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84             Creating Spiritual and Psychological Resilence

            indicate that they find their faith as a hindrance in their recovery from
            the trauma, viewing the incident as an expression of God’s wrath or proof
            that a benevolent, omnipotent Deity does not exist (Elliott, 1994; Falsetti,
            Resick, & Davis, 2003; Fitchett, Rybarczyk, DeMarcoo, & Nicholas, 1999;
            Fontana & Rosenheck, 2004; Pargament et al., 2002, 2004b; Strawbridge
            et al., 1998).
              Disasters affect communities by overwhelming their capacity to address
            physical and emotional needs, by destroying resources, disrupting impor-
            tant attachments and relationships, threatening safety, and exceeding indi-
            vidual and community capacity to make meaning of the events (Hobfoll
            et al., 2007). Most mental health research has been on the negative mental
            health outcomes of disaster, such as posttraumatic stress disorder, depres-
            sion, and alcohol abuse (Bonanno, 2004; Brewin, Andrews, & Valentine,
            2000;  Kessler,  Sonnegar,  Bromet,  Hughes,  &  Nelson,  1995;  Ozer,  Best,
            Lipsey, & Weiss, 2003). From the perspective of many faith communities,
            disaster may be viewed not only as a loss and target for problem solv-
            ing but also as a challenge that can inspire growth and foster improved
            functioning, or “posttraumatic growth.” Such growth is characterized by
            perceiving oneself as resilient, having more meaningful relationships with
            others,  developing  an  increased  appreciation  for  life,  and  experiencing
            enhanced spirituality (Tedeschi & Calhoun, 1996).




            Background and Data

            The authors for this chapter represent clinicians and a clinically trained
            chaplain who are involved in care of combat veterans and have both per-
            sonal and professional experience with other types of disasters, includ-
            ing tornados, workplace violence, and a bridge collapse. Our work has
            involved research designed to identify aspects of spirituality that are asso-
            ciated with recovery from trauma, as well as aspects of spirituality that
            appear to hinder recovery from trauma. This work has grown to include
            the development of spiritually integrated interventions, including a pro-
            gram of prayer skills training to assist trauma survivors in maximizing
            their faith resources in recovery.
              Patterns of findings in the mental health research on spirituality and
            trauma are emerging with increasing clarity. For example, in a study of
            survivors  of  the  Oklahoma  City  bombing  in  1995  (Pargament,  Smith,
            Koenig, & Perez, 1998) researchers found that those accessing certain types
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