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Fundamentals of Collaboration              11

            in a short time, all depending on the nature of the disaster, who is affected,
            and  preexisting  factors.  To  further  compound  matters,  disasters  may
            overlap one another, and, as described above, one event may even trigger
            a cascade of complex and overlapping reverberations. Disasters are not
            discrete events but rather are like overlapping chains of events sliding over
            one another, with no clear start and no clear end but a process. While
            individual disasters may have more discrete limits, we are always moving
            from prior disasters while dealing with the present disasters and prepar-
            ing for future disasters. This makes collaboration very tricky.
              Collaboration changes in character over time, and what it takes to col-
            laborate also shifts, requiring not only preparation but also creativity and
            careful consideration to deal with situations as they arise. More concretely,
            collaboration is typically easier when a crisis is present, in the immediate
            aftermath and short-term response to disaster, because the high level of
            necessity creates a strong common purpose, and people both set aside dif-
            ferences in the face of necessity as well as make resources available with a
            greater generosity than at other times.
              This is one beautiful thing about disasters—adverse circumstances often
            bring out the best in people, which is as beautiful as it is ugly when good-
            will dissipates in the absence of crisis. In the period in between disasters,
            collaboration becomes attenuated due to a lowered sense of urgency and
            a related scarcity of resources. It is a special challenge between disasters
            to maintain networks of responders and to practice and prepare in order
            to remain in a state of readiness. However, what may seem like a pointless
            waste of time at one moment may in an instant become of paramount and
            pressing importance during disaster. In retrospect, it is time, energy, and
            money well spent if disaster strikes but, prospectively, a potential huge
            waste if no disaster materializes, and no way to know which is which. The
            inability to fully predict and the fear of wastage create a state of tension
            about allocating resources toward collaborating.



            Pragmatic Approaches to Collaboration

            I am drawing on my experience working in every phase of disaster, in many
            situations of disaster and crisis, to identify what works and what does not
            work. These experiences include, among others, working acutely in 9/11
            both clinically and academically/administratively; working over 7 years on
            ongoing clinical problems and systemic preparedness and response since
            9/11; traveling to Louisiana immediately after Hurricane Katrina in 2005
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