life changes (e.g., divorce; Karney &
Bradbury, 1995; McLeod, 1994; Nakonezny, Reddick, & Rodgers, 2004).
This finding in the current study adds to the evidence that the effects
of a natural disaster may have a fundamentally different effect on
marriages and close relationships than manmade disasters, or terrorist
acts.
Participants reported that the emotional demands after Hurricane
Katrina were overwhelming and prevented deep and holistic coping.
Compassion fatigue is a common experience of helping professionals in
which the helper experiences "spiritual, physical, and/or emotional
fatigue and exhaustion" after working with survivors of a traumatic
event (Roberts et al., 2008, pg. 209). Many participants reported
exposures similar to those of Dass-Brailsford (2008), however they
lasted much longer and for some, the effects of those exposures were too
great to continue working as a disaster minister. Thus, the risks of
compassion fatigue were great for participants of the current study, yet
the coping strategies to combat the emotional effects were limited.
Participants reported that the increased responsibilities,
specifically in ministering and organizing volunteers, resulting from
Hurricane Katrina were a significant obstacle to coping. Similarly, the
additional roles that survivors assumed when their loved ones did not
return after the Mt. St. Helens volcano eruption (e.g., surrogate
parenting, elderly care taking) further complicated their bereavement and coping processes, both one and three years after the disaster
(Murphy, 1986). Participants described the magnitude of volunteers who
responded to Hurricane Katrina as bittersweet: they were helping the
congregation and community, but requiring much of the clergies'
energy and resources. It may also be possible that a disparity exists
between participants' expectations about the clergy role, readiness
for the job tasks that may come, or training on both a personal and
professional level. Often clergy are subject to the risk factors of
burnout similar to teachers, police officers, and social workers
(Darling et al., 2004; Pector, 2005). Prospective clergy and seminary students may need more thorough career counseling, course curriculum, or
overall training on the stressors than can accompany the role of a
clergy member in order to better inform and prepare those considering a
career in the ministry. While the stressors reported after Hurricane
Katrina may be unavoidable, knowing what to expect and braining storming
how one might respond may better prepare clergy and similar helping
professionals for the obstacles that disasters bring.
Limitations
The focus of this study on natural disasters, specifically
Hurricane Katrina, may limit the transferability of this study to clergy
that live and work outside of hurricane-prone areas. The limited gender,
religious, and ethnic diversity of the sample may also narrow the
transferability of the findings to other clergy members around the
country. Additionally, the data for the current study was collected
between three and three and a half years after Hurricane Katrina made
landfall on the Gulf Coast, thus recall of their experiences may have
occurred with some degree of bias. For example, participants'
mental health status at the time of interview may have influenced their
recollections. Given the disproportionate number positive coping
strategies to negative coping strategies, social desirability may have
deterred participants from speaking completely openly about their coping
experiences.
Future research. The current study offers information for
developing quantitative survey items, which would offer statistical
analysis of the use of negative or positive coping strategies during
crisis. Longitudinal research on clergy coping after disasters is also
needed, which can help identify clergy needs at different stages of
disaster response. Comparison research across different types of
disasters would explain whether clergy cope differently depending on the
type of disaster (i.e., natural, technological, or terrorism). Also,
research on the type of training and preparation clergy receive
regarding stressful life events could help researchers gain a better
grasp on the gaps that may exist in seminary coursework. The usage of
mental health services by clergy is also an under-researched area,
especially regarding the types of psychological services that clergy
have already utilized or would be likely to seek, and their
effectiveness.
Conclusion
This study explored the lived coping experience of Southern
Mississippi and New Orleans clergy affected by Hurricane Katrina. Clergy
coped with the aftermath of the hurricane in a variety of ways, some
positive and some negative. Also, several factors emerged that made it
more difficult for clergy to cope. The roles that clergy played in New
Orleans and Mississippi required alertness, emotional presence, and
physical stamina, which ultimately affected their own ways of coping.
The coping practices used by clergy in disaster circumstances remain
largely under researched. Most literature focuses on the daily
experiences of clergy and their stressors outside the context of a
disaster. As clergy are becoming increasingly recognized for their
disaster response, research is needed to better understand their
weaknesses in coping, as well as their strengths in order to help them
improve and maintain their mental health.
References
Aten J. D., & Hernandez, B. C. (2005). A 25-year review of
qualitative research published in spiritually and psychologically
oriented journals. Journal of Psychology & Christianity, 24(3),
266-277.
Cain, D. S., & Barthelemy, J. (2008). Tangible and spiritual
relief after the storm: The religious community responds to Katrina.
Journal of Social Service Research, 34(3), 29-42.
CNN Reports. (2005). CNN reports: Katrina-state of emergency.
Kansas City, KS: Andrews McMeel Publishing.
Darling, C. A., Hill, E. W., & McWey, L. M. (2004).
Understanding stress and quality of life for clergy and clergy spouses.
Stress and Health: Journal of the International Society for the
Investigation of Stress, 20(5), 261-277.
Dass-Brailsford, P. (2008). After the storm: Recognition, recovery,
and reconstruction. Professional Psychology: Research and Practice,
39(1), 24-30.
Dass-Brailsford, P. (2010). Crisis and disaster counseling: Lessons
learned from hurricane Katrina and other disasters. Thousand Oaks, CA
US: Sage Publications, Inc.
Davidowitz-Farkas, Z., & Hutchison-Hall, J. (2005). Religious
care in coping with terrorism. Journal of Aggression, Maltreatment &
Trauma, 10(1), 565-576.
Dixon, N. F. (1980). Humor: A cognitive alternative to stress. In
Spielberger, C. D. & Sarason, 1. G. (Eds.), Anxiety and Stress,7.
Washington, DC: Hemisphere, 281-289.
Dunkel-Schetter, C., Folkman, S., & Lazarus, R. (1987).
Correlates of social support receipt. Journal of Personality and Social
Psychology, 53(1), 71-80.
FEMA. (2005). Mississippi disaster declaration as of 10/27/2005 No.
1604-DR. Washington, DC: ITS Mapping and Analysis Center.
Field, M., & Quigley, M. (2009). Mild stress increases
attentional bias in social drinkers who drink to cope: A replication and
extension. Experimental and Clinical Psychopharmacology, 17(5), 312-319.
Figley, C. R. (1989). Helping traumatized families. San Francisco,
CA US: Jossey-Bass.
Frame, M. W. (1998). Relocation and well-being in United Methodist
clergy and their spouses: What pastoral counselors need to know.
Pastoral Psychology, 46(6), 415-430.
Guthrie, T., & Stickley, T. (2008). Spiritual experience and
mental distress: A clergy perspective. Mental Health, Religion eg.
Culture, 11(4), 387-402.
Horsman, S. (1989). Special needs in stress coping for the clergy.
In F. J. McGuigan, W. E. Sime, J. M. Wallace, F. J. McGuigan, W. E. Sime
& J. M. Wallace (Eds.), Stress and tension control 3: Stress
management (pp. 147-151). New York, NY US: Plenum Press.
Ingledew, D., Hardy, L., Cooper, C., & Jemal, H. (1996). Health
behaviours reported as coping strategies: A factor analytical study.
British Journal of Health Psychology, l(Part 3), 263-281.
Institute for Southern Studies. (2008). Faith in the gulfi
Lessonsfrom the religious response to hurricane Katrina. (Issue No. 7).
Durham, NC: Evans, D.; Kromm, C.; Sturgis, S.
Janoff-Bulman, R. (1992). Shattered assumptions: Thwards a new
psychology of trauma. New York, NY US: Free Press.
Jones, B. K. (2001). Rest in the storm: Self-care strategies for
clergy and other caregivers. Valley Forge, PA: Judson Press.
Karney, B. R., & Bradbury, T. N. (1995). The longitudinal
course of marital quality and stability: A review of theory, method, and
research. Psychological Bulletin, 118(1), 3-34.
Kessler, R., Galea, S., Jones, R., & Parker, H. (2006). Mental
illness and suicidality after hurricane Katrina. Bulletin of the World
Health Organization, 84(11), 1-21.
Koenig, H. G. (2006). In the wake of disaster: Religious responses
to terrorism & catastrophe. West Conshohocken, PA: Templeton
Foundation Press.
Louisiana Survey (2005, November 30). The 2005 Louisiana survey
post-hurricane community audit. The Public Policy Research Lab.
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry.
Beverly Hills, CA: Sage Publications.
Lord, J. H., Hook, M., & English, S. (2003). Different faiths,
different perceptions of public tragedy. In M. Lattanzi-Licht, K. J.
Doka, M. Lattanzi-Licht & K. J. Doka (Eds.), Living with grief
Coping with public tragedy. (pp. 91-107). New York, NY:
Brunner-Routledge.
Marshall, C., & Rossman, G. B. (2006). Designing qualitative
research (Fourth ed.). Thousand Oaks, CA: Sage Publications.
Martin, R. A., Kuiper, N. A., Olinger, L. J., & Dance, K. A.
(1993). Humor, coping with stress, self-concept, and psychological
well-being. Humor: International Journal of Humor Research, 6(1),
89-104.
McLeod, J. D. (1994). Anxiety disorders and marital quality.
Journal of Abnormal Psychology, 103(4), 767-776.
McMinn, M. R., Lish, R. A., Trice, P. D., Root, A. M., Gilbert, N.,
& Yap, A. (2005). Care for pastors: Learning from clergy and their
spouses. Pastoral Psychology, 53(6), 563-581.
Meisenhelder, J. B., & Marcum, J. R (2004). Responses of clergy
to 9/11: Posttraumatic stress, coping, and religious outcomes. Journal
for the Scientific Study of Religion, 43(4), 547-554.
Milligan, G., & McGuinness, T. (2009). Mental health needs in a
post-disaster environment. Journal of Psychosocial Nursing and Mental
Health Services, 47(9), 23-30 Moran, C. C. & Hughes, L. P. (2006).
Coping with stress: Social work students and humour. Social Work
Education, 25(4), 501-517.
Morrow, S. L. (2007). Qualitative research in counseling
psychology: Conceptual foundations. The counseling Psychologist, 35(2),
209-235.
Murphy, S. (1986). Perceptions of stress, coping, and recovery one
and three years after a natural disaster. Issues in Mental Health
Nursing, 8(1), 63-77.
Nakonezny, P., Reddick, R., & Rodgers, J. (2004). Did divorces
decline after the Oklahoma City bombing? Journal of Marriage and family,
66(1), 90-100.
Norris, F. H., Weisshaar, D. L, Conrad, M. L., Diaz, E. M., Murphy,
A. D., & Ibanez, G. E. (2001). A qualitative analysis of
posttraumatic stress among Mexican victims of disaster. Journatl of
Tiaumatic Stress, 14(4), 741-756.
Pargament, K. I., Tarakeshwar, N., Ellison, C. G., & Wulff, K.
M. (2001). Religious coping among the religious: The relationships
between religious coping and well-being in a national sample of
Presbyterian clergy, elders, and members. Journal fur the Scientific
Study of Religion, 40(3), 497-513.
Pector, E. A. (2005). Professional burnout detection, prevention,
and coping. Clergy Journal, 81(9), 19-20.
Prate, G., & Pietrantoni, L. (2009). Optimism, social support,
and coping strategies as factors contributing to posttraumatic growth: A
meta-analysis. Journal of Loss and Trauma, 14(5), 364-388.
Proffitt, D., Cann, A., Calhoun, L. G., & Tedeschi, R. G.
(2007). ludeo-Christian clergy and personal crisis: Religion,
posttraumatic growth and well being. Journal of Religion & Health,
46(2), 219-231.
Roberts, S. B., & Ashley Sr., W. C. (Eds.). (2008). Disaster
spiritual care: Practical clergy responses to community, regional, and
national tragedy. Woodstock, VT: SkyLight Paths Publishing.
Roberts, S., Ellen, K., & Wilson, J. (2008). Compassion
fatigue. Disaster spiritual care: Practical clergy responses to
community, regional and national tragedy (pp. 209-226). Woodstock, VT
US: SkyLight Paths Publishing.
Roberts, S. B., Flannelly, K. J., Weaver, A. J., & Rigley, C.
R. (2003). Compassion fatigue among chaplains, clergy, and other
respondents after September 11th. Journal of Nervous and Mental Disease,
191(11), 756-758.
Rogers, D. F. (2002). Pastoral care for post-traumatic stress
disorder: Healing the shattered soul. Binghamton, NY: Haworth Pastoral
Press.
Schuster, M. A., Stein, B. D., Jaycox, L. H., Collins, R. L.,
Marshall, G. N., Elliott, M. N., et al. (2001). A national survey of
stress reactions after the September 11,2001, terrorist attacks. _New
England Journal of Medicine, 345(20; 20), 1507-1512.
Shurcliff, A. (1968). Judged humor, arousal, and the relief theory.
Journal of Personality and Social Psychology 8, 360-363.
Smith, B. W., Pargament, K. I.. Brant, C., & Oliver, J. M.
(2000). Noah revisited: Religious coping by church members and the
impact of the 1993 Midwest flood. Journal of Community Psychology,
28(2), 169-186.
Spence, P. R., Lachlan, K. A., & Burke, J. M. (2007). Adjusting
to uncertainty: Coping strategies among the displaced after hurricane
Katrina. Sociological Spectrum, 27(6), 653-678.
US Department of Commerce. (2006). Service assessment: Hurricane
Katrina august 23-31, 2005. Silver Spring, MD: NOAA's National
Weather Service.
Veenstra, M., Lemmens, P., Friesema, I., Tan, F., Garretsen, H.,
Knottnerus, J., et al. (2007). Coping style mediates impact of stress on
alcohol use: A prospective population-based study. Addiction, 102(12),
1890-1898.
Weaver, A. J. (2005). Clergy as health care providers. Southern
Medical Journal, 98(12), 1237-1237.
Weaver, A. J., Flannelly, K. J., Larson, D. B., Stapleton, C. L.,
& Koenig, H. G. (2002). Mental health issues among clergy and other
religious professionals: A review of research. The Journal of Pastoral
Care & Counseling: JPCC, 56(4), 393-403.
Weaver, A. J., Flannelly, L. T., Garbarino, J., Figley, C. R.,
& Flannelly, K. J. (2003). A systematic review of research on
religion and spirituality in the journal of traumatic stress: 1990-1999.
Mental Health, Religion & Culture, 6(3), 215-228.
Weaver, A. J., Koenig, H. C., & Ochberg, F. M. (1996).
Posttraumatic stress, mental health professionals, and the clergy: A
need for collaboration, training, and research. Journal of Traumatic
Stress, 9(4), 847-856.
Whittemore, R., Chase, S. K., & Mandle, C. L., (2001). Validity
in qualitative research. Qualitative Health Research, 11(4), 522-538.
Kari Leavell
The University of Southern Mississippi
Jamie D. Aten
Wheaton College
David Boan
Wheaton College
Author Information
LEAVELL, KARI. MA. Address: 118 College Drive #5025, Hattiesburg,
MX 39406. Email: karileavell@eagles.usm.edu. Degrees: completing her PhD
(Counseling Psychology) The University of Southern Mississippi in
Hattiesburg, MS.
ATEN, JAMIE D. PhD. Address: Department of Psychology, Whacon
College, 501 College Avenure, Wheaton, IL 60187-5593. Email:
Jamie.aten@wheacon.edu. Title: Founder and Co-Director of the
Humanitarian Disaster Institute and Dr. Arthur P. Rech and Mrs. Jean May
Rech Associate Professor of Psychology at Wheaton College (Wheaton, IL).
Degrees: PhD (Counseling Psychology) Indiana State University; M.S.,
Counseling Psychology) Indiana State
BOAN, DAVID M. PhD. Address: Wheaton College, 501 College Avenue,
Wheaton, IL 60187. title: Associate Professor Psychology, Co-Director of
Humanitarian Disaster Institute. Degress: BA (Psychology) Washington,
College, Maryland; MA (Counseling Psychology) Rosemead Graduate School;
PhD Clinical Psychology, Rosemead Graduate School. Specializations:
Organizational culture, community psychology, performance improvement.